Source versus content memory in patients with a unilateral frontal cortex or a temporal lobe excision

Fractionating controlled memory processes and recall of context in recognition memory: a case report

Recollection has been described as both a recognition memory judgment requiring cognitive control and the ability to retrieve contextual information about a prior occurrence. At the core of this article is the question whether or not these two subcomponents of recollection are dissociable in amnesia. In three experiments, we explored the influence of exclusion task instructions on performance in a single case (CJ), with the view to understand the relative contributions of control and source memory to recognition memory decisions. First, contrasting findings were obtained between tasks requiring strategic control or source reports. Second, even though CJ displayed some residual source memory relative to the ability to strategically control this information, his source memory capacity was time-limited. Our findings resonate with the novel proposal that recollection draws heavily upon working memory resources, and provide an example of how amnesic patients might utilize residual working memory capacity to solve episodic memory tasks.

The effect of focal cortical frontal and posterior lesions on recollection and familiarity in recognition memory

Recognition memory can be subdivided into two processes: recollection (a contextually rich memory) and familiarity (a sense that an item is old). The brain network supporting recognition encompasses frontal, parietal and medial temporal regions. Which specific regions within the frontal lobe are critical for recollection vs. familiarity, however, are unknown; past studies of focal lesion patients have yielded conflicting results. We examined patients with focal lesions confined to medial polar (MP), right dorsal frontal (RDF), right frontotemporal (RFT), left dorsal frontal (LDF), temporal, and parietal regions and matched controls. A series of words and their humorous definitions were presented either auditorily or visually to all participants. Recall, recognition, and source memory were tested at 30 min and 24 h delay, along with "remember/know" judgments for recognized items. The MP, RDF, temporal and parietal groups were impaired on subjectively reported recollection; their intact recognition performance was supported by familiarity. None of the groups were impaired on cued recall, recognition familiarity or source memory. These findings suggest that the MP and RDF regions, along with parietal and temporal regions, are necessary for subjectively-reported recollection, while the LDF and right frontal ventral regions, as those affected in the RTF group, are not.

Ventrolateral and dorsomedial frontal cortex lesions impair mnemonic context retrieval

The prefrontal cortex appears to contribute to the mnemonic retrieval of the context within which stimuli are experienced, but only under certain conditions that remain to be clarified. Patients with lesions to the frontal cortex, the temporal lobe and neurologically intact individuals were tested for context memory retrieval when verbal stimuli (words) had been experienced across multiple (unstable context condition) or unique (stable context condition) contexts; basic recognition memory of these words-in-contexts was also tested. Patients with lesions to the right ventrolateral prefrontal cortex (VLPFC) were impaired on context retrieval only when the words had been seen in multiple contexts, demonstrating that this prefrontal region is critical for active retrieval processing necessary to disambiguate memory items embedded across multiple contexts. Patients with lesions to the left dorsomedial prefrontal region were impaired on both context retrieval conditions, regardless of the stability of the stimulus-to-context associations. Conversely, prefrontal lesions sparing the ventrolateral and dorsomedial regions did not impair context retrieval. Only patients with temporal lobe excisions were impaired on basic recognition memory. The results demonstrate a basic contribution of the left dorsomedial frontal region to mnemonic context retrieval, with the VLPFC engaged, selectively, when contextual relations are unstable and require disambiguation.

Differential effects of dopamine-directed treatments on cognition

Dopamine, a prominent neuromodulator, is implicated in many neuropsychiatric disorders. It has wide-ranging effects on both cortical and subcortical brain regions and on many types of cognitive tasks that rely on a variety of different learning and memory systems. As neuroscience and behavioral evidence for the existence of multiple memory systems and their corresponding neural networks accumulated, so did the notion that dopamine's role is markedly different depending on which memory system is engaged. As a result, dopamine-directed treatments will have different effects on different types of cognitive behaviors. To predict what these effects will be, it is critical to understand: which memory system is mediating the behavior; the neural basis of the mediating memory system; the nature of the dopamine projections into that system; and the time course of dopamine after its release into the relevant brain regions. Consideration of these questions leads to different predictions for how changes in brain dopamine levels will affect automatic behaviors and behaviors mediated by declarative, procedural, and perceptual representation memory systems.

Neural correlates of encoding processes predicting subsequent cued recall and source memory

In this experiment, event-related potentials were used to examine whether the neural correlates of encoding processes predicting subsequent successful recall differed from those predicting successful source memory retrieval. During encoding, participants studied lists of words and were instructed to memorize each word and the list in which it occurred. At test, they had to complete stems (the first four letters) with a studied word and then make a judgment of the initial temporal context (i.e. list). Event-related potentials recorded during encoding were segregated according to subsequent memory performance to examine subsequent memory effects (SMEs) reflecting successful cued recall (cued recall SME) and successful source retrieval (source memory SME). Data showed a cued recall SME on parietal electrode sites from 400 to 1200 ms and a late inversed cued recall SME on frontal sites in the 1200-1400 ms period. Moreover, a source memory SME was reported from 400 to 1400 ms on frontal areas. These findings indicate that patterns of encoding-related activity predicting successful recall and source memory are clearly dissociated.

There are conscious and unconscious agendas in the brain and both are important-our will can be conscious as well as unconscious

I have been asked to write a few words on consciousness in this editorial issue. My thoughts on consciousness will focus on the relation between consciousness and will. Consciousness is not an epiphenomenon as some people believe-it is not a psychological construct either. Consciousness is a brain function. With deeper thought it is even more than that-a brain state. Writing this, I am in a conscious state, I hope at least. In every day philosophy, a close connection of consciousness with will is ventured, and is expressed in the term "conscious free will". However, this does not mean that our will is totally determined and not free, be it conscious or unconscious. Total determinists postulate total freedom from nature in order to speak of free will. Absolute freedom from nature is an a priori impossibility; there is no way to escape from nature. However, we have relative freedom, graded freedom, freedom in degrees, enabling us to make responsible decisions and be captains of our own destiny. We are not totally determined. We can upregulate our degrees of freedom by self-management or we can downregulate them by self-mismanagement. In the present communication consciousness and the unconscious are discussed in their various aspects and interactions.

Déjà experiences in temporal lobe epilepsy

Historically, déjà vu has been linked to seizure activity in temporal lobe epilepsy, and clinical reports suggest that many patients experience the phenomenon as a manifestation of simple partial seizures. We review studies on déjà vu in epilepsy with reference to recent advances in the understanding of déjà vu from a cognitive and neuropsychological standpoint. We propose a decoupled familiarity hypothesis, whereby déjà vu is produced by an erroneous feeling of familiarity which is not in keeping with current cognitive processing. Our hypothesis converges on a parahippocampal dysfunction as the locus of déjà vu experiences. However, several other temporal lobe structures feature in reports of déjà vu in epilepsy. We suggest that some of the inconsistency in the literature derives from a poor classification of the various types of déjà experiences. We propose déjà vu/déjà vécu as one way of understanding déjà experiences more fully. This distinction is based on current models of memory function, where déjà vu is caused by erroneous familiarity and déjà vécu by erroneous recollection. Priorities for future research and clinical issues are discussed.

Neuropsychology in temporal lobe epilepsy: influences from cognitive neuroscience and functional neuroimaging

Neuropsychologists assist in diagnosis (i.e., localization of dysfunction) and in prediction (i.e., how cognition may change following surgery) in individuals being considered for temporal lobe surgery. The current practice includes behavioural testing as well as mapping function via stimulation, inactivation, and (more recently) functional imaging. These methods have been providing valuable information in surgical planning for 60 years. Here, we discuss current assessment strategies and highlight how they are evolving, particularly with respect to integrating recent advances in cognitive neuroscience.

Age-related changes in right middle frontal gyrus volume correlate with altered episodic retrieval activity

Age-related deficits in episodic retrieval have been associated with volume reductions in the middle frontal gyrus (MFG). However, it remains unclear how this age-related reduction in MFG volume correlates with neural activity during retrieval. To address this, we conducted in vivo volumetry of the frontal cortex in young and older human adults and found more volume loss on the right than on the left MFG with age. We then examined how left and right MFG volume correlated with fMRI activity during successful retrieval of item, spatial context, and temporal context information in both age groups. In young adults, larger right MFG volume was positively correlated with greater activity in a commonly found episodic retrieval network that included bilateral dorsolateral prefrontal cortex (DLPFC) and bilateral inferior parietal cortex. Within this network, left DLPFC and right inferior parietal cortex activity predicted memory performance. In older adults, a positive structure-function association in DLPFC for either left or right MFG/DLPFC was not observed. Instead, right MFG volume was negatively correlated with activity in several regions in older adults, including the parahippocampal cortex (PHC) and anterior cingulate. Less activity in the PHC region predicted better item memory, and less activity in the anterior cingulate predicted better spatial context accuracy in older adults. We conclude that age-related change in the structure-function association in MFG/DLPFC impacts retrieval activity and performance, and those older adults with larger right MFG volume attempt to compensate for this change by modifying activity in other brain regions to help retrieval performance.

Right frontal lobe mediation of recollection- and familiarity-based verbal recognition memory: evidence from patients with tumor resections

Medial-temporal, parietal, and pFC regions have been implicated in recollection and familiarity, but existing evidence from neuroimaging and patient studies is limited and conflicting regarding the role of specific regions within pFC in these memory processes. We report a study of 20 patients who had undergone resection of right frontal lobe tumors and 20 matched healthy control participants. The location and extent of lesions were traced on the patients' scans. A process dissociation procedure was employed to yield estimates of the contributions of recollection and familiarity in verbal recognition performance. Group comparisons revealed deficits in recollection but not familiarity in the patient group relative to their healthy counterparts. We found a positive relationship between estimates of familiarity and lesion sizes in the right inferior pFC (BA 11, 47) which was significant upon bootstrap resampling. These results are discussed in terms of prior work linking this area to an overextended sense of familiarity.

Formation of long-term memory representation in human temporal cortex related to pictorial paired associates

It is widely held that long-term memory gradually develops in the temporal neocortex after initial memory encoding into the hippocampus. However, little is known as to whether and where long-term memory can be newly created in the human temporal neocortex. In this functional magnetic resonance imaging study, we detected brain activity in the temporal neocortex that was developed approximately 8 weeks after study of unfamiliar pictorial paired associates. Two sets of paired Fourier figures were studied, one approximately 8 weeks before test and the other immediately before test, keeping the correct performance during the tests balanced across the two sets of stimuli. Significant signal increase was observed in the right hippocampus during retrieval of newly studied pairs relative to initially studied pairs. In contrast, significant signal increase was observed in the anterior temporal cortex during retrieval of initially studied pairs relative to newly studied pairs. The greater activity during retrieval of older memory developed in the temporal neocortex provides direct evidence of formation of temporal neocortical representation for stable long-term memory.

Impairments in source memory for olfactory and visual stimuli in preclinical and clinical stages of Huntington's disease

Individuals in preclinical and clinical stages of Huntington's disease (HD) demonstrate impairments in olfactory functioning. In addition, HD patients are impaired in source memory for verbal stimuli. A task combining both source and odor memory may be particularly sensitive to early changes in HD. The present study examined source and item memory for olfactory and visual stimuli in 10 individuals with HD, 10 asymptomatic HD gene carriers, 8 nongene carriers who had a parent with HD, and 20 normal controls. During the study phase, a male and a female experimenter (sources) presented odors and objects to the participant in an alternating sequence. To assess item memory, a stimulus from the study phase (target) and a novel stimulus (distractor) were presented, and the participant was asked to choose the target. To assess source memory, the experimenter presented a stimulus and asked whether the male or female experimenter had previously presented the stimulus. Results indicate that source memory for both visual and olfactory stimuli was impaired in HD patients compared to normal controls. In asymptomatic gene carriers, however, source memory for olfactory stimuli, but not visual stimuli, was more impaired than in nongene carriers and normal controls. Furthermore, gene carriers and HD patients showed a similar degree of impairment in source memory for olfactory stimuli. The only significant impairment found in item memory was for olfactory stimuli in HD patients. These results suggest that source memory for olfactory stimuli may be particularly sensitive to neuropathological changes in preclinical stages of HD.

Diagnostic retrieval monitoring in patients with frontal lobe lesions: further exploration of the distinctiveness heuristic

The distinctiveness heuristic is a diagnostic monitoring strategy whereby a subject expects a vivid recollection if a test item has been seen during the study session; the absence of a vivid recollection suggests the test item is novel. Consistent with the hypothesis that memory monitoring is dependent upon the frontal lobes, previous work using a repetition-lag paradigm found that patients with frontal lobe lesions were unable to use the distinctiveness heuristic. Evidence from recent neuroimaging studies, however, has suggested that use of the distinctiveness heuristic decreases the need for frontal processing. The present study used the criterial recollection task to revisit the question of whether patients with frontal lobe lesions are able to use a distinctiveness heuristic. Subjects studied black words paired with the same word in red font, a corresponding picture of the word, or both. They then took three memory tests designed to elicit false recognition of presented items. Both frontal lesion patients and matched control subjects showed intact ability to use the distinctiveness heuristic to reduce false recognition when tested on whether items were previously presented as pictures compared to red words. This use of the distinctiveness heuristic is evidence that patients with frontal lesions can use certain diagnostic monitoring strategies during recognition memory tasks when given guidance in coordinating their decision-making processes. This result suggests that the frontal lobes are necessary for self-initiation of this strategy during recognition memory tasks.

What are confabulators’ memories made of? A study of subjective and objective measures of recollection in confabulation

Confabulating patients claim to remember events that had not actually happened, suggesting a vivid subjective experience of false memories. The present study was aimed at examining the nature of subjective experience of retrieval in confabulators and its relation to the objective ability to recollect qualitative aspects of the original episode. In Experiment 1, 5 confabulators, 7 non-confabulating patients, and 12 control subjects studied words under shallow and deep encoding conditions and underwent a Remember (R)/Know (K) recognition task [Tulving, E. (1985). Memory and consciousness. Canadian Psychology, 26, 1-12]. For recognized words, they additionally indicated two qualitative features of the encoding context. Whereas subjective (i.e. R responses) and objective (i.e. source) measures of recollection were associated in normal controls and non-confabulating patients, they were dissociated in confabulators. In Experiment 2, participants explained the content of their R responses. We found that confabulators' recollections mainly included autobiographical information related to test items, but not to the study encounter. We conclude that remembering states in confabulators may be linked to a deficit in inhibiting irrelevant memories triggered by test items during retrieval attempts.

Prefrontal engagement during source memory retrieval depends on the prior encoding task

The prefrontal cortex is strongly engaged by some, but not all, episodic memory tests. Prior work has shown that source recognition tests--those that require memory for conjunctions of studied attributes--yield deficient performance in patients with prefrontal damage and greater prefrontal activity in healthy subjects, as compared to simple recognition tests. Here, we tested the hypothesis that there is no intrinsic relationship between the prefrontal cortex and source memory, but that the prefrontal cortex is engaged by the demand to retrieve weakly encoded relationships. Subjects attempted to remember object/color conjunctions after an encoding task that focused on object identity alone, and an integrative encoding task that encouraged attention to object/color relationships. After the integrative encoding task, the late prefrontal brain electrical activity that typically occurs in source memory tests was eliminated. Earlier brain electrical activity related to successful recognition of the objects was unaffected by the nature of prior encoding.

Source memory retrieval is affected by aging and prefrontal lesions: behavioral and ERP evidence

Age-related deficits in source memory have been attributed to alterations in prefrontal cortex (PFC) function, but little is known about the neural basis of such changes. The present study examined the time course of item and source memory retrieval by recording event-related potentials (ERPs) in patients with focal lesions in lateral PFC and in healthy older and young controls. Both normal aging and PFC lesions were associated with decrements in item and source memory. However, older controls showed a decrease in item hit rate with no change in false alarms, whereas patients showed the opposite pattern. Furthermore, ERPs revealed notable differences between the groups. The early positive-going old/new effect was prominent in the young but reduced in patients and older adults, who did not differ from each other. In contrast, older adults displayed a prominent left frontal negativity (600-1200 ms) not observed in the young. This left frontal effect was substantially smaller and delayed in the patients. The current results provide novel insights into the effects of aging on source memory and the role of the lateral PFC in these processes. Older controls appeared to adopt alternate memory strategies and to recruit compensatory mechanisms in left PFC to support task performance. In contrast, the lateral frontal patients were unable to use these mechanisms, thus exhibiting difficulties with strategic memory and monitoring processes.

Human memory development and its dysfunction after early hippocampal injury

Cognitive memory involves long-term memories for facts (semantic memory) and personal experiences (episodic memory) that can be brought to mind. There is consensus that the hippocampus and related medial temporal lobe (MTL) structures are crucial for adult cognitive memory, but much less is known about their contribution to memory during infancy and childhood. We argue that the MTL is involved in memory from early in life, supporting recognition memory within the first postnatal months and recall memory within the first year. We propose that normal development involves a sequence in which a form of semantic-like memory emerges first, whereas the characteristics of episodic memory develop only later with progressive development of the hippocampus. Early bilateral injury to the hippocampus disrupts this normal pattern such that memory skills cannot develop beyond the stage of semantic memories. This review is part of the INMED/TINS special issue "Nature and nurture in brain development and neurological disorders", based on presentations at the annual INMED/TINS symposium (http://inmednet.com/).

Frontal lobe contributions to recognition and recall: linking basic research with clinical evaluation and remediation

The role of the human frontal lobes in episodic memory is becoming better understood, thanks mainly to focal lesion and neuroimaging studies. Here we review some recent findings from basic research on the frontal lobes in memory encoding, search, and decision-making at retrieval. For each of these processes, researchers have uncovered cases in which frontal memory impairments can be attenuated by various task manipulations. We suggest ways in which these findings may inform clinical evaluation and rehabilitation of memory problems following frontal damage.

Auditory hallucinations in schizophrenia: intrusive thoughts and forgotten memories

INTRODUCTION

This paper presents a new cognitive model of auditory hallucinations in schizophrenia. We suggest that auditory hallucinations are auditory representations derived from the unintentional activation of memories and other irrelevant current mental associations. Our model proposes that a combination of deficits in intentional inhibition and contextual memory is critical to the experience of auditory hallucinations. The failure in intentional inhibition produces unwanted and uncontrollable mental events which are not recognised because they have lost the contextual cues that would normally facilitate recognition.

METHODS

This article amalgamates recently published data and presents a reanalysis of the findings on 43 patients with a diagnosis of schizophrenia (Badcock, Waters, Maybery, & Michie, 2005; Waters, Badcock, Maybery, & Michie, 2003a; Waters, Maybery, Badcock, & Michie, 2004a). Relative risk was also estimated to determine whether the combination of deficits increases the risk of having auditory hallucinations.

RESULTS

Almost 90% of patients currently experiencing auditory hallucinations showed the predicted combination of deficits on both inhibition and context memory, compared to only a third of patients without hallucinations. In addition, the results showed that those patients with the specified cognitive deficits were at an especially increased risk of having auditory hallucinations relative to patients without the deficits.

CONCLUSIONS

The results of our investigations strongly support the role of intentional inhibition and context memory in auditory hallucinations. Critical consideration of the findings also suggests that additional cognitive processes might be important for the expression of this symptom.

Source memory in the real world: a neuropsychological study of flashbulb memory

A flashbulb memory (FM) is a vivid, enduring memory for how one learned about a surprising, shocking event. It thus involves memory for the source of event information, as opposed to memory for the event itself. Which brain regions are involved in FM, however, is uncertain. Although medial temporal lobe/diencephalic (MTL/D) damage impairs content or item memory, frontal lobe (FL) damage has been associated with impaired source memory. One would therefore expect that FM should depend on the FLs, although two recent reports do not support this idea. In the current study, we examined memory for the events of September 11th, and memory for the source of that information, in MTL/D patients, FL patients, and healthy subjects. Only the MTL/D patients were impaired in long-term memory for the event itself, measured after a 6 month retention interval. The FL patients, on the other hand, showed a selective deficit in source memory, although their memory for the target event was unimpaired. MTL/D and FL structures appear to play different roles in memory for flashbulb events.

Metacognition and false recognition in patients with frontal lobe lesions: the distinctiveness heuristic

The distinctiveness heuristic is a response mode in which participants expect to remember vivid details of an experience and make recognition decisions based on this metacognitive expectation. Whereas much is known about the cognitive processes that are involved in using the distinctiveness heuristic, little is known about the corresponding brain processes. Because such metacognitive processes that involve the evaluation and control of one's memory are believed to be dependent upon the frontal lobes, the authors examined whether the distinctiveness heuristic could be engaged to reduce false recognition in a repetition lag paradigm in patients with lesions of their frontal lobes. Half of the participants studied pictures and corresponding auditory words; the other half studied visual and auditory words. Studied and novel items were presented at test as words only, with all novel items repeating after varying lags. Controls who studied pictures were able to reduce their false recognition of repeated lag items relative to those controls who studied words, demonstrating their use of the distinctiveness heuristic. Patients with frontal lobe lesions showed similar levels of false recognition regardless of whether they studied pictures and words or words only, suggesting that they were unable to use the distinctiveness heuristic. The authors suggest that the distinctiveness heuristic is a metacognitive strategy, dependent upon the frontal lobes, that may be engaged by healthy individuals to reduce their false recognition.

Dissociating Confidence and Accuracy: Functional Magnetic Resonance Imaging Shows Origins of the Subjective Memory Experience

Successful memory typically implies both objective accuracy and subjective confidence, but there are instances when confidence and accuracy diverge. This dissociation suggests that there may be distinct neural patterns of activation related to confidence and accuracy. We used event-related functional magnetic resonance imaging to study the encoding of novel face–name associations, assessed with a postscan memory test that included objective measures of accuracy and subjective measures of confidence. We showed specific neural activity in the left inferior prefrontal cortex associated with trials when subjects expressed high confidence that they had chosen the correct name for the face and made a correct identification. Moreover, we found that this region was also associated with imparting high confidence when subjects chose the incorrect name. However, medial temporal lobe regions showed activity only for high-confidence correct trials. Many functional magnetic resonance imaging studies have shown that the medial temporal lobe and left prefrontal regions are particularly important for the successful formation of memories by using a combination of subjective and objective measures. Our findings suggest that these regions may be differentially involved in the objective and subjective components of memory and that the origins of confidence–accuracy dissociations may be related to incomplete activation of the neural pattern seen in successful encoding. These findings may also aid understanding of eyewitness misidentifications and memory distortions.