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28 October 2014
Inside Out: Surprising Stories, Familiar Places

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听听Coming Up : Inside Out - London: Monday November 6, 2006
Faces quiz and gallery
Nerina Parr
Nerina Parr has face blindness, but how good are your facial recognition skills?

Face blindness

Face blindness - the inability to recognise faces - is a medical condition affecting up to 2% of the population or one in 50 people.

Prosopagnosia - to give it its full name - has only been recognised as a medical condition in the past 15 years.

Those who have it do not register faces - some just see faces as a blur whilst others may see facial features such as eyes/nose/mouth, but they don't mean anything to them.

Linda Robson explores the effects of living with this condition for Inside Out.

Spotting a face

Face blindness can cause huge social difficulties as prosopagnosics can't recall a face from one meeting to the next, even if it's someone they've known all their life.

They can be perceived as being rude or socially inept if they ignore someone they know if they meet them unexpectedly.

East Ender
Recognise this famous Eastender and Cockney star?

Normal activities such as watching a film or soap opera or the news are impossible as famous faces mean nothing to them.

Linda meets Nerina Parr, a social worker and trainer who has had the condition all her life, but only recently had it diagnosed by Dr Brad Duchaine at the Department of Cognitive Neuroscience at University College London.

Nerina went to see Dr Duchaine after her best friend Jim Apted read an article on face blindness and became convinced that Nerrina had the condition.

She has known Jim for over 30 years and he had always found it puzzling that she would not register the faces of people she knew well or saw every day.

Testing times

Much of the research into face blindness is being carried out at University College, and also at Harvard in the U.S.

At University College Dr Duchaine, whose work is funded by the ESRC (Economic & Social Research Council), has developed a number of tests which enable him to diagnose the condition and its level of seriousness in sufferers.

John McEnroe
Mistaken identity - Nerrina mistook her mate Jim for John McEnroe

We see Nerina taking some of these tests - one of them involves looking at photographs of well-known faces and also close relatives and friends.

She is scored on the number of faces she recognises - inevitably very few.

As well as not recognising Camilla, the Duchess of Cornwall and Victoria Beckham, she mistakes a photo of her best friend Jim for John McEnroe.

She doesn't register another one of Linda Robson, even though Linda is sitting with her when she takes the test.

Another test involves matching faces in order of similarity - some prosopagnosics find it easier to 'process' faces if they see them upside down, and we see that Nerina achieves a similar score with upright and inverted faces.

Face blindness

Prosopagnosia - an impairment in the recognition of faces.

It can be accompanied by other types of recognition impairments (place recognition, car recognition, facial expression of emotion, etc).

Prosopagnosics may have problems recognising family members, close friends, and even themselves.

Reports of prosopagnosia go back to antiquity. The Bodamer report (1947) was a landmark study in describing the symptoms.

Prosopagnosia is a mixture of the Greek word for face (prosopon) and the medical term for recognition impairment (agnosia).

Symptoms include:

* Impaired recognition of people even close friends and family.

* Greater reliance on non-facial information such as clothing, hair, posture, voice, and other information.

* Problems following the plot of television shows and movies, because they cannot keep track of the identity of the characters.

Causes - most documented cases of prosopagnosia have resulted from brain damage suffered from head trauma, stroke, and degenerative diseases.

Source: Face Blind

Processing information

Face blindness is caused by a section of the brain either being damaged, or in many cases never developing enough to enable someone to see and process faces in the way most people do.

It can be hereditary - it is in Nerrina's case as her mother also has the condition.

At present there is no cure for the condition, although Dr Duchaine hopes that one will be developed with increasing research.

At the moment, those who are diagnosed are taught coping mechanisms, such as avoiding situations where they have to try to find someone in a crowd, and always getting people to identify themselves.

Nerina manages by remembering voices and hair-styles, and always arriving early for appointments and making specific arrangements about where to meet people.

When she gives lectures to students, she tries to get them to sit in the same place.

She avoids crowds and situations where people are in uniform.

Nerina has a positive outlook on her condition.

She found being diagnosed a great relief as she had always known something was wrong with her recognition of people, but didn't know what the problem was and was anxious that people found her rude or stupid.

Diagnosing face blindness

Dr Duchaine says diagnosis is a huge comfort to most people as they may have previously been misdiagnosed as having autism or asperger's syndrome.

Nerina has a host of amusing anecdotes about the problems her condition has caused her over the years: including going to a friend's 40th party where everyone was in fancy dress.

Although most of the guests were good friends, she had no idea who any of them were!

In some cases, people with prosopagnosia can not only not recognise or 'process' faces, but they also can't tell facial emotions, so are unable to tell if they're with someone who is smiling, friendly, angry or suspicious.

This can make them very vulnerable in social situations.

TAKE THE FAMOUS LONDONERS QUIZ

Helping hand

To find out more about face blindness, visit the at University College London.

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Cleaning up the hotel industry

Workers campaigning
Poverty wages - Eastern European workers protest

London has a booming tourist industry.

It also has a large amount of Eastern European hotel cleaners.

Inside Out London speaks with Linas from Lithuania, now a representative for London Citizens Association, who is dedicated to improving the working conditions of hotel employees currently paid a poverty wage.

Linas was previously employed by a major hotel chain and was paid low wages and experienced bad working conditions - he has now decided it's time to do something about it.

Targeting the chains

As part of the London Citizens Association he is now targeting major hotel chains unfairly treating and paying their employees, taking part in rallies outside hotels, protests and meetings.

Linas
Linas - fighting for better pay and conditions

"In May I thought I could not take this anymore, they didn't receive money, they weren't treated fairly," said Linas of hotel employees.

Various Eastern European workers are faced with cleaning rooms in terrible conditions with no overtime pay because they have to fit their minimum requirement of clean rooms.

However the New York Hilton chain has recently signed a deal for fair conditions and pay for workers.

Hotel employees are now paid $20 dollars an hour while UK workers are paid the equivalent of $8 dollars.

London Citizen is now working to target the Hilton to get the same kind of fair treatment for UK workers.

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Bowler hats

Bowler hats
Bowled over - the return of the bowler hat

Worn by gentry, bands and now even rap stars, the bowler hat is deeply rooted in London's history.

But is it making a comeback?

Suggs gets his head shape examined and tries one on for size when Inside Out London explores the life of the bowler.

We also visit Lock & Co. which has been selling them for 156 years.

Once worn by the masses the bowler became a figure of authoritarianism,

But with films like Clockwork Orange, the bowler started to be claimed back by the young to take the mickey out of the ruling classes.

Suggs and other members of his band Madness wore them for this very reason.

The bowler hat is certainly characteristically London and while you don't see as many on the streets these days, there is certainly still a place for them.

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