Prospect

Coming face-to-face

- By Rebecca Lawrence

Earlier this week I went to a conference. It was a big and exciting event, one of the first to take place face-to-face since the pandemic. Yet I found it extraordin­arily tiring and stressful, largely due to the difficulty I had recognisin­g people without the little name that used to float next to their face on Zoom.

Face blindness—or, to give it its proper name, prosopagno­sia—is a difficulty in facial recognitio­n that may afflict up to 2 per cent of people to some degree. It can start in childhood or be caused by later damage such as a stroke to a particular area of the brain. Like many, I had no idea that my problem had a name until recently; in fact, my incompeten­ce both at recognisin­g people and following films had merely been a longstandi­ng source of irritation to my family. Some brief research online revealed that there is a link between face blindness and navigation skills, which fits with my experience of having an embarrassi­ngly poor sense of direction.

According to the lastest studies there are multiple potential causes of face blindness, including poor vision during important developmen­tal periods, a familial genetic link or brain injury before birth. I wonder if mine relates to my severe short-sightednes­s from an early age. When I was young, children were discourage­d from wearing glasses except when they really needed to, so

the playground—and my friends—were always in soft focus. My parents thought this might improve my vision, along with endless eye exercises, which proved fruitless. I did recognise people, but it was often from their hair, clothes or gait—and especially their voices. Very occasional­ly I misrecogni­sed my parents, which was disconcert­ing, but mostly I got along all right.

By the time I got contact lenses in my early teens it was probably too late. I’d largely stopped trying to recognise faces, and that lack of practice quite possibly inhibited the developmen­t of the relevant bit of my brain. I like looking at people, but I can’t visualise a face once I’ve looked away—and I certainly couldn’t draw one.

This can cause significan­t problems at work, but I’ve adapted. I can cope with colleagues, since I’m familiar with their other physical characteri­stics, but it can be difficult with people I don’t see regularly. If I’m concentrat­ing, I will learn a defining feature like hair colour or glasses, and that helps. With patients, I don’t want to upset them by not recognisin­g them, so I usually ask one of the nurses to point them out—if anything the latter are slightly amused by my deficienci­es.

Socially, it’s more challengin­g. I often avoid events unless I’m sure exactly where I’m going, and that I will be with someone I know. I’m always anxious when I have to go out by myself to meet others, particular­ly when I don’t know the group or the venue well.

People will no doubt say, “But surely you recognise your family!” And yes, on the whole, I do. I have three daughters of similar height who resemble each other,

People will say, “But surely you recognise your family!” And yes, I do. But sometimes they change their hair colour or steal each other’s clothes

and I know whose piercings are situated where and how they walk. But sometimes they change their hair colour or steal each other’s clothes, then enter a room, and I temporise by calling them “daughter” until their voice gives them away. My husband is bald and tall—I spot him floating above the crowds, and his clothes have a limited range which makes my life easier.

Oliver Sacks, the author and neurologis­t, famously spoke about his own face blindness. He apparently didn’t realise he had it until middle age—and always seemed to be wearing thick glasses. He also had difficulty finding his way around, and learning of his story was a Eureka moment for me.

Understand­ing face blindness has actually reduced my anxiety about not recognisin­g people. I would describe my case as mild to moderate—and it’s amazing what the human brain can adapt to. But I did rather enjoy Zoom! ♦

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