Face perception and processing in early infancy: inborn predispositions and developmental changes

Perceptual narrowing continues throughout childhood: Evidence from specialization of face processing

Face recognition shows a long trajectory of development and is known to be closely associated with the development of social skills. However, it is still debated whether this long trajectory is perceptually based and what the role is of experience-based refinements of face representations throughout development. We examined the effects of short and long-term experienced stimulus history on face processing, using regression biases of face representations towards the experienced mean. Children and adults performed same-different judgments in a serial discrimination task where two consecutive faces were drawn from a distribution of morphed faces. The results show that face recognition continues to improve after 9 years of age, with more pronounced improvements for own-race faces. This increased narrowing with age is also indicated by similar use of stimulus statistics for own-race and other-race faces in children, contrary to the different use of the overall stimulus history for these two face types in adults. Increased face proficiency in adulthood renders the perceptual system less tuned to other-race face statistics. Altogether, the results demonstrate associations between levels of specialization and the extent to which perceptual representations become narrowly tuned with age.

Altered development of face recognition among infants born amid the COVID-19 pandemic

To effectively contain the spread of COVID-19, public health agencies mandated special regulations. Although they protected us from COVID-19, these restrictions have inevitably changed the environment around us. It remains unclear how these changes may have affected early cognitive development among infants born during the pandemic. Thus, this study examined how the COVID-19 restrictions have affected infants' face recognition ability, a hallmark of their cognitive capacities. Specifically, we used the familiarization and visual pair comparison paradigm to examine face recognition performance among infants aged 6 to 14 months amid the second wave of the pandemic (February to July 2021). Experiment 1 investigated the recognition of unmasked faces and found that only younger infants, but not older infants, recognized faces by showing a novelty preference. Experiment 2 examined the recognition of faces wearing masks and found that only older infants, but not younger ones, recognized faces by exhibiting a familiarity preference. These results suggest that with limited interactions during the pandemic, infants could have developed an overly specialized face processing ability that failed to recognize the faces of strangers. Moreover, infants could have obtained more information on masked faces during the pandemic and adapted to the current situation. In Expreiment 3, we further confirmed the restriction on infants' interpersonal experiences with a survey conducted both before and during the pandemic. Overall, these findings demonstrated how the pandemic altered early perceptual development and further confirmed that interpersonal experiences during infancy are critical in their cognitive development.

Autistic Individuals Do Not Alter Visual Processing Strategy During Encoding Versus Recognition of Faces: A Hidden Markov Modeling Approach

PURPOSE

Visual face recognition-the ability to encode, discriminate, and recognize the faces of others-is fundamentally supported by eye movements and is a common source of difficulty for autistic individuals. We aimed to evaluate how visual processing strategies (i.e., eye movement patterns) directly support encoding and recognition of faces in autistic and neurotypical (NT) individuals.

METHODS

We used a hidden Markov modeling approach to evaluate the spatiotemporal dynamics of eye movements in autistic (n = 15) and neurotypical (NT) adolescents (n = 17) during a face identity recognition task.

RESULTS

We discovered distinct eye movement patterns among all participants, which included a focused and exploratory strategy. When evaluating change in visual processing strategy across encoding and recognition phases, autistic individuals did not shift their eye movement patterns like their NT peers, who shifted to a more exploratory visual processing strategy during recognition.

CONCLUSION

These findings suggest that autistic individuals do not modulate their visual processing strategy across encoding and recognition of faces, which may be an indicator of less efficient face processing.

Representational Dissimilarity of Faces and Places during a Working Memory Task is Associated with Subsequent Recognition Memory during Development

Nearly 50 years of research has focused on faces as a special visual category, especially during development. Yet it remains unclear how spatial patterns of neural similarity of faces and places relate to how information processing supports subsequent recognition of items from these categories. The current study uses representational similarity analysis and functional imaging data from 9- and 10-year-old youth during an emotional n-back task from the Adolescent Brain and Cognitive Development Study 3.0 data release to relate spatial patterns of neural similarity during working memory to subsequent out-of-scanner performance on a recognition memory task. Specifically, we examine how similarities in representations within face categories (neutral, happy, and fearful faces) and representations between visual categories (faces and places) relate to subsequent recognition memory of these visual categories. Although working memory performance was higher for faces than places, subsequent recognition memory was greater for places than faces. Representational similarity analysis revealed category-specific patterns in face-and place-sensitive brain regions (fusiform gyrus, parahippocampal gyrus) compared with a nonsensitive visual region (pericalcarine cortex). Similarity within face categories and dissimilarity between face and place categories in the parahippocampus was related to better recognition of places from the n-back task. Conversely, in the fusiform, similarity within face categories and their relative dissimilarity from places was associated with better recognition of new faces, but not old faces. These findings highlight how the representational distinctiveness of visual categories influence what information is subsequently prioritized in recognition memory during development.

Innate sensitivity to face-to-face biological motion

Sensitivity to face-to-face stimuli configurations, which likely indicates interaction, seems to appear early in infants' development, and recently a preference for face-to-face (vs. other spatial configurations) has been shown to occur in macaque monkeys. It is unknown, however, whether such a preference is acquired through experience or as an evolutionary-given biological predisposition. Here, we exploited a precocial social animal, the domestic chick, as a model system to address this question. Visually naive chicks were tested for their spontaneous preferences for face-to-face vs. back-to-back hen dyads of point-light displays depicting biological motion. We found that female chicks have a spontaneous preference for the facing interactive configuration. Males showed no preference, as expected due to the well-known low social motivation of males in this highly polygynous species. These findings support the idea of an innate and sex-dependent predisposition toward social and interacting stimuli in a vertebrate brain such as that of chicks.

The domestic chick as an animal model of autism spectrum disorder: building adaptive social perceptions through prenatally formed predispositions

Equipped with an early social predisposition immediately post-birth, humans typically form associations with mothers and other family members through exposure learning, canalized by a prenatally formed predisposition of visual preference to biological motion, face configuration, and other cues of animacy. If impaired, reduced preferences can lead to social interaction impairments such as autism spectrum disorder (ASD) via misguided canalization. Despite being taxonomically distant, domestic chicks could also follow a homologous developmental trajectory toward adaptive socialization through imprinting, which is guided via predisposed preferences similar to those of humans, thereby suggesting that chicks are a valid animal model of ASD. In addition to the phenotypic similarities in predisposition with human newborns, accumulating evidence on the responsible molecular mechanisms suggests the construct validity of the chick model. Considering the recent progress in the evo-devo studies in vertebrates, we reviewed the advantages and limitations of the chick model of developmental mental diseases in humans.

Infants' looking preferences for social versus non-social objects reflect genetic variation

To what extent do individual differences in infants' early preference for faces versus non-facial objects reflect genetic and environmental factors? Here in a sample of 536 5-month-old same-sex twins, we assessed attention to faces using eye tracking in two ways: initial orienting to faces at the start of the trial (thought to reflect subcortical processing) and sustained face preference throughout the trial (thought to reflect emerging attention control). Twin model fitting suggested an influence of genetic and unique environmental effects, but there was no evidence for an effect of shared environment. The heritability of face orienting and preference were 0.19 (95% confidence interval (CI) 0.04 to 0.33) and 0.46 (95% CI 0.33 to 0.57), respectively. Face preference was associated positively with later parent-reported verbal competence (β = 0.14, 95% CI 0.03 to 0.25, P = 0.014, R2 = 0.018, N = 420). This study suggests that individual differences in young infants' selection of perceptual input-social versus non-social-are heritable, providing a developmental perspective on gene-environment interplay occurring at the level of eye movements.

The Time Course of Information Processing During Eye Direction Perception

Gaze directed at the observer (direct gaze) is a highly salient social signal. Despite the existence of a preferential orientation toward direct gaze, none of the studies carried out so far seem to have explicitly studied the time course of information processing during gaze direction judgment. In an eye direction judgment task, participants were presented with a sketch of a face. A temporal asynchrony was introduced between the presentation of the eyes and that of the rest of the face. Indeed, the face could be presented before the eyes, the eyes could be presented before the face, or the face and the eyes could be presented simultaneously. In a second time, the face direction was also manipulated. The results suggest that the time course of information processing during eye direction judgment follows a continuum that makes it possible to perceive the eyes first and then to use the facial context to judge the direction of gaze. Furthermore, the congruency between the direction of gaze and that of the face confirms this observation. Although these results are discussed in the light of existing theories about the mechanisms underlying gaze processing, our data provide new information suggesting that, despite their power to capture attention, the eyes probably have to stand out from a more general spatial configuration (i.e., the face) in order for their direction to be adequately processed.

Investigating the Face Inversion Effect in Autism Across Behavioral and Neural Measures of Face Processing: A Systematic Review and Bayesian Meta-Analysis

Importance

Face processing is foundational to human social cognition, is central to the hallmark features of autism spectrum disorder (ASD), and shapes neural systems and social behavior. Highly efficient and specialized, the face processing system is sensitive to inversion, demonstrated by reduced accuracy in recognition and altered neural response to inverted faces. Understanding at which mechanistic level the autistic face processing system may be particularly different, as measured by the face inversion effect, will improve overall understanding of brain functioning in autism.

Objective

To synthesize data from the extant literature to determine differences of the face processing system in ASD, as measured by the face inversion effect, across multiple mechanistic levels.

Data Sources

Systematic searches were conducted in the MEDLINE, Embase, Web of Science, and PubMed databases from inception to August 11, 2022.

Study Selection

Original research that reported performance-based measures of face recognition to upright and inverted faces in ASD and neurotypical samples were included for quantitative synthesis. All studies were screened by at least 2 reviewers.

Data Extraction and Synthesis

This systematic review and meta-analysis was conducted according to the 2020 Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline. Multiple effect sizes were extracted from studies to maximize information gain and statistical precision and used a random-effects, multilevel modeling framework to account for statistical dependencies within study samples.

Main Outcomes and Measures

Effect sizes were calculated as a standardized mean change score between ASD and neurotypical samples (ie, Hedges g). The primary outcome measure was performance difference between upright and inverted faces during face recognition tasks. Measurement modality, psychological construct, recognition demand, sample age, sample sex distribution, and study quality assessment scores were assessed as moderators.

Results

Of 1768 screened articles, 122 effect sizes from 38 empirical articles representing data from 1764 individual participants (899 ASD individuals and 865 neurotypical individuals) were included in the meta-analysis. Overall, face recognition performance differences between upright and inverted faces were reduced in autistic individuals compared with neurotypical individuals (g = -0.41; SE = 0.11; 95% credible interval [CrI], -0.63 to -0.18). However, there was considerable heterogeneity among effect sizes, which were explored with moderator analysis. The attenuated face inversion effect in autistic individuals was more prominent in emotion compared with identity recognition (b = 0.46; SE = 0.26; 95% CrI, -0.08 to 0.95) and in behavioral compared with electrophysiological measures (b = 0.23; SE = 0.24; 95% CrI, -0.25 to 0.70).

Conclusions and Relevance

This study found that on average, face recognition in autism is less impacted by inversion. These findings suggest less specialization or expertise of the face processing system in autism, particularly in recognizing emotion from faces as measured in behavioral paradigms.

Examining social reinforcement learning in social anxiety

BACKGROUND AND OBJECTIVES

Reinforcement learning biases have been empirically linked to anhedonia in depression and theoretically linked to social anhedonia in social anxiety disorder, but little work has directly assessed how socially anxious individuals learn from social reward and punishment.

METHODS

N = 157 individuals high and low in social anxiety symptoms completed a social probabilistic selection task that involved selecting between pairs of neutral faces with varying probabilities of changing to a happy or angry face. Computational modeling was performed to estimate learning rates. Accuracy in choosing the more rewarding face was also analyzed.

RESULTS

No significant group differences were found for learning rates. Contrary to hypotheses, participants high in social anxiety showed impaired punishment learning accuracy; they were more accurate at choosing the most rewarding face than they were at avoiding the most punishing face, and their punishment learning accuracy was lower than that of participants low in social anxiety. Secondary analyses found that high (vs. low) social anxiety participants were less accurate at selecting the more rewarding face on more (vs. less) punishing face pairs.

LIMITATIONS

Stimuli were static, White, facial images, which lack important social cues (e.g., movement, sound) and diversity, and participants were largely non-Hispanic, White undergraduates, whose social reinforcement learning may differ from individuals at different developmental stages and those holding more marginalized identities.

CONCLUSIONS

Socially anxious individuals may be less accurate at learning to avoid social punishment, which may maintain negative beliefs through an interpersonal stress generation process.

Robust holistic face processing in early childhood during the COVID-19 pandemic

The timing of the developmental emergence of holistic face processing and its sensitivity to experience in early childhood are somewhat controversial topics. To investigate holistic face perception in early childhood, we used an online testing platform and administered a two-alternative forced-choice task to 4-, 5-, and 6-year-old children. The children saw pairs of composite faces and needed to decide whether the faces were the same or different. To determine whether experience with masked faces may have negatively affected holistic processing, we also administered a parental questionnaire to assess the children's exposure to masked faces during the COVID-19 pandemic. We found that all three age groups performed holistic face processing when the faces were upright (Experiment 1) but not when the faces were inverted (Experiment 2), that response accuracy increased with age, and that response accuracy was not related to degree of exposure to masked faces. These results indicate that holistic face processing is relatively robust in early childhood and that short-term exposure to partially visible faces does not negatively affect young children's holistic face perception.

The psychological and psychosocial effects of facial paralysis: A review

Facial nerve function is essential for a multitude of processes in the face, including facial movement; expression; and functions, such as eating, smiling, and blinking. When facial nerve function is disrupted, facial paralysis may occur and various complications for the patient may result. Much research has been conducted on the physical diagnosis, management, and treatment of facial paralysis. However, there is a lack of knowledge of the psychological and social effects of the condition. Patients may be at an increased risk for anxiety and depression, as well as negative self and social perceptions. This review analyzes the current literature on the various adverse psychological and psychosocial effects of facial paralysis, factors that may play a role, and treatment options that may help improve patients' quality of life.

A spontaneous gravity prior: newborn chicks prefer stimuli that move against gravity

At the beginning of life, inexperienced animals use evolutionary-given preferences (predispositions) to decide what stimuli to attend and approach. Stimuli that contain cues of animacy, such as face-like stimuli, biological motion and changes in speed, are particularly attractive across vertebrate taxa. A strong cue of animacy is upward movement against terrestrial gravity, because only animate objects consistently move upward. To test whether upward movement is spontaneously considered attractive already at birth, we tested the early preferences of dark-hatched chicks (Gallus gallus) for upward- versus downward-moving visual stimuli. We found that, without any previous visual experience, chicks consistently exhibited a preference to approach stimuli that move upward, against gravity. A control experiment showed that these preferences are not driven by avoidance of downward stimuli. These results show that newborn animals have a gravity prior that attracts them toward upward movement. Movement against gravity can be used as a cue of animacy to orient early approach responses in the absence of previous visual experience.

Social Attention: Developmental Foundations and Relevance for Autism Spectrum Disorder

The use of the term "social attention" (SA) in the cognitive neuroscience and developmental psychopathology literature has increased exponentially in recent years, in part motivated by the aim to understand the early development of autism spectrum disorder (ASD). Unfortunately, theoretical discussions around the term have lagged behind its various uses. Here, we evaluate SA through a review of key candidate SA phenotypes emerging early in life, from newborn gaze cueing and preference for face-like configurations to later emerging skills such as joint attention. We argue that most of the considered SA phenotypes are unlikely to represent unique socioattentional processes and instead have to be understood in the broader context of bottom-up and emerging top-down (domain-general) attention. Some types of SA behaviors (e.g., initiation of joint attention) are linked to the early development of ASD, but this may reflect differences in social motivation rather than attention per se. Several SA candidates are not linked to ASD early in life, including the ones that may represent uniquely socioattentional processes (e.g., orienting to faces, predicting others' manual action goals). Although SA may be a useful superordinate category under which one can organize certain research questions, the widespread use of the term without proper definition is problematic. Characterizing gaze patterns and visual attention in social contexts in infants at elevated likelihood of ASD may facilitate early detection, but conceptual clarity regarding the underlying processes at play is needed to sharpen research questions and identify potential targets for early intervention.

Maturational trajectory of fusiform gyrus neural activity when viewing faces: From 4 months to 4 years old

Infant and young child electrophysiology studies have provided information regarding the maturation of face-encoding neural processes. A limitation of previous research is that very few studies have examined face-encoding processes in children 12-48 months of age, a developmental period characterized by rapid changes in the ability to encode facial information. The present study sought to fill this gap in the literature via a longitudinal study examining the maturation of a primary node in the face-encoding network-the left and right fusiform gyrus (FFG). Whole-brain magnetoencephalography (MEG) data were obtained from 25 infants with typical development at 4-12 months, and with follow-up MEG exams every ∼12 months until 3-4 years old. Children were presented with color images of Face stimuli and visual noise images (matched on spatial frequency, color distribution, and outer contour) that served as Non-Face stimuli. Using distributed source modeling, left and right face-sensitive FFG evoked waveforms were obtained from each child at each visit, with face-sensitive activity identified via examining the difference between the Non-Face and Face FFG timecourses. Before 24 months of age (Visits 1 and 2) the face-sensitive FFG M290 response was the dominant response, observed in the left and right FFG ∼250-450 ms post-stimulus. By 3-4 years old (Visit 4), the left and right face-sensitive FFG response occurred at a latency consistent with a face-sensitive M170 response ∼100-250 ms post-stimulus. Face-sensitive left and right FFG peak latencies decreased as a function of age (with age explaining greater than 70% of the variance in face-sensitive FFG latency), and with an adult-like FFG latency observed at 3-4 years old. Study findings thus showed face-sensitive FFG maturational changes across the first 4 years of life. Whereas a face-sensitive M290 response was observed under 2 years of age, by 3-4 years old, an adult-like face-sensitive M170 response was observed bilaterally. Future studies evaluating the maturation of face-sensitive FFG activity in infants at risk for neurodevelopmental disorders are of interest, with the present findings suggesting age-specific face-sensitive neural markers of a priori interest.

Three Months-Old' Preferences for Biological Motion Configuration and Its Subsequent Decline

To perceive, identify and understand the action of others, it is essential to perceptually organize individual and local moving body parts (such as limbs) into the whole configuration of a human body in action. Configural processing-processing the relations among features or parts of a stimulus-is a fundamental ability in the perception of several important social stimuli, such as faces or biological motion. Despite this, we know very little about how human infants develop the ability to perceive and prefer configural relations in biological motion. We present two preferential looking experiments (one cross-sectional and one longitudinal) measuring infants' preferential attention between a coherent motion configuration of a person walking vs. a scrambled point-light walker (i.e., a stimulus in which all configural relations were removed, thus, in which the perception of a person is impossible). We found that three-month-old infants prefer a coherent point-light walker in relation to a scrambled display, but both five- and seven-month-old infants do not show any preference. We discuss our findings in terms of the different perceptual, attentional, motor, and brain processes available at each age group, and how they dynamically interact with selective attention toward the coherent and socially relevant motion of a person walking during our first year of life.

Infrequent faces bias social attention differently in manual and oculomotor measures

Although attention is thought to be spontaneously biased by social cues like faces and eyes, recent data have demonstrated that when extraneous content, context, and task factors are controlled, attentional biasing is abolished in manual responses while still occurring sparingly in oculomotor measures. Here, we investigated how social attentional biasing was affected by face novelty by measuring responses to frequently presented (i.e., those with lower novelty) and infrequently presented (i.e., those with higher novelty) face identities. Using a dot-probe task, participants viewed either the same face and house identity that was frequently presented on half of the trials or sixteen different face and house identities that were infrequently presented on the other half of the trials. A response target occurred with equal probability at the previous location of the eyes or mouth of the face or the top or bottom of the house. Experiment 1 measured manual responses to the target while participants maintained central fixation. Experiment 2 additionally measured participants' natural oculomotor behaviour when their eye movements were not restricted. Across both experiments, no evidence of social attentional biasing was found in manual data. However, in Experiment 2, there was a reliable oculomotor bias towards the eyes of infrequently presented upright faces. Together, these findings suggest that face novelty does not facilitate manual measures of social attention, but it appears to promote spontaneous oculomotor biasing towards the eyes of infrequently presented novel faces.

Rapid neural categorization of facelike objects predicts the perceptual awareness of a face (face pareidolia)

The human brain rapidly and automatically categorizes faces vs. other visual objects. However, whether face-selective neural activity predicts the subjective experience of a face - perceptual awareness - is debated. To clarify this issue, here we use face pareidolia, i.e., the illusory perception of a face, as a proxy to relate the neural categorization of a variety of facelike objects to conscious face perception. In Experiment 1, scalp electroencephalogram (EEG) is recorded while pictures of human faces or facelike objects - in different stimulation sequences - are interleaved every second (i.e., at 1 Hz) in a rapid 6-Hz train of natural images of nonface objects. Participants do not perform any explicit face categorization task during stimulation, and report whether they perceived illusory faces post-stimulation. A robust categorization response to facelike objects is identified at 1 Hz and harmonics in the EEG frequency spectrum with a facelike occipito-temporal topography. Across all individuals, the facelike categorization response is of about 20% of the response to human faces, but more strongly right-lateralized. Critically, its amplitude is much larger in participants who report having perceived illusory faces. In Experiment 2, facelike or matched nonface objects from the same categories appear at 1 Hz in sequences of nonface objects presented at variable stimulation rates (60 Hz to 12 Hz) and participants explicitly report after each sequence whether they perceived illusory faces. The facelike categorization response already emerges at the shortest stimulus duration (i.e., 17 ms at 60 Hz) and predicts the behavioral report of conscious perception. Strikingly, neural facelike-selectivity emerges exclusively when participants report illusory faces. Collectively, these experiments characterize a neural signature of face pareidolia in the context of rapid categorization, supporting the view that face-selective brain activity reliably predicts the subjective experience of a face from a single glance at a variety of stimuli.

Altered resting-state neural networks in children and adolescents with functional neurological disorder

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FND in children commonly involves presentation with multiple neurological symptoms.

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Children with FND show wide-ranging connectivity changes in resting-state neural networks.

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Aberrant neural-networks changes are greater in children whose FND includes functional seizures.

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Subjective distress, autonomic arousal, and HPA dysregulation contribute to network changes.

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Children with FND (vs controls) report more subjective distress and more ACEs across the lifespan.

Objectives

Previous studies with adults suggest that aberrant communication between neural networks underpins functional neurological disorder (FND). The current study adopts a data-driven approach to investigate the extent that functional resting-state networks are disrupted in a pediatric mixed-FND cohort.

Methods

31 children with mixed FND and 33 age- and sex-matched healthy controls completed resting-state fMRI scans. Whole-brain independent component analysis (pFWE < 0.05) was then used to identify group differences in resting-state connectivity. Self-report measures included the Depression, Anxiety and Stress Scale (DASS-21) and Early Life Stress Questionnaire (ELSQ). Resting-state heart rate (HR) and cortisol-awakening response (CAR) were available in a subset.

Results

Children with FND showed wide-ranging connectivity changes in eight independent components corresponding to eight resting-state neural networks: language networks (IC6 and IC1), visual network, frontoparietal network, salience network, dorsal attention network, cerebellar network, and sensorimotor network. Children whose clinical presentation included functional seizures (vs children with other FND symptoms) showed greater connectivity decreases in the frontoparietal and dorsal attentional networks. Subjective distress (total DASS score), autonomic arousal (indexed by HR), and HPA dysregulation (attenuated/reversed CAR) contributed to changes in neural network connectivity. Children with FND (vs controls) reported more subjective distress (total DASS score) and more adverse childhood experiences (ACEs) across their lifespan.

Conclusions

Children with FND demonstrate changes in resting-state connectivity. Identified network alterations underpin a broad range of functions typically disrupted in children with FND. This study complements the adult literature by suggesting that FND in children and adolescents emerges in the context of their lived experience and that it reflects aberrant communication across neural networks.

Spontaneous Visual Preference for Face-Like Stimuli Is Impaired in Newly-Hatched Domestic Chicks Exposed to Valproic Acid During Embryogenesis

Faces convey a great amount of socially relevant information related to emotional and mental states, identity and intention. Processing of face information is a key mechanism for social and cognitive development, such that newborn babies are already tuned to recognize and orient to faces and simple schematic face-like patterns since the first hours of life. Similar to neonates, also non-human primates and domestic chicks have been shown to express orienting responses to faces and schematic face-like patterns. More importantly, existing studies have hypothesized that early disturbances of these mechanisms represent one of the earliest biomarker of social deficits in autism spectrum disorders (ASD). We used VPA exposure to induce neurodevelopmental changes associated with ASD in domestic chicks and tested whether VPA could impact the expression of the animals’ approach responses to schematic face-like stimuli. We found that VPA impairs the chicks’ preference responses to these social stimuli. Based on the results shown here and on previous studies, we propose the domestic chick as animal model to investigate the biological mechanisms underlying face processing deficits in ASD.

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

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

Eye Direction Detection and Perception as Premises of a Social Brain: A Narrative Review of Behavioral and Neural Data

The eyes and the gaze are important stimuli for social interaction in humans. Impaired recognition of facial identity, facial emotions, and inference of the intentions of others may result from difficulties in extracting information relevant to the eye region, mainly the direction of gaze. Therefore, a review of these data is of interest. Behavioral data demonstrating the importance of the eye region and how humans respond to gaze direction are reviewed narratively, and several theoretical models on how visual information on gaze is processed are discussed to propose a unified hypothesis. Several issues that have not yet been investigated are identified. The authors tentatively suggest experiments that might help progress research in this area. The neural aspects are subsequently reviewed to best describe the low-level and higher-level visual information processing stages in the targeted subcortical and cortical areas. A specific neural network is proposed on the basis of the literature. Various gray areas, such as the temporality of the processing of visual information, the question of salience priority, and the coordination between the two hemispheres, remain unclear and require further investigations. Finally, disordered gaze direction detection mechanisms and their consequences on social cognition and behavior are discussed as key deficiencies in several conditions, such as autism spectrum disorder, 22q11.2 deletion, schizophrenia, and social anxiety disorder. This narrative review provides significant additional data showing that the detection and perception of someone's gaze is an essential part of the development of our social brain.

Breastfeeding in the context of the COVID-19 pandemic: A discussion paper

Breastfeeding offers one of the most fundamental global health benefits for babies. Breastmilk is lifesaving, providing not only nutrition but immunologic benefits and as such is strongly supported by the World Health Organization and leading healthcare associations worldwide. When the COVID-19 pandemic started in 2020, the impact of the restrictions to prevent the spread of the disease created challenges and questions about provision of safe, quality care, including breastfeeding practices, in a new 'normal' environment. Mothers were temporarily separated from their babies where infection was present or suspected, parents were prevented from being present on neonatal units and vital breastfeeding support was prevented. This discussion paper provides an overview of essential areas of knowledge related to practice for neonatal nurses and midwives who care for breastfeeding mothers and babies, in the context of the COVID-19 pandemic and the latest global guidance. Three areas will be discussed; the protective benefits of breastfeeding, keeping breastfeeding mothers and babies together and supporting mothers to breastfeed their babies. Finally, care recommendations are presented to serve as a summary of key points for application to practice for neonatal nurses and midwives.

Temporal Profiles of Social Attention Are Different Across Development in Autistic and Neurotypical People

BACKGROUND

Sociocommunicative difficulties, including abnormalities in eye contact, are core diagnostic features of autism spectrum disorder (ASD). Many studies have used eye tracking to measure reduced attention to faces in autistic people; however, most of this work has not taken advantage of eye-tracking temporal resolution to examine temporal profiles of attention.

METHODS

We used growth curve analysis to model attention to static social scenes as a function of time in a large (N = 650) sample of autistic participants and neurotypical participants across a wide age range (6-30 years).

RESULTS

The model yielded distinct temporal profiles of attention to faces in the groups. Initially, both groups showed a relatively high probability of attending to faces, followed by decline after several seconds. The neurotypical participants, however, were significantly more likely to return their attention to faces in the latter part of each 20-second trial, with increasing probability with age. In contrast, the probability of returning to the face in the autistic participants remained low across development. In participants with ASD, more atypical profiles of attention were associated with lower Vineland Adaptive Behavior Scales communication scores and a higher curvature in one data-driven cluster correlated with symptom severity.

CONCLUSIONS

These findings show that social attention not only is reduced in ASD, but also differs in its temporal dynamics. The neurotypical participants became more sophisticated in how they deployed their social attention across age, a pattern that was significantly reduced in the participants with ASD, possibly reflecting delayed acquisition of social expertise.

Associations between brain and behavioral processing of facial expressions of emotion and sensory reactivity in young children

The ability to decode and accurately identify information from facial emotions may advantage young children socially. This capacity to decode emotional information may likewise be influenced by individual differences in children's temperament. This study investigated whether sensory reactivity and perceptual awareness, two dimensions of temperament, as well as children's ability to accurately label emotions relates to the neural processing of emotional content in faces. Event related potentials (ERPs) of 4 to 6 year-old children (N  = 119) were elicited from static displays of anger, happy, fearful, sad, and neutral emotion faces. Children, as a group, exhibited differential early (N290) and mid-latency (P400) event-related potentials (ERPs) in response to facial expressions of emotion. Individual differences in children's sensory reactivity were associated with enhanced P400 amplitudes to neutral, sad, and fearful faces. In a separate task, children were asked to provide an emotional label for the same images. Interestingly, children less accurately labeled the same neutral, sad, and fearful faces, suggesting that, contrary to previous work showing enhanced attentional processing to threatening cues (i.e., fear), children higher in sensory reactivity may deploy more attentional resources when decoding ambiguous emotional cues.

Odor-driven face-like categorization in the human infant brain

Understanding how the young infant brain starts to categorize the flurry of ambiguous sensory inputs coming in from its complex environment is of primary scientific interest. Here, we test the hypothesis that senses other than vision play a key role in initiating complex visual categorizations in 20 4-mo-old infants exposed either to a baseline odor or to their mother's odor while their electroencephalogram (EEG) is recorded. Various natural images of objects are presented at a 6-Hz rate (six images/second), with face-like object configurations of the same object categories (i.e., eliciting face pareidolia in adults) interleaved every sixth stimulus (i.e., 1 Hz). In the baseline odor context, a weak neural categorization response to face-like stimuli appears at 1 Hz in the EEG frequency spectrum over bilateral occipitotemporal regions. Critically, this face-like-selective response is magnified and becomes right lateralized in the presence of maternal body odor. This reveals that nonvisual cues systematically associated with human faces in the infant's experience shape the interpretation of face-like configurations as faces in the right hemisphere, dominant for face categorization. At the individual level, this intersensory influence is particularly effective when there is no trace of face-like categorization in the baseline odor context. These observations provide evidence for the early tuning of face-(like)-selective activity from multisensory inputs in the developing brain, suggesting that perceptual development integrates information across the senses for efficient category acquisition, with early maturing systems such as olfaction driving the acquisition of categories in later-developing systems such as vision.

The Face Module Emerged in a Deep Convolutional Neural Network Selectively Deprived of Face Experience

Can we recognize faces with zero experience on faces? This question is critical because it examines the role of experiences in the formation of domain-specific modules in the brain. Investigation with humans and non-human animals on this issue cannot easily dissociate the effect of the visual experience from that of the hardwired domain-specificity. Therefore, the present study built a model of selective deprivation of the experience on faces with a representative deep convolutional neural network, AlexNet, by removing all images containing faces from its training stimuli. This model did not show significant deficits in face categorization and discrimination, and face-selective modules automatically emerged. However, the deprivation reduced the domain-specificity of the face module. In sum, our study provides empirical evidence on the role of nature vs. nurture in developing the domain-specific modules that domain-specificity may evolve from non-specific experience without genetic predisposition, and is further fine-tuned by domain-specific experience.

Sensitive periods for social development: Interactions between predisposed and learned mechanisms

We analysed research that makes use of precocial species as animal models to describe the interaction of predisposed mechanisms and environmental factors in early learning, in particular for the development of social cognition. We also highlight the role of sensitive periods in this interaction, focusing on domestic chicks as one of the main animal models for this field. In the first section of the review, we focus on the emergence of early predispositions to attend to social partners. These attentional biases appear before any learning experience about social stimuli. However, non-specific experiences occurring during sensitive periods of the early post-natal life determine the emergence of these predisposed mechanisms for the detection of social partners. Social predispositions have an important role for the development learning-based social cognitive functions, showing the interdependence of predisposed and learned mechanisms in shaping social development. In the second part of the review we concentrate on the reciprocal interactions between filial imprinting and spontaneous (not learned) social predispositions. Reciprocal influences between these two sets of mechanisms ensure that, in the natural environment, filial imprinting will target appropriate social objects. Neural and physiological mechanisms regulating the sensitive periods for the emergence of social predispositions and for filial imprinting learning are also described.

Self-face perception in 12-month-old infants: A study using the morphing technique

The present study investigated self-face perception in 12-month-old infants using the morphing technique. Twenty-four 12-month-old infants participated in both the main and control experiments. In the main experiment, we used the participant's own face, an unfamiliar infant's face (age- and gender-matched), and a morphed face comprising 50 % each of the self and unfamiliar faces as stimuli. The control experiment followed the same procedure, except that the self-face was replaced with another unfamiliar face. In both experiments, two of these stimuli were presented side by side on a monitor in each trial, and infants' fixation duration was measured. Results showed that shorter fixation durations were found for the morphed face compared with the self-face and the unfamiliar face in the main experiment, but there were no significant preferences for any comparisons in the control experiment. The results suggest that 12-month-old infants could detect subtle differences in facial features between the self-face and the other faces, and infants might show less preference for the self-resembling morphed face due to increased processing costs, which can be interpreted using the uncanny valley hypothesis. Overall, representations of the self-face seem to a certain extent to be formed by the end of the first year of life through daily visual experience.

The implications of face masks for babies and families during the COVID-19 pandemic: A discussion paper

COVID-19 has changed the way that newborn babies are cared for within the neonatal setting due to the introduction of social distancing and wearing of face masks to limit the spread of the infection. Potential implications exist related to the normal development of bonding and connections with others. This paper discusses the importance of face to face interactions for early attachment between babies and parents within the context of relevant underpinning developmental theory. Mask wearing can also potentially impact relational communication, requiring us to change our current ways of working. Decreasing face to face interactions and relational communication, along with key recommendations for both parents and health professionals are further highlighted to mitigate the potential negative effects of masks on long-term development related to human connection and attachment.

Early preference for face-like stimuli in solitary species as revealed by tortoise hatchlings

At the beginning of life, inexperienced babies and human fetuses, domestic chicks, and monkeys exhibit a preference for faces and face-like configurations (three blobs arranged like an upside-down triangle). Because all of these species have parental care, it is not clear whether the early preference for faces is a mechanism for orienting toward the conspecifics and sustaining parental care, or a more general mechanism to attend to living beings. We contrasted these hypotheses by testing inexperienced hatchlings of five species of tortoises, solitary animals with no parental care. If early face-like preference evolved in the context of parental care, solitary species should not exhibit it. We observed that visually naïve tortoises prefer to approach face-like patterns over alternative configurations. The predisposition to approach face-like stimuli observed in hatchlings of these solitary species suggests the presence of an ancient mechanism, ancestral to the evolution of reptiles and mammals, that sustains the exploratory responses, and potentially learning, in both solitary and social species.

Trust in AI Agent: A Systematic Review of Facial Anthropomorphic Trustworthiness for Social Robot Design

As an emerging artificial intelligence system, social robot could socially communicate and interact with human beings. Although this area is attracting more and more attention, limited research has tried to systematically summarize potential features that could improve facial anthropomorphic trustworthiness for social robot. Based on the literature from human facial perception, product, and robot face evaluation, this paper systematically reviews, evaluates, and summarizes static facial features, dynamic features, their combinations, and related emotional expressions, shedding light on further exploration of facial anthropomorphic trustworthiness for social robot design.

The developmental origins of subliminal face processing

Sensitive responding to facial information is of key importance during human social interactions. Research shows that adults glean much information from another person's face without conscious perception, attesting to the robustness of face processing in the service of adaptive social functioning. Until recently, it was unclear whether such subliminal face processing is an outcome of extensive learning, resulting in adult face processing skills, or an early defining feature of human face processing. Here, we review recent research examining the early ontogeny and brain correlates of subliminal face processing, demonstrating that subliminal face processing: (1) emerges during the first year of life; (2) is multifaceted in response to transient (gaze, emotion) and stable (trustworthiness) facial cues; (3) systematically elicits frontal brain responses linked to attention allocation. The synthesized research suggests that subliminal face processing emerges early in human development and thus may play a foundational role during human social interactions. This offers a fresh look at the ontogenetic origins of unconscious face processing and informs theoretical accounts of human sociality.

Identification, Evaluation, and Management of Children With Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a common neurodevelopmental disorder with reported prevalence in the United States of 1 in 59 children (approximately 1.7%). Core deficits are identified in 2 domains: social communication/interaction and restrictive, repetitive patterns of behavior. Children and youth with ASD have service needs in behavioral, educational, health, leisure, family support, and other areas. Standardized screening for ASD at 18 and 24 months of age with ongoing developmental surveillance continues to be recommended in primary care (although it may be performed in other settings), because ASD is common, can be diagnosed as young as 18 months of age, and has evidenced-based interventions that may improve function. More accurate and culturally sensitive screening approaches are needed. Primary care providers should be familiar with the diagnostic criteria for ASD, appropriate etiologic evaluation, and co-occurring medical and behavioral conditions (such as disorders of sleep and feeding, gastrointestinal tract symptoms, obesity, seizures, attention-deficit/hyperactivity disorder, anxiety, and wandering) that affect the child's function and quality of life. There is an increasing evidence base to support behavioral and other interventions to address specific skills and symptoms. Shared decision making calls for collaboration with families in evaluation and choice of interventions.  This single clinical report updates the 2007 American Academy of Pediatrics clinical reports on the evaluation and treatment of ASD in one publication with an online table of contents and section view available through the American Academy of Pediatrics Gateway to help the reader identify topic areas within the report.

Social cognition

Social cognition refers to a complex set of mental abilities underlying social stimulus perception, processing, interpretation, and response. Together, these abilities support the development of adequate social competence and adaptation. Social cognition has a protracted development through infancy to adulthood. Given the preponderance of social dysfunctions across neurologic conditions, social cognition is now recognized as a core domain of functioning that warrants clinical attention. This chapter provides an overview of the construct of social cognition, defines some of the most clinically significant sociocognitive abilities (face processing, facial expression processing, joint attention, theory of mind, empathy, and moral processing), and introduces the neural networks and frameworks associated with these abilities. Broad principles for understanding the development of social cognition are presented, and a summary of normative developmental milestones of clinically relevant sociocognitive abilities is proposed. General guidelines for sound social cognition assessment in children and adolescents are summarized.

Self-Regulation of the Fusiform Face Area in Autism Spectrum: A Feasibility Study With Real-Time fMRI Neurofeedback

One of the most important and early impairments in autism spectrum disorder (ASD) is the abnormal visual processing of human faces. This deficit has been associated with hypoactivation of the fusiform face area (FFA), one of the main hubs of the face-processing network. Neurofeedback based on real-time fMRI (rtfMRI-NF) is a technique that allows the self-regulation of circumscribed brain regions, leading to specific neural modulation and behavioral changes. The aim of the present study was to train participants with ASD to achieve up-regulation of the FFA using rtfMRI-NF, to investigate the neural effects of FFA up-regulation in ASD. For this purpose, three groups of volunteers with normal I.Q. and fluent language were recruited to participate in a rtfMRI-NF protocol of eight training runs in 2 days. Five subjects with ASD participated as part of the experimental group and received contingent feedback to up-regulate bilateral FFA. Two control groups, each one with three participants with typical development (TD), underwent the same protocol: one group with contingent feedback and the other with sham feedback. Whole-brain and functional connectivity analysis using each fusiform gyrus as independent seeds were carried out. The results show that individuals with TD and ASD can achieve FFA up-regulation with contingent feedback. RtfMRI-NF in ASD produced more numerous and stronger short-range connections among brain areas of the ventral visual stream and an absence of the long-range connections to insula and inferior frontal gyrus, as observed in TD subjects. Recruitment of inferior frontal gyrus was observed in both groups during FAA up-regulation. However, insula and caudate nucleus were only recruited in subjects with TD. These results could be explained from a neurodevelopment perspective as a lack of the normal specialization of visual processing areas, and a compensatory mechanism to process visual information of faces. RtfMRI-NF emerges as a potential tool to study visual processing network in ASD, and to explore its clinical potential.

A transient time window for early predispositions in newborn chicks

Neonates of different species are born with a set of predispositions that influence their early orienting responses toward the first stimuli encountered in their life. Human neonates and domestic chicks exhibit several similarities in the predisposition for attending to objects that move with speed changes, face-like stimuli and biological motion. Although early predispositions are connected to physiological development, little is known on the temporal course of early predispositions (whether they are stable or change in time) and on the associated genetic variability. To address these issues, we tested the preference for objects that change in speed vs. linear motion in three chicken breeds (Padovana, Polverara and Robusta maculata) within one day after hatching and three days after hatching. We found that the predisposition to preferentially attend to changes in speed is shared by different breeds on the first day of life and that it disappears by day three. These results indicate the existence of a short and transient time window of early predispositions that does not depend on visual experience.

Universal Mechanisms and the Development of the Face Network: What You See Is What You Get

Our assignment was to review the development of the face-processing network, an assignment that carries the presupposition that a face-specific developmental program exists. We hope to cast some doubt on this assumption and instead argue that the development of face processing is guided by the same ubiquitous rules that guide the development of cortex in general.

Contextually-Based Social Attention Diverges across Covert and Overt Measures

Humans spontaneously attend to social cues like faces and eyes. However, recent data show that this behavior is significantly weakened when visual content, such as luminance and configuration of internal features, as well as visual context, such as background and facial expression, are controlled. Here, we investigated attentional biasing elicited in response to information presented within appropriate background contexts. Using a dot-probe task, participants were presented with a face-house cue pair, with a person sitting in a room and a house positioned within a picture hanging on a wall. A response target occurred at the previous location of the eyes, mouth, top of the house, or bottom of the house. Experiment 1 measured covert attention by assessing manual responses while participants maintained central fixation. Experiment 2 measured overt attention by assessing eye movements using an eye tracker. The data from both experiments indicated no evidence of spontaneous attentional biasing towards faces or facial features in manual responses; however, an infrequent, though reliable, overt bias towards the eyes of faces emerged. Together, these findings suggest that contextually-based social information does not determine spontaneous social attentional biasing in manual measures, although it may act to facilitate oculomotor behavior.

Sex-specific scanning in infancy: Developmental changes in the use of face/head and body information

The current investigation sought to differentiate between contrasting perspectives of body knowledge development by determining whether infants' adult-like scanning of male and female bodies is dependent on relevant information from the face/head alone, the body alone, or a combination of both sources. Scanning patterns of 3.5-, 6.5-, and 9-month-olds (N = 80) in response to images that contained information relevant to sex classification in either the face/head or the body were examined. The results indicate that sex-specific scanning in the presence of only one source of relevant information (i.e., face/head or body) is present only at 9 months. Thus, although sex-specific scanning of bodies emerges as early as 3.5 months, information from both faces/heads and bodies is required until sometime between 6.5 and 9 months of age. These findings constrain theories of the development of social perception by documenting the complex interplay between body and face/head processing early in life.

Laterality for recognizing written words and faces in the fusiform gyrus covaries with language dominance

Recognizing words and faces engages highly specialized sites within the middle fusiform gyrus, known as the visual word form area (VWFA) and fusiform face area (FFA) respectively. The VWFA and FFA have clear but opposite population-level asymmetries, with the VWFA typically being lateralized to the left and the FFA to the right hemisphere. The present study investigates how language dominance may relate to these asymmetries. We hypothesize that individuals with left hemisphere dominance for word production (i.e., left language dominance, LLD) will have typical lateralization for word and face recognition in the fusiform gyrus, whereas participants with right language dominance (RLD) will demonstrate 'atypical' rightward laterality for words and leftward dominance for faces. To test this hypothesis, we recruited twenty-seven left-handers who had previously been identified as being LLD or RLD based on a visual half field task. Using fMRI, hemisphere dominance was determined for language (Broca's region) as well as for word and face recognition in the middle fusiform gyrus for each participant. The direction of asymmetry correlated significantly between language and recognizing words (ρ = .648, p < .001) as well as between language and face recognition (ρ = -.620, p = .001). Moreover, most LLD-participants were typically lateralized for faces and written words, while both functions tended to be reversed in individuals with RLD. However, segregation between language and face recognition was less clear in participants with RLD, as many of them lacked an obvious asymmetry for faces. Although our results thus suggest there is no one-on-one relationship between asymmetries for language, written word and face recognition, they also argue against a complete independence of their lateralization.

Face Processing in Infancy and Beyond: The Case of Social Categories

Prior reviews of infant face processing have emphasized how infants respond to faces in general. This review highlights how infants come to respond differentially to social categories of faces based on differential experience, with a focus on race and gender. We examine six different behaviors: preference, recognition, scanning, category formation, association with emotion, and selective learning. Although some aspects of infant responding to face race and gender may be accounted for by traditional models of perceptual development, other aspects suggest the need for a broader model that links perceptual development with social and emotional development. We also consider how responding to face race and gender in infancy may presage responding to these categories beyond infancy and discuss how social biases favoring own-race and female faces are formed.

The eyes do not have it after all? Attention is not automatically biased towards faces and eyes

It is commonly accepted that attention is spontaneously biased towards faces and eyes. However, the role of stimulus features and task settings in this finding has not yet been systematically investigated. Here, we tested if faces and facial features bias attention spontaneously when stimulus factors, task properties, response conditions, and eye movements are controlled. In three experiments, participants viewed face, house, and control scrambled face-house images in an upright and inverted orientation. The task was to discriminate a target that appeared with equal probability at the previous location of the face, house, or the control image. In all experiments, our data indicated no spontaneous biasing of attention for targets occurring at the previous location of the face. Experiment 3, which measured oculomotor biasing, suggested a reliable but infrequent saccadic bias towards the eye region of upright faces. Importantly, these results did not reflect our specific laboratory settings, as in Experiment 4, we present a full replication of a classic finding in the literature demonstrating reliable social attention bias. Together, these data suggest that attentional biasing for social information is task and context mediated, and less robust than originally thought.

Experimental Evidence of Structural Representation of Hands in Early Infancy

Hands convey important social information, such as an individual's emotions, goals, and desires, are used to direct attention through pointing, and are a major organ for haptic perception. However, very little is known about infants' representation of human hands. In Experiment 1, infants tested in a familiarization/novelty preference task discriminated between images of intact hands and ones that contained first-order structure distortions (i.e., with locations of fingers altered to result in an unnatural configuration). In Experiment 2, infants tested in a spontaneous preference task exhibited a preference for scrambled hand images over intact images, indicating that 3.5-month-olds have gained sufficient sensitivity to the configural properties of hands to discriminate between intact versus scrambled images without any training in the laboratory. In both procedures, infants' performance was disrupted by inversion of images, suggesting that infants' performance in the upright conditions was not based on low-level features. These results indicate that sensitivity to the structure of hands develops early in life. This early development may lay the foundation for the development of the functional use of hand information for social communication.