Socioemotional dysfunction and the greater good: a case study.

IF 0.6 4区 医学 Q4 CLINICAL NEUROLOGY Neurocase Pub Date : 2024-08-01 Epub Date: 2024-09-21 DOI:10.1080/13554794.2024.2404682
Rea Antoniou, Patrick Callahan, Joel H Kramer, Bruce L Miller, Winston Chiong, Katherine P Rankin
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Abstract

Moral cognition has largely been studied via dilemmas in which making a utilitarian choice causes instrumental harm (negative dimension). Studies of utilitarianism link this behavior with socioemotional unresponsiveness. However, there is a positive dimension of utilitarianism in which one sacrifices the good of oneself or close others for the overall welfare. We measured utilitarian choices multidimensionally in a patient with behavioral variant frontotemporal dementia (bvFTD), incorporating dilemmas accounting for negative and positive dimensions. Despite socioemotional deficits our patient was highly utilitarian in the positive, dimension of utilitarianism. This case study challenges the tendency to automatically associate bvFTD with antisocial tendencies.

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社会情感功能障碍与更大的利益:案例研究。
道德认知在很大程度上是通过两难困境来研究的,在这种困境中,做出功利性选择会造成工具性伤害(负面维度)。对功利主义的研究将这种行为与社会情感反应迟钝联系在一起。然而,功利主义也有积极的一面,即为了整体利益而牺牲自己或身边人的利益。我们对一名行为变异性额颞叶痴呆症(bvFTD)患者的功利主义选择进行了多维度测量,其中包括消极和积极两个维度的两难选择。尽管存在社会情感缺陷,但我们的患者在功利主义的积极维度上却非常功利。本病例研究对将 bvFTD 自动与反社会倾向联系起来的倾向提出了质疑。
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来源期刊
Neurocase
Neurocase 医学-精神病学
CiteScore
1.40
自引率
12.50%
发文量
70
审稿时长
6-12 weeks
期刊介绍: Neurocase is a rapid response journal of case studies and innovative group studies in neuropsychology, neuropsychiatry and behavioral neurology that speak to the neural basis of cognition. Four types of manuscript are considered for publication: single case investigations that bear directly on issues of relevance to theoretical issues or brain-behavior relationships; group studies of subjects with brain dysfunction that address issues relevant to the understanding of human cognition; reviews of important topics in the domains of neuropsychology, neuropsychiatry and behavioral neurology; and brief reports (up to 2500 words) that replicate previous reports dealing with issues of considerable significance. Of particular interest are investigations that include precise anatomical localization of lesions or neural activity via imaging or other techniques, as well as studies of patients with neurodegenerative diseases, since these diseases are becoming more common as our population ages. Topic reviews are included in most issues.
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