"A room full of strangers every day": the psychosocial impact of developmental prosopagnosia on children and their families.

"A room full of strangers every day": the psychosocial impact of developmental prosopagnosia on children and their families.
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DOI:
10.1016/j.jpsychores.2014.06.001
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发表时间:
2014-08
影响因子:
4.7
通讯作者:
Duchaine, Brad
Duchaine, Brad
中科院分区:
医学3区
文献类型:
--
作者:
Dalrymple, Kirsten A.;Fletcher, Kimberley;Corrow, Sherryse;das Nair, Roshan;Barton, Jason J. S.;Yonas, Albert;Duchaine, Brad

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患有发育性面孔失认症(“面孔失明”)的人,由于未能发展出识别面孔所需的视觉机制,有严重的面孔识别困难。这些困难是在没有大脑损伤的情况下发生的,尽管视力和智力正常。患有发育性面孔失认症的成年人报告说,他们无法识别面孔会造成严重的个人和情感后果,但对儿童时期的心理社会后果知之甚少。鉴于人脸识别在日常生活中的重要性,以及儿童时期人脸识别受损可能产生的独特社会后果,我们试图评估发育性面孔失认症对儿童及其家庭的影响。我们对8名发育性面认失认症儿童及其父母进行了半结构式访谈。一系列人脸识别测试被用来确认每个孩子的父母报告的人脸识别障碍。我们使用主题分析来开发儿童及其父母的心理社会经历中的共同主题。从儿童报告中形成了三个主题:1)意识到他们的困难;2)应对策略,如使用非面部线索识别他人;3)社会影响,如在社交场合中感到不适和避免。这些主题与家长报告并行,突出了与儿童发育失认症相关的独特的社会和实际挑战。我们的发现表明,需要提高对发育性面孔失认症的认识和治疗,以帮助这些儿童管理他们的面部识别困难,并促进他们的社会和情感健康。
Individuals with developmental prosopagnosia (‘face blindness’) have severe face recognition difficulties due to a failure to develop the necessary visual mechanisms for recognizing faces. These difficulties occur in the absence of brain damage and despite normal low-level vision and intellect. Adults with developmental prosopagnosia report serious personal and emotional consequences from their inability to recognize faces, but little is known about the psychosocial consequences in childhood. Given the importance of face recognition in daily life, and the potential for unique social consequences of impaired face recognition in childhood, we sought to evaluate the impact of developmental prosopagnosia on children and their families. We conducted semi-structured interviews with 8 children with developmental prosopagnosia and their parents. A battery of face recognition tests was used to confirm the face recognition impairment reported by the parents of each child. We used thematic analysis to develop common themes among the psychosocial experiences of the children and their parents. Three themes were developed from the child reports: 1) awareness of their difficulties, 2) coping strategies, such as using non-facial cues to identify others, and 3) social implications, such as discomfort in, and avoidance of, social situations. These themes were paralleled by the parent reports and highlight the unique social and practical challenges associated with childhood developmental prosopagnosia. Our findings indicate a need for increased awareness and treatment of developmental prosopagnosia to help these children manage their face recognition difficulties and to promote their social and emotional wellbeing.
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