The accuracy of perception of facial emotion expressions was studied in individuals with low and high psychopathic personality characteristics in a sample of 21 male and 39 female university students. Participants completed the Psychopathic Personality Inventory (PPI), and the Behavioural Inhibition Scale and the Behavioural Activation Scale (BIS/BAS) as measures of psychopathy. Participants completed a computerised emotion recognition task containing six emotions of facial expressions (each emotion had five different intensities). The results showed that participants scoring low on the BIS and high on the BAS scores showed significant impairments in the recognition of both sad and fearful expressions. On the other hand, group scoring high on the PPI, showed significant impairment in the recognition of angry, but not fearful or sad expressions in the total sample. Males with high psychopathic personality characteristics showed significant impairments in the recognition of sad, fearful and angry expressions compared to males with low psychopathic personality characteristics. On the other hand females with high psychopathic personality characteristics showed significant impairment in recognising the expression of disgust only compared to females with low psychopathic personality characteristics. The PPI and the BIS/BAS scales showed reasonable alpha reliabilities with some exceptions for one subscale in each measure. Correlations between the PPI and the BIS/BAS scales were weak to moderate. The current findings suggest that different dimensions of psychopathy may be associated with selective impairments in recognising unpleasant emotion expressions in others.

While a correlation between suffering from psychosis and an increased risk of engaging in aggressive behaviours has been established, many factors have been explored which may contribute to increasing this risk. Patients with a diagnosis of psychosis have been shown to have significant difficulties in facial affect recognition (FAR) and some authors have proposed that this may contribute to increasing the risk of displaying aggressive or violent behaviours. A systematic review of the current evidence regarding the links between facial affect recognition and aggression was conducted. Results were varied with some studies providing evidence of a link between emotion recognition difficulties and aggression, while others were unable to establish such an association. Results should be interpreted with some caution as the quality of included studies was poor due to small sample sizes, insufficient power and limited reporting of results. Adequately powered, randomised controlled studies using appropriate blinding procedures and validated measures are therefore required. There is a substantial evidence base demonstrating difficulties in emotional perception in patients with psychosis, with evidence suggesting a relationship with reduced social functioning, increased aggression and more severe symptoms of psychosis. In this review we aim to review this field to assess if there is a causal link between facial affect recognition difficulties and psychosis. The Bradford Hill criteria for establishing a causal relationship from observational data were used to generate key hypotheses, which were then tested against existing evidence. Where a published meta-analysis was not already available, new meta-analyses were conducted. A large effect of FAR difficulties in those with a diagnosis of psychosis, with a small to moderate correlation between FAR problems and symptoms of psychosis was found. Evidence was provided for the existence of FAR problems in those at clinical high risk of psychosis, while remediation of psychosis symptoms did not appear to impact FAR difficulties. There appears to be good evidence of the existence of facial affect recognition difficulties in the causation of psychosis, though larger, longitudinal studies are required to provide further evidence of this.

Introduction: Impairments in facial affect recognition have been linked to the development of various disorders. The aim of the current work is to conduct a systematic review and meta-analysis of studies examining whether this ability is impaired in males with psychopathy or antisocial traits, when compared to healthy individuals. Method: Studies were eligible for inclusion if they compared facial affect recognition in either a) psychopathic vs. antisocial males, b) psychopathic vs. healthy controls and c) antisocial vs. healthy controls. Primary outcomes were group differences in overall emotion recognition, fear recognition, and sadness recognition. Secondary outcomes were differences in recognition of disgust, happiness, surprise and anger. Results: Fifteen papers comprising 214 psychopathic males, 491 antisocial males and 386 healthy community controls were identified. In psychopathy, limited evidence suggested impairments in fear (k=2), sadness (k=1) and surprise (k=1) recognition relative to healthy individuals, but overall affect recognition ability was not affected (k=2). Findings were inconclusive for antisocial (k=4-6), although impairments in surprise (k=4) and disgust (k=5) recognition were observed. Psychopathic and antisocial samples did not differ in their ability to detect sadness (k=4), but psychopaths were less able to recognise happiness (k=4) and surprise (k=3). Conclusion: Limited evidence suggests psychopathic and antisocial personality traits are associated with small to moderate deficits in specific aspects of emotion recognition. However considerable heterogeneity was identified, and study quality was often poor. Adequately powered studies using validated assessment measures, rater masking and a priori public registration of hypotheses and methods are required.

Recognizing emotion from facial expressions is an essential skill for effective social functioning and establishing interpersonal relationships. Asperger's Disorder (AD) and Social Phobia (SP) are two clinical populations showing impairment in social skill and perhaps emotion recognition. Objectives: The primary objectives were to determine the uniqueness of facial emotion recognition abilities between children with AD and SP relative to typically developing children (TD) and to examine the role of expression intensity in determining recognition of facial affect. Method: Fifty-seven children (19 AD, 17 SP, and 21 TD) aged 7-13 years participated in the study. Reaction times and accuracy were measured as children identified neutral faces and faces displaying anger, disgust, fear, happiness, and sadness at two different intensity levels. Results: Mixed model ANOVAs with group and emotion type revealed that all children responded faster and more accurately to expressions of happiness, but there were no other group differences. Additional analyses indicated that intensity of the displayed emotion influenced facial affect detection ability for several basic emotions (happiness, fear, and anger). Across groups, there was no pattern of specific misidentification of emotion (e.g., children did not consistently misidentify one emotion, such as disgust, for a different emotion, such as anger.) Finally, facial affect recognition abilities were not associated with behavioral ratings of overall anxiety or social skills effectiveness in structured role play interactions. Conclusions: Distinct facial affect recognition deficits in the clinical groups emerge when the intensity of the emotion expression is considered. Implications for using behavioral assessments to delineate the relationship between facial affect recognition abilities and social functioning among clinical populations are discussed.

Introduction It is widely reported that people with schizophrenia have social cognition deficits. In addition to their negative impact on functioning and quality of life, these deficits may also contribute to the use of violence. It has recently been established that social cognitive interventions (SCIs) can ameliorate deficits in facial affect recognition (FAR). This project aimed to systematically review whether SCIs can also improve theory of mind (ToM) abilities in people with schizophrenia. The empirical study aimed to explore whether the extent of the deficits in FAR and ToM in people with schizophrenia differed between those with and without a substantial history of violence. Method A systematic review was undertaken to identify studies where SCIs were provided to adults with schizophrenia or schizoaffective disorder. Key findings were highlighted with the quality of the studies’ methodology and reporting assessed. A quantitative research study was also undertaken involving 22 men aged 18-64 with a diagnosis of schizophrenia or schizoaffective disorder, comparing those with and without a substantial history of violence (SHV) on measures of FAR and ToM. Results The majority of the 13 studies included in the systematic review found that the provision of SCIs led to significant improvements in ToM. However, all studies demonstrated a potential for bias and were limited by inadequate sample size. In the empirical study, less than half of participants scored within the normal range for overall FAR ability, with no difference identified between the SHV and no-SHV group. However, the SHV group were poorer at recognising sadness and showed a tendency to perform better at the detection of faux pas, compared to the no-SHV group. Conclusions The systematic review identified that a wide range of SCIs can improve ToM abilities in people with schizophrenia. Its findings highlight that stringent, adequately powered studies should be undertaken, utilising standardised assessments of a range of levels of ToM ability, to enable identification of the most effective intervention. The findings of the empirical study are limited by a small and imbalanced sample size between groups and so must be interpreted with caution. However, patterns observed in the results highlight areas for further exploration. The strengths of this study’s design and recruitment challenges are discussed.

Purpose: This thesis investigated whether perceived parental care and overprotection predicted accuracy of face emotion recognition in psychiatrically healthy youth. The study also examined whether child gender and having a parent with a history of anxiety moderated the relationship between parental bonding and facial emotion recognition, and whether behavioural inhibition mediated this relationship. Methods: The sample comprised 176 males and females aged 7-18 years. Participants completed the Parental Bonding Instrument, Childhood Self-Report of Inhibition, and the Ekman emotion recognition task. Results: Child gender and parental history of anxiety moderated the relationship between perceived parenting style and affect recognition. In boys, overprotection by father predicted deficits in recognizing fearful faces; in children with parental anxiety, low paternal care predicted deficits in recognizing angry faces; and in boys with parental anxiety, negative maternal bonding predicted deficits in recognizing expressions of surprise. Also, maternal overprotection predicted intensity of subjective anxiety while viewing expressions of surprise and happiness for all offspring, and behaviour inhibition mediated these relationships. Implications: The present study provides preliminary evidence that parental bonding interacts with risk group and gender in predicting accuracy of facial affect recognition in healthy youth. Further research is needed to confirm these findings and determine whether the interaction between gender, risk group and deficits in social cognition increase risk for developing pathological anxiety.

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Les manifestations comportementales du sadisme commun et de la psychopathie sous-clinique suggèrent qu’ils seraient associés à des déficits affectifs en lien avec le traitement émotionnel. Il est proposé que les déficits affectifs associés au détachement émotionnel et au manque d’empathie chez les individus avec des tendances sadiques et les individus avec des traits psychopathiques seraient dus à des déficits au niveau de la reconnaissance émotionnelle faciale (REF). L’objectif principal de la présente étude était de clarifier l’association entre les tendances sadiques, les traits psychopathiques et la capacité de reconnaissance émotionnelle faciale. Le recrutement des participants s’est effectué dans des maisons de transition provinciales, dans un centre jeunesse, dans un centre d’intervention en délinquance sexuelle ainsi que dans un organisme venant en aide aux hommes aux prises avec des problématiques de violence. Les analyses statistiques ont été menées sur un échantillon se composant d’hommes délinquants (N = 81). La collecte des données s’est effectuée à l’aide de questionnaires en ligne comprenant des informations sociodémographiques ainsi que le Varieties of Sadistic Tendencies (VAST) et le Self-Report Psychopathy – Short Form (SRP-SF) ainsi que par une tâche de reconnaissance émotionnelle faciale en immersion virtuelle. Suite aux analyses descriptives, des analyses corrélationnelles de type r de Pearson ainsi que des analyses de régression linéaire multiple ont été menées sur l’ensemble des données. Les résultats suggèrent que les tendances sadiques n’étaient pas associées à des déficits au niveau de la reconnaissance émotionnelle faciale, au contraire, le score aux échelles du sadisme commun prédisait une meilleure habileté à reconnaître les expressions d’émotions. Les résultats suggèrent également que la composante de l’affect plat de la psychopathie serait associée avec une moins bonne performance pour la reconnaissance émotionnelle faciale des émotions en général ainsi qu’à un déficit spécifique au niveau de la reconnaissance de la tristesse. Les résultats sont interprétés en fonction des objectifs spécifiques de cette recherche. / The behavioral manifestations of everyday sadism and subclinical psychopathy suggest an association with emotional deficits and with emotional processing deficits. It is suggested that the emotional coldness and the lack of empathy associated with everyday sadism and subclinical psychopathy are due to facial affect recognition (FAR) deficits. The aim of this study is to assess the association between everyday sadism, subclinical psychopathy and facial affect recognition. The participants of the present study were recruited in provincial halfway houses, in youth centers, in an intervention center for sexual offenders and in an organization offering help to man with a history of violent behaviors. The statistical analyses were conducted on a sample comprised on male general offenders (N = 81). The collection of the data was made using an online questionnaire comprised of sociodemographic information, the Varieties of Sadistic Tendencies (VAST), the Self-Report Psychopathy – Short Form (SRP-SF) and a facial affect recognition task. Adding to descriptive analyses, Pearson’s r correlation analyses and multiple regression analyses were performed to assess the respective influence of sadistic tendencies and psychopathic traits on predicting facial affect recognition performance. No general nor specific facial affect recognition deficits were found in relation to sadism. On the opposite, sadism was associated with a better performance for overall facial affect recognition and sadness recognition. Results suggest that higher levels of callous affect are associated with a reduced overall facial affect recognition performance and a specific impairment for sadness recognition. The results are discussed according to the specific objectives of this study.