EXPRESS: Prosopagnosia is highly comorbid in individuals with probable developmental coordination disorder (DCD).

Developmental co-ordination disorder (DCD) is characterised by difficulties in motor control and coordination from early childhood. While problems processing facial identity are often associated with neurodevelopmental conditions, such issues have never been directly tested in adults with DCD. We tested this possibility through a range of tasks, and assessed the prevalence of developmental prosopagnosia (i.e., lifelong difficulties with faces), in a group comprising individuals who self-reported a diagnosis of, or suspected that they had, DCD. Strikingly, we found 53% of this probable DCD group met recently recommended criteria for a diagnosis of prosopagnosia, with 22% acquiring a diagnosis using traditional cognitive task-based methods. Moreover, their problems with faces were apparent on both unfamiliar and familiar face memory tests, as well as on a facial perception task (i.e., could they tell faces apart). Positive correlations were found between self-report measures assessing movement and coordination problems, and objective difficulties on experimental face identity processing tasks, suggesting widespread neurocognitive disruption in DCD. Importantly, issues in identity processing in our probable DCD group remained even after excluding participants with comorbid conditions traditionally associated with difficulties in face recognition, i.e., autism and dyslexia. We recommend that any diagnostic test for DCD should include an assessment for prosopagnosia. Given the high prevalence of prosopagnosia in our probable DCD group, and the positive correlations between DCD and prosopagnosia symptoms, there may be a stronger link between movement and facial identity abilities than previously thought.

Improving the DSM-5 approach to cognitive impairment: Developmental prosopagnosia reveals the need for tailored diagnoses.

The Diagnostic Statistical Manual of Mental Disorders (DSM-5) recommends diagnosing neurocognitive disorders (i.e., cognitive impairment) when a patient scores beyond - 1 SD below neurotypical norms on two tests. I review how this approach will fail due to cognitive tests' power limitations, validity issues, imperfect reliabilities, and biases, before summarizing their resulting negative consequences. As a proof of concept, I use developmental prosopagnosia, a condition characterized by difficulties recognizing faces, to show the DSM-5 only diagnoses 62-70% (n1 = 61, n2 = 165) versus 100% (n1 = 61) through symptoms alone. Pooling the DSM-5 missed cases confirmed the presence of group-level impairments on objective tests, which were further evidenced through meta-analyses, thus validating their highly atypical symptoms. These findings support a paradigm shift towards bespoke diagnostic approaches for distinct cognitive impairments, including a symptom-based method when validated effective. I reject dogmatic adherence to the DSM-5 approach to neurocognitive disorders, and underscore the importance of a data driven, transdiagnostic approach to understanding patients' subjective cognitive impairments. This will ultimately benefit patients, their families, clinicians, and scientific progress.

Other ethnicity effects in ensemble coding of facial expressions.

Cultural difference in ensemble emotion perception is an important research question, providing insights into the complexity of human cognition and social interaction. Here, we conducted two experiments to investigate how emotion perception would be affected by other ethnicity effects and ensemble coding. In Experiment 1, two groups of Asian and Caucasian participants were tasked with assessing the average emotion of faces from their ethnic group, other ethnic group, and mixed ethnicity groups. Results revealed that participants exhibited relatively accurate yet amplified emotion perception of their group faces, with a tendency to overestimate the weight of the faces from the other ethnic group. In Experiment 2, Asian participants were instructed to discern the emotion of a target face surrounded by faces from Caucasian and Asian faces. Results corroborated earlier findings, indicating that while participants accurately perceived emotions in faces of their ethnicity, their perception of Caucasian faces was noticeably influenced by the presence of surrounding Asian faces. These findings collectively support the notion that the other ethnicity effect stems from differential emotional amplification inherent in ensemble coding of emotion perception.

Are alcohol-related attentional biases and holistic perception independent processes?

Excessive alcohol consumption is associated with the development of attentional biases for alcohol-related cues and their prioritization in heavy drinkers. Recently, it has been hypothesized that holistic processing may also play a role in this prioritization, with higher alcohol consumers exhibiting stronger holistic perception for alcohol cues. However, it is unclear how processing stimuli holistically may be related to attentional biases. We explored potential relationships between attentional biases, holistic processing, and alcohol consumption in a sample of drinkers using two tasks. In the first, a visual probe task replicated previous findings by showing an increased attentional bias for alcohol-related stimuli in individuals with higher alcohol consumption. Surprisingly, using an inversion paradigm to measure holistic perception in our second task, we showed reduced holistic processing for both alcohol and nonalcohol cues in higher alcohol consumers compared to light alcohol consumers. Although alcohol consumption was positively associated with attentional biases and negatively associated with holistic processing, these cognitive processes were not associated with each other. This study supports a model of visual perception in which attentional biases and holistic processing are independently linked with alcohol use. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Cognitive strengths in neurodevelopmental disorders, conditions and differences: A critical review.

Neurodevelopmental disorders are traditionally characterised by a range of associated cognitive impairments in, for example, sensory processing, facial recognition, visual imagery, attention, and coordination. In this critical review, we propose a major reframing, highlighting the variety of unique cognitive strengths that people with neurodevelopmental differences can exhibit. These include enhanced visual perception, strong spatial, auditory, and semantic memory, superior empathy and theory of mind, along with higher levels of divergent thinking. Whilst we acknowledge the heterogeneity of cognitive profiles in neurodevelopmental conditions, we present a more encouraging and affirmative perspective of these groups, contrasting with the predominant, deficit-based position prevalent throughout both cognitive and neuropsychological research. In addition, we provide a theoretical basis and rationale for these cognitive strengths, arguing for the critical role of hereditability, behavioural adaptation, neuronal-recycling, and we draw on psychopharmacological and social explanations. We present a table of potential strengths across conditions and invite researchers to systematically investigate these in their future work. This should help reduce the stigma around neurodiversity, instead promoting greater social inclusion and significant societal benefits.

Alcohol Use Predicts Face Perception Impairments and Difficulties in Face Recognition.

Background: Risky alcohol use is related to a variety of cognitive impairments, including memory and visuo-perceptual difficulties. Remarkably, no prior work has assessed whether usage of alcohol can predict difficulties perceiving facial identity. Objectives: Therefore, this study aimed to investigate whether riskier alcohol consumption predicted impairments in face perception and self-reported difficulties in face recognition. Results: Participants (N = 239, male = 77) were over 18 years old and had normal or corrected-to-normal vision. Alcohol use was assessed using the Alcohol Use Disorder Identification Test (AUDIT), while face recognition difficulties were determined by the 20-item Prosopagnosia Index questionnaire (PI20). A subsample of participants (N = 126, male = 51) completed the Cambridge Face Perception task (CFPT) to assess their face perception ability. Multiple linear regressions showed significant models of prediction on both face perception and face recognition when considering AUDIT score and age as predictors. Conclusion: This study suggested, for the first time, that risky alcohol use predicts both poorer visuo-perceptual processing for faces and self-reported difficulties in face recognition.

A new approach to diagnosing and researching developmental prosopagnosia: Excluded cases are impaired too.

Developmental prosopagnosia is characterized by severe, lifelong difficulties when recognizing facial identity. Unfortunately, the most common diagnostic assessment (Cambridge Face Memory Test) misses 50-65% of individuals who believe that they have this condition. This results in such excluded cases' absence from scientific knowledge, effect sizes of impairment potentially overestimated, treatment efficacy underrated, and may elicit in them a negative experience of research. To estimate their symptomology and group-level impairments in face processing, we recruited a large cohort who believes that they have prosopagnosia. Matching prior reports, 56% did not meet criteria on the Cambridge Face Memory Test. However, the severity of their prosopagnosia symptoms and holistic perception deficits were comparable to those who did meet criteria. Excluded cases also exhibited face perception and memory impairments that were roughly one standard deviation below neurotypical norms, indicating the presence of objective problems. As the prosopagnosia index correctly classified virtually every case, we propose it should be the primary method for providing a diagnosis, prior to subtype categorization. We present researchers with a plan on how they can analyze these excluded prosopagnosia cases in their future work without negatively impacting their traditional findings. We anticipate such inclusion will enhance scientific knowledge, more accurately estimate effect sizes of impairments and treatments, and identify commonalities and distinctions between these different forms of prosopagnosia. Owing to their atypicalities in visual perception, we recommend that the prosopagnosia index should be used to screen out potential prosopagnosia cases from broader vision research.

Face processing predicts reading ability: Evidence from prosopagnosia.

There is considerable interest in whether face and word processing are reliant upon shared or dissociable processes. Developmental prosopagnosia is associated with lifelong face processing deficits, with these cases providing strong support for a dissociation between face and word recognition in three recent papers (Burns et al., 2017; Rubino et al., 2016; Starrfelt et al., 2018). However, the sample sizes in each of these studies may have been too small to detect significant effects. We therefore combined their data to increase power and reassessed their results. While only a non-significant trend for reading impairments was found in prosopagnosia using a one-sample t-test, poorer face memory performance was correlated with slower reading speeds across prosopagnosia and control participants. Surprisingly, poorer face perception skills in prosopagnosia were associated with smaller word length effects. This suggests that while mild reading impairments exist in developmental prosopagnosia, there may be a trade-off between their residual face perception abilities and reading skill. A reanalysis of Hills and colleagues' (2015) acquired prosopagnosia data also revealed a positive relationship between words and faces: severe impairments in face recognition were related to poorer word processing. In summary, the developmental and acquired prosopagnosia literature supports models of visual perception that posit face and word processing are reliant upon broadly shared processes.

Do individual differences in face recognition ability moderate the other ethnicity effect?

Individuals are better at recognizing faces from their own ethnic group compared with other ethnicity faces-the other-ethnicity effect (OEE). This finding is said to reflect differences in experience and familiarity to faces from other ethnicities relative to faces corresponding with the viewers' ethnicity. However, own-ethnicity face recognition performance ranges considerably within a population, from very poor to extremely good. In addition, within-population recognition performance on other-ethnicity faces can also vary considerably with some individuals being classed as "other ethnicity face blind" (Wan et al., 2017). Despite evidence for considerable variation in performance within population for faces of both types, it is currently unclear whether the magnitude of the OEE changes as a function of this variability. By recruiting large-scale multinational samples, we investigated the size of the OEE across the full range of own and other ethnicity face performance while considering measures of social contact. We find that the magnitude of the OEE is remarkably consistent across all levels of within-population own- and other-ethnicity face recognition ability, and this pattern was unaffected by social contact measures. These findings suggest that the OEE is a persistent feature of face recognition performance, with consequences for models built around very poor, and very good face recognizers. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Friend effects framework: Contrastive and hierarchical processing in cheerleader effects.

Cheerleader effects, group attractiveness effects, and divisive normalization are all characterized by faces appearing more attractive when seen within a group. However, it is possible that your friends could have a detrimental effect upon your attractiveness too: if these group effects arose partly as a contrastive process between your face and your friends, then highly attractive friends may diminish your attractiveness. We confirm this hypothesis across two experiments by showing that the presence of highly attractive friends can indeed make you appear less attractive (i.e., a reverse cheerleader effect), suggesting friend effects are driven in part by a contrastive process against the group. However, these effects are also influenced by your own attractiveness in a fashion that appears consistent with hierarchical encoding, where less attractive targets benefit more from being viewed in an increasingly unattractive group than attractive targets. Our final experiment demonstrates that the company of others not only alters our attractiveness, but also induces shifts in how average or distinctive a target face appears too, with these averageness effects associated with the friend effects observed in our first experiment. We present a Friend Effects Framework within which 'friend effects' is an umbrella term for the positive (e.g., cheerleader effects, group attractiveness effects) and negative (i.e., the reverse cheerleader effect) ways in which hierarchical encoding, group contrastive effects, and other influences of friends can have on your attractiveness.

Alcohol usage predicts holistic perception: A novel method for exploring addiction.

Holistic perception is a special form of automatic and experience dependent processing that prioritises objects of interest through the visual system. We therefore speculated that higher levels of alcohol consumption may be associated with enhanced holistic perception for alcohol cues. In our first experiment, we confirmed this hypothesis by showing that increasing regular alcohol usage was associated with greater holistic perception of alcohol, but not non-alcohol, cues. We replicated this finding in a second experiment, but confirmed drink-specific holistic perception for lager cues was not predicted by experience with that drink, but general alcohol usage. In our final experiment when alcohol images were absent from the task, higher levels of alcohol consumption predicted decreased holistic perception for non-rewarding cues. Alcohol use is therefore linked to inverse alterations in holistic perception for alcohol versus non-alcohol cues, with the latter's effects context dependent. We hypothesise that such inverse relationships may be due to limited cortical resources becoming reutilised for alcohol cues at the expense of other stimuli. Future work will be required to determine holistic perception's role in maintaining addiction, its predictive value in successful abstinence, and its relationship with characteristics of addiction such as cue reactivity, attentional biases and personality traits.

P-curving the fusiform face area: Meta-analyses support the expertise hypothesis.

Psychologists have debated whether the right fusiform face area's (FFA) responses are domain specific to faces, or domain general for certain object categories that we have visual expertise with. This latter domain general expertise account has been criticised for basing its assumptions upon studies that suffer from small participant numbers, small effects, and statistically significant p-values that are close to .05. An additional criticism is that these findings are difficult to replicate. A modern reader familiar with the replication crisis may therefore question whether the FFA's expertise effect is real. The p-curve is a relatively new form of meta-analysis that enables researchers to identify whether there is evidential value for any given effect in the literature. We put the literature to the test by running p-curve analyses on all published expertise studies. Contrary to aforementioned criticisms, our meta-analyses confirm the right FFA's expertise effect is based upon evidential value. We therefore review the broader literature to address additional criticisms of the expertise account and propose ways to improve replicability.

Ensemble statistics shape face adaptation and the cheerleader effect.

When confronted with a scene of emotional faces, our brains automatically average the individual facial expressions together to create the gist of the collective emotion. Here, we tested whether this ensemble averaging could also occur for facial attractiveness, and in turn shape 2 related face perception phenomena: adaptation and the cheerleader effect. In our first 2 experiments, we showed that adaptation aftereffects could indeed be shaped by ensemble statistics; viewing an increasingly unattractive group of faces conversely increased attractiveness judgments for a subsequently presented face. Not only did group adaptation aftereffects occur, but their effects were equivalent to those observed from the morphed average face of the group, suggesting that the visual system had averaged the group together. In our last 2 experiments, we showed that viewing a target face in an increasingly unattractive group led to the target being perceived as increasingly more attractive: a "cheerleader" effect. Moreover, our results suggest that this cheerleader effect likely comprises of both a social positive effect and a contrastive process, requiring variance between the surrounding and target faces; that is, the visual system appeared incapable of boosting a target's attractiveness when all of the faces in the scene were identical. Furthermore, the mean group attractiveness ratings strongly predicted both the cheerleader effect and adaptation aftereffects, with the latter 2 also interrelated. This suggests that ensemble statistics is the common underlying process linking each of these phenomena. To be perceived as beautiful, being surrounded by unattractive friends may help. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

The limits of super recognition: An other-ethnicity effect in individuals with extraordinary face recognition skills.

In the last decade there has been increasing interest in super-recognizers, who have an extraordinary ability to recognize faces. However, it has not yet been investigated whether these individuals are subject to the same biases in face recognition as typical perceivers. The most renowned constraint reported to date is the other-ethnicity effect, whereby people are better at recognizing faces from their own, compared with other, ethnicities. If super-recognizers also show this bias, it is possible that they are no better at other-ethnicity face recognition than typical native perceivers-a finding that would have important theoretical and practical implications. In the current study, eight Caucasian super-recognizers performed other-ethnicity tests of face memory and face matching. In Experiment 1, super-recognizers outperformed Caucasian but not Asian controls in their memory for Asian faces. In Experiment 2, a similar pattern emerged in some super-recognizers on a test of face matching. Finally, Experiment 3 examined the consistency of superior other-ethnicity face matching in relation to Caucasian controls, using Arab and Black faces. Only four super-recognizers consistently outperformed controls, and other-ethnicity matching performance was not related to Caucasian face-matching or own- or other-ethnicity face memory. These findings suggest that super-recognizers are subject to the same biases as typical perceivers, and are simply those at the top end of a common face recognition spectrum as opposed to a qualitatively different group of individuals. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Bilingualism shapes the other race effect.

It has recently been suggested that the other race effect (ORE), whereby own race faces are recognised better than those of other races, can be abolished by bilingualism.Bilingualism, however, is not a categorical variable but can vary dramatically in proficiency across the two languages. We therefore hypothesised that increasing bilingual proficiency should be associated with a diminishing ORE. To test this, we asked a group of bilingual Singaporean Chinese individuals to complete the Asian and Caucasian Cambridge Face Memory Tests. In contrast to recent work, our bilinguals did as a group exhibit an ORE, however, the magnitude of this effect decreased as reported cross-language proficiency increased; Chinese, rather than English, listening ability drove this association. This relationship persisted even when taking into account our participants' exposure to Caucasians, own race memory ability, age, and gender. Moreover, we discounted the possibility that bilingualism merely reflected participants' underlying intelligence. Increasing auditory bilingualism thus diminishes perceptual narrowing for faces. We propose that other race recognition ability reflects the base level of intrinsic, domain specific face memory, whereas the distance in recognition performance between own and other race faces is comprised of a domain general process related to stimulus individuation. Finally, our results have serious implications for how we can interpret prior research investigating the ORE, and culture's influence on visual perception, due to the confounding influence of bilingualism.

Impaired processing of facial happiness, with or without awareness, in developmental prosopagnosia.

Developmental prosopagnosia (DP) is associated with severe, lifelong deficits in face recognition, with such cases often cited as support for a dissociation between the processing of facial identity and emotion. Here we examine the evidence against this dissociation and propose that the processing of facial happiness, either with or without awareness, is actually integrated within the same neural network involved in facial identity recognition. We also test this hypothesis on a group of DP cases and neurotypical controls (NT) by adapting them to expressionless neutral faces, intact happy faces and hybrid faces. Despite these hybrid faces being explicitly identified as expressionless due to their higher spatial frequencies taken from a neutral face, their low spatial frequencies convey happy facial expressions that participants are unaware of. After adaptation, participants were asked to judge the facial expressions of face stimuli that were morphed incrementally in varying degrees of sad through to happy. Both groups exhibited emotion adaptation aftereffects to the intact happy faces, although this effect was smaller in DP. Whereas NT produced emotion adaptation aftereffects without awareness of the happy emotion in the hybrid faces; as a group, those with DP did not. Furthermore, our DP cases also exhibited deficits in judging the emotion of the happiest morphed test faces. Our results indicate that the processing of happy facial expressions, with or without awareness, is likely integrated within the face recognition network. We hypothesise that the previously identified abnormalities in the fusiform gyrus in those with DP is the most likely structure responsible for these deficits.

Intact word processing in developmental prosopagnosia.

A wealth of evidence from behavioural, neuropsychological and neuroimaging research supports the view that face recognition is reliant upon a domain-specific network that does not process words. In contrast, the recent many-to-many model of visual recognition posits that brain areas involved in word and face recognition are functionally integrated. Developmental prosopagnosia (DP) is characterised by severe deficits in the recognition of faces, which the many-to-many model predicts should negatively affect word recognition. Alternatively, domain-specific accounts suggest that impairments in face and word processing need not go hand in hand. To test these possibilities, we ran a battery of 7 tasks examining word processing in a group of DP cases and controls. One of our prosopagnosia cases exhibited a severe reading impairment with delayed response times during reading aloud tasks, but not lexical decision tasks. Overall, however, we found no evidence of global word processing deficits in DP, consistent with a dissociation account for face and word processing.