Chapter 11: Amnesia Flashcards

0
Q

Describe types of amnesia: retrograde, anterograde (post-traumatic amnesia), transient global amnesia

A

~Retrograde: loss of access to event s that happened in the past, prior to a trauma
~Anterograde: a deficit encoding, storing, or retrieving new events occurring after a trauma
-Transient global amnesia: sudden impairment forming and retrieving new memories
-tends to resolve rapidly
-develops rapidly in apparently normal individuals
-cause is yet unclear

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1
Q

Describe main goals of the three approaches to studying amnesia: neurosurgical, pathological, and cognitive.

A
  • Neurosurgical: anatomical localization to guide neurosurgical treatment
  • Pathological: develop a better understanding of a specific disease with its many complexities
  • Cognitive: focus on pure and theoretically important deficits
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2
Q

What do anterograde amnesiacs have deficits in?

A

~episodic learning:

- visual and verbal
- recall and recognition
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3
Q

What is typically preserved in anterograde amnesiacs?

A

~intellect and language
~nondeclarative memory
-classical conditioning: handshake study, avoidance conditioning pairing a light with a puff of air so that the light elicits blink response
-priming
-motor skills
-controlling complex systems
-hedonic adaptation
~digit span
~normal recency effect in free recall (no primacy effect doe)
~Brown-Peterson short-term forgetting task that there is no frontal lobe damage

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4
Q

Describe theories of amnesia that aren’t true.

A

~Levels of processing deficit
-Korsakoff patients are helped by deep encoding instructions and humorous materials
~Faster forgetting is also not likely
-Hypothesis: LTM traces decay especially rapidly in amnesiacs
-Test: after equating the initial level of learning, the rate of forgetting remains constant
~Retrieval interference
-Hypothesis: w/o hints like word stem, amnesiacs are overwhelmed by interfering alternatives
-Later conclusion: since explicit instructions using the word stems did not benefit retrieval, rejected hypothesis

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5
Q

Describe the assumptions and predictions of the contextual processing theory of amnesia.

A

Assumption: individual episodes are linked to specific time and place of the experience
-Allows selective retrieval of specific memories
Prediction: inability to link experience to spatio-temporal context would disrupt recollection

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6
Q

Give human evidence for the contextual processing account of amnesia.
Task: amnesiacs and controls saw pictures either once or twice on successive days and were asked on which day they saw the picture

A

Results:
~Amnesiacs more likely to say doubly-presented items from Day 1 were presented more recently on Day 2
-relied on familiarity in the absence of context
~Controls more accurate in dating if presented twice
-added repetitions increased contextualization
So? Amnesiac patients have source amnesia
-bad at recalling when source info is required
-tend to confuse recency with degree of familiarity

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7
Q

Give assumptions of modal model of amnesia. How can it be tested?

A

Assumptions:
~Episodic memories are normally consolidated when a mnemonic glue binds items together with their contexts
~Recall and recog involve same underlying storage processes (but place different constraints on subsequent retrieval)
~Semantic memory represents the residue of many episodes
-over time, individual episodes may be forgotten
-features shared by the repeated episodes can still be retrieved by a separate semantic system
Testing
-given generalities of model, it is difficult to test
-cases of developmental amnesia cast doubt on the main assumptions of the model

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8
Q

What was impaired and unimpaired in Jon?

remember, Jon had damage to hippocampus as an infant

A
Impaired:
~learning
~recall
Unimpaired:
~recognition
~above average intelligence
~good semantic memory skillz
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9
Q

How does Jon pose problems for the modal model of amnesia?

A

~Semantic memories depend on episodic memories BUT Jon could not form episodic memories and had normal semantic memory
~Crystallized intelligence from prior learning should be impaired BUT Jon has normal intelligence and roughly average linguistic abilities
~Recall and recognition essentially same BUT Jon has good recog despite strong recall impairment

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10
Q

Describe difference between remembering and knowing.

A

~Remembering: recollecting a learning episode
-traveling backward in time to re-experience the event
~Knowing: familiarity with a learning episode without the recollective experience

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11
Q

Can Jon experience remembering?

A

~No! Jon can learn by building up familiarity so that he knows information
~However, he has difficulty remembering
-He would use familiarity strength as a stand-in for recollection
-Generally lacks electrophysiological and neuroimaging signatures of remembering
-subsequent evidence suggests a lingering ability to recollect a few memories

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12
Q

How can we quantify the degree of retrograde amnesia? What are some problems with these first methods?

A

First attempt:
~Task: presented patients with photos of people famous at specific points in time
~General findings:
-Amnesiacs perform more poorly than controls
-Earlier memories better preserved (Ribot’s law)
Similar scales using: news events, horsie races, TV shows aired for 1 season
Problems:
~Degree of knowledge of the events is likely to vary across patients
~Scales require continuous updating to add new, relevant events

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13
Q

Describe the probe method of evaluating RA.

A

~Probe patient’s memory for autobiographical recollections
-validate memories with family/caretakers
-Galton provided cue words to spark memories, and similar methods used on patient RA
BUT, hard to code

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14
Q

Describe the autobiographical memory interview. (semantic vs. personal autobiographical scale)

A

~Semantic scale: asked to remember specific factual information from certain time periods
~Personal autobiographical scale: also asked to recollect a specific personal event from each period
-rated for amount and specificity
Valid, sensitive, and reliable, and doesn’t needa be updated all the fuggin time

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15
Q

Describe the standard consolidation model of RA.

A

~Assume information is consolidated by transferring it from one brain region to another (systemic consolidation)

- Hippocampus/surrounding regions detect and store novel information rapidly
- Information gradually transferred from these regions to cortical areas
- After the memories become independent of the hippocampus, neocortical traces continue to strengthen (accounts for Ribot's law)
16
Q

Describe the multiple trace hypothesis of RA.

A

~Accepts many of tenets of the standard models
~But assumes that:
-hippocampus is not only important in encoding but also in long term retrieval
-Long term consolidation results in the creation of redundant traces in the hippocampus instead of the neocortex
=older memories have more traces, so are more robust against partial hippocampal damage

17
Q

Describe an animal study about sleep and implicit memory consolidation.

A

~Identified place cells in rat brains: individual hippocampal neurons that were selectively activated when a rat approaches a specific location in the environment
~During slow-wave sleep, place cells “replayed” activity from the spatial learning process, indicating transfer/consolidation

18
Q

Is implicit memory consolidation a thing in humans?

A

YUP.
~Human sleep deprivation interferes with consolidation
-Normal improvement for a visual discrimination task is eliminated when sleep-deprived after learning
~After a night’s sleep, but not before, new vocabulary interferes with related words (interference means you learned the words)
-so, sleep is necessary for new words to be consolidated into a person’s verbal lexicon

19
Q

Describe a human study examining sleep and explicit memory consolidation. (task: learning word pairs)

A

Task:
~Learned word pairs
~Broken into two groups:
1. 24 hours of sleep deprivation, followed by 2 full nights of sleep
2. full night of sleep, 24 hours sleep deprivation, full night of sleep
Results: Group 2 had
~Greater hippocampal activation
~More active links between the hippocampus and the prefrontal cortex
Conclusion: sleeping immediately after learning facilitates explicit memory consolidation in these brain regions

20
Q

What’s a TBI? What are some symptoms, and how is its severity measured?

A

~Traumatic brain injury
~Symptoms
-brief coma
-difficulty concentrating and remembering
-persistent vegetative state: physical but not mental functions continue to perform
~Wessex Head Injury Matrix Scale measures improvement during recovery

21
Q

What’s post-traumatic amnesia? In what order to people typically recover?

A

~PTA: after recovering consciousness from a TBI, attention and new learning are grossly impaired
~Improvement is gradual:
1. Personal knowledge: who you are
2. Place knowledge: where you are
3. Temporal orientation: when it is/when TBI occurred
-Initially people believe it is earlier than it is – bad sense for elapsed time
~Length of time in PTA predicts level of probable recovery
~After PTA, patients often left with some retrograde amnesia that gradually shrinks over time

22
Q

Describe the TBI and RA football study.

A

~Asked footballers who were hit in the head the name of the play that caused the injury:
-right after they were taken off the field: players could usually remember
-a few months after the injury: no longer able to remember
Conclusion: events registered but the trauma disrupted the early normal consolidation of the memory trace

23
Q

Describe a study that examines the long term effects of high contact sports.

A

Task: tested the following groups: football player with head injury, player’s teammates, and controls on a semantic verification task
Results: injured patient and teammates impaired on task
Conclusion: playing high-contact sports can leave residual deficits

24
Q

What’s the relationship between objective and self-report measures of memory impairment?

A

~Most victims of TBI self-report that they had some memory problems
-however, caregivers much more likely to indicate patient had memory problems
~Relationship between objective measure of memory impairment and self-report is low
-some, but not all amnesiac patients seem to be unaware of their deficit –> difficulties in assessment and treatment

25
Q

To facilitate treatment, what should a complete assessment of memory impairment include?

A

Tests that…
~are highly sensitive to memory impairments (WMS)
~predict everyday problems (RBMT)
~analyze the nature of the memory deficits in theoretical terms
~identify the unique strengths and weaknesses of the patient