Posts tagged prosopagnosia

Prosopagnosia (face blindness) may be temporarily improved following inhalation of the hormone oxytocin.

This is the finding of research led by Dr Sarah Bate and Dr Rachel Bennetts of the Centre for Face Processing Disorders at Bournemouth University that will be presented today, Friday 6 September, at the British Psychological Society’s Joint Cognitive and Developmental annual conference at the University of Reading.

Dr Bate explained: “Prosopagnosia is characterised by a severe impairment in face recognition, whereby a person cannot identify the faces of their family or friends, or even their own face”

The researchers tested twenty adults (10 with prosopagnosia and 10 control participants). Each participant visited the laboratory on two occasions, approximately two weeks apart. On one visit they inhaled the oxytocin nasal spray, and on the other visit they inhaled the placebo spray. The two sprays were prepared by an external pharmaceutical company in identical bottles, and neither the participants nor the researchers knew the identity of the sprays until the data had been analysed.

Regardless of which spray the person inhaled, the testing sessions had an identical format. Participants inhaled the spray, then sat quietly for 45 minutes to allow the spray to take effect. They then participated in two face processing tests: one testing their ability to remember faces and the other testing their ability to match faces of the same identity.

The researchers found that the participants with prosopagnosia achieved higher scores on both face processing tests in the oxytocin condition. Interestingly, no improvement was observed in the control participants, suggesting the hormone may be more effective in those with impaired face recognition systems.

The initial ten participants with prosopagnosia had a developmental form of the condition. Individuals with developmental prosopagnosia have never experienced brain damage, and this form of face blindness is thought to be very common, affecting one in 50 people. Much more rarely, people can acquire prosopagnosia following a brain injury. At a later date, the researchers had the opportunity to test one person with acquired prosopagnosia, and also observed a large improvement following oxytocin inhalation in this individual.

Dr Bate said: “This study provides the first evidence that oxytocin may be used to temporarily improve face recognition in people with either developmental or acquired prosopagnosia. The effects of the hormone are thought to last 2-3 hours, and it may be that the nasal spray can be used to improve face recognition on a special occasion. However, much more research needs to be carried out, as we don’t currently know whether there are benefits or risks associated with longer-term inhalation of the hormone.”

(Source: alphagalileo.org)

"I’ve been in a crowded elevator with mirrors all around, and a woman will move and I’ll go to get out the way and then realise: ‘oh that woman is me’."

Heather Sellers has prosopagnosia, more commonly known as face blindness. “I can’t remember any image of the human face. It’s simply not special to me,” she says. “I don’t process them like I do a car or a dog. It’s not a visual problem, it’s a perception problem.”

Heather knew from a young age that something was different about the way she navigated her world, but her condition wasn’t diagnosed until she was in her 30s. “I always knew something was wrong – it was impossible for me to trust my perceptions of the world. I was diagnosed as anxious. My parents thought I was crazy.”

The condition is estimated to affect around 2.5 per cent of the population, and it’s common for those who have it not to realise that anything is wrong. “In many ways it’s a subtle disorder,” says Heather. “It’s easy for your brain to compensate because there are so many other things you can use to identify a person: hair colour, gait or certain clothes. But meet that person out of context and it’s socially devastating.”

As a child, she was once separated from her mum at a grocery store. Store staff reunited the pair, but it was confusing for Heather, since she didn’t initially recognise her mother. “But I didn’t know that I wasn’t recognising her.”

Chaos explained

Heather was 36 when she stumbled across the phrase face blindness in a psychology textbook. “When I saw those two words I knew instantly that was exactly what I had – that explained all the chaos.”

She found her way to Harvard neuroscientist Brad Duchaine who diagnosed her as having one of the three worst cases of the disorder that he had ever seen.

So what’s it like to not recognise anyone you know? Heather says the biggest difficulty with the disorder is recognising people who she is close to – the people that are most important to recognise. In the school where she teaches English she is fine, because she recognises people by their clothes or hair and asks her students to wear name badges.

But it can be harder in social settings. Once she went up to the wrong person at a party and put her arm around him thinking he was her partner. And at college men would phone her angry that she had walked straight past them after they had had a date. “At the time I was thinking ‘I didn’t see you, why is everyone making my life so difficult?’”

It’s not just other people Heather doesn’t recognise – she can’t identify her own face either. “A few times I have been in a crowded elevator with mirrors all around and a woman will move, and I will go to get out the way and then realise ‘oh that woman is me’.” She also finds it unsettling to see photos and not recognise herself in them.

Face processing

To try and understand the condition, Duchaine and his colleagues recorded brain activity while 12 people with prosopagnosia looked at famous and non-famous faces. The team found that part of the brain responsible for stored visual memory was activated in six people when they saw the famous faces.

But another component of brain activity thought to represent a later stage of face processing wasn’t triggered. “Some part of their brain was recognising the face,” says Duchaine, but the brain was failing to pass this information into higher-level consciousness (Brain).

"There may be training where we give people feedback and say ‘look you recognise that face even though you’re not aware of it’," says Duchaine.

Now Zaira Cattaneo at the University of Milano-Bicocca in Italy and colleagues have identified the specific brain areas that allow us to recognise our friends. The team used transcranial magnetic stimulation to block two vital aspects of face processing in people without prosopagnosia. Targeting the left prefrontal cortex blocked the ability to distinguish individual features like the nose and eyes, and blocking the right prefrontal cortex impaired the ability to distinguish the location of those features from one another (NeuroImage).

"We made performance worse," says Cattaneo. "We want to make it better." Now the team are trying to activate these areas of the brain. "The aim is to enhance face recognition abilities by directly modulating excitability in the prefrontal cortices," says Cattaneo.

Would Heather want a cure, should one be found? “I can’t imagine what you see when you see a face, and it’s scary,” she says. “I go back and forth on what I’d do. I’ve done so much work in figuring out how to chart my world, I’d need to do a whole new rewrite. But it would be fascinating.”

Article Date: 03 Feb 2012 - 0:00 PST

For Bradley Duchaine, there is definitely more than meets the eye where faces are concerned.

With colleagues at Birkbeck College in the University of London, he is investigating the process of facial recognition, seeking to understand the complexity of what is actually taking place in the brain when one person looks at another.

His studies target people who display an inability to recognize faces, a condition long known as prosopagnosia. Duchaine is trying to understand the neural basis of the condition while also make inferences about what is going wrong in terms of information processing - where in the stages that our brains go through to recognize a face is the system breaking down. A paper published in Brain details the most recent experimental results.

“We refer to prosopagnosia as a ‘selective’ deficit of face recognition, in that other cognitive process do not seem to be affected,” explains Duchaine, an associate professor of psychological and brain sciences. “[People with the condition] might be able to recognize voices perfectly, which demonstrates that it is really a visual problem. In what we call pure cases, people can recognize cars perfectly, and they can recognize houses perfectly. It is just faces that are a problem.”

The condition may be acquired as the result of a stroke, for example. But in the recent study, Duchaine focused on developmental prosopagnosia, in which a person fails to develop facial recognition abilities.

“Other parts of the brain develop apparently normally,” Duchaine says. “These are intelligent people who have good jobs and get along fine but they can’t recognize faces.”

The primary experimental tool in this experiment was the electroencephalogram (EEG), which has the advantage of providing excellent temporal resolution - pinpointing the timing of the brain’s electrical response to a given stimulus.

Duchaine and his colleagues placed a series of electrodes around the scalps of prosopagnosics and showed them images of famous faces and non-famous faces, recording their responses. As expected, many of the famous faces were not recognized.

They found an electrical response at about 250 milliseconds (ms) after seeing the faces. Among the control group of non-prosopagnosics, a real difference was observed between their responses to famous and non-famous faces. In half the prosopagnosics there was not. Surprisingly, however, in the other half of the prosopagnosic test subjects they did find a difference.

“On the many trials where half failed to categorize a famous face as familiar, they nevertheless showed an EEG difference around 250ms after stimulus presentation between famous and non-famous faces like normal subjects do. Normal subjects also show a difference between famous and non-famous about 600ms after presentation, but the prosopagnosics did not show this difference,” Duchaine observes.

This pattern of results suggests the prosopagnosics unconsciously recognized the famous faces at an early stage (250ms) but this information was lost by the later stage (600ms). Duchaine concludes that even though they are not consciously aware that this is a famous face, some part of their brain at this stage in the process is aware and is recognizing that face, a phenomenon termed covert face recognition.

He suggests that the other half of the prosopagnosics, who showed no difference between responses at 250ms, were experiencing a malfunction in their face processing system already at this early stage suggesting a different type of prosopagnosia.

“The temporal lobe contains a number of face processing areas, so you can imagine there are many different ways that this system can malfunction. Not only can an area not work, connections between areas might not work yielding probably dozens of these different variants of this condition,” he surmises.

Covert recognition has been demonstrated in prosopagnosia acquired through brain damage, but Duchaine’s work is the first convincing demonstration of covert recognition in developmental prosopagnosia, the much more common form. 

Source: Medical News Today

February 1st, 2012 in Psychology & Psychiatry 

These are examples of famous faces and non-famous faces used in Bradley Duchaine’s prosopagnosia experiment. Paired famous and non-famous faces are shown in corresponding positions. Credit: Bradley Duchaine

For Bradley Duchaine, there is definitely more than meets the eye where faces are concerned.

With colleagues at Birkbeck College in the University of London, he is investigating the process of facial recognition, seeking to understand the complexity of what is actually taking place in the brain when one person looks at another.

His studies target people who display an inability to recognize faces, a condition long known as prosopagnosia. Duchaine is trying to understand the neural basis of the condition while also make inferences about what is going wrong in terms of information processing-where in the stages that our brains go through to recognize a face is the system breaking down. A paper published in Brain details the most recent experimental results.

"We refer to prosopagnosia as a ‘selective’ deficit of face recognition, in that other cognitive process do not seem to be affected," explains Duchaine, an associate professor of psychological and brain sciences. "[People with the condition] might be able to recognize voices perfectly, which demonstrates that it is really a visual problem. In what we call pure cases, people can recognize cars perfectly, and they can recognize houses perfectly. It is just faces that are a problem."

The condition may be acquired as the result of a stroke, for example. But in the recent study, Duchaine focused on developmental prosopagnosia, in which a person fails to develop facial recognition abilities.

"Other parts of the brain develop apparently normally," Duchaine says. "These are intelligent people who have good jobs and get along fine but they can’t recognize faces."

The primary experimental tool in this experiment was the electroencephalogram (EEG), which has the advantage of providing excellent temporal resolution-pinpointing the timing of the brain’s electrical response to a given stimulus.

Duchaine and his colleagues placed a series of electrodes around the scalps of prosopagnosics and showed them images of famous faces and non-famous faces, recording their responses. As expected, many of the famous faces were not recognized.

They found an electrical response at about 250 milliseconds (ms) after seeing the faces. Among the control group of non-prosopagnosics, a real difference was observed between their responses to famous and non-famous faces. In half the prosopagnosics there was not. Surprisingly, however, in the other half of the prosopagnosic test subjects they did find a difference.

"On the many trials where half failed to categorize a famous face as familiar, they nevertheless showed an EEG difference around 250ms after stimulus presentation between famous and non-famous faces like normal subjects do. Normal subjects also show a difference between famous and non-famous about 600ms after presentation, but the prosopagnosics did not show this difference," Duchaine observes.

This pattern of results suggests the prosopagnosics unconsciously recognized the famous faces at an early stage (250ms) but this information was lost by the later stage (600ms). Duchaine concludes that even though they are not consciously aware that this is a famous face, some part of their brain at this stage in the process is aware and is recognizing that face, a phenomenon termed covert face recognition.

He suggests that the other half of the prosopagnosics, who showed no difference between responses at 250ms, were experiencing a malfunction in their face processing system already at this early stage suggesting a different type of prosopagnosia.

"The temporal lobe contains a number of face processing areas, so you can imagine there are many different ways that this system can malfunction. Not only can an area not work, connections between areas might not work yielding probably dozens of these different variants of this condition," he surmises.

Covert recognition has been demonstrated in prosopagnosia acquired through brain damage, but Duchaine’s work is the first convincing demonstration of covert recognition in developmental prosopagnosia, the much more common form.

Provided by Dartmouth College

"Just another pretty face: Professor investigates neural basis of prosopagnosia." February 1st, 2012. http://medicalxpress.com/news/2012-02-pretty-professor-neural-basis-prosopagnosia.html