Behavioural studies of the perceptual cues for female physical attractiveness have suggested two potentially important features; body fat distribution (the waist-to-hip ratio or WHR) and overall body fat (often estimated by the body mass index or BMI). However none of these studies tell us directly which regions of the stimulus images inform observers' judgments. Therefore, we recorded the eye-movements of 3 groups of 10 male observers and 3 groups of 10 female observers, when they rated a set of 46 photographs of female bodies. The first sets of observers rated the images for attractiveness, the second sets rated for body fat and the third sets for WHR. If either WHR and/or body fat are used to judge attractiveness, then observers rating attractiveness should look at those areas of the body which allow assessment of these features, and they should look in the same areas when they are directly asked to estimate WHR and body fat. So we are able to compare the fixation patterns for the explicit judgments with those for attractiveness judgments, and infer which features were used for attractiveness. Prior to group analysis of the eye-movement data, the locations of individual eye fixations were transformed into a common reference space to permit comparisons of fixation density at high resolution across all stimuli. This manipulation allowed us to use spatial statistical analysis techniques to show: 1) Observers' fixations for attractiveness and body fat clustered in the central and upper abdomen and chest, but not the pelvic or hip areas, consistent with the finding that WHR had little influence over attractiveness judgments. 2) The pattern of fixations for attractiveness ratings was very similar to the fixation patterns for body fat judgments. 3) The fixations for WHR ratings were significantly different from those for attractiveness and body fat.

Attentional biases may influence the eye-movements made when judging bodies and so alter the visual information sampled when making a judgment. This may lead to an overestimation of body size. We measured the eye-movements made by 16 anorexic observers and 16 age-matched controls when judging body size and attractiveness. We combined behavioural data with a novel eye-movement analysis technique that allowed us to apply spatial statistical techniques to make fine spatial discriminations in the pattern of eye-movements between our observer groups. Our behavioural results show that anorexic observers overestimate body size relative to controls and find bodies with lower body mass indexes more attractive. For both judgments, the controls' fixations centre on the stomach, but the anorexic observers show a much wider fixation pattern extending to encompass additional features such as the prominence of the hip and collar bones. This additional visual information may serve to alter their behavioural judgments towards an overestimation of body size and shift their ideal body size towards a significantly lower value.

Could signallers use size contrast illusions to dishonestly exaggerate their attractiveness to potential mates? Using composite photographs of women from three body mass index (BMI) categories designed to simulate small groups, we show that target women of medium size are judged as thinner when surrounded by larger women than when surrounded by thinner women. However, attractiveness judgements of the same target women were unaffected by this illusory change in BMI, despite small true differences in the BMIs of the target women themselves producing strong effects on attractiveness. Thus, in the context of mate choice decisions, the honesty of female body size as a signal of mate quality appears to have been maintained by the evolution of assessment strategies that are immune to size contrast illusions. Our results suggest that receiver psychology is more flexible than previously assumed, and that illusions are unlikely to drive the evolution of exploitative neighbour choice in human sexual displays.

Disturbance in how one’s body shape and size is experienced, usually including over-estimation of one’s own body size, is a core feature of the diagnostic criteria of anorexia nervosa (AN). Is this over-estimation specific to women with AN’s judgments of their own body? Or is it just a general feature of their judgments about all bodies? If the latter, it would be consistent with a general error in the perception of body size potentially linked to the use of a different set of visual cues for judging body size. If the former, then this suggests that the over-estimation of own body size has a strong attitudinal component and may be part of the psycho-pathology of their condition. To test this hypothesis, 20 women with AN and 80 control observers estimated the body size of 46 women. The results show a strong effect of perceptual factors in estimating body size for both controls and women with AN. This result is consistent with size over-estimation of own body in AN having a strong attitudinal basis and being a core feature of the psycho-pathology of the condition.

We report a Delphi Consensus modification and first validation study of the Autism Diagnostic Observation Schedule – 2 with deaf children and young people (ADOS-2 Deaf adaptation). Validation included 122 deaf participants (aged 2–18 years), 63 with an Autism Spectrum Disorder (ASD). This was compared to a National Institute for Health and Clinical Excellence (NICE) guideline standard clinical assessment by blinded independent specialist clinicians. Results showed overall sensitivity 73% (95%CI 60%, 83%); specificity 71% (95%CI 58%, 82%), and for the more common modules 1–3 (combined as in previous studies) sensitivity 79% (95% CI 65–89%); specificity 79% (95% CI 66–89%) suggesting this instrument will be a helpful addition for use with deaf children and young people.