Impaired Perception of Unintentional Transgression of Social Norms after Prefrontal Cortex Damage: Relationship to Decision Making, Emotion Recognition, and Executive Functions

Author(s):  
Riadh Ouerchefani ◽  
Naoufel Ouerchefani ◽  
Mohamed Riadh Ben Rejeb ◽  
Didier Le Gall

Abstract Objective Patients with prefrontal cortex damage often transgress social rules and show lower accuracy in identifying and explaining inappropriate social behavior. The objective of this study was to examine the relationship between the ability to perceive other unintentional transgressions of social norms and both decision making and emotion recognition as these abilities are critical for appropriate social behavior. Method We examined a group of patients with focal prefrontal cortex damage (N = 28) and a group of matched control participants (N = 28) for their abilities to detect unintentional transgression of social norms using the “Faux-Pas” task of theory of mind, to make advantageous decisions on the Iowa gambling task, and to recognize basic emotions on the Ekman facial affect test. Results The group of patients with frontal lobe damage was impaired in all of these tasks compared with control participants. Moreover, all the “Faux-Pas”, Iowa gambling, and emotion recognition tasks were significantly associated and predicted by executive measures of inhibition, flexibility, or planning. However, only measures from the Iowa gambling task were associated and predicted performance on the “Faux-Pas” task. These tasks were not associated with performance in recognition of basic emotions. These findings suggest that theory of mind, executive functions, and decision-making abilities act in an interdependent way for appropriate social behavior. However, theory of mind and emotion recognition seem to have distinct but additive effects upon social behavior. Results from VLSM analysis also corroborate these data by showing a partially overlapped prefrontal circuitry underlying these cognitive domains.

2017 ◽  
Vol 111 ◽  
pp. 73-85 ◽  
Author(s):  
Riadh Ouerchefani ◽  
Naoufel Ouerchefani ◽  
Philippe Allain ◽  
Mohamed Riadh Ben Rejeb ◽  
Didier Le Gall

Author(s):  
Inmaculada Sánchez-Macías ◽  
Jairo Rodríguez-Media ◽  
José Luis Aparicio-Herguedas

Se presenta un estudio que pretende proponer estrategias de intervención didáctica y de evaluación para desarrollar y mejorar el funcionamiento ejecutivo y la creatividad en el alumnado de secundaria. Dicho estudio parte del análisis de las variables creatividad y funciones ejecutivas (memoria de trabajo (actualización), planificación, inhibición (verbal y motora), flexibilidad y toma de decisiones) medidas a través del Test de pensamiento creativo de Torrance(creatividad), la Escala de inteligencia de Weschler (WISC-IV, memoria de trabajo), Torre de Hanoi (planificación), Stroop (inhibición verbal), Go/no Go (inhibición motora), Test de Categorías de Wisconsin (flexibilidad) y el Iowa Gambling Task (toma de decisiones). Se han buscado las posibles relaciones entre las variables a partir de un diseño descriptivo, correlacional y transversal, en el que los resultados muestran que flexibilidad y creatividad se relacionan (r=) e inhibición verbal y creatividad también se relacionan (r=). A la luz de estos resultados se proponen estrategias metodológicas basadas en la investigación y la resolución de problemas y de evaluación formativa que insten, activando las funciones ejecutivas, a la autoevalución crítica, participada, la evaluación compartida con iguales. A study is presented that aims to propose didactic intervention and evaluation strategies to develop and improve executive functioning and creativity in secondary school students. Said study starts from the analysis of the variables creativity and executive functions (working memory (updating), planning, inhibition (verbal and motor), flexibility and decision-making) measured through the Torrance Creative Thinking Test (creativity), Weschler Intelligence Scale (WISC-IV, working memory), Tower of Hanoi (planning), Stroop (verbal inhibition), Go / no Go (motor inhibition), Wisconsin Category Test (flexibility) and the Iowa Gambling Task (decision making). The possible relationships between the variables have been sought from a descriptive, correlational and cross-sectional design, in which the results show that flexibility and creativity are related (r =) and verbal inhibition and creativity are also related (r =). In light of these results, methodological strategies based on research and problem solving and formative evaluation are proposed that encourage, activating executive functions, critical, participatory self-evaluation, shared evaluation with peers.


2010 ◽  
Vol 30 (5) ◽  
pp. 562-581 ◽  
Author(s):  
Maggie E. Toplak ◽  
Geoff B. Sorge ◽  
André Benoit ◽  
Richard F. West ◽  
Keith E. Stanovich

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M. Jaracz ◽  
W. Drozdz ◽  
A. Borkowska

Aims:Decision making, as well as working memory and executive functions are among the most significant cognitive processes, associated with prefrontal cortex function. Decision making is associated with the orbitofrontal cortex function. Working memory and executive functions are dependent on the dorsolateral prefrontal cortex. Orbitofrontal, as well as dorsolateral prefrontal cortex dysfunction in bipolar disorder has been reported. The aim of the study was to assess decision making and executive functions in euthymic bipolar patients.Methods:The study included 13 euthymic bipolar patients (6 female, 7 male), aged 43±11 years and 11 age, sex and education years matched healthy controls. Decision making was assessed with Iowa Gambling Task (IGT). Working memory and executive functions were assessed with Wisconsin Card Sorting Test (WCST) and Trail Making Test (TMT). Depressive and/ or manic symptoms were measured with Hamilton Depression Scale (HAM-D) and Young Mania Rating Scale (YMRS).Results:Euthymic bipolar patients made more nonperseverative errors (t=2,53, p=0,01), gave less conceptual level responses (t=-2,33, p=0,03), completed less categories (t=-1,66, p=0,005) and used more cards to complete first category (t=1,49, p=0,003) in WCST. They also gained less money in IGT (t=-1,34, p=0,03).Conclusions:Bipolar patients performed significantly worse on several measures of WCST. Euthymic bipolar patients gained less money in IGT compared to healthy controls, although no significant differences in responding style in IGT were found.


2012 ◽  
Vol 18 (5) ◽  
pp. 927-930 ◽  
Author(s):  
Samantha M. Waters-Wood ◽  
Lin Xiao ◽  
Natalie L. Denburg ◽  
Michael Hernandez ◽  
Antoine Bechara

AbstractAlthough frontal patients show impaired decision-making on the Iowa Gambling Task (IGT), there has been no follow-up study to date to determine whether there is recovery of function over time. We examined neurological participants’ performance on repeated administrations of the IGT over the course of 6 years. We found that, while non-neurological participants showed considerable improvement due to practice effects on the IGT, patients with ventromedial prefrontal cortex (VMPFC) damage persisted in showing impaired performance on each retest. These results validate the clinical observations that VMPFC dysfunction does not appear to be subject to autonomous recovery over time in real-life. (JINS, 2012, 18, 1–4)


2020 ◽  
Author(s):  
Lili Zhang ◽  
Himanshu Vashisht ◽  
Alekhya Nethra ◽  
Brian Slattery ◽  
Tomas Ward

BACKGROUND Chronic pain is a significant world-wide health problem. It has been reported that people with chronic pain experience decision-making impairments, but these findings have been based on conventional lab experiments to date. In such experiments researchers have extensive control of conditions and can more precisely eliminate potential confounds. In contrast, there is much less known regarding how chronic pain impacts decision-making captured via lab-in-the-field experiments. Although such settings can introduce more experimental uncertainty, it is believed that collecting data in more ecologically valid contexts can better characterize the real-world impact of chronic pain. OBJECTIVE We aim to quantify decision-making differences between chronic pain individuals and healthy controls in a lab-in-the-field environment through taking advantage of internet technologies and social media. METHODS A cross-sectional design with independent groups was employed. A convenience sample of 45 participants were recruited through social media - 20 participants who self-reported living with chronic pain, and 25 people with no pain or who were living with pain for less than 6 months acting as controls. All participants completed a self-report questionnaire assessing their pain experiences and a neuropsychological task measuring their decision-making, i.e. the Iowa Gambling Task (IGT) in their web browser at a time and location of their choice without supervision. RESULTS Standard behavioral analysis revealed no differences in learning strategies between the two groups although qualitative differences could be observed in learning curves. However, computational modelling revealed that individuals with chronic pain were quicker to update their behavior relative to healthy controls, which reflected their increased learning rate (95% HDI from 0.66 to 0.99) when fitted with the VPP model. This result was further validated and extended on the ORL model because higher differences (95% HDI from 0.16 to 0.47) between the reward and punishment learning rates were observed when fitted on this model, indicating that chronic pain individuals were more sensitive to rewards. It was also found that they were less persistent in their choices during the IGT compared to controls, a fact reflected by their decreased outcome perseverance (95% HDI from -4.38 to -0.21) when fitted using the ORL model. Moreover, correlation analysis revealed that the estimated parameters had predictive value for the self-reported pain experiences, suggesting that the altered cognitive parameters could be potential candidates for inclusion in chronic pain assessments. CONCLUSIONS We found that individuals with chronic pain were more driven by rewards and less consistent when making decisions in our lab-in-the-field experiment. In this case study, it was demonstrated that compared to standard statistical summaries of behavioral performance, computational approaches offered superior ability to resolve, understand and explain the differences in decision- making behavior in the context of chronic pain outside the lab.


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