Face recognition's practical relevance: Social bonds, not social butterflies.

Research on individual differences in face recognition has provided important foundational insights: their broad range, cognitive specificity, strong heritability, and resilience to change. Elusive, however, has been the key issue of practical relevance: do these individual differences correlate with aspects of life that go beyond the recognition of faces, per se? Though often assumed, especially in social realms, such correlates remain largely theoretical, without empirical support. Here, we investigate an array of potential social correlates of face recognition. We establish social relationship quality as a reproducible correlate. This link generalises across face recognition tasks and across independent samples. In contrast, we detect no robust association with the sheer quantity of social connections, whether measured directly via number of social contacts or indirectly via extraversion-related personality indices. These findings document the existence of a key social correlate of face recognition and provide some of the first evidence to support its practical relevance. At the same time, they challenge the naive assumption that face recognition relates equally to all social outcomes. In contrast, they suggest a focused link of face recognition to the quality, not quantity, of one's social connections.

Autistic traits are associated with differences in the perception of genuineness and approachability in emotional facial expressions, independently of alexithymia.

People with autism and higher levels of autistic traits often have difficulty interpreting facial emotion. Research has commonly investigated the association between autistic traits and expression labeling ability. Here, we investigated the association between two relatively understudied abilities, namely, judging whether expressions reflect genuine emotion, and using expressions to make social approach judgements, in a nonclinical sample of undergraduates at an Australian university (N = 149; data collected during 2018). Autistic traits were associated with more difficulty discriminating genuineness and less typical social approach judgements. Importantly, we also investigated whether these associations could be explained by the co-occurring personality trait alexithymia, which describes a difficulty interpreting one's own emotions. Alexithymia is hypothesized to be the source of many emotional difficulties experienced by autistic people and often accounts for expression labeling difficulties associated with autism and autistic traits. In contrast, the current results provided no evidence that alexithymia is associated with differences in genuineness discrimination and social approach judgements. Rather, differences varied as a function of individual differences in specific domains of autistic traits. More autistic-like social skills and communication predicted greater difficulty in genuineness discrimination, and more autistic-like social skills and attention to details and patterns predicted differences in approach judgements. These findings suggest that difficulties in these areas are likely to be better understood as features of the autism phenotype than of alexithymia. Finally, results highlight the importance of considering the authenticity of emotional expressions, with associations between differences in approach judgements being more pronounced for genuine emotional expressions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Acceptability of a cross-sectoral hospital pharmacist intervention for patients in transition between hospital and general practice: a mixed methods study.

Background and objective: Drug-related problems (DRPs) are often seen when a patient is transitioning from one healthcare sector to another, for example, when a patient moves from the hospital to a General Practice (GP) setting. This transition creates an opportunity for information on medication changes and follow-up plans to be lost. A cross-sectoral hospital pharmacist intervention was developed and pilot-tested in a large GP clinic. The intervention included medication history, medication reconciliation, medication review, follow-up telephone calls, identification of possible DRPs and communication with the GP. It is unknown whether the intervention is transferable to other GP clinics. The aim of the study was to explore similarities and differences between GP clinics in descriptive data and intervention acceptability. Methods: A convergent mixed methods study design was used. The intervention was tested in four GP clinics with differing characteristics. Quantitative data on the GP clinics, patients and pharmacist activities were collected. Qualitative data on the acceptability were collected through focus group interviews with general practitioners, nurses and pharmacists. The Theoretical Framework of Acceptability was used. Results: Overall, the intervention was found acceptable and relevant by all. There were differences between the GP clinics in terms of size, daily physician work form and their use of pharmacists for ad hoc tasks. There were similarities in patient characteristics across GP clinics. Therefore, the intervention was found equally relevant for all of the clinics. Shared employment with unique access to health records in both sectors was important in the identification and resolution of DRPs. Economy was a barrier for further implementation. Conclusions: The intervention was found acceptable and relevant by all; therefore, it was considered transferable to other GP clinics. Hospital pharmacists were perceived to be relevant healthcare professionals to be utilized in GP, in hospitals and in the cross-sectoral transition of patients.

Acceptability of a pharmacist activity for patients transitioning between hospital and general practice Why was the study done? Drug-related problems are often seen in patients transitioning across healthcare sectors. A pharmacist activity was developed and pilot-tested in a large General Practice (GP) clinic. It was unknown whether the activity was transferable to other GP clinics.The pharmacist activity included talking to the patients about their usual medication and adjustment of prescriptions accordingly. The pharmacist activity also included a review of their medications, a follow-up telephone call to the patients and communication with the GP in case of drug-related problems.The aim of the study was to test the activity in different GP clinics and to explore similarities and differences in descriptive data and acceptability. What did the researchers do? The activity was tested in four GP clinics within the same geographical area for three months.Descriptive data about the GP clinics, the patients and the pharmacist's activities performed were collected.Data about acceptability of the activity was collected through focus group interviews with general practitioners, nurses and hospital pharmacists.This qualitative data was combined with descriptive data to explore similarities and differences between GP clinics. What did the researchers find? Overall, the activity was found to be acceptable and relevant by all.There were differences between the GP clinics in terms of size, daily physician work form and their use of the pharmacist for ad hoc tasks.There were similarities in patients across GP clinics e.g. in terms of the number of medications or drug-related problems. The activity was found equally relevant for every clinic.Shared employment with access to health records in both sectors was important in the identification and resolution of drug-related problems. The pharmacist had the possibility to bring issues back and forth between the hospital and the GP clinic.Economy was a barrier for further implementation. What do the findings mean? The activity was found acceptable and relevant by all; therefore, it was considered transferable to other GP clinics.Hospital pharmacists were perceived to be relevant healthcare professionals to be utilised in GP, in hospitals and in the cross-sectoral transition of patients.

Clinic for Multimorbidity: An Innovative Approach to Integrate General Practice and Specialized Health Care Services.

Introduction: Caring for patients with multimorbidity in general practice is increasing in amount and complexity. To integrate care for patients with multimorbidity and to support general practitioners (GPs), the Clinic for Multimorbidity (CM) was established in 2012 at Silkeborg Regional Hospital, Denmark. This case study aims to describe the CM and the patients seen in it. Results: CM is an outpatient clinic that offers a comprehensive one-day assessment of the patient's complete health status and medication. GPs can refer patients with complex multimorbidity (≥2 chronic conditions). It involves collaboration across medical specialties and healthcare professions. The assessment is completed with a multidisciplinary conference and recommendation.In all, 141 patients were referred to the CM between May 2012 and November 2017. The median age was 70 years, 80% had more than five diagnoses, and in median patients had a usage of 11 drugs (IQI, 7-15). Physical and mental health was reported low (SF-12 score: 26 and 42). In median four specialties were involved and 4 examinations (IQI, 3-5) conducted. Conclusion: The CM offers innovative care by bridging and exceeding conventional boundaries of disciplines, professions, organizations, and primary and specialized care. The patients represented a very complex group, requiring many examinations and involvement of several specialists.

Developing and piloting a cross-sectoral hospital pharmacist intervention for patients in transition between hospital and general practice.

Background: Healthcare is challenged by a rapidly growing group of patients with multi-morbidity and polypharmacy. Increasing activity and specialization puts pressure on healthcare sectors. Medication errors in cross-sectoral transition of patients are often seen. The aim of the study was to explore drug-related problems (DRPs) in the transition of patients between sectors and to develop and pilot-test a cross-sectoral hospital pharmacist intervention to overcome some of these problems. Methods: DRPs in cross-sectoral transitions were explored from four perspectives; the literature, the primary and secondary healthcare sector and the patients. An intervention was developed from the findings through co-creation between pharmacists, doctors and a nurse. The intervention was piloted and evaluated from data on the included patients and the activities performed. Results: DRPs in transitions from general practice (GP) to hospital were caused by inadequate focus on updating the Shared Medication Record (SMR). For patients being discharged, DRPs were described with multiple facets; for example, missing information on medication changes, lacking patient involvement and problems with dose-dispensed medicine or electronic prescriptions. An intervention with a pharmacist in a shared employment between Hospital Pharmacy and GP was developed and piloted. The intervention included medication reconciliation and updating SMR for patients referred to hospital; and medication review, overview of medication changes and follow-up telephone calls for patients discharged from hospital. The intervention identified and solved several DRPs; in this way, medication errors were avoided. Access to health records in both sectors was important in the identification and resolution of DRPs. Conclusion: DRPs in cross-sectoral transitions are multifaceted and the experiences depend on the point of view. The cross-sectoral hospital pharmacist intervention identified and solved several DRPs and medication errors were avoided. The intervention made sense to both healthcare sectors and patients. Shared employment and unique access to health records in both sectors showed to be of importance in the identification and resolution of DRPs. Plain language summary: Development and pilot-test of a pharmacist intervention for patients in transition between hospital and general practice Background: Healthcare is challenged by a rapidly growing group of patients with multiple chronic diseases treated with several drugs at the same time. The aim of the study was to explore drug-related problems in the transition of patients between the hospital and patients' general practitioner and to develop and pilot-test a pharmacist intervention to overcome some of these problems.Methods: Drug-related problems in patient transitions were explored from the perspectives of the hospital, the general practitioner, the patients and the literature. An intervention was developed from the findings by pharmacists, doctors and a nurse. The intervention was pilot-tested and evaluated from the descriptions of the included patients and activities performed.Results: Drug-related problems in transitions from general practice to hospital were caused by inadequate focus on updating the Shared Medication Record.For patients being discharged, drug-related problems were related to for examplemissing information on medication changessparse involvement of the patient in their own treatmentproblems with medicine dispensed on a dose dispensing machine at the local pharmacy.An intervention with a pharmacist in a shared employment between Hospital Pharmacy and general practice was developed and piloted. The intervention includedtalking to the patient about their medication and updating the Shared Medication Record for patients referred to hospitalmedication review, overview of medication changes and follow-up telephone calls for patients discharged from hospital to general practice.The intervention identified and solved several drug-related problems. Access to health records in both the general practice and at the hospital was important in the identification of drug-related problems.Conclusions: Drug-related problems in cross-sectoral transitions are multifaceted. The pharmacist intervention identified and solved several drug-related problems. The intervention made sense to the general practitioner, hospital and patients. Shared employment and unique access to health records in both the general practice and at the hospital showed to be of importance in the identification of drug-related problems.

Children show neural sensitivity to facial trustworthiness as measured by fast periodic visual stimulation.

Adults exhibit neural responses over the visual occipito-temporal area in response to faces that vary in how trustworthy they appear. However, it is not yet known when a mature pattern of neural sensitivity can be seen in children. Using a fast periodic visual stimulation (FPVS) paradigm, face images were presented to 8-to-9-year-old children (an age group which shows development of trust impressions; N = 31) and adult (N = 33) participants at a rate of 6 Hz (6 face images per second). Within this sequence, an 'oddball' face differing in the level of facial trustworthiness compared to the other faces, was presented at a rate of 1 Hz (once per second). Children were sensitive to variations in facial trustworthiness, showing reliable and significant neural responses at 1 Hz in the absence of instructions to respond to facial trustworthiness. Additionally, the magnitude of children's and adults' neural responses was similar, with strong Bayesian evidence that implicit neural responses to facial trustworthiness did not differ across the groups, and therefore, that visual sensitivity to differences in facial trustworthiness can show mature patterns by this age. Thus, nine or less years of social experience, perceptual and/or cognitive development may be sufficient for adult-like neural sensitivity to facial trustworthiness to emerge. We also validate the use of the FPVS methodology to examine children's implicit face-based trust processing for the first time, which is especially valuable in developmental research because this paradigm requires no explicit instructions or responses from participants.

Children's dynamic use of face- and behavior-based cues in an economic trust game.

Who do children trust? We investigated the extent to which children use face-based versus behavior-based cues when deciding whom to trust in a multiturn economic trust game. Children's (N = 42; aged 8 to 10 years; 31 females; predominantly White) trust decisions were informed by an interaction between face-based and behavior-based cues to trustworthiness, similarly to those of adults (N = 41; aged 17 to 48 years; 23 females; predominantly White). Facial trustworthiness guided children's investment decisions initially, such that they invested highly with trustworthy-looking partners and less with untrustworthy-looking partners. However, by the end of the trust game, after children had experienced game partners' fair or unfair return behavior, they overcame this bias and instead used partners' previous behavior to guide their trust decisions. Using partners' return behavior to guide decisions was the most rational strategy, because partners' facial trustworthiness was not an accurate cue to their actual trustworthiness. This dynamic use of different cues to trustworthiness suggests sophisticated levels of social cognition in children, which may reflect the social importance of trust impressions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Serial dependence of facial identity for own- and other-race faces.

It is well established that individuals are better at recognising faces of their own-race compared with other-races; however, there is ongoing debate regarding the perceptual mechanisms that may be involved and therefore sensitive to face-race. Here, we ask whether serial dependence of facial identity, a bias where the perception of a face's identity is biased towards a previously presented face, shows an other-race effect. Serial dependence is associated with face recognition ability and appears to operate on high-level, face-selective representations, like other candidate mechanisms (e.g., holistic processing). We therefore expected to find an other-race effect for serial dependence for our Caucasian and Asian participants. While participants showed robust effects of serial dependence for all faces, only Caucasian participants showed stronger serial dependence for own-race faces. Intriguingly, we found that individual variation in own-race, but not other-race, serial dependence was significantly associated with face recognition abilities. Preliminary evidence also suggested that other-race contact is associated with other-race serial dependence. In conclusion, though we did not find an overall difference in serial dependence for own- versus other-race faces in both participant groups, our results highlight that this bias may be functionally different for own- versus other-race faces and sensitive to racial experience.

Autistic Traits are Associated with Less Precise Perceptual Integration of Face Identity.

Face recognition difficulties are common in autism and could be a consequence of perceptual atypicalities that disrupt the ability to integrate current and prior information. We tested this theory by measuring the strength of serial dependence for faces (i.e. how likely is it that current perception of a face is biased towards a previously seen face) across the broader autism phenotype. Though serial dependence was not weaker in individuals with more autistic traits, more autistic traits were associated with greater integration of less similar faces. These results suggest that serial dependence is less specialised, and may not operate optimally, in individuals with more autistic traits and could therefore be a contributing factor to autism-linked face recognition difficulties.

Evidence for a kernel of truth in children's facial impressions of children's niceness, but not shyness.

Adults teach children not to "judge a book by its cover." However, adults make rapid judgments of character from a glance at a child's face. These impressions can be modestly accurate, suggesting that adults may be sensitive to valid signals of character in children's faces. However, it is not clear whether such sensitivity requires decades of social experience, in line with the development of other face-processing abilities (e.g., facial emotion recognition), or whether this sensitivity emerges relatively early, in childhood. An important theoretical question therefore, is whether or not children's impressions are at all accurate. Here, we examined the accuracy in children's impressions of niceness and shyness from children's faces. Children (aged 7-12 years, ∼90% Caucasian) and adults rated 84 unfamiliar children's faces (aged 4-11 years, 48 female, ∼80% Caucasian) for niceness (Study 1) or shyness (Study 2). To measure accuracy, we correlated facial impressions with parental responses to well-established questionnaires about the actual niceness/shyness of those children in the images. Overall, children and adults formed highly similar niceness (r = .94) and shyness (r = .84) impressions. Children also showed mature impression accuracy: Children and adults formed modestly accurate niceness impressions, across different images of the same child's face. Neither children nor adults showed evidence for accurate shyness impressions. Together, these results suggest that children's impressions are relatively mature by middle childhood. Furthermore, these results demonstrate that any mechanisms driving accurate niceness impressions are in place by 7 years, and potentially before. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Serial dependence of facial identity reflects high-level face coding.

Serial dependence of facial identity is a type of bias where the perceived identity of a face is biased towards a previously presented face. There are individual differences in serial dependence strength and tuning (how the strength varies depending on stimuli similarity), and previous research has shown that both stronger and more narrowly tuned serial dependence of facial identity is associated with better face recognition abilities. These results are consistent with the idea that this bias plays a functional role in face perception. It is important, therefore, to determine whether serial dependence of facial identity reflects a high-level face-coding mechanism acting on the identity of a face or instead predominantly reflects a bias in low-level features, which are also subject to serial dependence. We first sought evidence that serial dependence of facial identity survived changes in low-level visual features, by varying face viewpoint between successive stimuli. We found that serial dependence persisted across changes in viewpoint, arguing against an entirely low-level locus for this bias. We next tested whether the bias was affected by inversion, as sensitivity to inversion is argued to be a characteristic of high-level face-selective processing. Serial dependence was stronger and more narrowly tuned for upright than inverted faces. Taken together, our results are consistent with the view that serial dependence of facial identity affects high-level visual representations and may reflect a face-coding mechanism that is operating at the level of facial identity.

Adults' facial impressions of children's niceness, but not shyness, show modest accuracy.

Lay wisdom warns against "judging a book by its cover." However, facial first impressions influence people's behaviour towards others, so it is critical that we understand whether these impressions are at all accurate. Understanding impressions of children's faces is particularly important because these impressions can have social consequences during a crucial time of development. Here, we examined the accuracy of two traits that capture the most variance in impressions of children's faces, niceness and shyness. We collected face images and parental reports of actual niceness/shyness for 86 children (4-11 years old). Different images of the same person can lead to different impressions, and so we employed a novel approach by obtaining impressions from five images of each child. These images were ambient, representing the natural variability in faces. Adult strangers rated the faces for niceness (Study 1) or shyness (Study 2). Niceness impressions were modestly accurate for different images of the same child, regardless of whether these images were presented individually or simultaneously as a group. Shyness impressions were not accurate, for images presented either individually or as a group. Together, these results demonstrate modest accuracy in adults' impressions of niceness, but not shyness, from children's faces. Furthermore, our results reveal that this accuracy can be captured by images which contain natural face variability, and holds across different images of the same child's face. These results invite future research into the cues and causal mechanisms underlying this link between facial impressions of niceness and nice behaviour in children.

Individual Differences in Serial Dependence of Facial Identity are Associated with Face Recognition Abilities.

Serial dependence is a perceptual bias where current perception is biased towards prior visual input. This bias occurs when perceiving visual attributes, such as facial identity, and has been argued to play an important functional role in vision, stabilising the perception of objects through integration. In face identity recognition, this bias could assist in building stable representations of facial identity. If so, then individual variation in serial dependence could contribute to face recognition ability. To investigate this possibility, we measured both the strength of serial dependence and the range over which individuals showed this bias (the tuning) in 219 adults, using a new measure of serial dependence of facial identity. We found that better face recognition was associated with stronger serial dependence and narrower tuning, that is, showing serial dependence primarily when sequential faces were highly similar. Serial dependence tuning was further found to be a significant predictor of face recognition abilities independently of both object recognition and face identity aftereffects. These findings suggest that the extent to which serial dependence is used selectively for similar faces is important to face recognition. Our results are consistent with the view that serial dependence plays a functional role in face recognition.

Expression Recognition Difficulty Is Associated with Social But Not Attention-to-Detail Autistic Traits and Reflects Both Alexithymia and Perceptual Difficulty.

Autistic people often show difficulty with facial expression recognition. However, the degree of difficulty varies widely, which might reflect varying symptom profiles. We examined three domains of autistic traits in the typical population and found that more autistic-like social skills were associated with greater difficulty labelling expressions, and more autistic-like communication was associated with greater difficulty labelling and perceptually discriminating between expressions. There were no associations with autistic-like attention to detail. We also found that labelling, but not perceptual, difficulty was mediated by alexithymia. We found no evidence that labelling or perceptual difficulty was mediated by weakened adaptive coding. Results suggest expression recognition varies between the sub-clinical expressions of autistic symptom domains and reflects both co-occurring alexithymia and perceptual difficulty.

Adaptation to dynamic faces produces face identity aftereffects.

Face aftereffects are well established for static stimuli and have been used extensively as a tool for understanding the neural mechanisms underlying face recognition. It has also been argued that adaptive coding, as demonstrated by face aftereffects, plays a functional role in face recognition by calibrating our face norms to reflect current experience. If aftereffects tap high-level perceptual mechanisms that are critically involved in everyday face recognition then they should also occur for moving faces. Here we asked whether face identity aftereffects can be induced using dynamic adaptors. The face identity aftereffect occurs when adaptation to a particular identity (e.g., Dan) biases subsequent perception toward the opposite identity (e.g., antiDan). We adapted participants to video of real faces that displayed either rigid, non-rigid, or no motion and tested for aftereffects in static antifaces. Adapt and test stimuli differed in size, to minimize low-level adaptation. Aftereffects were found in all conditions, suggesting that face identity aftereffects tap high-level mechanisms important for face recognition. Aftereffects were not significantly reduced in the motion conditions relative to the static condition. Overall, our results support the view that face aftereffects reflect adaptation of high-level mechanisms important for real-world face recognition in which faces are moving.

Ensemble coding of face identity is present but weaker in congenital prosopagnosia.

Individuals with congenital prosopagnosia (CP) are impaired at identifying individual faces but do not appear to show impairments in extracting the average identity from a group of faces (known as ensemble coding). However, possible deficits in ensemble coding in a previous study (CPs n = 4) may have been masked because CPs relied on pictorial (image) cues rather than identity cues. Here we asked whether a larger sample of CPs (n = 11) would show intact ensemble coding of identity when availability of image cues was minimised. Participants viewed a "set" of four faces and then judged whether a subsequent individual test face, either an exemplar or a "set average", was in the preceding set. Ensemble coding occurred when matching (vs. mismatching) averages were mistakenly endorsed as set members. We assessed both image- and identity-based ensemble coding, by varying whether test faces were either the same or different images of the identities in the set. CPs showed significant ensemble coding in both tasks, indicating that their performance was independent of image cues. As a group, CPs' ensemble coding was weaker than controls in both tasks, consistent with evidence that perceptual processing of face identity is disrupted in CP. This effect was driven by CPs (n= 3) who, in addition to having impaired face memory, also performed particularly poorly on a measure of face perception (CFPT). Future research, using larger samples, should examine whether deficits in ensemble coding may be restricted to CPs who also have substantial face perception deficits.

Beyond opponent coding of facial identity: Evidence for an additional channel tuned to the average face.

Face identity can be represented in a multidimensional space centered on the average. It has been argued that the average acts as a perceptual norm, with the norm coded implicitly by balanced activation in pairs of channels that respond to opposite extremes of face dimensions (two-channel model). In Experiment 1 we used face identity aftereffects to distinguish this model from a narrow-band multichannel model with no norm. We show that as adaptors become more extreme, aftereffects initially increase sharply and then plateau. Crucially there is no decrease, ruling out narrow-band multichannel coding, but consistent with a two-channel norm-based model. However, these results leave open the possibility that there may be a third channel, tuned explicitly to the norm (three-channel model). In Experiment 2 we show that alternating adaptation widens the range identified as the average whereas adaptation to the average narrows the range, consistent with the three-channel model. Explicit modeling confirmed the three-channel model as the best fit for the combined data from both experiments. However, a two-channel model with decision criteria allowed to vary between adapting conditions, also provided a very good fit. These results support opponent, norm-based coding of face identity with additional explicit coding of the norm. (PsycINFO Database Record

The average facial expression of a crowd influences impressions of individual expressions.

People can accurately assess the "mood of a crowd" by rapidly extracting the average intensity of all the individual expressions, when the crowd consists of a set of faces comprising different expressions of the same individual. Here, we investigate the processes involved when people judge the expression intensity of individual faces that appear in the context of a more naturalistic crowd of different individuals' faces. We show that judgments of the intensity of happy and angry expressions for individual faces are biased toward the group mean expression intensity, even when the faces are all different individuals. In a second experiment, we demonstrate that this bias is not due to a generic tendency to endorse intermediate intensity expressions more frequently than more extreme intensity expressions. Together, these findings suggest that people integrate ensemble information about the group average expression when they make judgments of individual faces' expressions. (PsycINFO Database Record

Adaptive face coding contributes to individual differences in facial expression recognition independently of affective factors.

There are large, reliable individual differences in the recognition of facial expressions of emotion across the general population. The sources of this variation are not yet known. We investigated the contribution of a key face perception mechanism, adaptive coding, which calibrates perception to optimize discrimination within the current perceptual "diet." We expected that a facial expression system that readily recalibrates might boost sensitivity to variation among facial expressions, thereby enhancing recognition ability. We measured adaptive coding strength with an established facial expression aftereffect task and measured facial expression recognition ability with 3 tasks optimized for the assessment of individual differences. As expected, expression recognition ability was positively associated with the strength of facial expression aftereffects. We also asked whether individual variation in affective factors might contribute to expression recognition ability, given that clinical levels of such traits have previously been linked to ability. Expression recognition ability was negatively associated with self-reported anxiety but not with depression, mood, or degree of autism-like or empathetic traits. Finally, we showed that the perceptual factor of adaptive coding contributes to variation in expression recognition ability independently of affective factors. (PsycINFO Database Record

Facial expression coding in children and adolescents with autism: Reduced adaptability but intact norm-based coding.

Individuals with autism spectrum disorder (ASD) can have difficulty recognizing emotional expressions. Here, we asked whether the underlying perceptual coding of expression is disrupted. Typical individuals code expression relative to a perceptual (average) norm that is continuously updated by experience. This adaptability of face-coding mechanisms has been linked to performance on various face tasks. We used an adaptation aftereffect paradigm to characterize expression coding in children and adolescents with autism. We asked whether face expression coding is less adaptable in autism and whether there is any fundamental disruption of norm-based coding. If expression coding is norm-based, then the face aftereffects should increase with adaptor expression strength (distance from the average expression). We observed this pattern in both autistic and typically developing participants, suggesting that norm-based coding is fundamentally intact in autism. Critically, however, expression aftereffects were reduced in the autism group, indicating that expression-coding mechanisms are less readily tuned by experience. Reduced adaptability has also been reported for coding of face identity and gaze direction. Thus, there appears to be a pervasive lack of adaptability in face-coding mechanisms in autism, which could contribute to face processing and broader social difficulties in the disorder.