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MPI Series in
Biological Cybernetics
No. 43, May 2015
Janina Esins
Face processing in
congenital prosopagnosia
Face processing in congenital prosopagnosia
Dissertation
vorgelegt
von
Janina Esins
aus Schwerin, Deutschland
February – 2015
Bibliografische Information der Deutschen Nationalbibliothek
ISBN 978-3-8325-3983-2
III
I hereby declare that I have produced the work entitled: “Face processing in
prosopagnosia”, submitted for the award of a doctorate, on my own (without external
help), have used only the sources and aids indicated and have marked passages included
from other works, whether verbatim or in content, as such. I swear upon oath that these
statements are true and that I have not concealed anything. I am aware that making a false
declaration under oath is punishable by a term of imprisonment of up to three years or by
a fine.
Janina Esins
IV
Acknowledgements
First and foremost, I thank Dr. Isabelle Bülthoff and Dr. Johannes Schultz for their great
supervision. Their constant support and encouragement helped me through some difficult
phases of this thesis. And I am grateful for their patience in endless rounds of revisions
during which they had to bear and improve my intellectual effusions.
I also thank Dr. Heinrich H. Bülthoff for giving me the opportunity to work at
outstanding research facilities, the Max Planck Institute for Biological Cybernetics and
the Department of Brain and Cognitive Engineering at the Korea University in Seoul. I
very much enjoyed the great time at these amicable environments.
I would also like to acknowledge Prof. Martin Giese, and Dr. Andreas Bartels, as
members of my advisory board, for comments and fruitful discussions of my work.
I owe special thanks to several other people helping to conduct my studies: Christian
Wallraven for very interesting and fruitful discussions; Stephan de la Rosa for answering
all my statistic questions; Karin Bierig for helping to conduct some experiments; Walter
Heinz, Mirko Thiesen and Timo Hertel for making diverse computer problems easier to
endure; Jacqueline Matzkeit and Katrin Prax for their incredibly efficient processing of
necessary organizational duties; Joachim Tesch, Nina Gaißert, and Christoph Dahl for
helping me out with stimuli; and Nele Hellbernd, Nack Duangkamol Srismith, BoRa Kim
and Lea Ottenberger for helping me to create some other stimuli.
And of course I thank the whole MPI crowd for making working at the MPI so much fun
with movie nights and holiday trips, coffee and tea breaks, fruitful scientific and private
discussions, and several very interesting conversations over lunch ;) Thanks!
Most of all, I would like to express my deepest gratitude to my family, for always being
there for me and supporting me in every way. You are always the first to call when
something terrible happened; or something awesome. I am grateful for everything you
have done for me. I love you.
V
VI
Summary
Face recognition is one of the most important abilities for everyday social interactions.
Congenital prosopagnosia, also referred to as "face blindness", describes the innate,
lifelong impairment to recognize other people by their face. About 2 % of the population
is affected, which means that one in fifty people shows noticeable problems in face
recognition.
The different studies cover diverse aspects of prosopagnosia: the nature of prosopagnosia
and measurement of its characteristics, comparison to other face recognition impairments,
and treatment options. The results serve to broaden the knowledge about prosopagnosia
and to gain a more detailed picture of this impairment.
VII
VIII
Contents
I. Synopsis ........................................................................................................................ 1
1. Face recognition ........................................................................................................ 2
1.1. Holistic processing ............................................................................................ 2
1.2. The other-race effect .......................................................................................... 3
2. Congenital prosopagnosia ......................................................................................... 3
2.1. Forms and occurrence frequency of prosopagnosia .......................................... 4
2.2. Manifestations of prosopagnosia ....................................................................... 4
2.3. Neurophysiological and genetic basis of congenital prosopagnosia ................. 6
2.4. Treatments of prosopagnosia ............................................................................. 8
3. Thesis overview and discussion ................................................................................ 8
3.1. Motivation ......................................................................................................... 8
3.2. Test battery ........................................................................................................ 9
3.3. Face perception and test reliability in prosopagnosia ...................................... 10
3.4. Comparing the other-race effect and prosopagnosia ....................................... 11
3.5. Galactose uncovers face recognition ............................................................... 13
3.6. Search for subgroups ....................................................................................... 16
3.7. General discussion ........................................................................................... 16
4. Outlook ................................................................................................................... 18
References ...................................................................................................................... 19
Declaration of Contribution ........................................................................................... 30
II. Face perception and test reliabilities in congenital prosopagnosia in seven tests ...... 33
1. Abstract ................................................................................................................... 33
2. Introduction ............................................................................................................. 34
3. General methods ..................................................................................................... 35
3.1. Procedure ......................................................................................................... 35
3.2. Participants ...................................................................................................... 35
3.3. Analysis ........................................................................................................... 37
IX
4. Tests ........................................................................................................................ 38
4.1. Cambridge Face Memory Test ........................................................................ 38
4.2. Cambridge Car Memory Test .......................................................................... 39
4.3. Surprise recognition task ................................................................................. 42
4.4. Surprise recognition task ................................................................................. 46
4.5. Featural and configural sensitivity task ........................................................... 51
4.6. Gender recognition task ................................................................................... 55
4.7. Facial motion advantage .................................................................................. 58
5. Reliabilities ............................................................................................................. 66
6. General discussion .................................................................................................. 69
Summary..................................................................................................................... 71
References ...................................................................................................................... 71
III. Do congenital prosopagnosia and the other-race effect affect the same face
recognition mechanisms? ................................................................................................... 83
1. Abstract ................................................................................................................... 83
2. Introduction ............................................................................................................. 84
3. Materials and methods ............................................................................................ 88
3.1. Participants ...................................................................................................... 88
3.2. Analysis ........................................................................................................... 90
3.3. Apparatus ......................................................................................................... 91
3.4. Procedure ......................................................................................................... 91
4. Test battery.............................................................................................................. 92
4.1. Cambridge face memory test ........................................................................... 92
4.2. Similarity rating of faces differing in features and configuration ................... 93
4.3. Object recognition ......................................................................................... 104
5. Correlations between tests .................................................................................... 109
6. General discussion ................................................................................................ 110
Acknowledgements ...................................................................................................... 113
Supplementary material................................................................................................ 113
References .................................................................................................................... 113
X
IV. Galactose uncovers face recognition and mental images in congenital
prosopagnosia: The first case report ................................................................................ 121
1. Abstract ................................................................................................................. 121
2. Introduction ........................................................................................................... 122
3. Report of the case.................................................................................................. 122
4. Comment ............................................................................................................... 123
Ethics ............................................................................................................................ 124
References .................................................................................................................... 125
XI
XII
I. Synopsis
I. Synopsis
Our faces tell who we are. When seeing a picture of a whole person without the face, the
picture seems incomplete, and the person is unrecognizable in most cases. In contrast, a
portrait showing just a face is perceived as a representation of the whole person. Our face
carries our identity. It therefore bears great social importance. We do not only recognize
people by their face, we also gain information about their age, gender, mood, and even
judge their attractiveness and trustworthiness. Furthermore, faces contain a unique
amount of social signals, like facial expressions, eye gaze direction, or attentional focus.
These social signs are the most important cues that we use for everyday interaction with
others.
The performance and reliability of our face recognition system is unrivaled by our other
recognition systems, for example for objects. It is robust in correctly identifying a face in
different lighting conditions, after years of ageing, or weight changes. At the same time, it
is sensitive enough to distinguish within a split second between the thousands of faces of
acquaintances and celebrities we know . Our face recognition system is so reliable that we
only notice how important it is when it fails. The condition of a general impairment of
face recognition is called 'prosopagnosia'.
This synopsis will first provide some background information on face processing in
general and potential disturbances of it. Then information about prosopagnosia will be
presented: its different manifestations, neurological causes, and possible treatments.
Thirdly, the overall scope of this thesis and the findings of its three studies will be
1
Face recognition
discussed in relation to previous work. The synopsis will be followed by three papers
describing the methods, results and findings of the three studies in more detail.
1. Face recognition
Faces are a very homogeneous object category, with eyes, nose, and mouth (features)
arranged in a very similar way in all humans. This homogeneity of faces asks for
specialized means in order to discriminate them from each other, e.g. to detect the subtle
changes in form of the facial features and their spatial arrangement (configuration). A
hypothesis about how humans achieve this outstanding performance in face recognition is
that faces are processed holistically (Farah et al., 1998).
Holistic processing of faces means that the different components of a face (e.g., features
and their configuration) are merged into a whole. It is very difficult to process single parts
of a face individually without integrating other facial information (Maurer et al., 2002),
and there is less part decomposition compared to object recognition (Tanaka and Farah,
1993; Lobmaier et al., 2010). One well-known demonstration of holistic face processing
is the composite face illusion (Young et al., 1987). The top face half of one person
combined with the bottom face half of another person gives the impression of a new, third
identity. It is very hard to process the two different parts individually to identify the
original persons (Figure 1), even if they are well-known to the viewer. Misaligning the
two face halves makes the illusion disappear.
A B
Figure 1: (A) Composite illusion. Aligning the top and bottom face half of two individuals
creates the illusion of a new, third person. Misaligning the two halves makes the illusion
disappear. (B) Original faces used for the illusion in panel A.
2
I. Synopsis
One example of deficits in face recognition, known by nearly every human, can be
experienced when looking at other-race faces. Faces of a foreign ethnicity are harder to
distinguish from each other than faces of the own, familiar ethnicity (Malpass and
Kravitz, 1969). This phenomenon is called the 'other-race effect', 'own-race-bias', or
'cross-race effect'. One possible and widely accepted explanation for this effect is the
higher level of expertise for same-race faces compared with other-race faces (Meissner
and Brigham, 2001).
Studies have shown, that other-race faces are processed less holistically than own-race
faces (Michel et al., 2006b), and that there is an own-race advantage for both configural
and featural processing (Hayward et al., 2008). These findings support the hypothesis that
face recognition is compromised if holistic processing or processing of some of the facial
information (e.g. features, configuration, etc.) is impaired.
2. Congenital prosopagnosia
3
Congenital prosopagnosia
The degree of impairment severity differs between prosopagnosics. Very likely, face
recognition ability is Gaussian distributed among the population with prosopagnosics at
the low end of the spectrum (Russell et al., 2009; Kennerknecht et al., 2011). At the other
end of the spectrum are so-called super recognizers, who are able to recognize a face after
decades, even if they have just very briefly met that person (Russell et al., 2009)
(Figure 2).
4
I. Synopsis
face recognition and face perception (Rivolta et al., 2011; Tree and Wilkie, 2010; Shah et
al., 2015). In addition, other means of diagnosis exist, for example questionnaires (Grüter,
2004; Stollhoff et al., 2011).
Figure 2: Graphical representation of the possible normal distribution of face recognition ability.
Performance outliers are prosopagnosics (low end of the scale) and super recognizers (high end of
the scale).
Prosopagnosia includes all cases with generally impaired face recognition, no matter what
the underlying cause is. A study found a prevalence of subjectively perceived face
recognition difficulties in 47 % of participants with Asperger's syndrome compared to
11 % of controls (Nieminen-von Wendt et al., 2005). Another study investigating the
comorbidity of prosopagnosia in patients with social developmental disorders found that
some, but not all participants had impaired face recognition compared to controls (Barton
et al., 2004). Some patients with schizophrenia were found to have impaired face
recognition (Archer et al., 1992), as well as adults with attention deficit hyperactive
disorder (ADHD) (Markovska-Simoska and Pop-Jordanova, 2010).
5
Congenital prosopagnosia
Grand et al., 2006; Schweich and Bruyer, 1993). The pattern of impairments even varies
across prosopagnosics belonging to the same family, for which one would expect similar
traits and impairment patterns (Schmalzl et al., 2008a). Investigated aspects with non-
uniform findings include holistic processing (e.g. assessed by the composite face test),
processing of features and configuration, recognition of facial expression, recognition of
gender, judgment of attractiveness, viewpoint matching, etc. All cases of prosopagnosia
have in common that their face recognition is impaired, but more specific impairments
strongly vary from case to case.
Face recognition involves several interconnected brain regions, the so-called 'face
processing network'. This network has three core areas in each hemisphere (see Figure 3).
The fusiform face area (FFA) is located in the lateral fusiform gyrus of the temporal lobe
and is believed to process facial identity (Kanwisher and Yovel, 2006). Another core face
area is the occipital face area (OFA) which is located in the inferior occipital gyrus. The
OFA has been linked to the early visual processing of faces (Pitcher et al., 2011) and to
providing input to the FFA (Haxby et al., 2000). The third core area for face recognition
is the superior temporal sulcus (STS) which processes biological and facial motion and
6
I. Synopsis
gaze direction (Allison et al., 2000; Hoffman and Haxby, 2000). This core network is
extended by further face areas processing person knowledge, emotional aspects, etc.
(Ishai et al., 2005).
STS STS
OFA FFA
FFA OFA
View: sagittal (from the side) coronal (from behind) axial (from top)
Figure 3: Overview of the core areas of the face network and their approximate position in the
authors brain.
7
Thesis overview and discussion
Several attempts have been made to improve face recognition in the acquired as well as
the congenital forms of prosopagnosia. Two different approaches have been undertaken
so far to treat congenital prosopagnosia: (1) training to improve face recognition, and (2)
some form of 'medication'.
(1) In some cases, the training was aimed at helping to identify unique facial
characteristics useful to learn and recognize faces (Brunsdon et al., 2006; Schmalzl et al.,
2008b). In both studies, training only brought improvement for the trained faces and a
generalization to untrained faces was not possible. In other cases, training was aimed at
helping prosopagnosics to improve their holistic face processing by extracting spatial
information (DeGutis et al., 2014). The results were mixed with some of the
prosopagnosics being able to raise their performance level to that of controls, while some
prosopagnosics were not able to improve their performance at all.
(2) So far there is only one study that has reported treating prosopagnosics using some
form of 'medication': the hormone oxytocin (Bate et al., 2013). Oxytocin has been found
to be crucial for various social behaviors (Lee et al., 2009) and seems to enhance memory
for faces (Savaskan et al., 2008). In the study by Bate and colleagues (2013) some
prosopagnosics significantly, temporarily improved their face recognition performance
while others showed only very little to no improvement.
3.1. Motivation
8
I. Synopsis
categorization into subgroups might help to pre-sort the individual prosopagnosic cases,
before searching for common genetic factors within the subgroups. Therefore, the goal of
this thesis was to create an extended test battery to investigate the heterogeneous patterns
of impairments in prosopagnosia in more detail, to broaden and expand the understanding
of this disorder, and to investigate the possibility to detect at least some subgroups based
on their pattern of impairments in psychophysical tests.
To achieve the goals of this thesis, an extended battery containing 16 tests was designed.
The test battery consists of a mix of face and object recognition test, some well-
established and some newly created, as well as some tests known from previous studies to
yield non-uniform results for prosopagnosic participants. Especially the latter category of
tests was considered helpful to detect different forms of prosopagnosia, thus facilitating
the search for subgroups. The battery was used to test a comparatively high number of
prosopagnosics1 as well as age-, gender and education matched controls and other-race
observers.
The test battery consists of 16 tests (references are given for tests and stimuli graciously
provided by other researchers):
1. Cambridge Face Memory Test (CFMT), a test of face memory and holistic
processing (Duchaine and Nakayama, 2006b)
2. Cambridge Car Memory Test (CCMT), a test of object memory and processing
(Dennett et al., 2011)
3. Surprise recognition test, a test of holistic processing and the unconscious intake of
facial identity information
4. Composite face test, a test of holistic processing
5. Similarity rating test, a test of the sensitivity to featural and configural facial
information
6. Face gender test, a test of gender recognition on the basis of the face
1
The prosopagnosic participants were diagnosed by the Institut für Humangenetik, Westfälische-
Wilhelms-Universität, Münster, Germany, based on a screening questionnaire and a diagnostic
semi-structured interview (Stollhoff et al., 2011).
9
Thesis overview and discussion
7. Facial motion advantage test, a test of holistic processing and the advantage of
dynamic information on face recognition (O’Toole et al., 2005)
8. Object and face test, a test of object and face recognition
9. Other-race test, a test of holistic processing and recognition of own- and other-race
faces (Michel et al., 2006a)
10. Covert face recognition, a test of holistic processing and implicit, unconscious face
recognition
11. Face categorization test, a test of holistic versus feature-based processing of faces
(Schwarzer et al., 2005)
12. Facial idiosyncrasy test, a test of face recognition based purely on facial motion
(Dobs et al., 2015)
13. Navigation test, a test of the sense of orientation
14. Long term memory test, a test of the long term memory (i.e. 2 years) of faces and
objects
15. Facial imagery, a test of the mental imagination ability for faces
16. Famous face test, a test of holistic processing and recognition of familiar faces
This test battery was used to conduct two studies. One study investigated the nature of the
heterogeneous manifestations of prosopagnosia and if it is possible to detect potential
subgroups based on the performance in those tests. This study is described in detail in
chapter II. Another study compared two phenomena of impaired face recognition
performance: prosopagnosia and the other-race effect. This study is described in detail in
chapter III.
In the study described in chapter II, we investigated different aspects of face perception
with tests 1 to 7 (listed on page 9) for prosopagnosic and control participants. Besides
10
I. Synopsis
analyzing the test performance, we also compared the reliability of the different tests
across participant groups.
For each test, we calculated its internal consistency reliability, which is an indication of
the test's quality: the trials of a test measuring the same face recognition mechanisms
should produce similar scores. We were surprised to find different reliability coefficients
between groups: prosopagnosics showed much lower reliability coefficients than controls
in tests of holistic face processing. This suggests that the prosopagnosic participants had a
different response behavior quality, exhibiting a very irregular and changing response
behavior within these tests. A possible explanation is that prosopagnosics switch between
strategies or respond randomly.
This finding has implications for the interpretation of prosopagnosics' test results. First,
individual test scores are used in the literature to compare prosopagnosics with controls;
second, they are used to compare prosopagnosics with each other; and third, they are used
to analyze prosopagnosics' response patterns in order to characterize their impairment and
search for subgroups. We believe that the cause for this reduced reliability needs to be
investigated and more reliable tests need to be designed, to provide robust and less noisy
test results, to reliably investigate prosopagnosia and its impairments.
11
Thesis overview and discussion
2008). Therefore, the other-race effect is sometimes used as an example to explain the
impairments prosopagnosics experience in everyday life (e.g. Kennerknecht, 2011).
As prosopagnosia and looking at other-race faces both lead to reduced face recognition
performance, the same face recognition mechanisms could be disturbed in both cases,
although through different causes. To investigate this hypothesis, we compared whether
prosopagnosia and the other-race effect impair featural and configural face processing in
a similar way. To that end, we tested German prosopagnosics, Korean participants and
German controls on their holistic, featural and configural processing of Caucasian face
stimuli, as well as object recognition. In the study described in chapter III we report the
performance of these groups on tests 1 (CFMT), 5 (Similarity rating), and 8 (Object and
face test), as listed on page 9.
Based on our results, we could disprove the hypothesis that a common underlying
mechanism is responsible for the impairments observed in prosopagnosia and the other-
race effect. Korean and prosopagnosic participants exhibited different patterns in
impairment of featural and configural processing of Caucasian faces. The sensitivity to
the featural changes was about the same for both groups. The sensitivity to configural
changes however was only impaired for prosopagnosics, while the Koreans were as good
as the German controls. Further, we could show that prosopagnosia has a stronger impact
on face processing than does observing other-race faces, as prosopagnosics were
significantly more impaired in recognition of Caucasian faces than Koreans, who in turn
were significantly more impaired than the German controls.
Additionally, we were able to gain new insight into general face recognition mechanisms.
Our results suggest that sensitivity to features is not crucial for determining face
recognition abilities. This is indicated by the fact that we found no difference between
Koreans and prosopagnosics in their sensitivity to facial features, while prosopagnosics
were more strongly impaired in general face recognition abilities than Koreans. However,
we could substantiate the hypothesis that configural sensitivity relates to face recognition
ability (Freire et al., 2000), because prosopagnosics were more strongly impaired in
general face recognition and configural processing than Koreans.
Overall, this study provided new insights into the face processing disturbances caused by
prosopagnosia and the other-race effect, and into general face processing mechanisms.
12
I. Synopsis
So far, only one study reported that a form of medication (administration of oxytocin)
was able to improve face recognition abilities in some but not all participating
prosopagnosics (Bate et al., 2013). Therefore, the discovery by a participant of our
studies, LI, that her face recognition improved due to a change in her diet, led to further
investigations of that case. This case report is described in more detail in chapter IV.
LI had added about 5 gram of galactose to her daily nutrition. The reason for this was
self-medication for her attention deficit hyperactivity disorder (ADHD), and was
unrelated to her face recognition deficits.
Galactose is a simple sugar with natural occurrence, for example as a component of the
milk sugar lactose. Healthy humans synthesize two to ten gram of galactose per day. It
was found that oral intake of galactose prevents cognitive deficits in mice induced with
Alzheimer's disease symptoms (Salkovic-Petrisic et al., 2014). Furthermore, descriptions
of several cases of positive effects of the oral intake of galactose for patients with
Alzheimer's or Parkinson's disease exist (Mosetter, 2008).
LI reported that through galactose not only her face recognition abilities improved, but
that in addition, amongst other things, her mental imagery became more vivid and her
sense of orientation increased. The effects vanished after stopping the intake of galactose.
To investigate the universality of this treatment 16 additional congenital prosopagnosics
were recruited to tests the possible impact of galactose on their condition. None of them
reported any noticeable effects. The single occurrence of a galactose-treatable case of
prosopagnosia might be another indicator of the existence of diverse subgroups.
13
Thesis overview and discussion
treatment used. Then another four weeks without private galactose followed, after which
the same procedure was repeated with the second set of capsules and the second testing
session. For each test, two versions were used with different stimuli for both sessions. In
pilot studies, the stimuli were adjusted so that the tests had a similar degree of difficulty
in both sessions.
We found nearly no significant differences2 between the results of tests performed after
galactose or starch intake (ps > .05 for all but two tests; see Table 1 for details). Several
explanations could account for this lack of an effect. Perhaps our tests were not adequate
to measure the effects of galactose. Alternatively, galactose may have different effects on
subjective and objective performance in face recognition. However, some aspects of the
results hint towards a mishap in the test methodology (e.g. a mix-up of the capsules by the
experimenters or the pharmacy): First, LI reported experiencing the known and expected
effects of galactose in the placebo session (session 2), but not in the galactose session
(session 1, see Table 1). Second, significantly better results were obtained in two of nine
tests in the placebo session, with other tests showing a similar trend. The latter could be
due to training effects, because of the repetition of session 1 tests in session 2.
Alternatively, we cannot exclude the possibilities that the effects of galactose for LI vary
depending on another factor that is yet to be discovered. Overall, the double-blind
experiment unfortunately gave no experimental evidence that corroborates the subjective
effects of galactose on face recognition experienced by LI. Therefore, our initial findings
published as indicated in chapter IV (Esins et al., 2013) should be taken with caution.
Further tests are necessary to verify if galactose has positive effects and can serve as a
possible therapeutic method for prosopagnosia.
2
For each test, we calculated the difference in performance between session 1 and 2 for LI. This
difference was then compared to the performance differences achieved by the participants of the
pilot studies on the respective test items. The Bayesian hypothesis statistical methods used for the
statistical analysis are described in (Crawford et al., 2011) and were conducted with the provided
computer programs downloaded from
http://homepages.abdn.ac.uk/j.crawford/pages/dept/SingleCaseMethodsComputerPrograms.HTM.
14
I. Synopsis
Table 1: Tests and results of the double-blind study to investigate the measurable effects of galactose
Session p-value 2
Test Information about Stimulus examples
1 2 (one-
the test
GALACTOSE PLACEBO tailed)
A Australian Face 78 % 81 % p = .40 Faces of Australian Caucasians
Memory Test correct correct to memorize and recognize
(McKone et al., among distractors
2011)
B Chinese Face 56 % 69 % p = .062 Faces of Chinese Asians to
Memory Test correct correct memorize and recognize
(McKone et al., among distractors
2012)
C1 High imagery 88 % 88 % p = .13 Multiple choice sentences A tractor has the
sentences correct correct which need mental imagery large wheels in front
(adapted from to be answered correctly. / in the back / in
(Eddy and Glass, front and back
1981)) Multiple choice sentences
which need NO mental A week has five / six
C2 Low imagery 75 % 100 % p = .005* imagery to be answered / seven days.
sentences correct correct correctly.
D1 Navigation - 7 7 p = .27 Remember and recall the
Number of correct way through a
wrong turns labyrinth (steering similar to
an ego-shooter computer
D2 Navigation - 81.7 s 73.5 s p = .32 game). Walking time and
Mean walking number of incorrect turns
time through are measured. Same as test
the labyrinth number 5 listed on page 9.
D3 Navigation - 0.14 1.08 p = .086 Recognition of street corners
Scene d' score d' score in a labyrinth after walking
recognition through it
E1 Mental rotation 98 % 98 % p = .21 Mental rotation – recognition
– accuracy correct correct if rotated letters and symbols
are mirror-inverted.
E2 Mental rotation
– reaction time 1.53 s 1.24 s p = .018* Mental rotation – mean
recognition time
F Vividness of 4.85 1.10 - Rating of strength of a The sun is rising
Visual Imagery mental image on a Likert- above the horizon
(Marks, 1973) scale from 1 to 5 (low value = into a hazy sky
high self-reported imagery)
G1 Sensitivity to 0.86 -0.53 Same as test number 5
facial features invalid† listed on page 9 and
described in detail in
G2 Sensitivity to 0.49 -0.23 chapter III
facial invalid† (Esins et al., 2014b)
configuration
H Interview No Strong - Short summary of self- What changes did you
effects effects reported, perceived perceive since the
noticed noticed effects intake of the capsules?
2
Footnote, see previous page.
* Significant p-values are marked with an asterisk.
†
Results of test G, session 2 are invalid, because the result values are negative. LI reported fatigue and
reluctance to perform this test in the second session, as it is a rather long (45 min) and tiring test.
15
Thesis overview and discussion
This thesis investigated different aspects of prosopagnosia to broaden and advance the
understanding of this disorder. We assembled an extended test battery and used it to
examine the impairments caused by prosopagnosia in different face recognition tasks
(chapter II), and to find differences in the underlying causing mechanisms for
prosopagnosia and the other-race effect (chapter III). We also investigated a single case of
prosopagnosia that appeared to be treatable by oral intake of galactose (chapter IV).
The studies also broadened our understanding of face recognition in general. In chapter
III, we show that the face recognition impairments caused by prosopagnosia are different
from the face recognition deficits occurring when looking at other-race faces.
Prosopagnosia does not only have a stronger impact on face recognition in general, but
also on configural processing of faces. More generally, our results implicate that
sensitivity to facial features is not crucial for determining face recognition abilities, while
sensitivity to facial configuration seems to be linked to face recognition abilities.
Furthermore, our studies are the first to report a possible positive effect of galactose on
one case of prosopagnosia, as described in chapter IV. However, as we could not verify
this effect experimentally, this finding needs further confirmation.
16
I. Synopsis
Another new finding, first reported by our study described in chapter II, is the reduced
reliability for prosopagnosic participants in tests of holistic processing of static faces.
Based on our results it is not possible to point out the actual cause for this reduced
reliability. However, we suggest that a possible source is an irregular, changing response
behavior of prosopagnosics within the tests, for example as a result of the usage of
different compensatory strategies or random responses. The fact that prosopagnosics use
strategies has been reported before (Stollhoff, 2010; Duchaine et al., 2003). Our study is
the first to show that there are indeed qualitative differences in test responses for
prosopagnosics and controls. This irregular response behavior of prosopagnosics indicates
that their test results might not reflect their actual abilities but rather the customary usage
of various strategies or random responding. This is an important finding, meaning that
implications drawn upon these results by future and previous studies should be taken with
caution. In the light of the finding of an irregular response behavior by prosopagnosics,
we will now look back at our two other studies. For the study comparing the other-race
effect with prosopagnosia (chapter III), we argue that our conclusions are nevertheless
valid. We based our conclusions partly on the results of the similarity rating (testing
featural and configural processing; test 5 listed on page 9 and described in detail in
chapter III). This test was shown to have excellent reliability coefficients for
prosopagnosics and controls (see chapter II, Table 4). For the Koreans of the study in
chapter III, reliability coefficients of the similarity rating were > .94 for Cronbach and
split-half estimates for featural and configural condition. We also based our conclusions
partly on the results of the CFMT, which was found to have a significantly reduced
reliability for prosopagnosics (chapter II). However, we only interpreted the results on a
group-wise level, as we argue that, despite low reliability, the tests are suitable for a
coarse comparison of face processing abilities between groups. Looking back at the
galactose study (chapter IV), the finding of an irregular response behavior in
prosopagnosics provides another possible explanation for the absence of an effect of
galactose in LI's test results. A possible irregular response behavior of LI could have
added noise to the results, thus reducing the chances to find an effect (irrespective of the
possible mishap).
Apart from our studies, the finding of reduced test reliability for prosopagnosic
participants also has several implications for general research on prosopagnosia. The
irregular response behavior could be an explanation for the unsystematic pattern of
17
Outlook
impairments, which we observed in our tests (see section 3.6) and which has previously
led others to the conclusion that prosopagnosia is a very heterogeneous disorder (Le
Grand et al., 2006; Schweich and Bruyer, 1993; Schmalzl et al., 2008a). This
heterogeneity was suggested to be intrinsic to prosopagnosia (Schmalzl et al., 2008a). Our
findings suggest that the irregular response behaviors exhibited by most prosopagnosics
could be another possible cause for the heterogeneity of prosopagnosia. Furthermore, this
response irregularity leads to noisy test results. This in turn could obstruct the search for
subgroups of prosopagnosia that relies on finding regularities in response patterns. We
suggest that it might not be possible to detect subgroups of prosopagnosia with the tests
for holistic face processing developed so far.
4. Outlook
Future research should explore the differences in test reliability for prosopagnosic and
control participants and their causes in further detail. Better tests with higher reliabilities
for prosopagnosics need to be designed. In addition, larger sample sizes will be needed
for further investigations of prosopagnosia. Better tests and larger participant groups
could help to increase the signal-to-noise ratio in test results needed for the detection of
subgroups. If subgroups are identified and their respective cause becomes known, it might
even be possible to find specific treatments for subgroups with treatable causes (e.g.
nutritional deficits) to improve the life of the people affected.
18
I. Synopsis
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29
Declaration of Contribution
Declaration of Contribution
This thesis comprises three manuscripts that are either published or prepared for
publication. Details about these manuscripts are presented in the following.
The candidate developed the ideas for the studies, their experimental design and
implementation in collaboration with the supervisors, and recruited participants, collected
and analyzed the data. The co-authors supervised the work of the candidate and assisted
in the revision of the manuscripts.
1. Esins, J., Schultz, J., Stemper C., Kennerknecht, I. & Bülthoff, I. (2015). Face
perception and test reliabilities in congenital prosopagnosia in seven tests. (prepared
for submission): J.E. created the stimuli, programmed the experiment, collected and
analyzed the data. All authors conceived the set-up of the assessment and wrote the
manuscript.
2. Esins, J., Schultz, J., Wallraven, C., & Bülthoff, I. (2014). Do congenital
prosopagnosia and the other-race effect affect the same face recognition
mechanisms? Frontiers in Human Neuroscience, 8(September), 1–14.
doi:10.3389/fnhum.2014.00759; and Esins J, Schultz J, Stemper C, Kennerknecht I,
Wallraven C and Bülthoff I (2015). Corrigendum: Do congenital prosopagnosia and
the other-race effect affect the same face recognition mechanisms?. Front. Hum.
Neurosci. 9:294. doi: 10.3389/fnhum.2015.00294: J.E. created the stimuli,
programmed the experiment, recruited the German control participants, collected
data of Caucasian participants and analyzed the data. C.S and I.K. recruited the
prosopagnisc participants. Recruitment and data collection of the Korean participants
was conducted by Bora Kim, Department of Brain and Cognitive Engineering, Korea
University, Seoul, South Korea. All authors conceived the set-up of the assessment
and wrote the manuscript.
3. Esins, J., Schultz, J., Bülthoff, I., & Kennerknecht, I. (2013). Galactose uncovers
face recognition and mental images in congenital prosopagnosia: The first case
report. Nutritional Neuroscience, 0(0), 1–2. doi:10.1179/1476830513Y.0000000091:
30
I. Synopsis
I.K. was first contacted and informed about the effects of galactose by the
participant. J.E. conducted the interviews with the participant and the assessment of
the influence of galactose on further prosopagnosics. All authors conceived the set-
up of the assessment and wrote the manuscript .
1. Esins, J., Bülthoff, I., & Schultz, J. (2011, May). The role of featural and configural
information for perceived similarity between faces. Poster presented at the 11th
Annual Meeting of the Vision Sciences Society: VSS 2011, Naples, FL, USA.
Journal of Vision, 11(11), 673-673, doi:10.1167/11.11.673.
2. Esins, J., Schultz, J., Kim, B., Wallraven, C., & Bülthoff, I. (2012). Comparing the
other-race-effect and congenital prosopagnosia using a three-experiment test battery.
Poster presented at the Asia-Pacific Conference on Vision 2012: APCV 2012,
Incheon, South Korea. i-Perception, 3(9), 688-688.
3. Kim, B., Esins, J., Schultz, J., Bülthoff, I., & Wallraven, C. (2012). Mapping the
other-race-effect in face recognition using a three-experiment test battery. Poster
presented by B.K. at the Asia-Pacific Conference on Vision 2012: APCV 2012,
Incheon, South Korea. i-Perception, 3(9), 711-711.
4. Esins, J., Bülthoff, I., Kennerknecht, I., & Schultz, J. (2012). Can a test battery reveal
subgroups in congenital prosopagnosia? Poster presented at the 35th European
Conference on Visual Perception: ECVP 2012, Alghero, Italy. Perception,
Vol. 41, 113-113.
5. Esins, J., Bülthoff, I., & Schultz, J. (2014). Motion does not improve face
recognition accuracy in congenital prosopagnosia. Poster presented at the 14th
Annual Meeting of the Vision Sciences Society: VSS 2014, Naples, FL, USA.
Journal of Vision, 14(10), 1436-1436, doi:10.1167/14.10.1436.
31
32
II. Face perception and test reliabilities
1. Abstract
33
Introduction
2. Introduction
For these reasons, we tested face perception in congenital prosopagnosia with a rather
large sample of prosopagnosics (16) in more detail. We included two widely used tests
for reference, the Cambridge Face Memory test (CFMT, Duchaine and Nakayama,
2006b) and the Cambridge Car Memory Test (CCMT, Dennett et al., 2011). We also used
test paradigms for which some controversial results exist in literature, and we developed
new tests to investigate perceptual processes in congenital prosopagnosia in more depth.
In the present study, we report and compare the performance of a group of 16 congenital
prosopagnosics to the performance of 21 matched controls in seven tests. We tested
holistic face processing, configural and featural face processing, processing of faces in
motion, unconscious processing of faces, face gender recognition, and object recognition.
For each test separately, we will present motivation, methodological details, results and
discussion. In addition, we calculated test reliabilities for each participant group, which
will be discussed in a separate section, followed by the general discussion.
34
II. Face perception and test reliabilities
3. General methods
3.1. Procedure
The experiments were conducted in two sessions lying about two years apart: on average
24.6 months (SD = 2.3) for prosopagnosics and 20.3 months (SD = 1.6) for controls.
During the first session, participants performed the Cambridge Face Memory Test
(CFMT), a surprise recognition test and a similarity rating test. The second session
included the Cambridge Car Memory Test (CCMT), a facial motion advantage test, the
composite face test, and a gender recognition test. In both sessions, participants could
take self-paced breaks between the experiments.
All participants were tested individually. The experiments were run on a desktop PC with
24" screen. The CFMT and CCMT are Java-script based; the other experiments were run
with Matlab2011b (The MathWorks Inc.) and Psychtoolbox (Brainard, 1997; Kleiner et
al., 2007). Participants were seated at a viewing distance of approximately 60 cm from
the screen. The procedure was approved by the local ethics committee.
3.2. Participants
Prosopagnosics
The prosopagnosics were diagnosed by the Institut für Humangenetik, Westfälische-
Wilhelms-Universität, Münster, Germany, based on a screening questionnaire and a
diagnostic semi-structured interview (Stollhoff et al., 2011). All prosopagnosics were
tested at the Max Planck Institute for Biological Cybernetics in Tübingen, Germany, and
compensated with 8 Euro per hour plus travel expenses.
35
General methods
Controls
All controls were tested at the Max Planck Institute for Biological Cybernetics in
Tübingen, Germany, and compensated with 8 Euro per hour. Controls were chosen to fit
as closely as possible the prosopagnosic participants in terms of age, sex and schooling
level. Due to time constraints, the controls did not participate in the diagnostic interview
but reported to have no problems in recognizing faces of their friends and family
members.
36
Another random document with
no related content on Scribd:
“Of course you’re right, Madeline,” Betty assured her, stirring her tea
absently and forgetting to eat any of her muffin. “I detest people
who can’t get along alone. It’s silly to try to do a lot more than you
can, and then expect somebody to come along and take it off your
hands. I hope I’m not that kind.” Betty dropped her spoon with a
clatter, and, sitting up very straight, faced the table with a tragic look
in her eyes and a desperate, determined set to her soft red lips.
“Girls,” she began, with a sudden change of tone that matched her
changed expression, “can you remember solid geometry? I can’t. I
never did know anything about Latin prose, so there’s no reason why
I should now. But not knowing the geometry worries me. I think it’s
getting on my nerves. And then,” she went on, as the little circle only
stared at her in curious silence, “Marie’s lit. notes are just a mess.
Mine were too, and anyhow I’ve lost my note-book. Is yours here,
Helen? Could I take it, and Christy’s? I’m sure I could manage if I
had a decent note-book or two.”
“Speaking of clear and lucid explanations——” began Madeline
slowly. Then she reached across the table to hug Betty comfortingly.
“You shall have all the decent note-books in 19—, if you want them,
you poor thing. And I’m truly sorry that mine isn’t one of them. As
for solid geometry, I’ll wager that not a person in this crowd could
demonstrate—is that the right word for it?—a single proposition. And
as for Latin prose, it’s a gift from the gods. You can’t learn it. Even
Professor Owen, who is a genius, can’t teach it. So stop worrying
here and now, and eat that muffin before somebody is tempted
beyond what she can bear, and a theft is committed in our midst.”
“Is all this trouble caused by Montana Marie O’Toole?” inquired
Christy practically.
Betty nodded, being too busy with the muffin to speak.
“Then,” Mary announced with decision, “what she needs is three
regular graduate tutors, who specialize in lit., math., and Latin prose,
and who will come to her rescue at any hour or hours of the day or
night, at about one-fifty per.”
Betty swallowed a mouthful hastily, to say, “They wouldn’t help her
any, Mary. They’d give up in despair after about one lesson. She’s
not stupid exactly, but she’s poorly prepared, and her mind is—well,
queer. Besides, I promised President Wallace. I agreed to ‘undertake’
her, as Mrs. O’Toole calls it, before he agreed to let her enter with so
many conditions. She’s going to be positively broken-hearted if she
fails at mid-years, and I think”—Betty hesitated—“I don’t think
President Wallace will ever have any use for me again if she does.
And I am busy with other things, and I never did know Latin prose,
and—I’m about in despair.” Betty paused abruptly and attacked the
remains of the muffin as if the eating of it would work a magic cure
of all her woes.
“Betty,” asked Rachel after a minute, “does this freshman try? Does
she want to get through enough to work for it?”
“She doesn’t know how to really work, Rachel, but she tries as hard
as she can. She is awfully sweet and awfully sorry about making
extra trouble. And of course you all understand,” Betty blushed a
little, “that I’m being paid—altogether too much, I thought when
they offered it—for looking after her.” Betty laughed suddenly. “Did
you hear about her Mountain Day exploit? I had to speak to her
about that, of course, to tell her that she mustn’t wear a magenta
handkerchief, and shout so loud on the public highway, and
otherwise make herself too conspicuous. And instead of being huffy,
she thanked me and sent me violets. Oh, she’s a dear! She’s worth a
lot of trouble, only I’m not bright enough to tutor her, and the
regular ones would be sure to get provoked or discouraged at her
queer ways, and just consider her hopeless, and let her drift along,
and finally be flunked out at mid-years.”
“She ought to be flunked out, oughtn’t she?” inquired Helen Adams
acutely. “I mean, she probably can’t ever keep her work up to the
required standard without a lot of help.”
Betty admitted sadly that she never could. “But she needs the life
here, Helen, almost more than any girl who ever came to Harding.
And if I can help her to have a year or two of it, I shall,—as long as
she keeps on trying to do her part.”
“Oh, yes, of course,” agreed Helen uncertainly.
“Is she in your freshman division, Helen?” demanded Mary Brooks,
after a whispered conference with Babbie. “I judged not. Very well
then. You are hereby elected to coach her in lit. No rule against a
faculty’s doing a little friendly tutoring, is there? My husband hasn’t
condescended to bother with any since he got to be head of his
department, but before that——” Mary finished the explanation with
a wave of her hand. “In the theme-work that goes with lit., Madeline
is hereby elected to come to the front. Madeline, I presume you
forgot, when you were talking about solid geometry, that our clever
little Christy here has given up her faculty job to take a Ph. D. in
math. She is hereby elected to assist Miss O’Toole to the
comprehension of sines and co-sines, and so forth—or do sines and
co-sines belong to trig.? And for Latin prose,” Mary’s beamish smile
broke out radiantly, “of course you don’t know it, because it
happened before your day, but Latin prose happens to be the one
useful thing I ever learned. I say useful, because after all these
years, I can use my one small scholarly accomplishment. Oh, I’ve
kept it up! George Garrison Hinsdale has seen to that. Whenever he
seems to be getting a bit tired of my frivolous appearance and
conversation, I read him a little out of Horace or Juvenal or Cicero’s
letters, and he’s so proud of me that I wish I had more scholarly
accomplishments. Only,”—Mary smiled serenely,—“he says he likes
me just as I am. And so, being the Perfect Wife, I will now turn into
the Perfect Tutor, and get Marie Montana O’Toole through her Latin
prose.”
“The business of this meeting having been disposed of,” Madeline
took up the tale, “I hereby demand that we begin to celebrate in
honor of me and my forthcoming novel.”
“And to discuss wedding dates,” added Babbie, “in honor of me and
my Young-Man-Over-the-Fence.”
“Don’t you think,” suggested Rachel, “that first we’d better let Betty,
who has just said she prefers to manage her own affairs, say what
she wants to do about Mary’s elections?”
“When you are elected——” began Mary, but Helen, Rachel, and
Christy, the serious members, silenced her.
“Now, Betty,” ordered Rachel. Betty looked solemnly from Helen to
Christy, from Christy to Madeline, and finally at Mary.
“Would you really do it, girls?” she asked at last.
“Of course,” said Helen quietly.
“You can count on me, if you want me,” Christy told her.
“I can’t promise till I’ve looked over the freshman,” Madeline
qualified. “If she is anywhere near as interesting as she sounds, I’ll
‘undertake’ her theme-work with much pleasure.”
“I’m simply dying to display my one accomplishment,” Mary declared
feelingly.
Betty gave a long, happy sigh. “Then of course I want you all to
help,” she said. “I was just about in despair when I came rushing
down here. And now—you’re not regular tutors. You understand
things. You know how I feel—and how Prexy feels. I couldn’t explain
to a regular tutor that for some unknown reason Prexy cares a lot
about Marie’s passing her exams. And I couldn’t tell them why she
herself needs so much to stay on here. But you’ll see it all. Oh, dear!
I’m so happy!” Betty crunched one of Cousin Kate’s cookies, and
smiled radiantly at Mary, who had “elected” everything so beautifully.
“Well,” inquired Babbie, after a polite interval, “now can we begin to
celebrate and plan weddings?”
“Easily,” Mary Brooks assured her. “Only don’t forget, all of you,
whether you have been elected tutors yet or whether you haven’t,
that you’ve each and all got to help. The B. C. A.’s have adopted a
new object—we have undertaken Montana Marie O’Toole—and it
may need our entire combined effort to make her a credit to us and
to Harding. But we’ve got to do it. And do it we will!”
“Hear! Hear!” from Madeline.
“The B. C. A.’s to the Rescue!” cried Helen.
“Betty Wales and her freshman!” added Christy.
They drank the toasts with much enthusiasm in fresh cups of tea—
poured out without the use of a strainer, because the next “feature”
on the program was to be tea-ground fortunes all around, read by
that past-mistress of the fine art of making everything interesting,
Miss Madeline Ayres.
CHAPTER VI
THE INTERVENTION OF JIM
“You can get a thing off your mind easily enough by telling it to
somebody,” said little Binks Ames very soberly. “But it isn’t so easy to
get it off your heart. I don’t know how to begin, and I hate to bother
you and Miss Wales any more, Georgia, but something has simply
got to be done for that poor freshman Jones.”
“Didn’t your mother know of any free sanitorium?” demanded
Georgia.
Binks shook her head. “It costs seven dollars a week at the one she
ought to go to, and she’d probably have to stay a year. Seven times
two is fourteen and seven times five is—— Oh, dear, I can’t do it in
my head!”
“Three sixty-four,” computed Georgia rapidly. “More than it would
probably cost her to stay on here for a year. And that was more than
she’s got. Can’t she get well at home?”
“Maybe,” said Binks absently, “but she’s a lot surer to at the
sanitorium. Georgia, you remember the day you asked me for tea at
the Tally-ho? It was full, and everybody seemed to be having a good
deal to eat. Your bill for six—I couldn’t help seeing it—was two
dollars and ten cents.”
“It was,” said Georgia, “and I had to borrow the ten cents of Fluffy
Dutton. Why will you unkindly recall that embarrassing incident,
Binks?”
Binks smiled politely at Georgia’s little joke. “I was just thinking—if
that tea-shop is full every afternoon, and each girl spends thirty or
forty cents for tea and cakes, why, in a week they must pay out
nearly three hundred dollars.”
“Easily,” agreed Georgia. “And incidentally they ruin their digestions
and their appetites for campus dinners, and we have to eat warmed-
up left-overs for next day’s lunch. But Betty Wales and her tea-shop
flourish, and everybody is happy.”
“I was wondering,” went on Binks soberly, “if the girls wouldn’t be
glad to give away more than they do, if they could see that it was
really needed. Forty cents for tea doesn’t mean anything to most of
them. Now wouldn’t they give forty cents each to help Miss Jones
get well?”
Georgia shook her head slowly. “No, because it’s not amusing. Tea
and cakes, ordered off stunty menus, served among the extra-
special features of the Tally-ho, with your little pals beside you, and
a senior you’re crazy about at the next table—that’s forty cents’
worth of fun, or four hundred cents’ worth, if you happen to have it.
But when you’re asked to give away forty cents, it looks as big and
as precious as forty dollars. It seems as if it would buy all the things
you want, and as if, when it was gone, you’d never see another forty
cents as good as that one.”
Georgia paused triumphantly, and Binks sighed acquiescence. “All
right. You know how things are here, Georgia, and I don’t. They
won’t give the money to Miss Jones, but they’d spend it fast enough
at an amusing benefit performance for her. Is that what you mean,
Georgia?”
Georgia smiled pleasantly. “No, I didn’t mean that, but it’s true, now
that you mention it. You’re too rapid for me, Binks. I didn’t know you
were such a rusher. But you go right ahead with your show—that’s
the Harding term for an amusing benefit performance—and I will
stay behind and attend to such practical details as time, place, and
the kind permission of the faculty, also the valued approval and
assistance of Miss B. Wales. Blood will tell, Binks. You’re going into
this thing with all Aunt Caroline’s fine enthusiasm for good works.”
“That freshman Jones is so pathetic,” said Binks simply. “If she was
my sister I presume I should steal, if necessary, to get her what she
needed.”
“Gracious, Binks!” protested Georgia. “You sound like a dangerous
anarchist.”
“Well, fortunately she’s not my sister,” Binks reassured her cousin,
“so I can just help get up a show for her. What kind of a show would
it better be, Georgia?”
Georgia laughed. “You speak as if shows grew on bushes, Binks, and
we could pick off any kind we liked the looks of. Whereas the sad
fact is that we shall have to snatch joyously at any kind we can think
of—if we’re lucky enough to think of a kind.”
“A suffrage bazaar would be rather nice, wouldn’t it?” Binks
suggested casually. “It would be comical all right, if it was anything
like the real ones. Suffragettes are certainly funny, and antis are
even funnier.”
“Sort of a take-off on the strenuous female, you mean?” inquired
Georgia.
Binks nodded. “We could have speeches and a play, if anybody could
write one, or maybe a mock trial, and then everybody could vote on
the suffrage question. Women’s colleges are always voting on
suffrage nowadays. They seem to like it.”
“That’s good, so far,” Georgia agreed approvingly. “Why not satirize a
few other feminine fads while you’re in the business? I can think of a
lovely parody on æsthetic dancing. My mother and sisters are going
crazy about that.”
“We could have a fresh-air children’s chorus,” Binks added promptly.
“I mean children brought up to go barefoot and sleep outdoors in
winter and all that sort of foolishness.”
“With a special number about women that get up early and walk
barefoot in the dewy grass,” put in Georgia eagerly.
“And we could have a home-beautiful monologue.”
“Never mind going any further, Binks,” Georgia told her firmly. “There
is evidently no lack of material for an extra-special show entitled
Jists and Suffragists.”
“Jists?” repeated Binks blankly.
“Jists—jests, jokes. Didn’t you ever hear of a merry jist, my peculiar
young cousin from Boston?”
“Well, I have now,” said Binks imperturbably. “And it will be no merry
jist at all if I’m not on hand at four to go walking with the Poetess.
So I must rush home. You think the faculty and Miss Wales will be
sure to approve, don’t you?”
“Oh, yes, I’m sure they will, but you’d better not assign the jist and
suffragist parts to your little friends until you hear from me,” advised
Georgia. “It’s considered good form not to be too sure in advance of
faculty permits.”
When Binks had gone, Georgia lay back on her broad window-seat
and chuckled. “She’s all right, is my peculiar cousin,” Georgia
reflected. “Jists and Suffragists will drag her into Dramatic Club
without any help from me. And she doesn’t know it. She wouldn’t
care if she did know it. And I almost let Clio Club get her, just
because she was in the family and so I never appreciated her! Well,
I appreciate her now. I guess I’ll go and find Betty and get her to
come with me to see Miss Ferris about the extra-special show.”
Never in the whole history of Harding College had there been a more
successful affair than Binks’s altogether impromptu, go-as-you-
please Benefit Performance. Binks’s method of arranging the various
stunts was quite simple.
“Is your mother a club-woman?” she demanded of each prospective
head of a committee. “Well, is she a fresh-air fiend? Or a
Suffragette? Or does she go in hard for exercise? She does? Then
won’t you please be Georgia’s right-hand man on her committee?
Georgia is getting up some killing kind of a dance, to make fun of
the exercise business.
“Now, Susanna, you were brought up on fresh air, and you can write
songs. Write one for a chorus of fresh-air-brought-up children, won’t
you? You can choose your own chorus to sing the song, and consult
with them about costumes and all that sort of thing.”
It worked like a charm, Binks’s method.
“You see,” Fluffy explained it, “a clever girl is sure to have a clever
mother, and nowadays all clever mothers have fads. Ours has the
no-breakfast fad. Straight is trying to write a one-act tragedy
entitled, ‘Before Breakfast, Never After.’ It will be tragic all right if it
goes the way I felt the summer that I obligingly tried to join the
anti-breakfast crusade.” Fluffy, who was engaged at the moment in
eating a particularly hearty breakfast at the Tally-ho, returned
happily to her second order of waffles.
Of course the B. C. A.’s heard about the extra-special show, and
Madeline, who was still in Harding celebrating the acceptance of her
novel, could not resist the lure of a project so congenial. She wrote
Binks a modest little note offering to write a one-act farce entitled,
“Waiting Dinner for Mother; or, The Meal-Hour and the Artistic
Temperament.”
“It will be founded on my personal observations,” Madeline wrote,
“and maybe it will be amusing, because living in Bohemia New York
used to be very amusing indeed, in spite of too much artistic
temperament getting into the cooking. I think our post-graduate
crowd would act it out for me, and then I shouldn’t be making you
any bother.”
“Bother!” repeated Binks, reading the note, which she had just
picked off the bulletin-board, aloud to a circle of friends. “Bother!
She’s written a play for Agatha Dwight—a really-truly play that you
sit in two dollar seats to see. And she hopes it won’t be a bother if
she writes one for this show!” Binks, who was not yet a recognized