Sex Differences in Facial Scanning: Similarities and Dissimilarities Between Infants and Adults

Craniofacial Soft-Tissue Anthropomorphic Database with Magnetic Resonance Imaging and Unbiased Diffeomorphic Registration

BACKGROUND

Objective assessment of craniofacial surgery outcomes in a pediatric population is challenging because of the complexity of patient presentations, diversity of procedures performed, and rapid craniofacial growth. There is a paucity of robust methods to quantify anatomical measurements by age and objectively compare craniofacial dysmorphology and postoperative outcomes. Here, the authors present data in developing a racially and ethnically sensitive anthropomorphic database, providing plastic and craniofacial surgeons with "normal" three-dimensional anatomical parameters with which to appraise and optimize aesthetic and reconstructive outcomes.

METHODS

Patients with normal craniofacial anatomy undergoing head magnetic resonance imaging (MRI) scans from 2008 to 2021 were included in this retrospective study. Images were used to construct composite (template) images with diffeomorphic image registration method using the Advanced Normalization Tools package. Composites were thresholded to generate binary three-dimensional segmentations used for anatomical measurements in Materalise Mimics.

RESULTS

High-resolution MRI scans from 130 patients generated 12 composites from an average of 10 MRI sequences each: four 3-year-olds, four 4-year-olds, and four 5-year-olds (two male, two female, two Black, and two White). The average head circumference of 3-, 4-, and 5-year-old composites was 50.3, 51.5, and 51.7 cm, respectively, comparable to normative data published by the World Health Organization.

CONCLUSIONS

Application of diffeomorphic registration-based image template algorithm to MRI is effective in creating composite templates to represent "normal" three-dimensional craniofacial and soft-tissue anatomy. Future research will focus on development of automated computational tools to characterize anatomical normality, generation of indices to grade preoperative severity, and quantification of postoperative results to reduce subjectivity bias.

Investigating the Influence of Autism Spectrum Traits on Face Processing Mechanisms in Developmental Prosopagnosia

Autism traits are common exclusionary criteria in developmental prosopagnosia (DP) studies. We investigated whether autism traits produce qualitatively different face processing in 43 DPs with high vs. low autism quotient (AQ) scores. Compared to controls (n = 27), face memory and perception were similarly deficient in the high- and low-AQ DPs, with the high-AQ DP group additionally showing deficient face emotion recognition. Task-based fMRI revealed reduced occipito-temporal face selectivity in both groups, with high-AQ DPs additionally demonstrating decreased posterior superior temporal sulcus selectivity. Resting-state fMRI showed similar reduced face-selective network connectivity in both DP groups compared with controls. Together, this demonstrates that high- and low-AQ DP groups have very similar face processing deficits, with additional facial emotion deficits in high-AQ DPs.

Face masks affect emotion categorisation, age estimation, recognition, and gender classification from faces

Although putting on a mask over our nose and mouth is a simple but powerful way to protect ourselves and others during a pandemic, face masks may interfere with how we perceive and recognize one another, and hence, may have far-reaching impacts on communication and social interactions. To date, it remains relatively unknown the extent to which wearing a face mask that conceals the bottom part of the face affects the extraction of different facial information. To address this question, we compared young adults' performance between masked and unmasked faces in four different tasks: (1) emotion recognition task, (2) famous face recognition and naming test, (3) age estimation task, and (4) gender classification task. Results revealed that the presence of face mask has a negative impact on famous face recognition and emotion recognition, but to a smaller extent on age estimation and gender classification tasks. More interestingly, we observed a female advantage in the famous face recognition and emotion recognition tasks and a female own-gender bias in gender categorisation and age estimation tasks. Overall, these findings allude to the lack of malleability of the adulthood face recognition and perceptual systems.

Mechanisms of social evaluation in infancy: A preregistered exploration of infants' eye-movement and pupillary responses to prosocial and antisocial events

Past research shows infants selectively touch and look longer at characters who help versus hinder others (Social evaluation by preverbal infants. Nature, 2007, 450, 557; Three-month-olds show a negativity bias in their social evaluations. Developmental Science, 2010, 13, 923); however, the mechanisms underlying this tendency remain underspecified. The current preregistered experiment approaches this question by examining infants' real-time looking behaviors during prosocial and antisocial events, and exploring how individual infants' looking behaviors correlate with helper preferences. Using eye-tracking, 34 five-month-olds were familiarized with two blocks of the "hill" scenario originally developed by Kuhlmeier et al. (Attribution of dispositional states by 12-month-olds. Psychological Science, 2003, 14, 402), in which a climber tries unsuccessfully to reach the top of a hill and is alternately helped or hindered. Infants' visual preferences were assessed after each block of 6 helping and hindering events by proportional looking time to the helper versus hinderer in an image of the characters side by side. Results showed that, at the group level, infants looked longer at the helper after viewing 12 (but not after viewing 6) helping and hindering videos. Moreover, individual infants' average preference for the helper was predicted by their looking behaviors, particularly those suggestive of an understanding of the climber's unfulfilled goal. These results shed light on how infants process helping/hindering scenarios, and suggest that goal understanding is important for infants' helper preferences.

Dynamic emotional messages differentially affect 6-month-old infants' attention to eyes and gaze cues

Infants often experience interactions in which caregivers use dynamic messages to convey their affective and communicative intent. These dynamic emotional messages may shape the development of emotion discrimination skills and shared attention by influencing infants' attention to internal facial features and their responses to eye gaze cues. However, past research examining infants' responses to emotional faces has predominantly focused on classic, stereotyped expressions (e.g., happy, sad, angry) that may not reflect the variability that infants experience in their daily interactions. The present study therefore examined forty-two 6-month-old infants' attention to eyes vs. mouth and gaze cueing responses across multiple dynamic emotional messages that are common to infant-directed interactions. Overall, infants looked more to the eyes during messages with negative affect, but this increased attention to the eyes during these message conditions did not directly facilitate gaze cueing. Infants instead showed reliable gaze cueing only after messages with positive and neutral affect. We additionally observed gender differences in infants' attention to internal face features and subsequent gaze cueing responses. Female infants spent more time looking at the eyes during the dynamic emotional messages and showed increased initial orienting and longer looking to gaze-cued objects following positive messages, whereas male infants showed these gaze cueing effects following neutral messages. These results suggest that variability in caregivers' communication can shape infants' attention to and processing of emotion and gaze information.

Attention orienting to the eyes in violent female and male offenders: An eye-tracking study

Attention to the eyes and eye contact form an important basis for the development of empathy and social competences including prosocial behavior. Thus, impairments in attention to the eyes of an interaction partner might play a role in the etiology of antisocial behavior and violence. For the first time, the present study extends investigations of eye gaze to a large sample (N = 173) including not only male but also female violent offenders and a control group. We assessed viewing patterns during the categorization of emotional faces via eye tracking. Our results indicate a reduced frequency of initial attention shifts to the eyes in female and male offenders compared to controls, while there were no general group differences in overall attention to the eye region (i.e., relative dwell time). Thus, we conclude that violent offenders might be able to compensate for deficits in spontaneous attention orienting during later stages of information processing.

Face pareidolia in the brain: Impact of gender and orientation

Research on face sensitivity is of particular relevance during the rapidly evolving Covid-19 pandemic leading to social isolation, but also calling for intact interaction and sharing. Humans possess high sensitivity even to a coarse face scheme, seeing faces in non-face images where real faces do not exist. The advantage of non-face images is that single components do not trigger face processing. Here by implementing a novel set of Face-n-Thing images, we examined (i) how face tuning alters with changing display orientation, and (ii) whether it is affected by observers’ gender. Young females and males were presented with a set of Face-n-Thing images either with canonical upright orientation or inverted 180° in the image plane. Face impression was substantially impeded by display inversion. Furthermore, whereas with upright display orientation, no gender differences were found, with inversion, Face-n-Thing images elicited face impression in females significantly more often. The outcome sheds light on the origins of the face inversion effect in general. Moreover, the findings open a way for examination of face sensitivity and underwriting brain networks in neuropsychiatric conditions related to the current pandemic (such as depression and anxiety), most of which are gender/sex-specific.

Emotional gist: the rapid perception of facial expressions

While it has been established that expression perception is rapid, it is unclear whether early appraisal mechanisms invoke holistic perception. In the current study, we defined gist perception as the appraisal of a stimulus within a single glance (<125 ms). We employed the expression composite task used previously by Tanaka and colleagues in a 2012 study, with several critical modifications: (i) we developed stimuli that eliminated contrast artifacts, (ii) we employed a masking technique to abolish low-level cues, and (iii) all the face stimuli were composite stimuli compared to mix of natural and composite stimuli previously used. Participants were shown a congruent (e.g. top: angry/ bottom: angry) or incongruent (e.g. top: angry/ bottom: happy) expression for 17, 50 or 250 ms and instructed to selectively attend to the cued expression depicted in the top (or bottom) half of the composite face and ignore the uncued portion. Compared to the isolated condition, a facilitation effect was found for congruent angry expressions, as well as an interference effect for incongruent happy and angry expressions at the shortest exposure duration of 17. Together these results provide evidence that the holistic gist perception of expression cannot be overridden by selective attention.

Individual Differences in Infants' Temperament Affect Face Processing

Infants show an advantage in processing female and familiar race faces, but the effect sizes are often small, suggesting individual differences in their discrimination abilities. This research assessed whether differences in 6-10-month-olds' temperament (surgency and orienting) predicted how they scanned individual faces varying in race and gender during familiarization and whether and how long it took them to locate the face during a visual search task. This study also examined whether infants viewing faces posing pleasant relative to neutral expressions would facilitate their discrimination of male and unfamiliar race faces. Results showed that infants' surgency on its own or in conjunction with their orienting regularly interacted with facial characteristics to predict their scanning and location of faces. Furthermore, infants' scanning patterns (dwell times and internal-external fixation shifts) correlated with their ability and time to locate a familiarized face. Moreover, infants who viewed faces with pleasant expressions showed better discrimination of unfamiliar race and male faces compared with infants who viewed neutral faces. Including temperament in the analyses consistently demonstrated its significance for understanding infant face processing. Findings suggest that positive interactions with other-race individuals and men might reduce processing disadvantages for those face types. Locating familiar adults in a timely manner is a crucial skill for infants to develop and these data elucidate factors influencing this ability.

Dogs (Canis familiaris) recognise our faces in photographs: implications for existing and future research

Dogs are an ideal species to investigate phylogenetic and ontogenetic factors contributing to face recognition. Previous research has found that dogs can recognise their owner using visual information about the person's face, presented live. However, a thorough investigation of face processing mechanisms requires the use of graphical representations and it currently remains unclear whether dogs are able to spontaneously recognise human faces in photographs. To test this, pet dogs (N = 60) were briefly separated from their owners and, to achieve reunion, they needed to select the location indicated by a photograph of their owner's face, rather than that of an unfamiliar person concurrently presented. Photographs were taken under optimal and suboptimal (non-frontally oriented and unevenly illuminated faces) conditions. Results revealed that dogs approached their owner significantly above chance level when presented with photos taken under optimal conditions. Further analysis revealed no difference in the probability of choosing the owner between the optimal and suboptimal conditions. Dogs were more likely to choose the owner if they directed a higher percentage of looking time towards the owner's photograph compared to the stranger's one. In addition, the longer the total viewing time of both photos, the higher the probability that dogs chose the stranger. A main effect of dogs' sex was also obtained, with a higher probability of male dogs choosing the owner's photograph. This study provides direct evidence that dogs are able to recognise their owner's face from photographs. The results imply that motion and three-dimensional information is not necessary for recognition. The findings also support the ecological valence of such stimuli and increase the validity of previous investigations into dog cognition that used two-dimensional representations of faces. The effects of attention may reflect differences at the individual level in attraction towards novel faces or in the recruitment of different face processing mechanisms.

Recognizing images: The role of motivational significance, complexity, social content, age, and gender

Memory for affective events plays an important role in determining people's behavior and well-being. Its determinants are far from being completely understood. We investigated how recognition memory for affective pictures depends on pictures' motivational significance (valence and arousal), complexity (figure-ground compositions vs. scenes), and social content (pictures with people vs. without people) and on observers' age and gender. Younger, middle-aged, and older adults viewed 84 pictures depicting real-life situations. After a break, the participants viewed 72 pictures, half of which had been viewed previously and half of which were novel, and were asked to endorse whether each picture was novel or had been presented previously. Hits, false alarms, and overall performance (discrimination accuracy) were our dependent variables. The main findings were that, across participants, recognition memory was better for unpleasant than pleasant pictures and for pictures depicting people than pictures without people. Low-arousal pictures were more accurately recognized than high-arousal pictures, and this effect was significantly larger among middle-aged and older adults than younger adults. Recognition memory worsened across adulthood, and this decline was steeper among men than women. Middle-aged and older women outperformed their male counterparts. This study suggests that how well we are able to successfully discriminate previously seen pictorial stimuli from novel stimuli depends on several pictures' properties related to their motivational significance and content, and on observer's age and gender.

Visual attention to faces in children with autism spectrum disorder: are there sex differences?

Background

The male bias in autism spectrum disorder (ASD) diagnoses is well documented. As a result, less is known about the female ASD phenotype. Recent research suggests that conclusions drawn from predominantly male samples may not accurately capture female behavior. In this study, we explore potential sex differences in attention to social stimuli, which is generally reported to be diminished in ASD. Population-based sex differences in attention to faces have been reported, such that typically developing (TD) females attend more to social stimuli (including faces) from infancy through adulthood than TD males. It is yet unknown whether population-based sex differences in the face domain are preserved in ASD.

Methods

A dynamic, naturalistic infrared eye-tracking paradigm measured attention to social stimuli (faces) in 74 school-aged males and females with ASD (male N = 23; female N = 19) and without ASD (male N = 16; female N = 16). Two kinds of video stimuli were presented that varied in social content: rich social scenes (dyadic play between two children) and lean social scenes (parallel play by two children).

Results

Results revealed a significant 3-way interaction between sex, diagnosis, and condition after controlling for chronological and mental age. ASD females attended more to faces than ASD males in the socially lean condition. This effect was not found in the typically developing (TD) group. ASD males attended less to faces regardless of social context; however, ASD females only attended significantly less to faces compared to TD females in the socially rich condition. TD males and ASD females did not differ in their attention to faces in either condition.

Conclusions

This study has implications for how the field understands core social deficits in children with ASD, which should ideally be benchmarked against same-sex peers (male and female). Social attention in ASD females fell on a continuum—greater than their ASD male peers, but not as great as TD females. Overall, their social attention mirrored that of TD males. Improved understanding of the female social phenotype in ASD will enhance early screening and diagnostic efforts and will guide the development of sex-sensitive experimental paradigms and social interventions.

Eye gaze behavior during affective picture viewing: Effects of motivational significance, gender, age, and repeated exposure

How top-down and bottom-up factors combine to determine eye movements during affective picture viewing is far from being completely understood. We investigated how observers' fixation frequency and scanpath length - two indices of information seeking and intake - are related to self-reported valence (pleasantness) and arousal and depend on gender, age, and repeated exposure during affective picture viewing. We tracked the eye movements of 157 younger, middle-aged, and older adults when viewing 14 picture series each consisting of six thematically and affectively similar pictures. Participants' valence and arousal ratings were registered for each series. Fixation frequency and scanpath length increased with self-rated unpleasantness and arousal and decreased across the six pictures within series. This decrease was age- and arousal-dependent. Compared to men, women exhibited a more exploratory scanning behavior. These findings suggest that observers' affective appraisal, gender and age and repeated exposure to affective visual stimuli influence visual information seeking and intake.

Sex Differences in Social Attention in Infants at Risk for Autism

We studied visual attention to emotional faces in 10-month-old infant siblings of children with ASD (ASD-sibs; N = 70) and a siblings of typically developing children (N = 29) using static stimuli. Contrary to our predictions, we found no evidence for atypical gaze behavior in ASD-sibs when boys and girls were analyzed together. However, a sex difference was found in ASD-sibs' visual attention to the mouth. Male ASD-sibs looked more at the mouth across emotions compared to male controls and female ASD-sibs. In contrast, female ASD-sibs looked less at the mouth compared to female controls. These findings suggest that some aspects of early emerging atypical social attention in ASD-sibs may be sex specific.

Self-face and self-body advantages in congenital prosopagnosia: evidence for a common mechanism

Prosopagnosia is a disorder leading to difficulties in recognizing faces. However, recent evidence suggests that individuals with congenital prosopagnosia can achieve considerable accuracy when they have to recognize their own faces (self-face advantage). Yet, whether this advantage is face-specific or not is still unclear. Here, we aimed to investigate whether individuals with congenial prosopagnosia show a self-advantage also in recognizing other self body-parts and, if so, whether the advantage for the body parts differs from the one characterizing the self-face. Eight individuals with congenital prosopagnosia and 22 controls underwent a delayed matching task in which they were required to recognize faces, hands and feet belonging to the self or to others. Controls showed a similar self-advantage for all the stimuli tested; by contrast, individuals with congenital prosopagnosia showed a larger self-advantage with faces compared to hands and feet, mainly driven by their deficit with others' faces. In both groups the self-advantages for the different body parts were strongly and significantly correlated. Our data suggest that the self-face advantage showed by individuals with congenital prosopagnosia is not face-specific and that the same mechanism could be responsible for both the self-face and self body-part advantages.

Recognition of human faces by dogs (Canis familiaris) requires visibility of head contour

Researchers have suggested that dogs are able to recognise human faces, but conclusive evidence has yet to be found. Experiment 1 of this study investigated whether dogs can recognise humans using visual information from the face/head region, and whether this also occurs in conditions of suboptimal visibility of the face. Dogs were presented with their owner's and a stranger's heads, protruding through openings of an apparatus in opposite parts of the experimental setting. Presentations occurred in conditions of either optimal or suboptimal visibility; the latter featured non-frontal orientation, uneven illumination and invisibility of outer contours of the heads. Instances where dogs approached their owners with a higher frequency than predicted by chance were considered evidence of recognition. This occurred only in the optimal condition. With a similar paradigm, Experiment 2 investigated which of the alterations in visibility that characterised the suboptimal condition accounted for dogs' inability to recognise owners. Dogs approached their owners more frequently than predicted by chance if outer head contours were visible, but not if heads were either frontally oriented or evenly illuminated. Moreover, male dogs were slightly better at recognition than females. These findings represent the first clear demonstration that dogs can recognise human faces and that outer face elements are crucial for such a task, complementing previous research on human face processing in dogs. Parallels with face recognition abilities observed in other animal species, as well as with human infants, point to the relevance of these results from a comparative standpoint.

Self-Face Recognition in Schizophrenia: An Eye-Tracking Study

Self-face recognition has been shown to be impaired in schizophrenia (SZ), according to studies using behavioral tasks implicating cognitive demands. Here, we employed an eye-tracking methodology, which is a relevant tool to understand impairments in self-face recognition deficits in SZ because it provides a natural, continuous and online record of face processing. Moreover, it allows collecting the most relevant and informative features each individual looks at during the self-face recognition. These advantages are especially relevant considering the fundamental role played by the patterns of visual exploration on face processing. Thus, this paper aims to investigate self-face recognition deficits in SZ using eye-tracking methodology. Visual scan paths were monitored in 20 patients with SZ and 20 healthy controls. Self, famous, and unknown faces were morphed in steps of 20%. Location, number, and duration of fixations on relevant areas were recorded with an eye-tracking system. Participants performed a passive exploration task (no specific instruction was provided), followed by an active decision making task (individuals were explicitly requested to recognize the different faces). Results showed that patients with SZ had fewer and longer fixations compared to controls. Nevertheless, both groups focused their attention on relevant facial features in a similar way. No significant difference was found between groups when participants were requested to recognize the faces (active task). In conclusion, using an eye tracking methodology and two tasks with low levels of cognitive demands, our results suggest that patients with SZ are able to: (1) explore faces and focus on relevant features of the face in a similar way as controls; and (2) recognize their own face.

Eye tracking reveals a crucial role for facial motion in recognition of faces by infants

Current knowledge about face processing in infancy comes largely from studies using static face stimuli, but faces that infants see in the real world are mostly moving ones. To bridge this gap, 3-, 6-, and 9-month-old Asian infants (N = 118) were familiarized with either moving or static Asian female faces, and then their face recognition was tested with static face images. Eye-tracking methodology was used to record eye movements during the familiarization and test phases. The results showed a developmental change in eye movement patterns, but only for the moving faces. In addition, the more infants shifted their fixations across facial regions, the better their face recognition was, but only for the moving faces. The results suggest that facial movement influences the way faces are encoded from early in development.

Empathy: gender effects in brain and behavior

Evidence suggests that there are differences in the capacity for empathy between males and females. However, how deep do these differences go? Stereotypically, females are portrayed as more nurturing and empathetic, while males are portrayed as less emotional and more cognitive. Some authors suggest that observed gender differences might be largely due to cultural expectations about gender roles. However, empathy has both evolutionary and developmental precursors, and can be studied using implicit measures, aspects that can help elucidate the respective roles of culture and biology. This article reviews evidence from ethology, social psychology, economics, and neuroscience to show that there are fundamental differences in implicit measures of empathy, with parallels in development and evolution. Studies in nonhuman animals and younger human populations (infants/children) offer converging evidence that sex differences in empathy have phylogenetic and ontogenetic roots in biology and are not merely cultural byproducts driven by socialization. We review how these differences may have arisen in response to males' and females' different roles throughout evolution. Examinations of the neurobiological underpinnings of empathy reveal important quantitative gender differences in the basic networks involved in affective and cognitive forms of empathy, as well as a qualitative divergence between the sexes in how emotional information is integrated to support decision making processes. Finally, the study of gender differences in empathy can be improved by designing studies with greater statistical power and considering variables implicit in gender (e.g., sexual preference, prenatal hormone exposure). These improvements may also help uncover the nature of neurodevelopmental and psychiatric disorders in which one sex is more vulnerable to compromised social competence associated with impaired empathy.