IMPLICIT MEMORY IN AMNESIC PATIENTS:

Abstract— Previous observations of spared priming in amnesic patients have been based almost entirely on data from visual implicit memory tests Our research examined perceptual priming.in amnesic patients and control subjects on an auditory identification task in which previously spoken words and new words were presented in white noise We manipulated type of encoding task (semantic vs nonsemantic) and speaker's voice at study and test (same vs different) Priming was little affected.by either manipulation, and amnesic patients exhibited normal priming in all experimental conditions On an explicit test of recognition memory, by contrast, amnesic patients exhibited.severely impaired performance following the semantic study task, all subjects showed poor explicit memory following the nonsemantic study task Results are consistent with the idea that auditory priming depends largely on a presemantic auditory perceptual representation system     

Implicit memory for novel conceptual associations in amnesia

In two experiments, we evaluated the status of implicit memory for novel associations in amnesia. Experiment 1 assessed priming in a category exemplar generation task in which contextual information associated with a target could increase the likelihood of target generation. Control participants, but not amnesic patients, showed associative priming. Amnesics’ impairment was not due to the use of explicit memory by control subjects but reflected a genuine impairment in implicit memory for novel conceptual associations. Experiment 2 assessed priming in a relatedness judgment task, in which associative priming was manifest as longer latencies for old than for recombined pairs of unrelated words. Amnesic patients showed intact associative priming in this task. We discuss differences in the status of implicit memory for novel conceptual associations in amnesia, with reference to the nature of the representation that supports priming in the two tasks and the type of processing that is required at test.     

Nonverbal priming in amnesia

In this experiment, we examined whether a group of well-characterized amnesic patients would exhibit normal priming for novel nonverbal materials after a single exposure. Both amnesic patients and normal control subjects studied line figures and were then given a priming test in which they were asked to reproduce both old (studied) and new (unstudied) figures after a brief exposure. The measure of priming was the number of old patterns drawn correctly relative to the number of new patterns drawn correctly. Both subject groups reproduced more old patterns than new patterns, and the effect was similar in the two groups. In contrast, amnesic patients were significantly impaired on a recognition memory test for the items that had been presented. This study contributes to recent evidence that implicit memory can support the rapid acquisition of novel verbal and nonverbal information. Perceptual priming for such material is independent of the structures damaged in amnesia.     

Paired-associate learning and priming effects in amnesia: a neuropsychological study

Despite severe deficits of recall and recognition, amnesic patients can exhibit normal priming effects. Amnesic patients have also been reported to perform well on tests of paired-associate learning that involve related word pairs (e.g., table-chair). The present study investigated the role of priming effects in paired-associate learning. Experiment 1 illustrated the distinction between the memory impairment of amnesic patients and their intact priming ability. Amnesic patients were markedly deficient in learning unrelated word pairs, despite exhibiting normal priming as measured by a word-completion test involving the same words. In Experiment 2A, amnesic patients showed good paired-associate learning for related word pairs, though control subjects still performed significantly better. In addition, the good performance by amnesic patients was short-lived, and performance fell to baseline after a 2-hr delay. Control subjects performed well above baseline at all delay conditions. Experiment 2B showed that the forgetting of related word pairs by amnesic patients followed the same time course as the decay of word priming. Experiment 3 showed that amnesic patients were as good as control subjects at learning related word pairs when incidental learning and test procedures were used (a word-association test). The advantage of control subjects over amnesic patients in Experiments 2A and 2B could therefore be attributed to the explicit learning instructions that are standard in paired-associate tests. Finally, Experiment 4 showed that amnesic patients exhibited normal priming when they were asked to "free associate" to words (e.g., child) that were semantically related to previously presented words (e.g., baby). The results indicate that both priming effects and paired-associate learning of related word pairs depend on activation, a process that is preserved in amnesia. Activation can account for the findings of good performance by amnesic patients on tests of word priming (Experiments 1 and 2B), related paired associates (Experiments 2A and 2B), and word association (Experiments 3 and 4). Activation is a transient phenomenon presumed to operate on and facilitate access to preexisting representations. Control subjects can establish new associations and can strengthen preexisting associations by engaging processes that are impaired in amnesia. As a result, when explicit learning instructions are used to test paired-associate learning of related word pairs, control subjects can learn better and can remember longer than can amnesic patients (Experiments 2A and 2B).(ABSTRACT TRUNCATED AT 400 WORDS)     

遗忘症患者外显与内隐记忆实验研究:语义性启动效应任务

采用ＷＭＳ—ＣＲ和ＭＭＳＥ对临床脑损伤患者进行了认知功能与记忆功能两方面的筛选,获得９名遗忘症患者。然后采用偏好和自由联想两项语义性启动效应任务进行测验,发现遗忘症患者在外显记忆受损情况下,的确存在语义性启动效应,且与正常对照相近。推论语义性启动效应任务与遗忘患者损伤的颞叶或间脑结构无关。同时还讨论了启动效应任务,认为偏好任务采用言语性材料不是理想的方法。     

Intact and long-lasting repetition priming in amnesia.

In 2 experiments, we evaluated the ability of amnesic patients to exhibit long-lasting perceptual priming after a single exposure to pictures. Ss named pictures as quickly as possible on a single occasion, and later named the same pictures mixed with new pictures. In Experiment 1, amnesic patients exhibited fully intact priming effects lasting at least 7 days. In Experiment 2, the priming effect for both groups was shown to depend on both highly specific visual information and on less visual, more conceptual information. In contrast, recognition memory was severely impaired in the patients, as assessed by both accuracy and response time. The results provide the first report of a long-lasting priming effect in amnesic patients, based on a single encounter, which occurs as strongly in the patients as in normal Ss. Together with other recent findings, the results suggest that long-lasting priming and recognition memory depend on separate brain systems.     

The influence of task requirements on priming in object decision and matching

We argue that task requirements can be the determinant in generating different results in studies on visual object recognition. We investigated priming for novel visual objects in three implicit memory tasks. A study-test design was employed in which participants first viewed line drawings of unfamiliar objects and later made different decisions about structural aspects of the objects. Priming for both symmetric and asymmetric possible objects was observed in a task requiring a judgment of structural possibility. However, when the task was changed to one requiring a judgment of structural symmetry, only symmetric possible objects showed priming. Finally, in a matching task in which participants made a same-different judgment, only symmetric possible objects exhibited priming. These results suggest that an understanding of object representation will be most fruitful if it is based on careful analyses of both the task demands and their interaction(s) with encoding and retrieval processes.     

Do priming effects in perceptual identification and word judgment reflect different underlying mechanisms?

We examined priming of orthographically illegal nonwords in a perceptual identification task and a word judgment task in undergraduate participants. In perceptual identification, priming was significant and equivalent after structural or phonological encoding. In word judgment, priming was significant after phonological encoding but not structural encoding. In a follow-up experiment in older control participants and amnesic participants, priming in word judgment was not significant. Older control participants found the stimuli more difficult to pronounce than did undergraduate participants, and word judgment priming in undergaduate participants was significant only for the stimuli that were judged easy to pronounce. These findings demonstrate that priming in perceptual identification and word judgment extends to novel stimuli that are not linked to preexisting lexical or sublexical representations but that priming occurs at different levels in the two tasks: at a featural or orthographic level in perceptual identification and at a phonological level in word judgment.     

Dissociations between word priming effects in normal subjects and patients with memory disorders: Multiple memory systems or retrieval?

Repetition priming was measured in two different tasks within a single experiment--one in which subjects named briefly (tachistoscopically) presented words, and one requiring naming of visually fragmented/degraded words. Thirteen amnesic patients, 12 patients with Alzheimer's disease (AD), and 15 normal control subjects were tested under 4 experimental conditions involving the factorial combination of two variables: delay of test (10 minutes and 24 hours), and number of prior occurrences of the primed items (1 and 4). The two tasks produced very different patterns of priming effects, despite the fact that common study phases were employed. In one task the priming effect showed no decay and virtually no effect of the number of prior occurrences of the primed items, whereas both these variables affected priming in the other task. The AD patients evidenced impaired priming in both tasks. However, in the degraded-word-naming task the deficit was only apparent under some experimental conditions. The amnesics produced priming effects that in absolute terms were similar to those produced by control subjects. However, when group differences in overall performance level were taken into account in the tachistoscopic task, these patients also showed clear evidence of impaired priming. It is argued that the complex pattern of priming effects obtained is best explained by the characteristics of the retrieval cues provided in the tasks, and, generally, that such characteristics may determine whether or not experimental variables will affect measured priming.     

On the contribution of perceptual fluency and priming to recognition memory

Repetition priming has been shown to be independent of recognition memory. Thus, the severely amnesic patient E.P. has demonstrated intact stem completion priming and perceptual identification priming, despite at-chance performance on recognition memory tasks. It has also been shown that perceptual fluency can influence feelings of familiarity, in the sense that items perceived more quickly tend to be identified as familiar. If studied items are identified more fluently, due to perceptual priming, and fluency leads to familiarity, why do severely amnesic patients perform no better than chance on recognition memory tasks? One possibility is that severely amnesic patients do not exhibit normal fluency. Another possibility is that fluency is not a sufficiently strong cue for familiarity. In two experiments, 2 severely amnesic patients, 3 moderately amnesic patients, and 8 controls saw words slowly clearing from a mask. The participants identified each word as quickly as possible and then made a recognition (old/new) judgment. All the participants exhibited fluency, in that old responses were associated with shorter identification times than new responses were. In addition, for the severely amnesic patients, priming was intact, and recognition memory performance was at chance. We next calculated how much priming and fluency should elevate the probability of accurate recognition. The tendency to identify studied words rapidly (.6) and the tendency to label these rapidly identified words old (.6) would result in 36% of the studied words being labeled old. Other studied words were identified slowly (.4) but were still labeled old (.4), resulting in an additional 16% of studied words labeled old. Thus, the presence of fluency increases the probability of accurate recognition judgments to only 52% (chance = 50%). This finding explains why amnesic patients can exhibit both priming and fluency yet still perform at chance on recognition tests.     

Impaired priming of new associations in amnesia

We assessed priming of new associations in amnesic patients and healthy control subjects in a paradigm developed by Graf and Schacter (1985). Subjects were presented unrelated word pairs embedded in sentences (e.g., A BELL was hanging over the baby's CRADLE) and were asked to rate how well the sentences related the two words. Subjects were then given a word completion test. They were shown three-letter word stems and were asked to complete the stem with the first word that came to mind. In the same context condition, each word stem was presented together with the word that had appeared in the same sentence during study (e.g., BELL-CRA--). In the different context condition, each stem was presented together with a new word that had never been presented (e.g., APPLE-CRA--). Control subjects completed more words in the same context condition than in the different context condition. In contrast, amnesic patients did not complete any more words in the same context condition than in the different context condition. Indeed, across two experiments none of the amnesic patients exhibited consistent priming of new associations. Thus, although amnesic patients do exhibit entirely normal priming of preexisting memory representations, they do not appear to exhibit priming of new associations in this paradigm.     

IMPLICIT MEMORY IN AMNESIC PATIENTS:

Abstract— Amnesic patients generally exhibit spared priming effects on implicit memory tasks despite poor explicit memory In a previous study, we demonstrated normal auditory priming in amnesic patients on an identification-in-noise test in which the magnitude of priming is independent of whether the speaker's voice is the same or different at study and test In the present experiment, we examined auditory priming on a filter identification test in which the magnitude of priming in control subjects is higher when the speaker's voice is the same at study and test than when it is different Amnesic patients, by contrast, failed to exhibit more priming in a same-voice condition than in a different-voice condition Voice-specific priming may depend on a memory system that is impaired in amnesia     

VERY LONG-LASTING PRIMING IN PICTURE NAMING

Abstract— A form of long-lasting repetition priming has been demonstrated by faster naming of pictures repeated from a prior exposure than new pictures. This facilitation is independent of explicit memory in both normal subjects (Mitchell & Brown, 1988) and amnesic patients (Cave & Squire. 1992). Using picture naming, the current study demonstrated that priming could be detected with delays of between 6 and 48 weeks between the initial exposure and the priming test. Recognition memory was also above chance at these delays, but performance on the two tests appeared independent. These results show that a single stimulus exposure can have very long-lasting effects. Accounts of repetition priming as a form of implicit memory will have to accommodate long-lasting changes in stimulus processing based on a single exposure.     

Selective sparing of memory functioning in a patient with amnesia following herpes encephalitis

A patient with amnesia subsequent to herpes encephalitis was assessed on a series of tasks which have been shown to result in normal or near normal performance by amnesic subjects. On a pursuit rotor learning task, our patient performed normally, and continued to show evidence of memory for the skill after a period of 30 days. On a perceptual learning task, which involved the identification of line drawings, he also displayed evidence of learning and long-term retention, but his performance remained below that of control subjects. In two priming experiments, which employed a "case-control" paradigm, performance on homonym-spelling and category item-generation tasks was preceded by exposure to a selected list of words. There was no evidence of differential facilitation in respect of those words used in the initial priming task. The findings point to some degree of selectivity of preserved learning capabilities in amnesia. It is hypothesized that this selectivity may be determined by several variables, including the type of task, the etiology and site of pathology, and the severity of amnesia.     

Unaware learning versus preserved learning in pharmacologic amnesia: similarities and differences

The differences between learning in lorazepam (LOR)--or scopolamine (SCOP)--induced amnesia and learning in unaware drug-free normal subjects were examined. The drugs produced impairment in free recall, but did not affect digit span or word retrieval. In a verbal version, but not a motor version, of the serial reaction time task, the subjects who received SCOP or higher dose LOR showed impairment of sequence-specific learning. Subjects who received placebo had no such impairment. In the stem completion paradigm, higher dose LOR, but not SCOP, impaired performance. In a tachistoscopic word identification task, neither drug interfered with repetition priming. Unaware learning and drug-induced amnesic learning were thus dissociable. These findings disconfirm the hypothesis that unaware learning and drug-induced amnesic learning are analogous.     

Implicit and explicit memory for new associations in normal and amnesic subjects

Two experiments examined whether repetition priming effects on a word completion task are influenced by new associations between unrelated word pairs that were established during a single study trial. On the word completion task, subjects were presented with the initial three letters of the response words from the study list pairs and they completed these fragments with the first words that came to mind. The fragments were shown either with the paired words from the study list (same context) or with other words (different context). Both experiments showed a larger priming effect in the same-context condition than in the different-context condition, but only with a study task that required elaborative processing of the word pairs. This effect was observed with college students and amnesic patients, suggesting that word completion performance is mediated by implicit memory for new associations that is independent of explicit recollection.     

Absence of priming coupled with substantially preserved recognition in lorazepam-induced amnesia

Two experiments are reported on priming when subjects are in an amnesic state induced by lorazepam. The primed tasks were completion of word-stems and generation of words from specified categories. In both experiments, lorazepam subjects showed no evidence of priming, whereas control subjects showed substantial priming. Recognition by the amnesic subjects of items produced in the priming tests, although impaired, was well above the chance level. These findings contrast with those obtained with organic amnesic subjects, for whom priming is typically normal but recognition is grossly impaired. The theoretical implications of this double dissociation between priming and recognition are discussed.     

Perceptual priming is not a necessary consequence of semantic classification of pictures

Four experiments investigated how repetition priming of object recognition is affected by the task performed in the prime and test phases. In Experiment 1 object recognition was tested using both vocal naming and two different semantic decision tasks (whether or not objects were manufactured, and whether or not they would be found inside the house). Some aspects of the data were inconsistent with contemporary models of object recognition. Specifically, object priming was eliminated with some combinations of prime and test tasks, and there was no evidence of perceptual (as opposed to conceptual or response) priming in either semantic classification task, even though perceptual identification of the objects is required for at least one of these tasks. Experiment 2 showed that even when perceptual demands were increased by brief presentation, the inside task showed no perceptual priming. Experiment 3 showed that the inside task did not appear to be based on conceptual priming either, as it was not primed significantly when the prime decisions were made to object labels. Experiment 4 showed that visual sensitivity could be restored to the inside task following practice on the task, supporting the suggestion that a critical factor is whether the semantic category is preformed or must be computed. The results show that the visual representational processes revealed by object priming depend crucially on the task chosen.