This paper seeks to bring together two previously separate research traditions: research on spatial orienting within the visual cueing paradigm and research into social cognition, addressing our tendency to attend in the direction that another person looks. Cueing methodologies from mainstream attention research were adapted to test the automaticity of orienting in the direction of seen gaze. Three studies manipulated the direction of gaze in a computerized face, which appeared centrally in a frontal view during a peripheral letter-discrimination task. Experiments 1 and 2 found faster discrimination of peripheral target letters on the side the computerized face gazed towards, even though the seen gaze did not predict target side, and despite participants being asked to ignore the face. This suggests reflexive covert and/or overt orienting in the direction of seen gaze, arising even when the observer has no motivation to orient in this way. Experiment 3 found faster letter discrimination on the side the computerized face gazed towards even when participants knew that target letters were four times as likely on the opposite side. This suggests that orienting can arise in the direction of seen gaze even when counter to intentions. The experiments illustrate that methods from mainstream attention research can be usefully applied to social cognition, and that studies of spatial attention may profit from considering its social function.

In this study we investigated the tendency of humans to imitate the gaze direction of other individuals. Distracting gaze stimuli or non biological directional cues (arrows) were presented to observers performing an instructed saccadic eye movement task. Eye movement recordings showed that observers performed less accurately when the distracting gaze and the instructed saccade had opposite directions, with a substantial number of saccades matching the direction of the distracting gaze. Static (Experiment 1) and dynamic (Experiment 2) gaze distracters, but not pointing arrows (Experiment 3), produced the effect. Results show a strong predisposition of humans to imitate somebody else's oculomotor behaviour, even when detrimental to task performance. This is likely linked to a strong tendency to share attentional states of other individuals, known as joint attention.

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SUMMARYPurpose: Mutations of the protocadherin19 gene (PCDH19) cause a female-related epilepsy of variable severity, with or without mental retardation and autistic features. Despite the increasing number of patients and mutations reported, the epilepsy phenotype associated with PCDH19 mutations is still unclear. We analyzed seizure semiology through ictal video-electroencephalography (EEG) recordings in a large series of patients. Methods: We studied 35 patients with PCDH19 generelated epilepsy and analyzed clinical history and ictal video-EEG recordings obtained in 34 of them. Key Findings: Clusters of focal febrile and afebrile seizures had occurred in 34 patients, at a mean age of 10 months. The predominant and more consistent ictal sign was fearful screaming, occurring in 24 patients (70.5%); it was present since epilepsy onset in 12 and appeared later on, during the course in the remaining 12 patients. In infancy, fearful screaming mainly appeared within the context of seizures with prominent hypomotor semiology, whereas during follow-up it was associated with prominent early motor manifestations. In 16 patients, seizures were video-EEG recorded both at onset and during follow-up: in five patients (31%) seizure semiology remained identical, in 7 (44%) semiology varied and in four patients it was unclear whether ictal semiology changed with age. Three patients (9%) had both focal and generalized seizures, the latter consisting of absences and myoclonus. Ictal EEG during focal seizures showed a prominent involvement of the frontotemporal regions (22 patients). About 45% of patients had an alternating EEG pattern, with the ictal discharge migrating from one hemisphere to the contralateral during the same ictal event. Status epilepticus occurred in 30% of patients. Cognitive impairment occurred in 70%, ranging from mild (42%) to moderate (54%) and severe (4%); autistic features occurred in 28.5%. Direct sequencing detected 33 different heterozygous candidate mutations, 8 of which were novel. Mutations were missense substitutions (48.5%), premature termination (10 frameshift, 4 nonsense, and 2 splice-site mutations; 48.5%), and one in-frame deletion. Thirty candidate mutations (91%) were de novo. No specific genotype-phenotype correlation could be established, as missense and truncating mutations were associated with phenotypes of comparable severity. Significance: Most patients with PCDH19 mutations exhibit a distinctive electroclinical pattern of focal seizures with affective symptoms, suggesting an epileptogenic dysfunction involving the frontotemporal limbic system. Awareness of this distinctive phenotype will likely enhance recognition of this disorder.

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The psychometric properties of the GNT and Silhouettes Test indicated that they are useful tools for monitoring even small cognitive changes. In contrast, the verbal fluency tests and the new Symbol Digit Test are only suitable for monitoring large changes in performance. The Modified Card Sorting Test is an unreliable tool for monitoring 'executive' functions.

Gaze-following behaviour is considered crucial for social interactions which are influenced by social similarity. We investigated whether the degree of similarity, as indicated by the perceived age of another person, can modulate gaze following. Participants of three different age-groups (18–25; 35–45; over 65) performed an eye movement (a saccade) towards an instructed target while ignoring the gaze-shift of distracters of different age-ranges (6–10; 18–25; 35–45; over 70). The results show that gaze following was modulated by the distracter face age only for young adults. Particularly, the over 70 year-old distracters exerted the least interference effect. The distracters of a similar age-range as the young adults (18–25; 35–45) had the most effect, indicating a blurred own-age bias (OAB) only for the young age group. These findings suggest that face age can modulate gaze following, but this modulation could be due to factors other than just OAB (e.g., familiarity).

Several past studies have considered how perceived head orientation may be combined with perceived gaze direction in judging where someone else is attending. In three experiments we tested the impact of different sources of information by examining the role of head orientation in gaze-direction judgements when presenting: (a) the whole face; (b) the face with the nose masked; (c) just the eye region, removing all other head-orientation cues apart from some visible part of the nose; or (d) just the eyes, with all parts of the nose masked and no head orientation cues present other than those within the eyes themselves. We also varied time pressure on gaze direction judgements. The results showed that gaze judgements were not solely driven by the eye region. Gaze perception can also be affected by parts of the head and face, but in a manner that depends on the time constraints for gaze direction judgements. While "positive" congruency effects were found with time pressure (i.e., faster left/right judgements of seen gaze when the seen head deviated towards the same side as that gaze), the opposite applied without time pressure.