Abstract

Behavioral variant frontotemporal dementia, unlike other forms of dementia, is primarily characterized by changes in behavior, personality, and language, with disinhibition being one of its core symptoms. However, because there is no single definition that captures the totality of behavioral symptoms observed in these patients, disinhibition is an umbrella term used to encompass socially disruptive or morally unacceptable behaviors that may arise from distinct neural etiologies. This paper aims to review the current knowledge about behavioral disinhibition in this syndrome, considering the cultural factors related to our perception of behavior, the importance of phenomenological interpretation, neuroanatomy, the brain networks involved and, finally, a new neuroscientific theory that offers a conceptual framework for understanding the diverse components of behavioral disinhibition in this neurodegenerative disorder.

Highlights

  • Human behavior is complex and results from the interaction of psychological, social, cultural, and biological factors

  • This paper aims to review the current knowledge about this symptom, considering the cultural factors related to our perception of behavior, the importance of phenomenological interpretation, neuroanatomy, the brain networks involved and, a new neuroscientific theory that offers a conceptual framework for understanding behavioral disinhibition in Behavioral variant frontotemporal dementia (bvFTD) and related frontotemporal dementia (FTD) syndromes

  • When faced with disinhibited behavior in a patient with bvFTD, it is possible to conjecture from the type of disinhibition, which brain regions are affected, which intrinsically connected networks (ICNs) are involved, and which component of the controlled semantic cognition (CSC) model the behavior corresponds to Table 1

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Summary

What Do We Mean by Behavioral Disinhibition in Frontotemporal Dementia?

Nahuel Magrath Guimet * 1,2 †, Bruce L. Reviewed by: Rebekah Ahmed, The University of Sydney, Australia Judith Aharon Peretz, Rambam Health Care Campus, Israel. Behavioral variant frontotemporal dementia, unlike other forms of dementia, is primarily characterized by changes in behavior, personality, and language, with disinhibition being one of its core symptoms. Because there is no single definition that captures the totality of behavioral symptoms observed in these patients, disinhibition is an umbrella term used to encompass socially disruptive or morally unacceptable behaviors that may arise from distinct neural etiologies. This paper aims to review the current knowledge about behavioral disinhibition in this syndrome, considering the cultural factors related to our perception of behavior, the importance of phenomenological interpretation, neuroanatomy, the brain networks involved and, a new neuroscientific theory that offers a conceptual framework for understanding the diverse components of behavioral disinhibition in this neurodegenerative disorder

INTRODUCTION
WHAT IS BEHAVIORAL DISINHIBITION?
THE IMPORTANCE OF PHENOMENOLOGY
THE EVOLVING CONCEPT OF BEHAVIORAL DISINHIBITION
TOWARD A NEW PARADIGM?
DISCUSSION AND CONCLUSIONS
Main brain regions affected
Cinguloopercular network

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