Biomedical subjects

A R Mayes

Publications and source records attributed to A R Mayes.

At least 19 recordsLinked to original sources

PubMed1998

Do amnesics forget colours pathologically fast?

We tested amnesic and control subjects on a task which required the recognition of single, difficult to name colours, after delays ranging from 7 seconds to 120 seconds after performance of the two subject groups had been matched at the shortest delay by giving the amnesic patients longer study time. The amnesic patients showed abnormally fast forgetting over the two minute period. Furthermore, a subgroup of nine subjects with presumed damage to midline diencephalic structures (Korsakoff's syndrome) were found to forget as fast as a group of six subjects with presumed medial temporal lobe damage (herpes simplex encephalitis). These results contrast both with studies using the Huppert and Piercy procedure and those using the Brown-Peterson task, none of which have shown convincing evidence of accelerated forgetting in medial temporal lobe or diencephalic amnesia.

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PubMed1998

Face processing impairments after encephalitis: amygdala damage and recognition of fear.

Face processing and facial emotion recognition were investigated in five post-encephalitic people of average or above-average intelligence. Four of these people (JC, YW, RB and SE) had extensive damage in the region of the amygdala. A fifth post-encephalitic person with predominantly hippocampal damage and relative sparing of the amygdala (RS) participated, allowing us to contrast the effects of temporal lobe damage including and excluding the amygdala region. The findings showed impaired recognition of fear following bilateral temporal lobe damage when this included the amygdala. For JC, this was part of a constellation of deficits on face processing tasks, with impaired recognition of several emotions. SE, YW and RB, however, showed relatively circumscribed deficits. Although they all had some problems in recognizing or naming famous faces, and had poor memory for faces on the Warrington Recognition Memory Test, none showed a significant impairment on the Benton Test of Facial Recognition, indicating relatively good perception of the face's physical structure. In a test of recognition of basic emotions (happiness, surprise, fear, sadness, disgust and anger), SE, YW and RB achieved normal levels of performance in comparison to our control group for all emotions except fear. Their results contrast with those of RS, with relative sparing of the amygdala region and unimpaired recognition of emotion, pointing clearly toward the importance of the amygdala in the recognition of fear.

Aged↗

PubMed1998

Associative encoding of pictures activates the medial temporal lobes.

It remains unresolved whether the medial temporal lobe activations found in recent neuroimaging studies are mediated by novelty detection alone, by specific kinds of encoding or consolidation operations, or both. This study attempted to see whether associative encoding or consolidation is sufficient to cause such activation by matching for novelty across conditions. Using single-photon emission computer tomography (SPECT) (with TC99mHMPAO), we compared the activation patterns produced by the associative encoding and the perceptual matching of novel complex scenes in 10 normal subjects using both statistical parametric mapping (SPM) and a regions-of-interest (ROI) approach. During the encoding condition, significant activations were detected in the left hippocampal/parahippocampal region, the left cingulate cortex, and the right prefrontal cortex, using both statistical techniques. Additionally, activation was found in the right cingulate cortex, and a trend towards activation was found in the right hippocampal/parahippocampal region using the ROI approach. In contrast, no medial temporal activations were found during the matching condition, which produced bilateral occipito-parietal and right posterior inferior parietal (supramarginal gyrus) activations. These results no only confirm that the associative encoding and/or consolidation of complex scenes is partially mediated by medial temporal lobe structures, but also demonstrate, for the first time, that associative encoding/consolidation is sufficient to produce such an activation. The implications of the high degree of consistency revealed by the results of the SPM and ROI comparison are discussed.

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PubMed1997

The relationship between retrograde and anterograde amnesia in patients with typical global amnesia.

An extensive battery of tests of anterograde amnesia and remote memory was given to ten amnesics with lesions either to the medial temporal lobes of the diencephalon. These showed that the patients had anterograde amnesia with deficits in verbal and non-verbal recall and recognition, but preservation of word stem completion and intelligence. Mild impairments on executive tests and digit span performance were largely caused by the poor performance of the Korsakoff patients. The amnesics also showed remote memory deficits for personal and public domain information, and temporal gradients were observed for some of the tests. These deficits probably arose because the patients' anterograde amnesia was more severe than their retrograde amnesia even for the recent pre-morbid past. They were more impaired in the recall of details about famous names in their ability to recognize such names. There was also a suggestion that performance on anterograde tests did not relate strongly to that on tests of retrograde amnesia of the remote pre-morbid past. However, this effect was less apparent with memory for personal information when the format and the information tapped were matched on pre- and post-morbid tests.

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PubMed1996

Memory dysfunction of the frontal type in normal ageing.

In this study healthy subjects divided into five consecutive age groups (20-60 years of age) completed a series of memory tasks which had previously been shown to reveal impairments in patients with frontal lobe lesions. Significant age differences were found for free recall, retention rates for material which required effortful encoding, memory for temporal order and prospective memory. In the tests addressing these memory functions, subjects of more than 60 years of age performed more poorly than the youngest group, and they also showed evidence of false recognition (increased false alarm rates and confabulatory responses). The general pattern suggests that inefficient frontal functioning might contribute to age-related memory problems.

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PubMed1996

Stem-completion priming in Alzheimer's disease: the importance of target word articulation.

Stem-completion priming performance in patients with Alzheimer's type dementia (DAT) was explored in three experiments in which both the standard repetition priming effect and a novel indirect form of priming, cohort priming, were measured. In the first experiment, in which study stimuli were words, both priming effects were found to be markedly attenuated in the DAT group. In the second experiment, the study stimuli were specially constructed nonwords, and it was found that cohort priming was present at normal levels in the DAT group. In a third experiment we tested the specific hypothesis that the requirement to overtly articulate target stimuli during the study phase was critical for the appearance of normal cohort priming in the DAT group in Experiment 2, and also for the normal levels of repetition priming which have been reported in some published studies. Two encoding conditions were compared, one in which subjects simply had to read aloud the target words and a second in which subjects were required to make evaluative (pleasantness) ratings for each of the target words (identical to that used in Experiment 1). Stem-completion priming performance following the latter condition was significantly attenuated in the DAT group relative to a healthy control group, but following the "read aloud" encoding condition, normal levels of repetition and cohort priming were observed. It is suggested that the most fruitful approach to understanding the performance of DAT subjects on lexical repetition priming tasks will involve a detailed analysis of language functions and how they interact with other, possibly mnemonic, processes in the generation of primed responses.

Aged↗

PubMed1996

Autonomic and recognition indices of memory in amnesic and healthy control subjects.

Autonomic and recognition indices were examined in six amnesic subjects of mixed aetiology and six control subjects matched with respect to age, education and intelligence. The key objectives of this study were: (a) assess amnesics level of recognition and autonomic discrimination for recently shown words compared with controls; (b) determine if amnesics' level of autonomic discrimination was preserved when compared with the control subjects, level of recognition; and (c) assess confidence in hits and false alarms. The results showed that: (1) despite showing impaired recognition, amnesics displayed significantly better autonomic discrimination; (2) the level of autonomic discrimination displayed by amnesics did not significantly differ from the control subjects' level of recognition; (3) the level of confidence expressed in false alarms and hits did not significantly differ between amnesics and controls, which is in sharp contrast to the significantly greater levels of confidence expressed by healthy subjects in hits versus false alarms. If future work shows that amnesics display preserved autonomic discrimination for novel information, then it may suggest that, at least, some amnesics can store information to an extent that is comparable to that of healthy controls.

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PubMed1996

Does context discriminate recollection from familiarity in recognition memory?

Five experiments were conducted to examine subjects' ability to make contextual judgements about recognized items for which they report recollective experience or only familiarity within the context of the experiment. In the first four experiments, subjects were able to make judgements of the spatiotemporal context of items that were accompanied by recollective experience significantly better than for items they merely found familiar. In only one of the four studies did subjects display above-chance performance on spatiotemporal judgements for merely familiar items. A fifth experiment examined the frequency with which subjects report the presence of different kinds of contextual knowledge during a standard recognition experiment. All aspects of contextual knowledge were reported with higher frequencies for recollected items than for items only found familiar, although no single contextual feature was strongly associated with recollective experience. Thus, the five studies together provide converging evidence for the validity of the "recollect-know" distinction in recognition memory and supplement studies that have already demonstrated that the two kinds of response are dissociable. The implications of these data for group comparisons of memory-impaired patients, and the role of context in recognition memory are discussed.

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PubMed1995

Memory and amnesia.

Brain damage can cause several distinct disorders of explicit memory as well as several disorders of implicit memory. Organic amnesia is the best studied explicit memory disorder. It is a syndrome that can be caused by lesions in (a) the medial temporal lobes, (b) the midline diencephalon, or (c) the basal forebrain. It remains unresolved whether one or several functional deficits underlie the syndrome, how these deficits should be characterised, and what is the exact location of the causal lesions. There is good evidence that amnesics encode information normally so their deficit(s) must be of storage or retrieval processes. If storage is disrupted, then one would expect item-specific implicit memory for certain kinds of novel information to be disrupted in amnesics. Current evidence is unable to indicate conclusively whether or not this prediction is met mainly because indirect memory test performance depends on explicit as well as implicit memory. Storage deficits should also result in accelerated forgetting in amnesic patients. Studies are described which reveal accelerated loss of free recall, but not recognition, for stories and semantically organised word lists in amnesics at delays between 15 s and 10 min. This suggests that amnesia involves a storage deficit for complex contextual associations that possibly occurs in conjunction with one or more other functional deficits.

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PubMed1995

Assessment of familiarity and recollection in the false fame paradigm using a modified process dissociation procedure.

A modified way of administering the process dissociation procedure to the false fame paradigm is described. Multidimensional signal detection theory (SDT) is used to correct for recollection as well as familiarity false alarms, and two experiments are reported that compare this method of false alarm correction with the hybrid procedure preferred by Jacoby et al. (1993). In experiment 1, it is shown that recollection and familiarity are lost at the same rate in normal subjects over a delay of 1 d when an SDT analysis is used. Analysis with the hybrid procedure fails to find any forgetting over the 1-d delay. In experiment 2, amnesics are shown to have preserved familiarity in the face of impaired recollection for names when the results are analyzed by either method. An additional analysis showed that the amnesics' familiarity was normal even for relatively novel surnames. The SDT analysis also revealed that the amnesics, relative to controls, showed a conservative recollection and a liberal familiarity response bias. The results indicate that it is important to correct for recollection as well as familiarity false alarms.

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PubMed1995

Cognitive outcome after aneurysm rupture: relationship to aneurysm site and perioperative complications.

We evaluated cognitive outcome in a group of 37 patients who had undergone surgery for rupture and repair of a single intracranial aneurysm at least 6 months previously. We compared outcome--assessed by tests of intelligence, attention, executive functions sensitive to frontal lobe lesions, memory, neglect, and mood, as well as by a specially devised questionnaire--between a group of 20 patients who had aneurysms of the anterior communicating artery and 17 patients who had aneurysms located on other branches of the internal carotid artery. There were no differences in cognitive outcome between patients with anterior communicating artery aneurysms and those with aneurysms on other branches of the internal carotid artery. The patient group as a whole, however, showed impairment in executive functions and some aspects of memory in comparison with normative data. Overall, 65% of the patients were impaired in at least one cognitive domain, with 19% showing executive impairments alone, 14% showing memory impairments alone, and 32% showing deficits in both domains. Cognitive outcome was most strongly predicted by postoperative neurologic events, although clipping of an anterior cerebral artery was associated with a higher impairment rating on a symptom profile completed by patients' relatives, and although preoperative rebleeding of aneurysms predicted impairment of executive function.

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PubMed1994

Long lasting indirect memory performance for abstract shapes in amnesics and matched controls.

The speed with which subjects copied complex geometrical shapes was used as an indirect memory measure in a group of 12 organic amnesics of several aetiologies and their matched controls, tested at two delays. Both subject groups were found to copy previous seen shapes faster than new foil shapes, and the magnitude of the speed up effect did not differ significantly between amnesics and matched controls when tested at two delays of 10 min and 24 hr, respectively. The size of the indirect memory effect did not decline across the delay in either group. In contrast to indirect memory performance, measured by two-choice recognition of the shapes, was impaired in the amnesic group and there was some suggestion that recognition performance declined across the delay in both subject groups.

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PubMed1994

Do amnesics forget faces pathologically fast?

In 1978, Huppert and Piercy introduced a general method for comparing forgetting rates across groups differing in their baseline memory performance. The method has since become a standard for measuring rate of forgetting in amnesia. Using this method, amnesic subjects with presumed damage to midline diencephalic structures have consistently been reported to forget at a normal rate whereas patients with medial temporal lobe damage have sometimes been reported to forget pathologically fast. Conclusions about amnesic forgetting rates using Huppert and Piercy's procedure, however, are unsafe because the matching procedure results in the shortest mean item-presentation-to-test delay being longer in amnesics than control subjects. A further problem with previous work is that frequently the shortest delay at which performance is measured is 10 minutes. An alternative procedure to Huppert and Piercy's is outlined which eliminates the matching confound. An experiment was carried out using this procedure with face stimuli, and with amnesic and control performance matched immediately following study, and then tested at delays of 5, 12, and 30 minutes. Pathologically fast forgetting was observed in a group of 19 amnesics over the first 5 minutes, but between 12 and 30 minutes their controls forgot faster so that the two groups had forgotten the same amount after 30 minutes. A subgroup of nine Korsakoff patients, with probable damage to midline diencephalic structures, showed a similar abnormal forgetting pattern to the remaining 10 amnesics, some of whom had medial temporal lobe damage. A retroactive interference condition was also included for the 12 minute condition at which delay patient and control recognition was mildly and equivalently disrupted. For unknown reasons perhaps related to a storage abnormality, amnesics lose face recognition memory sooner in the first 30 minutes of forgetting than do normal people, who show accelerated forgetting later so as to match patients after 30 minutes delay.

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PubMed1994

New-association priming of word identification in normal and amnesic subjects.

Subjects took an implicit memory test in which pairs of unrelated words were flashed briefly and the ability to identify the second word of each pair was measured as a function of prior study. In young subjects, identification was better when the second word had been studied compared to when it had not been studied (word-specific priming). Identification was also better when the two words had been paired at study compared to when they had been studied separately (association-specific priming). In amnesic patients, word-specific priming was normal compared to that in age- and IQ-matched control subjects. Association-specific priming was observed, but it was below normal levels. This outcome suggests that the amnesic dysfunction can encompass priming of new verbal associations but spare priming of existing verbal information.

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PubMed1994

Dual task performance in amnesic and normal people: does resource depletion cause amnesia?

Normal peoples' memory can be seriously disrupted if their cognitive resources are depleted by means of an experimental manipulation (such as distraction at encoding or at retrieval). By analogy, it has also been suggested that amnesia might result directly from pathological loss of cognitive capacity. This hypothesis was examined in 12 mixed amnesics and 12 normal people by means of a 'dual task' study. It was argued that if amnesics have reduced cognitive resources they should be disproportionately impaired in dual task performance relative to single task performance and in comparison to controls. This result was unambiguously demonstrated using a visual (letter detection) task combined with an auditory (semantic decision) task. However, correlations with measures of frontal function and with indicants of severity of amnesia proved insignificant and so the role of resource depletion in amnesia remains, as yet, unproven.

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PubMed1994

Evidence of covert recognition in a prosopagnosic patient.

This is a case-study of a patient (ET) who suffers from prosopagnosia, in the context of impairment to cognitive functions, following traumatic brain injury. Despite severe perceptual difficulties in tests involving non-face stimuli and matching unfamiliar faces, ET showed evidence of "covert" recognition of familiar faces in a number of tasks. Although densely prosopagnosic, she performed at normal levels in word and object recognition tasks, and is unimpaired in her ability to recognise names of celebrities. She performed at the same level as controls in her ability to make a forced-choice of the correct name for a famous face, even though it evoked no feeling of familiarity for her. She performed at chance in a forced-choice face familiarity decision task, but showed evidence of covert recognition in a "true" versus "untrue" face-name learning task. ET showed overt recognition of some famous faces using a procedure based on Sergent and Poncet's (1990) semantic activation task. The pattern of impairment of ET's face processing abilities is interpreted in terms of an interactive activation model of face processing.

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PubMed1994

Two tests for assessing remote public knowledge: a tool for assessing retrograde amnesia.

Guidelines for the construction and development of tests of remote memory are provided. These guidelines follow from methodological considerations and from certain theoretical issues we believe that remote memory tests should address if they are to further our understanding of amnesia. These include: the pattern of temporal gradient; memory for different broad classes of information such as famous names and famous events; and recall and recognition of different types of detail such as contextual and non-contextual information associated with remote memory. With respect to the first of these, we argue that it is impossible to fully evaluate competing hypotheses about temporally graded retrograde amnesia unless items are selected from at least two difficulty levels, and from at least two time periods. The construction of two equivalent tests of remote memory, one for famous people, the other for famous events, is described, and the theoretical issues listed earlier were addressed using these tests in a study comparing the remote memory of 13 organic amnesics and 13 age- and IQ-matched controls. The principal findings were as follows. There was only weak evidence that amnesics' remote memory for famous people and events was temporally graded over a 20 year period, and recognition memory and memory for non-contextual detail were equally impaired. Mayes, Meudell, and Pickering's (1985) context memory deficit hypothesis was supported, however, because amnesics were more impaired in their ability to date recognised items. In addition, although there was little support for a temporally graded retrograde impairment on the recognition question, there was much clearer evidence for the temporal dating question. Also, one patient, SR, showed a selective deficit in dating recognised names and events from the 1980s. Finally, the correlations between measures of anterograde and retrograde amnesia were all non-significant. Suitable items for the construction of remote memory tests probing the four decades 1950s to 1980s are presented. A subset of these, from the 1970s and 1980s, were shown to have satisfactory psychometric qualities, and can therefore be recommended for more widespread clinical use, although more extensive normative data than that provided here will be necessary.

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PubMed1994

No selective deficit in recall in amnesia.

Are amnesic patients selectively impaired in recall relative to recognition? Experiment 1 studied a group of Korsakoff amnesics and matched the amnesic level of recognition with that of control subjects by testing control recognition of unrelated words after longer delays. It was found that under these conditions the observed levels of recall were also approximately equal. In Experiment 2, a similar result occurred when the Korsakoff amnesic level of recognition for unrelated words was matched by varying the number of presentations as well as delay before testing. In Experiment 3, a similar result occurred again with a group of amnesics of mixed aetiology and recognition levels for related words matched by varying the duration of presentation and delay before testing. In this experiment, both recognition and recall of the same items were assessed. It was found that for the amnesic group the observed level of dependency between recognition and recall was less than that for the control group. One possible interpretation of this result is that the microstructure of the recall process may be selectively disturbed in amnesia. The principal finding, however, is that in all three experiments there was no significant evidence of the existence in amnesia of a selective deficit in the overall level of recall relative to that of recognition.

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