“Far from the heart far from the eye”: Evidence from the Capgras delusion

Introduction. Capgras syndrome is characterised by the belief that a significant other has been replaced by an identical-looking impostor. These patients have no difficulties with visual recognition but fail to show a skin conductance response (SCR) to the objects of the delusion. A case of Capgras delusion (YY), specifically characterised by the absence of brain lesions, constituted a good opportunity to test the relationship between SCR hyporesponsiveness and eye movement patterns to familiar and unfamiliar faces.

Methods. Visual scan path and SCR were recorded for YY and 8 controls during the presentation of family members’ photographs matched with unfamiliar faces of the same sex, age, and physical likeness. Eye movement patterns were explored by selecting three specific areas of interest (AOI) involving the eyes, the mouth, and the face regions.

Results. In contrast with controls, YY showed a reduction in number and sum of fixation durations to the eyes (p<.01) and no differential SCRs (p>.05) to familiar vs. nonfamiliar faces. SCR and fixation duration to family members’ eyes were significantly correlated (r=.77) in both YY and controls.

Conclusions. Eye region exploration seems to be related to the autonomic reactivity elicited by the affective valence of familiar faces.     

Synchrony Detection of Linguistic Stimuli in the Presence of Faces: Neuropsychological Implications for Language Development in ASD

ABSTRACT

Children with autism spectrum disorders (ASD) may be impaired in their ability to detect audiovisual synchrony and their ability may be influenced by the nature of the stimuli. We investigated the possibility that synchrony detection is disrupted by the presence of human faces by testing children with ASD using a preferential looking language-based paradigm. Children with low language abilities were significantly worse at detecting synchrony when the stimuli include an unobscured face than when the face was obscured. Findings suggest that the presence of faces may make multisensory processing more difficult. Implications for interventions are discussed, particularly those targeting attention to faces.     

Atypical monitoring and responsiveness to goal-directed gaze in autism spectrum disorder

We hypothesized that difficulty in understanding the goals of others’ actions in autism spectrum disorder (ASD) might be linked to a diminished attention and responsivity to relevant social cues. Using an eye-tracking paradigm, we investigated how 24 children with ASD and 24 matched children without ASD responded to the observation of uncompleted actions without a clear target (neutral condition) versus a condition in which the actor’s gaze direction indicated the target of the actions (head-turning condition). Children without ASD significantly increased their attention to the actor’s face and to the action’s target in the head-turning condition compared to the neutral condition, while this was not the case in the ASD group. Overall, our findings suggest a diminished monitoring and responsivity to social cues signalling goal-directedness, which might impact on the ability to understand other’s action goals in young children with ASD.     

Specificity of impaired facial identity recognition in children with suspected developmental prosopagnosia

Adults experiencing face recognition difficulties in the absence of known brain injury are described as cases of developmental prosopagnosia (DP), under the assumption that specific face recognition impairments have always been present. However, only five childhood cases of DP have been reported, and the majority had additional socio-communicative impairments consistent with an autism spectrum disorder (ASD). We tested face recognition skills of six 4- to 8-year-old children, who were suspected of having DP, and tested for ASD using established diagnostic tools. Two children met criteria for ASD. One child did not exhibit consistent face recognition impairments. The remaining three children were severely impaired on multiple tasks of unfamiliar face recognition despite normal cognitive functioning and no evidence of ASD. Two of these children were also impaired at object recognition suggesting more general visual recognition problems. The final child showed normal object recognition demonstrating apparently specific problems with facial identity recognition.     

Predicting ensuing actions in children and adolescents with autism spectrum disorders

This study investigated the ability to predict others’ action in a group of children and adolescents with autism spectrum disorders (ASD) (n = 18). Their performance was compared with a group of children with mental retardation (n = 13) and a group of children with typical development (n = 19). Participants were presented with short incomplete videotaped movies showing an actor executing familiar and non-familiar actions. When asked to predict the outcome, participants with ASD produced fewer correct responses and their performance did not improve for familiar actions, as compared to both comparison groups. In addition, they committed a greater number of errors of temporal inversion. These results provide new evidence that an impaired means-end analysis process, leading to a diminished sensitivity to the sequence structure of goal-directed actions, would disrupt the ability to understand and predict others’ actions. The comprehension of abnormalities in event knowledge provides a better insight of some of the problems that individuals with ASD encounter in spontaneously understanding real-life social situations.     

Reduced Motor Interference in Preschoolers with Autism Spectrum Disorder and Williams Syndrome

ABSTRACT

Motor interference occurs when action execution is hindered by the observation of an incongruent action. The present study used a novel eye-tracking paradigm to test the motor interference effect in 22 preschoolers with autism spectrum disorder (ASD), 14 preschoolers with Williams syndrome (WS), and 18 typically developing (TD) peers. In TD children, performance of a pre-determined action was slower after the observation of an incongruent motor action and faster following observation of a congruent motor action, indicating a motor interference effect. In both the ASD and WS groups, performance was unaffected by the congruent versus incongruent nature of the observed motor action.     

Stuck on you: Face-to-face arousal and gaze aversion in Williams syndrome

Introduction. During face-to-face questioning typically developing children and adults use gaze aversion (GA), away from their questioner, when thinking. GA increases with question difficulty and improves the accuracy of responses. We investigate whether individuals with Williams syndrome (WS), associated with hypersociability and atypical face gaze, use GA to manage cognitive load and whether physiological arousal is associated with looking at faces.

Methods. Two studies were conducted by: (1) recording changes in the participants’ skin conductance levels whilst manipulating task difficulty and gaze direction and (2) calculating the amount of GA away from the experimenters’ face whilst answering questions of varying difficulty.

Results. In Study 1, WS was associated with general hypoarousal, and face arousal effects were found for both Williams syndrome and typically developing participants. In Study 2, participants with WS showed prolonged face gaze under high task demands; however, question difficulty did increase GA.

Conclusions. Looking at faces is demanding, even for individuals with WS. Decreased physiological arousal may allow individuals with WS to hold face gaze for prolonged periods of time, but looking at faces does increase baseline arousal level. The results are discussed in terms of social skills training and teaching methods appropriate for WS.     

Exploring Visual Perspective Taking and body awareness in children with Autism Spectrum Disorder

Introduction: Recent evidence suggests that impairments in social cognition are associated to the cognitive abilities needed to take several viewpoints in perceptual situations and body awareness. The aim of the current study was to investigate Visual Perspective Taking (VPT) and Body awareness performance in a group of children with Autism Spectrum Disorders (ASD) compared with a group of children with Intellectual Disability (ID) and typically developing (TD) children.

Methods: Our groups were administered an IQ test and a VPT task, and body awareness tests.

Results: Children with ASD or ID were more impaired in body awareness development compared to TD (p?p?Conclusions: The current study provides a framework for considering social impairments in autism on a broader scale, including visuoperceptual and body awareness difficulties as a core contributor to social interaction difficulties.     

Neural Correlates of Familiar and Unfamiliar Face Processing in Infants at Risk for Autism Spectrum Disorders

Examining the neural correlates associated with processing social stimuli offers a viable option to the challenge of studying early social processing in infants at risk for autism spectrum disorders (ASDs). The present investigation included 32 12-month olds at high risk for ASD and 24 low-risk control infants, defined on the basis of family history. Infants were presented with familiar and unfamiliar faces, and three components of interest were explored for amplitude and latency differences. The anticipated developmental effects of emerging hemispheric asymmetry for face-sensitive components (the N290 and P400) were observed, as were familiarity effects for a component related to attention (the Nc). Although there were no striking group differences in the neural response to faces, there was some evidence for a developmental lag in an attentional component for the high-risk group. The infant ASD endophenotype, though elusive, may be better defined through expanding the age of study and addressing change over time in response to varied stimuli.     

How do monkeys view faces?—a study of eye movements

Face perception plays a crucial role in primate social communication. We have investigated the pattern of eye movements produced by rhesus monkeys (Macaca mulatta) as they viewed images of faces. Eye positions were recorded accurately using implanted eye coils, while neutral upright, inverted and scrambled images of monkey and human faces were presented on a computer screen. The monkeys exhibited a similar eye scan pattern while viewing familiar and unfamiliar monkey face images, or while viewing monkey and human face images. No differences were observed in the distribution of viewing times, number of fixations, time into the trial of first saccade to local facial features, and the temporal and spatial characteristics of viewing patterns across the facial images. However, there was a greater probability of re-fixation of the eye region of unfamiliar faces during the first few seconds of the trial suggesting that the eyes are important for the initial encoding of identity. Indeed, the highest fixation density was found in the eye region of all the face images. The viewing duration and the number of fixations per image decreased when inverted or scrambled faces were presented. The eye region in these modified images remained the primary area of fixation. However, the number of fixations directed to the eyes decreased monotonically from the upright images through the inverted versions to the scrambled face images. Nonetheless, the eyes remain the most salient facial substructure regardless of the arrangement of other features, although the extent of salience which they attain may depend both on the low level properties of the eyes and on the global arrangement of facial features. Electronic Publication     

Electrodermal Discrimination of Familiar and Unfamiliar Faces: A Methodology

A study is reported which establishes a methodology for investigating the hypothesis that prosopagnosic patients, who have lost the ability to recognize faces, may nonetheless demonstrate electrodermal discrimination of familiar versus unfamiliar facial stimuli. Skin conductance response (SCR) data were recorded while neurologically-intact, college-aged subjects viewed slides of 8 famous, highly familiar faces and 42 unfamiliar faces. The results showed that the familiar faces elicited, on the average, much larger SCRs than the unfamiliar faces. In addition, a second group of subjects rated the familiar faces as more “significant” than the unfamiliar ones, and it is concluded that highly familiar faces are potential signal stimuli. Also, because the paradigm involves few instructions and no overt behavioral response by the subject, this methodology could be readily adapted to investigations of prosopagnosic and other brain-damaged populations in which there is severe amnesia, aphasia, or apraxia.     

3～6岁自闭症儿童面部表情识别的眼动实验

目的:探讨3~6岁自闭症儿童面部表情识别的影响因素。方法:采用眼动技术,观察高言语水平组与低语言水平组对不同情绪类型的陌生者面部表情和熟悉者面部表情图片的注视情况。结果:(1)在注视时间、注视点个数、注视率3项因变量指标上,言语能力的主效应均不显著(P0.05);(2)在注视点个数以及注视率上,表情性质的主效应显著(F=6.35,3.97;P0.05);(3)在注视时间上,面孔分区与熟悉度的交互作用显著(F=6.43,P0.05);(4)在注视点个数和注视率上,熟悉度与表情性质的交互作用显著(F=4.29,P0.05;F=6.73,P0.01)。结论:言语能力对自闭症儿童面部表情识别的影响较小;自闭症儿童对熟悉面孔的识别能力较好;自闭症儿童整体表现出对积极表情和消极情表情的注意偏好。     

Psychophysiological Responses to Emotional Stimuli in Children and Adolescents with Autism and Fragile X Syndrome

Individuals with autism demonstrate atypical and variable responses to social and emotional stimuli, perhaps reflecting heterogeneity of the disorder. The goal of this study was to determine whether unique profiles of psychophysiological responses to such stimuli could be identified in individuals diagnosed with autism spectrum disorder (ASD), with fragile X syndrome (FXS), and with comorbid autism and fragile X syndrome (ASD + FXS), and in typically developing (TYP) individuals. This study included 52 boys (ages 10–17): idiopathic ASD (n = 12), FXS (n = 12), comorbid ASD + FXS (n = 17), and TYP (n = 11). Physiological responses, including potentiated startle, electrodermal response, heart rate variability, and vagal tone, were collected concurrently while participants viewed emotionally evocative pictures of human faces or nonsocial images. Although some of these measures have been utilized separately for investigations on these diagnostic groups, they have not been considered together. Results using Kruskal-Wallis one-way analysis of variance by ranks indicate statistically significant differences in distributions of autonomic regulation responses between groups. The most notable differences were between the ASD group and both the FXS groups on measures of sympathetic activity, with FXS groups evincing increased activity. Also, both the ASD and ASD + FXS groups showed significantly decreased parasympathetic activity compared with FXS and TYP groups. In addition, the ASD + FXS group demonstrated a unique distribution of startle potentiation and arousal modulation. This study provides evidence that autonomic arousal and regulation profiles could be useful for distinguishing subgroups of autism and shed light on the variability underlying emotional responsivity.     

Differentiated Brain Activity in Response to Faces of “Own” Versus “Unfamiliar” Babies in Primipara Mothers: An Electrophysiological Study

Experiences with one's own infant attune the parent nervous system to infant stimuli. To explore the effects of motherhood on brain activity patterns, electroencephalogram (EEG) was recorded while primipara mothers of 3- and 6-month-olds viewed images of faces of their own child and an unfamiliar but appearance-matched child. Mothers of 3- and 6-month-olds showed equivalent early-wave (N/P1 “visual” and N170 “face-sensitive”) responses to own and unfamiliar baby faces but differentiating late-wave (N/P600 “familiar/?novel”) activity to own versus unfamiliar infant faces. Based on 3 months experience with their own infant's face, mothers' brain patterns give evidence of distinctive late-wave (recognition) sensitivity.     

Electrophysiological response during auditory gap detection: Biomarker for sensory and communication alterations in autism spectrum disorder?

ABSTRACT

Sensory symptoms, including auditory processing deficits, are common in autism spectrum disorder (ASD). Processing of temporal aspects of auditory input is understudied; yet, deficits in this domain could contribute to language-related impairments. In children with ASD and well-matched controls, this study examined electrophysiological response to silent gaps in auditory stimuli. Results revealed attenuated amplitude of the P2 event-related potential (ERP) component in ASD. The P2 amplitude reduction was also associated with sensory, language, and diagnostic features. These results suggest that neural response during auditory gap detection is a promising ASD biomarker that could be useful for stratifying subgroups and evaluating treatment response.     

ERP correlates of attention allocation in mothers processing faces of their children

This study employed visually evoked event-related potential (ERP) methodology to examine temporal patterns of structural and higher-level face processing in birth and foster/adoptive mothers viewing pictures of their children. Fourteen birth mothers and 14 foster/adoptive mothers engaged in a computerized task in which they viewed facial pictures of their own children, and of familiar and unfamiliar children and adults. All mothers, regardless of type, showed ERP patterns suggestive of increased attention allocation to their own children's faces compared to other child and adult faces beginning as early as 100-150 ms after stimulus onset and lasting for several hundred milliseconds. These data are in line with a parallel processing model that posits the involvement of several brain regions in simultaneously encoding the structural features of faces as well as their emotional and personal significance. Additionally, late positive ERP patterns associated with greater allocation of attention predicted mothers’ perceptions of the parent-child relationship as positive and influential to their children's psychological development. These findings suggest the potential utility of using ERP components to index maternal processes.     

Idiom Comprehension Deficits in High-Functioning Autism Spectrum Disorder Using a Korean Autism Social Language Task

Purpose

High-functioning autism spectrum disorder (ASD) involves pragmatic impairment of language skills. Among numerous tasks for assessing pragmatic linguistic skills, idioms are important to evaluating high-functioning ASD. Nevertheless, no assessment tool has been developed with specific consideration of Korean culture. Therefore, we designed the Korean Autism Social Language Task (KASLAT) to test idiom comprehension in ASD. The aim of the current study was to introduce this novel psychological tool and evaluate idiom comprehension deficits in high-functioning ASD.

Materials and Methods

The participants included 42 children, ages 6-11 years, who visited our child psychiatric clinic between April 2014 and May 2015. The ASD group comprised 16 children; the attention deficit hyperactivity disorder (ADHD) group consisted of 16 children. An additional 10 normal control children who had not been diagnosed with either disorder participated in this study. Idiom comprehension ability was assessed in these three groups using the KASLAT.

Results

Both ASD and ADHD groups had significantly lower scores on the matched and mismatched tasks, compared to the normal control children (matched tasks mean score: ASD 11.56, ADHD 11.56, normal control 14.30; mismatched tasks mean score: ASD 6.50, ADHD 4.31, normal control 11.30). However, no significant differences were found in scores of KASLAT between the ADHD and ASD groups.

Conclusion

These findings suggest that children with ASD exhibit greater impairment in idiom comprehension, compared to normal control children. The KASLAT may be useful in evaluating idiom comprehension ability.     

Sensitivity to eye gaze in autism: is it normal? Is it automatic? Is it social?

Children with autism are developmentally delayed in following the direction of another person's gaze in social situations. A number of studies have measured reflexive orienting to eye gaze cues using Posner-style laboratory tasks in children with autism. Some studies observe normal patterns of cueing, suggesting that children with autism are alert to the significance of the eyes, whereas other studies reveal an atypical pattern of cueing. We review this contradictive evidence to consider the extent to which sensitivity to gaze is normal, and ask whether apparently normal performance may be a consequence of atypical (nonsocial) mechanisms. Our review concludes by highlighting the importance of adopting a developmental perspective if we are to understand the reasons why people with autism process eye gaze information atypically.     

Huntingtin gene CAG repeat size affects autism risk: Family‐based and case–control association study

The Huntingtin (HTT) gene contains a CAG repeat in exon 1, whose expansion beyond 39 repeats consistently leads to Huntington's disease (HD), whereas normal‐to‐intermediate alleles seemingly modulate brain structure, function and behavior. The role of the CAG repeat in Autism Spectrum Disorder (ASD) was investigated applying both family‐based and case–control association designs, with the SCA3 repeat as a negative control. Significant overtransmission of “long” CAG alleles (≥17 repeats) to autistic children and of “short” alleles (≤16 repeats) to their unaffected siblings (all p < 10^?5) was observed in 612 ASD families (548 simplex and 64 multiplex). Surprisingly, both 193 population controls and 1,188 neurological non‐HD controls have significantly lower frequencies of “short” CAG alleles compared to 185 unaffected siblings and higher rates of “long” alleles compared to 548 ASD patients from the same families (p < .05–.001). The SCA3 CAG repeat displays no association. “Short” HTT alleles seemingly exert a protective effect from clinically overt autism in families carrying a genetic predisposition for ASD, while “long” alleles may enhance autism risk. Differential penetrance of autism‐inducing genetic/epigenetic variants may imply atypical developmental trajectories linked to HTT functions, including excitation/inhibition imbalance, cortical neurogenesis and apoptosis, neuronal migration, synapse formation, connectivity and homeostasis.