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Brain Activity Related To Processing Faces Is Similar In People With, Without Autism

New brain imaging research at the University of North Carolina at Chapel Hill indicates that when people with autism look at a face, activity in the brain area that responds is similar to that of people without autism.

The finding is surprising, as it is widely known that autistic individuals tend to avoid looking directly at faces. The research also counters previous published reports that the face-processing area at the back of the brain is under-responsive in people with autism, and it suggests that specific behavioral interventions may help people with autism improve their ability to interact socially.

The new research will be presented Wednesday (Nov. 16) in Washington, D.C., at the Society for Neuroscience 35th Annual Meeting. The study was conducted by Dr. Aysenil Belger, associate professor of psychiatry in UNC's School of Medicine and of psychology in UNC's College of Arts and Sciences; and Dr. Gabriel Dichter, postdoctoral research fellow within UNC's Neurodevelopmental Disorders Research Center.

The study involved functional magnetic resonance imaging, or fMRI. Unlike standard MRI scans that show anatomical structures in black and white, fMRI offers digitally enhanced color images of brain function, depicting localized changes in blood flow and oxygenation.

When particular regions of the brain increase their neural activity in association with various actions or thought processes, they emit enhanced blood oxygen level dependent signals. The signals can be localized in the brain and translated into digital images that portray neural activity level as a ratio of oxygenated to de-oxygenated hemoglobin, the iron-containing pigment in red blood cells. Researchers then can quantify these signals to generate maps of various brain functions.

"The brain regions 'specialized' for face processing, the fusiform gyrus, activated almost identically in our autistic study participants and the control group of individuals without autism. This is one very simple and clear-cut finding," Belger said.

Previous brain imaging findings of under-responsiveness in the facial area have led some experts to consider this a key cause of the social impairments observed in autism. But Belger and Dichter said they thought the problem might have more to do with a deficit in "executive function" in portions of the brain's frontal lobes than with a selective deficit in the brain's processing of information from faces.

These portions of the frontal lobes are where "executive" tasks, such as sifting through complex information, selecting task-appropriate responses or inhibiting inappropriate ones, take place. "In other words, these tasks require high levels of cognitive control," Belger said.

"We wanted to find out if these executive functions of particular brain regions that are critical for the appropriate generation of actions show deficits in autistic individuals. In addition, we wanted to see if these deficits were further compounded by the presence of social cues on which executive decisions had to be based," Belger added.

The study compared fMRI scans of people with autism and those without the disorder as they performed a one-hour task that required them to attend to certain items in the visual environment while disregarding other items. Specifically, participants wore special goggles through which were displayed pictures of arrows (non-social items) and faces (social items) and were asked to report the direction of the central arrow or central face by pushing a left or right button.

Participants were shown horizontal rows of five arrows or five faces. Sometimes all the arrows and faces were oriented in the same direction. At other times, the central arrow or face was in the opposite direction.

The test with arrows alone had been used previously in studies elsewhere, but the addition of faces was unique to this new study.

"We wanted to know if previous findings of under-responsiveness in the 'face area' of the brain in autism could be simply attentional, or related to an inability to willingly direct attention to the pertinent feature of a face, gaze direction in this instance," Dichter said, adding that most such studies did not account for where the participants fixed their gaze during brain scanning.

Because individuals with autism typically choose to look away from faces, the previous studies could not disentangle the effects of a preference to look away from faces from actual brain deficits in the ability to process faces. "We required participants to indicate whether faces were looking left or right, thereby requiring that they look at the picture of the face," Dichter said.

In addition, Belger and Dichter pointed to research that correlated the amount of time autistic people looked at features of a face with activation of the amygdala, the "anxiety center" of the brain.

They propose that the use of behavioral interventions aimed, perhaps, at de-sensitizing autistic individuals to the anxiety triggered by looking at faces may help to improve the quality of social interactions, at least from the perspective of caregivers and others involved with them. "The idea is that maybe behavioral methods can help a child with autism approach facial stimuli without anxiety. This is strictly conjecture, but it is a tantalizing possibility," Dichter said.

Imaging allows researchers to begin looking at underlying mechanisms in brain function, Belger said. "Still, we must be careful in our interpretation of the results. Our findings need to be replicated and the research also broadened to include longitudinal studies," he added


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Support for the research came from the National Institute of Mental Health Studies to Advance Autism Research and Treatment (STAART) Network and UNC's Neurodevelopmental Disorders Research Center.

Source: Science Daily
http://www.sciencedaily.com/releases/200...090101.htm
Does the orientation of the face mean the person was facing right or left?  I would just cheat the test and look for their nose.  They would have to throw out their data on me.
You know, I think they definitely have a point with the desire to look away not being connected to face-processing capability as much as the major major liability that comes with not having full reign over one's nonverbal responses. My fear when looking at people has always been, of course, starting a fight or at least creeping someone out because my expressions didn't (couldn't) be pulled together quickly enough to meet the demands of the moment. Usually I have no problem looking at faces or looking someone in the eye if they're talking to me, if it's a well squared-away friend walking by, etc., but anything inbetween that and I can give some cold responses to people just because my minds in that panic state where I can't figure out what I would do if I looked at the person (or at least know I couldn't read em and get the right answer back within a fraction of a second to make the grade on it) and weighing that against the damage it does flat-out seeming to cold-shoulder or ignore them. This isn't so bad with other guys because they really don't seem to be as absorbed in nonverbals, but with women I really think it's the dealbreaker because they really are almost the opposit in how much weight they put on that kind of thing.
A situation just happened to me this week.  I went to an orientation at an agency that helps people with disability get jobs.    There was a man with some mobility problems there.  When we were leaving the room, I asked him if he needed some help carrying some of his things.  He politely declined.  Then he tried to engage me in conversation.  He asked me something like "Oh, you are a very sweet person, do people tell you that?"  I was confused abit.  Then he said something else and I said "Oh, my husband thinks so."  He asked me if I had sister.  I stopped and did not know what to say.  I was thinking either he knows my sister or he is flirting.  He immediately started apologizing and told me that he hoped that I was not offended.  I just smiled and told him that I did not know what he was talking about because I really did not.  

I really do not know why I bother to talk to people at all.  I wanted to help him.  I always want to help people.  

I have just heard of a research involving an eye movement test that can be used on babies to detect fetal alcohol syndrome.  Whenever I hear about some new and easy diagnostic test, I start to get nervous.  The purpose of these diagnostic tests are supposed to be for medical professionals to be able to start treatments early.  What worries me is that there is no effective treatment or cure for autism.  So any kind of easy diagnostic test is going to be moved into being used to discriminate against me in medical treatments, housing, legal actions, employment.    It just feels like such a bad thing.  I think people are even trolling this forum to get ideas for "easy tests to detect AS".  But I have more of a feeling that the results of research is not going to benefit us.
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