"Must try harder." Is effort and performance validity testing a necessary part of pediatric neuropsychological assessment?

Neuropsychological assessments results have significant implications for pediatric populations, based upon the assumption that the young person has adopted an effortful approach and has engaged in assessment. There is a commonly-accepted risk to assuming the validity of neuropsychological assessment results with adults, and, therefore, performance validity testing (PVT) has become a major topic of research and investigation and has become an accepted part of routine assessment. The same approach has not been adopted in assessment with children and a paucity of studies has focused on PVT in children. We review studies that demonstrate that children are equal to adults in their ability to use deception and that clinicians cannot detect false-effort without use of validity tests. We explore how frequently such tests are used and how well they work in assessment with children, and the limits, complexities, and constraints of adapting adult tests. We advocate that adequate performance validity testing is essential in order to maximize confidence in the results and we hypothesize that assessment with pediatric populations should take into account a range of influences, such as neuro-developmental factors associated with age of the child and suitability of proposed measures according to the evidence-base.

Young infants' visual fixation patterns in addition and subtraction tasks support an object tracking account.

Investigating infants' numerical ability is crucial to identifying the developmental origins of numeracy. Wynn (1992) claimed that 5-month-old infants understand addition and subtraction as indicated by longer looking at outcomes that violate numerical operations (i.e., 1+1=1 and 2-1=2). However, Wynn's claim was contentious, with others suggesting that her results might reflect a familiarity preference for the initial array or that they could be explained in terms of object tracking. To cast light on this controversy, Wynn's conditions were replicated with conventional looking time supplemented with eye-tracker data. In the incorrect outcome of 2 in a subtraction event (2-1=2), infants looked selectively at the incorrectly present object, a finding that is not predicted by an initial array preference account or a symbolic numerical account but that is consistent with a perceptual object tracking account. It appears that young infants can track at least one object over occlusion, and this may form the precursor of numerical ability.

Limits of Object Persistence: Young Infants Perceive Continuity of Vertical and Horizontal Trajectories, But Not 45-Degree Oblique Trajectories.

Previous research indicated that 4-month-old infants perceive continuity of objects moving on horizontal trajectories but appear to have difficulty processing occlusion events involving oblique trajectories. However, because perception of continuity of vertical trajectories has not been tested, it is uncertain whether this indicates a specific deficit for oblique trajectories or a specific advantage for horizontal trajectories. We evaluated the contribution of trajectory orientation and the form of occlusion in three experiments with one hundred and forty-four 4-month-olds. Infants perceived continuity of horizontal and vertical trajectories under all conditions presented. However, they did not perceive continuity of an oblique (45°) trajectory under any condition. Thus, 4-month-olds appear unable to process continuity of a 45° trajectory. In a fourth experiment with forty-eight 6- and 8-month-old infants, we demonstrated that by 6 months, infants' difficulty with oblique trajectories is overcome. We suggest that young infants' difficulty with markedly oblique trajectories likely relates to immature eye movement control.

Perception of occlusion by young infants: Must the occlusion event be congruent with the occluder?

Four-month-old infants perceive continuity of an object's trajectory through occlusion, even when the occluder is illusory, and several cues are apparently needed for young infants to perceive a veridical occlusion event. In this paper we investigated the effects of dislocating the spatial relation between the occlusion events and the visible edges of the occluder. In two experiments testing 60 participants, we demonstrated that 4-month-olds do not perceive continuity of an object's trajectory across an occlusion if the deletion and accretion events are spatially displaced relative to the occluder edges (Experiment 1) or if deletion and accretion occur along a linear boundary that is incorrectly oriented relative to the occluder's edges (Experiment 2). Thus congruence of these cues is apparently important for perception of veridical occlusion. These results are discussed in relation to an account of the development of perception of occlusion and object persistence.

Own- and other-race face identity recognition in children: the effects of pose and feature composition.

We used a matching-to-sample task and manipulated facial pose and feature composition to examine the other-race effect (ORE) in face identity recognition between 5 and 10 years of age. Overall, the present findings provide a genuine measure of own- and other-race face identity recognition in children that is independent of photographic and image processing. The current study also confirms the presence of an ORE in children as young as 5 years of age using a recognition paradigm that is sensitive to their developing cognitive abilities. In addition, the present findings show that with age, increasing experience with familiar classes of own-race faces and further lack of experience with unfamiliar classes of other-race faces serves to maintain the ORE between 5 and 10 years of age rather than exacerbate the effect. All age groups also showed a differential effect of stimulus facial pose in their recognition of the internal regions of own- and other-race faces. Own-race inner faces were remembered best when three-quarter poses were used during familiarization and frontal poses were used during the recognition test. In contrast, other-race inner faces were remembered best when frontal poses were used during familiarization and three-quarter poses were used during the recognition test. Thus, children encode and/or retrieve own- and other-race faces from memory in qualitatively different ways.

Are Faces Special to Infants? An Investigation of Configural and Featural Processing for the Upper and Lower Regions of Houses in 3- to 7-month-olds.

Three- to 7-month-olds were administered a house version of the Face Dimensions Test in which the featural and configural information of the upper and lower windows were systematically varied. The Dimensions Test has previously been used to study the processing of face features and their configurations by infants (Quinn & Tanaka, 2009). Just as was the case with faces, infants were shown to be sensitive to configural change in the upper and lower regions and to featural change in the upper region, but not to featural change in the lower region. The outcomes reflect either a face processing system that can generalize broadly to stimuli that are as different from faces as houses or a more general processing system with perceptual operations that can apply to both faces and houses.

Developmental Origins of the Other-Race Effect.

The other-race effect (ORE) in face recognition refers to better recognition memory for faces of one's own race than faces of another race-a common phenomenon among individuals living in primarily mono-racial societies. In this article, we review findings suggesting that early visual and sociocultural experiences shape one's processing of familiar and unfamiliar race classes and give rise to the ORE within the 1st year of life. However, despite its early development, the ORE can be prevented, attenuated, and even reversed given experience with a novel race class. Social implications of the ORE are discussed in relation to development of race-based preferences for social partners and racial prejudices.

Development of Recognition of Face Parts from Unfamiliar Faces.

The present study examined developmental changes in the ability to recognize face parts. In Experiment 1, participants were familiarized with whole faces and given a recognition test with old and new eyes, noses, mouths, inner faces, outer faces, or whole faces. Adults were above chance in their recognition of the eye and mouth regions. However, children did not naturally encode and recognize face parts independently of the entire face. In addition, all age groups showed comparable inner and outer face recognition, except for 8- to 9-year-olds who showed a recognition advantage for outer faces. In Experiment 2, when participants were familiarized with eyes, noses, or mouths and tested with eyes, noses, or mouths, respectively, all ages showed above-chance recognition of eyes and mouths. Thirteen- to 14-year-olds were adult-like in their recognition of the eye region, but mouth recognition continued to develop beyond 14 years of age. Nose recognition was above chance among 13- to 14-year-olds, but recognition scores remained low even in adulthood. The present findings reveal unique developmental trajectories in the use of isolated facial regions in face recognition and suggest that featural cues (as a class) have a different ontogenetic course relative to holistic and configural cues.

Nine-month-old infants prefer unattractive bodies over attractive bodies.

Infant responses to adult-defined unattractive male body shapes versus attractive male body shapes were assessed using visual preference and habituation procedures. Looking behavior indicated that 9-month-olds have a preference for unattractive male body shapes over attractive ones; however, this preference is demonstrated only when head information is obscured. In contrast, 6- and 3.5-month-olds did not show a preference for unattractive or attractive bodies. The 6-month-olds discriminated between the two categories, whereas the 3.5-month-olds did not. Because unattractive body shapes are more common than attractive/athletic body shapes in our everyday environment, a preference for unattractive body shapes at 9 months of age suggests that preferences for particular human body shapes reflect level of exposure and familiarity rather than culturally defined stereotypes of body attractiveness.

Trajectory perception and object continuity: effects of shape and color change on 4-month-olds' perception of object identity.

Previous work has demonstrated that infants use object trajectory continuity as a cue to the constant identity of an object, but results are equivocal regarding the role of object features, with some work suggesting that a change in the appearance of an object does not cue a change in identity. In an experiment involving 72 participants, we investigated the effects of changing object shape and color, singly and in combination, on 4-month-olds' perception of object continuity. A change in the shape of an object while it passed behind an occluder had no effect on perception of continuity, whereas a change in shape and color led to perception of discontinuity, and a change in color led to no clear percept regarding continuity or discontinuity. These results are discussed in terms of a perceptual learning model of development of object identity.

Young infants' perception of the trajectories of two- and three-dimensional objects.

We investigated oculomotor anticipations in 4-month-old infants as they viewed center-occluded object trajectories. In two experiments, we examined performance in two-dimensional (2D) and three-dimensional (3D) dynamic occlusion displays and in an additional 3D condition with a smiley face as the moving target stimulus. Rates of anticipatory eye movements were not facilitated by 3D displays or by the (presumably) more salient smiley face relative to the 2D condition. However, latencies of anticipations were reduced, implying that 3D visual information may have supported formation of more robust mental representations of the moving object. Results are interpreted in a context of perceptual constraints on developing cognitive capacities during early infancy.

Brief daily exposures to Asian females reverses perceptual narrowing for Asian faces in Caucasian infants.

Perceptual narrowing in the visual, auditory, and multisensory domains has its developmental origins during infancy. The current study shows that experimentally induced experience can reverse the effects of perceptual narrowing on infants' visual recognition memory of other-race faces. Caucasian 8- to 10-month-olds who could not discriminate between novel and familiarized Asian faces at the beginning of testing were given brief daily experience with Asian female faces in the experimental condition and Caucasian female faces in the control condition. At the end of 3 weeks, only infants who received daily experience with Asian females showed above-chance recognition of novel Asian female and male faces. Furthermore, infants in the experimental condition showed greater efficiency in learning novel Asian females compared with infants in the control condition. Thus, visual experience with a novel stimulus category can reverse the effects of perceptual narrowing during infancy via improved stimulus recognition and encoding.

The effects of auditory information on 4-month-old infants' perception of trajectory continuity.

Young infants perceive an object's trajectory as continuous across occlusion provided the temporal or spatial gap in perception is small. In 3 experiments involving 72 participants the authors investigated the effects of different forms of auditory information on 4-month-olds' perception of trajectory continuity. Provision of dynamic auditory information about the object's trajectory enhanced perception of trajectory continuity. However, a smaller positive effect was also obtained when the sound was continuous but provided no information about the object's location. Finally, providing discontinuous auditory information or auditory information that was dislocated relative to vision had negative effects on trajectory perception. These results are discussed relative to the intersensory redundancy hypothesis and emphasize the need to take an intersensory approach to infant perception.

Illusory contour figures are perceived as occluding contours by 4-month-old infants.

Although 4-month-olds perceive continuity of an object's trajectory through occlusion, little is known about the information specifying an occluding surface at this age. We investigated this in 3 experiments involving 84 participants. Testing the claim that 5-month-olds are unable to perceive the Kanizsa figure as an occluding surface (Csibra, 2001), we demonstrated that 4-month-olds perceived trajectory continuity behind this figure providing its horizontal extent was small. We demonstrated that the presence of visible occluding edges or occlusion of background was insufficient to specify an occluding surface but that their combination was sufficient. Thus, beyond object deletion and accretion, both visible occluding edges and occlusion of background are necessary for perception of occluding surfaces at this age.

Minimizing Skin Color Differences Does Not Eliminate the Own-Race Recognition Advantage in Infants.

An abundance of experience with own-race faces and limited to no experience with other-race faces has been associated with better recognition memory for own-race faces in infants, children, and adults. This study investigated the developmental origins of this other-race effect (ORE) by examining the role of a salient perceptual property of faces-that of skin color. Six- and 9-month-olds' recognition memory for own- and other-race faces was examined using infant-controlled habituation and visual-paired comparison at test. Infants were shown own- or other-race faces in color or with skin color cues minimized in grayscale images. Results for the color stimuli replicated previous findings that infants show an ORE in face recognition memory. Results for the grayscale stimuli showed that even when a salient perceptual cue to race, such as skin color information, is minimized, 6- to 9-month-olds, nonetheless, show an ORE in their face recognition memory. Infants' use of shape-based and configural cues for face recognition is discussed.

Development of face processing.

This article reviews the development of the face-processing system from birth, during infancy and through childhood, until it becomes the sophisticated system observed in adults. We begin by discussing the following major theoretical issues concerning the development of face expertise: (1) nature versus nurture or the role of experience in face processing, (2) level of processing (i.e., global, basic, subordinate, individual) and expertise, and (3) type of processing (i.e., holistic, configural, featural). This general overview will be followed by a closer examination of individual studies that investigate the development of face processing. These studies will include a review of (1) development of differential processing of faces and objects, (2) development of differential processing of faces of different species, (3) developmental changes in processing facial identity, and (4) developmental changes in the categorization of faces. Our review of the developmental literature reveals early competence in face-processing abilities with infants presenting a preference for face stimuli and facial discrimination using featural, configural, and holistic cues. This early competence is then later refined as evidenced by age-related changes throughout childhood. Some of the refinements are likely due to the development of general cognitive abilities, whereas some others may be face-specific. WIREs Cogni Sci 2011 2 666-675 DOI: 10.1002/wcs.146 This article is categorized under: Psychology > Development and Aging.

Perceptual training prevents the emergence of the other race effect during infancy.

Experience plays a crucial role in the development of the face processing system. At 6 months of age infants can discriminate individual faces from their own and other races. By 9 months of age this ability to process other-race faces is typically lost, due to minimal experience with other-race faces, and vast exposure to own-race faces, for which infants come to manifest expertise [1]. This is known as the Other Race Effect. In the current study, we demonstrate that exposing Caucasian infants to Chinese faces through perceptual training via picture books for a total of one hour between 6 and 9 months allows Caucasian infants to maintain the ability to discriminate Chinese faces at 9 months of age. The development of the processing of face race can be modified by training, highlighting the importance of early experience in shaping the face representation.

Two- to eight-month-old infants' perception of dynamic auditory-visual spatial colocation.

From birth, infants detect associations between the locations of static visual objects and sounds they emit, but there is limited evidence regarding their sensitivity to the dynamic equivalent when a sound-emitting object moves. In 4 experiments involving thirty-six 2-month-olds, forty-eight 5-month-olds, and forty-eight 8-month-olds, we investigated infants' ability to process this form of spatial colocation. Whereas there was no evidence of spontaneous sensitivity, all age groups detected a dynamic colocation during habituation and looked longer at test trials in which sound and sight were dislocated. Only 2-month-olds showed clear sensitivity to the dislocation relation, although 8-month-olds did so following additional habituation. These results are discussed relative to the intersensory redundancy hypothesis and work suggesting increasing specificity in processing with age.

Looking Across Domains to Understand Infant Representation of Emotion.

A comparison of the literatures on how infants represent generic object classes, gender and race information in faces, and emotional expressions reveals both common and distinctive developments in the three domains. In addition, the review indicates that some very basic questions remain to be answered regarding how infants represent facial displays of emotion, including (a) whether infants form category representations for discrete classes of emotion, when and how such representations come(b) to incorporate affective meaning, (c) the developmental trajectory for representation of emotional expression at different levels of inclusiveness (i.e., from broad to narrow or narrow to broad?), and (d) whether there is superior discrimination ability operating within more frequently experienced emotion categories.

The role of perceptual and cognitive processes in addition-subtraction studies with 5-month-old infants.

After a brief familiarization period to either one or two toys 5-month-olds gave a clear preference for perceptually novel displays, suggesting that replicable findings of greater looking at an unexpected arithmetic outcome in addition/subtraction experiments cannot easily be attributed to simple familiarity preferences.