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PubMed2002

Emotional experience and perception in the absence of facial feedback.

The facial feedback hypothesis suggests that facial expressions are either necessary or sufficient to produce emotional experience. Researchers have noted that the ideal test of the necessity aspect of this hypothesis would be an evaluation of emotional experience in a patient suffering from a bilateral facial paralysis; however, this condition is rare and no such report has been documented. We examined the role of facial expressions in the determination of emotion by studying a patient (F.P.) suffering from a bilateral facial paralysis. Despite her inability to convey emotions through facial expressions, F.P. reported normal emotional experience. When F.P. viewed emotionally evocative slides her reactions were not dampened relative to the normative sample. F.P. retained her ability to detect, discriminate, and image emotional expressions. These findings are not consistent with theories stating that feedback from an active face is necessary to experience emotion, or to process emotional facial expressions.

Adult↗
PubMed2004

Fear recognition is impaired by subthalamic nucleus stimulation in Parkinson's disease.

Behavioural disturbances such as disorders of mood, apathy or indifference are often observed in Parkinson's disease (PD) patients with chronic high frequency deep brain stimulation of subthalamic nucleus (STN DBS). Neuropsychological modifications causing these adverse events induced by STN DBS remain unknown, even if limbic disturbances are hypothesised. The limbic system supports neural circuits processing emotional information. The aim of this work is to evaluate changes of emotional recognition in PD patients induced by STN DBS. Thirty PD patients were assessed using a computerised paradigm of recognition of emotional facial expressions [Ekman, P., & Friesen, W. V. (1976). Pictures of facial affect. Palo Alto, CA: Consulting Psychologists Press], 15 before STN DBS and 15 after. The two patients groups were compared to a group of 15 healthy control subjects. One series of 55 pictures of emotional facial expressions was presented to each patient. Patients had to classify the pictures according to seven basic emotions (happiness, sadness, fear, surprise, disgust, anger and no emotion). The intact ability to percept faces was firstly assured using the Benton Recognition Test. Recognition of fear expressions was significantly and selectively reduced in the post-operative group in comparison to both pre-operative and control groups. Our results demonstrate for the first time a selective reduction of recognition of facial expressions of fear by STN DBS. This impairment could be the first neuropsychological marker of a more general limbic dysfunction, thought to be responsible for the behavioural disorders reported after STN DBS.

Aged↗
PubMed1994

[Anatomy of the superficial parts of the face and neck].

The author presents four chapters concerning classical anatomy, an anatomical contribution to new facelifts, aesthetic anatomy, which recalls the aesthetic relations of the face, and finally a brief review of the mode of ageing of the face. The embryology of the superficial plane of the face and neck shows that the development of muscles of facial expression, deep and superficial fatty tissues, the facial nerve and the parotid is the result of divergent migratory movements and confluences. The anatomy is discussed in two parts: the first concerns conventional anatomy, and reviews the anatomical data acquired to date, the second proposes anatomical conclusions adapted to new surgical techniques of rejuvenation. The branches of the facial nerve are unusual in terms of their great variability. However, by using anatomical landmarks, it is possible to localize them precisely. The blood supply of the superficial tissues of the face and neck has been the subject of many studies. Deep monoblock facelifts, by sparing the blood supply of certain anatomical planes, allow the perfectly safe creation of extensive skin flaps. Some muscles of the face and neck are useful surgically. The orbicularis oculi muscle is also a muscle of the orbital margins by its depressing action on the eyebrows and levator action on the superficial malar adipose tissue. The corrugator muscle is a central element of new frontal endoscopy techniques. Elevation of the eyebrows is then ensured by the occipitofrontal complex which occupies only the medial two-thirds of the eyebrows. The zygomaticus major muscle must be released over its entire length because excessive traction on a SMAS flap can induce a disorder of facial expression. The platysma muscle plays an increasingly important role in cervical surgery and constitutes the deep guarantee of the cervical corset. The four fixed osteocutaneous points of the face: zygomatic (Mac Gregor), mandibular (Furnas), orbital (Psillakis) and masseteric play an antigravitational and functional role in facial expression. A macroscopic anatomical and histological study, performed on 60 dissections of hemifaces with several preparations defined the anatomy of the superficial musculoaponeurotic system (SMAS), jugomalar adipose planes and the nasolabial fold. The SMAS is a strictly superficial surgical anatomy structure derived from the primitive platysma muscle, and does not possess any bony insertion. It is composed exclusively of platysma and risorius muscles. There is no parotid aponeurosis. The parotid is surrounded by a capsule. Its is limited in depth by the superficial cervical aponeurosis which lines the styloid curtain (Jost, Levet).(ABSTRACT TRUNCATED AT 400 WORDS)

Esthetics↗
PubMed1996

Asymmetries of facial motility during the dissimulation of emotion.

The asymmetrics of facial expression were estimated in a sample of 14 experimental subjects with the Facial Action Coding System during voluntary control of facial mimicry while viewing videotapes. The subjects were instructed to express facially the emotion experienced or to dissimulate their true emotion with a facial expression opposite (incongruous) to what they actually felt. Only during dissimulation did facial mimicry show an asymmetric distribution toward the lower left side of the face.

Adult↗
PubMed2003

Impaired facial emotion recognition in early-onset right mesial temporal lobe epilepsy.

BACKGROUND: Anteromedial temporal lobe regions, particularly the amygdala, participate in the recognition of emotions from facial expressions. The authors studied the ability of facial emotion recognition (ER) in subjects with symptomatic epilepsy, evaluating whether mesial temporal lobe damage is related to an impairment in the recognition of specific emotions and whether the onset of seizures in a critical period of life could prevent the development of ER. METHODS: Groups included patients with temporal lobe epilepsy (TLE) with MRI evidence of mesial temporal sclerosis (MTS) (n = 33); patients with TLE with MRI evidence of temporal lobe lesions other than MTS (n = 30); and patients with extratemporal epilepsy (n = 33). Healthy volunteers (n = 50) served as controls. ER was tested by matching a facial expression with the name of one of the following basic emotions: happiness, sadness, fear, disgust, and anger. A face-matching task was used to control visuoperceptual abilities with face stimuli. RESULTS: No subject showed deficits in the face-matching task. ER was impaired in patients with right MTS, especially for fearful faces. Patients presenting left MTS, right or left temporal lobe lesions other than MTS, or extratemporal seizure foci showed ER performances similar to controls. In all subjects with right TLE, the degree of emotion recognition impairment was related to age at first seizure (febrile or afebrile) and age at epilepsy onset. CONCLUSIONS: Early-onset right-sided mesial temporal lobe epilepsy is the key substrate determining a severe deficit in recognizing emotional facial expressions, especially fear.

Adolescent↗
PubMed1998

Hemifacial asymmetry in emotion expressions.

We examined asymmetry in posed facial expression of emotions: happy and sad. Hemifacial composite photographs, left-left and right-right, were prepared, and subjects rated these for intensity of expressed emotion. Overall, left-left composites were judged to have expressed emotions relatively more intensely than the right-right composites. The significant Sex x Emotion interaction revealed that female expressors were judged as more expressive than male expressors in expressing sad facial emotion. Sex difference in expression of happy facial emotion was not significant.

Adult↗
PubMed2003

Pain assessment in elderly patients with severe dementia.

The purpose of this study was to assess the reliability and validity of facial expressions as pain indicators in patients with severe dementia. Based on interviews with patients who could report pain, we defined characteristics of decubitus ulcers associated with reports of pain during dressing changes. We then evaluated 9 patients who had ulcers with these characteristics but were unable to communicate verbally because of severe dementia. We videotaped their facial expressions before and during their decubitus ulcer dressing change. We showed the videotape segments, in random order, to 8 medical students and 10 nurses. The 18 viewers were asked to infer the presence or absence of pain based on their observations of the patients' facial expressions and vocalizations. The dressing change of decubitus ulcers extending beyond the subcutaneous tissue, covering an area of at least 9 cm(2), and with a moist surface, was always reported as painful by study patients able to report (95% confidence interval of 69-100%). The intraclass correlation coefficient for the answers of the 18 viewers evaluating each videotape segment for the presence of pain was 0.64. Sensitivity, specificity, and positive and negative predictive values of viewers' ratings of facial expressions and vocalizations as a measure of the presence of pain were: 0.70, 0.83, 0.90, and 0.81. The intraclass correlation coefficient for the answers rating pain intensity was only 0.10, indicating only slight agreement beyond chance. Assuming dressing changes of ulcers reported as painful by communicative patients are also painful in non-verbal severely demented patients, clinician observations of facial expressions and vocalizations are accurate means for assessing the presence of pain, but not its intensity, in patients unable to communicate verbally because of advanced dementia.

Aged↗
PubMed2004

Neural correlates associated with impaired disgust processing in pre-symptomatic Huntington's disease.

Disturbances in recognizing facial expressions of disgust have been reported previously in pre-symptomatic and manifest Huntington's disease. Given the substantial role of the insula and basal ganglia in the perception of disgust as revealed by functional imaging, lesion studies and intracerebral recordings, we propose dysfunction within the insula and/or basal ganglia as the underlying neural substrate. Using functional MRI (fMRI), we studied a group of nine pre-symptomatic Huntington's disease gene carriers and nine healthy controls, matched for age, gender, intelligence and years of education, while they were viewing disgusted facial expressions. As control conditions, surprised and neutral expressions were presented. Compared with healthy controls, Huntington's disease gene carriers showed reduced responses within the left dorsal anterior insula during processing of disgusted facial expressions. Moreover, processing of disgust was associated with significant activation of the left dorsal anterior insula and putamen in healthy controls, but not in Huntington's disease gene carriers. Furthermore, behavioural assessment revealed a selective impairment in recognizing facial expressions displaying disgust in Huntington's disease gene carriers. Our finding of dysfunctional decreased insula activation in pre-symptomatic Huntington's disease provides an explanation for the clinical deficit in recognizing facial expression of disgust. Furthermore, it underscores the role of the insula in the emotion of disgust.

Adult↗
PubMed2004

Functional neuroanatomy of perceiving surprised faces.

Surprise is one of six emotions having a specific and universally recognized facial expression. Functional imaging and neuropsychologic studies have uncovered partly separable neural substrates for perceiving different facial expressions; however, the functional neuroanatomy of perceiving surprised faces has not yet been investigated. Using functional magnetic resonance imaging (fMRI), we aimed to identify the neural substrate of surprise perception from facial expressions. Based on the assumption of unexpectedness and novelty as elicitors of facial surprise reactions, we hypothesized recruitment of medial temporal lobe structures implicated in novelty detection during the perception of surprise in others. Healthy subjects were scanned while they were presented with surprised faces. As a control, they viewed faces depicting neutral or disgust expressions. Activations during the emotional conditions were contrasted with each other and with the neutral face condition. Compared to both control conditions, perception of surprised facial expressions yielded consistently increased signals in the parahippocampal region, an area associated previously with novelty detection. Our findings therefore suggest a close relation between perceiving surprise in others and the response to novel events. Additionally, we confirmed activation of the insula during perception of disgust expressions.

Adult↗
PubMed2003

Developmental changes in face processing skills.

Expertise in processing differences among faces in the spacing among facial features (second-order relations) is slower to develop than expertise in processing the shape of individual features or the shape of the external contour. To determine the impact of the slow development of sensitivity to second-order relations on various face-processing skills, we developed five computerized tasks that require matching faces on the basis of identity (with changed facial expression or head orientation), facial expression, gaze direction, and sound being spoken. In Experiment 1, we evaluated the influence of second-order relations on performance on each task by presenting them to adults (N=48) who viewed the faces either upright or inverted. Previous studies have shown that inversion has a larger effect on tasks that require processing the spacing among features than it does on tasks that can be solved by processing the shape of individual features. Adults showed an inversion effect for only one task: matching facial identity when there was a change in head orientation. In Experiment 2, we administered the same tasks to children aged 6, 8, and 10 years (N=72). Compared to adults, 6-year-olds made more errors on every task and 8-year-olds made more errors on three of the five tasks: matching direction of gaze and the two facial identity tasks. Ten-year-olds made more errors than adults on only one task: matching facial identity when there was a change in head orientation (e.g., from frontal to tilted up). Together, the results indicate that the slow development of sensitivity to second-order relations causes children to be especially poor at recognizing the identity of a face when it is seen in a new orientation.

Child↗
PubMed2007

Children with Down syndrome: oral development and morphology after use of palatal plates between 6 and 48 months of age.

OBJECTIVE: The aim of this study was to describe the number of erupted teeth, sucking habits, tongue morphology, facial expression and speech in children with Down syndrome (DS) aged 48 +/- 6 months and treated from 6 months of age with palatal plates in combination with speech and language therapy. METHODS: The research took the form of a multicentre, multidisciplinary, longitudinal study of children with DS followed from the age of 6 months. A total of 37 children with DS were included. One child could not cooperate at all and was excluded from the evaluations. In combination with speech and language intervention provided by speech and language therapists, the children used palatal plates provided by dentists from 6 months of age. In the evaluation, the children in the sample (n = 36) were compared with two similarly aged control groups: one group of children with DS who never had used palatal plates (n = 31) and one group of children with normal development (n = 36). The evaluation of oral parameters was performed by dentists after calibration. Registration of facial expression and speech was done by a speech and language therapist, and the evaluation was done by two speech and language therapists and one phonetician who were calibrated in joint discussions. RESULTS: In contrast to the children with DS in the control group, the subjects in the study were found to have as many erupted teeth as the children with normal development. The prevalence of sucking habits did not differ between the three groups. Only children with DS sucked their tongue, a toy or other things in addition to a thumb or dummy. The prevalence of tongue diastase in the study group with DS was of the same magnitude as in the evaluation at the age of 18 +/- 3 months. The palatal plates were used by 57-65% of the children without any larger problems. In the study sample, the possible beneficial effects of palatal plate therapy were a lower prevalence of posterior cross-bite, a higher prevalence of frontal cusp-to-cusp relation and a lower prevalence of frontal open bite. Evaluation of facial expression and speech showed a higher score for facial expression and a better communicative capacity in the children in the study group than in the control children with DS. CONCLUSIONS: In children with DS, palatal plate therapy between 6 and 48 months of age in connection with speech and language intervention had a positive effect on occlusion, oral motor function, facial expression and speech. No harmful effects were observed. Although this is a valuable method, however, it must be emphasized that palatal plate therapy puts additional demands on already burdened children and their caretakers.

Case-Control Studies↗
PubMed2007

Analgesia in preterm newborns: the comparative effects of sucrose and glucose.

The aim of this study was to evaluate the effectiveness of different oral carbohydrate solutions for alleviation of pain in healthy preterm babies. Thirty-one preterm infants who were having blood drawn by heel prick were given 2 ml of solution A (20% sucrose), solution B (20% glucose) or solution C (placebo, sterile water) into the mouth, 2 min before lancing. Behavioural responses to this painful stimulus were measured by duration of crying and facial expressions (Neonatal Facial Coding System, NFCS) and physiological responses were measured by heart rate (HR), respiratory rate (RR), and oxygen saturation changes (SaO(2)). Infants had a mean birth weight (+/-SD) of 1,401 g (406), gestational age of 30.5 weeks (2.7); at the time of the procedure the postmenstrual age was 32.3 weeks (1.5). There was no significant difference in the time spent squeezing the heel between the three groups (P = 0.669). After the heel prick of both the sucrose and glucose groups the duration of first cry and total crying time was significantly reduced (P = 0.005 and P = 0.007). When the babies received placebo they showed a significantly higher NFCS score at 4 and 5 min after the heel prick (P = 0.009 and 0.046 respectively). Following painful stimulus HR increased significantly in the first 3 min compared with baseline, and at the first minute the mean of the HR was found to be significantly higher in the placebo group than in the sucrose and glucose groups (P = 0.007). We concluded that both sucrose and glucose administered orally before a heel prick reduce the pain response in preterm infants.

Administration, Oral↗
PubMedDate not supplied

Creating speech-synchronized animation.

We present a facial model designed primarily to support animated speech. Our facial model takes facial geometry as input and transforms it into a parametric deformable model. The facial model uses a muscle-based parameterization, allowing for easier integration between speech synchrony and facial expressions. Our facial model has a highly deformable lip model that is grafted onto the input facial geometry to provide the necessary geometric complexity needed for creating lip shapes and high-quality renderings. Our facial model also includes a highly deformable tongue model that can represent the shapes the tongue undergoes during speech. We add teeth, gums, and upper palate geometry to complete the inner mouth. To decrease the processing time, we hierarchically deform the facial surface. We also present a method to animate the facial model over time to create animated speech using a model of coarticulation that blends visemes together using dominance functions. We treat visemes as a dynamic shaping of the vocal tract by describing visemes as curves instead of keyframes. We show the utility of the techniques described in this paper by implementing them in a text-to-audiovisual-speech system that creates animation of speech from unrestricted text. The facial and coarticulation models must first be interactively initialized. The system then automatically creates accurate real-time animated speech from the input text. It is capable of cheaply producing tremendous amounts of animated speech with very low resource requirements.

Algorithms↗
PubMed1995

[The reconstruction of facial burn and deformity from burn scar].

Thirty-seven patients with facial full-deep burn and burn scar contructure were treated in our department. The operation included transplantation, of whole piece of full thickness skin (3 patients), transplantation of whole piece of full thickness skin with subdermal vascular rete a (1), transplantation of improved whole piece of full thickness skin (26), and separated transplantation of large piece of partial thickness skin (7). Follow-up from 3 to 15 years showed that the facial skin of whole piece of full thickness skin was soft, smooth, and had natural facial expression. The facial skin of separated transplantation had slight scar and pigmentation. The improved whole piece of full thickness skin was recommendable for avoiding the secondary ectropion of eyelid and lip.

Adolescent↗
PubMed2001

Hemispheric dominance for emotions, empathy and social behaviour: evidence from right and left handers with frontotemporal dementia.

Although evidence from primates suggests an important role for the anterior temporal cortex in social behaviour, human research has to date concentrated almost solely on the orbitofrontal cortex and amygdala. By describing four cases of the temporal variant of frontotemporal dementia we show how this degenerative condition provides an excellent model for investigating the role of the anterior temporal lobe, especially the right, in emotions, empathy and social behaviour. Assessments of semantic memory, processing of emotional facial expression and emotional prosody were made, empathy was measured, and facial expressions of emotion were coded. Of the two right handers described, one subject with predominantly left temporal lobe atrophy had severe semantic impairment but normal performance on all emotional tasks. In contrast, the subject with right temporal lobe atrophy showed severely impaired recognition of emotion from faces and voices that was not due to semantic or perceptual difficulties. Empathy was lost, interpersonal skills were severely affected and facial expression of emotion was characterized by a fixed expression that was unresponsive to situations. Additionally, two left handers with right temporal lobe atrophy are described. One demonstrated the same pattern of hemispheric lateralization as the right handers and had emotional impairment. The other left hander showed the opposite pattern of deficits, suggesting a novel presentation of anomalous dominance with reversed hemispheric specialization of semantic memory and emotional processing.

Aged↗
PubMed1976

Delta-9-THC and nonverbal communication in monkeys.

Male rhesus monkeys were trained to perform an instrumental avoidance conditioned response. They were then paired in the "cooperative conditioning" paradigm, a situation designed to measure the quality of nonverbal communication by changes in facial expression. A "responder monkey" was able to perform discriminated instrumental avoidance responses by processing facial expressive cues provided through a closed circuit television picture of a "stimulus monkey" which was receiving presentations of the conditioned stimulus. Oral administration of 1.0 mg/kg of delta-9-tetrahydrocannabinol (delta-9-THC) to the stimulus animal, the responder, both animals, or neither animal was given in all possible combinations of pairings to determine if delta-9-THC affects the expressiveness of the stimulus monkey or the sensitivity of the responder to the expressions of others. The drug impaired the display of facial expression in "stimulus" subjects but enhanced the ability of "responders" to discriminate the expressions of their partners. Measures of heart rate during cooperative conditioning revealed that delta-9-THC lowered cardiac rates of responder monkeys.

Animal Communication↗
PubMed2001

Emotional priming of facial affect identification in schizophrenia.

Twenty-three schizophrenia subjects were compared with healthy and clinical control subjects on an emotional priming task. Positive and negative emotional facial expressions were presented as primes, followed by a neutral pattern mask, then an emotionally neutral face as target. The prime-mask-target sequence was arranged to allow conscious perception of only the targets. Subjects had to judge if they had seen a pleasant or an unpleasant facial expression. All subjects judged the neutral target as significantly more unpleasant when negative emotional facial expressions were presented as primes as compared with positive or neutral facial expressions as primes. This judgment shift was significantly stronger in schizophrenia subjects than in control subjects. The stronger priming of schizophrenia subjects may reflect a stronger influence of automatically processed emotional stimuli on judgments. We suggest that increased spreading activation of emotional information might be related to low social/emotional functioning of the individual with schizophrenia.

Adult↗
PubMed2005

Unconscious fear influences emotional awareness of faces and voices.

Nonconscious recognition of facial expressions opens an intriguing possibility that two emotions can be present together in one brain with unconsciously and consciously perceived inputs interacting. We investigated this interaction in three experiments by using a hemianope patient with residual nonconscious vision. During simultaneous presentation of facial expressions to the intact and the blind field, we measured interactions between conscious and nonconsciously recognized images. Fear-specific congruence effects were expressed as enhanced neuronal activity in fusiform gyrus, amygdala, and pulvinar. Nonconscious facial expressions also influenced processing of consciously recognized emotional voices. Emotional congruency between visual and an auditory input enhances activity in amygdala and superior colliculus for blind, relative to intact, field presentation of faces. Our findings indicate that recognition of fear is mandatory and independent of awareness. Most importantly, unconscious fear recognition remains robust even in the light of a concurrent incongruent happy facial expression or an emotional voice of which the observer is aware.

Auditory Perception↗