Behavioral Observation Matrix
Select observed symptoms across social, emotional, and executive domains
Clinical Indication & Boundary Plan
Diagnostic convergence with international consensus criteria (Rascovsky et al.)
Identified Primary Domain:
Frontotemporal Dementia - Behavioral Variant
FTD Domain Alignment Matrix
Prescribed Caregiver Boundary & Communication Protocols
4 Strategies
Neurological Perspective: The "Karaoke Test" & The Enduring Self
Frontotemporal dementia degrades the orbitofrontal and anterior insular networks that process self-conscious emotions (embarrassment, shame, guilt). Patients singing off-key during the karaoke experiment do not exhibit typical autonomic fluster or blush, reflecting organic atrophy rather than willful indifference.
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Ready for neurology team review