56 Chapter 3 ABSTRACT One of the most prevalent nonverbal, social phenomena known to automatically elicit self- and other-referential processes is eye contact. By its negative effects on the perception of social safety and views about the self and others, childhood emotional maltreatment (CEM) may fundamentally affect these processes. To investigate whether the socio-affective consequences of CEM may become visible in response to (prolonged) eye gaze, 79 adult participants (Mage = 49.87, SD age = 4.62) viewed videos with a direct and averted gaze of an unfamiliar other and themselves while we recorded self-reported mood, eye movements using eye-tracking, and markers of neural activity using fMRI. Participants who reported higher levels of CEM exhibited increased activity in ventromedial prefrontal cortex to one’s own, but not to others’, direct gaze. Furthermore, in contrast to those who reported fewer of such experiences, they did not report a better mood in response to a direct gaze of self and others, despite equivalent amounts of time spent looking into their own and other people’s eyes. The fact that CEM is associated with enhanced neural activation in a brain area that is crucially involved in self-referential processing (i.e., vmPFC) in response to one’s own direct gaze is in line with the chronic negative impact of CEM on a person’s self-views. Interventions that directly focus on targeting maladaptive selfviews elicited during eye gaze to self may be clinically useful. Keywords: Childhood Emotional Maltreatment; Self-referential Processing; Direct Gaze; Ventromedial Prefrontal Cortex; Eye Tracking; Social Cognition
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