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DeGutis J, Kirsch L, Evans TC, Fry R, Lee DJ, Mishra M, Campbell A. Perceptual heterogeneity in developmental prosopagnosia is continuous, not categorical. Cortex 2024; 176:37-52. [PMID: 38744075 PMCID: PMC11223780 DOI: 10.1016/j.cortex.2024.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Revised: 01/23/2024] [Accepted: 03/21/2024] [Indexed: 05/16/2024]
Abstract
Developmental prosopagnosia (DP) is associated with considerable perceptual heterogeneity, though the nature of this heterogeneity and whether there are discrete subgroups versus continuous deficits remains unclear. Bennetts et al. (2022) recently found that holistic versus featural processing deficits distinguished discrete DP subgroups, but their sample was relatively small (N = 37), and subgroups were defined using a single task. To characterize perceptual heterogeneity in DPs more comprehensively, we administered a broad face perception battery to a large sample of 109 DPs and 134 controls, including validated measures of face matching (Cambridge Face Perception Test - CFPT, Computerized Benton Facial Recognition Test, Same/Different Face Matching Task), holistic processing (Part-Whole Task), and feature processing (Georges Task and Part-Whole part trials). When examining face matching measures, DPs exhibited a similar distribution of performance as controls, though shifted towards impairment by an average of 1.4 SD. We next applied Bennetts (2022) hierarchical clustering approach and k-means clustering to the CFPT upright, inverted, and inversion index measures, similarly finding one group of DPs with poorer inverted face performance and another with a decreased face inversion effect (holistic processing). However, these subgroup differences failed to generalize to other measures of feature and holistic processing beyond the CFPT. We finally ran hierarchical and k-means cluster analyses on our larger battery of face matching, feature, and holistic processing measures. Results clearly showed subgroups with generally better versus worse performance across all measures, with the distinction between groups being somewhat arbitrary. Together, these findings support a continuous account of DP perceptual heterogeneity, with performance differing primarily across all aspects of face perception.
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Affiliation(s)
- Joseph DeGutis
- Boston Attention and Learning Laboratory, VA Boston Healthcare System, Boston, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
| | - Leah Kirsch
- Boston Attention and Learning Laboratory, VA Boston Healthcare System, Boston, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - Travis C Evans
- Boston Attention and Learning Laboratory, VA Boston Healthcare System, Boston, MA, USA; Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA
| | - Regan Fry
- Boston Attention and Learning Laboratory, VA Boston Healthcare System, Boston, MA, USA
| | - Daniel J Lee
- Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA; National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA
| | - Maruti Mishra
- Boston Attention and Learning Laboratory, VA Boston Healthcare System, Boston, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA; California State University, Bakersfield, CA, USA
| | - Alison Campbell
- Boston Attention and Learning Laboratory, VA Boston Healthcare System, Boston, MA, USA; Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA
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2
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Nørkær E, Gobbo S, Roald T, Starrfelt R. Disentangling developmental prosopagnosia: A scoping review of terms, tools and topics. Cortex 2024; 176:161-193. [PMID: 38795651 DOI: 10.1016/j.cortex.2024.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 03/08/2024] [Accepted: 04/30/2024] [Indexed: 05/28/2024]
Abstract
The goal of this preregistered scoping review is to create an overview of the research on developmental prosopagnosia (DP). Through analysis of all empirical studies of DP in adults, we investigate 1) how DP is conceptualized and defined, 2) how individuals are classified with DP and 3) which aspects of DP are investigated in the literature. We reviewed 224 peer-reviewed studies of DP. Our analysis of the literature reveals that while DP is predominantly defined as a lifelong face recognition impairment in the absence of acquired brain injury and intellectual/cognitive problems, there is far from consensus on the specifics of the definition with some studies emphasizing e.g., deficits in face perception, discrimination and/or matching as core characteristics of DP. These differences in DP definitions is further reflected in the vast heterogeneity in classification procedures. Only about half of the included studies explicitly state how they classify individuals with DP, and these studies adopt 40 different assessment tools. The two most frequently studied aspects of DP are the role of holistic processing and the specificity of face processing, and alongside a substantial body of neuroimaging studies of DP, this paints a picture of a research field whose scientific interests and aims are rooted in cognitive neuropsychology and neuroscience. We argue that these roots - alongside the heterogeneity in DP definition and classification - may have limited the scope and interest of DP research unnecessarily, and we point to new avenues of research for the field.
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Affiliation(s)
- Erling Nørkær
- Department of Psychology, University of Copenhagen, Denmark.
| | - Silvia Gobbo
- Department of Psychology, Università degli Studi di Milano-Bicocca, Italy
| | - Tone Roald
- Department of Psychology, University of Copenhagen, Denmark
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3
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Volfart A, Rossion B. The neuropsychological evaluation of face identity recognition. Neuropsychologia 2024; 198:108865. [PMID: 38522782 DOI: 10.1016/j.neuropsychologia.2024.108865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Revised: 03/14/2024] [Accepted: 03/18/2024] [Indexed: 03/26/2024]
Abstract
Facial identity recognition (FIR) is arguably the ultimate form of recognition for the adult human brain. Even if the term prosopagnosia is reserved for exceptionally rare brain-damaged cases with a category-specific abrupt loss of FIR at adulthood, subjective and objective impairments or difficulties of FIR are common in the neuropsychological population. Here we provide a critical overview of the evaluation of FIR both for clinicians and researchers in neuropsychology. FIR impairments occur following many causes that should be identified objectively by both general and specific, behavioral and neural examinations. We refute the commonly used dissociation between perceptual and memory deficits/tests for FIR, since even a task involving the discrimination of unfamiliar face images presented side-by-side relies on cortical memories of faces in the right-lateralized ventral occipito-temporal cortex. Another frequently encountered confusion is between specific deficits of the FIR function and a more general impairment of semantic memory (of people), the latter being most often encountered following anterior temporal lobe damage. Many computerized tests aimed at evaluating FIR have appeared over the last two decades, as reviewed here. However, despite undeniable strengths, they often suffer from ecological limitations, difficulties of instruction, as well as a lack of consideration for processing speed and qualitative information. Taking into account these issues, a recently developed behavioral test with natural images manipulating face familiarity, stimulus inversion, and correct response times as a key variable appears promising. The measurement of electroencephalographic (EEG) activity in the frequency domain from fast periodic visual stimulation also appears as a particularly promising tool to complete and enhance the neuropsychological assessment of FIR.
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Affiliation(s)
- Angélique Volfart
- School of Psychology and Counselling, Faculty of Health, Queensland University of Technology, Australia.
| | - Bruno Rossion
- Centre for Biomedical Technologies, Queensland University of Technology, Australia; Université de Lorraine, CNRS, IMoPA, F-54000, Nancy, France.
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Bennetts RJ, Gregory NJ, Bate S. Both identity and non-identity face perception tasks predict developmental prosopagnosia and face recognition ability. Sci Rep 2024; 14:6626. [PMID: 38503841 PMCID: PMC10951298 DOI: 10.1038/s41598-024-57176-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 03/14/2024] [Indexed: 03/21/2024] Open
Abstract
Developmental prosopagnosia (DP) is characterised by deficits in face identification. However, there is debate about whether these deficits are primarily perceptual, and whether they extend to other face processing tasks (e.g., identifying emotion, age, and gender; detecting faces in scenes). In this study, 30 participants with DP and 75 controls completed a battery of eight tasks assessing four domains of face perception (identity; emotion; age and gender; face detection). The DP group performed worse than the control group on both identity perception tasks, and one task from each other domain. Both identity perception tests uniquely predicted DP/control group membership, and performance on two measures of face memory. These findings suggest that deficits in DP may arise from issues with face perception. Some non-identity tasks also predicted DP/control group membership and face memory, even when face identity perception was accounted for. Gender perception and speed of face detection consistently predicted unique variance in group membership and face memory; several other tasks were only associated with some measures of face recognition ability. These findings indicate that face perception deficits in DP may extend beyond identity perception. However, the associations between tasks may also reflect subtle aspects of task demands or stimuli.
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Affiliation(s)
- Rachel J Bennetts
- Division of Psychology, College of Health, Medicine and Life Sciences, Brunel University London, Kingston Lane, Uxbridge, UB8 3PH, UK.
| | | | - Sarah Bate
- Department of Psychology, Bournemouth University, Poole, UK
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5
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Gobbo S, Urso E, Colombo A, Menghini M, Perin C, Isaias IU, Daini R. Facial expressions and identities recognition in Parkinson disease. Heliyon 2024; 10:e26860. [PMID: 38463872 PMCID: PMC10923660 DOI: 10.1016/j.heliyon.2024.e26860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 02/15/2024] [Accepted: 02/21/2024] [Indexed: 03/12/2024] Open
Abstract
Parkinson's Disease (PD) is associated with motor and non-motor symptoms. Among the latter are deficits in matching, identification, and recognition of emotional facial expressions. On one hand, this deficit has been attributed to a dysfunction in emotion processing. Another explanation (which does not exclude the former) links this deficit with reduced facial expressiveness in these patients, which prevents them from properly understanding or embodying emotions. To disentangle the specific contribution of emotion comprehension and that of facial expression processing in PD's observed deficit with emotions we performed two experiments on non-emotional facial expressions. In Experiment 1, a group of PD patients and a group of Healthy Controls (HC) underwent a task of non-emotional expression recognition in faces of different identity and a task of identity recognition in faces with different expression. No differences were observed between the two groups in accuracies. In Experiment 2, PD patients and Healthy Controls underwent a task where they had to recognize the identity of faces encoded through a non-emotional facial expression, through a rigid head movement, or as neutral. Again, no group differences were observed. In none of the two experiments hypomimia scores had a specific effect on expression processing. We conclude that in PD patients the observed impairment with emotional expressions is likely due to a specific deficit for emotions to a greater extent than for facial expressivity processing.
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Affiliation(s)
- Silvia Gobbo
- University of Milan-Bicocca, Department of Psychology, Milan, Italy
| | | | - Aurora Colombo
- Centro Parkinson e Parkinsonismi, ASST “Gaetano Pini-Cto”, Milano, Italy
- Fondazione Grigioni per il Morbo di Parkinson, Milano, Italy
| | - Matilde Menghini
- University of Milan-Bicocca, Department of Psychology, Milan, Italy
| | - Cecilia Perin
- Istituti Clinici Zucchi-GSD, Italy
- Università Milano Bicocca, Department of Medicine and Surgery, Milano, Italy
| | - Ioannis Ugo Isaias
- Centro Parkinson e Parkinsonismi, ASST “Gaetano Pini-Cto”, Milano, Italy
- Department of Neurology, University Hospital of Würzburg and Julius Maximilian University of Würzburg, Würzburg, Germany
| | - Roberta Daini
- University of Milan-Bicocca, Department of Psychology, Milan, Italy
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Bate S, Murray E, Bennetts RJ. Familial Transmission of Developmental Prosopagnosia: New Case Reports from an Extended Family and Identical Twins. Brain Sci 2024; 14:49. [PMID: 38248264 PMCID: PMC10813035 DOI: 10.3390/brainsci14010049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Revised: 12/13/2023] [Accepted: 12/31/2023] [Indexed: 01/23/2024] Open
Abstract
Existing evidence suggests that developmental prosopagnosia (DP) is a surprisingly prevalent condition, with some individuals describing lifelong difficulties with facial identity recognition. Together with case reports of multiple family members with the condition, this evidence suggests that DP is inherited in at least some instances. Here, we offer some novel case series that further support the heritability of the condition. First, we describe five adult siblings who presented to our lab with symptoms of DP. Second, for the first known time in the literature, we describe a pair of adult identical twins who contacted us in the belief that they both experience DP. The condition was confirmed in three of the five siblings (with minor symptoms observed in the remaining two) and in both twins. Supplementary assessments suggested that all individuals also experienced some degree of difficulty with facial identity perception, but that object recognition was preserved. These findings bolster the evidence supporting the heritability of DP and suggest that it can be a specific impairment in some cases.
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Affiliation(s)
- Sarah Bate
- Department of Psychology, Bournemouth University, Poole BH12 5BB, UK
| | - Ebony Murray
- Department of Psychological Sciences, School of Natural and Social Sciences, University of Gloucestershire, Cheltenham GL50 4AZ, UK;
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Kramer RS, Tree JJ. Investigating people's metacognitive insight into their own face abilities. Q J Exp Psychol (Hove) 2023:17470218231218662. [PMID: 37997434 DOI: 10.1177/17470218231218662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2023]
Abstract
Within the domain of face processing, researchers have been interested in quantifying the relationship between objective (i.e., performance on laboratory tests of recognition and matching) and subjective measures of ability (typically, self-report questionnaires). Put simply, do people show high levels of metacognitive insight into their own abilities with faces? Although several studies have suggested that the association between these two types of measures may only be moderate, there remain several important issues that require consideration before this question can be sensibly investigated. First, specificity is needed regarding both objective and subjective measurements because both tend to span a wide range of potentially separable abilities. Second, experimental tasks appear to focus on different contexts to those tapped in self-report questionnaire items. Third, recent issues with statistical approaches and visualisation can result in numerical artefacts and misinterpretations. Finally, the sizes of population-level insights suggested by recent work provide only limited information regarding individuals within these populations, and so researchers aiming to identify people at the extremes of ability must be careful when drawing conclusions. Taken together, we argue that more attention to these issues is needed when attempting to investigate metacognitive insight within this domain.
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Affiliation(s)
| | - Jeremy J Tree
- Department of Psychology, Swansea University, Swansea, UK
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Portch E, Wignall L, Bate S. Why can people with developmental prosopagnosia recognise some familiar faces? Insights from subjective experience. PeerJ 2023; 11:e15497. [PMID: 37483961 PMCID: PMC10361072 DOI: 10.7717/peerj.15497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 05/12/2023] [Indexed: 07/25/2023] Open
Abstract
Developmental prosopagnosia is a relatively common visuo-cognitive condition, characterised by impaired facial identity recognition. Impairment severity appears to reside on a continuum, however, it is unknown whether instances of milder deficits reflect the successful use of spontaneous (typical) face recognition strategies, or the application of extraneous compensatory cues to recognition. Here, we explore this issue in two studies. First, 23 adults with developmental prosopagnosia were asked about their use of spontaneous versus compensatory face recognition techniques in everyday life, using a series of closed- and open-ended questions. Second, the same participants performed a computerised famous face recognition task where they were asked to provide reasons why they could make any successful identifications. Findings from both studies suggest that people with developmental prosopagnosia can successfully, and quite frequently, use compensatory strategies to recognition, and that these cues support the majority of instances of preserved familiar face recognition. In contrast, 16 of the 23 participants were able to spontaneously recognise familiar faces on at least some occasions, but there were vast individual differences in frequencies of success. These findings have important implications for our conceptualisation of the condition, as well as for diagnostic practice.
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Affiliation(s)
- Emma Portch
- Department of Psychology, Bournemouth University, Bournemouth, United Kingdom
| | - Liam Wignall
- Department of Psychology, Bournemouth University, Bournemouth, United Kingdom
- Department of Psychology, University of Brighton, Brighton, United Kingdom
| | - Sarah Bate
- Department of Psychology, Bournemouth University, Bournemouth, United Kingdom
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Levakov G, Sporns O, Avidan G. Fine-scale dynamics of functional connectivity in the face-processing network during movie watching. Cell Rep 2023; 42:112585. [PMID: 37285265 DOI: 10.1016/j.celrep.2023.112585] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 03/02/2023] [Accepted: 05/16/2023] [Indexed: 06/09/2023] Open
Abstract
Mapping the human face-processing network is typically done during rest or using isolated, static face images, overlooking widespread cortical interactions obtained in response to naturalistic face dynamics and context. To determine how inter-subject functional correlation (ISFC) relates to face recognition scores, we measure cortical connectivity patterns in response to a dynamic movie in typical adults (N = 517). We find a positive correlation with recognition scores in edges connecting the occipital visual and anterior temporal regions and a negative correlation in edges connecting the attentional dorsal, frontal default, and occipital visual regions. We measure the inter-subject stimulus-evoked response at a single TR resolution and demonstrate that co-fluctuations in face-selective edges are related to activity in core face-selective regions and that the ISFC patterns peak during boundaries between movie segments rather than during the presence of faces. Our approach demonstrates how face processing is linked to fine-scale dynamics in attentional, memory, and perceptual neural circuitry.
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Affiliation(s)
- Gidon Levakov
- Department of Cognitive and Brain Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
| | - Olaf Sporns
- Department of Psychological and Brain Sciences, Indiana University, Bloomington, IN, USA; Program in Neuroscience, Indiana University, Bloomington, IN, USA
| | - Galia Avidan
- Department of Psychology, Ben-Gurion University of the Negev, Beer-Sheva, Israel
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10
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Bate S, Dalrymple K, Bennetts RJ. OUP accepted manuscript. Brain Commun 2022; 4:fcac068. [PMID: 35386218 PMCID: PMC8977649 DOI: 10.1093/braincomms/fcac068] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 01/26/2022] [Accepted: 03/18/2022] [Indexed: 11/23/2022] Open
Abstract
While there have been decades of clinical and theoretical interest in developmental and acquired face recognition difficulties, very little work has examined their remediation. Here, we report two studies that examined the efficacy of an existing face training programme in improving face-processing skills in adults and children with developmental face recognition impairments. The programme has only been trialled in typical children to date, where 2 weeks of perceptual training (modelled on an adapted version of the popular family game Guess Who?) resulted in face-specific improvements for memory but not perception after 2 weeks of training. In Study 1, we performed a randomized, parallel groups, placebo-controlled trial of the same programme in 20 adults with a pre-existing diagnosis of developmental prosopagnosia. Assessment tasks were administered immediately before and after training, and 2 weeks later. Face-specific gains in memory (but not perception) were observed in the experimental group and were greatest in those with the poorest face recognition skills at entry. These gains persisted 2 weeks after training ceased. In Study 2, a case-series approach was used to administer the experimental version of the training programme to four children who presented with difficulties in face recognition. Improvements in face memory were observed in three of the participants; while one also improved at face perception, there was mixed evidence for the face specificity of these gains. Together, these findings suggest plasticity in the human face recognition system through to at least mid-adulthood and also pave the way for longer-term implementations of the face training programme that will likely elicit greater gains in both adults and children.
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Affiliation(s)
- Sarah Bate
- Department of Psychology, Faculty of Science and Technology, Bournemouth University, Poole BH12 5BB, UK
- Correspondence to: Professor Sarah Bate Department of Psychology Faculty of Science and Technology Bournemouth University Poole House Fern Barrow Poole BH12 5BB, UK E-mail:
| | - Kirsten Dalrymple
- Institute of Child Development, University of Minnesota, Minneapolis, MN 55455, USA
| | - Rachel J. Bennetts
- Division of Psychology, Department of Life Sciences, Brunel University, London UB8 3PH, UK
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Levakov G, Sporns O, Avidan G. Modular community structure of the face network supports face recognition. Cereb Cortex 2021; 32:3945-3958. [PMID: 34974616 PMCID: PMC9476611 DOI: 10.1093/cercor/bhab458] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 11/11/2021] [Accepted: 11/12/2021] [Indexed: 01/02/2023] Open
Abstract
Face recognition is dependent on computations conducted in specialized brain regions and the communication among them, giving rise to the face-processing network. We examined whether modularity of this network may underlie the vast individual differences found in human face recognition abilities. Modular networks, characterized by strong within and weaker between-network connectivity, were previously suggested to promote efficacy and reduce interference among cognitive systems and also correlated with better cognitive abilities. The study was conducted in a large sample (n = 409) with diffusion-weighted imaging, resting-state fMRI, and a behavioral face recognition measure. We defined a network of face-selective regions and derived a novel measure of communication along with structural and functional connectivity among them. The modularity of this network was positively correlated with recognition abilities even when controlled for age. Furthermore, the results were specific to the face network when compared with the place network or to spatially permuted null networks. The relation to behavior was also preserved at the individual-edge level such that a larger correlation to behavior was found within hemispheres and particularly within the right hemisphere. This study provides the first evidence of modularity-behavior relationships in the domain of face processing and more generally in visual perception.
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Affiliation(s)
- Gidon Levakov
- Address correspondence to G. Levakov, Department of Cognitive and Brain Sciences, Ben-Gurion University of the Negev, P.O.B. 653, Beer-Sheva 8410501, Israel.
| | - Olaf Sporns
- Department of Psychological and Brain Sciences, Indiana University, 107 S Indiana Ave, Bloomington, IN 47405, USA,Program in Neuroscience, Indiana University, 107 S Indiana Ave, Bloomington, IN 47405, USA
| | - Galia Avidan
- Department of Cognitive and Brain Sciences, Ben-Gurion University of the Negev, P.O.B. 653, Beer-Sheva 8410501, Israel,Zlotowski Center for Neuroscience, Ben-Gurion University of the Negev, P.O.B. 653, Beer-Sheva 8410501, Israel,Department of Psychology, Ben-Gurion University of the Negev, P.O.B. 653, Beer-Sheva 8410501, Israel
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