Brain Mind Institute, EPFL, Lausanne, Switzerland.
PLoS One. 2013;8(1):e54313. doi: 10.1371/journal.pone.0054313. Epub 2013 Jan 14.
Atypical face processing plays a key role in social interaction difficulties encountered by individuals with autism. In the current fMRI study, the Thatcher illusion was used to investigate several aspects of face processing in 20 young adults with high-functioning autism spectrum disorder (ASD) and 20 matched neurotypical controls. "Thatcherized" stimuli were modified at either the eyes or the mouth and participants discriminated between pairs of faces while cued to attend to either of these features in upright and inverted orientation. Behavioral data confirmed sensitivity to the illusion and intact configural processing in ASD. Directing attention towards the eyes vs. the mouth in upright faces in ASD led to (1) improved discrimination accuracy; (2) increased activation in areas involved in social and emotional processing; (3) increased activation in subcortical face-processing areas. Our findings show that when explicitly cued to attend to the eyes, activation of cortical areas involved in face processing, including its social and emotional aspects, can be enhanced in autism. This suggests that impairments in face processing in autism may be caused by a deficit in social attention, and that giving specific cues to attend to the eye-region when performing behavioral therapies aimed at improving social skills may result in a better outcome.
非典型面部处理在自闭症患者社交互动困难中起着关键作用。在当前的 fMRI 研究中,使用了撒切尔错觉来研究 20 名高功能自闭症谱系障碍(ASD)患者和 20 名匹配的神经典型对照组在几个方面的面部处理。“撒切尔化”的刺激物在眼睛或嘴巴处进行了修改,参与者在辨别面孔对时,会根据提示注意这些特征的直立和倒置方向。行为数据证实了 ASD 中对错觉和完整的模式处理的敏感性。在 ASD 中,将注意力直接指向直立面孔的眼睛与嘴巴相比,(1)提高了辨别准确性;(2)增加了参与社交和情感处理的区域的激活;(3)增加了皮质下面部处理区域的激活。我们的发现表明,当明确提示注意眼睛时,包括社交和情感方面在内的面部处理相关皮质区域的激活可以在自闭症中得到增强。这表明自闭症中的面部处理障碍可能是由于社交注意力缺陷引起的,并且在进行旨在提高社交技能的行为治疗时,给予特定的注意眼睛区域的提示可能会产生更好的结果。