Critical Analysis of the Factors that Determine the Success and Failure of Long-Term Memory

Long-term memory (LTM) can be broadly defined as a store of information that is held indefinitely, with a near-limitless capacity (Cowan, 2008); this is estimated to be around 2.5 petabytes on average (Reber, 2010). LTM can be sub-divided into two main systems (Curran, 2014), one being declarative memory which stores information that requires conscious recollection, including episodic memories (EM), enabling us to remember events and experiences, and semantic memories (SM), which store our knowledge about the world (Tulving, 1993). In contrast, nondeclarative memory stores information that can be recalled unconsciously, including procedural memories which store information on how to perform certain tasks, such as riding a bike (Johnson, 2012). This essay will explore and critically evaluate some important factors that may contribute to determining the success or failure of encoding, maintenance, and retrieval in LTM. Declarative LTM will be the primary focus as evidence suggests that knowledge in this store is more accessible than nondeclarative LTM (Squire & Zola, 1996), which could be vastly improved through utilising specific learning and maintenance strategies. This store is also profoundly affected by amnesia, particularly retrograde amnesia and anterograde amnesia (Squire & Zola, 1998), both of which are potential consequences of brain damage This highlights the importance of studying declarative LTM, as a greater theoretical understanding could lead to the development of beneficial real-life interventions to improve the success of these memories.

One factor that may determine the success or failure of encoding in declarative LTM is whether a massing or spacing learning technique is adopted when learning information. Massed learning involves long, intense periods of study, however these sessions occur infrequently and temporally close together (VandenBos, 2007). A common massing technique is ‘cramming’, which involves studying intensely in the days or hours preceding the necessary retrieval of this information, such as in an examination (Kornell, 2009); evidence suggests that between 23.5% (Vacha & McBride, 1993) and 51% (Michaels & Miethe, 1989) of university students use this method, often following procrastination (Brinthaupt & Shin, 2001). Substantial evidence suggests that massing impairs learning and contributes to the failure of effectively encoding LTMs; this may occur because massing attenuates the degree of attention paid to information, as items become highly familiar when learning in this manner (Hintzman, 1974), which requires less processing but leads to more forgetting in the long-term (Magliero, 1983). In contrast, spaced learning is characterised by shorter, more frequent periods of study, with sufficient time left between learning sessions (VandenBos, 2007). Robust evidence suggests that this learning method is greatly beneficial and contributes to the successful encoding of LTMs. The reactivation theory of spacing effects (Mizuno, 2003) suggests this occurs because, in spacing, memory reactivation during subsequent learning sessions is greater than in massing. Research also indicates that spacing between sessions provides temporal distinctiveness, which appears to make memories more resistant to interference and thus improve long-term storage of material (Kelley & Whatson, 2013).

There is substantial evidence demonstrating the superiority of spaced learning in encoding LTMs compared to massed learning. In Bloom & Schuell’s (1981) research, students studied words for a vocabulary test either distributed across three days, or all on the third day. Immediate testing did not produce a huge amount of difference in recall between the two groups, however, in a retest 4 days later, the massed learning groups recall was significantly poorer than the distributed group, reflecting the short-lived nature of massed information. This experiment has been widely replicated (e.g. McDaniel et al., 2013) and has valuable real-life application as it demonstrates the benefits of spaced learning in classroom activities, compared to previous studies which were predominantly artificial, laboratory experiments, and so lack generalisability to everyday settings. Furthermore, Foot-Seymour et al. (2019) found that spacing helped students to remember more facts, as well as develop their critical thinking skills. However, a notable limitation of this study is that it failed to find a benefit of spacing in one of the two fact learning measures, which was most likely due to fatigue as the 9-12 year old students were presented with a large number of questions following a ninety-minute lesson. Conflicting evidence from Brinthaupt & Shin (2001) found massing to be beneficial for learning as it increases individuals ‘flow’ state (Csikszentmihalyi, 1990), which is characterised by enhanced concentration and goals, and a loss self-consciousness. However, in terms of long-term storage, evidence clearly indicates that massing is far superior in successfully encoding LTMs, despite the benefits that massing may present at the time of learning.

Another factor that may determine the success or failure of storing declarative LTMs is whether information is effectively consolidated or not. Memory consolidation refers to the process by which an unstable, newly encoded memory is converted into a stable LTM (Squire et al., 2015). It is distinguished by two distinct processes; firstly, synaptic consolidation occurs, a comparatively quick process in which synaptic transmission is strengthened, enabling memories to be retained over a longer time (Clopath, 2012). This is followed by systemic consolidation, a considerably longer process in which memories that were originally hippocampal-dependent are reorganised to become hippocampal-independent (Dudai, 2004). These consolidation processes are augmented by various influences, one being sleep; research has found that rapid eye movement (REM) sleep supports synaptic consolidation through upregulating plasticity-related immediate-early genes, whilst the oscillations, spindles, and ripples occurring during slow-wave sleep (SWS) support systemic consolidation (Diekelmann & Born, 2010). The impact of this was demonstrated in Jenkins and Dallenbach’s (1924) classic research, which found greater retention of nonsense syllables following sleep compared to periods of waking activity; studies have since replicated this finding that increased sleep improves successful declarative LTM consolidation (e.g. Fowler et al., 1973; Plihal & Born, 1997). However, several reviews have critiqued these early studies as being confounded by circadian influences, which are also suggested to affect successful maintenance of declarative LTMs (Tilley & Warren, 1983), as subjects in sleep and wake conditions recalled information at different times of day, undermining these studies’ internal validity. Despite this, more recent and controlled research has indeed verified the relationship between sleep and enhanced declarative LTM, for instance Wagner et al. (2006) found that even a brief sleep following learning keeps memories, particularly emotional ones, alive for years. This highlightings the importance of consolidation in maintaining declarative LTMs, as well as the beneficial impact that sleep has on enhancing this process.

Reconsolidation also contributes to the success or failure of maintaining declarative LTMs; this is the process by which previously stored memories are reactivated, causing them to become unstable, and so these memories are consolidated once again to restore their stability (Alberini & LeDoux, 2013). Memory reconsolidation could facilitate LTM storage as evidence suggests that it strengthens memories; for instance, Lee (2008) found that memory reconsolidation in rats strengthened their contextual-fear memory, giving them an adaptive advantage as they learned to avoid an unpleasant stimulus. This adaptive strengthening advantage has been generalised to humans. For instance, Exton-McGuinness et al. (2015) interpreted it as being an adaptive updating mechanism for guiding future behaviour, however this is a theoretical assumption and lacks empirical evidence. Despite this, theoretical understanding of reconsolidation has led to the development of potentially beneficial interventions, one being for post-traumatic stress disorder (PTSD), particularly when used in conjunction with drug treatment. This was demonstrated by Brunet et al. (2008) who reminded participants of the event associated with their PTSD, and then administered some with propranolol, a beta blocker intended to reduce anxiety; when asked to imagine the event one week later, those in the propranolol group showed reduced emotional and physiological responses. On the contrary, memory reconsolidation has also been recognised as contributing to the failure of storing some declarative LTMs, as it makes memories more susceptible to distortion through misinformation. For example, Chan and LaPaglia (2013) showed participants a film clip, after which half of the participants were given a memory test to reactive their memory representation of this. Subsequently, all participants went through a ‘relearning’ phase where they were told facts about the film, some of which were incorrect; the group that had their memory reactivated suffered greater disruption to their memory. This draws attention to the profound impact of reconsolidation in storing accurate LTM representations, and this could have detrimental real-world implications, such as if individuals are subjected to leading questions during eyewitness testimony (Loftus, 1975).

A third factor that undoubtedly determines the failure of encoding and retrieving declarative LTMs is amnesia. Anterograde amnesia and retrograde amnesia both typically result from traumatic brain injury or damage (Martin & Slevc, 2012), and often occur concurrently (Smith et al., 2013). Anterograde amnesia is characterised by an inability to form new declarative LTMs; research has shown that anterograde amnesia primarily affects EMs following hippocampal damage, however it may also impair SMs if there is damage to the wider medial temporal lobe (MTL) (Spiers et al., 2001). For instance, patient ‘PS’ had impaired EM but relatively intact SM resulting from hippocampal-selective brain damage, whereas patient ‘SS’ had both impaired SM and EM, and was found to have wider MTL damage in addition to hippocampal damage (Verfaellie et al., 2000). Although this study is limited in the sense that it is idiographic and based on unique case studies, these findings have been widely replicated (e.g. Bayley et al., 2006). Retrograde amnesia also affects SM and EM, however it is characterised by an inability to recall these previously stored declarative LTMs and typically causes a selective deficit in either SM or EM. For instance, patient ‘KC’ suffered from severely impaired EM retrograde amnesia (Tulving, 2002); when tested using family photographs, he was able to recognise the people as his SM was comparatively intact, but he could not recall the event (Westmacott et al., 2001). The opposite effect was observed when patient ‘EL’, who had severely impaired SM but relatively intact EM, was tested, as he could recall the events but not the people or any other facts about the photograph. Retrograde amnesia seems to be caused by a widely distributed network of brain regions (Bright, et al., 2006), hence onset can be caused by various different types of brain damage. Furthermore, both anterograde amnesia and retrograde amnesia can be, and often are, extremely handicapping. Everyday challenges facing individuals suffering from both amnestic conditions might include the inability to fulfil social or occupational commitments due to the failure of retaining information (Svoboda & Richards, 2009), as well as being unable to recall important details that have happened in their lives. At present, there are no direct treatments to enable amnesic patients to successfully encode and/or retrieve declarative LTMs which is a significant limitation. However, interventions have been developed to assist in managing the handicapping effects of amnesia in order to improve individuals’ quality of life, including technology assistance such as reminder apps (Svoboda & Richards, 2009), which is indeed a significant advantage of research.

In conclusion, whilst anterograde and retrograde amnesia solely contribute to the failure of encoding and retreiving declarative LTMs, consolidation and learning techniques can cause either the success or failure of encoding and maintaining declarative LTMs. When encoding new material, there is strong evidence favouring the utilisation of a spaced learning technique, rather than a massed learning technique, as this makes information more temporally distinct, thus subsequently less susceptible to interference. This research has valuable real-world application to contexts such as educational institutions, as it could enable learners to more effectively retain new information. In addition, memory consolidation processes support the successful storage and maintenance of declarative LTMs, and can be enhanced by influences such as sleep. Although research has shown the therapeutic benefit of reconsolidation in disoders like that of PTSD, it also makes memory more susceptible to distortion when reactivated, which could have a negative effect in some contexts, such as eyewitness testimony. Furthermore, although anterograde and retrograde amnesia undoubtedly contribute to the failure of LTMs, research has led to significant advancements in theoretical understanding, as well as to the development of interventions to help individuals cope with everyday challenges, both of which are invaluable advancements.

Causes and Effects of Dissociative Disorders: Analysis of Dissociative Amnesia

Abstract

There are three types of dissociative disorders dissociative amnesia, depersonalization-derealization disorder, and dissociative identity disorder, all three have similar symptoms of feeling disconnected from reality however each disorder has very complex problems that make the person suffering from it have trouble in everyday interactions and can ruin someone’s life if they don’t get the help they need. The main points of this research paper will be on the main three disorders, what causes them and what the brain goes through in order for an illness such as this one to occur. The different treatments for someone suffering from this will also be addressed, a day in the life of someone with one of these disorders is very complex and confusing for the individual experiencing this and will be explained for each illness in detail to fully understand the severity of these illnesses. I will write about these one at a time to fully focus on one topic before moving on and present as much information as I can.

Main Body

Dissociative Amnesia is a rare disorder that causes a person to forget subconscious information about themselves such as their name, place of work, where they live, and family members. There are many types of amnesia to classify the different situations amnesia can occur in for example localized amnesia makes the individual forget a certain event during a long period of time. This period of time can vary from person to person depending on the type of abuse they suffered from, localized amnesia can make someone forget hours or even decades of one’s life. A child who went through years of abuse can forget anything even happened and live as an adult unaware that anything happened only feeling fear when something triggering enters their environment such as an item the victim was beaten with. Veterans suffering from war fatigue from constant combat in action can lose recollection of events that occurred over a long period of time and completely forget what they experienced as well. Most individuals that experience localized amnesia also suffers from selective amnesia in a combo forgetting as the name implies very specific moments that have traumatized the person mostly related to physical abuse as well as sexual abuse. Generalized amnesia could be considered a more serious type of amnesia due to the fact that all personal information is completely wiped from one’s memory. People who suffer from this occasionally cannot remember who their family is as well as who they are or where they live. Basic skills or complex ones the individual has learned before the amnesia can also be forgotten and those memories may or may not return.

Generalized amnesia can also be related to systematic amnesia because of the loss of memory in one certain thing such as your family but still remembering who you are personally.

Another very problematic type of amnesia is continuous amnesia where the individual loses their memory as they experience new things because of there loss of memory with current events it can impair their ability to form relationships and can cause confusion from others telling them things they did from the events they have forgotten completely. Many veterans coming back from war experience this and usually end up getting PTSD after undergoing treatment and remembering the previous events they went through. However, where these types of amnesia are debilitating dissociative fugue can completely destroy someone’s life. When someone goes through a dissociative fugue they completely lose memory of who they are and practically become someone else completely and can end up leaving the state or the country living under a different identity they have created wiping their previous completely from their memory eventually this can subside and memories of their previous life can occur however there is no guarantee that they will remember who their family members are or what life they lived before but only have the feeling like something is wrong because of this devastating realization depression is very common for those who undergo this process. There have also been cases of people waking up from their new life as if nothing had ever happened not knowing how they got in that position or what they have done in the period the episode occurred. Dissociative fugue is rare however it is initially caused by the same as the other amnesia-related disorders very high stress as well as a traumatic event. For the most part, this type of amnesia is very temporary, and even after a couple of months the individual goes back to their daily lives the main issue that can happen is the same fugue recurring if it isn’t treated by a medical professional. For the most part, most of these types of amnesia are temporary and can be treated a few ways without causing too much damage to the one suffering, however for the most part amnesia isn’t the only problem and usually, another mental illness reveals itself such as PTSD after remembering the incident their mind is trying to block out. If the individual is suffering from a small amount of memory loss and they can function normally in society there’s no point in having them remember anything, especially if the memory is too traumatic for them to handle it could in fact make the situation worse. In the more serious cases of amnesia, there are two types of treatment the first is hypnosis, hypnosis can be achieved with either some form of therapy or can be induced through

Contribution of Brain Imaging to Memory Storage and Retrieval: Features and Neuroanatomy of Amnesia

Contribution of brain imaging to memory storage and retrieval

Loss of memory is referred to as Amnesia. People suffering with amnesia, also called amnestic syndrome usually remember information themselves but have trouble learning new information and forming new memories. Amnesia can be caused due to damage in the area of the brain responsible for memory process and storage. Unlike temporary memory loss, amnesia can be permanent.

Features of amnesia

There are two main features of amnesia. They are, Anterograde amnesia which means following the onset of amnesia, people face difficulty in learning new information.

Retrograde amnesia means individuals face difficulty in remembering past events and familiar information.

There is another rare type of amnesia that is dissociative amnesia (psychogenic amnesia) which usually arises from emotional shock or trauma. In this case, the individual may lose personal memories and autobiographical information but only briefly.

Anterograde and retrograde amnesia as detailed in the image below

Figure 1: Features of amnesia.

Neuroanatomy

The process of memory are of three kinds. They are

Episodic memory

It refers to the learning and recollection of autobiographical information in one’s life.

Episodic memory is dependent on hippocampal formation and its connection.

Semantic memory

It is the acquired knowledge of meaning of verbal and perceptual concepts.

Semantic memory is dependent on the functioning of the middle of inferior temporal gyri of the neocortex.

Implicit memory

It refers to learning of sensory-motor skills.

Implicit memory is dependent on cortical, and subcortical motor systems.

“Work of Karl Lashley and Wilder Penfield in the year the 1950s and 1960s has made clear that memories are not stored in just one part of the brain but distributed throughout the cortex” Any disease or injury to the brain can affect memory.

Amnesia can occur from damage to brain structures that form limbic systems, that control emotions and memories. The amnesia that is caused due to brain injury or damage is called neurological amnesia. The causes of neurological amnesia are stroke, inflammation of brain tissue (encephalitis), tumors, seizures, and degenerative diseases such as Alzheimer’s disease.

The parts of the brain involved with memory are amygdala, hippocampus, cerebellum, and prefrontal cortex is depicted in the diagram below.

Figure 2: Parts of the brain involved with memory

Diagnosis

Several tests can be used to diagnose amnesia, they are

Cognitive tests to determine extent of memory loss from memory evaluation tests.

Imaging tests such as CT, and MRI to look for abnormalities or brain damage.

Blood tests to check for infections and nutritional deficiencies.

EEG to check for seizures.

Brain imaging is found to be an important diagnostic tool in linking descriptions of brain and cognition. Brain imaging investigation has led to a comprehensive understanding of the structure and function.

A special type of MRI called functional MRI produces image of blood flow to the areas of the brain, it images the brain’s anatomy and determines which part of the brain are handling critical functions.

In the field of psychology and neurology, the contribution of brain imaging techniques plays a vital role from localizing the damage or lesion to witnessing the recovery after treatment.

Memory-related hippocampal activation in sleeping disorder using fMRI

Over the years, one of the interesting questions every one of us have is “how young children gain the capacity to remember their past events?”

In the study conducted by Janani Prabhakar et al (2018 pp 6500-6505) said that the early hippocampus process have been involved in this ability of children to remember their past, but due to lack of methods, it has inhibited the assessments in early developments. In this study, Janani Prabhakar et al employed the fMRI paradigm that captured memory-related hippocampal function during natural sleep in toddlers at night.

With MRI, scientists faced difficulty in assessing the population that cannot complete demands of behavioral tasks therefore, Janani Prabhakar, etc developed an fMRI paradigm that overcomes these challenges and allowed them to examine memory-related hippocampal function in toddlers. Assessment of hippocampal function and its contribution to early episodic memory in infants have been difficult without fMRI.

An fMRI Investigation on three multiple kinds of episodic memory

Episodic memory is different from other forms of memory systems which allows humans to remember past experiences. Hung-Yu Chen et al (2017) conducted a study using fMRI as the tool, where the participants studied set of scenes and two types of memory tests were such as, picture memory test and life memory test were performed while undergoing fMRI.

In picture memory test, participants were asked to report for each scene if it is recollected from prior study episode.

In life memory test, participants were asked to report each scene if it reminded them of a specific event from their pre-experimental lifetime.

In behavioral assessment during picture memory test and life memory test, the performance in picture memory test was accurate.

On considering the fMRI result, it showed contrast of old scenes leading to successful retrieval in two types of tests revealed differential activity in numerous regions in the brain.

fMRI result acquired from life memory test and picture memory test is detailed in the image below.

Figure 3: Differential activation for successful recollection in life memory test and picture memory test.

The BOLD signal obtained by successful retrieval of previously studied scenes in picture memory test was contrasted with successful retrieval by previously studied scenes in a life memory test.

From f-MRI, it was known that the regions active during autographical retrieval include bilateral hippocampus, left amygdala, bilateral superior frontal gyrus, angular gyrus, medial prefrontal cortex, and bilateral retrosplenial complex. The regions that were more activated during the recognition process include right middle frontal gyrus, bilateral insula, right inferior parietal cortex, precuneus and midcingulate cortex.

By detecting changes in the blood flow, fMRI measures brain activity. In this study, t not only showed contrast in episodic memory but also examined the brain’s functional anatomy helped us understand about different areas of the brain that were activated during particular process of memory.

Finding the self: an event-related fMRI study

On considering memory function, knowledge about one’s self is remembered better than other types of semantic information. In this study W.M.Kelley et al used event-related functional magnetic resonance imaging indexed by BOLD contrast to investigate potential neural substrates of self-referential processing.

In this study, participants were imaged while making judgments about trait adjectives under three experimental conditions. They are,

  • Self-relevance.
  • Other relevance.
  • Case judgment.

From functional resonance imaging data, relevance judgments and case judgments were found to have activation of left inferior frontal cortex and anterior cingulate whereas, the self-referential process was found to have activation of medial prefrontal cortex. From this observation, author describes that “self-referential processing is functionally dissociable from other forms of semantic processing within the human brain.”

Commonly activated regions across all the three trial types were occipital lobes, parietal lobes, motor cortex, thalamus, and cerebellum.

Additionally, f-MRI results showed that regions of striate and extrastriate visual cortex, parietal cortex, dorsal frontal cortex, motor cortex, and cerebellum were commonly activated, other than these regions, activations were also observed in the medial anterior cingulate gyrus, left thalamus and left caudate nucleus.

On observing activations in brain regions during each trial, for certain processes, some regions of the brain exhibited increased activation while other regions exhibited significantly decreased activation.

In this study, functional magnetic resonance imaging not only shows activations in the brain areas during particular process but also helps us to compare the results of the areas that weren’t activated for particular process whereas to the same regions that showed higher activations during other processes. It also helps in identifying increase and decrease of activation in the regions of the brain.

Memory in frontal lobe epilepsy: an fMRI study

Focal epilepsies are associated with structural and functional changes and usually spread to the areas beyond the seizure onset. In this study, Maria Centeno et al (2012) investigated functional anatomy of memory in patients with frontal lobe epilepsy (FLE) using the fMRI memory encoding paradigm.

fMRI results show that patients with frontal lobe epilepsy with normal memory showed increased activation in middle and bilateral inferior frontal gyrus compared to control group and frontal lobe epilepsy patients with impaired memory. Patients with impaired performance had decreased activation in amygdala and hippocampal activation compared to controls and patients with frontal lobe epilepsy with normal recognition scores.

fMRI did not show any differences in frontal activations between controls and patients with memory impairment. f-MRI data provides evidence of activation of both frontal and medial temporal lobe areas in impairment of memory function in patients with frontal lobe epilepsy.

In normal recognition memory, there was increased recruitment of frontal areas, contralateral to epileptic foci. Poor performance was associated with decreased activation in mesial temporal areas.

Functional correlates of different performances is detailed in the image below.

Figure 4: (A, B) Patients with FLE with normal memory showed increased frontal activation when compared to controls and to patients with memory impairment. (C,D) Patients with FLE with impaired memory showed decreased amygdala and hippocampal activation when compared to controls and to patients with normal memory.

Thalamus abnormalities during working memory in schizophrenia: an fMRI study

Julie Bor et al (2011) aimed to identify and compare cerebral activation in schizophrenia patients and controls during working memory tasks. Owen et al (2005) stated that “neuroimaging studies in humans have consistently found robust activation of frontal, parietal and temporal regions during the working memory test.”

Bold fMRI responses obtained were as follows

For the control group, activation was found for verbal working memory and spatial working memory.

It encompassed bilateral posterior parietal cortex including precuneus and inferior parietal lobules, bilateral premotor cortex, bilateral prefrontal cortex, thalamus, and cerebellum.

Patients with verbal working memory showed a significant cluster of increased activation in the thalamus and basal ganglia (caudate nucleus, putamen nucleus, and globus pallidus) compared to controls.

For spatial working memory compared with verbal working memory reported same activation extended to cerebellum, other activations were found in right superior, middle frontal gyrus, and left middle frontal gyrus.

Figure 5: Increased BOLD activation in patients compared to controls for verbal working memory

Neural correlates working memory in children and adolescents with agenesis of the corpus callosum: an fMRI study

V.Siffredi et al aimed to investigate the functional organization of working memory in children with agenesis of corpus callosum using fMRI

They observed that during encoding process, there was activation in bilateral frontal areas (anterior cingulate, ventrolateral, and precentral areas)

During retrieval, compared to encoding activations were found in bilateral frontal and parietal-temporal regions.

An amazing fact is that research using functional magnetic resonance imaging suggests that verbs and nouns are stored in different ways in the brain.

References

  1. Hung-Yu Chen; Adrian W. Gilmore; Steven M. Nelson; Kathleen B. McDermott (2017), Are There Multiple Kinds of Episodic Memory? An f-MRI Investigation Comparing Autobiographical and Recognition Memory Tasks. Neurosci 37(10), 2764-2775, doi:10.1523/JNEUROSCL1534-16.2017
  2. Janani Prabhakar, Elliott G. Johnson, Christine Wu Nordahl, Simona Ghetti (2018), Memory-related hippocampal activation in the sleeping toddler. Psychological and Cognitive Sciences 115(25), 6500-6505, doi: 10.1073/pnas.1805572115
  3. Kelley, W. M; Macrae, C. N; Wyland, C, L; Caglar, S; Inati, S; Heatherton, T. F (2002), Finding the self? An event-related f-MRI study. Journal of Cognitive Neuroscience 14(5), 785-794, doi: 10.1162/08989290260138672
  4. Centeno, Maria; Vollmar, Christian; O’ Muirchearyaigh, Jonathan; Stretton, Jason; Symms, Mark R.; Barker, Gareth J.; Kumari, Veena; Thompson, Pamels J.; Duncan, John S.; Richardson, Marl P.; Koepp, Matthias J. (2012), Memory in frontal lobe epilepsy: An f-MRI study. Epilepsia 53(10), 1756-1764, doi: 10.1111/j.1528-1167.2012.03570.x
  5. Dominique Sappey-Marinier; Danielle I barrola; Thierryd’ Amato; Marie-FrancoiseSuaud-Chagny; Mohamed Saoud (2011), Thalamus abnormalities during working memory in schizophrenia An f-MRI study. Schizophrenia research 124 (1), 49-53, doi: 10.1016/j.schres.2010.10.018
  6. M.M.Spencer-Smith; P.Barrouillet; M.J.Vaessen; R.J.Leventer; V.Anderson; P.Vuilleumier (2017), Neural correlates of working memory in children and adolescents with agenesis of the corpus callosum: An f-MRI study, Neuropsychologia 107, 71-82, doi:10.1016/j.newuropsychologia.2017.09.008

The Wernicke-Korsakoff Syndrome and Retrograde Amnesia: Reflective Essay

General Psychology Module Five Reflection

Human behavior is often followed by a pleasant or unpleasant outcome. When behaviors are followed by a desirable outcome, the behaviors are likely to be repeated. When behaviors are followed by an unpleasant outcome, they are less likely to occur (King, 2019). These pleasant and unpleasant outcomes are called reinforcements. Reinforcement is the process by which a stimulus or event (a reinforcer) following a particular behavior increases the probability that the behavior will happen again (King, 2019). These desirable consequences fall under two categories, positive reinforcement, and negative reinforcement. “In positive reinforcement, the frequency of a behavior increases because it is followed by a desirable stimulus” (King, 2019). In example, if someone is training their dog to go to the bathroom outside, a positive reinforcement would be to give the dog a treat when he uses the doggy door to go to the bathroom outside. The dog’s owner is positively reinforcing the dog to go to the bathroom outside. “In contrast, in negative reinforcement, the frequency of a behavior increases because it is followed by the removal of something undesirable” (King, 2019). An example of a negative reinforcement can be seen in the common situation of children not cleaning their room. The Mother of the child will nag their child to clean their room, when the child finally cleans their room, the Mother will stop nagging them. The Mother stopping her nagging serves as a negative reinforcement for the child to keep their room clean.

“Punishment is a consequence that decreases the likelihood that a behavior will occur” (King, 2019). Much like reinforcements, there are positive and negative punishments. “In positive punishment, a behavior decreases when it is followed by the presentation of a stimulus, whereas in negative punishment a behavior decreases when a stimulus removed” (King, 2019). One example of positive punishment is a coach making a player run sprints for showing up late to practice. The coach presented a stimuli that will decrease the player from showing up late to practice again. An example of negative punishment would include a parent grounding their teenager for poor grades. The parent removing their child from going out and seeing their friends decreases the chances of their child performing poorly in school.

Memory retrieval can be defined as when information that was retained in memory comes out of storage, much like a library (King, 2019). The human brain retrieves information similarly to how someone would locate and check out a book in a library. Retrieval is easiest when effective cues are present (King, 2019). Retrieval failure is an explanation of forgetting due to lack of or failure to use the right cue to retrieve information stored in memory; the information is not lost forever but it simply cannot be retrieved at that moment (King, 2019). According to psychologists, there are four factors that might cause retrieval failure. These factors include, “problems with the information in storage, the effects of time, personal reasons for remembering or forgetting, and the brain’s condition” (King, 2019). Psychologists have come up with many theories that coincide with these four factors. One theory that psychologists believe explains a common cause of retrieval failure is the decay theory. “According to decay theory, when we learn something new, a neurochemical memory trace forms, but over time this trace disintegrates. Decay theory suggests that the passage of time always increases forgetting” (King, 2019). Interference is another theorized cause of retrieval failure. In the interference theory, psychologists suggest that, “people forget not because memories are lost from storage but because other information gets in the way of what they want to remember” (King, 2019). A third example of retrieval failure could be demonstrated by those with amnesia. Amnesia is the loss of memory (King, 2019). Psychologists have linked two forms of amnesia to retrieval failure, anterograde amnesia, and retrograde amnesia. “Anterograde amnesia is a memory disorder that affects the retention of new information and events” (King, 2019). In contrast, retrograde amnesia involves memory loss for a segment of past events (King, 2019). “In retrograde amnesia the forgotten information is old- it occurred prior to the event that caused the amnesia- and the ability to acquire new memories is not affected” (King, 2019). Psychologists have discovered that Retrograde amnesia is much more common than anterograde amnesia, although in some rarer cases an individual could suffer from both anterograde and retrograde amnesia (King, 2019).

The Wernicke-Korsakoff syndrome is a degenerative brain disorder. Wernicke encephalopathy and Korsakoff syndrome are actually two different conditions that often occur together. Both conditions are the result of brain damage caused by a vitamin B1 deficiency (Campellone, 2018).

“Korsakoff syndrome, or Korsakoff psychosis, tends to develop as Wernicke symptoms go away. Wernicke encephalopathy causes brain damage in lower parts of the brain called the thalamus and hypothalamus. Korsakoff psychosis results from permanent damage to areas of the brain involved with memory. (Campellone, 2018)

Symptoms of Wernicke-Korsakoff syndrome include confusion or loss of mental activity, loss of muscle coordination, changes in vision such as abnormal eye movement, memory loss, inability to form new memories, confabulation, and hallucinations (Campellone, 2018). The Wernicke-Korsakoff syndrome has a huge impact on memory. In fact, some of the disorder’s most defining characteristics are the issues it has on the brain’s memory. The main symptoms of Wernicke-Korsakoff that affect memory are problems in acquiring new information or establishing new memories and retrieving previous memories (Campellone, 2018). Although Wernicke’s and Korsakoff’s are related disorders, some psychologists believe them to be different stages of the same disorder (Campellone, 2018). “Wernicke’s encephalopathy represents the ‘acute’ phase of the disorder and Korsakoff’s amnesic syndrome represents the disorder progressing to a ‘chronic’ or long-lasting stage” (Campellone, 2018).

References

  1. King, L. (2019). The science of psychology: an appreciative view(4thed.). New York, NY: McGraw-Hill Education.
  2. Campellone, J. (2018). Wernicke-Korsakoff syndrome. Retrieved from https://medlineplus.gov/ency/article/000771.htm.

Essay on Trauma and Memory Loss

As previously mentioned, collective memory is created through the process of communication, by using the individual memory of every member in a group. This is because, even if the same event is witnessed by a group, every member of that group may have a different recollection and memory of that event. Each person in a group will have their memory, which is everybody’s own experiences and memories. By successfully communicating with and listening to each other, individual memories can be ordered in chronological order or an order of importance or relevance, to form a collective memory, which will have a significant effect on a community. However, as with many things within the human body, our memories are not perfect. There are many flaws within individual memory, which, therefore, means that collective memory cannot be infallible. Firstly, it is physically impossible to store all of the sensory information that our bodies receive every moment of the day in our brains, as there is simply too much of it. Therefore, the brain stores small bits of information that are considered to be of the highest relevance, reconstructing the rest of the details around those smaller pieces when it is required (when you need to recall the memory). The human memory is split into two parts: the short-term, and the long-term memory. Within short-term memory, things are stored temporarily. The main limitations of short-term memory are limited capacity (only about 7 items can be stored at a time) and there is limited duration (storage is very fragile and information can be lost with distraction or passage of time). Secondly, long-term memory is the more permanent part of the human memory, where memories and information that we want to preserve for longer are kept. Memory can also be categorized into two types: explicit memory (which is the conscious, intentional recollection of factual information, previous experiences, and concepts) and implicit memory (which does not require conscious thought. It allows you to do things by rote). This memory is not always easy to verbalize, since it flows effortlessly in our actions. It is the explicit memory that is affected by memory loss, and other diseases such as Alzheimer’s disease or dementia. These conditions can severely affect the ability to recall memories.

Within my case study, I believe there are many instances where the individual memory cannot entirely be trusted, due to certain limitations. Due to the old age of people who have experienced traumatic events, it is not possible to fully rely on their memories. The accounts of older people should be verified by comparing them with the accounts of other people, which were shared when they were younger. This is because the effects of memory-related conditions are especially relevant when referring to the Holocaust, as considering that the Holocaust ended in 1945, 77 years ago, many of the survivors can now be considerably elderly. In a hypothetical situation, where a 20-year-old person entered a concentration camp, and then survived, they would be 97 years old today. According to many medical sources, the probability of somebody developing dementia or Alzheimer’s disease, while being over the age of 85 is almost 50%. Furthermore, the probability of someone developing these conditions after the age of 90 doubles almost every 5 years. This shows that today, this person would most likely be affected by some sort of mental condition, which would mean that their ability to recall past experiences would be limited. This limitation of individual memory would make it difficult for this person to be considered as a reliable source, in a discussion about their experiences about the Holocaust, which would therefore make the collective memory (which is made up of many individual memories) not exactly accurate. Here, it would be important to compare the accounts of the now elderly Holocaust survivors, with those of when they were still young, to ensure that these recollections match up so that the most accurate version of the events can be provided.

Moreover, Japanese researchers have found that ‘experiencing trauma, abuse or neglect in childhood may lead to health complications later on, including a higher risk of developing dementia’. Following the liberation of those in concentration camps towards the end of World War Two in 1945, many attempted to suppress the trauma they sustained during the Holocaust and push it to the backs of their minds, distancing themselves from the terror and the grief, to start their new lives. However, for many survivors, this attempt at ‘moving on’ and continuing their life as if nothing had ever happened had not been successful, and they gave way to emotional and psychological difficulties. This inability to cope with their situations and acknowledge the suffering they were in led to several symptoms, which psychiatrists began to identify and group under names such as: ‘survivor syndrome’, ‘concentration camp syndrome’, and ‘post-traumatic stress disorder’. After experiencing such a trauma, it is not surprising that people sustained a lot of damage.

Apart from the obvious psychological pain that the Holocaust survivors would have experienced, all these conditions have a significant impact on a person’s memory. According to many studies and researchers, physical, emotional, and psychological trauma can all play a factor in memory loss. It is possible to experience permanent or temporary memory loss depending on the type of trauma, and the severity with which each individual has received it in. For many people, blocking out memories can be one of the main ways of coping with the trauma. Scientists believe that the process of suppressing memories is called ‘state-dependent learning’. When the brain creates memories in a certain mood or state, particularly one of stress or trauma, those memories become inaccessible once the person returns to their normal state of consciousness. Furthermore, memory loss is a natural survival skill and defense mechanism humans have developed to protect themselves from psychological damage from trauma. Due to all the trauma that the survivors of the Holocaust would have faced, some would not be able to recall their experiences, due to memory loss. Because of this, once again, their memories could be compromised, which would mean their collective memory is not entirely factually correct (however this raises the question of whether or not a collective memory has to be factually correct at all). This idea is supported by Judith Lewis Herman when she states that ‘when the truth is fully recognized, survivors can begin their recovery. But far too often, secrecy prevails and the story of the traumatic event surfaces not as a verbal narrative but as a symptom. Denial exists on a social as well as an individual level… We need to understand the past to reclaim the present and the future. An understanding of psychological trauma begins with a rediscovery of the past. On the other hand, trauma could also cause an individual to be able to recall an event with much better clarity, due to how severe the impact of that trauma had on the individual’s life. When faced with a traumatic event, some people will replay this memory or have flashbacks to it. Both of these effects could end up strengthening it in the individual’s mind, so it would become a vivid part of their memory, and then of the collective identity. Aside from whether or not an individual, later on, a collective, memory has to be factually correct, it is important to note regardless of its accurate state, it does play a major role in shaping a community’s identity.

Case Study of Visual Memory Loss and Autobiographical Amnesia

Abstract

It is believed that various regions of the Medial Temporal Lobe (MTL) are majorly involved for the coordination activations in disparate parts of the cortex, and these activations help in the information representation for the Autobiographic Memories (AM). Hence, any type of physical damage to the MTL would cause difficulty in the retrieval of AM.

Patient M.S. suffered from long-term visual memory loss along with some semantic deficits, he also exhibited severe retrograde (inability of retrieving previous memories) amnesia and moderate anterograde amnesia (inability of making future memories). Also, one unusual thing about this case was that the type of amnesia from which M.S. was suffering wasn’t similar to any of the known types of amnesia, i.e. typical medial-temporal or lateral-temporal amnesia, rather it is strongly suggested that his visual deficits contributed majorly to his autobiographic amnesia.

Also, I’ve attempted to explain the case of M.S. by using the integrated memory model by Baddely (1974).

Introduction

Now, here our main focus would be to study in detail the case of M.S., one of the 11 patients who were previously identified as having VMDA (visual memory deficit amnesia). As I’ve mentioned earlier, this type of amnesia is different from the normal types of amnesia. First of all, multiple attempts were made to determine the type of amnesia he was suffering from and to prove the consistency of visual deficits with VMDA, thereby examining the role of visual imagery and visual regions in AM (autobiographic memory).

The MTL and diencephalon coordinate to activate various parts of the cortex which help to recollect information about a particular memory. MTL trauma tends to cause profound, ungraded anterograde amnesia (AA). Retrograde amnesia (RA) is often temporally graded; older retrograde memories are more likely to be spared than newer retrograde memories (Squire,1992).

Farah in 1984 suggested that patients with particular visual imagery impairment, specifically an impairment of long-term visual memory, would meet any of the following three criteria. First, the patient would be able to copy line drawings, thereby showing that other deficits are not caused by basic perceptual problems. Second, the patient would be unable to recognize objects by sight, defined as an inability to indicate either their names or their functions. Third, the patient would be unable to draw objects from memory, describe their visual properties from memory, or detect a visual image of them upon introspection. The first two criteria identify the patient as an associative visual agnostic; the third criterion demonstrates that the deficit arises from impaired access to long-term visual memory rather than difficulty generating or manipulating images. Patients who meet the third criterion but not the first two—those who cannot draw from memory but are not agnostic—have intact recognition memory for visual stimuli. Thus, patients only have a long-term memory deficit if they meet all three criteria.

Case Presentation

Let us now discuss the details of the case study, but first, let us go through a small character sketch of the patient M.S. was tested regularly since 1971. He is a left-handed Caucasian male with no family history of sinistrality. In 1970, while a 23-year-old police cadet, he suffered a febrile illness with frontal headache and vomiting. He was diagnosed with probable herpes encephalitis; antibody tests were negative, but MRIs taken in 1989 are inconsistent with a vascular etiology. M.S. now presents with left homonymous hemianopia, but his visual acuity is normal (6/6, N5 for near vision). He also has achromatopsia, associative visual amnesia, and amnesia. His linguistic skills are generally excellent, and he has no significant aphasic symptoms; he reads a newspaper and often completes the crossword. M.S. used to tell the same stories repeatedly, probably because he used to forget the fact that he has already told them before.

Now, I’ll like to discuss the various tests that were performed on the patient M.S. and whose conclusions were then summed up:-

  1. A neuroimaging test was conducted in which MRI reports showed several damages on the temporal lobe and the occipital lobe of the patient. In the left temporal lobe, the temporal pole, parahippocampal gyrus, hippocampus, amygdala, and 4th temporal gyrus were destroyed; the 1st, 2nd, and 3rd temporal gyri were generally spared. Whereas, the right temporal lobe was largely destroyed along with the occipitotemporal junction.
  2. Visual imagery test was conducted in which M.S. was told to copy the drawing of a rhinoceros. M.S worked clockwise from the ear and used a line-by-line technique of copying. M.S scored a 75% on the copy, 13% on immediate recall, and 0% on delayed recall.
  3. Object recognition ability was also tested by showing several items to M.S. He wasn’t even able to recognize his own drawing of a rhinoceros and thought of it to be that of a dog. When presented with a data set of drawings and items, he recognized 0/30 fruits and vegetables, 0/30 animals, 16/30 household objects, 18/36 living items, and 28/36 non-living items. M.S. also had difficulty with face-recognition tasks. In previous tests, he had scored 33/55 on the Benton Test, 13/24 with changed orientation, and 15/24 with changed lighting, while controls scored 74.4/80.
  4. It was suspected that M.S. might be having semantic deficits in addition to his visual memory deficits. So in some prior testing, he could recognize only 20/36 objects from verbal descriptions of their functions (Newcombe et al., 1989). When asked to generate exemplars for living and non-living categories, he performs well below normal for living items but is at normal levels for non-living items (Young et al., 1989). He is unable to define some words (e.g. “nightingale”; Ratcliff and Newcombe, 1982).
  5. An Autobiographical Memory Interview of M.S. was taken in which he was interrogated about some events from his past. M.S. was almost normal for the personal semantic components but he was way below normal in autobiographical portions of his past life.

Discussion

Now, let us use one of the three memory models discussed in the class to approximately explain the above case. In my opinion, the Integrated Memory Model best explains this case, a memory model given by Alan Baddeley and Hitch in 1974.

We can undoubtedly conclude that the perception of M.S. was absolutely fine (by his visual imagery test, point no. 2), but he wasn’t able to recall things properly, even when questioned immediately. According to the above memory model, visual information is fetched to the episodic buffer via the visuospatial sketchpad, and it is this process that is getting obstructed.

Working memory tasks with visual objects have activations taking place mostly in the left hemisphere, whereas tasks with spatial information activate more areas in the right hemisphere.

The visuospatial sketchpad is one of the major components of the working memory model.

We can easily see from the above flow chart that there must be some kind of obstruction in the information processing from the episodic buffer to the long-term memory which accounts for the struggle experienced by M.S. while recalling his own rhinoceros drawing, instead thinking of it as that of a dog.

M.S. almost failed the object recognition tests, in which he was supposed to recognize some commonly used objects in routine life, indicating that the semantic portion of his brain was damaged by the trauma. The episodic buffer is assumed by Baddeley to have long links to long-term memory and semantic meaning, which is clearly affected here.

Also, it goes without saying now that his autobiographical memory component was deeply affected (Conclusion from the AM Interview). The integrated working memory model displays how the modularity of the brain both at the perception level and at the retrieval, it also clearly explains how damages to these areas will affect the processes involved with the same.

Criticism of the Integrated memory model

I’ve earlier mentioned in the text that is model is only an approximation and there are some aspects where this model might not that accurately explain the above case. Like using the episodic buffer theory to explain the semantic deficit wasn’t that good, instead, I would like to use the levels of processing model as it says that retaining facts (semantics) is much easier when the brain has some visual info as the background.

Also, how the central executive memory exactly works is still left to be deciphered as there isn’t any proper experimental evidence for it.

M.S could reproduce some of the drawings on immediate recall and none on delayed recall.

This effect wasn’t explained properly by the working model memory as it is implicitly assumed in this model that the processing ability of an individual is invariant of time, which isn’t the case practically.

Summary

So from the above case study, we can conclude that the patient M.S. was suffering from a very peculiar case of visual memory loss and autobiographical amnesia, a not-so-common type of amnesia. We’ve above attempted to explain this case using the Working Memory Model by Baddeley and Hitch. Also, a brief discussion is considered over the aspects where this model fails to explain the case properly. There is one very important learning from this case that people who suffer from strokes have a chance of developing cognitive deficits that result in anterograde amnesia, since strokes can involve the temporal lobe in the temporal cortex, and the temporal cortex houses the hippocampus. Discussing the criticism of the model used also conveys us an important fact about psychology no model of memory is perfect, there are failures in almost every model of memory, and our aim is to just minimize them!

In the end, we shall appreciate the patience and efforts made by patient M.S. during the course of the whole research, despite the fact that he would have forgotten his contributions!

Case Studies of Human Patients with Amnesia in Understanding of Short- and Long-term Memory

It goes without saying that the study of human memory has been well researched and studied for psychologists and neuroscientists for many years, needless to say, there have been several case studies with amnesic patients to help psychologists gain an insight into the understanding of short- and long-term memory. There have been several amnesic patients that have helped Psychologists and Neuroscientists understand to human memory and how certain parts of the brain are essential for short- and long-term memory. Memory is an active system that receives, stores, organizes, alerts, and retrieves information and is integral in cognition in many ways. The amnesic patients chose to help with the understanding of short- and long-term memory have either had Retrograde amnesia or Anterograde amnesia or both, Anterograde amnesia is an inability to make new memories following their trauma whilst Retrograde amnesia on the other hand is not being able to recall memories prior to patients trauma.

To start with one of the most popular amnesic case studies which involved Henry Gustav Molaison who suffered from severe epilepsy from 10 years old and started to have over 10 epileptic fits a day. In 1953 Henry met William Beecher Scoville who was a neurosurgeon who worked at Hartford hospital in America. William suggested that Henry undertook an experimental procedure which was for the removal of the medial temporal lobe to try and cure his severe epilepsy, this was done so by the removal of the Hippocampus, Amygdala, and parts of the lateral temporal lobes. The surgery was partially successful in controlling the seizures, but Henry had developed severe Anterograde amnesia, he also developed some Retrograde amnesia. Due to Henry’s new condition, he became one of the most studied men in history known as ‘Patient HM’. Henry was studied for 50 years of his life until he died in 2002 at the age of 82.

Some of the main findings that neuroscientists and psychologists found in Henry’s condition was that Explicit, Episodic, and Semantic memory was based in the Medial temporal lobe (Hippocampus). Henry’s working memory was intact, and that showed that the Hippocampus was not critical for working memory. The difficulty that Henry had learning new information shows that the Hippocampus is essential for forming new memories and storing short-term memory into long-term memory. Henry’s personality, intelligence, judgment, and IQ was unaffected suggesting that these are not located in the Hippocampus but in fact in the frontal lobe. (Corkin 2002).

Explained that these findings showed that the Hippocampus was the ‘gateway’ to permanence memories, and it is integral in early consolidation of memories but does not necessarily need to be there intact for accessing of longer-term memories that have already been consolidated. Some other findings that were involved was that conditioning does not require explicit memory or the brain regions (Hippocampus) necessary for explicit memory. In other amnesic evidence retrieved involving the Procedural memory is that it is used for learning new skills and those skills can be retained up for up to one year, even though the amnesic patient may have no Episodic memory of doing it before. Repetition priming in these amnesic case studies showed that the patient recognized words faster if presented previously even in the absence of explicit memory (Corkin 2002).

(Corkin, 2002) found that Henry preserved motor skills in a study conducted by Milner in the early 1960s, Henry acquired the new skill of drawing a figure by looking at its reflection in a mirror. Further evidence for intact motor learning was provided in a study carried out by Corkin (1968). In this study, Henry was tested on three motor learning tasks and demonstrated full motor learning abilities in all of them. Experiments involving repetition priming underscored Henry’s ability to acquire implicit (non-conscious) memories, in contrast to his inability to acquire new explicit semantic and episodic memories (Corkin, 2002). These findings provide evidence that memory of skills and repetition priming rely on different neural structures than memories of episodes and facts; whereas procedural memory and repetition priming do not rely on the medial temporal structures removed from Henrys, semantic and episodic memory do (cf. Corkin, 1984). (Smith & Kosslyn, 2007) found that the dissociation of Henry’s implicit and explicit learning abilities along their underlying neural structures has served as an important contribution to our understanding of human memory: Long-term memories are not unitary and can be differentiated as being either declarative or non-declarative.

Another interesting case study was Clive Wearing who was a talented musician, conductor, and singer prior to his illness. Clive was in his 40s when his incident occurred, Clive came home with a headache one day and over the following course of days, Clive’s headache got much worse whilst enduring a lot of pain. Clive started to forget stuff like his kid’s name. had viral encephalitis, which damaged both the left and right temporal lobe and even the frontal lobe. Clive was diagnosed with Anterograde amnesia and Retrograde amnesia. Due to Clive’s condition, his Hippocampus was completely eradicated which lead to his retrograde amnesia. Clive’s Anterograde amnesia only allows him to have a 30-second memory after that Clive cannot recall anything said to him during them 30 seconds. (What have we learned from Clive Wearing, 2018) explained that even though his capacity for explicit memories were damaged, he has a largely intact implicit memory. He can still do motor tasks that he learned prior to the hippocampal damage, for example, sight read piano music and conduct a choir. However, he would likely have no recollection of doing either of those things minutes after completing the task. as his skills have been unaffected by the amnesia it shows that Clive’s procedural memory is still intact. Procedural memory is an implicit memory which makes it able for you to perform tasks unconsciously. Clive is still able to remember his wife Deborah and his kids but has a problem recalling his children’s names. Clive would also get very frustrated if asked about his about past as he has no explanation to give because he cannot remember.

Another study consisted of Phineas Gage who was also one of the most well-known case studies. In 1984 Phineas Gage was working in construction in America, On September 13th Phineas was at work when a giant iron rod went through Gage’s skull entering through his left cheekbone and exiting through his head. Phineas then got up and clocked out off his work and saw his doctor John Harlow. Phineas had lost a vast proportion of his frontal lobe his wound also became infected which lead him to a semi-comatose state. (Case Studies: Phineas Gage 2013) explained that defying the odds Phineas Gage did not die but the injury he sustained to his brain impacted his behavior permanently, although accounts from the time are sometimes conflicting and often unreliable, numerous sources report that Gage’s character altered dramatically after his accident. In 1868 Harlow wrote a report on the ‘mental manifestations’ of Gage’s injuries. He described Gage as “fitful, irreverent, indulging at times in the grossest profanity… capricious and vacillating” and being “radically changed, so decidedly that his friends and acquaintances said he was ‘no longer Gage’.” (Case Studies: Phineas Gage 2013). Phineas died in 1868 from severe epileptic attacks that were caused by his trauma. This case study shows that a person can live without their frontal lobe, but the frontal lobe is more responsible for behavior as it shows that Gage’s character changed dramatically after the incident.

In conclusion, what psychologists and neuroscientists have found from these case studies have been very important for the understanding in both short- and long-term memory. As a result of Henry Molaison’s condition, they discovered that the Hippocampus was detrimental for processing new memories as he had problems remembering new information after his incident this also shows that the hippocampus is also essential for converting short-term memory to long-term memory and that it was not necessary for working memory. Another important finding as you can see from Clive Wearing’s case study is that Procedural memory is not affected from Retrograde nor Anterograde amnesia as he was still able to play the piano whilst having no recollection of being able to play or listen to music. Finally, In Phineas Gage’s case study the doctors found that the frontal lobe is not fundamental for living but in fact, researchers found that it is used for regulating and controlling behavior as seen in Phineas Gage, that there were many reports saying that his behavior had gotten worse since his accident involving his cortex.

References

  1. Corkin S. 2002. What’s new with the amnesic patient H.M.? Nat Rev Neurosci 3:153–160
  2. S. Corkin (1984). ‘Lasting consequences of bilateral medial temporal lobectomy: Clinical course and experimental findings in H.M.’. Seminars in Neurology. 4 (02): 249–259.
  3. S. Corkin (1968). ‘Acquisition of motor skill after bilateral medial temporal-lobe excision. Neuropsychologia. 6 (3): 255–265
  4. E. E. Smith; S. M. Kosslyn (2007). Cognitive Psychology: Mind and Brain (1st ed.). Upper Saddle River, NJ: Pearson/Prentice Hall.
  5. Case Studies: Phineas Gage, (2013), https://bigpictureeducation.com/brain-case-study-phineas-gage
  6. What have we learned from Clive Wearing? , (2018) https://brainstuff.org/blog/memory-clive-wearing

Essay on Trauma and Memory Loss

As previously mentioned, collective memory is created through the process of communication, by using the individual memory of every member in a group. This is because, even if the same event is witnessed by a group, every member of that group may have a different recollection and memory of that event. Each person in a group will have their memory, which is everybody’s own experiences and memories. By successfully communicating with and listening to each other, individual memories can be ordered in chronological order or an order of importance or relevance, to form a collective memory, which will have a significant effect on a community. However, as with many things within the human body, our memories are not perfect. There are many flaws within individual memory, which, therefore, means that collective memory cannot be infallible. Firstly, it is physically impossible to store all of the sensory information that our bodies receive every moment of the day in our brains, as there is simply too much of it. Therefore, the brain stores small bits of information that are considered to be of the highest relevance, reconstructing the rest of the details around those smaller pieces when it is required (when you need to recall the memory). The human memory is split into two parts: the short-term, and the long-term memory. Within short-term memory, things are stored temporarily. The main limitations of short-term memory are limited capacity (only about 7 items can be stored at a time) and there is limited duration (storage is very fragile and information can be lost with distraction or passage of time). Secondly, long-term memory is the more permanent part of the human memory, where memories and information that we want to preserve for longer are kept. Memory can also be categorized into two types: explicit memory (which is the conscious, intentional recollection of factual information, previous experiences, and concepts) and implicit memory (which does not require conscious thought. It allows you to do things by rote). This memory is not always easy to verbalize, since it flows effortlessly in our actions. It is the explicit memory that is affected by memory loss, and other diseases such as Alzheimer’s disease or dementia. These conditions can severely affect the ability to recall memories.

Within my case study, I believe there are many instances where the individual memory cannot entirely be trusted, due to certain limitations. Due to the old age of people who have experienced traumatic events, it is not possible to fully rely on their memories. The accounts of older people should be verified by comparing them with the accounts of other people, which were shared when they were younger. This is because the effects of memory-related conditions are especially relevant when referring to the Holocaust, as considering that the Holocaust ended in 1945, 77 years ago, many of the survivors can now be considerably elderly. In a hypothetical situation, where a 20-year-old person entered a concentration camp, and then survived, they would be 97 years old today. According to many medical sources, the probability of somebody developing dementia or Alzheimer’s disease, while being over the age of 85 is almost 50%. Furthermore, the probability of someone developing these conditions after the age of 90 doubles almost every 5 years. This shows that today, this person would most likely be affected by some sort of mental condition, which would mean that their ability to recall past experiences would be limited. This limitation of individual memory would make it difficult for this person to be considered as a reliable source, in a discussion about their experiences about the Holocaust, which would therefore make the collective memory (which is made up of many individual memories) not exactly accurate. Here, it would be important to compare the accounts of the now elderly Holocaust survivors, with those of when they were still young, to ensure that these recollections match up so that the most accurate version of the events can be provided.

Moreover, Japanese researchers have found that ‘experiencing trauma, abuse or neglect in childhood may lead to health complications later on, including a higher risk of developing dementia’. Following the liberation of those in concentration camps towards the end of World War Two in 1945, many attempted to suppress the trauma they sustained during the Holocaust and push it to the backs of their minds, distancing themselves from the terror and the grief, to start their new lives. However, for many survivors, this attempt at ‘moving on’ and continuing their life as if nothing had ever happened had not been successful, and they gave way to emotional and psychological difficulties. This inability to cope with their situations and acknowledge the suffering they were in led to several symptoms, which psychiatrists began to identify and group under names such as: ‘survivor syndrome’, ‘concentration camp syndrome’, and ‘post-traumatic stress disorder’. After experiencing such a trauma, it is not surprising that people sustained a lot of damage.

Apart from the obvious psychological pain that the Holocaust survivors would have experienced, all these conditions have a significant impact on a person’s memory. According to many studies and researchers, physical, emotional, and psychological trauma can all play a factor in memory loss. It is possible to experience permanent or temporary memory loss depending on the type of trauma, and the severity with which each individual has received it in. For many people, blocking out memories can be one of the main ways of coping with the trauma. Scientists believe that the process of suppressing memories is called ‘state-dependent learning’. When the brain creates memories in a certain mood or state, particularly one of stress or trauma, those memories become inaccessible once the person returns to their normal state of consciousness. Furthermore, memory loss is a natural survival skill and defense mechanism humans have developed to protect themselves from psychological damage from trauma. Due to all the trauma that the survivors of the Holocaust would have faced, some would not be able to recall their experiences, due to memory loss. Because of this, once again, their memories could be compromised, which would mean their collective memory is not entirely factually correct (however this raises the question of whether or not a collective memory has to be factually correct at all). This idea is supported by Judith Lewis Herman when she states that ‘when the truth is fully recognized, survivors can begin their recovery. But far too often, secrecy prevails and the story of the traumatic event surfaces not as a verbal narrative but as a symptom. Denial exists on a social as well as an individual level… We need to understand the past to reclaim the present and the future. An understanding of psychological trauma begins with a rediscovery of the past. On the other hand, trauma could also cause an individual to be able to recall an event with much better clarity, due to how severe the impact of that trauma had on the individual’s life. When faced with a traumatic event, some people will replay this memory or have flashbacks to it. Both of these effects could end up strengthening it in the individual’s mind, so it would become a vivid part of their memory, and then of the collective identity. Aside from whether or not an individual, later on, a collective, memory has to be factually correct, it is important to note regardless of its accurate state, it does play a major role in shaping a community’s identity.

Theme of Anterograde Amnesia in Disney’s Children’s Film ‘Finding Dory’

Mental Illness has for a long time had a stigma about it, in not only real life but how it is portrayed on screen. Finding Dory is a movie that gives us a glimpse into what it is like for people who suffer from anterograde amnesia, the daily struggles and emotions that are felt. We get to see the growth of the character from childhood to adult and how the disorder affected her along the way. This story has a lot of truth behind it for being a fictional cartoon, we are going to ‘dive’ a little deeper into what really is going on in the mid of a person with anterograde amnesia.

Finding Dory: What Can A Fish Teach Us About Memory

We as a people tend to treat and think of people with mental illness in a negative way. This is partly do to how most mental illness is portrayed on screen for the world to see. Dark, scary, angry and usually a criminal of some sort. None of these are remotely close to Dory however, she is a bright blue, loving, comical Blue Tang. She also happens to suffer from anterograde amnesia, which is a complete loss of being able to form new memories (Anterograde Amnesia: Symptoms, Causes, Illness & Condition. 2019). In essence she lives five minutes at a time. Through Dory kids get their first glimpse into a mental illness and just what impact it can have on a person’s daily life.

A Fish Named Dory … I Think?

The movie actually is the second time we meet our blue finned friend. Dory was a part of the original motion picture Finding Nemo. However, she was not the main character. This time she is front and center of it all, in fact Dory and her memory issue (anterograde amnesia) is the whole driving story plot. She is on a search for her parents who she lost long ago due to wondering off and then forgetting where she was from and even who her parents were. No longer are we encouraged to laugh at Dory’s forgetfulness; instead, we see her insecurities and begin to sympathize with her as we see the world through Dory’s eyes.

Through flashbacks, we see Dory’s struggle with her memory and get frustrated as her parents try to teach her basic life skills. Her parents are caring and supportive, but live with constant worry that Dory won’t be able to adapt to adult life. Dory is scared of the what the future may hold and asks her parents, ‘What if I forget you? Would you ever forget me?’. Though Dory is often seen as comical and carefree, she knows that her memory problems are a constant source of frustration and worry for those she meets.

Finding Dory captures not only the difficulties experienced by someone with anterograde amnesia but also the struggle for others to understand the condition. Nemo (the clown fish star of the original film) supports her and accepts that Dory has a different way of handling situations due to her disability. Like many others living with mental disabilities, people with anterograde amnesia need a support of family and friends to aid in recovery.

Luckily, Dory’s disability doesn’t prevent her from being optimistic and determined. With understanding and support, Dory is able to overcome many obstacles that she faces in her adventure, as well as daily life. Finding Dory shows that whether you’re a blue tang fish with amnesia or a nearsighted whale shark, our differences don’t need to stop us from being happy, especially with the support of others. ‘Just Keep Swimming’.

Definition of Anterograde Amnesia

Anterograde amnesia is a condition in which a person is unable to create new memories after an amnesia-inducing event (Cuncic, A. 2019). There can be a complete inability to form new memories, or just a partial one of events that have taken place. The earlier memories that were formed prior to the event that triggers amnesia will remain unaffected. A person who suffers from this disease will likely ask questions over and over, that have been answered, as well as completely forget meeting people. It is common for them to have completely forgotten the who, what, where, when and why of any situation they find themselves in.

The cause of amnesia is usually a traumatic injury to the hippocampus or medial temporal lobe of the brain. This is the most common cause, but it is not the only way memory can be affected. Some other causes are injury’s that limit the amount of oxygen getting to the brain such as stroke, myocardial infarction or concussion. New information from the time of injury is not retained. The time limit of how long the information is held varies and is not dependent based upon injury type, it can be minutes to days and is individualized to each case (Smith, C. N., Frascino, J. C., Hopkins, R. O., & Squire, L. R. 2013).

What the Movie Gets Right

Finding Dory does a very good job at showing us the struggles of both the person who suffers from a mental disease and those who interact with them. The frustration and anger not only within the person as they feel ‘trapped’ in their own minds, but the people who love and care about the persons wellbeing. We are shown that her parents use many forms of teaching and memory games to help Dory navigate her daily life. They use repetition, pneumonic games, and even songs to help Dory retain as much information as possible. This same method is used for people who suffer from amnesia. Studies find that even though people and places are affected, the learning of skills and other procedural memory functions remain partially intact (Anterograde Amnesia 2019).

What the Movie Gets Wrong

While Finding Dory gets a lot right in the portrayal of how a person handles daily life with amnesia, it does get a few things very wrong.

First, Dory seems have been born with this issue, there is no mention of a traumatic event that would have triggered her amnesia. If she was in fact born with anterograde amnesia, she would never be able to form a memory of her parents and others she came in contact with. Most cases of anterograde amnesia are caused by a trauma or at least a definable event that impairs the brains function to make new memories.

Second, anterograde amnesia does not have a known cure. In fact, as time goes on the memories often get worse. The longer a person suffers from anterograde amnesia, the less time they have to hold onto new information. Dory however, gets better and her memory improves as the story progresses, now it being a children’s movie and made by Disney, it had to have a happy ending. The sad reality is that most of the people with this disease never recover.

Conclusion

Most of the time we see the portrayal of mental illnesses as plot devices used in a negative way. Its only purpose being, to have the bad guy have an issue that can explain his actions; mental illness is an easy target for this. The negative stigma mental illness has makes it that much harder for those who suffer from these types of disease to seek treatment and even talk to others about what is affecting them. It is nice to see that in the case of Finding Dory, there was a positive message being used. Not only was the illness shown in a truthful way, it was shown in a positive light. Kids were shown that there are people in this world that face things we can’t always see, and with a little understanding and patience we can help improve not only their lives, but ours as well.

References

  1. Anterograde Amnesia: Symptoms, Causes, Illness & Condition. (2019, September 27). Retrieved from https://human-memory.net/anterograde-amnesia/
  2. Cuncic, A. (2019, July 19). Anterograde Amnesia Makes It Impossible to Remember New Things. Retrieved from https://www.verywellmind.com/an-overview-of-anterograde-amnesia-4581313.
  3. Rohaidi, N. (2016, July 8). What Finding Dory Teaches Us About Memory Loss. Retrieved from https://www.asianscientist.com/2016/07/features/finding-dory-memory-loss-anterograde-amnesia/.
  4. Smith, C. N., Frascino, J. C., Hopkins, R. O., & Squire, L. R. (2013, November). The nature of anterograde and retrograde memory impairment after damage to the medial temporal lobe. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3837701/.