Biomedical subjects

L S Cermak

Publications and source records attributed to L S Cermak.

At least 19 recordsLinked to original sources

PubMed1998

Effects of spacing and repetition on amnesic patients' performance during perceptual identification, stem completion, and category exemplar production.

The effects of repetition and spacing of repetitions on amnesic patients' implicit task performance was studied. Amnesic patients and control participants performed a perceptual identification task, a word-stem completion task, and a category exemplar production task after the presentation of target words repeated within a list. Repetition proved to have no effect on perceptual identification or on word-stem completion, but it did play a role in category exemplar production. As expected, the amnesic patients demonstrated normal performance on the perceptual identification and word-stem completion tasks. However, on category exemplar production, the amnesic patients' performance was significantly below that of the control participants, and the 2 groups differentially responded to repetition. The normal control participants' spontaneous ability to analyze semantic features of words led to unconscious priming of the category and its links to the exemplars after only one presentation of a word. Amnesic patients, on the other hand, seemed to rely more on the fluency produced by multiple presentations.

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PubMed1997

Unconscious influences on amnesics' word-stem completion.

Amnesic patients and control subjects were asked to complete three-letter word-stems under one of three retrieval conditions. In a direct condition, they were told to use the stems as retrieval cues for words that had just been presented in a study list. In an indirect condition, they were told to use the first word that came to mind with no reference made to the study list. Finally, in an oppositional condition, they were told to use the first word that came to mind unless it had appeared on the study list. During the study list presentation, the patients and controls had analyzed each word according to either semantic (associating to each word) or graphemic (counting letters with enclosed spaces) instructions. The results revealed that the control subjects produced a different number of study words during retrieval as a function of retrieval instructions and encoding condition. The amnesics, however, did not vary their performance as a function of retrieval instructions. Under all conditions, they completed the word-stems far more frequently with words from the study list than would be expected by chance and they consistently produced more semantic than graphemic responses. We concluded that semantic analysis might affect the fluency with which an item occurs for the amnesic, but that the item itself remains independent of the source of that fluency for these patients. Thus, the level of analysis performed on a word during study can affect the unconscious performance of amnesic patients but is unavailable for use during conscious retrieval.

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PubMed1995

Comparison of figural intrusion errors in three amnesic subgroups.

To examine the contribution of memory deficits and executive dysfunction to the production of prior-item intrusion errors, Korsakoff, mesial temporal amnesic, and anterior communicating artery aneurysm (ACoA) patients' performance on the Visual Reproduction subtest of the Wechsler Memory Scale-Revised (WMS-R) was assessed. The Korsakoff patients were matched to the mesial temporal group in terms of severity of amnesia, while the ACoA group, which was less severely amnesic, was matched to the Korsakoff group in their performance on executive tests. Results indicated that at immediate recall, Korsakoff patients made significantly more intrusions than mesial temporal and ACoA patients. Conversely, after a delay, ACoA patients tended to make more intrusions than the other groups. Findings suggest that intrusions are due to a combination of deficient memory and executive dysfunction. A further comparison of a subgroup of ACoA patients matched to the Korsakoff patients in terms of severity of amnesia, however, revealed differences in the pattern of intrusions of these two groups, suggesting that different mechanisms may underlie Korsakoff and ACoA patients' susceptibility to interference.

Adult↗

PubMed1995

Intact delay-eyeblink classical conditioning in amnesia.

The status of classical conditioning in human amnesia was examined by comparing conditioning of the eyeblink response (the unconditional response) to a tone conditioned stimulus (CS) paired with an airpuff unconditioned stimulus (US) in the delay paradigm between 7 amnesic and 7 age- and education-matched normal control participants. Amnesic patients exhibited normal baseline performance in pseudoconditioning and normal acquisition and extinction of conditioned responses in terms of the number, latency, and magnitude of eyeblinks. These results indicate that in humans, as in rabbits, brain structures critical for declarative memory are not essential for the acquisition of elementary CS-US associations.

Adult↗

PubMed1995

Impaired delay eyeblink conditioning in amnesic Korsakoff's patients and recovered alcoholics.

The performance of amnesic Korsakoff patients in delay eyeblink classical conditioning was compared with that of recovered chronic alcoholic subjects and healthy normal control subjects. Normal control subjects exhibited acquisition of conditioned responses (CRs) to a previously neutral, conditioned tone stimulus (CS) following repeated pairings with an unconditioned air-puff stimulus, and demonstrated extinction of CRs when the CS was subsequently presented alone. Both amnesic Korsakoff patients and recovered chronic alcoholic subjects demonstrated an impairment in their ability to acquire CRs. These results indicate that the preservation of delay eyeblink conditioning in amnesia must depend on the underlying neuropathology of the amnesic syndrome. It is known that patients with amnesia caused by medial temporal lobe pathology have preserved conditioning. We have now demonstrated that patients with amnesia caused by Korsakoff's syndrome, as well as recovered chronic alcoholic subjects, have impaired conditioning. This impairment is most likely caused by cerebellar deterioration resulting from years of alcohol abuse.

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PubMed1994

Acquisition of generic memory in amnesia.

Amnesic patients' ability to acquire generic, semantic information was assessed relative to their own level of episodic memory. Patients studied a list of words in which some items were presented twice and others once. Upon each presentation, the words were tagged episodically by presenting them in a unique color. Recall of the colors in which words were presented suggested that individual presentations of repeated items were less likely to be recalled than presentations of nonrepeated items; however, actual recall of repeated items exceeded that of nonrepeated items. This outcome demonstrated that amnesics can recall some items generically without recalling either of their individual presentations. However, amnesics' recall of twice-presented items remained far below that of the control group, even when their recall of once-presented items was matched by testing the control group after a delay. This finding suggests that amnesic patients can acquire new generic knowledge but do so much less efficiently than do normal individuals. Furthermore, this deficit occurs independently of the amnesics' episodic memory impairments, reflecting instead a disruption in semantic learning per se.

Adult↗

PubMed1993

Episodic effects on picture identification for alcoholic Korsakoff patients.

Experience with degraded pictures produces better subsequent identification of these pictures in amnesic patients. To examine the contribution of episodic memory to this facilitation, we compared identification of pictures that were identical to a studied picture, pictures that shared the same name with a studied picture, and new, unstudied pictures. In an initial phase of the experiment, patients clarified each picture until they could name it. During a second phase, they again clarified each picture and judged whether it was identical, similar (same-name), or different from pictures identified in the first phase. Korsakoff patients, as well as alcoholic controls, identified identical pictures faster than same-name pictures, and these in turn were identified faster than new pictures. The Korsakoff patients did show less facilitation than the alcoholic controls, but this difference was eliminated by testing the alcoholics after a week delay. The smaller facilitation in performance shown by amnesics and by alcoholics tested after a delay was accompanied by impaired recognition memory as well as by qualitative differences in recognition performance. The Korsakoff patients tended to label same-name pictures as different while alcoholic controls tested immediately called them identical, a tendency which disappeared when alcoholics were tested after a delay. These findings suggest that Korsakoff patients are influenced by specific episodic information even more than are alcoholic controls.

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PubMed1992

Fluency versus conscious recollection in the word completion performance of amnesic patients.

To examine the relative contribution of fluency and recollection to the word completion performance of amnesics, we administered a task in which patients were told specifically not to utilize previously presented words during stem completion (an Exclusion condition). This condition was contrasted with a standard word completion task in which patients were encouraged simply to complete the stem with the first word that came to mind (an Inclusion condition). Since the exclusion condition necessitated controlled respecification of the initial presentation, it was hypothesized that amnesics would be less able than controls to exclude study list items. Consistent with this hypothesis, the results indicated that the amnesics' performance, unlike that of the alcoholic controls, did not significantly differ as a function of task condition. To examine whether amnesics' conscious recollection could be enhanced, Experiment 2 presented the study list five times. The amnesics now were able to exclude a significant number of items from the study list; however, they still did so considerably less frequently than alcoholic controls. For the alcoholic controls, increasing the number of study trials had little additional effect on their exclusion performance, but it significantly enhanced their inclusion performance. Taken together, these findings suggest that for control subjects, word completion performance is likely mediated by a combination of fluency and recollection, while for amnesic patients, performance is almost exclusively based on the fluency with which an item comes to mind.

Alcohol Amnestic Disorder↗

PubMed1992

Priming of spatial configurations in alcoholic Korsakoff's amnesia.

To examine priming for novel, nonverbal patterns, a modification of the paradigm used by Gabrieli et al. (1990, Neuropsychologia, 28, 417-427) was administered to a group of Korsakoff patients, a group of alcoholic controls, and a group of normal controls. Subjects were asked to connect five-dot configurations into the first pattern that came to mind. Priming was than assessed by having the subjects copy experimenter-provided interpretations for each configuration and examining the effect of this manipulation on the subjects' subsequent interpretation of the same configurations. For the Korsakoff patients, the copied prime replaced their initial perceptual interpretation less frequently than it did for normal controls. Instead, the prime had its effect by combining with the baseline percept. These findings suggest that priming for novel, nonverbal material is weaker and less direct for Korsakoff patients than it is for controls.

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PubMed1992

The dissociation of anterograde and retrograde amnesia in a patient with herpes encephalitis.

Establishing the precise relationship between anterograde amnesia (AA) and retrograde amnesia (RA) has implications for psychological and neuroanatomical models of memory. Many patients have been described who demonstrate AA in conjunction with RA or who demonstrate AA with little, or no apparent, RA. Intact anterograde memory in conjunction with deficits on tasks of retrograde memory is rarely encountered. In this paper, we describe a young female patient (LD) whose RA is extremely severe when contrasted with her mild to moderate deficits on tasks of verbal anterograde memory. In addition, on tests of episodic and semantic autobiographical memory, LD appeared more impaired in her recall of specific episodes than of factual information about her past. The importance of this dissociation in RA for the episodic-semantic distinction and the possible role of visual imagery in recalling remote episodic events are discussed.

Adult↗

PubMed1991

A further analysis of perceptual identification priming in alcoholic Korsakoff patients.

Alcoholic Korsakoff patients have been shown to have normal repetition priming for words, but impaired priming for pseudowords, on perceptual identification tasks. Because real words, but not pseudowords, have semantic representations, successful priming of real words has been attributed to semantic activation. Alternatively, however, priming might reflect the perceptual, i.e. orthographic and phonological familiarity associated with real words in comparison with pseudowords. In order to examine which of these factors accounts for normal priming by amnesics, Experiment 1 was designed to contrast perceptual identification priming for words, pseudowords and pseudohomonyms (e.g. "phaire"). On this task, Korsakoff patients showed normal priming for real words and for pseudohomonyms, but significantly impaired priming for pseudowords. It was felt that since pseudohomonyms are orthographically unfamiliar but could access semantics through their phonological route, activation of a semantic representation rather than perceptual familiarity might be the critical factor underlying successful priming. Experiment 2 was then designed to further explore the robustness of this semantically mediated priming by presenting different word types within the same study list. Under these conditions, Korsakoffs' pseudohomonym priming was consistently below normal. This suggests that priming in Korsakoff patients depends upon the conceptual salience of the stimuli and not solely on semantic activation.

Alcohol Amnestic Disorder↗

PubMed1991

Repetition effects in a lexical decision task: the role of episodic memory in the performance of alcoholic Korsakoff patients.

To examine the contribution of episodic memory to the successful verbal priming performance of Korsakoff patients, we adapted a lexical decision task which holds constant the processing demands during study and testing. Words and nonwords were repeated at a lag of 0, 1, 3, 8 and 15 items and the decrease in response latency was taken as a measure of priming. In Experiment 1, Korsakoff patients showed repetition priming of a magnitude similar to that obtained by alcoholic controls, even at a lag of 15 intervening items. Experiment 2 explored the effect of word frequency on repetition priming. Korsakoff patients again showed normal priming up to lags of 15, and, as expected, these repetition effects were larger for low frequency than for high frequency words. This outcome was felt to be more consistent with an episodically based familiarity account than with a semantic activation account. Finally, Korsakoff patients were found to be impaired in their ability to use episodic memory in an explicit memory task that used the same material under comparable presentation conditions (Experiment 3). Contemporary processing models of episodic memory are discussed as possible explanations for the successful implicit memory performance by amnesic patients on this task.

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PubMed1991

Reduced cerebral grey matter observed in alcoholics using magnetic resonance imaging.

Twenty-eight chronic alcoholics and 36 age- and sex-matched non-alcoholic controls were examined with magnetic resonance imaging and brain morphometric analyses. Results confirmed large increases in subarachnoid cerebrospinal fluid (CSF) volume and mild ventricular enlargement in the alcoholics and revealed associated volume reductions of localized cortical and subcortical cerebral structures. Volume losses in the diencephalon, the caudate nucleus, dorsolateral frontal and parietal cortex, and mesial temporal lobe structures were the most prominent. Significant correlations between increments in cortical and ventricular CSF and decrements in the volume of cortical and subcortical grey matter were noted. Although there was little evidence for relationships between performance on neuropsychological tests and volume of grey matter structures, significant correlations between some cognitive measures and subcortical and cortical fluid volumes were found. The parallels between this pattern of affected structures and recent neuropathological findings are discussed.

Adult↗

PubMed1991

Magnetic resonance imaging of alcoholic Korsakoff patients.

Eight patients with alcoholic Korsakoff's syndrome were compared to age-matched groups of normal controls and nonamnesic chronic alcoholic patients using magnetic resonance imaging (MRI). Quantitative image-analytic techniques were used to estimate volumes of ventricular and cortical cerebrospinal fluid (CSF), as well as cortical and subcortical grey matter structures. For the nonamnesic alcoholics, these volume analyses revealed large CSF increases with some circumscribed decreases in grey-matter volumes. In contrast, alcoholic Korsakoff patients showed widespread reductions in grey matter volumes in addition to CSF increases, with greatest reductions observed in diencephalic structures. The volume losses that best differentiated the Korsakoff patients from the alcoholic controls included losses in anterior portions of the diencephalon, mesial temporal lobe structures, and the orbitofrontal cortices. These findings suggest that damage to structures other than the mesial thalamic nuclei, such as the hypothalamus and hippocampus, may contribute to the Korsakoff patients' amnesic symptoms.

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PubMed1990

Strategic and automatic priming of semantic memory in alcoholic Korsakoff patients.

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

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PubMed1989

Verbal and nonverbal right hemisphere processing by chronic alcoholics.

The theory that chronic alcoholism produces a right hemisphere deficit has generally been tested using visuospatial tasks. The present report tested the theory using three tasks that tap functions, other than visuospatial abilities, which have been failed by patients with right hemisphere damage. The first task assesses the ability to draw a correct inference by integrating information from two unrelated sentences. The second taps the patient's capacity to appreciate humor. The third requires the patient to interpret the emotion displayed in a face. On all three tasks, the pattern of responses of chronic alcoholics differed from that of patients with right hemisphere damage. Thus, the right hemisphere deficit theory fails to gain support from this investigation. On the other hand, the chronic alcoholics' performance was impaired relative to contemporary controls on the first two tasks, although not on the last. On the first two tasks, alcoholics' impairment approximated, and in one instance exceeded, that seen in normal elderly controls. Thus, a premature aging hypothesis received modest support from this study.

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PubMed1988

Deficits in the implicit retention of new associations by alcoholic Korsakoff patients.

Word-stem completion in the presence or absence of a paired associate was assessed for a group of amnesic Korsakoff patients and a group of alcoholic controls. Since neither group demonstrated facilitation in the presence of cues (Experiment 1), an analysis of the influence of instructions to remember the paired associates on cued word-stem completion was performed with college students (Experiment 2). Finding a positive effect of instructions led to a replication of the task with amnesic patients and alcoholic controls. Unfortunately, instructions to remember the pairs did not produce the facilitatory effect for either group nor for an age matched nonalcoholic control group. (Experiment 3). It was concluded that neither amnesics, chronic alcoholics, nor elderly controls had the ability to modify their analysis of verbal material as a function of retrieval expectations. As a consequence, neither group demonstrated the effect of contextual priming of word completions reported by P. Graf and D. L. Schacter (1985, Journal of Experimental Psychology: Learning, Memory and Cognition, 11, 501-518).

Adult↗

PubMed1988

The implicit memory ability of a patient with amnesia due to encephalitis.

The implicit memory ability of a patient (S.S.) with severe amnesia due to encephalitis was assessed using five independent paradigms: Perceptual priming with real words and pseudowords; Word-stem completion with and without contextual cues; Word-stem completion following presentation of high- vs. low-frequency words; Biasing of the spelling of ambiguous (homophonic) words; and Conceptual priming. On the tasks in which previously acquired knowledge could potentially be activated by a prime (e.g., perceptual priming with real words), both S.S. and the Korsakoff patients performed on a normal level. However, when new learning or new associations had to be formed prior to implicit memory testing (e.g., perceptual priming of pseudowords or contextual word-stem completion), S.S.'s implicit memory performance was superior to Korsakoff amnesics. These results suggested that new learning differentially affects the priming abilities of S.S. and alcoholic Korsakoff patients. Since S.S.'s amnesia is as severe as Korsakoff patients, it was also concluded that severity of amnesia is clearly not the sole determinant of priming capacity; etiology may be equally important.

Amnesia↗