Báez S, Couto JB, Torralva T, Sposato L, Huepe D, Montañes P, Reyes P, Matallana D, Vigliecca NS, Slachevsky A, Manes F, Ibanez A. Comparing Moral Judgments of Patients With Frontotemporal Dementia and Frontal Stroke. JAMA Neurology 2014

Comparing Moral Judgments of Patients With Frontotemporal Dementia and Frontal Stroke.

Autores Báez S, Couto JB, Torralva T, Sposato L, Huepe D, Montañes P, Reyes P, Matallana D, Vigliecca NS, Slachevsky A, Manes F, Ibanez A.
Año 2014
Journal  Báez S, Couto JB, Torralva T, Sposato L, Huepe D, Montañes P, Reyes P, Matallana D, Vigliecca NS, Slachevsky A, Manes F, Ibanez A.
Volumen 71:1172-6
Abstract  IMPORTANCE: Several clinical reports have stated that patients with prefrontal lesions or patients with the behavioral variant of frontotemporal dementia share social cognition impairments. Moral reasoning is impaired in both conditions but there have been few investigations that directly compare this domain in the 2 groups. OBSERVATIONS: This work compared the moral judgments of these patient groups using a task designed to disentangle the contributions of intentions and outcomes in moral judgment. For both disorders, patients judged scenarios where the protagonists believed that they would cause harm but did not as being more permissible than the control group. Moreover, patients with frontotemporal dementia judged harmful outcomes in the absence of harmful intentions as less permissible than the control participants. There were no differences between the 2 conditions. CONCLUSIONS AND RELEVANCE: Both disorders involved impairments in integrating intention and outcome information for moral judgment. This study was the first, to our knowledge, to directly compare a social cognition domain in 2 frontal pathologies with different etiology. Our results highlighted the importance of comparing patients with vascular lesions and patients with neurodegenerative diseases.
Otra información  En este artículo demostramos que los pacientes con lesiones frontales (con y sin afectación de la corteza prefrontal vetromedial, CPFVM), al igual que los pacientes con demencia frontotemporal (que presentan atrofia fronto-temporo-insular) tienen una afectación del juicio moral sobre acciones de agresión (tienden a juzgar las acciones en función de su resultado más que según la intención de dañar). Estos resultados cuestionan la exclusividad de la CPFVM en el juicio moral.