Treatment Approaches for Altered Facial Expression: A Systematic Review in Facioscapulohumeral Muscular Dystrophy and Other Neurological Diseases.

Background: Facial weakness is a key feature of facioscapulohumeral muscular dystrophy (FSHD) and may lead to altered facial expression and subsequent psychosocial impairment. There is no cure and supportive treatments focus on optimizing physical fitness and compensation of functional disabilities. Objective: We hypothesize that symptomatic treatment options and psychosocial interventions for other neurological diseases with altered facial expression could be applicable to FSHD. Therefore, the aim of this review is to collect symptomatic treatment approaches that target facial muscle function and psychosocial interventions in various neurological diseases with altered facial expression in order to discuss the applicability to FSHD. Methods: A systematic search was performed. Selected studies had to include FSHD, Bell's palsy, Moebius syndrome, myotonic dystrophy type 1, or Parkinson's disease and treatment options which target altered facial expression. Data was extracted for study and patients' characteristics, outcome assessment tools, treatment, outcome of facial expression and or psychosocial functioning. Results: Forty studies met the inclusion criteria, of which only three studies included FSHD patients exclusively. Most, twenty-one, studies were performed in patients with Bell's palsy. Studies included twelve different therapy categories and results were assessed with different outcomes measures. Conclusions: Five therapy categories were considered applicable to FSHD: training of (non-verbal) communication compensation strategies, speech training, physical therapy, conference attendance, and smile restoration surgery. Further research is needed to establish the effect of these therapies in FSHD. We recommend to include outcome measures in these studies that cover at least cosmetic, functional, communication, and quality of life domains.

Social anxiety is associated with personal distress and disrupted recognition of negative emotions.

Past research investigating the relation between social anxiety (SA), empathy and emotion recognition is marked by conceptual and methodological issues. In the present study, we aim to overcome these limitations by examining whether individuals with high (n = 40) vs. low (n = 43) social anxiety differed across these two facets of empathy and whether this could be related to their recognition of emotions. We employed a naturalistic emotion recognition paradigm in which participants watched short videos of individuals (targets) sharing authentic emotional experiences. After each video, we measured self-reported empathic concern and distress, as well as their ability to recognize the emotions expressed by the targets in the videos. Our results show that individuals with high social anxiety recognized the targets' emotions less accurately. Furthermore, high socially anxious individuals reported more personal distress than low socially anxious individuals, whereas no significant difference was found for empathic concern. The findings suggest that reduced recognition of emotions among SA individuals can be better explained by the negative effects of social stress than by a general deficit in empathy.

Existential threat and responses to emotional displays of ingroup and outgroup members.

The present research investigates how emotional displays shape reactions to ingroup and outgroup members when people are reminded of death. We hypothesized that under mortality salience, emotions that signal social distance promote worldview defense (i.e., increased ingroup favoritism and outgroup derogation), whereas emotions that signal affiliation promote affiliation need (i.e., reduced ingroup favoritism and outgroup derogation). In three studies, participants viewed emotional displays of ingroup and/or outgroup members after a mortality salience or control manipulation. Results revealed that under mortality salience, anger increased ingroup favoritism and outgroup derogation (Study 1), enhanced perceived overlap with the ingroup (Study 3), and increased positive facial behavior to ingroup displays-measured via the Facial Action Coding System (Studies 1 and 2) and electromyography of the zygomaticus major muscle (Study 3). In contrast, happiness decreased ingroup favoritism and outgroup derogation (Study 2), and increased positive facial behavior towards outgroup members (Study 3). The findings suggest that, in times of threat, emotional displays can determine whether people move away from unfamiliar others or try to form as many friendly relations as possible.

Display rules differ between positive emotions: Not all that feels good looks good.

People do not always show how they feel; norms often dictate when to display emotions and to whom. Norms about emotional expressions-known as display rules-are weaker for happiness than for negative emotions, suggesting that expressing positive emotions is generally seen as acceptable. But does it follow that all positive emotions can always be shown to everyone? To answer this question, we mapped out context-specific display rules for 8 positive emotions: gratitude, admiration, interest, relief, amusement, feeling moved, sensory pleasure, and triumph. In four studies with participants from five countries (n = 1,181), two consistent findings emerged. First, display rules differed between positive emotions. Weaker display rules were found for gratitude, interest, and amusement, whereas stronger display rules were found for sensory pleasure, feeling moved, and to some degree triumph. Second, contextual features-such as expresser location and perceiver relationship-both substantially influenced display rules for positive emotions, with perceiver relationship having a greater impact on display rules than expresser location. Our findings demonstrate that some positive emotions are less acceptable to express than others and highlight the central role of context in influencing display rules even for emotions that feel good. In so doing, we provide the first map of expression norms for specific positive emotions. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Emotional mimicry as social regulator: theoretical considerations.

The goal of this article is to discuss theoretical arguments concerning the idea that emotional mimicry is an intrinsic part of our social being and thus can be considered a social act. For this, we will first present the theoretical assumptions underlying the Emotional Mimicry as Social Regulator view. We then provide a brief overview of recent developments in emotional mimicry research and specifically discuss new developments regarding the role of emotional mimicry in actual interactions and relationships, and individual differences in emotional mimicry. We conclude with open questions for future research.

"You're just envious": Inferring benign and malicious envy from facial expressions and contextual information.

Envy shapes social hierarchies. To protect their rank, envied persons react to the threat posed by enviers. Doing so requires that envied persons initially perceive who envies them. However, a common perspective is that envy lacks a unique expression and that enviers disguise their experience, preventing the social perception of envy. In contrast to this perspective, recent evidence indicates that observers perceive benign and malicious forms of envy accurately when they can integrate information about targets. These findings suggest that observers infer envy based on multiple, contextual cues. We hypothesized that observers infer envy from facial and bodily expressions in comparison situations. Specifically, observers should infer benign envy when a target, who encounters an advantaged person, turns with disappointment toward the advantage. Conversely, observers should infer malicious envy when the target turns with anger toward the advantaged person. Three preregistered studies tested these hypotheses (total N = 693). In Studies 1 and 2, targets turned with an emotional or neutral expression either toward a person silhouette or a valuable object, and participants rated targets' envy. In Study 3, participants performed the same task with more realistic stimuli. Across studies, emotional display and head turning had independent effects on inferences of benign and malicious envy. Furthermore, observers inferred envy more when the target expressed an emotion instead of remaining neutral. We discuss how the results inform research on the social perception of envy. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Recognition of Emotion from Verbal and Nonverbal Expressions and Its Relation to Effective Communication: A Preliminary Evidence of a Positive Link.

Previous work has shown that emotion recognition is positively related to effective social interactions, but the mechanism underlying this relationship has remained largely unclear. Here, we examined the possibility that people who understand others' emotions also talk to them using similar language. In the current study participants (N = 106) listened to emotional stories people shared from their own lives. They were later asked to recognize the storytellers' feelings and finally provide written support messages. Perceivers' ability to accurately recognize others' feelings was assessed using the Emotional Accuracy Test (EAT), which uses naturalistic verbal and nonverbal emotional cues, and using two standard tests of nonverbal emotion recognition (GERT, RMET). The language of the expressor (target) was compared to the language of the supporter (participant) to quantify Language Style Matching, a proxy for effective communication. People who perform better in emotion recognition with verbal cues (EAT) also communicate their understanding and support using language similar to the expresser (r = .22, p = .02). This relation was insignificant for tests without verbal information (RMET, GERT). The result provides additional construct validation for the EAT and supports the view that understanding the emotions of others and communicating with them are two manifestations of a broader interpersonal skill.

Anxious and Angry: Emotional Responses to the COVID-19 Threat.

The current coronavirus disease 2019 (COVID-19) pandemic elicits a vast amount of anxiety. In the current study, we investigated how anxiety related to COVID-19 is associated with support for and compliance with governmental hygiene measures, and how these are influenced by populist attitudes, anger at the government, and conspiracy mentalities. We conducted an online survey in April 2020 in four different countries (Germany, the Netherlands, Spain, and the UK; N = 2,031) using a cross-sectional design. Results showed that (1) anxiety related to COVID-19 is associated with conspiracy beliefs, anger at the government, and populist attitudes, and (2) support for and compliance with hygiene measures are both positively predicted by anxiety related to COVID-19; however, (3) support for hygiene measures is also predicted by populist attitudes and negatively by conspiracy mentalities, whereas compliance with hygiene measures is more strongly predicted by anger at transgressors (anger at people transgressing the hygiene measures). Consequently, although anxiety related to COVID-19 concerns the health of individual people, it also has political and social implications: anxiety is associated with an increase in anger, either at transgressors or the government.

Emotion Recognition from Realistic Dynamic Emotional Expressions Cohere with Established Emotion Recognition Tests: A Proof-of-Concept Validation of the Emotional Accuracy Test.

Individual differences in understanding other people's emotions have typically been studied with recognition tests using prototypical emotional expressions. These tests have been criticized for the use of posed, prototypical displays, raising the question of whether such tests tell us anything about the ability to understand spontaneous, non-prototypical emotional expressions. Here, we employ the Emotional Accuracy Test (EAT), which uses natural emotional expressions and defines the recognition as the match between the emotion ratings of a target and a perceiver. In two preregistered studies (Ntotal = 231), we compared the performance on the EAT with two well-established tests of emotion recognition ability: the Geneva Emotion Recognition Test (GERT) and the Reading the Mind in the Eyes Test (RMET). We found significant overlap (r > 0.20) between individuals' performance in recognizing spontaneous emotions in naturalistic settings (EAT) and posed (or enacted) non-verbal measures of emotion recognition (GERT, RMET), even when controlling for individual differences in verbal IQ. On average, however, participants reported enjoying the EAT more than the other tasks. Thus, the current research provides a proof-of-concept validation of the EAT as a useful measure for testing the understanding of others' emotions, a crucial feature of emotional intelligence. Further, our findings indicate that emotion recognition tests using prototypical expressions are valid proxies for measuring the understanding of others' emotions in more realistic everyday contexts.

Interpreting Emotions From Women With Covered Faces: A Comparison Between a Middle Eastern and Western-European Sample.

While new regulations obligate or recommend people to wear medical masks at public places to prevent further spread of the Covid-19 virus, there are still open questions as to what face coverage does to social emotional communication. Previous research on the effects of wearing veils or face-covering niqabs showed that covering of the mouth led to the attribution of negative emotions and to the perception of less intense positive emotions. The current study compares a sample from the Netherlands with a sample from the United Arab Emirates on their perception of emotions from faces covered by a niqab, censoring black bars, or uncovered faces. The results show that covering the mouth area leads to greater anxiety in participants in both countries. Furthermore, although participants did not report greater decoding difficulties for faces that were covered as compared to fully visible, results show that face coverage did influence emotion perception. Specifically, happiness and anger were perceived as being less intense. Further, face coverage by a niqab, as compared to black bars, yielded lower emotional intensity ratings. We conclude that face coverage in particular can modulate the perception of emotions, but that affective contextual cues may play a role as well.

Personal Nonverbal Repertoires in facial displays and their relation to individual differences in social and emotional styles.

ABSTRACTResearch on individual differences in the occurrence of relatively frequent facial displays is scarce. We examined whether (1) individuals' spontaneous facial expressions show a relatively frequent pattern of AUs (referred to as Personal Nonverbal Repertoires or PNRs), and (2) whether these patterns are associated with self-reported social and emotional styles. We videotaped 110 individuals during 10 minutes in 2 different contexts and manually FACS coded 18 AUs. Subsequently, participants completed questionnaires regarding individual differences in social and emotional styles: BIS/BAS, interpersonal orientation, conflict handling style, and emotion regulation (reliably reduced to 4 factors: Yielding, Forcing, Compromising and Extraversion). We found five patterns of PNRs: Smiling (AU6,12), Partial Blinking, Drooping (AU41, 63), Tensed (AU1 + 2, 4, 7, 23), and Eyes widening (AU5). Three PNRs showed weak to moderate correlations with individual differences in social and emotional styles (based on EFA): Smiling is associated with Compromising and Extraversion, Drooping with Yielding, and Partial Blinking is negatively correlated with Extraversion. These findings suggest that some of an individual's frequent facial action patterns are associated with specific styles in social and emotional interactions.

Different faces of empathy: Feelings of similarity disrupt recognition of negative emotions.

Empathizing with others is widely presumed to increase our understanding of their emotions. Little is known, however, about which empathic process actually help people recognize others' feelings more accurately. Here, we probed the relationship between emotion recognition and two empathic processes: spontaneously felt similarity (having had a similar experience) and deliberate perspective taking (focus on the other vs. oneself). We report four studies in which participants (total N = 803) watched videos of targets sharing genuine negative emotional experiences. Participants' multi-scalar ratings of the targets' emotions were compared with the targets' own emotion ratings. In Study 1 we found that having had a similar experience to what the target was sharing was associated with lower recognition of the target's emotions. Study 2 replicated the same pattern and in addition showed that making participants' own imagined reaction to the described event salient resulted in further reduced accuracy. Studies 3 and 4 were preregistered replications and extensions of Studies 1 and 2, in which we observed the same outcome using a different stimulus set, indicating the robustness of the finding. Moreover, Study 4 directly investigated the underlying mechanism of the observed effect. Findings showed that perceivers who have had a negative life experience similar to the emotional event described in the video felt greater personal distress after watching the video, which in part explained their reduced accuracy. These results provide the first demonstration that spontaneous empathy, evoked by similarity in negative experiences, may inhibit rather than increase our understanding of others' emotions.

Toward an Integrative Psychometric Model of Emotions.

Emotions are part and parcel of the human condition, but their nature is debated. Three broad classes of theories about the nature of emotions can be distinguished: affect-program theories, constructionist theories, and appraisal theories. Integrating these broad classes of theories into a unifying theory is challenging. An integrative psychometric model of emotions can inform such a theory because psychometric models are intertwined with theoretical perspectives about constructs. To identify an integrative psychometric model, we delineate properties of emotions stated by emotion theories and investigate whether psychometric models account for these properties. Specifically, an integrative psychometric model of emotions should allow (a) identifying distinct emotions (central in affect-program theories), (b) between- and within-person variations of emotions (central in constructionist theories), and (c) causal relationships between emotion components (central in appraisal theories). Evidence suggests that the popular reflective and formative latent variable models-in which emotions are conceptualized as unobservable causes or consequences of emotion components-cannot account for all properties. Conversely, a psychometric network model-in which emotions are conceptualized as systems of causally interacting emotion components-accounts for all properties. The psychometric network model thus constitutes an integrative psychometric model of emotions, facilitating progress toward a unifying theory.

Two facets of affective empathy: concern and distress have opposite relationships to emotion recognition.

Theories on empathy have argued that feeling empathy for others is related to accurate recognition of their emotions. Previous research that tested this assumption, however, has reported inconsistent findings. We suggest that this inconsistency may be due to a lack of consideration of the fact that empathy has two facets: empathic concern, namely the compassion for unfortunate others, and personal distress, the experience of discomfort in response to others' distress. We test the hypothesis that empathic concern is positively related to emotion recognition, whereas personal distress is negatively related to emotion recognition. Individual tendencies to respond with concern or distress were measured with the standard IRI (Interpersonal Reactivity Index) self-report questionnaire. Emotion recognition performance was assessed with three standard tests of nonverbal emotion recognition. Across two studies (total N = 431) anddifferent emotion recognition tests, we found that these two facets of affective empathy have opposite relations to recognition of facial expressions of emotions: empathic concern was positively related, while personal distress was negatively related, to accurate emotion recognition. These findings fit with existing motivational models of empathy, suggesting that empathic concern and personal distress have opposing impacts on the likelihood that empathy makes one a better emotion observer.

Good vibrations: A review of vocal expressions of positive emotions.

Researchers examining nonverbal communication of emotions are becoming increasingly interested in differentiations between different positive emotional states like interest, relief, and pride. But despite the importance of the voice in communicating emotion in general and positive emotion in particular, there is to date no systematic review of what characterizes vocal expressions of different positive emotions. Furthermore, integration and synthesis of current findings are lacking. In this review, we comprehensively review studies (N = 108) investigating acoustic features relating to specific positive emotions in speech prosody and nonverbal vocalizations. We find that happy voices are generally loud with considerable variability in loudness, have high and variable pitch, and are high in the first two formant frequencies. When specific positive emotions are directly compared with each other, pitch mean, loudness mean, and speech rate differ across positive emotions, with patterns mapping onto clusters of emotions, so-called emotion families. For instance, pitch is higher for epistemological emotions (amusement, interest, relief), moderate for savouring emotions (contentment and pleasure), and lower for a prosocial emotion (admiration). Some, but not all, of the differences in acoustic patterns also map on to differences in arousal levels. We end by pointing to limitations in extant work and making concrete proposals for future research on positive emotions in the voice.

Teachers' multicultural attitudes and perspective taking abilities as factors in culturally responsive teaching.

BACKGROUND: Culturally responsive teaching (CRT) has been associated with increased student engagement and achievement. Its practice in classrooms, however, has been shown to be less than optimal. Nonetheless, certain teacher qualities have been suggested to facilitate its practice. AIMS: The current study sought quantitative evidence in support of two of these teacher qualities, namely teachers' multicultural attitudes, and their perspective taking abilities. By identifying the strength of the suggested relationships, we aimed to examine the generalizability of previous findings in the literature and inform teachers' professional development and interventions. SAMPLE: A total of 143 primary school teachers from different parts of the Netherlands responded to our online survey. METHODS: We conducted a multivariate multiple regression analysis to investigate the relationship between these qualities and teachers' engagement in two separate but related components of CRT (i.e., socially sensitive and culturally sensitive teaching). RESULTS: Results of our analysis yielded significant relationships between the two teacher qualities and the frequency with which teachers engage in socially and culturally sensitive teaching. Perspective taking was a stronger predictor for both aspects of CRT. CONCLUSION: These findings signal the significance of incorporating especially perspective taking experiences and exercises into teacher education and professional development programmes, which could benefit all students regardless of their backgrounds. Our results are promising as these qualities are malleable and thus can be improved.

How Well Can We Assess Our Ability to Understand Others' Feelings? Beliefs About Taking Others' Perspectives and Actual Understanding of Others' Emotions.

People vary in their beliefs about their tendency to engage in perspective taking and to understand other's feelings. Often, however, those beliefs are suggested to be poor indicators of actual skills and thus provide an inaccurate reflection of performance. Few studies, however, have examined whether people's beliefs accurately predict their performance on emotion recognition tasks using dynamic or spontaneous emotional expressions. We report six studies (N ranges from 186 to 315; N total = 1,347) testing whether individuals' report of their engagement in perspective taking, as measured by the Interpersonal Reactivity Index (IRI; Davis, 1983), is associated with accurate emotion recognition. In Studies 1-3, emotion recognition performance was assessed using three standard tests of nonverbal emotion recognition. To provide a more naturalistic test, we then assessed performance with a new emotion recognition test in Studies 4-6, using videos of real targets that share their emotional experiences. Participants' multi-scalar ratings of the targets' emotions were compared with the targets' own emotion ratings. Across all studies, we found a modest, yet significant positive relationship: people who believe that they take the other's perspective also perform better in tests of emotion recognition (r = 0.20, p < 0.001). Beliefs about taking others' perspective thus reflect interpersonal reality, but only partially.

The Relationship of Gender Roles and Beliefs to Crying in an International Sample.

This study aimed to (1) investigate the variation in self ascription to gender roles and attitudes toward gender roles across countries and its associations with crying behaviors, emotion change, and beliefs about crying and (2) understand how the presence of others affects our evaluations of emotion following crying. This was a large international survey design study (N = 893) conducted in Australia, Croatia, the Netherlands, Thailand, and the United Kingdom. Analyses revealed that, across countries, gender, self-ascribed gender roles, and gender role attitudes (GRA) were related to behavioral crying responses, but not related to emotion change following crying. How a person evaluates crying, instead, appeared to be highly related to one's beliefs about the helpfulness of crying, irrespective of gender. Results regarding crying when others were present showed that people are more likely both to cry and to feel that they received help around a person that they know, compared to a stranger. Furthermore, closeness to persons present during crying did not affect whether help was provided. When a crier reported that they were helped, they also tended to report feeling better following crying than those who cried around others but did not receive help. Few cross-country differences emerged, suggesting that a person's responses to crying are quite consistent among the countries investigated here, with regard to its relationship with a person's gender role, crying beliefs, and reactions to the presence of others.

The role of oxytocin in the facial mimicry of affiliative vs. non-affiliative emotions.

The present paper builds upon a growing body of work documenting oxytocin's role in social functioning, to test whether this hormone facilitates spontaneous mimicry of others' emotional expressions. In a double-blind, randomized trial, adult Caucasian males (n = 145) received a nasal spray of either oxytocin or placebo before completing a facial mimicry task. Facial expressions were coded using automated face analysis. Oxytocin increased mimicry of facial features of sadness (lips and chin, but not areas around the eyes), an affiliative reaction that facilitates social bonding. Oxytocin also increased mimicry of happiness, but only for individuals who expressed low levels of happiness in response to neutral faces. Overall, participants did not reliably mimic expressions of fear and anger, echoing recent theoretical accounts of emotional mimicry as dependent on the social context. In sum, our findings suggest that oxytocin facilitates emotional mimicry in ways that are conducive to affiliation, pointing to a possible pathway through which oxytocin promotes social bonding.