Strange-face-in-the-mirror illusions: specific effects on derealization, depersonalization, and dissociative identity.

Anomalous strange-face illusions (SFIs) are produced when mirror gazing under a low level of face illumination. In contrast to past studies in which an observer's task was to pay attention to the reflected face and to perceive potential facial changes, the present research used a mirror gazing task (MGT) that instructed participants to fixate their gaze on a 4-mm hole in a glass mirror. The participants' eye-blink rates were thus measured without priming any facial changes. Twenty-one healthy young individuals participated in the MGT and a control panel-fixation task (staring at a hole in a gray non-reflective panel). The Revised Strange-Face Questionnaire (SFQ-R) indexed derealization (deformations of facial features; FD), depersonalization (bodily face detachment; BD), and dissociative identity (new or unknown identities; DI) scales. Mirror-fixation increased FD, BD, and DI scores compared to panel-fixation. In mirror-fixation, FD scores revealed fading specific to facial features, distinct from "classical" Troxler- and Brewster-fading. In mirror-fixation, eye-blink rates correlated negatively with FD scores. Panel-fixation produced low BD scores, and, in a few participants, face pareidolias as detected on FD scores. Females were more prone to early derealization and males to compartmentalization of a dissociative identity. SFQ-R may be a valuable instrument for measuring face-specific dissociation (FD, BD, DI) produced by MGT. Use of MGT and panel-fixation task for differential diagnoses between schizophrenia and dissociative identity disorder is discussed.

Split-mirror gazing increases dissociative states and illusions of self-identity.

Previous studies found that mirror-gazing at the subject's reflected own face, under a low illumination level, produces acute dissociation. In the present study, a split-mirror was used, which divides the subject's reflected face vertically into two half-faces, and dissociative states were compared to single-mirror gazing. Twelve healthy naïve individuals, who were sampled from students of an Art Academy, volunteered in a within-subject experiment. Dissociative states were measured through a 9-item self-report questionnaire on three scales: illusions of face deformation (derealization); illusions of body detachment (depersonalization); illusions of different self-identity (dissociated identity). Results showed that split-mirror gazing increased dissociation with respect to single-mirror gazing. Illusions of different self-identity, such as double-identity (i.e., left-identity versus right-identity) or double-personality, increased during split-mirror gazing with respect to single-mirror gazing, whereas illusions of face deformation and body detachment were unchanged. Findings support the distinction between detachment and compartmentalization, and may provide a tool for experimental investigation of dissociative identity disorder (DID). Finally, the students' portraits illustrated illusions of self-identity in split-mirror gazing: left-identity (portrayed in the right side of drawings) displayed illusions of more negative personalities and/or emotions, while right-identity (portrayed in the left side) showed more positive features.

Visual perception and dissociation during Mirror Gazing Test in patients with anorexia nervosa: a preliminary study.

PURPOSE: It has been widely shown that dissociative features might play a fundamental role in producing body image distortions in patients affected by eating disorders. Here, we hypothesize that the Mirror Gazing Test (MGT), a task consisting in mirror exposure in a condition of sensory deprivation, would elicit dissociative symptoms in a group of patients with anorexia nervosa (AN). METHODS: Fourteen patients with AN and fourteen healthy controls (HC) underwent a 10 min MGT and completed the Strange Face Questionnaire and a short version of the Clinician-Administered Dissociative States Scale, along with a psychological assessment for eating disorders psychopathology, anxiety and depression. RESULTS: AN patients reported a higher number of strange-face apparitions and dissociative sensations than HC during the MGT. Dissociative identity (compartmentalization of two or more identities) and depersonalization (detachment of bodily-self) were much higher in patients with AN than in HC. These findings were correlated with body dissatisfaction and disruption in interoceptive awareness. CONCLUSION: Dissociation and body image dysfunction are strongly connected in the pathophysiology of anorexia nervosa. Future research should investigate the same aspects in other psychiatric conditions characterized by body image distortions, such as Body Dysmorphic Disorder. LEVEL OF EVIDENCE: I, Experimental studies.

Strange-face illusions during eye-to-eye gazing in dyads: specific effects on derealization, depersonalization and dissociative identity.

Experimentally induced strange-face illusions can be perceived when two individuals look at each other in the eyes under low illumination for about 10 minutes. This task of subject-other eye-to-eye gazing produces the following perceptions by the subject: (i) mild to huge deformations and color/shape changes of face and facial features; (ii) lifeless, unmoving faces and immaterial presences akin to out-of-body experiences; (iii) pseudo-hallucinations, enlightened 'idealized' faces and personalities - rather than the other's actual face. Dissociative phenomena seem to be involved, whereas the effects of non-pathological dissociation on strange-face illusions have not yet been directly investigated. In the present study, dissociative perceptions and strange-face illusions were measured through self-report questionnaires on a large sample (N = 90) of healthy young individuals. Results of correlation and factor analyses suggest that strange-face illusions can involve, respectively: (i) strange-face illusions correlated to derealization; (ii) strange-face illusions correlated to depersonalization; and (iii) strange-face illusions of identity, which are supposedly correlated to identity dissociation. The findings support the separation between detachment and compartmentalization in dissociative processes. Effects of gender show that strange-face illusions are more frequent in men with respect to women if dyads are composed of individuals of different-gender. Furthermore, drawings of strange-faces, which were perceived by portrait artists in place the others' faces, allowed a direct illustration of examples of dissociative identities. Findings are discussed in relation to the three-level model of self-referential processing.

Visual perception during mirror-gazing at one's own face in patients with depression.

In normal observers, gazing at one's own face in the mirror for a few minutes, at a low illumination level, produces the apparition of strange faces. Observers see distortions of their own faces, but they often see hallucinations like monsters, archetypical faces, faces of relatives and deceased, and animals. In this research, patients with depression were compared to healthy controls with respect to strange-face apparitions. The experiment was a 7-minute mirror-gazing test (MGT) under low illumination. When the MGT ended, the experimenter assessed patients and controls with a specifically designed questionnaire and interviewed them, asking them to describe strange-face apparitions. Apparitions of strange faces in the mirror were very reduced in depression patients compared to healthy controls. Depression patients compared to healthy controls showed shorter duration of apparitions; minor number of strange faces; lower self-evaluation rating of apparition strength; lower self-evaluation rating of provoked emotion. These decreases in depression may be produced by deficits of facial expression and facial recognition of emotions, which are involved in the relationship between the patient (or the patient's ego) and his face image (or the patient's bodily self) that is reflected in the mirror.

Strange-face illusions during inter-subjective gazing.

In normal observers, gazing at one's own face in the mirror for a few minutes, at a low illumination level, triggers the perception of strange faces, a new visual illusion that has been named 'strange-face in the mirror'. Individuals see huge distortions of their own faces, but they often see monstrous beings, archetypal faces, faces of relatives and deceased, and animals. In the experiment described here, strange-face illusions were perceived when two individuals, in a dimly lit room, gazed at each other in the face. Inter-subjective gazing compared to mirror-gazing produced a higher number of different strange-faces. Inter-subjective strange-face illusions were always dissociative of the subject's self and supported moderate feeling of their reality, indicating a temporary lost of self-agency. Unconscious synchronization of event-related responses to illusions was found between members in some pairs. Synchrony of illusions may indicate that unconscious response-coordination is caused by the illusion-conjunction of crossed dissociative strange-faces, which are perceived as projections into each other's visual face of reciprocal embodied representations within the pair. Inter-subjective strange-face illusions may be explained by the subject's embodied representations (somaesthetic, kinaesthetic and motor facial pattern) and the other's visual face binding. Unconscious facial mimicry may promote inter-subjective illusion-conjunction, then unconscious joint-action and response-coordination.

Apparitional experiences of new faces and dissociation of self-identity during mirror gazing.

Apparitional experiences during mirror gazing were studied. Under low levels of illumination, individuals gazed at their own reflected faces in a mirror for a duration of 10 min. Face illumination was relatively uniform, via a nonvisible light source. After about a minute of mirror gazing, individuals reported perceiving strange faces--archetypical and often unknown, human or animal, living or departed parents with traits changed, and fantastical monstrous beings--instead of their own faces in the mirror. During these apparitions, the observers reported feeling that a strange person was watching them from within or beyond the mirror, while the observer maintained consciousness of himself looking at the strange "other." Three psychophysical experiments were conducted on 42 naive normal individuals. At an illumination of the face around 0.8 lux, the mean frequency of apparitions was 1.8 min x (-1) and mean duration was 7 sec. per apparition. At higher illumination, the frequency of apparitional experiences decreased while the duration of mirror gazing needed for the phenomenon to occur increased. This effect may be termed "conscious dissociation of self-identity" to distinguish it from pathological unconscious dissociative identity disorder.

Things That Go Bump in the Literature: An Environmental Appraisal of "Haunted Houses".

This paper contains a narrative overview of the past 20-years of environmental research on anomalous experiences attributed to "haunted house." This exercise served as a much-needed update to an anthology of noteworthy overviews on ghosts, haunts, and poltergeists (Houran and Lange, 2001b). We also considered whether new studies had incorporated certain recommendations made in this anthology. Our search revealed a relative paucity of studies (n = 66) on environmental factors that ostensibly stimulate haunt-type experiences. This literature was diverse and often lacked methodological consistency and adherence to the prior suggestions. However, critical consideration of the content revealed a recurring focus on six ambient variables: embedded (static) cues, lighting levels, air quality, temperature, infrasound, and electromagnetic fields. Their relation to the onset or structure of witness reports showed mostly null, though sometimes inconsistent or weak outcomes. However, such research as related to haunts is arguably in its infancy and new designs are needed to account better for environmental and architectural phenomenology. Future studies should therefore address four areas: (i) more consistent and precise measurements of discrete ambient variables; (ii) the potential role of "Gestalt influences" that involve holistic environment-person interactions; (iii) individual differences in attentional or perceptual sensitivities of percipients to environmental variables; and (iv) the role of attitudinal and normative influences in the interpretation of environmental stimuli. Focused scrutiny on these issues should clarify the explanatory power of evolutionary-environmental models for these and related anomalous experiences.

Strange-face Illusions During Interpersonal-Gazing and Personality Differences of Spirituality.

Strange-face illusions are produced when two individuals gaze at each other in the eyes in low illumination for more than a few minutes. Usually, the members of the dyad perceive numinous apparitions, like the other's face deformations and perception of a stranger or a monster in place of the other, and feel a short lasting dissociation. In the present experiment, the influence of the spirituality personality trait on strength and number of strange-face illusions was investigated. Thirty participants were preliminarily tested for superstition (Paranormal Belief Scale, PBS) and spirituality (Spiritual Transcendence Scale, STS); then, they were randomly assigned to 15 dyads. Dyads performed the intersubjective gazing task for 10 minutes and, finally, strange-face illusions (measured through the Strange-Face Questionnaire, SFQ) were evaluated. The first finding was that SFQ was independent of PBS; hence, strange-face illusions during intersubjective gazing are authentically perceptual, hallucination-like phenomena, and not due to superstition. The second finding was that SFQ depended on the spiritual-universality scale of STS (a belief in the unitive nature of life; e.g., "there is a higher plane of consciousness or spirituality that binds all people") and the two variables were negatively correlated. Thus, strange-face illusions, in particular monstrous apparitions, could potentially disrupt binding among human beings. Strange-face illusions can be considered as 'projections' of the subject's unconscious into the other's face. In conclusion, intersubjective gazing at low illumination can be a tool for conscious integration of unconscious 'shadows of the Self' in order to reach completeness of the Self.

Dissociation and hallucinations in dyads engaged through interpersonal gazing.

Interpersonal gazing in dyads, when the two individuals in the dyad stare at each other in the eyes, is investigated in 20 healthy young individuals at low illumination for 10-min. Results indicate dissociative symptoms, dysmorphic face perceptions, and hallucination-like strange-face apparitions. Dissociative symptoms and face dysmorphia were correlated. Strange-face apparitions were non-correlated with dissociation and dysmorphia. These results indicate that dissociative symptoms and hallucinatory phenomena during interpersonal-gazing under low illumination can involve different processes. Strange-face apparitions may characterize the rebound to "reality" (perceptual reality caused by external stimulus and hallucinatory reality caused by internal input) from a dissociative state induced by sensory deprivation. These phenomena may explain psychodynamic projections of the subject's unconscious meanings into the other's face. The results indicate that interpersonal gazing in dyads can be an effective tool for studying experimentally-induced dissociative symptoms and hallucinatory-like apparitions.

Strange-face-in-the-mirror illusion and schizotypy during adolescence.

Patients with schizophrenia can sometimes report strange face illusions when staring at themselves in the mirror; such experiences have been conceptualized as anomalous self-experiences that can be experienced with a varying degree of depersonalization. During adolescence, anomalous self-experiences can also be indicative of increased risk to develop schizophrenia-spectrum disorders. To date however, the Mirror-Gazing test (MGT), an experimentally validated experiment to evaluate the propensity of strange face illusions in nonclinical and clinical adults, has yet to be investigated in an adolescent sample. The first goal of the present study was to examine experimentally induced self-face illusions in a nonclinical sample of adolescents, using the MGT. The second goal was to investigate whether dimensions of adolescent trait schizotypy were differentially related to phenomena arising during the MGT. One hundred and ten community adolescents (59 male) aged from 12 to 19 years (mean age = 16.31, SD age = 1.77) completed the MGT and Schizotypal Personality Questionnaire. The results yielded 4 types of strange face illusions; 2 types of illusions (slight change of light/color [20%] and own face deformation [45.5%]) lacked depersonalization-like phenomena (no identity change), while 2 other types (vision of other identity [27.3%], and vision of non-human identity [7.3%]) contained clear depersonalization-like phenomena. Furthermore, the disorganization dimension of schizotypy associated negatively with time of first illusion (first press), and positively with frequency of illusions during the MGT. Statistically significant differences on positive and disorganized schizotypy were found when comparing groups on the basis of degree of depersonalization-like phenomena (from slight color changes to non-human visions). Similarly to experimentally induced self-face illusions in patients with schizophrenia, such illusions in a group of nonclinical adolescents present significant associations to schizotypy dimensions.

Archetypal-imaging and mirror-gazing.

Mirrors have been studied by cognitive psychology in order to understand self-recognition, self-identity, and self-consciousness. Moreover, the relevance of mirrors in spirituality, magic and arts may also suggest that mirrors can be symbols of unconscious contents. Carl G. Jung investigated mirrors in relation to the unconscious, particularly in Psychology and Alchemy. However, the relationship between the conscious behavior in front of a mirror and the unconscious meaning of mirrors has not been clarified. Recently, empirical research found that gazing at one's own face in the mirror for a few minutes, at a low illumination level, produces the perception of bodily dysmorphic illusions of strange-faces. Healthy observers usually describe huge distortions of their own faces, monstrous beings, prototypical faces, faces of relatives and deceased, and faces of animals. In the psychiatric population, some schizophrenics show a dramatic increase of strange-face illusions. They can also describe the perception of multiple-others that fill the mirror surface surrounding their strange-face. Schizophrenics are usually convinced that strange-face illusions are truly real and identify themselves with strange-face illusions, diversely from healthy individuals who never identify with them. On the contrary, most patients with major depression do not perceive strange-face illusions, or they perceive very faint changes of their immobile faces in the mirror, like death statues. Strange-face illusions may be the psychodynamic projection of the subject's unconscious archetypal contents into the mirror image. Therefore, strange-face illusions might provide both an ecological setting and an experimental technique for "imaging of the unconscious". Future researches have been proposed.

Visual perception during mirror gazing at one's own face in schizophrenia.

BACKGROUND: In normal observers gazing at one's own face in the mirror for some minutes, at a low illumination level, triggers the perception of strange faces, a new perceptual illusion that has been named 'strange-face in the mirror'. Subjects see distortions of their own faces, but often they see monsters, archetypical faces, faces of dead relatives, and of animals. METHODS: We designed this study to primarily compare strange-face apparitions in response to mirror gazing in patients with schizophrenia and healthy controls. The study included 16 patients with schizophrenia and 21 healthy controls. In this paper we administered a 7 minute mirror gazing test (MGT). Before the mirror gazing session, all subjects underwent assessment with the Cardiff Anomalous Perception Scale (CAPS). When the 7minute MGT ended, the experimenter assessed patients and controls with a specifically designed questionnaire and interviewed them, asking them to describe strange-face perceptions. RESULTS: Apparitions of strange-faces in the mirror were significantly more intense in schizophrenic patients than in controls. All the following variables were higher in patients than in healthy controls: frequency (p<.005) and cumulative duration of apparitions (p<.009), number and types of strange-faces (p<.002), self-evaluation scores on Likert-type scales of apparition strength (p<.03) and of reality of apparitions (p<.001). In schizophrenic patients, these Likert-type scales showed correlations (p<.05) with CAPS total scores. CONCLUSIONS: These results suggest that the increase of strange-face apparitions in schizophrenia can be produced by ego dysfunction, by body dysmorphic disorder and by misattribution of self-agency. MGT may help in completing the standard assessment of patients with schizophrenia, independently of hallucinatory psychopathology.