Are faces and objects recognized by separate visual recognition systems or
might a single system subserve the recognition of both classes of input? Re
cognition of faces and objects by a single system predicts that prosopagnos
ics, who selectively lose the ability to recognize faces due to brain damag
e, should also lose the ability to recognize objects. Contrary to this pred
iction, case studies of prosopagnosia have reported intact object recogniti
on. Further support for separate visual recognition systems comes from the
case of HH reported here. Following a stroke involving the left posterior c
ortex, HH has a severe apperceptive visual agnosia for visually presented o
bjects and an alexia for words. Yet, he shows relatively spared visual face
processing. Such a performance pattern completes a double dissociation bet
ween face and object processing when coupled with prosopaganosia. More impo
rtantly, HH is the first apperceptive visual object agnosic to demonstrate
spared face processing. The severity of his object-processing deficit is su
ch that from the earliest levels in the visual processing hierarchy, distin
ct neural substrates must be responsible for processing some objects and fa
ces. These results are discussed as support for Farah's model (Visual agnos
ia: disorders of object recognition and what they tell us about normal visi
on. Cambridge, MA: MIT Press, 1990) of object, face and word recognition.