Loss of Cells—Loss of Self

Frontotemporal lobar degeneration (FTLD) is a devastating disease that profoundly changes emotion, self, and personality while initially sparing many aspects of cognitive functioning. This article reviews research that applies methods from basic affective science to obtain a more precise view of FTLD's impact on emotional functioning. This research indicates that simple forms of emotional reactivity are relatively preserved in the early stages of the disease. In contrast, more complex emotional processes, such as those involved with self-conscious emotions (e.g., embarrassment), emotion regulation, and recognizing emotions in others, are severely impaired. FTLD provides rich opportunities for increasing our understanding of the nature of emotion and of the emotional and social brain.