Korsakoff amnesic syndrome: The result of simultaneous deficits in several independent processes?

Alcoholic Korsakoff patients were presented six verbal list learning tasks (two denotatively and three connotatively organized, and one high-imagery word list). Twelve recall trials and three recognition probes were obtained per list. Results indicate that for Korsakoff patients, (1) recall varied with list organization, (2) recognition memory although poor was further disrupted by proactive inhibition only on denotatively categorized lists, and (3) conceptual deficits disrupted ability to appreciate simple dichotomies in denotatively categorized lists. It is hypothesized that the joint presence of deficts in specific conceptual and semantic processes in necessary although perhaps not sufficient to produce a Korsakoff amnesia.     

Memory loss versus memory distortion: The role of encoding and retrieval deficits in Korsakoff patients’ false memories

Recent studies with the Deese/Roediger-McDermott (DRM) paradigm have revealed that Korsakoff patients show reduced levels of false recognition and different patterns of false recall compared to controls. The present experiment examined whether this could be attributed to an encoding deficit, or rather to problems with explicitly retrieving thematic information at test. In a variation on the DRM paradigm, both patients and controls were presented with associative as well as categorised word lists, with the order of recall and recognition tests manipulated between-subjects. The results point to an important role for the automatic/controlled retrieval distinction: Korsakoff patients’ false memory was only diminished compared to controls’ when automatic or short-term memory processes could not be used to fulfil the task at hand. Hence, the patients’ explicit retrieval deficit appears to be crucial in explaining past and present data. Results are discussed in terms of fuzzy-trace and activation-monitoring theories.     

Recall failure following successful generation and recognition of responses by alcoholic Korsakoff patients

Amnesic Korsakoff patients and controls were presented with twelve words, each shown individually in the presence of a weak associate. They were then asked to freely associate to 12 other words that were strong associates of the to-be-remembered (TBR) words. The Korsakoff patients generated, and were able to recognize, as many of the TBR words as the controls. Yet, in spite of this recognition ability, these same patients were subsequently unable to recall the critical TBR words when the weak cues were again presented. A follow-up study found that the same recognition results could be obtained with Korsakoffs months after initial presentation suggesting that the patients might initially have “recognized” the most highly associated words simply because they represented the most probable choices. Intermediate association prompts failed to generate correct responses. It was hypothesized that the Korsakoff patients cannot restructure their semantic associative hierarchy during input in such a way as to become sensitized to other than the strongest associates as prompts during recall.     

Spatial Location Memory in Amnesia: Binding Item and Location Information Under Incidental and Intentional Encoding Conditions

Items located within an array were presented to alcoholic Korsakoff and nonalcoholic mixed-etiology amnesics and to alcoholic and normal controls. Recognition memory for the locations of items was tested after incidental and intentional encoding. When equated on item recognition, neither Korsakoff amnesics nor alcoholic controls benefited from intentional, relative to incidental, encoding instructions. Furthermore, Korsakoff amnesics showed neither disproportionately impaired incidental nor intentional location recognition memory relative to alcoholic controls. In contrast, mixed-etiology amnesics profited significantly from intentional location acquisition relative to incidental instructions, and were impaired somewhat in incidental, but not intentional, location memory relative to normal controls. We discuss these data in relation to Mayes' (1992) contextual memory deficit hypothesis and Hirst's (1982) automatic encoding deficit account, and propose an alternative framework in which the location memory deficit observed in mixed-etiology amnesics is interpreted as a disruption to the ability to bind item and location information.     

Strategic value-directed learning and memory in Alzheimer's disease and behavioural-variant frontotemporal dementia

In healthy adults, the ability to prioritize learning of highly valued information is supported by executive functions and enhances subsequent memory retrieval for this information. In Alzheimer's disease (AD) and behavioural-variant frontotemporal dementia (bvFTD), marked deficits are evident in learning and memory, presenting in the context of executive dysfunction. It is unclear whether these patients show a typical memory bias for higher valued stimuli. We administered a value-directed word-list learning task to AD (n = 10) and bvFTD (n = 21) patients and age-matched healthy controls (n = 22). Each word was assigned a low, medium or high point value, and participants were instructed to maximize the number of points earned across three learning trials. Participants’ memory for the words was assessed on a delayed recall trial, followed by a recognition test for the words and corresponding point values. Relative to controls, both patient groups showed poorer overall learning, delayed recall and recognition. Despite these impairments, patients with AD preferentially recalled high-value words on learning trials and showed significant value-directed enhancement of recognition memory for the words and points. Conversely, bvFTD patients did not prioritize recall of high-value words during learning trials, and this reduced selectivity was related to inhibitory dysfunction. Nonetheless, bvFTD patients showed value-directed enhancement of recognition memory for the point values, suggesting a mismatch between memory of high-value information and the ability to apply this in a motivationally salient context. Our findings demonstrate that value-directed enhancement of memory may persist to some degree in patients with dementia, despite pronounced deficits in learning and memory.     

Are false memories more difficult to forget than accurate memories? The effect of retention interval on recall and recognition

What is the effect of retention interval on accurate and false recollection in the Deese, Roediger, and McDermott (DRM) procedure? Previous research has suggested that false recall is more persistent than accurate recall, but the recognition results have been inconsistent. In two parametric studies, we tested recall and recognition for the same DRM lists, over retention intervals that ranged from no delay to a 2-month delay. We found that accurate and false memory were diminished by increases in retention interval, false memory persistence was present for recall and recognition, greater persistence for false memory than for accurate memory was more readily observed for recall than recognition, and the highthreshold (Pr), signal detection (d’), and nonparametric (A’) recognition measures differed in their sensitivity for detecting change. The effect of retention interval on accurate and false memory is consistent with expectations from fuzzy trace theory. In the DRM procedure, truth is not more memorable than fiction.     

Strategic and automatic priming of semantic memory in alcoholic Korsakoff patients

To examine whether the organization of semantic memory is intact in alcoholic Korsakoff patients, three semantic memory tasks which do not require active search for stored information were administered to a group of Korsakoff patients and alcoholic controls. The first two tasks used a perceptual identification paradigm in which patients had to identify briefly presented targets preceded by associatively (experiment 1) or categorically (experiment 2) related primes. On both tasks, Korsakoff patients demonstrated intact priming effects. Because priming in these tasks was thought to reflect the operation of strategic processes, experiment 3 was designed to assess automatic spreading activation using a lexical decision task. Here as well, Korsakoff patients demonstrated intact priming. Taken together, these results support the view that the organization of semantic memory in Korsakoff patients has not been disrupted by their brain injury. The implications of these findings for understanding Korsakoff patients' impaired performance on semantic search tasks are discussed.     

Recall of anomalous sentences in dementia and amnesia

Alzheimer-type dementing patients were compared with amnesic (Korsakoff) patients, depressed patients, and healthy controls in the immediate recall of semantically anomalous sentences. It was found that the dementing (Alzheimer) patients were severely impaired in their recall of these sentences, but that the amnesic (Korsakoff) patients were not. Alzheimer patients have a severe impairment of short-term memory, and it is argued that this deficit may make Alzheimer patients especially dependent upon the presence of semantic cues in immediate verbal recall--hence, the removal or reversibility of these cues results in a collapse of their performance. Other research has indicated that Alzheimer patients also show impaired semantic processing, and the possible interaction of their short-term memory and semantic processing deficits is briefly discussed.     

Depth of processing and retention of words by alcoholic Korsakoff patients

The relationship between the depth to which a word is initially processed and its eventual probability of being recognized was investigated with amnesic (alcoholic Korsakoff) patients. Several variations of Craik and Tulving's paradigm designed to asses this relationship were used. basically, this procedure insures analysis of particular features of a word by the nature of the question the subject must answer about the word during its initial presentation. Decision-time measures demonstrated that Korsakoff patients could answer the query nearly as rapidly as normals, but the patients failed to demonstrate a normal increase in recognition as a function of the depth of analysis demanded by the query (Experiments 1--2). However, when the test procedure was extremely simplified (Experiment 3) by presenting only a small number of to-be-recognized words, the Korsakoff patients did demonstrate the normal "pattern" of recognition. It was concluded that under the appropriate circumstances, Korsakoff patients' recognition memory can be improved by instructions to analyze the more sophisticated (semantic) features of verbal information.     

Item-specific and relational encoding effects in children's recall and recognition memory for words

This study tests the hypothesis that children's deficiency in encoding itemspecific and relational information in episodic events contributes to age differences in recall and recognition. In two experiments, grade school children and college adults were presented with word triplets varying in categorical relatedness. The processing of the item-specific and relational information in the triplets was independently manipulated. Experiment 1 assessed cued recall, and Experiment 2 assessed recognition of both the central target and incidental contextual members of each triplet. The results showed that the processing manipulations had independent and different effects on recall and recognition, on memory for the members of the different kinds of triplets, on the use of the retrieval cues, and on memory for target and incidental words. Developmental differences were found in both recall and recognition, and of both target and incidental words, that varied with triplet type and the processing manipulations and that were attributable to differences in the encoding of item-specific and relational information in the triplets. The discussion contrasts alternative accounts of children's encoding deficiency, and suggests that the distinction between automatic, age-invariant, and strategic age-sensitive encoding processes needs to be redrawn.     

Recognition versus recall of briefly presented visual information: a developmental study.

Five-year-olds, as compared to adults, have displayed a striking constraint on short-term recognition memory for briefly presented visual information. In the present study, a recall paradigm was also examined to test the generality of this constraint. Additionally, we examined the possibility that forced verbal report might differentially enhance children's performance. Evidence of improved performance in children would suggest that a verbal encoding strategy, used by adults only during the recognition task, is activated in children in a recall task. Though recall memory performance of young children did surpass recognition memory levels, the same was true for adults with the relative adult-child difference remaining constant across conditions. It was concluded that processes other than verbal labeling (e.g., buffer storage, organization, retrieval) are probably more responsible for age differences in immediate memory performance than labeling, per se.     

Test-expectancy and semantic-organization effects in recall and recognition

Two experiments examined whether people expecting recall are, compared with people expecting recognition, more likely to form associations between semantically related words in a list of to-be-remembered words. People were induced to expect either a recall or a recognition test on a critical list that included three conditions of semantic organization. Words in the unrelated (U) condition were semantically unrelated to all other words on the list, whereas words in the two related conditions were semantically related to one other list word. In the related-spaced (R-S) condition, the two related words appeared in input positions separated by 5-11 other items, whereas in the related-massed (R-M) condition, they appeared in adjacent input positions. Different groups received either an expected or unexpected recall (Experiment 1) or recognition (Experiment 2) test on the critical list. In both recall and recognition, (l) people expecting recall did better than those expecting recognition, (2) memory was worst for U words, next best for R-S words, and best for R-M words, and (3) the test-expectancy and semantic-organization effects were additive. A standardizedz-score measure of category dependency in memory indicated that (1) people expecting recall were not more likely than those expecting recognition to form interitem associations between the related words and (2) recognition was category dependent, but less so than recall. Within the framework of Anderson and Bower’s (1972, 1974) theory, these data indicate that, compared with people expecting recognition, those expecting recall are not more likely to form interitem associations by tagging more pathways connecting semantically related nodes but, rather, are more likely to tag the nodes themselves. The implications that semantic-organization effects in recognition have for the Anderson-Bower theory were also discussed.     

Developmental differences in episodic memory across school ages: evidence from enacted events performed by self and others

The aim of this study was to examine action memory as a form of episodic memory among school-aged subjects. Most research on action memory has focused on memory changes in adult populations. This study explored the action memory of children over time. A total of 410 school-aged child participants, comprising 201 girls and 208 boys in four age groups (8, 10, 12, and 14), were included in this study. We studied two forms of action encoding, subject-performed tasks (SPTs) and experimenter-performed tasks (EPTs), which were compared with one verbal encoding task as a control condition. At retrieval, we used three memory tests (free recall, cued recall, and recognition). We observed significant differences in memory performance in children aged 8–14 years with respect to free recall and cued recall but not recognition. The largest memory enhancement was observed for the SPTs in the 8–14-year-old participants under all test conditions. Participants performed equally well on the free recall of SPTs and EPTs, whereas they displayed better performances on the cued recall and recognition of SPTs compared to EPTs. The strategic nature of SPTs and the distinction between item-specific information and relational information are discussed.     

Recall and recognition of order and item information in probed running memory, as a function of IQ

Two experiments were designed to test the possibility that correlations between IQ and probed serial running memory depend on IQ-related individual differences in the retention of order information in short-term memory. In Experiment I, correlations were obtained regardless of whether instructions emphasized serial recall or free recall. In Experiment II, a significant correlation between IQ and performance was obtained in a recognition test for very recent item information, but not in a recognition test for very recent order information. These data together with a theoretical analysis of the operations involved in the tasks, led to the conclusion that the correlations reflected individual differences in the capacity to access specified sets of items in very short-term memory.     

Personality,time of day and delayed memory for tv news

An experiment was conducted to test the effects of time of day on delayed memory for televised news stories. Three groups received the same sequence of 6 news stories at 09.30, 13.30 and 16.30, respectively. Unexpected tests of free recall, cued recall and recognition were given about 2 hr after news presentation. Results showed that memory performance improved slightly across the day on tests of recall, and significantly so on recognition. Personality differences were also examined. In general, introverts remembered more than extraverts and differences between them were most marked during the late-afternoon session especially on free recall and when minimal cuing was provided. The results support previous time-of-day findings for delayed retention of complex learning materials. Personality differences observed here are consistent with predicted introvert-extravert differences in memory performance predicted by Eysenck's modified action-decrement hypothesis.     

Verbal Memory Dysfunction in Depressed Outpatients With and Without Borderline Personality Disorder

This study contrasts memory functions with emotional words between two groups of patients presenting with symptoms of major depressive disorder (MDD)—20 patients with a comorbid diagnosis of borderline personality disorder (BPD) and 20 patients without BPD—and a group of 20 community adult controls. BPD patients showed poorer recall and recognition memory performances than controls, while MDD patients and controls did not differ significantly on these tasks. BPD patients showed a lower accuracy of recognition memory than MDD patients, despite negligible differences between the two patient groups in the severity of depressive symptoms and in the general level of psychopathology. Controls and BPD patients showed positive word selectivity in recall, while MDD patients showed nonsignificant selectivity differences. These findings provide additional data regarding memory disturbances specific to MDD versus BPD. The selectivity differences are consistent with theories of mood-congruent memory in depression and may serve as a cognitive marker for differentiating BPD from prototypical MDD.     

Influence of marihuana on storage and retrieval processe in memory

Following presentation and immediate free recall testing of 10 20-word lists, 48 Ss were divided into two groups, one of which received an oral dose of marihuana extract calibrated to 20 mg of Δ¹-THC and one of which received placebo. One hour later, all Ss were administered delayed recall, recognition, and order tests on the first set of words. Presentation of another set of 10 lists followed, and there were immediate recall and delayed recall, recognition, and order tests on these words. Performance of drug and placebo Ss did not differ significantly for any of the first delayed tests. However, the performance of drug Ss was poorer than that of placebo Ss on immediate recall, delayed recall, and delayed recognition of the second set of lists. We concluded that retrieval of information relevant to the occurrence or nonocurrence of an event was not affected by marihuana intoxication. Storage difficulties probably account for memory deficits due to the drug, and these difficulties appear to occur in the process of transferring information from short-term to long-term memory.     

Confabulation versus experimentally induced false memories in Korsakoff patients

The present study focuses on both the clinical symptom of confabulation and experimentally induced false memories in patients suffering from Korsakoff's syndrome. Despite the vast amount of case studies of confabulating patients and studies investigating false memories in the Deese-Roediger-McDermott (DRM) paradigm, the nature of Korsakoff patients' confabulatory behaviour and its association with DRM false memories have been rarely examined. Hence, the first aim of the present study was to evaluate confabulatory responses in a large sample of chronic Korsakoff patients and matched controls by means of the Dalla Barba Confabulation Battery. Second, the association between (provoked) confabulation and the patients' DRM false recognition performance was investigated. Korsakoff patients mainly confabulated in response to questions about episodic memory and questions to which the answer was unknown. A positive association was obtained between confabulation and the tendency to accept unstudied distractor words as being old in the DRM paradigm. On the other hand, there was a negative association between confabulation and false recognition of critical lures. The latter could be attributed to the importance of strategic retrieval at delayed memory testing.