Infant neural sensitivity to eye gaze depends on early experience of gaze communication

Neural correlates of attentional orienting with neutral and fearful gaze cues in 12-month-olds

Infants use information on gaze direction and facial expressions for social referencing when encountering various objects in their environment. However, it remains unclear how these social cues influence attentional orienting in infants. Using event-related potentials (ERPs), we investigated the neural correlates of attentional orienting cued by an averted gaze with neutral and fearful expressions in 12-month-olds. We focused on the ERPs in response to a face (N290, P400, and Nc) as well as a saccade toward the target (the presaccadic spike potential: SP) and found that the amplitudes of the face-sensitive ERPs (N290 and P400) were larger for directed than averted gaze direction irrespective of facial expression. Furthermore, the amplitude of the SP involved in overt orienting was larger for fearful expressions than for neutral expressions, irrespective of gaze congruency. These results suggest that information on gaze direction and facial expression, specifically neutral and fearful expressions, may be processed independently, and that fearful expressions dominantly influence the neural correlates of attentional orienting in infants around 12 months of age.

Association between attachment anxiety and the gaze direction-related N170

Attachment theory suggests that interindividual differences in attachment security versus insecurity (anxiety and avoidance) contribute to the ways in which people perceive social emotional signals, particularly from the human face. Among different facial features, eye gaze conveys crucial information for social interaction, with a straight gaze triggering different cognitive and emotional processes as compared to an averted gaze. It remains unknown, however, how interindividual differences in attachment associate with early face encoding in the context of a straight versus averted gaze. Using electroencephalography (EEG) and recording event-related potentials (ERPs), specifically the N170 component, the present study (N = 50 healthy adults) measured how the characteristics of attachment anxiety and avoidance relate to the encoding of faces with respect to gaze direction and head orientation. Our findings reveal a significant relationship between gaze direction (irrespective of head orientation) and attachment anxiety on the interhemispheric (i.e. right) asymmetry of the N170 and thus provide evidence for an association between attachment anxiety and eye gaze processing during early visual face encoding.

Innovations of the ICD-11 in the Field of Autism Spectrum Disorder: A Psychological Approach

Background

This article aims to explain and elaborate upon the recently released ICD-11 criteria for Autism Spectrum Disorder (ASD, World Health Organization), which endorse a medical model.

Method

We integrate insights from several disciplines (e.g., psychology, linguistics, sociology and lived experiences) to reflect the scientific and ethical insights derived from the biopsychosocial, neurodiversity perspective on autism.

Results

First, we describe the core domains of ASD's behavioural characteristics and then the lifetime, developmental perspective on the manifestations of these behaviours. Subsequently, we discuss potential underlying neuropsychology, related behaviours (i.e. associated features/conditions) and we consider some similarities and differences with the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM 5, American Psychological Association).

Conclusions

Recommendations for clinical application are provided. For instance, diagnostic classification in clinical practise should be a means to provide proper, suitable care, and therefore all diagnostic assessments should be used to tailor interventions and/or care to the capacities and genuine needs of the people that ask for professional help.

Human face and gaze perception is highly context specific and involves bottom-up and top-down neural processing

This review summarizes human perception and processing of face and gaze signals. Face and gaze signals are important means of non-verbal social communication. The review highlights that: (1) some evidence is available suggesting that the perception and processing of facial information starts in the prenatal period; (2) the perception and processing of face identity, expression and gaze direction is highly context specific, the effect of race and culture being a case in point. Culture affects by means of experiential shaping and social categorization the way in which information on face and gaze is collected and perceived; (3) face and gaze processing occurs in the so-called 'social brain'. Accumulating evidence suggests that the processing of facial identity, facial emotional expression and gaze involves two parallel and interacting pathways: a fast and crude subcortical route and a slower cortical pathway. The flow of information is bi-directional and includes bottom-up and top-down processing. The cortical networks particularly include the fusiform gyrus, superior temporal sulcus (STS), intraparietal sulcus, temporoparietal junction and medial prefrontal cortex.

Infant social interactions and brain development: A systematic review

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Associations between caregiver-infant behaviours during social interactions and brain development outcomes were investigated.

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Caregivers' and infants' behaviours in interactions related to children’s structural, functional and connectivity measures.

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Concurrent associations between behavioural and brain measures were apparent as early as three months postnatally.

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Long-term associations between behaviours in early interactions and brain development outcomes were observed decades later.

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Individual differences in early interactions and associated brain development is an important avenue for further research.

From birth, interactions with others are an integral part of a person’s daily life. In infancy, social exchanges are thought to be critical for optimal brain development. This systematic review explores this association by drawing together infant studies that relate adult-infant behaviours – coded from their social interactions - to children’s brain measures collected during a neuroimaging session in infancy, childhood, adolescence or adulthood. In total, we identified 55 studies that explored associations between infants’ social interactions and neural measures. These studies show that several aspects of caregiver-infant behaviours are associated with, or predict, a variety of neural responses in infants, children and adolescents. The presence of both concurrent and long-term associations - some of which are first observed just a few months postnatally and extend into adulthood - open an important research avenue and motivate further longitudinal studies.

Abnormal modulation of theta oscillations in children with attention-deficit/hyperactivity disorder

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We study frontal theta ERS and posterior theta lateralization in ADHD children.

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ADHD children show increased frontal theta ERS and posterior theta lateralization.

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Midfrontal theta ERS connects with right posterior theta modulation in ADHD children.

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Right posterior theta modulation is linked with RT variability in ADHD children.

Previous studies have found that theta activities exhibit posterior lateralized modulation as well as midfrontal event-related synchronization (ERS) during covert visual attention in adults. The present study investigated whether these theta modulations existed in children and whether they were associated with attentional problems in attention-deficit/hyperactivity disorder (ADHD). Electroencephalography signals were recorded from typically developing (TD) children and children with ADHD (TD: n = 24; ADHD: n = 22) while they performed a cued covert visual attention task. The participants responded to a target following a cue designed as human eyes that gazed to the left or right visual field (70% validity). Compared with the TD children, the children with ADHD showed increased midfrontal theta ERS and significant posterior theta lateralization in response to the cues. More importantly, we found that the stronger posterior theta lateralization in the right hemisphere exhibited a positive trial-based correlation with the larger midfrontal theta ERS and predicted lower RT variability at the trial level in the children with ADHD. We suggest that ADHD may be associated with some enhanced systems in the frontal and posterior areas via theta oscillations, which may be involved in the compensatory maturation for their attention deficits in childhood, thereby promoting the stability of behavioral responses.

Infant's gaze in a teasing task with an experimenter or parent: A naturalistic approach

We assessed infant's gaze in a teasing task in New York City public spaces. The task was administered to two different groups of 5- to 13-month-old infants. We used a between participants design across two studies. In Study 1 an experimenter administered the task to these infants (n = 79), whereas a parent did so in Study 2 (n = 79). The adult engaged the infant with a toy and then pulled it away to one side by counting to 7. A second trial to the other side was repeated. Infants passed the teasing task if they looked to the adult's face within the first 5 seconds after removing the toy in at least one trial. In Study 1, we found that infants looked to the experimenter's face after teasing by 7 months of age. In Study 2, infants did not show any significant gazes to the parent's face after teasing at any age. Most trained parents successfully administered the teasing task to their infant. A teasing game played by an adult stranger (e.g., experimenter) may be optimal to elicit infant's gaze in a naturalistic setting. Implications for developing cost-effective social-cognitive milestone measures in non-laboratory settings are discussed.

Development of neural responses to hearing their own name in infants at low and high risk for autism spectrum disorder

The own name is a salient stimulus, used by others to initiate social interaction. Typically developing infants orient towards the sound of their own name and exhibit enhanced event-related potentials (ERP) at 5 months. The lack of orientation to the own name is considered to be one of the earliest signs of autism spectrum disorder (ASD). In this study, we investigated ERPs to hearing the own name in infants at high and low risk for ASD, at 10 and 14 months. We hypothesized that low-risk infants would exhibit enhanced frontal ERP responses to their own name compared to an unfamiliar name, while high-risk infants were expected to show attenuation or absence of this difference in their ERP responses. In contrast to expectations, we did not find enhanced ERPs to own name in the low-risk group. However, the high-risk group exhibited attenuated frontal positive-going activity to their own name compared to an unfamiliar name and compared to the low-risk group, at the age of 14 months. These results suggest that infants at high risk for ASD start to process their own name differently shortly after one year of age, a period when frontal brain development is happening at a fast rate.

Face detection in 2- to 6-month-old infants is influenced by gaze direction and species

Humans detect faces efficiently from a young age. Face detection is critical for infants to identify and learn from relevant social stimuli in their environments. Faces with eye contact are an especially salient stimulus, and attention to the eyes in infancy is linked to the emergence of later sociality. Despite the importance of both of these early social skills-attending to faces and attending to the eyes-surprisingly little is known about how they interact. We used eye tracking to explore whether eye contact influences infants' face detection. Longitudinally, we examined 2-, 4-, and 6-month-olds' (N = 65) visual scanning of complex image arrays with human and animal faces varying in eye contact and head orientation. Across all ages, infants displayed superior detection of faces with eye contact; however, this effect varied as a function of species and head orientation. Infants were more attentive to human than animal faces and were more sensitive to eye and head orientation for human faces compared to animal faces. Unexpectedly, human faces with both averted heads and eyes received the most attention. This pattern may reflect the early emergence of gaze following-the ability to look where another individual looks-which begins to develop around this age. Infants may be especially interested in averted gaze faces, providing early scaffolding for joint attention. This study represents the first investigation to document infants' attention patterns to faces systematically varying in their attentional states. Together, these findings suggest that infants develop early, specialized functional conspecific face detection.

Abnormal alpha modulation in response to human eye gaze predicts inattention severity in children with ADHD

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In response to the human eye gaze, compared with TD children, ADHD children showed a decreased alpha lateralization.

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The attenuation of alpha modulation in ADHD children was mainly manifested in the left hemisphere.

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The left hemisphere alpha modulation predicted higher inattentive severity and lower behavioural accuracy in ADHD children.

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Classification analysis showed the left alpha modulation has a high capability to recognize ADHD from TD children.

Attention-deficit/hyperactivity disorder (ADHD) is characterized by problems in directing and sustaining attention. Recent behavioral studies indicated that children with ADHD are more likely to fail to show the orienting effect in response to human eye gaze. The present study aimed to identify the neurophysiological bases of attention deficits directed by social human eye gaze in children with ADHD, focusing on the relationship between alpha modulations and ADHD symptoms. The electroencephalography data were recorded from 8–13-year-old children (typically developing (TD): n = 24; ADHD: n = 21) while they performed a cued visuospatial covert attention task. The cues were designed as human eyes that might gaze to the left or right visual field. The results revealed that TD children showed a significant alpha lateralization in response to the gaze of human eyes, whereas children with ADHD showed an inverse pattern of alpha modulation in the left parieto-occipital area. Importantly, the abnormal alpha modulation in the left hemisphere predicted inattentive symptom severity and behavioral accuracy in children with ADHD. These results suggest that the dysfunction of alpha modulation in the left hemisphere in response to social cues might be a potential neurophysiologic marker of attention deficit in children with ADHD.

The Role of Eye Gaze During Natural Social Interactions in Typical and Autistic People

Social interactions involve complex exchanges of a variety of social signals, such as gaze, facial expressions, speech and gestures. Focusing on the dual function of eye gaze, this review explores how the presence of an audience, communicative purpose and temporal dynamics of gaze allow interacting partners to achieve successful communication. First, we focus on how being watched modulates social cognition and behavior. We then show that the study of interpersonal gaze processing, particularly gaze temporal dynamics, can provide valuable understanding of social behavior in real interactions. We propose that the Interpersonal Gaze Processing model, which combines both sensing and signaling functions of eye gaze, provides a framework to make sense of gaze patterns in live interactions. Finally, we discuss how autistic individuals process the belief in being watched and interpersonal dynamics of gaze, and suggest that systematic manipulation of factors modulating gaze signaling can reveal which aspects of social eye gaze are challenging in autism.

Visual preferences for direct-gaze faces in infant macaques (Macaca mulatta) with limited face exposure

From birth, human and nonhuman primates attend more to faces with direct gaze compared with averted gaze, and previous studies report that attention to the eyes is linked to the emergence of later social skills. Here, we explored whether early experiences influence attraction to eye contact in infant macaques by examining their attention to face pairs varying in their gaze direction across the first 13 weeks of life. Infants raised by human caretakers had limited conspecific interactions (nursery-reared; N = 16) and were compared to infants raised in rich social environments (mother-reared; N = 20). Both groups looked longer to faces and the eyes of direct compared to averted-gaze faces. Looking to all faces and eyes also increased with age. Nursery-reared infants did not display age-associated increases in attention to direct-gaze faces specifically, suggesting that, while there may be an initial preference for direct-gaze faces from birth, social experiences may support its early development.