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Prosopagnosia - Causes, Symptoms, and Ways to Deal With the Condition

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Prosopagnosia is the inability to recognize people's faces and is also known as face blindness. Read the article below to learn more.

Written by

Dr. Shikha

Medically reviewed by

Dr. Abhishek Juneja

Published At December 8, 2022
Reviewed AtAugust 16, 2023

What Is Prosopagnosia?

Prosopagnosia is a neurological disorder in which people are unable to recognize faces. The name prosopagnosia is derived from the Greek words "face" and "lack of knowledge." Some people with prosopagnosia may merely have trouble recognizing a familiar face; others may be unable to distinguish between new faces, and still, others may not be able to distinguish a face from an object, depending on the severity of their impairment.

Some people with the condition have trouble recognizing their own faces. Prosopagnosia has nothing to do with memory problems, memory loss, vision problems, or learning impairments. Prosopagnosia is commonly found in children with autism and Asperger's syndrome, and it may be the reason for their social development problems.

What Is the History of Prosopagnosia?

Prosopagnosia has been reported since antiquity, but Bodamer's account (1947) of two people with facial recognition problems was a watershed moment since it detailed their symptoms and distinguished them from general visual agnosia. He coined the name prosopagnosia, which he came up with by combining the Greek word for face (prosopon) with the medical phrase for impaired recognition, agnosia.

What Is the Cause of Prosopagnosia?

Prosopagnosia is hypothesized to be caused by anomalies, impairment, or damage to the right fusiform gyrus, a fold in the brain. This part of the human brain is responsible for organizing the neuronal systems that control face memory and perception. Stroke, brain injury, and various neurodegenerative illnesses can all produce prosopagnosia. Face blindness is a congenital disease that affects some people. There appears to be a genetic relationship in these cases, as it tends to run in families.

Face blindness is not caused by poor vision, learning problems, or memory loss. It is a problem with recognizing faces rather than a memory impairment in which the individual is forgotten. Face blindness is not usually a sign of autism, although it appears to be more common among autistic people than in the regular populace. It is thought to be a factor in how people with autism's social development is sometimes hampered.

What Are the Symptoms of Prosopagnosia?

  • The inability to distinguish or discriminate between faces is the most common symptom of face blindness. It may be more difficult to build relationships, both personally and professionally, as a result of this.

  • Face-blind persons may find it challenging to recognize a person who appears in a different setting or context from the one they are used to.

  • Minor prosopagnosia might make it difficult to distinguish or recognize the faces of strangers or people they do not know well.

  • Face blindness can make it difficult for people with moderate to severe face blindness to recognize the faces of those they see on a frequent basis, such as family members and close acquaintances.

  • People with severe facial blindness may be unable to identify their own faces. This could make one feel anxious or depressed in social situations. One usually does not forget a few faces every now and then, but if they are suffering from prosopagnosia; it will be a constant and recurring condition that will not go away.

How to Diagnose Prosopagnosia?

A primary physician will recommend someone to a neurologist if they are experiencing problems recognizing faces. The neurologist may ask the individual to complete a test to see how well they can recognize facial features. The evaluation may look at the skills like:

  • Remember the faces of the family members and recognize the face of someone never seen before.

  • Evaluate information such as age and gender from a group of faces.

  • Notice similarities in facial features in sets of faces displayed.

  • Detect emotional clues from a collection of faces.

  • Noticing variances or similarities in a set of faces.

Physicians can utilize the Benton Facial Recognition Test (BFRT) and the Warrington Recognition Memory of Faces (RMF) to assess probable facial blindness. However, the results of these tests may not be completely accurate in detecting face blindness. According to one study, irregular scores are not always associated with facial blindness. The advice of a doctor is far more helpful. The Cambridge face perception test and the Cambridge face memory test are two tests that one can also take to detect whether one has face blindness. There are also other tests available online that claim to be able to diagnose face blindness. Many of them are inaccurate or invalid, and one should visit their doctor if they have any concerns.

How Is Prosopagnosia Treated?

There is no cure for prosopagnosia, but researchers are still trying to figure out what causes it, and training programs are being developed to help people improve their facial recognition. Some patients with developmental or acquired prosopagnosia may benefit from compensatory measures that aid in-person recognition or treatments that seek to restore normal face-processing systems. The age at which a person's brain was damaged in the event of acquired prosopagnosia, the type and degree of the brain injury, and the timing of therapy are all thought to play a role in the effectiveness of a rehabilitation program.

Many persons with prosopagnosia develop compensatory tactics to aid in their recognition of others, such as recognizing a person's voice, dress, or walking style. Compensatory tactics based on contextual signals, on the other hand, do not always work and can fail when an individual with prosopagnosia encounters someone they know in an unforeseen location or who has changed their look. Treatment focuses on assisting people with the illness in developing coping mechanisms so that they may better identify themselves.

Conclusion:

Prosopagnosia is a challenging medical condition to deal with. It can cause a person to avoid social engagement and acquire social anxiety disorder, which is characterized by an overpowering fear of social interactions. Face blindness can make it difficult to form personal and professional connections. As a result, one may experience social anxiety or despair. It can be beneficial to learn how to recognize people through methods that do not rely on being able to recognize their faces.

Consult a therapist if suffering from social anxiety or despair as a result of face blindness. They can assist in developing additional strategies for better communication with others, developing stronger interpersonal bonds, and managing depression or social anxiety.

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Dr. Abhishek Juneja
Dr. Abhishek Juneja

Neurology

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