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Metacognitive judgment and denial of deficit: Evidence from frontotemporal dementia

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  • Fernandez-Duque, Diego
  • Black, Sandra E.

Abstract

Patients suffering from the behavioral variant of Frontotemporal Dementia (FTD-b) often exaggerate their abilities. Are those errors in judgment limited to domains in which patients under-perform, or do FTD-b patients overestimate their abilities in other domains? Is overconfidence in FTD-b patients domain-specific or domain-general? To address this question, we asked patients at early stages of FTD-b to judge their performance in two domains (attention, perception) in which they exhibit relatively spared abilities. In both domains, FTD-b patients overestimated their performance relative to patients with Dementia of Alzheimer Type (DAT) and healthy elderly subjects. Results are consistent with a domain-general deficit in metacognitive judgment. We discuss these findings in relation to “regression to the mean” accounts of overconfidence and the role of emotions in metacognitive judgments.

Suggested Citation

  • Fernandez-Duque, Diego & Black, Sandra E., 2007. "Metacognitive judgment and denial of deficit: Evidence from frontotemporal dementia," Judgment and Decision Making, Cambridge University Press, vol. 2(6), pages 359-370, December.
    • Handle: RePEc:cup:judgdm:v:2:y:2007:i:6:p:359-370_4
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