Antoniou Rea, Callahan Patrick, Kramer Joel H, Miller Bruce L, Chiong Winston, Rankin Katherine P
Memory and Aging Center, Department of Neurology, University of California San Francisco, San Francisco, CA, USA.
Neurocase. 2024 Aug;30(4):125-134. doi: 10.1080/13554794.2024.2404682. Epub 2024 Sep 21.
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.
道德认知主要是通过两难困境来研究的，在这些困境中，做出功利主义的选择会造成工具性伤害（负面维度）。功利主义的研究将这种行为与社会情感反应迟钝联系起来。然而，功利主义还有一个积极维度，即一个人为了整体福利而牺牲自己或亲密他人的利益。我们对一名行为变异型额颞叶痴呆（bvFTD）患者的功利主义选择进行了多维度测量，纳入了考虑负面和正面维度的两难困境。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高度倾向于功利主义。这个案例研究挑战了将bvFTD自动与反社会倾向联系起来的趋势。
