Frontal versus dysexecutive syndromes: relevance of an interactionist approach in a case series of patients with prefrontal lobe damage.

Published on Aug 18, 2018in Neuropsychological Rehabilitation2.667
· DOI :10.1080/09602011.2016.1209420
Jérémy Besnard7
Estimated H-index: 7
(University of Angers),
Philippe Allain24
Estimated H-index: 24
(University of Angers)
+ 4 AuthorsDidier Le Gall20
Estimated H-index: 20
(University of Angers)
ABSTRACTThe concepts of “frontal” and “dysexecutive” syndromes are still a matter of debate in the literature. These terms are often used interchangeably but can be distinguished when considering specific frontal behavioural deficits which occur during social interaction. Despite being of interest for the clinical assessment and care management of patients with anterior brain damage, few studies have tried to disentangle the specificity of each syndrome. We report the case of eight patients with frontal lobe damage who were assigned to one of two groups based on whether or not they showed a dysexecutive syndrome. The nondysexecutive group differed from the dysexecutive group in showing environmental dependency phenomena, behavioural disorders triggered by social interaction. By adopting an interactionist perspective, this pilot study contributes to defining more precisely the distinction between “frontal” and “dysexecutive” syndromes. The discussion focuses on the potential interest of the interactionist ...
  • References (69)
  • Citations (3)
📖 Papers frequently viewed together
22 Citations
1 Citations
8 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
#1Rupa Gupta Gordon (Augustana College (Illinois))H-Index: 3
#2Melissa C. Duff (UI: University of Iowa)H-Index: 29
ABSTRACTBackground: Ylvisaker et al. argue that traumatic brain injury (TBI) intervention is most effective using a collaborative contextualised approach. However, few research protocols have implemented the principles of this approach in empirical studies. The development of such research paradigms would promote tighter integration of empirical findings with theoretical models and between research and current clinical practice.Aims: This preliminary study sought to examine learning and communic...
4 CitationsSource
#1B. J. Derksen (Roy J. and Lucille A. Carver College of Medicine)H-Index: 1
#2Melissa C. Duff (Roy J. and Lucille A. Carver College of Medicine)H-Index: 29
Last. Natalie L. Denburg (Roy J. and Lucille A. Carver College of Medicine)H-Index: 26
view all 7 authors...
Learning and memory abilities tend to decline as people age. The current study examines the question of whether a learning situation that emphasises collaborative social interaction might help older persons overcome age-related learning and memory changes and thus perform similarly to younger persons. Younger and Older participants (n = 34 in each group) completed the Barrier Task (BT), a game-like social interaction where partners work together to develop labels for a set of abstract tangrams. ...
9 CitationsSource
#1Edgar Chan (UCL: University College London)H-Index: 10
#2Sarah E. MacPherson (UCL: University College London)H-Index: 19
Last. Lisa Cipolotti (UCL: University College London)H-Index: 47
view all 7 authors...
Part B of the Trail Making Test (TMT-B) is one of the most widely used neuropsychological tests of “executive” function. A commonly held assumption is that the TMT-B can be used to detect frontal executive dysfunction. However, so far, research evidence has been limited and somewhat inconclusive. In this retrospective study, performance on the TMT-B of 55 patients with known focal frontal lesions, 27 patients with focal non-frontal lesions and 70 healthy controls was compared. Completion time an...
16 CitationsSource
#1Monique Plaza (CNRS: Centre national de la recherche scientifique)H-Index: 14
#2V. du Boullay (International Society for Intelligence Research)H-Index: 1
Last. Laurent CapelleH-Index: 56
view all 5 authors...
We report the longitudinal case study of a right-handed patient harboring two frontal tumors that benefited from bilateral simultaneous surgery. The tumors were WHO Grade II gliomas located in the left inferior frontal area (including the cingulate gyrus) and the right anterior superior frontal gyrus. The double tumor resection was guided by direct electrical stimulation of brain areas while the patient was awake. Neuropsychological assessments were administered before and after the surgery to a...
6 CitationsSource
#1Leonardo Iaccarino (UniSR: Vita-Salute San Raffaele University)H-Index: 10
#2Sergio Chieffi (Seconda Università degli Studi di Napoli)H-Index: 18
Last. Alessandro Iavarone (CTO Hospital)H-Index: 20
view all 3 authors...
Since the first description by Lhermitte (1983), the utilization behavior (UB) still represents an enigma for behavioral neurology and neuropsychology. Recent findings shed some light on new frameworks for interpreting this interesting phenomenon. Functional neuroanatomical basis is still unclear, although recent advances in neuroimaging techniques have contributed to a better understanding of the syndrome. An important and promising step is given by shifting researcher's attention from frontopa...
9 CitationsSource
#1Anna Emmanouel (Radboud University Nijmegen)H-Index: 3
#2Roy P. C. Kessels (Radboud University Nijmegen Medical Centre)H-Index: 48
Last. Luciano Fasotti (Radboud University Nijmegen)H-Index: 20
view all 4 authors...
In this study we investigated the validity of the BADS subtests to adequately discriminate anterior lesions (AL) from posterior lesions (PL). Therefore, we compared the performances of 30 AL patients, 22 PL patients and 29 healthy controls (HC) on the BADS subtests. Seven standard executive test variables were also examined. Our multiple comparisons showed that the BADS Zoo Map–Part 1 was not indicative for AL, whereas Rule Shifting, Action Programme, Key Search, Zoo Map–total score, and BADS–to...
13 CitationsSource
#1Jérémy Besnard (University of Angers)H-Index: 7
#2Philippe Allain (University of Angers)H-Index: 24
Last. Didier Le Gall (University of Angers)H-Index: 20
view all 6 authors...
INTRODUCTION: A. R. Luria was the first author to hypothesize that executive dysfunction can lead to specific deficits in arithmetic problem solving, showing that patients' performance depends on the structure of the tasks. Cummings (1995. Anatomic and behavioral aspects of frontal-subcortical circuits. Annals of the New York Academy of Sciences, 15, 1-13) proposed the term "environmental dependency" to define such behavioral disorders triggered by the characteristics of the test and pointed out...
4 CitationsSource
In two recent papers, Shaun Gallagher asks the question of how we interact with institutions. To answer it, he proposes to expand Clark and Chalmers' extended mind hypothesis into the societal realm. He introduces the idea of the socially extended mind, to reflect the fact that social institutions can help us to perform cognitive tasks that we would not be able to do without them. Drawing on work by Carol Gilligan, I argue that the socially extended mind view is limited to addressing patriarchal...
14 CitationsSource
#1Guillaume Herbet (French Institute of Health and Medical Research)H-Index: 25
#2Gilles Lafargue (university of lille)H-Index: 19
Last. Hugues Duffau (French Institute of Health and Medical Research)H-Index: 79
view all 5 authors...
Assessing the subjective experience of others in terms of mental states, a brain function referred to as mentalizing, is achieved in the brain through a set of low-level perceptual and high-level inference-based processes. Because of its recurrent implication in fMRI studies, the right frontal cortex, especially in its inferolateral and dorsomesial parts, is posited to be a "core system" in the sustenance of these neurocognitive mechanisms. In this context, we reasoned that if the right frontal ...
47 CitationsSource
#1Leonhard SchilbachH-Index: 31
#2Bert Timmermans (Aberd.: University of Aberdeen)H-Index: 18
Last. Kai VogeleyH-Index: 40
view all 7 authors...
In spite of the remarkable progress made in the burgeoning field of social neuroscience, the neural mechanisms that underlie social encounters are only beginning to be studied and could-paradoxically-be seen as representing the "dark matter" of social neuroscience. Recent conceptual and empirical developments consistently indicate the need for investigations that allow the study of real-time social encounters in a truly interactive manner. This suggestion is based on the premise that social cogn...
581 CitationsSource
Cited By3
Background: In view of the recent literature, the negative impact of traumatic brain injury (TBI) on social cognition remains a debated issue. On one hand, a considerable number of studies reported significant impairments in emotion recognition, empathy, moral reasoning, social problem solving, and mentalizing or theory of mind (ToM) abilities in patients with TBI. On the other hand, the ecological validity of social cognition tasks is still a matter of concern and debate for clinicians and rese...
#1Mathilde Saint-Jean (University of Angers)
#2Philippe Allain (University of Angers)H-Index: 24
Last. Jérémy Besnard (University of Angers)H-Index: 7
view all 3 authors...
ABSTRACTPrimary objective: Patients with traumatic brain injury (TBI) have difficulty dealing with the social world and may display inappropriate social behavior that negatively affects their social and occupational rehabilitation. This difficulty may be explained by a social problem-solving (SPS) impairment, but little is yet known about the cognitive processes involved in the ability to solve social problems. Several publications have demonstrated that executive functions are related to social...
#1Roos Pot-Kolder (VU: VU University Amsterdam)H-Index: 5
#2Wim Veling (UMCG: University Medical Center Groningen)H-Index: 18
Last. M. van der GaagH-Index: 36
view all 4 authors...
In the early years of virtual reality in mental healthcare several reviews were published (Gregg and Tarrier 2007; G. Riva 2002; 2003; 2005). None of them mentions work done on virtual reality with psychotic disorders yet, though some early work was starting to get published around the same time. There are different psychotic disorders with each their own specified combination of symptom domains, symptom intensity and duration. Wood et al. (2011) suggest a dimensional staging of psychosis, rangi...
#1Jonathan Fortier (University of Angers)H-Index: 2
#2Jérémy Besnard (University of Angers)H-Index: 7
Last. Philippe Allain (University of Angers)H-Index: 24
view all 3 authors...
Abstract Although the impact of neurodegenerative diseases on everyday interactions is well known in the literature, their impact on social cognitive processes remains unclear. The concept of social cognition refers to a set of skills, all of which are essential for living in a community. It involves social knowledge, perception and processing of social cues, and representation of mental states. This report is a review of recent findings on the impact of cortical and subcortical neurodegenerativ...
5 CitationsSource