Face perception and facial emotional expression recognition ability: Both unique predictors of the broader autism phenotype

Autism spectrum disorder (ASD) and the broader autistic phenotype (BAP) have been suggested to be associated with perceptual-cognitive difficulties processing human faces. However, the empirical results are mixed, arguably, in part due to inadequate samples and analyses. Consequently, we administered the Cambridge Face Perception Test (CFPT), the Reading the Mind in the Eyes Test (RMET), a vocabulary test, and the Autism Quotient (AQ) to a sample of 318 adults in the general community. Based on a disattenuated path analytic modelling strategy, we found that both face perception ability (β = -.21) and facial emotional expression recognition ability (β = -.27) predicted uniquely and significantly the Communication dimension of AQ. Vocabulary failed to yield a significant, direct effect onto the Communication dimension of the AQ. We conclude that difficulties perceiving information from the faces of others may contribute to difficulties in nonverbal communication, as conceptualised and measured within the context of BAP.

The Human Affectome

Over the last decades, theoretical perspectives in the interdisciplinary field of the affective sciences have proliferated rather than converged due to differing assumptions about what human affective phenomena are and how they work. These metaphysical and mechanistic assumptions, shaped by academic context and values, have dictated affective constructs and operationalizations. However, an assumption about the purpose of affective phenomena can guide us to a common set of metaphysical and mechanistic assumptions. In this capstone paper, we home in on a nested teleological principle for human affective phenomena in order to synthesize metaphysical and mechanistic assumptions. Under this framework, human affective phenomena can collectively be considered algorithms that either adjust based on the human comfort zone (affective concerns) or monitor those adaptive processes (affective features). This teleologically-grounded framework offers a principled agenda and launchpad for both organizing existing perspectives and generating new ones. Ultimately, we hope the Human Affectome brings us a step closer to not only an integrated understanding of human affective phenomena, but an integrated field for affective research.

Autistic traits are associated with differences in the perception of genuineness and approachability in emotional facial expressions, independently of alexithymia

People with autism and higher levels of autistic traits often have difficulty interpreting facial emotion. Research has commonly investigated the association between autistic traits and expression labeling ability. Here, we investigated the association between two relatively understudied abilities, namely, judging whether expressions reflect genuine emotion, and using expressions to make social approach judgements, in a nonclinical sample of undergraduates at an Australian university (N = 149; data collected during 2018). Autistic traits were associated with more difficulty discriminating genuineness and less typical social approach judgements. Importantly, we also investigated whether these associations could be explained by the co-occurring personality trait alexithymia, which describes a difficulty interpreting one's own emotions. Alexithymia is hypothesized to be the source of many emotional difficulties experienced by autistic people and often accounts for expression labeling difficulties associated with autism and autistic traits. In contrast, the current results provided no evidence that alexithymia is associated with differences in genuineness discrimination and social approach judgements. Rather, differences varied as a function of individual differences in specific domains of autistic traits. More autistic-like social skills and communication predicted greater difficulty in genuineness discrimination, and more autistic-like social skills and attention to details and patterns predicted differences in approach judgements. These findings suggest that difficulties in these areas are likely to be better understood as features of the autism phenotype than of alexithymia. Finally, results highlight the importance of considering the authenticity of emotional expressions, with associations between differences in approach judgements being more pronounced for genuine emotional expressions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

General figure and face-specific closure ability: predictors of trait-autism?

Little research has examined the association between general figure closure speed, a stratum I ability within the Cattell-Horn-Carroll (CHC) model of intelligence, and face-specific closure ability; an important consideration, as some research suggests face processing is independent of other abilities. Additionally, figure closure ability (general and face) may correlate negatively with trait-autism, due to theorised autism-related difficulties in global processing. Therefore, in addition to developing a psychometrically robust short-form Mooney face detection task, we administered the Gestalt Figure Completion Test and the Autism Spectrum Quotient to a sample of 263 general community adults. We found convergent validity between face-specific and general figure closure ability (r = .44, 95%CI:[.30, .58]). Furthermore, based on a latent variable model, general figure closure ability was directly, and face-specific figure closure ability indirectly, negatively associated with trait-autism (i.e., nonverbal communication). We conclude that face detection ability evidences convergent validity with general figure closure ability and can be measured reliably in less than four minutes. Finally, a general, rather than face-specific, figure closure process may tap more directly into autism-like nonverbal communication ability, supporting the notion that global processing abilities of non-face objects may better reflect the requirements to ‘fill in the gaps’ in social contexts.

Children show neural sensitivity to facial trustworthiness as measured by fast periodic visual stimulation

Adults exhibit neural responses over the visual occipito-temporal area in response to faces that vary in how trustworthy they appear. However, it is not yet known when a mature pattern of neural sensitivity can be seen in children. Using a fast periodic visual stimulation (FPVS) paradigm, face images were presented to 8-to-9-year-old children (an age group which shows development of trust impressions; N = 31) and adult (N = 33) participants at a rate of 6 Hz (6 face images per second). Within this sequence, an 'oddball' face differing in the level of facial trustworthiness compared to the other faces, was presented at a rate of 1 Hz (once per second). Children were sensitive to variations in facial trustworthiness, showing reliable and significant neural responses at 1 Hz in the absence of instructions to respond to facial trustworthiness. Additionally, the magnitude of children's and adults' neural responses was similar, with strong Bayesian evidence that implicit neural responses to facial trustworthiness did not differ across the groups, and therefore, that visual sensitivity to differences in facial trustworthiness can show mature patterns by this age. Thus, nine or less years of social experience, perceptual and/or cognitive development may be sufficient for adult-like neural sensitivity to facial trustworthiness to emerge. We also validate the use of the FPVS methodology to examine children's implicit face-based trust processing for the first time, which is especially valuable in developmental research because this paradigm requires no explicit instructions or responses from participants.

Trustworthiness perception is mandatory: Task instructions do not modulate fast periodic visual stimulation trustworthiness responses

Although it is often assumed that humans spontaneously respond to the trustworthiness of others’ faces, it is still unclear whether responses to facial trust are mandatory or can be modulated by instructions. Considerable scientific interest lies in understanding whether trust processing is mandatory, given the societal consequences of biased trusting behavior. We tested whether neural responses indexing trustworthiness discrimination depended on whether the task involved focusing on facial trustworthiness or not, using a fast periodic visual stimulation electroencephalography oddball paradigm with a neural marker of trustworthiness discrimination at 1 Hz. Participants judged faces on size without any reference to trust, explicitly formed impressions of facial trust, or were given a financial lending context that primed trust, without explicit trust judgement instructions. Significant trustworthiness discrimination responses at 1 Hz were found in all three conditions, demonstrating the robust nature of trustworthiness discrimination at the neural level. Moreover, no effect of task instruction was observed, with Bayesian analyses providing moderate to decisive evidence that task instruction did not affect trustworthiness discrimination. Our finding that visual trustworthiness discrimination is mandatory points to the remarkable spontaneity of trustworthiness processing, providing clues regarding why these often unreliable impressions are ubiquitous.

Children's dynamic use of face- and behavior-based cues in an economic trust game

Who do children trust? We investigated the extent to which children use face-based versus behavior-based cues when deciding whom to trust in a multiturn economic trust game. Children's (N = 42; aged 8 to 10 years; 31 females; predominantly White) trust decisions were informed by an interaction between face-based and behavior-based cues to trustworthiness, similarly to those of adults (N = 41; aged 17 to 48 years; 23 females; predominantly White). Facial trustworthiness guided children's investment decisions initially, such that they invested highly with trustworthy-looking partners and less with untrustworthy-looking partners. However, by the end of the trust game, after children had experienced game partners' fair or unfair return behavior, they overcame this bias and instead used partners' previous behavior to guide their trust decisions. Using partners' return behavior to guide decisions was the most rational strategy, because partners' facial trustworthiness was not an accurate cue to their actual trustworthiness. This dynamic use of different cues to trustworthiness suggests sophisticated levels of social cognition in children, which may reflect the social importance of trust impressions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Eye Gaze in Autism Spectrum Disorder: A Review of Neural Evidence for the Eye Avoidance Hypothesis

Reduced eye contact early in life may play a role in the developmental pathways that culminate in a diagnosis of autism spectrum disorder. However, there are contradictory theories regarding the neural mechanisms involved. According to the amygdala theory of autism, reduced eye contact results from a hypoactive amygdala that fails to flag eyes as salient. However, the eye avoidance hypothesis proposes the opposite-that amygdala hyperactivity causes eye avoidance. This review evaluated studies that measured the relationship between eye gaze and activity in the 'social brain' when viewing facial stimuli. Of the reviewed studies, eight of eleven supported the eye avoidance hypothesis. These results suggest eye avoidance may be used to reduce amygdala-related hyperarousal among people on the autism spectrum.

Serial dependence of facial identity for own- and other-race faces

It is well established that individuals are better at recognising faces of their own-race compared with other-races; however, there is ongoing debate regarding the perceptual mechanisms that may be involved and therefore sensitive to face-race. Here, we ask whether serial dependence of facial identity, a bias where the perception of a face's identity is biased towards a previously presented face, shows an other-race effect. Serial dependence is associated with face recognition ability and appears to operate on high-level, face-selective representations, like other candidate mechanisms (e.g., holistic processing). We therefore expected to find an other-race effect for serial dependence for our Caucasian and Asian participants. While participants showed robust effects of serial dependence for all faces, only Caucasian participants showed stronger serial dependence for own-race faces. Intriguingly, we found that individual variation in own-race, but not other-race, serial dependence was significantly associated with face recognition abilities. Preliminary evidence also suggested that other-race contact is associated with other-race serial dependence. In conclusion, though we did not find an overall difference in serial dependence for own- versus other-race faces in both participant groups, our results highlight that this bias may be functionally different for own- versus other-race faces and sensitive to racial experience.

Considering Hemispheric Specialization in Emotional Face Processing: An Eye Tracking Study in Left- and Right-Lateralised Semantic Dementia

Face processing relies on a network of occipito-temporal and frontal brain regions. Temporal regions are heavily involved in looking at and processing emotional faces; however, the contribution of each hemisphere to this process remains under debate. Semantic dementia (SD) is a rare neurodegenerative brain condition characterized by anterior temporal lobe atrophy, which is either predominantly left- (left-SD) or right-lateralised (right-SD). This syndrome therefore provides a unique lesion model to understand the role of laterality in emotional face processing. Here, we investigated facial scanning patterns in 10 left-SD and 6 right-SD patients, compared to 22 healthy controls. Eye tracking was recorded via a remote EyeLink 1000 system, while participants passively viewed fearful, happy, and neutral faces over 72 trials. Analyses revealed that right-SD patients had more fixations to the eyes than controls in the Fear (p = 0.04) condition only. Right-SD patients also showed more fixations to the eyes than left-SD patients in all conditions: Fear (p = 0.01), Happy (p = 0.008), and Neutral (p = 0.04). In contrast, no differences between controls and left-SD patients were observed for any emotion. No group differences were observed for fixations to the mouth, or the whole face. This study is the first to examine patterns of facial scanning in left- versus right- SD, demonstrating more of a focus on the eyes in right-SD. Neuroimaging analyses showed that degradation of the right superior temporal sulcus was associated with increased fixations to the eyes. Together these results suggest that right lateralised brain regions of the face processing network are involved in the ability to efficiently utilise changeable cues from the face.

Serial dependence of facial identity reflects high-level face coding

Serial dependence of facial identity is a type of bias where the perceived identity of a face is biased towards a previously presented face. There are individual differences in serial dependence strength and tuning (how the strength varies depending on stimuli similarity), and previous research has shown that both stronger and more narrowly tuned serial dependence of facial identity is associated with better face recognition abilities. These results are consistent with the idea that this bias plays a functional role in face perception. It is important, therefore, to determine whether serial dependence of facial identity reflects a high-level face-coding mechanism acting on the identity of a face or instead predominantly reflects a bias in low-level features, which are also subject to serial dependence. We first sought evidence that serial dependence of facial identity survived changes in low-level visual features, by varying face viewpoint between successive stimuli. We found that serial dependence persisted across changes in viewpoint, arguing against an entirely low-level locus for this bias. We next tested whether the bias was affected by inversion, as sensitivity to inversion is argued to be a characteristic of high-level face-selective processing. Serial dependence was stronger and more narrowly tuned for upright than inverted faces. Taken together, our results are consistent with the view that serial dependence of facial identity affects high-level visual representations and may reflect a face-coding mechanism that is operating at the level of facial identity.

Associations between hypomania proneness and attentional bias to happy, but not angry or fearful, faces in emerging adults

Mania, the core feature of bipolar disorder, is associated with heightened and positive emotion responding. Yet, little is known about the underlying cognitive processes that may contribute to heightened positive emotionality observed. Additionally, while previous research has investigated positive emotion biases in non-clinical samples, few if any, account for subthreshold clinical symptoms or traits, which have reliably assessed psychopathological risk. The present study compared continuous scores on a widely used self-report measure of hypomania proneness (HPS-48) with a dot-probe task to investigate attentional biases for happy, angry, fearful, and neutral faces among 66 college student participants. Results suggested that hypomania proneness was positively associated with attentional bias towards happy, but not angry or fearful faces. Results remained robust when controlling for positive affect and did not appear to be affected by negative affect or current symptoms of depression, anxiety, and stress. Findings provide insight into potential behavioural markers that co-occur with heightened positive emotional responding and hypomania in emerging adults.

An objective and reliable electrophysiological marker for implicit trustworthiness perception

Trustworthiness is assumed to be processed implicitly from faces, despite the fact that the overwhelming majority of research has only involved explicit trustworthiness judgements. To answer the question whether or not trustworthiness processing can be implicit, we apply an electroencephalography fast periodic visual stimulation (FPVS) paradigm, where electrophysiological cortical activity is triggered in synchrony with facial trustworthiness cues, without explicit judgements. Face images were presented at 6 Hz, with facial trustworthiness varying at 1 Hz. Significant responses at 1 Hz were observed, indicating that differences in the trustworthiness of the faces were reflected in the neural signature. These responses were significantly reduced for inverted faces, suggesting that the results are associated with higher order face processing. The neural responses were reliable, and correlated with explicit trustworthiness judgements, suggesting that the technique is capable of picking up on stable individual differences in trustworthiness processing. By demonstrating neural activity associated with implicit trustworthiness judgements, our results contribute to resolving a key theoretical debate. Moreover, our data show that FPVS is a valuable tool to examine face processing at the individual level, with potential application in pre-verbal and clinical populations who struggle with verbalization, understanding or memory.

Individual differences in trust evaluations are shaped mostly by environments, not genes

People evaluate a stranger's trustworthiness from their facial features in a fraction of a second, despite common advice "not to judge a book by its cover." Evaluations of trustworthiness have critical and widespread social impact, predicting financial lending, mate selection, and even criminal justice outcomes. Consequently, understanding how people perceive trustworthiness from faces has been a major focus of scientific inquiry, and detailed models explain how consensus impressions of trustworthiness are driven by facial attributes. However, facial impression models do not consider variation between observers. Here, we develop a sensitive test of trustworthiness evaluation and use it to document substantial, stable individual differences in trustworthiness impressions. Via a twin study, we show that these individual differences are largely shaped by variation in personal experience, rather than genes or shared environments. Finally, using multivariate twin modeling, we show that variation in trustworthiness evaluation is specific, dissociating from other key facial evaluations of dominance and attractiveness. Our finding that variation in facial trustworthiness evaluation is driven mostly by personal experience represents a rare example of a core social perceptual capacity being predominantly shaped by a person's unique environment. Notably, it stands in sharp contrast to variation in facial recognition ability, which is driven mostly by genes. Our study provides insights into the development of the social brain, offers a different perspective on disagreement in trust in wider society, and motivates new research into the origins and potential malleability of face evaluation, a critical aspect of human social cognition.

A sensorimotor control framework for understanding emotional communication and regulation

Our research team was asked to consider the relationship of the neuroscience of sensorimotor control to the language of emotions and feelings. Actions are the principal means for the communication of emotions and feelings in both humans and other animals, and the allostatic mechanisms controlling action also apply to the regulation of emotional states by the self and others. We consider how motor control of hierarchically organised, feedback-based, goal-directed action has evolved in humans, within a context of consciousness, appraisal and cultural learning, to serve emotions and feelings. In our linguistic analysis, we found that many emotion and feelings words could be assigned to stages in the sensorimotor learning process, but the assignment was often arbitrary. The embodied nature of emotional communication means that action words are frequently used, but that the meanings or senses of the word depend on its contextual use, just as the relationship of an action to an emotion is also contextually dependent.

Publisher Correction: Unravelling how low dominance in faces biases non-spatial attention

An amendment to this paper has been published and can be accessed via a link at the top of the paper.

Unravelling how low dominance in faces biases non-spatial attention

According to the Dual Dodel of Social Hierarchy, one pathway for attaining social status is through dominance (coercion and intimidation). High dominance stimuli are known to more readily attract eye gaze and social attention. However, when there is a competition for non-spatial attentional resources, low dominance stimuli show an advantage. This low dominance bias was hypothesised to occur due to either counter-stereotypicality or attention competition. Here, these two hypotheses were examined across two experiments using modified versions of the attentional blink paradigm, used to measure non-spatial attention, and manipulations of facial dominance in both males and females. The results support the attention competition theory, suggesting that low dominance stimuli have a consistently strong ability to compete for attentional resources. Unexpectedly, high dominance stimuli fluctuate between having a strong and weak ability to compete for the same resources. The results challenge the current understanding of how humans interact with status.

An Assessment of Computer-Generated Stimuli for Use in Studies of Body Size Estimation and Bias

Inaccurate body size judgments are associated with body image disturbances, a clinical feature of many eating disorders. Accordingly, body-related stimuli have become increasingly important in the study of estimation inaccuracies and body image disturbances. Technological advancements in the last decade have led to an increased use of computer-generated (CG) body stimuli in body image research. However, recent face perception research has suggested that CG face stimuli are not recognized as readily and may not fully tap facial processing mechanisms. The current study assessed the effectiveness of using CG stimuli in an established body size estimation task (the “bodyline” task). Specifically, we examined whether employing CG body stimuli alters body size judgments and associated estimation biases. One hundred and six 17- to 25-year-old females completed the CG bodyline task, which involved estimating the size of full-length CG body stimuli along a visual analogue scale. Our results show that perception of body size for CG stimuli was non-linear. Participants struggled to discriminate between extreme bodies sizes and overestimated the size change between near to average bodies. Furthermore, one of our measured size estimation biases was larger for CG stimuli. Our collective findings suggest using caution when employing CG stimuli in experimental research on body perception.

Evidence for a perceptual mechanism relating body size misperception and eating disorder symptoms

PURPOSE

There are known and serious health risks associated with extreme body weights, including the development of eating disorders. Body size misperceptions are particularly evident in individuals with eating disorders, compared to healthy controls. The present research investigated whether serial dependence, a recently discovered bias in body size judgement, is associated with eating disorder symptomatology. We additionally examined whether this bias operates on holistic body representations or whether it works by distorting specific visual features.

METHODS

A correlational analysis was used to examine the association between serial dependence and eating disorder symptomatology. We used a within-subjects experimental design to investigate the holistic nature of this misperception. Participants were 63 young women, who judged the size of upright and inverted female body images using a visual analogue scale and then completed the Eating Disorder Examination-Questionnaire (EDE-Q) to assess eating disorder symptoms.

RESULTS

Our findings provide the first evidence of an association between serial dependence and eating disorder symptoms, with significant and positive correlations between body size misperception owing to serial dependence and EDE-Q scores, when controlling for Body Mass Index. Furthermore, we reveal that serial dependence is consistent with distortion of local visual features.

CONCLUSIONS

Findings are discussed in relation to the broader theories of central coherence, cognitive inflexibility, and multisensory integration difficulties, and as providing a candidate mechanism for body size misperception in an eating disorder population.

LEVEL OF EVIDENCE

Level 1, experimental study.

Examining the Rate of Self-Reported ADHD-Related Traits and Endorsement of Depression, Anxiety, Stress, and Autistic-Like Traits in Australian University Students

OBJECTIVE

To investigate the rate of ADHD-related traits among young adults in an Australian university, and to examine whether higher endorsement of ADHD-related symptoms is associated with self-reported symptoms of depression, anxiety, distress, and autistic-like traits.

METHOD

In total, 1,002 students aged 17 to 25 years completed the Conners' Adult ADHD Rating Scale (CAARS), the Depression, Anxiety, and Stress Scale (DASS), and the Autism Quotient (AQ).

RESULTS

About 17.3% of students reported "at-risk" levels of ADHD-related symptoms. Regression analyses revealed that CAARS scores explained unique variance in self-reported levels of depression, anxiety, stress, and autism-related traits.

CONCLUSION

The rate of self-reported ADHD symptoms is higher in Australian undergraduate students than that reported in previous studies using the CAARS to investigate rates of diagnosed students. Problems with self-concept accounted for the most unique variance in DASS subscale scores. Hyperactivity/restlessness and inattention/memory problems accounted for the most unique variance in AQ-Social and AQ-Attention-to-Detail scores, respectively.

Patient-centered communication, patient satisfaction, and retention in care in assisted reproductive technology visits

PURPOSE

To explore the association between patient-centered communication, patients' satisfaction, and retention in care in assisted reproductive technology (ART) visits.

METHODS

ART visits at eight Italian clinics were videotaped and coded using the Roter Interaction Analysis System, which includes a Patient-Centered Index (PCI), a summary "patient-centered communication" ratio. After the visit, patients completed a satisfaction questionnaire (SATQ). After 3 months, patients were asked about their retention in care. Spearman correlations and Mann-Whitney tests were used to test associations between the study variables; the open-ended item of SATQ was analyzed through content analysis.

RESULTS

Eighty-five visits were videotaped (involving 28 gynecologists and 160 patients). PCI score (μ = 0.51 ± 0.28) revealed a more disease-oriented communication during the visit. Patients reported high levels of satisfaction with the visit and identified in the information provision or in the doctor's humanity or kindness the main reasons of satisfaction. At the follow-up, the majority of the couples declared to have followed the clinicians' recommendations and to have remained related to the ART center. No associations were found among the study variables, except for a lower male satisfaction among couples who declared to have changed ART clinic.

CONCLUSIONS

Contrary to what was expected, the style of physician-patient communication was not found to be associated with patient satisfaction and retention in care. However, patients were highly satisfied and engaged. The actual meaning of a communication that is "patient-centered" in the ART context might be wider, including the couples' need for information, as suggested by qualitative findings.

Can People Accurately Estimate the Calories in Food Images? An Optimised Set of Low- and High- Calorie Images from the food-pics database

Calorie intake plays an important role in maintaining a healthy weight. As such, researchers often use the calorie content of food as a distinction when investigating appetite related brain processes and eating behaviour. This distinction assumes that observers accurately perceive caloric content. However, there is evidence suggesting this is not always the case. The current study examined how accurately observers could estimate the caloric content of food images from the widely used "Food-pics" database. Eight hundred and forty psychology undergraduate students (aged 16-60, 64% female) estimated the caloric value of 178 high and 182 low calorie foods. Calorie content of food from both categories was significantly overestimated. Additionally, 7.7% of low calorie images were misperceived as being high calorie images and 35% of high calorie images were misperceived as being low calorie foods. Neither participants' gender, nor the recognisability and likability of the food images, influenced calorie estimation. Our findings show that most people are unable to accurately estimate caloric content of most food. Despite this, a selection of food images were judged accurately, and we advocate the use of these in research where it is important to have low- and high-calorie food images. Specifically, we propose an optimised stimulus set of 25 high and 25 low calorie food images that are accurately judged by adult participants. In addition, we provide the open source dataset of our ratings of Food-pics images which, when added to the existing Food-pics attributes, creates an enhanced tool for researchers selecting food stimuli.

Effects of dominance and prestige based social status on competition for attentional resources

Social status can be attained through either dominance (coercion and intimidation) or prestige (skill and respect). Individuals high in either of these status pathways are known to more readily attract gaze and covert spatial attention compared to their low-status counterparts. However it is not known if social status biases allocation of attentional resources to competing stimuli. To address this issue, we used an attentional blink paradigm to explore non-spatial attentional biases in response to face stimuli varying in dominance and prestige. Results from a series of studies consistently indicated that participants were biased towards allocating attention to low- relative to high- dominance faces. We also observed no effects of manipulating prestige on attentional bias. We attribute our results to the workings of comparatively early processing stages, separate from those mediating spatial attention shifts, which are tuned to physical features associated with low dominance. These findings challenge our current understanding of the impact of social status on attentional competition.

Anodal tDCS and High-Frequency tRNS Targeting the Occipitotemporal Cortex Do Not Always Enhance Face Perception

There has been increasing interest in the utility of transcranial electrical stimulation as a tool to enhance cognitive abilities. In the domain of face perception, enhancements have been reported for both transcranial direct current stimulation (tDCS) and high-frequency transcranial random noise stimulation (tRNS) targeting the occipitotemporal cortex. In a series of two experiments, we attempted to replicate these findings for face identity perception, and extend on previous studies, to determine if similar enhancements are also observed for object and facial expression perception. In Experiment 1, using a single blind, between-subjects design in healthy volunteers (N = 53), we examined whether anodal tDCS over the occipitotemporal cortex enhanced performance on tasks involving perception of face identity, facial expression, and object stimuli, when compared to sham stimulation. We failed to replicate previous findings of enhanced performance on face and object perception, nor extend findings to facial expression perception. In Experiment 2, using a single blind, between-subjects design (N = 39), we examined the effect of high-frequency tRNS over the occipitotemporal cortex using the same three tasks employed in Experiment 1. We failed to replicate previous findings of enhanced face perception following high-frequency tRNS over the occipitotemporal cortex, relative to sham stimulation (although we used different stimulation parameters to that employed in a previous study). We also found no evidence of enhanced facial expression and object perception following high-frequency tRNS. The findings align with a growing body of studies that have failed to replicate previously reported enhancements following administration of tDCS and hint for different efficacy of, on first sight, related stimulation protocols. Future studies should explore the foundation of these differential effects in greater detail.

Doctor-couple communication during assisted reproductive technology visits

STUDY QUESTION

What are the characteristics of doctor-couple communication content during actual ART visits?

SUMMARY ANSWER

Physicians were mainly focused on providing biomedical information, while communication content from couples had a 2-fold focus on providing biomedical information and on positive talk.

WHAT IS KNOWN ALREADY

Communication aspects in ART seem crucial for clinical decision-making, retention in care and critical conversations with couples due to low treatment success rates. However, no studies have been carried out on the actual interaction between the doctor and the couple in this context.

STUDY DESIGN, SIZE, DURATION

This observational study involved 28 clinicians and 160 patients referred to eight Italian ART clinics during a one-year recruitment period.

PARTICIPANTS/MATERIALS, SETTING, METHODS

ART visits at eight Italian clinics were videotaped. The visits were coded using the Roter Interaction Analysis System (RIAS), particularly focusing on RIAS composite categories, verbal dominance and patient-centeredness score.

MAIN RESULTS AND THE ROLE OF CHANCE

A total of 85 visits were eligible for analysis (62% acceptance rate), involving 28 clinicians and 160 patients (including 75 couples). The average visit duration was 37 ± 17.7 min. The mean verbal dominance was 1.9 ± 0.86 (range: 0.72-5.74). Physicians mainly focused on providing biomedical information. Communication content from couples had a 2-fold focus on providing biomedical information and on positive talk. The mean of patient centeredness index (PCI) was 0.51 (SD = 0.28; range 0.08-1.77); visits in which the doctor was a woman or the treatment indication was for heterologous fertilization showed higher PCI scores. Overall, females accounted for 67% of all patient talk. Taking this imbalance into account as expected frequencies for each composite category, males reported significantly more utterances in almost all of the socioemotional categories.

LIMITATIONS, REASONS FOR CAUTION

These results are preliminary and observational and only regard Italy. Communication during visits may have been biased since the professionals who agreed to participate showed an interest in communication issues. Another limitation is a possible Hawthorne effect due to the fact that participants were aware of being videotaped.

WIDER IMPLICATIONS OF THE FINDINGS

Our study showed that ART physicians mainly adopted an informative model of communication and a more disease-oriented approach. Findings revealed the complexity of communication content during ART consultations, given its triadic characteristic in which the third party is also a patient; clinicians should be aware of this complex aspect and of the specific male and female perspectives to be taken into account. The results could be useful for training ART professionals.

STUDY FUNDING/COMPETING INTEREST(S)

This study was possible thanks to an unconditional grant from Ferring Spa to the Department of Health Sciences, University of Milan. There are no competing interests to declare.

TRIAL REGISTRATION NUMBER

N/A.

The causal role of selective attention for thin-ideal images on negative affect and rumination

BACKGROUND AND OBJECTIVES

Attentional bias towards thin-ideal body images has been implicated as a vulnerability factor for eating disorder symptomatology. However, the nature and causal basis of its relationship with other cognitive vulnerability factors, namely, eating disorder-specific rumination and negative mood, remains unclear. Accordingly, the current study investigated the causal influence of attentional bias towards thin-ideal images on emotional and ruminative vulnerability, in response to a body image-related stressor.

METHODS

An established attentional bias modification (ABM) procedure, the modified dot probe task, was used for the assessment and manipulation of attentional bias. Female undergraduate students (N = 110) aged between 17 and 24 years were randomly assigned to either 'attend' towards or 'avoid' thin-ideal images. Pre- and post-attentional training, participants completed the dot probe task, as well as state measures of rumination and negative mood. Additionally, following post-ABM assessment of attentional bias, participants were given a body image-related stressor.

RESULTS

Results showed that participants trained to attend to thin bodies reported heightened negative mood, in response to the stressor, compared with participants trained to avoid thin bodies. On the other hand, groups did not demonstrate a differential increase in eating disorder-specific rumination in response to the stressor.

LIMITATIONS

The current findings will require replication with clinical samples. Additionally, state rumination and negative mood were assessed via single items.

CONCLUSIONS

These results provide the first causal evidence for the role of attentional bias towards thin-ideal images in negative emotional vulnerability. Importantly, these results suggest attentional bias may serve as a risk factor for mood reactivity and a potential target for strategies designed to enhance emotional resilience.

Similar distraction, but differential suppression, for faces and non-face objects: Evidence from behaviour and event-related potentials

In everyday life we constantly experience distractions. Some distractors might be more distracting than others, for example the human face, which has been shown to be very efficient in attracting attention. Here, we employed the irrelevant-distractor paradigm (Forster & Lavie, 2016) to measure behavioural and neural distraction by completely irrelevant faces or non-faces (cars), while participants performed a letter search task that was more (high-load) or less (low-load) demanding. Under low load conditions, faces and cars equally slowed responses on trials with distractors as compared to those without. In high load conditions, neither faces nor cars were distracting. However, event-related potentials revealed larger face-sensitive N170 responses to faces than cars under both load conditions, suggesting that early face-specific processing is present even under high load. A subsequent Pd modulation between 200 and 300 ms contralateral to the distractor position, which has been linked to the active top-down suppression of lateral distractors (Hickey et al., 2009) was stronger for faces compared to cars. Overall, the EEG data indicate early face-specific processes to irrelevant faces irrespective of attentional load, coupled with stronger top-down suppression for faces. Together, these processes might reduce the influence of irrelevant face distractors on behavioural performance.

Correction: The mediating role of rumination in the relation between attentional bias towards thin female bodies and eating disorder symptomatology

[This corrects the article DOI: 10.1371/journal.pone.0177870.].

Ensemble coding of face identity is present but weaker in congenital prosopagnosia

Individuals with congenital prosopagnosia (CP) are impaired at identifying individual faces but do not appear to show impairments in extracting the average identity from a group of faces (known as ensemble coding). However, possible deficits in ensemble coding in a previous study (CPs n = 4) may have been masked because CPs relied on pictorial (image) cues rather than identity cues. Here we asked whether a larger sample of CPs (n = 11) would show intact ensemble coding of identity when availability of image cues was minimised. Participants viewed a "set" of four faces and then judged whether a subsequent individual test face, either an exemplar or a "set average", was in the preceding set. Ensemble coding occurred when matching (vs. mismatching) averages were mistakenly endorsed as set members. We assessed both image- and identity-based ensemble coding, by varying whether test faces were either the same or different images of the identities in the set. CPs showed significant ensemble coding in both tasks, indicating that their performance was independent of image cues. As a group, CPs' ensemble coding was weaker than controls in both tasks, consistent with evidence that perceptual processing of face identity is disrupted in CP. This effect was driven by CPs (n= 3) who, in addition to having impaired face memory, also performed particularly poorly on a measure of face perception (CFPT). Future research, using larger samples, should examine whether deficits in ensemble coding may be restricted to CPs who also have substantial face perception deficits.

Ensemble coding of face identity is not independent of the coding of individual identity

Information about a group of similar objects can be summarized into a compressed code, known as ensemble coding. Ensemble coding of simple stimuli (e.g., groups of circles) can occur in the absence of detailed exemplar coding, suggesting dissociable processes. Here, we investigate whether a dissociation would still be apparent when coding facial identity, where individual exemplar information is much more important. We examined whether ensemble coding can occur when exemplar coding is difficult, as a result of large sets or short viewing times, or whether the two types of coding are positively associated. We found a positive association, whereby both ensemble and exemplar coding were reduced for larger groups and shorter viewing times. There was no evidence for ensemble coding in the absence of exemplar coding. At longer presentation times, there was an unexpected dissociation, where exemplar coding increased yet ensemble coding decreased, suggesting that robust information about face identity might suppress ensemble coding. Thus, for face identity, we did not find the classic dissociation—of access to ensemble information in the absence of detailed exemplar information—that has been used to support claims of distinct mechanisms for ensemble and exemplar coding.

Adaptive face coding contributes to individual differences in facial expression recognition independently of affective factors

There are large, reliable individual differences in the recognition of facial expressions of emotion across the general population. The sources of this variation are not yet known. We investigated the contribution of a key face perception mechanism, adaptive coding, which calibrates perception to optimize discrimination within the current perceptual "diet." We expected that a facial expression system that readily recalibrates might boost sensitivity to variation among facial expressions, thereby enhancing recognition ability. We measured adaptive coding strength with an established facial expression aftereffect task and measured facial expression recognition ability with 3 tasks optimized for the assessment of individual differences. As expected, expression recognition ability was positively associated with the strength of facial expression aftereffects. We also asked whether individual variation in affective factors might contribute to expression recognition ability, given that clinical levels of such traits have previously been linked to ability. Expression recognition ability was negatively associated with self-reported anxiety but not with depression, mood, or degree of autism-like or empathetic traits. Finally, we showed that the perceptual factor of adaptive coding contributes to variation in expression recognition ability independently of affective factors. (PsycINFO Database Record

The average facial expression of a crowd influences impressions of individual expressions

People can accurately assess the "mood of a crowd" by rapidly extracting the average intensity of all the individual expressions, when the crowd consists of a set of faces comprising different expressions of the same individual. Here, we investigate the processes involved when people judge the expression intensity of individual faces that appear in the context of a more naturalistic crowd of different individuals' faces. We show that judgments of the intensity of happy and angry expressions for individual faces are biased toward the group mean expression intensity, even when the faces are all different individuals. In a second experiment, we demonstrate that this bias is not due to a generic tendency to endorse intermediate intensity expressions more frequently than more extreme intensity expressions. Together, these findings suggest that people integrate ensemble information about the group average expression when they make judgments of individual faces' expressions. (PsycINFO Database Record

Joint attention difficulties in autistic adults: An interactive eye-tracking study

Joint attention - the ability to coordinate attention with a social partner - is critical for social communication, learning and the regulation of interpersonal relationships. Infants and young children with autism demonstrate impairments in both initiating and responding to joint attention bids in naturalistic settings. However, little is known about joint attention abilities in adults with autism. Here, we tested 17 autistic adults and 17 age- and nonverbal intelligence quotient-matched controls using an interactive eye-tracking paradigm in which participants initiated and responded to joint attention bids with an on-screen avatar. Compared to control participants, autistic adults completed fewer trials successfully. They were also slower to respond to joint attention bids in the first block of testing but performed as well as controls in the second block. There were no group differences in responding to spatial cues on a non-social task with similar attention and oculomotor demands. These experimental results were mirrored in the subjective reports given by participants, with some commenting that they initially found it challenging to communicate using eye gaze, but were able to develop strategies that allowed them to achieve joint attention. Our study indicates that for many autistic individuals, subtle difficulties using eye-gaze information persist well into adulthood.

Forming impressions of facial attractiveness is mandatory

First impressions of social traits, such as attractiveness, from faces are often claimed to be made automatically, given their speed and reliability. However, speed of processing is only one aspect of automaticity. Here we address a further aspect, asking whether impression formation is mandatory. Mandatory formation requires that impressions are formed about social traits even when this is task-irrelevant, and that once formed, these impressions are difficult to inhibit. In two experiments, participants learned what new people looked like for the purpose of future identification, from sets of images high or low in attractiveness. They then rated middle-attractiveness images of each person, for attractiveness. Even though instructed to rate the specific images, not the people, their ratings were biased by the attractiveness of the learned images. A third control experiment, with participants rating names, demonstrated that participants in Experiments 1 and 2 were not simply rating the people, rather than the specific images as instructed. These results show that the formation of attractiveness impressions from faces is mandatory, thus broadening the evidence for automaticity of facial impressions. The mandatory formation of impressions is likely to have an important impact in real-world situations such as online dating sites.

Face Matching Impairment in Developmental Prosopagnosia

Developmental prosopagnosia (DP) is commonly referred to as ‘face blindness’, a term that implies a perceptual basis to the condition. However, DP presents as a deficit in face recognition and is diagnosed using memory-based tasks. Here, we test face identification ability in six people with DP, who are severely impaired on face memory tasks, using tasks that do not rely on memory. First, we compared DP to control participants on a standardized test of unfamiliar face matching using facial images taken on the same day and under standardized studio conditions ( Glasgow Face Matching Test; GFMT). Scores for DP participants did not differ from normative accuracy scores on the GFMT. Second, we tested face matching performance on a test created using images that were sourced from the Internet and so varied substantially due to changes in viewing conditions and in a person's appearance ( Local Heroes Test; LHT). DP participants showed significantly poorer matching accuracy on the LHT than control participants, for both unfamiliar and familiar face matching. Interestingly, this deficit is specific to ‘match’ trials, suggesting that people with DP may have particular difficulty in matching images of the same person that contain natural day-to-day variations in appearance. We discuss these results in the broader context of individual differences in face matching ability.

More than just a problem with faces: altered body perception in a group of congenital prosopagnosics

It has been estimated that one out of 40 people in the general population suffer from congenital prosopagnosia (CP), a neurodevelopmental disorder characterized by difficulty identifying people by their faces. CP involves impairment in recognizing faces, although the perception of non-face stimuli may also be impaired. Given that social interaction depends not only on face processing, but also on the processing of bodies, it is of theoretical importance to ascertain whether CP is also characterized by body perception impairments. Here, we tested 11 CPs and 11 matched control participants on the Body Identity Recognition Task (BIRT), a forced-choice match-to-sample task, using stimuli that require processing of body-specific, not clothing-specific, features. Results indicated that the group of CPs were as accurate as controls on the BIRT, which is in line with the lack of body perception complaints by CPs. However, the CPs were slower than controls, and when accuracy and response times were combined into inverse efficiency scores (IESs), the group of CPs were impaired, suggesting that the CPs could be using more effortful cognitive mechanisms to be as accurate as controls. In conclusion, our findings demonstrate that CP may not generally be limited to face processing difficulties, but may also extend to body perception.

Social and attention-to-detail subclusters of autistic traits differentially predict looking at eyes and face identity recognition ability

This study distinguished between different subclusters of autistic traits in the general population and examined the relationships between these subclusters, looking at the eyes of faces, and the ability to recognize facial identity. Using the Autism Spectrum Quotient (AQ) measure in a university-recruited sample, we separate the social aspects of autistic traits (i.e., those related to communication and social interaction; AQ-Social) from the non-social aspects, particularly attention-to-detail (AQ-Attention). We provide the first evidence that these social and non-social aspects are associated differentially with looking at eyes: While AQ-Social showed the commonly assumed tendency towards reduced looking at eyes, AQ-Attention was associated with increased looking at eyes. We also report that higher attention-to-detail (AQ-Attention) was then indirectly related to improved face recognition, mediated by increased number of fixations to the eyes during face learning. Higher levels of socially relevant autistic traits (AQ-Social) trended in the opposite direction towards being related to poorer face recognition (significantly so in females on the Cambridge Face Memory Test). There was no evidence of any mediated relationship between AQ-Social and face recognition via reduced looking at the eyes. These different effects of AQ-Attention and AQ-Social suggest face-processing studies in Autism Spectrum Disorder might similarly benefit from considering symptom subclusters. Additionally, concerning mechanisms of face recognition, our results support the view that more looking at eyes predicts better face memory.

Individual differences in adaptive norm-based coding and holistic coding are associated yet each contributes uniquely to unfamiliar face recognition ability

We can discriminate and recognize many faces, despite their visual similarity. Individual differences in this ability have been linked to 2 face coding mechanisms: adaptive norm-based coding of identity and holistic coding. However, it is not yet known whether these mechanisms are distinct. Nor is it known whether they make unique contributions to face recognition ability because no studies have measured the operation of both these mechanisms in the same individuals. We measured individual differences in both the strength of adaptive norm-based coding (with a face identity aftereffect task) and holistic coding (with a composite face task). For the first time, we show that these 2 mechanisms are positively and moderately associated and that each makes significant unique contributions to unfamiliar face recognition ability (Cambridge Face Memory Test [CMFT]). Importantly, these relationships were face-specific. We also show that the combined contribution of these mechanisms to face recognition performance is significantly larger than the contribution of nonface recognition memory, consistent with the view that face recognition relies on the operation of face-sensitive mechanisms. Overall, our results raise intriguing questions regarding what these mechanisms may have in common, and what other mechanisms support face recognition performance. (PsycINFO Database Record

Perceived Health Contributes to the Attractiveness of Facial Symmetry, Averageness, and Sexual Dimorphism

Symmetry, averageness, and sexual dimorphism (femininity in female faces, masculinity in male faces) are attractive in faces. Many have suggested that preferences for these traits may be adaptations for identifying healthy mates. If they are, then the traits should be honest indicators of health and their attractiveness should result from their healthy appearance. Much research has focused on whether these traits honestly signal health. Here we focused on whether the appeal of these traits results from their healthy appearance. Specifically, we tested whether the attractiveness of symmetry, averageness, and sexual dimorphism is reduced or eliminated when perceived health is controlled, in two large samples of Western faces and a large sample of Japanese faces. The appeal of symmetric faces was largely due to their healthy appearance, with most associations between symmetry and attractiveness eliminated when perceived health was controlled. A healthy appearance also contributed to the appeal of averageness and femininity in female faces and masculinity in male faces, although it did not fully explain their appeal. These results show that perceptions of attractiveness are sensitive to a healthy appearance, and are consistent with the hypothesis that preferences may be adaptations for mate choice.