FACIAL PROCESSING IN SCHIZOPHRENIA AND DELUSIONAL MISIDENTIFICATION - COGNITIVE NEUROPSYCHIATRIC APPROACHES
FACIAL PROCESSING IN SCHIZOPHRENIA AND DELUSIONAL MISIDENTIFICATION - COGNITIVE NEUROPSYCHIATRIC APPROACHES
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DOI：
10.1016/0920-9964(95)00035-k
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发表时间：
1995-09-01
影响因子：
4.5
通讯作者：
DAVID, AS
中科院分区：
文献类型：
--
作者：
PHILLIPS, ML;DAVID, AS
人脸作为一种刺激物是非常重要的，因为它包含了详细的信息——为了在复杂的社会世界中生存，理解这些信息至关重要。面部处理有不同的方面，包括：情感分析、个性识别和熟悉度识别，这些都被纳入了Bruce and Young（1986）的认知模型。认知神经精神病学方法最近被用于研究精神分裂症的面部处理。很明显，精神分裂症受试者在所有层面的面部处理任务中都受到了损害，这很可能与此类受试者普遍存在的对社会互动的误解有关。这种方法也导致了对妄想性错误识别的更深入的理解，用上述认知模型不同层次的加工缺陷来解释特定的综合症。在解剖学层面上，右半球在面部感知中的作用是众所周知的，有一些证据表明，精神分裂症患者和妄想性错误识别患者的右半球功能低下。因此，本综述强调了神经精神病学方法对进一步研究精神分裂症及相关精神病的面部加工和症状学理解的重要性。
The human face is of great importance as a stimulus in view of the detailed information it contains - information vital to understand in order to survive in the complex social world. There are different aspects to facial processing, including: affect analysis, recognition of individuality and recognition of familiarity, all of which have been incorporated into the cognitive model of Bruce and Young (1986). The cognitive neuropsychiatric approach has recently been employed in the study of facial processing in schizophrenia. It has become apparent that schizophrenic subjects are impaired in facial processing tasks at all levels, and this may well be related to the misinterpretation of social interactions commonly found in such subjects. This approach has also led to a greater understanding of delusional misidentification, with particular syndromes explained in terms of processing deficits at different levels of the cognitive model above. At an anatomical level, the role of the right hemisphere in facial perception is well-known, with there being some evidence of right hemisphere hypofunction in subjects with schizophrenia and also in delusional misidentification. The review therefore emphasizes the importance of the neuropsychiatric approach for further investigation of facial processing and understanding of symptomatology in schizophrenia and related psychoses.