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The brain response to personally familiar faces in autism: findings of fusiform activity and beyond
Abstract
Past functional MRI (FMRI) studies of autism have reported reduced activation in response to the faces of strangers primarily in the 'fusiform face area' (FFA). An alternative and potentially stronger test of FFA function in autism is one that attempts to affect levels of FFA activity using factors believed to modulate function in this brain region, such as face familiarity and the perception of face identity. The current study presented personally meaningful faces, such as mother and co-worker, as well as stranger faces in a rapid event-related FMRI design. Seven autistic and nine normal control adults participated and pressed a button in response to all female faces. A deconvolution analysis revealed significant FFA activity in response to familiar and stranger faces in both autism and normal control groups. Individuals with autism also showed greater fusiform activity in response to familiar faces than stranger faces, as well as the prototypical right hemisphere dominance in response to both types of faces. Normal subjects showed additional activation to familiar faces in the posterior cingulate, amygdala and medial frontal lobes, including the anterior cingulate. Subjects with autism showed a similar, but more limited, network in response to familiar faces. This network included the amygdala and implies that this structure, involved in multiple socio-emotional functions, can be responsive in autism in the presence of stimuli that represent high reward value, such as mother's face. Furthermore, the presence of a distinct network to process familiar faces in autism, one that included limbic structures and was not found in response to the faces of strangers, suggests socio-emotional processing in autism. A potentially noteworthy trend, however, was evidence for a reduction in medial frontal lobe function in the autism group. The main finding of FFA activity in autism stands in contrast to most past FMRI studies of face processing in this disorder. This positive result may reflect the use of personally significant faces that enhanced attention and motivation in the autistic participants. Furthermore, given the proposed role of the FFA in establishing person identity, the use of almost a dozen different personally familiar faces for each participant (totalling 32 non-repeating faces) may have additionally maximized FFA involvement. Therefore, dysfunction in the FFA found in other studies of autism may reflect defects in systems that modulate the FFA, rather than the FFA itself.
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“However, three studies, those of Ogai et al. (2003), Pierce et al. (2004) and Piggot et al. (2004), failed to find any significant differences in amygdala activation for the ASD samples compared to controls.”
From Vision in autism spectrum disorders (2009) · cites this paper as Pierce et al. (2004)
In the citing paper
“Dalton et al.'s (2005) study, together with Ogai et al. (2003), Pierce et al. (2004) and Piggot et al. (2004) suggest that it is possible to obtain functional activations of the amygdala in individuals with ASD, given appropriate control of the participant (with regard to fixation) and appropriate levels of stimulation (familiar or highly evocative faces).”
From Vision in autism spectrum disorders (2009) · cites this paper as Pierce et al. (2004)
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“However, more recently it has been identified that this response can be modulated, depending on the familiarity and personal emotional content of the faces presented (Hadjikhani et al, 2004; Pierce et al, 2004).”
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“during performance of emotional, social and introspective tasks, such as the theory of mind [90], social perception, emotional processing, viewing familiar faces [91] and its impairments have been frequently linked with the autism spectrum disorder.”
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“High resemblance of virtual settings to real environments help represent internal models or repertoire, which in turn may generate respective experiences (Crowder and Merritte 2013; Pierce et al. 2004; Wages, Grünvogel, and Grützmacher 2004; Wolpert, Miall, and Kawato 1998).”
BackgroundAhadullah, Yau, S., Lu, H., Lee, T. M. C., Guo, H., & Chan, C. C. H. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.06.043 · Cited by 33
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BackgroundOverview and Introduction to Autism Spectrum Disorder (ASD)
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BackgroundThe Implications of Social Neuroscience for Social Disability
McPartland, J. C., & Pelphrey, K. A. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-012-1514-z · Cited by 33
“…replicated findings, such as atypical brain activation during face perception, are not evident in all samples of individuals with ASD (Hadjikhani et al. 2004; Jemel et al. 2006; Kemner et al. 2006; Kleinhans et al. 2008; Lahaie et al. 2006; Pierce et al. 2004; Senju et al. 2005; Webb et al. 2009).”
Gaze aversion during social style interactions in autism spectrum disorder and Williams syndrome
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Autismus und soziale Kognition
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“These differences between the two groups of children in the frontal sources activated in response to face processing seem to be in line with recent fMRI results presented by Pierce et al. (2004) and Dalton et al. (2005).”
BackgroundResultInfluentialInvestigations of face expertise in the social developmental disorders
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Arterial spin labeling provides a reliable neurobiological marker of autism spectrum disorder
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Functional Neuroimaging Studies of Autism Spectrum Disorders
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“These results align with previous research reporting normal neural responses to faces and actions in individuals with ASD only in studies in which the stimuli were composed of familiar individuals (Oberman et al., 2008; Pierce et al., 2004).”
ResultHappy and Angry Faces Elicit Atypical Neural Activation in Children With Autism Spectrum Disorder
Leung, R. C., Pang, E. W., Brian, J. A., & Taylor, M. J. (2019) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2019.03.013 · Cited by 28
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“…with ASD are securely attached to their caregivers (Capps et al. 1994; Rogers et al. 1991) and tend to show more typical social and emotional processing with regard to people who are personally meaningful to them (Oberman et al. 2008; Pierce et al. 2004; Van Hecke et al. 2009; Wilson et al. 2007).”
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Neuhaus, E., Bernier, R., & Beauchaine, T. P. (2015) · Autism Research · doi:10.1002/aur.1451 · Cited by 30
Responsivity to familiar versus unfamiliar social reward in children with autism
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Natu, V. S., & O’Toole, A. J. (2014) · NeuroImage · doi:10.1016/j.neuroimage.2014.12.027 · Cited by 25
“nt, Stanford University, 450 differences between neural responses to famous and/or personally familiar versus unfamiliar faces (e.g., Leveroni et al., 2000; Ishai et al., 2002; Elfgren et al., 2006; Sergent et al., 1992; Gorno-Tempini and Price, 2001; Ewbank and Andrews, 2008; Pourtois et al., 2005; Henson et al., 200…”
Skelly, L. R., & Jean Decety, A. (2012) · PLoS ONE · doi:10.1371/journal.pone.0040371 · Cited by 23
“However, equivalent or increased fusiform activation was seen in ASD participants when the stimuli were faces that were familiar to them, indicating that interest in the stimuli might play a mediating role [22–24].”
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A multimodal neural signature of face processing in autism within the fusiform gyrus
Floris, D. L., Llera, A., Zabihi, M., Moessnang, C., Jones, E. J. H., Mason, L., Haartsen, R., Holz, N. E., Mei, T., Elleaume, C., et al. (2025) · Nature Mental Health · doi:10.1038/s44220-024-00349-4 · Cited by 27
“Many studies show that the FFG is hypoactive during face processing fMRI tasks 22,23 and functionally atypically connected 24,25 in autism.”
Schauder, K. B., Park, W. J., Tsank, Y., Eckstein, M. P., Tadin, D., & Bennetto, L. (2019) · Journal of Neurodevelopmental Disorders · doi:10.1186/s11689-019-9303-z · Cited by 23
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“However, FFA activation in ASD may be relatively typical with familiar faces (Pierce et al., 2004).”
BackgroundThreatening faces fail to guide attention for adults with autistic‐like traits
English, M. C. W., Maybery, M. T., & Visser, T. A. W. (2016) · Autism Research · doi:10.1002/aur.1658 · Cited by 22
Empathy: shared circuits and their dysfunctions
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“Two out of three studies did not find any group difference in premotor areas.(59,60) A single study with autistic adults documented a hypoactivation in this region.”
Ibrahim, K., Soorya, L. V., Halpern, D. B., Gorenstein, M., Siper, P. M., & Wang, A. T. (2021) · Autism Research · doi:10.1002/aur.2603 · Cited by 25
“, 2004), viewing a familiar or personally significant face (Pierce et al., 2004; Pierce & Redcay, 2008), and when prompting fixation to the eye region (Hadjikhani et al.”
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Recognition of Face and Non‐Face Stimuli in Autistic Spectrum Disorder
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“These areas were reported to perform socioemotional memory retrieval [4].”
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Sagehorn, M., Johnsdorf, M., Kisker, J., Sylvester, S., Gruber, T., & Schöne, B. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1050892 · Cited by 22
Autism spectrum disorders: autistic phenotypes and complicated mechanisms
Zhang, X.-C., Shu, L., Zhao, X., & Li, X. (2019) · World Journal of Pediatrics · doi:10.1007/s12519-018-0210-2 · Cited by 22
Autism spectrum traits in normal individuals: a preliminary VBM analysis
Focquaert, F., & Vanneste, S. (2015) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2015.00264 · Cited by 19
“…neuroimaging studies have shown that atypical temporal lobe functioning is implicated in abnormal face recognition and emotional face-based mindreading in individuals with ASD (Baron-Cohen et al., 1999; Critchley et al., 2000; Schultz et al., 2000; Pierce et al., 2004; Dalton et al., 2005).”
BackgroundVettori, S., Dzhelyova, M. P., der Donck, S. V., Jacques, C., Steyaert, J. G., Rossion, B., & Boets, B. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00332 · Cited by 18
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“(Pierce et al., 2004) or when explicitly instructed to attend to the eye region of the target (Hadjikhani et al.”
BackgroundTypical and Atypical Neurodevelopment for Face Specialization: An fMRI Study
Joseph, J. E., Zhu, X., Gundran, A., Davies, F., Clark, J. D., Ruble, L. A., Glaser, P. E. A., & Bhatt, R. S. (2014) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-014-2330-4 · Cited by 20
Effect of Familiarity on Reward Anticipation in Children with and without Autism Spectrum Disorders
Stavropoulos, K. K. M., & Carver, L. J. (2014) · PLoS ONE · doi:10.1371/journal.pone.0106667 · Cited by 18
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Rapid Neural Representations of Personally Relevant Faces
Bayer, M., Berhe, O., Dziobek, I., & Johnstone, T. (2021) · Cerebral Cortex · doi:10.1093/cercor/bhab116 · Cited by 18
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Neuroimaging studies on recognition of personally familiar people
Sugiura, M. (2014) · Frontiers in bioscience · doi:10.2741/4235 · Cited by 19
Scherrer, B., Prohl, A. K., Taquet, M., Kapur, K., Peters, J. M., Tomas-Fernandez, X., Davis, P. E., Bebin, E. M., Krueger, D. A., Northrup, H., et al. (2019) · Cerebral Cortex · doi:10.1093/cercor/bhz233 · Cited by 17
“Other experiments have failed to replicate the functional MRI (fMRI) findings (Hadjikhani et al. 2004; Pierce et al. 2004; Bird et al. 2006; Kleinhans et al. 2008).”
BackgroundSliwinska, M. W., Searle, L. R., Earl, M., O’Gorman, D., Pollicina, G., Burton, A. M., & Pitcher, D. (2022) · Perception · doi:10.1177/03010066221098728 · Cited by 18
“We identified four face-selective areas using anatomical landmarks, these were; the FFA, OFA, pSTS, and face-selective voxels in the amygdala.”
BackgroundResultInfluentialAutistic Traits Affect Reward Anticipation but not Reception
Matyjek, M., Bayer, M., & Dziobek, I. (2020) · Scientific Reports · doi:10.1038/s41598-020-65345-x · Cited by 17
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A Nexus Model of Restricted Interests in Autism Spectrum Disorder
Carter, R., Jung, H., Reaven, J., Blakeley‐Smith, A., & Dichter, G. S. (2020) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2020.00212 · Cited by 18
Autism from a Biometric Perspective
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“There are numerous studies in the medical literature [23-30] that confirm cerebral hypoperfusion (decreased blood flow to the brain) in as many as 86% of individuals with autism [23].”
BackgroundStructural and Functional MRI Studies of Autism Spectrum Disorders
Stigler, K. A., & McDougle, C. J. (2012) · Elsevier eBooks · doi:10.1016/b978-0-12-391924-3.00017-x · Cited by 18
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“Similarly, modulating familiarity of, or attention to, face stimuli in ASD can eliminate group differences in gaze duration (Dawson et al., 1990; Golarai et al., 2006) or FFA activation (Pierce et al., 2004; Bird et al., 2006; Pierce and Redcay, 2008).”
BackgroundSynthesis of Facial Expressions in Photographs
Testa, R. L., Corrêa, C. G., Machado‐Lima, A., & Nunes, F. L. S. (2019) · ACM Computing Surveys · doi:10.1145/3292652 · Cited by 14
“For example, people with an autism spectrum disorder have greater difficulty in identifying emotions in unfamiliar faces (Pierce et al. 2004).”
BackgroundOnline decoding of object‐based attention using real‐time f MRI
Niazi, A. M., van den Broek, P. L. C., Klanke, S., Barth, M., Poel, M., Desain, P., & van Gerven, M. A. J. (2013) · European Journal of Neuroscience · doi:10.1111/ejn.12405 · Cited by 15
“Previous studies have shown larger activations for familiar faces and places compared with unfamiliar faces and places, respectively (Shah et al., 2001; Pierce et al., 2004; Rosenbaum et al., 2004).”
BackgroundThe Early Start Denver Model Intervention and Mu Rhythm Attenuation in Autism Spectrum Disorders
Aaronson, B., Estes, A. M., Rogers, S. J., Dawson, G., & Bernier, R. (2021) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-021-05190-7 · Cited by 13
Lv, H., Gu, X. Q., Shan, X., Zhu, T., Ma, B., Zhang, H.-T., Bambini-Júnior, V., Zhang, T., Li, W., Gao, X., et al. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.870577 · Cited by 13
Barros, F., & Soares, S. C. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.06.008 · Cited by 14
Lu, J. T., Kishida, K. T., Asis‐Cruz, J. D., Lohrenz, T. M., Treadwell‐Deering, D., Beauchamp, M. S., & Montague, P. R. (2015) · Clinical Psychological Science · doi:10.1177/2167702614562042 · Cited by 13
Guided saccades modulate object and face‐specific activity in the fusiform gyrus
Morris, J. P., & McCarthy, G. (2006) · Human Brain Mapping · doi:10.1002/hbm.20301 · Cited by 13
“…tomographic (PET) imaging [Haxby et al., 1994; Sergent et al., 1992], and functional MRI (fMRI) [Kanwisher et al., 1997; McCarthy et al., 1997; Puce et al., 1995] studies in humans have identified a discrete region of the fusiform gyrus (FFG) that responds robustly for faces but not for other…”
BackgroundAmmons, C. J., Winslett, M., & Kana, R. K. (2020) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2020.107694 · Cited by 12
Anatomical and Functional Connectivity in Autism Spectrum Disorders
Müller, R. (2013) · Springer eBooks · doi:10.1007/978-1-4614-4788-7_192 · Cited by 13
“, 2001), but largely intact activity in another (Pierce et al., 2004).”
BackgroundThe Amygdala in Autism Spectrum Disorders
Morgan, J. T., Nordahl, C. W., & Schumann, C. M. (2012) · Elsevier eBooks · doi:10.1016/b978-0-12-391924-3.00021-1 · Cited by 10
Déficit social en el autismo: un enfoque en la atención conjunta
Alessandri, M., Mundy, P. C., & Tuchman, R. F. (2005) · Revista de Neurología · doi:10.33588/rn.40s01.2004650 · Cited by 12
Matyjek, M., Bayer, M., & Dziobek, I. (2023) · NeuroImage Clinical · doi:10.1016/j.nicl.2023.103442 · Cited by 15
Face processing in a case of high functioning autism with developmental prosopagnosia
Cygan, H. B., Okuniewska, H., Jednoróg, K., Marchewka, A., Wypych, M., & Nowicka, A. (2018) · Acta Neurobiologiae Experimentalis · doi:10.21307/ane-2018-011 · Cited by 10
“with data showing normal activation in these structures during recognition of familiar faces (Pierce et al. 2004).”
BackgroundInfluentialGhanouni, P., Jarus, T., Zwicker, J. G., Lucyshyn, J. M., Fenn, B., & Stokley, E. (2019) · Games for Health Journal · doi:10.1089/g4h.2019.0070 · Cited by 10
“23,42,43 However, there is always a trade-off between the game to be realistic and imaginary/simplistic.”
Functional Mri in Pediatric Neurobehavioral Disorders
Seyffert, M., & Castellanos, F. X. (2005) · International review of neurobiology · doi:10.1016/s0074-7742(05)67008-0 · Cited by 10
Tardif, C., Lainé, F., Rodriguez, M., & Gepner, B. (2007) · HAL · Cited by 10
Karjalainen, S., Aro, T. I., & Parviainen, T. M. (2023) · Neuropsychology Review · doi:10.1007/s11065-023-09579-2 · Cited by 10
“However, both similar brain activation between ASD and comparison groups as well as opposing findings have been reported, and thus, current evidence is considered ambiguous and inconsistent (e.g., Dufour et al., 2013; Hadjikhani et al., 2004; Pierce et al., 2004).”
ResultThe modulatory effect of semantic familiarity on the audiovisual integration of face‐name pairs
Li, Y., Wang, F., Huang, B., Yang, W., Yu, T., & Talsma, D. (2016) · Human Brain Mapping · doi:10.1002/hbm.23312 · Cited by 9
The Neural Representational Space of Social Memory
Dziura, S. L., & Thompson, J. C. (2018) · Open Mind · doi:10.1162/opmi_a_00021 · Cited by 8
Anxiety in Children with Autism Spectrum Disorder
Jennett, H. K., Vasa, R. A., & Hagopian, L. P. (2013) · Springer eBooks · doi:10.1007/978-1-4614-6599-7_16 · Cited by 9
Unfamiliar face recognition in children with autistic spectrum disorders
Wilson, R. R., Blades, M., Coleman, M., & Pascalis, O. (2009) · Infant and Child Development · doi:10.1002/icd.638 · Cited by 9
“The processing pattern displayed by the children with ASD in our study differed from Rondan et al. (2003) who found equal recognition performance for internal and external face parts in a matching task.”
From neuronal to human communication disorders: A novel approach to autism
Gepner, B. (2008) · HAL · Cited by 9
Sex-Specific Behavioral Features of the Prenatal Valproic Acid Rat Model of Autism Spectrum Disorder
Mamali, P. M., Dignon, C., Ngwenya, A., & Maseko, B. C. (2025) · Brain Sciences · doi:10.3390/brainsci15040388 · Cited by 9
Afzalian, N., & Rajimehr, R. (2021) · Journal of Neuroscience · doi:10.1523/jneurosci.1580-20.2021 · Cited by 9
“Another study showed that abnormal behavior of autistic subjects in recognizing familiar faces was correlated to the lower extent of activity in this area (Pierce et al., 2004).”
BackgroundMarshall, N. A., Kaplan, J., Stoycos, S. A., Goldenberg, D., Khoddam, H., Cárdenas, S. I., Sellery, P., & Saxbe, D. (2022) · Social Neuroscience · doi:10.1080/17470919.2022.2029559 · Cited by 8
“Given the LOC’s involvement in functions related to social cognition (e.g., self-representation, face perception; Aleman & Swart, 2008; Cazzato et al., 2015; Gauthier et al., 2000; Gschwind et al., 2012; Pierce et al., 2004) and”
BackgroundAtypical Functional Connectivity During Unfamiliar Music Listening in Children With Autism
Freitas, C., Hunt, B. A. E., Wong, S. M., Ristic, L., Fragiadakis, S. D., Chow, S., Iaboni, A., Brian, J. A., Soorya, L. V., Chen, J. L., et al. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.829415 · Cited by 9
Traitement de l’information faciale dans l’autisme
Labruyère, N., & Hubert, B. (2009) · L Évolution Psychiatrique · doi:10.1016/j.evopsy.2008.12.008 · Cited by 8
Conceptual and methodological challenges for neuroimaging studies of autistic spectrum disorders
Mazzone, L., & Curatolo, P. (2010) · Behavioral and Brain Functions · doi:10.1186/1744-9081-6-17 · Cited by 8
Cai, X., Wang, X., Guo, J.-W., Xu, F., Ma, K.-Y., Wang, Z., Zhao, Y., Xie, W., Schonewille, M., Zeeuw, C. I. D., et al. (2024) · Protein & Cell · doi:10.1093/procel/pwae040 · Cited by 7
HIV/AIDS: vaccines and alternate strategies for treatment and prevention
Voronin, Y., & Phogat, S. K. (2010) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2010.05759.x · Cited by 7
Afzalian, N., & Rajimehr, R. (2021) · PubMed Central · doi:10.17863/cam.78751 · Cited by 7
Metadata
- Authors
- Pierce, K.
- Affiliations
- University of California San Diego (US)
- Corresponding author
- Pierce, K.
- ORCID
- Pierce, K.
- Venue
- Brain
- Publisher
- Oxford University Press (OUP)
- Published
- 2004-11-10
- Volume
- 127
- Issue
- 12
- Pages
- 2703-2716
- ISSN
- 0006-8950 (ISSN-L)
- 1460-2156
- OpenAlex
- W2025319978
- Cited by
- 432
- References
- 91
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 6 · 2023: 10 · 2022: 15 · 2021: 20 · 2020: 21 · 2019: 17 · 2018: 22 · 2017: 18 · 2016: 15 · 2015: 18 · 2014: 26 · 2013: 18 · 2012: 25
- FWCI
- 10.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R01-MH36840, K01-MH01814, R01MH036840, K01MH001814)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Face Recognition and Perception
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Social Psychology › Action Observation and Synchronization
- Keywords
- autism spectrum disorder, fusiform face area, face familiarity, face processing, face identity, amygdala, socio-emotional processing, right hemisphere dominance, medial frontal lobe, posterior cingulate cortex
- MeSH terms
- Adolescent, Adult, Amygdala, Autistic Disorder, Brain Mapping, Discrimination, Psychological, Face, Humans, Magnetic Resonance Imaging, Male, Pattern Recognition, Visual, Photic Stimulation, Photography, Temporal Lobe, Case-Control Studies, Recognition, Psychology
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