The neuroscience of prejudice and stereotyping

Nurses' moral judgements during emergency department triage - A prospective mixed multicenter study

INTRODUCTION

In EDs, triage ensures that patients whose condition requires immediate care are prioritized while reducing overcrowding. Previous studies have described the manifestation of caregivers' moral judgements of patients in EDs. The equal treatment of patients in clinical practice presents a major issue. Studying the impact of prejudice on clinical practice in the ED setting provides an opportunity to rethink clinical tools, organizations and future training needs. Our study sought to describe the moral judgements expressed by triage nurses during admission interviews in emergency departments and to assess their impact on patient management.

METHODS

An exploratory sequential mixed-method study was performed. The study was conducted between January 1, 2018, and February 18, 2018, in the EDs of three French hospitals. Five hundred and three patients and 79 triage nurses participated in the study. Audio recordings, observations and written handover reports made by nurses during admission triage interviews were analyzed with a view to discerning whether moral judgements were expressed in them. We studied the impact of moral judgements on patient management in the emergency department.

RESULTS

Abstract Moral judgements were made in 70% of the triage situations studied (n=351/503). They could be classified in seven categories. Patients were more likely to be subjected to moral judgements if they were over 75 years old, visibly disabled or if they had visible signs of alcohol intoxication. Being subjected to moral judgement was associated with differential treatment, including assignment of a triage score that differed from the theoretical triage score.

CONCLUSION

More than two thirds of patients admitted to EDs were triaged using moral criteria. Patients who were morally judged at the admission interview were more likely to be treated differently.

Stigmatisation in clinical consultations for persistent physical symptoms/functional disorders: A best fit framework synthesis

INTRODUCTION

Stigma is a social attribute that links a person to an undesirable characteristic and leads to actions that increase the social distance from that person. This includes different or discriminatory treatment. Stigma is common in healthcare, particularly in people with persistent physical symptoms (PPS) and functional disorders (FD). The aim of this study is to create a new actionable framework to aid understanding of stigmatisation in consultations about PPS/FD and to improve the consultation experiences.

METHODS

This framework development used the Best Fit Framework approach to data collected for a scoping review of stigma in functional disorders. The stages included selection of an initial framework from existing conceptual models, mapping quote data from published papers to the framework and an iterative process of revision and re-mapping. The final framework was tested by re-mapping all the quote data to the framework following classification rules.

RESULTS

253 quotes were obtained from the results sections of qualitative studies from a previous scoping review. The framework comprises of prejudice, stereotypes and actions to increase social distance. Stereotype refers to the focus of stigma: this may be the condition, the patient, or their behaviour. Actions that increase social distance include: othering; denial; non-explanation; minimising, norm-breaking; and psychologising. By breaking down stigma into recognisable components, the framework provides a way to understand the difficulties that patients and clinicians face during consultations and a way to develop intervention materials.

CONCLUSIONS

This new framework for stigma in clinical consultations for PPS/FDs provides a useful tool for the study of stigma in clinical consultations.

No evidence for an other-race effect in dominance and trustworthy judgements from faces

A variety of evidence shows that social categorization of people based on their race can lead to stereotypical judgements and prejudicial behaviour. Here, we explore the extent to which trait judgements of faces are influenced by race. To address this issue, we measured the reliability of first impressions for own-race and other-race faces in Asian and White participants. Participants viewed pairs of faces and were asked to indicate which of the two faces was more dominant or which of the two faces was more trustworthy. We measured the consistency (or reliability) of these judgements across participants for own-race and other-races faces. We found that judgements of dominance or trustworthiness showed similar levels of reliability for own-race and other-race faces. Moreover, an item analysis showed that the judgements on individual trials were very similar across participants from different races. Next, participants made overall ratings of dominance and trustworthiness from own-race and other-race faces. Again, we found that there was no evidence for an ORE. Together, these results provide a new approach to measuring trait judgements of faces and show that in these conditions there is no ORE for the perception of dominance and trustworthiness.

Interactive effects of participant and stimulus race on cognitive performance in youth: Insights from the ABCD study

An extensive literature shows that race information can impact cognitive performance. Two key findings include an attentional bias to Black racial cues in U.S. samples and diminished recognition of other-race faces compared to same-race faces in predominantly White adult samples. Yet face stimuli are increasingly used in psychological research often unrelated to race (Conley et al., 2018) or without consideration for how race information may influence cognitive performance, especially among developmental participants from different racial groups. In the current study we used open-access data from the Adolescent Brain Cognitive DevelopmentSM (ABCD) Study® 4.0.1 release to test for developmentally similar other- and same-race effects of Black and White face stimuli on attention, working memory, and recognition memory in 9- and 10-year-old Black and White children (n=5,659) living in the U.S. Black and White children showed better performance when attending to Black versus White faces. We also show an advantage in recognition memory of same-race compared to other-race faces in White children that did not generalize to Black children. Together the findings highlight how race information, even when irrelevant to an experiment, may indirectly lead to misinterpretation of group differences in cognitive performance in children of different racial backgrounds.

Mothers' and fathers' neural responses toward gender-stereotype violations by their own children

Gender stereotypes facilitate people's processing of social information by providing assumptions about expected behaviors and preferences. When gendered expectations are violated, people often respond negatively, both on a behavioral and neural level. Little is known about the impact of family kinship on the behavioral and neural reactions to gender-stereotype violations. Therefore, we examined whether parents show different responses when gender stereotypes are violated by their own children vs unknown children. The sample comprised 74 Dutch families with a father (Mage = 37.54), mother (Mage = 35.83), son, and daughter aged 3-6 years. Electroencephalography measurements were obtained while parents viewed pictures of their own and unknown children paired with toy or problem behavior words that violated or confirmed gender stereotypes. In half of the trials, parents evaluated the appropriateness of toy-gender and behavior-gender combinations. Parents showed stronger late positive potential amplitudes toward gender stereotype-violating behaviors by own children compared to unknown children. Moreover, parents' P1 responses toward gender stereotype-violating child behaviors were stronger for boys than for girls and for parents who evaluated gender-stereotype violations as less appropriate than gender-stereotype confirmations. These findings indicated that gender-stereotype violations by parents' own children are particularly salient and viewed as less appropriate than gender-stereotype confirmations.

Implicit racial biases are lower in more populous more diverse and less segregated US cities

Implicit biases - differential attitudes towards members of distinct groups - are pervasive in human societies and create inequities across many aspects of life. Recent research has revealed that implicit biases are generally driven by social contexts, but not whether they are systematically influenced by the ways that humans self-organize in cities. We leverage complex system modeling in the framework of urban scaling theory to predict differences in these biases between cities. Our model links spatial scales from city-wide infrastructure to individual psychology to predict that cities that are more populous, more diverse, and less segregated are less biased. We find empirical support for these predictions in U.S. cities with Implicit Association Test data spanning a decade from 2.7 million individuals and U.S. Census demographic data. Additionally, we find that changes in cities' social environments precede changes in implicit biases at short time-scales, but this relationship is bi-directional at longer time-scales. We conclude that the social organization of cities may influence the strength of these biases.

Causation in neuroscience: keeping mechanism meaningful

A fundamental goal of research in neuroscience is to uncover the causal structure of the brain. This focus on causation makes sense, because causal information can provide explanations of brain function and identify reliable targets with which to understand cognitive function and prevent or change neurological conditions and psychiatric disorders. In this research, one of the most frequently used causal concepts is 'mechanism' - this is seen in the literature and language of the field, in grant and funding inquiries that specify what research is supported, and in journal guidelines on which contributions are considered for publication. In these contexts, mechanisms are commonly tied to expressions of the main aims of the field and cited as the 'fundamental', 'foundational' and/or 'basic' unit for understanding the brain. Despite its common usage and perceived importance, mechanism is used in different ways that are rarely distinguished. Given that this concept is defined in different ways throughout the field - and that there is often no clarification of which definition is intended - there remains a marked ambiguity about the fundamental goals, orientation and principles of the field. Here we provide an overview of causation and mechanism from the perspectives of neuroscience and philosophy of science, in order to address these challenges.

Right amygdala and caudate activation patterns predict implicit attitudes toward people with autism spectrum disorders and physical disabilities, respectively

Attitudes toward people with disabilities tend to be negative, regardless of the visibility of the disorder traits. Individuals with autism spectrum disorder (ASD) experience stigmatization that is rooted in negative attitudes or prejudice toward them because of their social awkwardness. The neural underpinnings of attitudes toward people with disabilities remain unclear. In this study, we focused on implicit attitudes toward people with ASD and physical disabilities, which are more visible than ASD, and investigated whether implicit attitudes were predicted by using neural activity with multivoxel pattern analysis (MVPA) in the prejudice network. Thirty-six, right-handed, Japanese, university students without disabilities participated. Two implicit association tests (IAT) toward people with ASD and physical disabilities revealed negative implicit attitudes. In the MRI scanner, participants performed a one-back task by using the same picture sets of IATs to examine their neural responses toward people with ASD and physical disabilities. According to the MVPA results, activation patterns of the right amygdala and right caudate significantly predicted implicit attitudes toward people with ASD and physical disabilities, respectively. These results suggest that implicit attitudes toward ASD and physical disabilities can be predicted by using neural signals from different regions within the prejudice network.

Neural responses to gender-based microaggressions in academic medicine

Gender-based microaggressions have been associated with persistent disparities between women and men in academia. Little is known about the neural mechanisms underlying those often subtle and unintentional yet detrimental behaviors. Here, we assessed the neural responses to gender-based microaggressions in 28 early career faculty in medicine (N = 16 female, N = 12 male sex) using fMRI. Participants watched 33 videos of situations demonstrating gender-based microaggressions and control situations in academic medicine. Video topics had been previously identified through real-life anecdotes about microaggression from women faculty and were scripted and reenacted using professional actors. Primary voxel-wise analyses comparing group differences in activation elucidated a significant group by condition interaction in a right-lateralized cluster across the frontal (inferior and middle frontal gyri, frontal pole, precentral gyrus, postcentral gyrus) and parietal lobes (supramarginal gyrus, angular gyrus). Whereas women faculty exhibited reduced activation in these regions during the microaggression relative to the control condition, the opposite was true for men. Posthoc analyses showed that these patterns were significantly associated with the degree to which participants reported feeling judged for their gender in academic medicine. Lastly, secondary exploratory ROI analyses showed significant between-group differences in the right dorsolateral prefrontal cortex and inferior frontal gyrus. Women activated these two regions less in the microaggression condition compared to the control condition, whereas men did not. These findings indicate that the observation of gender-based microaggressions results in a specific pattern of neural reactivity in women early career faculty.

Neural tracking of social hierarchies in adolescents' real-world social networks

In the current study, we combined sociometric nominations and neuroimaging techniques to examine adolescents' neural tracking of peers from their real-world social network that varied in social preferences and popularity. Adolescent participants from an entire school district (N = 873) completed peer sociometric nominations of their grade at school, and a subset of participants (N = 117, Mage = 13.59 years) completed a neuroimaging task in which they viewed peer faces from their social networks. We revealed two neural processes by which adolescents track social preference: (1) the fusiform face area, an important region for early visual perception and social categorization, simultaneously represented both peers high in social preference and low in social preference; (2) the dorsolateral prefrontal cortex (DLPFC), which was differentially engaged in tracking peers high and low in social preference. No regions specifically tracked peers high in popularity and only the inferior parietal lobe, temporoparietal junction, midcingulate cortex and insula were involved in tracking unpopular peers. This is the first study to examine the neural circuits that support adolescents' perception of peer-based social networks. These findings identify the neural processes that allow youths to spontaneously keep track of peers' social value within their social network.

Stigma Toward Substance Dependence: Causes, Consequences, and Potential Interventions

Substance dependence is a prevalent and urgent public health problem. In 2021, 60 million Americans reported abusing alcohol within the month prior to being surveyed, and nearly 20 million Americans reported using illegal drugs (e.g., heroin) or prescription drugs (e.g., opioids) for nonmedical reasons in the year before. Drug-involved overdose rates have been steadily increasing over the past 20 years. This increase has been primarily driven by opioid and stimulant use. Despite its prevalence, drug dependence is one of the most stigmatized health conditions. Stigma has myriad negative consequences for its targets, including limiting their access to employment and housing, disrupting interpersonal relationships, harming physical and mental health, and reducing help-seeking. However, because research on stigma toward people with substance use disorders (SUDs) is relatively sparse compared with research on stigma toward other mental illnesses, the field lacks a comprehensive understanding of the causes and consequences of SUD stigma. Moreover, it remains unclear how, if at all, these factors differ from other types of mental illness stigma. The goal of this review is to take stock of the literature on SUD stigma, providing a clear set of foundational principles and a blueprint for future research and translational activity.

Behavioral and neurophysiological indices of the racial bias modulation after virtual embodiment in other-race body

Racial bias-nonconscious behavioral inclinations against people of other ethnic groups-heavily contributes to inequality and discrimination. Immersive virtual reality (IVR) can reduce implicit racial bias through the feeling of owning (embodying) a virtual body of a different "race"; however, it has been demonstrated only behaviorally for the implicit attitudes. Here, we investigated the implicit (racial IAT) and the neurophysiological (the N400 component of the event-related potentials for verbal stimuli that violated negative racial stereotypes) correlates of the embodiment-induced reduction of the implicit racial bias. After embodying a Black avatar, Caucasian participants had reduced implicit racial bias (IAT) but both groups showed the typical N400. This is the first evidence to suggest that virtual embodiment affects the evaluative component of the implicit biases but not the neurophysiological index of their cognitive component (i.e., stereotyping). This can inform interventions that promote inclusivity through the implicit/indirect procedures, such as embodiment.

Autism, thy name is man: Exploring implicit and explicit gender bias in autism perceptions

Males are around three times more likely to possess an autism diagnosis than females. For years this was explained by accounts that considered the male gender more compatible with the autistic phenotype. However, new research suggests that a lack of understanding and recognition of the female autistic phenotype, and a predisposition to associate males with autistic traits, could lead to structural inequalities that hinder the identification of autistic females. To explore how autism and gender are more widely perceived, the present study tested implicit and explicit associations between autism and binary gender using the Implicit Association Test (IAT) and the Autism Quotient (AQ) presented alongside a male or female vignette. A significant association was found on the IAT, identifying an implicit bias towards males and autistic traits. The vignette AQ pairing also revealed some specific items perceived as explicitly male traits, while only reverse-scored items were perceived as female. These findings suggest that current perceptions and even metrics of autism are skewed towards males, which may hinder the identification and understanding of the female autistic phenotype.

Little Evidence for the Role of Disgust Sensitivity in Implicit Disgust to Images of White People Engaged in Injecting Drug Use (IDU)

Background: Previous research has shown that People Who Inject Drugs (PWID) are subject to public stigma, which affects access to, and provision and quality of, treatment and support services. Less is known about the socio-cognitive processes that support the development and maintenance of public stigma toward PWID. The present study investigated the role of disgust sensitivity in implicit disgust to injecting drug use. Methods: 126 participants took part in an online Implicit Association Task (IAT) measuring implicit disgust to pictorial stimuli of injecting drug use or medical injecting. Participants also completed The Disgust Scale Revised, Injecting Phobia Scale (Short Form), Attitudes to People Who Use Drugs (PWUD) scale and a substance use inventory. Results: Average IAT score was negative indicating significantly higher implicit disgust to injecting drug use. Hierarchical linear regression found that injecting phobia predicted implicit disgust to injecting drug use. Questionnaire measures of disgust did not predict implicit disgust. While animal reminder disgust and injecting phobia were significantly correlated with each other, animal reminder disgust did not predict implicit disgust scores. Conclusions: On the basis of our findings, stigma toward PWID may not be a result of feelings of disgust toward injecting drug use. We discuss findings in the context of the underlying cortical processes supporting implicit and explicit representations of disgust. Future research should seek to investigate neurophysiological evidence for disgust to and stigmatization of injecting drug use and the potential role of domains of disgust in this.

How Pain-Related Facial Expressions Are Evaluated in Relation to Gender, Race, and Emotion

Inequities in pain assessment are well-documented; however, the psychological mechanisms underlying such biases are poorly understood. We investigated potential perceptual biases in the judgments of faces displaying pain-related movements. Across five online studies, 956 adult participants viewed images of computer-generated faces ("targets") that varied in features related to race (Black and White) and gender (women and men). Target identity was manipulated across participants, and each target had equivalent facial movements that displayed varying intensities of movement in facial action-units related to pain (Studies 1-4) or pain and emotion (Study 5). On each trial, participants provided categorical judgments as to whether a target was in pain (Studies 1-4) or which expression the target displayed (Study 5) and then rated the perceived intensity of the expression. Meta-analyses of Studies 1-4 revealed that movement intensity was positively associated with both categorizing a trial as painful and perceived pain intensity. Target race and gender did not consistently affect pain-related judgments, contrary to well-documented clinical inequities. In Study 5, in which pain was equally likely relative to other emotions, pain was the least frequently selected emotion (5%). Our results suggest that perceivers can utilize facial movements to evaluate pain in other individuals, but perceiving pain may depend on contextual factors. Furthermore, assessments of computer-generated, pain-related facial movements online do not replicate sociocultural biases observed in the clinic. These findings provide a foundation for future studies comparing CGI and real images of pain and emphasize the need for further work on the relationship between pain and emotion.

Supplementary Information

The online version contains supplementary material available at 10.1007/s42761-023-00181-6.

Exposure to Multicultural Context Affects Neural Response to Out-Group Faces: A Functional Magnetic Resonance Imaging Study

Recent migration and globalization trends have led to the emergence of ethnically, religiously, and linguistically diverse countries. Understanding the unfolding of social dynamics in multicultural contexts becomes a matter of common interest to promote national harmony and social cohesion among groups. The current functional magnetic resonance imaging (fMRI) study aimed to (i) explore the neural signature of the in-group bias in the multicultural context; and (ii) assess the relationship between the brain activity and people's system-justifying ideologies. A sample of 43 (22 females) Chinese Singaporeans (M = 23.36; SD = 1.41) was recruited. All participants completed the Right Wing Authoritarianism Scale and Social Dominance Orientation Scale to assess their system-justifying ideologies. Subsequently, four types of visual stimuli were presented in an fMRI task: Chinese (in-group), Indian (typical out-group), Arabic (non-typical out-group), and Caucasian (non-typical out-group) faces. The right middle occipital gyrus and the right postcentral gyrus showed enhanced activity when participants were exposed to in-group (Chinese) rather than out-group (Arabic, Indian, and Caucasian) faces. Regions having a role in mentalization, empathetic resonance, and social cognition showed enhanced activity to Chinese (in-group) rather than Indian (typical out-group) faces. Similarly, regions typically involved in socioemotional and reward-related processing showed increased activation when participants were shown Chinese (in-group) rather than Arabic (non-typical out-group) faces. The neural activations in the right postcentral gyrus for in-group rather than out-group faces and in the right caudate in response to Chinese rather than Arabic faces were in a significant positive correlation with participants' Right Wing Authoritarianism scores (p < 0.05). Furthermore, the activity in the right middle occipital gyrus for Chinese rather than out-group faces was in a significant negative correlation with participants' Social Dominance Orientation scores (p < 0.05). Results are discussed by considering the typical role played by the activated brain regions in socioemotional processes as well as the role of familiarity to out-group faces.

(Not) part of the team: Racial empathy bias in a South African minimal group study

Minimal Group Paradigm (MGP) research suggests that recategorization with an arbitrarily defined group may be sufficient to override empathy biases among salient social categories like race. However, most studies utilizing MGPs do not consider sufficiently the socio-historical contexts of social groups. Here we investigated whether the recategorization of White participants into arbitrarily defined mixed-race teams using a non-competitive MGP would ameliorate racial empathy biases towards ingroup team members in the South African context. Sixty participants rated their empathic and counter-empathic (Schadenfreude, Glückschmerz) responses to ingroup and outgroup team members in physically painful, emotionally distressing, and positive situations. As anticipated, results indicated significant ingroup team biases in empathic and counter-empathic responses. However, mixed-race minimal teams were unable to override ingroup racial empathy biases, which persisted across events. Interestingly, a manipulation highlighting purported political ideological differences between White and Black African team members did not exacerbate racial empathy bias, suggesting that such perceptions were already salient. Across conditions, an internal motivation to respond without prejudice was most strongly associated with empathy for Black African target individuals, regardless of their team status. Together, these results suggest that racial identity continues to provide a salient motivational guide in addition to more arbitrary group memberships, even at an explicit level, for empathic responding in contexts characterized by historical power asymmetry. These data further problematize the continued official use of race-based categories in such contexts.

Neural Processing of Sexist Comments: Associations between Perceptions of Sexism and Prefrontal Activity

Sexism is a widespread form of gender discrimination which includes remarks based on gender stereotypes. However, little is known about the neural basis underlying the experience of sexist-related comments and how perceptions of sexism are related to these neural processes. The present study investigated whether perceptions of sexism influence neural processing of receiving sexist-related comments. Participants (N = 67) read experimental vignettes describing scenarios of comments involving gender stereotypes while near-infrared spectroscopy recordings were made to measure the hemodynamic changes in the prefrontal cortex. Results found a significant correlation between participants' perceptions of sexism and brain activation in a brain cluster including the right dorsolateral prefrontal cortex and inferior frontal gyrus. There was a significant gender difference where female participants showed a stronger negative correlation compared to male participants. Future research can expand on these initial findings by looking at subcortical structures involved in emotional processing and gender stereotype application as well as examining cultural differences in perceptions of gender stereotypes and sexism.

A partner's smile is not per se a safety signal: Psychophysiological response patterns to instructed threat and safety

Recent studies on fear conditioning and pain perception suggest that pictures of loved ones (e.g., a romantic partner) may serve as a prepared safety cue that is less likely to signal aversive events. Challenging this view, we examined whether pictures of smiling or angry loved ones are better safety or threat cues. To this end, 47 healthy participants were verbally instructed that specific facial expressions (e.g., happy faces) cue threat of electric shocks and others cue safety (e.g., angry faces). When facial images served as threat cues, they elicited distinct psychophysiological defensive responses (e.g., increased threat ratings, startle reflex, and skin conductance responses) compared to viewing safety cues. Interestingly, instructed threat effects occurred regardless of the person who cued shock threat (partner vs. unknown) and their facial expression (happy vs. angry). Taken together, these results demonstrate the flexible nature of facial information (i.e., facial expression and facial identity) to be easily learned as signals for threat or safety, even when showing loved ones.

Neural empathic response to disability: An ERP study of prejudice

While social neuroscience has already provided evidence for a deficit of affective empathy in racial prejudice, little is known about other less visible social categories when considered as an outgroup. We studied the process of empathy through event-related brain potentials (ERPs). We focused on the group "people with disabilities" as they are the target of a large amount of prejudice. Twenty-six participants performed a pain decision task. The mean amplitudes of N1, P2, N2-N3 and P3 components were recorded. Our results are consistent with previous work on prejudice, showing that the pain detection is modulated by group membership (with disabilities vs. without disabilities) on N2-N3, suggesting a better neural decoding of pain vs. non-pain in the without-disability condition. Critically, no effect of early sensory components (N1, P2) was found, and P3 was not moderated by disability. These findings indicate a different time course of empathic responses depending on the condition, suggesting that people with disabilities trigger specific empathic responses. Our results contribute to disentangling perceptual processes from affective empathy reactions.

A neurocognitive approach to studying processes underlying parents' gender socialization

Parental gender socialization refers to ways in which parents teach their children social expectations associated with gender. Relatively little is known about the mechanisms underlying gender socialization. An overview of cognitive and neural processes underlying parental gender socialization is provided. Regarding cognitive processes, evidence exists that parents' implicit and explicit gender stereotypes, attitudes, and gendered attributions are implicated in gender socialization. Other cognitive factors, such as intergroup attitudes, gender essentialism, internal motivation for parenting without gender stereotypes, gender identity, and conflict resolution are theoretically relevant mechanisms underlying gender socialization, but need further investigation. Regarding neural processes, studies demonstrated that attentional processing, conflict monitoring, behavior regulation, and reward processing might underlie stereotypes and biased behavior. However, more research is necessary to test whether these neural processes are also related to parental gender socialization. Based on this overview, a framework is presented of neural and cognitive factors that were theoretically or empirically related to gender socialization.

Ethnicity, minority status, and inter-group bias: A systematic meta-analysis on fMRI studies

Introduction

This meta-analysis investigated (1) whether ethnic minority and majority members have a neural inter-group bias toward each other, and (2) whether various ethnic groups (i.e., White, Black, and Asian) are processed in the brain differently by the other respective ethnicities.

Methods

A systematic coordinate-based meta-analysis of functional magnetic resonance imaging (fMRI) studies was conducted using Web of Science, PubMed, and PsycINFO (altogether 50 datasets, n = 1211, 50.1% female).

Results

We found that ethnic minority members did not show any signs of neural inter-group bias (e.g., no majority-group derogation). Ethnic majority members, in turn, expressed biased responses toward minority (vs. majority) members in frontal, parietal, temporal, and occipital regions that are known to be involved in e.g., facial processing, attention, and perspective-taking. We also found differences in neural response patterns toward different ethnic groups (White, Black, and Asian); broadest biases in neural response patterns were evident toward Black individuals (in non-Black individuals). Heterogeneity was mostly minor or low.

Discussion

Overall, the findings increase understanding of neural processes involved in ethnicity perception and cognition as well as ethnic prejudices and discrimination. This meta-analysis provides explanations for previous behavioral reports on ethnic discrimination toward minority groups.

Cognitive processing differences between stereotype activation and semantic activation

Previous studies have demonstrated that the activation of stereotype conflict is similar to the N400 congruency effect shown by the activation of semantic violation. In order to distinguish the differences between the two, the first experiment used gender stereotype trait words as target stimuli, and used "male/female" and "synonym of trait words/antonym of trait words" as priming stimuli respectively, so that the subjects completed the consistency determination task. In experiment 2, gender stereotyped behavior pictures were used as target stimuli, and "male/female" was used as priming stimuli, so that the subjects completed the task of consistency determination. The results showed that both gender stereotype conflict and semantic violation could induce N400 a congruency effect. Importantly, the N400 amplitude and response latency induced by gender stereotype activation are both smaller than those induced by semantic activation. These results show that stereotype activation is distinct from semantic activation, further demonstrating that the brain preferentially processes information related to gender stereotypes, and gender stereotype cognitive processing is more likely to happen than semantic knowledge processing.

Sympathy-Empathy and the Radicalization of Young People

BACKGROUND

The sympathy-empathy (SE) system is commonly considered a key faculty implied in prosocial behaviors, and SE deficits (also called callous-unemotional traits, CUTs) are associated with nonprosocial and even violent behaviors. Thus, the first intuitive considerations considered a lack of SE among young people who undergo radicalization. Yet, their identification with a cause, their underlying feelings of injustice and grievance, and the other ways in which they may help communities, suggest that they may actually have a lot of empathy, even an excess of it. As a consequence, the links between SE and radicalization remain to be specified. This critical review aims to discuss whether and how SE is associated with developmental trajectories that lead young people to radicalization.

METHOD

We first recall the most recent findings about SE development, based on an interdisciplinary perspective informed by social neuroscience. Then, we review sociological and psychological studies that address radicalization. We will critically examine the intersections between SE and radicalization, including neuroscientific bases and anthropologic modulation of SE by social factors involved in radicalization.

RESULTS

This critical review indicates that the SE model should clearly distinguish between sympathy and empathy within the SE system. Using this model, we identified three possible trajectories in young radicalized individuals. In individuals with SE deficit, the legitimization of violence is enough to engage in radicalization. Concerning individuals with normal SE, we hypothesize two trajectories. First, based on SE inhibition/desensitization, individuals can temporarily join youths who lack empathy. Second, based on an SE dissociation, combining emotional sympathy increases for the in-group and cognitive empathy decreases toward the out-group.

CONCLUSIONS

While confirming that a lack of empathy can favor radicalization, the counterintuitive hypothesis of a favorable SE development trajectory also needs to be considered to better specify the cognitive and affective aspects of this complex phenomenon.

Community-level explicit racial prejudice potentiates whites' neural responses to black faces: A spatial meta-analysis

We evaluated the hypothesis that neural responses to racial out-group members vary systematically based on the level of racial prejudice in the surrounding community. To do so, we conducted a spatial meta-analysis, which included a comprehensive set of studies (k = 22; N = 481). Specifically, we tested whether community-level racial prejudice moderated neural activation to Black (vs. White) faces in primarily White participants. Racial attitudes, obtained from Project Implicit, were aggregated to the county (k = 17; N = 10,743) in which each study was conducted. Multi-level kernel density analysis demonstrated that significant differences in neural activation to Black (vs. White) faces in right amygdala, dorsal anterior cingulate cortex, and dorsolateral prefrontal cortex were detected more often in communities with higher (vs. lower) levels of explicit (but not implicit) racial prejudice. These findings advance social-cognitive neuroscience by identifying aspects of macro-social contexts that may alter neural responses to out-group members.

Developmental Considerations for Understanding Perceptions and Impacts of Identity-Related Differences: Focusing on Adolescence

Biological psychiatry, similar to many other scientific fields, is grappling with the challenge of revising its practices with an eye toward promoting diversity, equity, and inclusivity. One arena in which much of this work will have significant impact is in developmental science generally and the study of adolescence specifically. Adolescence is a critical period during human development during which important social, neural, and cognitive maturation processes take place. It is also a time marked by risky behaviors and the onset of a range of mental disorders. Social and developmental research has provided insight into the cognitive and neural processes by which perceptions of identity-related differences emerge. Clinical research aimed at understanding how individuals from diverse backgrounds navigate the transition period of adolescence is critical for identifying the unique factors underlying risk and resilience in minoritized populations. Taking a developmental perspective, we review processes by which the brain understands group differences and how the developmental timing of this can influence antecedents of psychological distress. We close with a call to action, pointing to important understudied areas within the field of biological psychiatry that are critical for supporting mental health among diverse adolescent populations.

Neural Basis of Prejudice and Prejudice Reduction

Social prejudices, based on race, ethnicity, gender, or other identities, pervade how we perceive, think about, and act toward others. Research on the neural basis of prejudice seeks to illuminate its effects by investigating the neurocognitive processes through which prejudice is formed, represented in the mind, expressed in behavior, and potentially reduced. In this article, we review current knowledge about the social neuroscience of prejudice regarding its influence on rapid social perception, representation in memory, emotional expression and relation to empathy, and regulation, and we discuss implications of this work for prejudice reduction interventions.

This is not who you are: The posterior cerebellum and stereotype-inconsistent action sequences

Recent research has indicated that the posterior cerebellum plays a crucial role in social cognition by encoding sequences of social actions. This study investigates its role in learning sequences of stereotype-implying actions by group members. We presented a set of five sentences that each described a group member who performed either stereotype-consistent or inconsistent actions. Participants were instructed to memorize the temporal order of the sentences and infer a common stereotype of the group. As a comparison, we included control conditions where participants had to memorize sequences of nonsocial consistent events or simply read stereotype-consistent sentences without memorizing their order. The results showed that the posterior cerebellum was strongly activated when participants were memorizing the order of the social actions, as opposed to simply reading these social actions. More importantly, when the social actions were inconsistent as opposed to consistent with the stereotype of the group, the posterior cerebellum was activated more strongly. This activation occurred together with cortical recruitment of the mentalizing network involving the dorsomedial prefrontal cortex (dmPFC) during social actions, and additionally the conflict monitoring network involving the lateral prefrontal cortex (PFC) and posterior medial frontal cortex (pmFC) during stereotype-inconsistent actions. These findings suggest that the cerebellum supports not only learning of low-level action sequences, but also of their high-level social implications.

Addressing ethnic prejudice in youth: Developmental trajectories and associations with educational identity

Studying how attitudes develop in the transition from late adolescence to emerging adulthood offers unique insights into future generations’ perceptions of society and of others. However, findings on ethnic prejudice during this life period are mixed. The current research aims to examine the development of affective and cognitive ethnic prejudice, adopting a person-centered approach. Furthermore, it examines the associations between educational identity processes and prejudice. A sample of 297 Italian adolescents ( Mage = 17.48, SDage = 0.79, 37.8% males) participated in a five-wave longitudinal study. At the mean level, cognitive prejudice decreased slightly over time, while affective prejudice remained stable. Additionally, rank-order stability coefficients were high ( r ≥ .526). Moreover, for each dimension of prejudice (i.e., cognitive and affective) taken separately, three groups of participants were identified based on their high, moderate, or low scores, respectively. Finally, higher levels of educational identity in-depth exploration at baseline significantly increased the chances of adolescents falling into the low rather than the moderate group for both cognitive and affective prejudice. Conversely, it significantly reduced the chances of being in the high compared to the moderate group for affective prejudice. This study highlights the importance of considering multiple components of prejudice and their reciprocal associations with identity processes to identify at-risk segments of the adolescent and emerging adult populations.

Does social intolerance vary according to cognitive styles, genetic cognitive capacity, or education?

BACKGROUND

Low education, low cognitive abilities, and certain cognitive styles are suggested to predispose to social intolerance and prejudices. Evidence is, however, restricted by comparatively small samples, neglect of confounding variables and genetic factors, and a narrow focus on a single sort of prejudice. We investigated the relationships of education, polygenic cognitive potential, cognitive performance, and cognitive styles with social intolerance in adulthood over a 15-year follow-up.

METHODS

We used data from the prospective population-based Young Finns Study (n = 960-1679). Social intolerance was evaluated with the Social Intolerance Scale in 1997, 2001, and 2011; cognitive performance with the Cambridge Neuropsychological Test Automated Battery in 2011; cognitive styles in 1997; and socioeconomic factors in 1980 (childhood) and 2011 (adulthood); and polygenic cognitive potential was calculated based on genome-wide association studies.

RESULTS

We found that nonrational thinking, polygenic cognitive potential, cognitive performance, or socioeconomic factors were not related to social intolerance. Regarding cognitive styles, low flexibility (B = -0.759, p < .001), high perseverance (B = 1.245, p < .001), and low persistence (B = -0.329, p < .001) predicted higher social intolerance consistently in the analyses.

DISCUSSION

When developing prejudice-reduction interventions, it should be considered that educational level or cognitive performance may not be crucial for development of social intolerance. Adopting certain cognitive styles may play more important roles in development of social intolerance.

An fMRI meta-analysis of the role of the striatum in everyday-life vs laboratory-developed habits

The dorsolateral striatum plays a critical role in the acquisition and expression of stimulus-response habits that are learned in experimental laboratories. Here, we use meta-analytic procedures to contrast the neural circuits activated by laboratory-acquired habits with those activated by stimulus-response behaviours acquired in everyday-life. We confirmed that newly learned habits rely more on the anterior putamen with activation extending into caudate and nucleus accumbens. Motor and associative components of everyday-life habits were identified. We found that motor-dominant stimulus-response associations developed outside the laboratory primarily engaged posterior dorsal putamen, supplementary motor area (SMA) and cerebellum. Importantly, associative components were also represented in the posterior putamen. Thus, common neural representations for both naturalistic and laboratory-based habits were found in the left posterior and right anterior putamen. These findings suggest a partial common striatal substrate for habitual actions that are performed predominantly by stimulus-response associations represented in the posterior striatum. The overlapping neural substrates for laboratory and everyday-life habits supports the use of both methods for the analysis of habitual behaviour.

Mechanisms of action for stigma reduction among primary care providers following social contact with service users and aspirational figures in Nepal: an explanatory qualitative design

BACKGROUND

There are increasing initiatives to reduce mental illness stigma among primary care providers (PCPs) being trained in mental health services. However, there is a gap in understanding how stigma reduction initiatives for PCPs produce changes in attitudes and clinical practices. We conducted a pilot randomized controlled trial of a stigma reduction intervention in Nepal: REducing Stigma among HealthcAre Providers (RESHAPE). In a previous analysis of this pilot, we described differences in stigmatizing attitudes and clinical behaviors between PCPs receiving a standard mental health training (mental health Gap Action Program, mhGAP) vs. those receiving an mhGAP plus RESHAPE training. The goal of this analysis is to use qualitative interview data to explain the quantitative differences in stigma outcomes identified between the trial arms.

METHODS

PCPs were randomized to either standard mental health training using mhGAP led by mental health specialists or the experimental condition (RESHAPE) in which service users living with mental illness shared photographic recovery narratives and participated in facilitated social contact. Qualitative interviews were conducted with PCPs five months post-training (n = 8, standard mhGAP training; n = 20, RESHAPE). Stigmatizing attitudes and clinical practices before and after training were qualitatively explored to identify mechanisms of change.

RESULTS

PCPs in both training arms described changes in knowledge, skills, and confidence in providing mental healthcare. PCPs in both arms described a positive feedback loop, in which discussing mental health with patients encouraged more patients to seek treatment and open up about their illness, which demonstrated for PCPs that mental illness can be treated and boosted their clinical confidence. Importantly, PCPs in the RESHAPE arm were more likely to describe a willingness to treat mental health patients and attributed this in part to social contact with service users during the training.

CONCLUSIONS

Our qualitative research identified testable mechanisms of action for stigma reduction and improving clinical behavior: specifically, recovery stories from service users and social engagement led to greater willingness to engage with patients about mental illness, triggering a feedback loop of more positive experiences with patients who benefit from mental healthcare, which further reinforces willingness to deliver mental healthcare. Trial registration ClinicalTrials.gov identifier, NCT02793271.

The functional contributions of consciousness

The most widely endorsed philosophical and scientific theories of consciousness assume that it contributes a single functional capacity to an organism's information processing toolkit. However, conscious processes are a heterogeneous class of psychological phenomena supported by a variety of neurobiological mechanisms. This suggests a plurality of functional contributions of consciousness (FCCs), in the sense that conscious experience facilitates different functional capacities in different psychological domains. In this paper, I first develop a general methodological framework for isolating the psychological functions that are associated with conscious experience. I then use this to show that the leading accounts-Global Workspace Theories, Higher Order Thought Theory and Information Integration Theory-all fail to acknowledge this functional pluralism, which limits their applicability as theories of consciousness.

Encoding of Race Categories by Single Neurons in the Human Brain

Previous research has suggested that race-specific features are automatically processed during face perception, often with out-group faces treated categorically. Functional imaging has illuminated the hemodynamic correlates of this process, with fewer studies examining single-neuron responses. In the present experiment, epilepsy patients undergoing microwire recordings in preparation for surgical treatment were shown realistic computer-generated human faces, which they classified according to the emotional expression shown. Racial categories of the stimulus faces varied independently of the emotion shown, being irrelevant to the patients’ primary task. Nevertheless, we observed race-driven changes in neural firing rates in the amygdala, anterior cingulate cortex, and hippocampus. These responses were broadly distributed, with the firing rates of 28% of recorded neurons in the amygdala and 45% in the anterior cingulate cortex predicting one or more racial categories. Nearly equal proportions of neurons responded to White and Black faces (24% vs. 22% in the amygdala and 26% vs. 28% in the anterior cingulate cortex). A smaller fraction (12%) of race-responsive neurons in the hippocampus predicted only White faces. Our results imply a distributed representation of race in brain areas involved in affective judgments, decision making, and memory. They also support the hypothesis that race-specific cues are perceptually coded even when those cues are task-irrelevant.

The role of right insula and its functional connectivity in the regulation of negative implicit stereotypes against rural migrant workers

Previous studies have revealed that stereotyping processes involving negative affective content (e.g., antipathy) can lead to a significant increase in insula activity. However, whether the insula is sensitive to stereotype inconsistency or plays a crucial role in stereotype regulation remains unclear. To help fill this gap, 21 young adults were presented with a modified single-category implicit association test (SC-IAT) that assessed their stereotypes about rural migrant workers. In a within-subjects design, participants completed separate blocks of compatible and incompatible trials, each of which consisted of stereotype-consistent or stereotype-inconsistent trait labels that had a positive or a negative valence. Functional MRI was used to identify specific brain regions associated with negative and positive stereotyping. The behavioral results revealed a typical stereotype regulation effect in which participants responded slower to stereotype-inconsistent condition than stereotype-consistent condition, although such effect was significantly modulated by IAT compatibility, rather than by emotional valence. MRI results revealed that activity in the right insula was significantly sensitive to stereotype regulation processes in negative incompatible tasks, whereas such effect was marginally significant in positive incompatible tasks. Moreover, psychophysiological interaction analyses indicated complex functional connectivity among the right insula and cognitive control regions [e.g., ventrolateral prefrontal cortex (vlPFC) and dorsal anterior cingulate cortex (dACC)], social mentalizing regions [medial prefrontal cortex (mPFC)], and motivation regions (putamen) in the condition where negative stereotypes were violated. Taken together, these findings demonstrate that the right insula serves as a crucial node in regulating implicit stereotyping, particularly in negative stereotyping tasks.

Racial outgroup favoritism in neural responses to others' pain emerges during sociocultural interactions

Racial ingroup favoritism in empathic brain activity has been widely observed and is associated with biased behavior toward same-race and other-race individuals. We investigated whether racial outgroup favoritism in neural responses to others' pain - an objective measure of empathy - may emerge during sociocultural interactions in a new social environment. We recorded magnetoencephalography to pain and neutral expressions of Asian and White faces from White students who had stayed in China for 6-36 weeks (Experimental group) or 2-4 weeks (Control group). The experimental group showed better neural decoding of and greater insular/sensorimotor responses to pain vs. neutral expressions of Asian compared to White faces. By contrast, the control group showed better neural decoding of pain vs. neutral expressions of White than Asian faces. In addition, participants of the experimental group who had stayed longer in China showed greater sensorimotor responses to pain (vs. neutral) expressions of Asian faces but weaker sensorimotor responses to pain (vs. neutral) expressions of White faces. Our findings revealed emerging racial outgroup favoritism in brain activities associated with sensorimotor resonance and affective sharing of others' pain during sociocultural interactions.

Stronger brain activation for own baby but similar activation toward babies of own and different ethnicities in parents living in a multicultural environment

Specific facial features in infants automatically elicit attention, affection, and nurturing behaviour of adults, known as the baby schema effect. There is also an innate tendency to categorize people into in-group and out-group members based on salient features such as ethnicity. Societies are becoming increasingly multi-cultural and multi-ethnic, and there are limited investigations into the underlying neural mechanism of the baby schema effect in a multi-ethnic context. Functional magnetic resonance imaging (fMRI) was used to examine parents' (N = 27) neural responses to (a) non-own ethnic in-group and out-group infants, (b) non-own in-group and own infants, and (c) non-own out-group and own infants. Parents showed similar brain activations, regardless of ethnicity and kinship, in regions associated with attention, reward processing, empathy, memory, goal-directed action planning, and social cognition. The same regions were activated to a higher degree when viewing the parents' own infant. These findings contribute further understanding to the dynamics of baby schema effect in an increasingly interconnected social world.

Neural representations of others' traits predict social decisions

SignificancePeople's decisions about how to treat others are known to be influenced by societally shared expectations about the typical traits of people from particular social groups (stereotypes). We combined a social psychological framework, an economic game, and multivariate functional MRI analysis to investigate whether and how trait inferences are instantiated neurally in the service of behavior toward members of different social groups. Multidimensional representations of trait content were found in brain regions associated with social cognition and in a region associated with inference-based decision-making: the lateral orbitofrontal cortex (OFC). Only OFC representations predicted individual participants' behavior, suggesting that although stereotypes are also represented in social cognition regions, they exert influence on behavior via decision-making mechanisms centered in the OFC.

Facial attractiveness is more associated with individual warmth than with competence: behavioral and neural evidence

Individuals appear to infer others' psychological characteristics according to facial attractiveness and these psychological characteristics can be classified into two categories in social cognition, that is, warmth and competence. However, which category of psychological characteristic is more associated with face attractiveness and its neural mechanisms have not been explored. To address this, participants were asked to judge others' warmth and competence traits based on face attractiveness, while their brains were scanned using functional magnetic resonance imaging (fMRI). They also assessed the attractiveness of faces after scanning. Behavioral results showed that the correlation between face attractiveness and warmth ratings was significantly higher than that with competence ratings. fMRI results demonstrated that the dorsomedial prefrontal cortex (dmPFC), temporoparietal junction (TPJ), lateral prefrontal cortex, and lateral temporal lobe were more involved in the warmth task. Moreover, attractiveness ratings were negatively correlated with activation of the dmPFC and TPJ only in the warmth task. Furthermore, the attractiveness ratings were negatively correlated with the defined dmPFC, region related to attractiveness judgement, only in the warmth task. In conclusion, people are more inclined to infer others' warmth than competence characteristics from face attractiveness, that is, face attractiveness is more associated with warmth than with competence.

Learning positive social information reduces racial bias as indexed by N400 response

The present study used EEG/ERPs to detect the activation of implicit stereotypical representations associated to other-race (OR) people and the modulation of such activation through the previous presentation of positive vs. neutral social information. Electrophysiological signals were recorded in 40 Italian Caucasian participants, unaware of the overall study's purpose. They were presented with 285 sentences that could either violate, non-violate (e.g., "the Roma girl was involved in a robbery) or be neutral with regard to stereotypical concepts concerning other-race people (e.g. Asians, Africans, Arabic). ERPs were time-locked to the terminal words. Prior to the sentence reading task, participants were exposed to a 10 minutes colourful video documentary. While the experimental group was presented a video containing images picturing other-race characters involved in "prestigious" activities that violated stereotypical negative assumptions (e.g. a black neurosurgeon leading a surgery team), the control group viewed a neutral documentary about flora and fauna. EEG signals were then recorded during the sentence reading task to explore whether the previous exposure to the experimental video could modulate the detection of incongruence in the sentences violating stereotypes, as marked by the N400 response. A fictitious task was adopted, consisted in detecting rare animal names. Indeed, only the control group showed a greater N400 response (350-550 ms) to words incongruent with ethnic stereotypes compared to congruent and neutral ones, thus suggesting the presence of a racial bias. No N400 response was found for the experimental group, suggesting a lack of negative expectation for OR individuals. The swLORETA inverse solution, performed on the prejudice-related N400 showed that the Inferior Temporal and the Superior and Middle Frontal Gyri were the strongest N400 intra-cortical sources. Regardless of the experimental manipulation, Congruent terminal words evoked a greater P300 response (500-600 ms) compared to incongruent and neutral ones and a late frontal positivity (650-800 ms) was found to be larger to sentences involving OR than own-race characters (either congruent or incongruent with the prejudice) thus possibly indicating bias-free perceptual in-group/out-group categorization processes. The data showed how it is possible to modulate a pre-existing racial prejudice (as reflected by N400 effect) through exposure to positive media-driven information about OR people. Further follow-up studies should determine the duration in time, and across contexts, of this modulatory effect.

Establishing a role of the semantic control network in social cognitive processing: A meta-analysis of functional neuroimaging studies

The contribution and neural basis of cognitive control is under-specified in many prominent models of socio-cognitive processing. Important outstanding questions include whether there are multiple, distinguishable systems underpinning control and whether control is ubiquitously or selectively engaged across different social behaviours and task demands. Recently, it has been proposed that the regulation of social behaviours could rely on brain regions specialised in the controlled retrieval of semantic information, namely the anterior inferior frontal gyrus (IFG) and posterior middle temporal gyrus. Accordingly, we investigated for the first time whether the neural activation commonly found in social functional neuroimaging studies extends to these 'semantic control' regions. We conducted five coordinate-based meta-analyses to combine results of 499 fMRI/PET experiments and identified the brain regions consistently involved in semantic control, as well as four social abilities: theory of mind, trait inference, empathy and moral reasoning. This allowed an unprecedented parallel review of the neural networks associated with each of these cognitive domains. The results confirmed that the anterior left IFG region involved in semantic control is reliably engaged in all four social domains. This supports the hypothesis that social cognition is partly regulated by the neurocognitive system underpinning semantic control.

Neural basis of in-group bias and prejudices: A systematic meta-analysis

In-group favoritism and prejudices relate to discriminatory behaviors but, despite decades of research, understanding of their neural correlates has been limited. A systematic coordinate-based meta-analysis of functional magnetic resonance imaging (fMRI) studies (altogether 87 original datasets, n = 2328) was conducted to investigate neural inter-group biases, i.e., responses toward in-group vs. out-group in different contexts. We found inter-group biases in some previously identified brain regions (e.g., the medial prefrontal cortex, insula) but also in many previously non-identified brain regions (e.g., the cerebellum, precentral gyrus). Sub-group analyses indicated that neural correlates of inter-group biases may be mostly context-specific. Regarding different types of group memberships, inter-group bias toward trivial groups was evident only in the cingulate cortex, while inter-group biases toward "real" groups (ethnic, national, or political groups) involved broader sets of brain regions. Additionally, there were heightened neural threat responses toward out-groups' faces and stronger neural empathic responses toward in-groups' suffering. We did not obtain significant publication bias. Overall, the findings provide novel implications for theory and prejudice-reduction interventions.

Exposure to acute stress affects the retrieval of out-group related bias in healthy men

Individuals have a tendency to show enhanced vigilance to groups of which they themselves are not a member. Stress can up-regulate hypervigilance towards threatening stimuli and was shown to promote the reinstatement of out-group related biases in a previous study conducted in women only. The current study examines how exposure to acute stress affects the retrieval of out-group related extinction biases in male participants. Results showed that men exerted a specific out-group related bias at the beginning of extinction training indexed by higher skin conductance responses (SCRs) towards out-group faces, while stress led to a return of this extinguished out-group bias. Specifically, the stress group showed higher SCRs towards out-group faces during retrieval compared to the control group and the bias index was negatively related to post-stress cardiovascular recovery. These results indicate the important interaction between stress and intergroup bias in fear conditioning, along with a potential modulation of sex.