Psychosocial consequences of developmental prosopagnosia: A problem of recognition
Psychosocial consequences of developmental prosopagnosia: A problem of recognition
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DOI：
10.1016/j.jpsychores.2008.03.013
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发表时间：
2008-11-01
影响因子：
4.7
通讯作者：
Nakayama, Ken
中科院分区：
文献类型：
--
作者：
Yardley, Lucy;McDermott, Lisa;Nakayama, Ken
目的：第一次系统深入地描述了发展性面容失认症（DP;“脸盲”）对心理社会功能和职业残疾的影响，以确定可能需要什么样的专业干预。研究方法：半结构化的电话采访进行了25人的自我报告的面部识别问题，证实了受损的分数在剑桥人脸识别测试。主题分析被用来归纳识别和理解DP的常见心理社会后果。结果如下：所有参与者都描述了识别问题引起的反复出现的，有时是创伤性的社会交往困难，例如无法识别亲密的朋友，工作同事和家庭成员。这些问题往往导致对冒犯他人的长期焦虑，以及尴尬、内疚和失败的感觉。大多数参与者描述了一定程度的恐惧和回避社交场合，其中面部识别是重要的，包括家庭和社交聚会，以及工作会议。长期后果可能包括依赖他人、社交圈受限、就业机会更加有限以及丧失自信。结论：DP造成的负面心理社会后果和职业残疾的可能性与目前获得专业认可和支持的条件（如口吃和阅读障碍）一样大。更广泛地认识到面容失认症可能导致的问题，可以通过更容易地向其他人（包括雇主）解释和证明识别问题，减少对社交困难的焦虑。提高专业意识有助于发现和转介那些需要支持以应对社会交往的人。(C)2008年爱思唯尔公司All rights reserved.
Objective: To provide the first systematic in-depth description of the consequences of developmental prosopagnosia (DP; 'face blindness') for psychosocial functioning and occupational disability, in order to determine what kind of professional intervention may be needed. Methods: Semi-structured telephone interviews were carried out with 25 people whose self-reports of face recognition problems were confirmed by impaired scores on the Cambridge Face Recognition Test. Thematic analysis was used to inductively identify and understand common psychosocial consequences of DP. Results: All participants described recurrent and sometimes traumatic social interaction difficulties caused by recognition problems, such as failing to recognize close friends, work colleagues, and family members. These problems often led to chronic anxiety about offending others and feelings of embarrassment, guilt, and failure. Most participants described some degree of fear and avoidance of social situations in which face recognition was important, including family and social gatherings, and meetings at work. Long-term consequences could include dependence on others, a restricted social circle, more limited employment opportunities, and loss of self-confidence. Conclusion: The potential for negative psychosocial consequences and occupational disability posed by DP is as great as that posed by conditions which are currently afforded professional recognition and support, such as stuttering and dyslexia. Wider recognition of the problems prosopagnosia can cause could reduce anxiety about social interaction difficulties by making it easier to explain and justify recognition problems to other people, including employers. Greater professional awareness could facilitate detection and referral of those requiring support with coping with social interactions. (C) 2008 Elsevier Inc. All rights reserved.