The Cambridge Face Memory Test: Results for neurologically intact individuals and an investigation of its validity using inverted face stimuli and prosopagnosic participants

Three cases of developmental prosopagnosia from one family: detailed neuropsychological and psychophysical investigation of face processing

A number of reports have documented that developmental prosopagnosia (DP) can run in families, but the locus of the deficits in those cases remains unclear. We investigated the perceptual basis of three cases of DP from one family (67 year-old father FA, and two daughters, 39 year-old D1 and 34 year-old D2) by combining neuropsychological and psychophysical methods. Neuropsychological tests involving natural facial images demonstrated significant face recognition deficits in the three family members. All three members showed normal facial expression recognition and face detection, and two of them (D2, FA) performed well on within-class object recognition tasks. These individuals were then examined in a series of psychophysical experiments. Intermediate form vision preceding face perception was assessed with radial frequency (RF) patterns. Normal discrimination of RF patterns in these individuals indicates that their face recognition difficulties are higher in the cortical form vision hierarchy than the locus of contour shape processing. Psychophysical experiments requiring discrimination and memory for synthetic faces aimed to quantify their face processing abilities and systematically examine the representation of facial geometry across viewpoints. D1 showed deficits in perceiving geometric information from the face at a given view. D2's impairments seem to arise in later face processing stages involving transferring view-dependent descriptions into a view-invariant representation. FA performed poorly on face learning and recognition relative to the age-appropriate controls. These cases provide evidence for familial transmission of high-level visual recognition deficits with normal intermediate-level form vision.

Super-recognizers: people with extraordinary face recognition ability

We tested 4 people who claimed to have significantly better than ordinary face recognition ability. Exceptional ability was confirmed in each case. On two very different tests of face recognition, all 4 experimental subjects performed beyond the range of control subject performance. They also scored significantly better than average on a perceptual discrimination test with faces. This effect was larger with upright than with inverted faces, and the 4 subjects showed a larger "inversion effect" than did control subjects, who in turn showed a larger inversion effect than did developmental prosopagnosics. This result indicates an association between face recognition ability and the magnitude of the inversion effect. Overall, these "super-recognizers" are about as good at face recognition and perception as developmental prosopagnosics are bad. Our findings demonstrate the existence of people with exceptionally good face recognition ability and show that the range of face recognition and face perception ability is wider than has been previously acknowledged.

Oxytocin enhances processing of positive versus negative emotional information in healthy male volunteers

Animal studies have shown the role of oxytocin in affiliation and attachment, and recent evidence suggests that oxytocin is also involved in human models of approach behaviour, possibly by modulating the processing of emotionally valenced stimuli. Although oxytocin administration has been reported to decrease neural responses to facial emotional information, the effects on a wider range of behavioural measures of emotional processing shown to be sensitive to antidepressant manipulation have not been examined. The aim of this study was to investigate whether intranasally administered oxytocin affects the processing of positive and negative affective information in healthy male volunteers across tasks measuring attention, perception and memory. Twenty-nine male healthy volunteers were randomly allocated to receive a single dose of oxytocin nasal spray (24 UI) or placebo. 50 min later, participants completed a battery of psychological tests measuring emotional processing. A single dose of intranasally administered oxytocin slowed reaction time to correctly identify fearful facial expressions and reduced the misclassification of positive emotions as negative ones. These effects occurred in the absence of significant differences in subjective ratings of mood and anxiety. These results suggest that oxytocin modulates emotion processing in healthy male volunteers. This action may contribute to the emerging role of the neuropeptide in promoting affiliative and approach behaviours by reducing the salience of potentially ambiguous and threatening social stimuli.

Neural and genetic foundations of face recognition and prosopagnosia

Faces are of essential importance for human social life. They provide valuable information about the identity, expression, gaze, health, and age of a person. Recent face-processing models assume highly interconnected neural structures between different temporal, occipital, and frontal brain areas with several feedback loops. A selective deficit in the visual learning and recognition of faces is known as prosopagnosia, which can be found both in acquired and congenital form. Recently, a hereditary sub-type of congenital prosopagnosia with a very high prevalence rate of 2.5% has been identified. Recent research results show that hereditary prosopagnosia is a clearly circumscribed face-processing deficit with a characteristic set of clinical symptoms. Comparing face processing of people of prosopagnosia with that of controls can help to develop a more conclusive and integrated model of face processing. Here, we provide a summary of the current state of face processing research. We also describe the different types of prosopagnosia and present the set of typical symptoms found in the hereditary type. Finally, we will discuss the implications for future face recognition research.

Cognitive heterogeneity in genetically based prosopagnosia: a family study

Congenital prosopagnosia (CP) is a selective difficulty in recognizing familiar faces that is present from birth. There is mounting evidence for a familial factor in CP, possibly due to a simple autosomal inheritance pattern. However, potential candidate genes remain to be established, and the question whether genetically based CP is a single trait, or a cluster of related subtypes differing in the pattern of impairments to specific components of the face-processing system, remains unanswered. In addition, since the great majority of so far described cases with CP were adult at the time of investigation, it remains unknown which specific aspects of face processing are impaired in small children with CP. Here we present the first study that specifically addresses these questions by elucidating the specific mechanisms underlying face-recognition impairments in seven individuals with CP (aged 4-87 years) belonging to four generations of the same family. Our results indicate that genetically based CP is not a single trait but a cluster of related subtypes, since the pattern of impairments to specific components of the face-processing system varies in individuals belonging to the same family. In addition, we show that the heterogeneity of the cognitive profile in CP with respect to specific aspects of face processing is apparent from early childhood.

Working memory impairment in people with Williams syndrome: effects of delay, task and stimuli

Williams syndrome (WS) is a neurodevelopmental disorder associated with impaired visuospatial representations subserved by the dorsal stream and relatively strong object recognition abilities subserved by the ventral stream. There is conflicting evidence on whether this uneven pattern in WS extends to working memory (WM). The present studies provide a new perspective, testing WM for a single stimulus using a delayed recognition paradigm in individuals with WS and typically developing children matched for mental age (MA matches). In three experiments, participants judged whether a second stimulus 'matched' an initial sample, either in location or identity. We first examined memory for faces, houses and locations using a 5s delay (Experiment 1) and a 2s delay (Experiment 2). We then tested memory for human faces, houses, cat faces, and shoes with a 2s delay using a new set of stimuli that were better controlled for expression, hairline and orientation (Experiment 3). With the 5s delay (Experiment 1), the WS group was impaired overall compared to MA matches. While participants with WS tended to perform more poorly than MA matches with the 2s delay, they also exhibited an uneven profile compared to MA matches. Face recognition was relatively preserved in WS with friendly faces (Experiment 2) but not when the faces had a neutral expression and were less natural looking (Experiment 3). Experiment 3 indicated that memory for object identity was relatively stronger than memory for location in WS. These findings reveal an overall WM impairment in WS that can be overcome under some conditions. Abnormalities in the parietal lobe/dorsal stream in WS may damage not only the representation of spatial location but may also impact WM for visual stimuli more generally.

Seeing with profoundly deactivated mid-level visual areas: non-hierarchical functioning in the human visual cortex

A fundamental concept in visual processing is that activity in high-order object-category distinctive regions (e.g., lateral occipital complex, fusiform face area, middle temporal+) is dependent on bottom-up flow of activity in earlier retinotopic areas (V2, V3, V4) whose main input originates from primary visual cortex (V1). Thus, activity in down stream areas should reflect lower-level inputs. Here we qualify this notion reporting case LG, a rare case of developmental object agnosia and prosopagnosia. In this person, V1 was robustly activated by visual stimuli, yet intermediate areas (V2-V4) were strongly deactivated. Despite this intermediate deactivation, activity in down stream visual areas remained robust, showing selectivity for houses and places, while selectivity for faces and objects was impaired. The extent of impairment evident in functional magnetic resonance imaging and electroencephalography activations was somewhat larger in the left hemisphere. This pattern of brain activity, coupled with fairly adequate everyday visual performance is compatible with models emphasizing the role of nonlinear local "amplification" of neuronal inputs in eliciting activity in ventral and dorsal visual pathways as well as perceptual experience in the human brain. Thus, while the proper functioning of intermediate areas appears essential for specialization in the cortex, daily visual behavior and reading are maintained even with deactivated intermediate visual areas.

Psychosocial consequences of developmental prosopagnosia: a problem of recognition

OBJECTIVE

To provide the first systematic in-depth description of the consequences of developmental prosopagnosia (DP; 'face blindness') for psychosocial functioning and occupational disability, in order to determine what kind of professional intervention may be needed.

METHODS

Semi-structured telephone interviews were carried out with 25 people whose self-reports of face recognition problems were confirmed by impaired scores on the Cambridge Face Recognition Test. Thematic analysis was used to inductively identify and understand common psychosocial consequences of DP.

RESULTS

All participants described recurrent and sometimes traumatic social interaction difficulties caused by recognition problems, such as failing to recognize close friends, work colleagues, and family members. These problems often led to chronic anxiety about offending others and feelings of embarrassment, guilt, and failure. Most participants described some degree of fear and avoidance of social situations in which face recognition was important, including family and social gatherings, and meetings at work. Long-term consequences could include dependence on others, a restricted social circle, more limited employment opportunities, and loss of self-confidence.

CONCLUSION

The potential for negative psychosocial consequences and occupational disability posed by DP is as great as that posed by conditions which are currently afforded professional recognition and support, such as stuttering and dyslexia. Wider recognition of the problems prosopagnosia can cause could reduce anxiety about social interaction difficulties by making it easier to explain and justify recognition problems to other people, including employers. Greater professional awareness could facilitate detection and referral of those requiring support with coping with social interactions.

Toward a comprehensive test battery for face cognition: assessment of the tasks

Despite the importance of face recognition in everyday life and frequent complaints about its failure, there is no comprehensive test battery for this ability. As a first step in constructing such a battery, we present 18 tasks aimed at measuring face perception, face learning, face recognition, and the recognition of facially expressed emotions. A sample of 153 healthy young adults completed all tasks. In general, reaction time measures showed high estimates of internal consistency; tasks focused on performance accuracy yielded reliabilities that were somewhat lower, yet high enough to support their use in a battery of face cognition measures. Some of the tasks allowed computation of established experimental effects in a within-subjects design, such as the part-whole effect. Most of these experimental effects were confirmed in our large sample, and valuable effect size estimates were obtained. However, in many cases these difference measures showed poor estimates of internal consistency.

Developmental phonagnosia: a selective deficit of vocal identity recognition

Phonagnosia, the inability to recognize familiar voices, has been studied in brain-damaged patients but no cases due to developmental problems have been reported. Here we describe the case of KH, a 60-year-old active professional woman who reports that she has always experienced severe voice recognition difficulties. Her hearing abilities are normal, and an MRI scan showed no evidence of brain damage in regions associated with voice or auditory perception. To better understand her condition and to assess models of voice and high-level auditory processing, we tested KH on behavioural tasks measuring voice recognition, recognition of vocal emotions, face recognition, speech perception, and processing of environmental sounds and music. KH was impaired on tasks requiring the recognition of famous voices and the learning and recognition of new voices. In contrast, she performed well on nearly all other tasks. Her case is the first report of developmental phonagnosia, and the results suggest that the recognition of a speaker's vocal identity depends on separable mechanisms from those used to recognize other information from the voice or non-vocal auditory stimuli.

Reading trustworthiness in faces without recognizing faces

We show that developmental prosopagnosics with severe impairments in both memory for faces and perception of facial identity can make normal trustworthiness judgements of novel faces. We tested four prosopagnosics on three different face sets. The first set consisted of faces that varied on multiple dimensions and that have been used to demonstrate impairments in trustworthiness judgements of patients with bilateral amygdala damage. The second and third sets consisted of standardized faces with direct gaze, neutral expression, and similar age. On all tests, two prosopagnosics made judgements that closely agreed with control judgements while the other two showed weak agreement but within the normal range. The performance of the tests was correlated suggesting that the tests mapped the same underlying judgement irrespective of the specific face stimuli. The normal performance of two of the prosopagnosics suggests that forming person impressions from faces involves mechanisms functionally independent of mechanisms for encoding the identity of faces.

Family resemblance: ten family members with prosopagnosia and within-class object agnosia

We report on neuropsychological testing done with a family in which many members reported severe face recognition impairments. These 10 individuals were high functioning in everyday life and performed normally on tests of low-level vision and high-level cognition. In contrast, they showed clear deficits with tests requiring face memory and judgements of facial similarity. They did not show deficits with all aspects of higher level visual processing as all tested performed normally on a challenging facial emotion recognition task and on a global-local letter identification task. On object memory tasks requiring recognition of particular cars and guns, they showed significant deficits so their recognition impairments were not restricted to facial identity. These results strongly suggest the existence of a genetic condition leading to a selective deficit of visual recognition.

I can't recognize your face but I can recognize its movement

Idiosyncratic facial movements can provide a route to facial identity (review in Roark, Barrett, Spence, Abdi, & O'Toole, 2003). However, it is unclear whether recognizing a face in this way involves the same cognitive or neural mechanisms that are involved in recognizing a static face. Three studies on a developmental prosopagnosic (C.S.) showed that although he is impaired at recognizing static faces, he can discriminate between dynamic identities (Experiments 1a and 1b) and can learn to name individuals on the basis of their idiosyncratic facial movements (Experiment 2), at levels that are comparable to those of matched and undergraduate control groups. These results suggest a possible cognitive dissociation between mechanisms involved in dynamic compared to static face recognition. However, future work is needed to fully understand this dissociation.

Bringing in the Experts

This study investigates the separate and joint effects of the inclusion of experts and collaborative planning on the performance of analytic teams. Teams either did or did not include members with expert-level task-relevant cognitive abilities, and either did or did not receive an intervention that fostered collaborative planning. Results support the authors' hypothesis that analytic performance requires both task-appropriate expertise and collaborative planning to identify strategies for optimally using that expertise. Indeed, high expertise in the absence of collaborative planning actually decreased team performance. Teams engaging in collaborative planning were more likely to effectively integrate their information on key aspects of the analytic problem, which significantly enhanced their analytic performance. Furthermore, information integration mediated the effects of the interaction of expertise and collaboration on performance. The implications of the findings for the optimal use of team member skills and the development of team performance strategies are discussed.

The Philadelphia Face Perception Battery

The Philadelphia Face Perception Battery (PFPB) tests four aspects of face perception: discrimination of facial similarity, attractiveness, gender, and age. Calibration with 116 neurologically intact subjects yielded average performance of approximately 90%. Across subjects, there was a low correlation (<0.22) in performance between the tests (with the exception of the attractiveness and age discrimination tests) suggesting that the tests measure independent aspects of face perception. There were modest effects of subject demographic factors upon performance, and test-retest reliability scores (between 0.37 and 0.75) were comparable to other neuropsychological batteries. Modification of the stimuli to obscure internal facial features lowered performance on the age, gender, and attractiveness discrimination tests between 2 and 4 standard deviations. The clinical sensitivity of the battery was demonstrated by testing a patient with acquired prosopagnosia. She showed performance impairments of between 2 and 4 standard deviations on all sub-tests. The PFPB is freely available for non-commercial use.

Functional Plasticity in Ventral Temporal Cortex following Cognitive Rehabilitation of a Congenital Prosopagnosic

We used functional magnetic resonance imaging (fMRI) and electroencephalography (EEG) to measure neural changes associated with training configural processing in congenital prosopagnosia, a condition in which face identification abilities are not properly developed in the absence of brain injury or visual problems. We designed a task that required discriminating faces by their spatial configuration and, after extensive training, prosopagnosic MZ significantly improved at face identification. Event-related potential results revealed that although the N170 was not selective for faces before training, its selectivity after training was normal. fMRI demonstrated increased functional connectivity between ventral occipital temporal face-selective regions (right occipital face area and right fusiform face area) that accompanied improvement in face recognition. Several other regions showed fMRI activity changes with training; the majority of these regions increased connectivity with face-selective regions. Together, the neural mechanisms associated with face recognition improvements involved strengthening early face-selective mechanisms and increased coordination between face-selective and nonselective regions, particularly in the right hemisphere.

Memory-related ERP components for experimentally learned faces and names: characteristics and parallel-test reliabilities

Previous research with preexperimentally familiar faces and names has identified several memory-related components in the event-related potential (ERP). Here we aimed to characterize these components while controlling the quality of long-term memory with a standardized learning procedure for unfamiliar faces and names. After 1 week, recognition was tested in a repetition priming paradigm. Both early repetition effects (ERE/N250r) and old/new effects had very similar time course and domain-related scalp topographies as has been reported for preexperimentally familiar stimuli. The late repetition effects (LRE/N400) showed domain-specific scalp topographies, possibly reflecting the greater ease of deriving semantic codes from faces. Importantly, parallel-test reliabilities of performance and memory-related ERP components were high, thus demonstrating the utility of face learning for formal assessment procedures in person recognition.

Too Many Trees to See the Forest: Performance, Event-related Potential, and Functional Magnetic Resonance Imaging Manifestations of Integrative Congenital Prosopagnosia

Neuropsychological, event-related potential (ERP), and functional magnetic resonance imaging (fMRI) methods were combined to provide a comprehensive description of performance and neurobiological profiles for K.W., a case of congenital prosopagnosia. We demonstrate that K.W.'s visual perception is characterized by almost unprecedented inability to identify faces, a large bias toward local features, and an extreme deficit in global/configural processing that is not confined to faces. This pattern could be appropriately labeled congenital integrative prosopagnosia, and accounts for some, albeit not all, cases of face recognition impairments without identifiable brain lesions. Absence of face selectivity is evident in both biological markers of face processing, fMRI (the fusiform face area [FFA]), and ERPs (N170). Nevertheless, these two neural signatures probably manifest different perceptual mechanisms. Whereas the N170 is triggered by the occurrence of physiognomic stimuli in the visual field, the deficient face-selective fMRI activation in the caudal brain correlates with the severity of global processing deficits. This correlation suggests that the FFA might be associated with global/configural computation, a crucial part of face identification.

A detailed investigation of facial expression processing in congenital prosopagnosia as compared to acquired prosopagnosia

Whether the ability to recognize facial expression can be preserved in the absence of the recognition of facial identity remains controversial. The current study reports the results of a detailed investigation of facial expression recognition in three congenital prosopagnosic (CP) participants, in comparison with two patients with acquired prosopagnosia (AP) and a large group of 30 neurologically normal participants, including individually age- and gender-matched controls. Participants completed a fine-grained expression recognition paradigm requiring a six-alternative forced-choice response to continua of morphs of six different basic facial expressions (e.g. happiness and surprise). Accuracy, sensitivity and reaction times were measured. The performance of all three CP individuals was indistinguishable from that of controls, even for the most subtle expressions. In contrast, both individuals with AP displayed pronounced difficulties with the majority of expressions. The results from the CP participants attest to the dissociability of the processing of facial identity and of facial expression. Whether this remarkably good expression recognition is achieved through normal, or compensatory, mechanisms remains to be determined. Either way, this normal level of performance does not extend to include facial identity.

Specialized Face Perception Mechanisms Extract Both Part and Spacing Information: Evidence from Developmental Prosopagnosia

It is well established that faces are processed by mechanisms that are not used with other objects. Two prominent hypotheses have been proposed to characterize how information is represented by these special mechanisms. The spacing hypothesis suggests that face-specific mechanisms primarily extract information about spacing among parts rather than information about the shape of the parts. In contrast, the holistic hypothesis suggests that faces are processed as nondecomposable wholes and, therefore, claims that both parts and spacing among them are integral aspects of face representation. Here we examined these hypotheses by testing a group of developmental prosopagnosics (DPs) who suffer from deficits in face recognition. Subjects performed a face discrimination task with faces that differed either in the spacing of the parts but not the parts (spacing task), or in the parts but not the spacing of the parts (part task). Consistent with the holistic hypothesis, DPs showed lower performance than controls on both the spacing and the part tasks, as long as salient contrast differences between the parts were minimized. Furthermore, by presenting similar spacing and part tasks with houses, we tested whether face-processing mechanisms are specific to faces, or whether they are used to process spacing information from any stimulus. DPs' normal performance on the tasks of two houses indicates that their deficit does not result from impairment in a general-purpose spacing mechanism. In summary, our data clearly support face-specific holistic hypothesis by showing that face perception mechanisms extract both part and spacing information.