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INTRODUCTION
THE HUMAN MEMORY
Since time immemorial, humans have
tried to understand what memory is,
how it works and why it goes wrong. It
is an important part of what makes us
truly human, and yet it is one of the
most elusive and misunderstood of
human attributes.
The popular image of memory is as a
kind of tiny filing cabinet full of
individual memory folders in which
information is stored away, or perhaps as
a
neural super-computer of
huge
The human brain, one of the most complex living
capacity and speed. However, in the light
structures in the universe, is the seat of memory
of modern biological and psychological
knowledge, these metaphors may not be entirely useful and, today, experts believe that
memory is in fact far more complex and subtle than that
It seems that our memory is located not in one particular place in the brain, but is
instead a brain-wide process. For example, the simple act of riding a bike is actively
and seamlessly reconstructed by the brain from many different areas. The memory of
how to operate the bike comes from one area, the memory of how to get from here to
the end of the block comes from another, the memory of biking safety rules from
another, and that nervous feeling when a car veers dangerously close comes from still
another. Each element of a memory (sights, sounds, words, emotions) is encoded in the
same part of the brain that originally created that fragment (visual cortex, motor cortex,
language area, etc), and recall of a memory effectively reactivates the neural patterns
generated during the original encoding. Thus, a better image might be that of
a complex web, in which the threads symbolize the various elements of a memory, that
join at nodes or intersection points to form a whole rounded memory of a person, object
or event. This kind of distributed memory ensures that even if part of the brain is
damaged, some parts of an experience may still remain. Neurologists are only
beginning to understand how the parts are reassembled into a coherent whole.
Neither is memory a single unitary process but there are different types of memory.
Our short term and long-term memories are encoded and stored in different ways and
in different parts of the brain, for reasons that we are only beginning to guess at.
Years of case studies of patients suffering from accidents and brain-related diseases
and other disorders have begun to indicate some of the complexities of the memory
processes, and great strides have been made in neuroscience and cognitive
psychology, but many of the exact mechanisms involved remain elusive.
This website, written by a layman for the layman, attempts to piece together some of
what we DO know about the enigma that is...The Human Memory.
WHAT IS MEMORY?
Memory is
our
ability
to encode, store, retain and ??? Did You Know ???
subsequently recall information and past experiences in
the human brain.
For a time during the 1960s, it
It is the sum total of what we remember, and gives us the
capability to learn and adapt from previous experiences as
well as to build relationships. It is the ability to
remember past experiences, and the power or process of
recalling to mind previously learned facts, experiences,
impressions, skills and habits. It is the store of things
learned and retained from our activity or experience, as
evidenced by modification of structure or behaviour, or by
recall and recognition.
Etymologically, the modern English word memory comes
to us from the Middle English memorie, which in turn comes
from the Anglo-French memoire or memorie, and ultimately
from the Latin memoria and memor, meaning "mindful" or
"remembering".
Since the development of the computer in the 1940s, memory is also used to describe
the capacity of a computer to store information subject to recall, as well as the physical
components of the computer in which such information is stored. Although there are
indeed some parallels between the memory of a computer and the memory of a human
being, there are also some fundamental and crucial differences, principally that the
human brain is organized as a distributed network in which each brain cell makes
thousands of connections, rather than as an addressable collection of discrete files.
The sociological concept of collective memory plays an essential role in the
establishment of human societies. Every social group perpetuates itself through the
knowledge that it transmits down the generations, either through oral tradition or
through writing. The invention of writing made it possible for the first time for human
beings to preserve precise records of their knowledge outside of their brains. Writing,
audiovisual media and computer records can be considered a kind of external
memory for humans.
The 18th Century English philosopher David Hartley was the first to hypothesize that
memories were encoded through hidden motions in the nervous system, although his
physical theory for the process was rudimentary at best. William James in America
and Wilhelm Wundt in Germany, both considered among the founding fathers of
modern psychology, both carried out some early basic research into how the human
memory functions in the 1870s and 1880s (James hypothesized the idea of neural
plasticity many years before it was demonstrated). In 1881,Thodule-Armand
Ribot proposed what became known as Ribot's Law, which states that amnesia has a
time-gradient in that recent memories are more likely to be lost than the more remote
memories (although in practice this is actually not always the case).
However, it was not until the mid-1880s that the young German philosopher Herman
Ebbinghaus developed the first scientific approach to studying memory. He did
experiments using lists of nonsense syllables, and then associating them with
meaningful words, and some of his findings from this work (such as the concepts of
the learning curve and forgetting curve, and his classification of the three
distinct types of memory: sensory, short-term and long-term) remain relevant to this
day.
The German evolutionary biologist Richard Semon first proposed in 1904 the idea that
experience leaves a physical trace, which he called an engram, on specific webs
of neurons in the brain. The British psychologist Sir Frederick Bartlett is considered
one of the founding fathers of cognitive psychology, and his research in the 1930s into
the recall of stories greatly influenced later ideas on how the brain stores memories.
With advances in technology in the 1940s, the field of neuropsychology emerged and
with it a biological basis for theories of encoding. Karl Lashley devoted 25 years of his
life to research on rats in mazes, in a systematic attempt to pinpoint where memory
traces or engrams are formed in the brain, only to conclude in 1950 that memories are
not localized to one part of the brain at all, but are widely distributed throughout the
cortex, and that, if certain parts of the brain are damaged, other parts of the brain may
take on the role of the damaged portion.
The Canadian neurosurgeon Wilder Penfields work on the
stimulation of the brain with electrical probes in the 1940s
and 1950s, initially in search of the causes of epilepsy,
allowed him to create maps of the sensory and motor
cortices of the brain that are still used today, practically
unaltered. He was also able to summon up memories
or flashbacks (some of which the patients had no
conscious recollection of) by probing parts of the temporal
lobe of the brain.
The change in the overall study of memory during the 1950s and 1960s has come to be
known as the cognitive revolution, and led to several new theories on how to view
memory, and yielded influential books by George Miller, Eugene Galanter, Karl
Pribram, George Sperling and Ulric Neisser. In 1956, George Miller produced his
influential paper on short-term memory and his assessment that our short-term
memory is limited to what he called the magical number seven, plus or minus two.
In 1968, Richard Atkinson and Richard Shiffrin first described their modal, or multistore, model of memory - consisting of a sensory memory, a short-term memory and
a long-term memory - which became the most popular model for studying memory for
many years. Fergus Craik and Robert Lockhart offered an alternative model, known
as the levels-of-processing model, in 1972. In 1974, Alan Baddeley and Graham
Hitch proposed their model of working memory, which consists of the central executive,
visuo-spatial sketchpad and phonological loop as a method of encoding.
The 1970s also saw the early work of Elizabeth Loftus, who carried out her influential
research on the misinformation effect, memory biases and the nature of false
memories. The pioneering research on human memory by Endel Tulving from the
1970s onwards has likewise been highly influential. He was the first to propose two
distinct kinds of long-term memory, episodic and semantic, in 1972 and he also devised
the encoding specificity principle in 1983.
During the 1980s and 1990s, several formal models of memory were developed that
can be run as computer simulations, including theSearch of Associative Memory
(SAM) model proposed by Jerome Raaijmaker and Richard Shiffrin in 1981,
the Parallel Distributed Processing (PDP) model of James McClelland, David
Rumelhart and Geoffrey Hinton's in 1986, and various versions of the Adaptive Control
of Thought (ACT) model developed by John Anderson in 1993.
Nowadays, the study of human memory is considered part of the disciplines
of cognitive psychology and neuroscience, and the interdisciplinary link between the
two which is known as cognitive neuroscience.
TYPES OF MEMORY
What we usually think of as
memory in day-to-day usage
is actually long-term memory,
but
there
are
also
important shortterm and sensory memory
processes, which must be
worked through before a longterm
memory
can
be
established. The different
types of memory each have
their own particular mode of
operation,
but
they
all
cooperate in the process of
memorization, and can be
seen as three necessary
steps in forming a lasting
memory.
This model of memory as a
sequence of three stages,
Types of Human Memory: Diagram by Luke Mastin
from
sensory to shortterm to long-term memory, rather than as a unitary process, is known as
the modal or multi-store or Atkinson-Shiffrin model, after Richard Atkinson and
Richard Shiffrin who developed it in 1968, and it remains the most popular model for
studying memory. It is often also described as the process of memory, but I have used
this description for the processes of encoding, consolidation, storage and recall in the
separate Memory Processes section.
It should be noted that an alternative model, known as the levels-of-processing
model was proposed by Fergus Craik and Robert Lockhart in 1972, and posits that
memory recall, and the extent to which something is memorized, is a function of the
depth of mental processing, on a continuous scale from shallow (perceptual)
to deep (semantic). Under this model, there is no real structure to memory and no
distinction between short-term and long-term memory.
SENSORY MEMORY
Sensory memory is the shortest-term element of memory.
It is the ability to retain impressions of sensory information
after the original stimuli have ended. It acts as a kind
of buffer for stimuli received through the five senses of
sight, hearing, smell, taste and touch, which are retained
accurately, but very briefly. For example, the ability to look
at something and remember what it looked like with just a
second of observation is an example of sensory memory.
Information is passed from the sensory memory into short-term memory via the process
of attention (the cognitive process of selectively concentrating on one aspect of the
environment while ignoring other things), which effectively filters the stimuli to only those
which are of interest at any given time.
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is forgotten, it means that a nerve impulse has merely ceased being transmitted through
a particular neural network. In general, unless an impulse is reactivated, it stops
flowing through a network after just a few seconds.
Typically, information is transferred from the short-term or working memory to the longterm memory within just a few seconds, although the exact mechanisms by which this
transfer takes place, and whether all or only some memories are retained permanently,
remain controversial topics among experts. Richard Schiffrin, in particular, is well
known for his work in the 1960s suggesting that ALL memories automatically pass from
a short-term to a long-term store after a short time (known as the modal or multistore or Anderson-Schiffrin model).
However, this is disputed, and it now seems increasingly likely that some kind
of vetting or editing procedure takes place. Some researchers (e.g. Eugen Tarnow)
have proposed that there is no real distinction between short-term and long-term
memory at all, and certainly it is difficult to demarcate a clear boundary between them.
However, the evidence of patients with some kinds of anterograde amnesia, and
experiments on the way distraction affect the short-term recall of lists, suggest that there
are in fact two more or less separate systems.
LONG-TERM MEMORY
Long-term memory is, obviously enough, intended for
storage of information over a long period of time. Despite
our everyday impressions of forgetting, it seems likely that
long-term memory actually decays very little over time, and
can store a seemingly unlimited amount of information
almost indefinitely. Indeed, there is some debate as to
whether we actually ever forget anything at all, or whether
it just becomes increasingly difficult to access or retrieve
certain items from memory.
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Unlike with short-term memory, forgetting occurs in longterm memory when the formerly strengthened synaptic connections among the neurons
in a neural network become weakened, or when the activation of a new network is
superimposed over an older one, thus causing interference in the older memory.
Over the years, several different types of long-term memory have been distinguished,
including explicit and implicit memory, declarative and procedural memory (with a
further sub-division of declarative memory into episodic and semantic memory)
and retrospective and prospective memory.
13
These different types of long-term memory are stored in ??? Did You Know ???
different regions of the brain and undergo quite different
processes. Declarative memories are encoded by the Brain-scan studies have
hippocampus, entorhinal cortex and perirhinal cortex (all shown that London taxi
within the medial temporal lobe of the brain), but are drivers, who spend years
the city's
consolidated and stored in the temporal cortex and memorizing
labyrinthine streets, develop
elsewhere. Procedural memories, on the other hand, do not physically larger hippocampi,
appear to involve the hippocampus at all, and are encoded much as a muscle is enlarged
and stored by the cerebellum, putamen, caudate nucleus by weight-training.
and the motor cortex, all of which are involved in motor
control. Learned skills such as riding a bike are stored in the putamen; instinctive
actions such as grooming are stored in the caudate nucleus; and the cerebellum is
involved with timing and coordination of body skills. Thus, without the medial temporal
lobe (the structure that includes the hippocampus), a person is still able to form new
procedural memories (such as playing the piano, for example), but cannot remember
the events during which they happened or were learned.
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Perhaps the most famous study demonstrating the ??? Did You Know ???
separation of the declarative and procedural memories is
that of a patient known as H.M., who had parts of his Children under the age of
medial temporal lobe, hippocampus and amygdala removed about seven pick up new
in 1953 in an attempt to cure his intractable epilepsy. After languages easily without
it much conscious
the surgery, H.M. could still form new procedural memories giving
thought, using procedural (or
and short-term memories, but long-lasting declarative implicit) memory.
memories could no longer be formed. The nature of the Adults, on the other hand,
exact brain surgery he underwent, and the types actively learn the rules and
of amnesia he experienced, allowed a good understanding vocabulary of a new language
declarative (or explicit)
of how particular areas of the brain are linked to specific using
memory.
processes in memory formation. In particular, his ability
to recall memories from well before his surgery, but his inability to create new long-term
memories, suggests that encoding and retrieval of long-term memory information is
mediated by distinct systems within the medial temporal lobe, particularly the
hippocampus. The fact that he was able to learn hand-eye coordination skills such
as mirror drawing, despite having absolutely no memory of having learned or practised
the task before, also suggested the existence different types of long-term memory,
which are now known as declarative and procedural memories
There is strong evidence, notably by studying amnesic patients and the effect
of priming, to suggest that implicit memory is largely distinct from explicit memory, and
operates through a different process in the brain. Studies of the effects of amnesia have
shown that it is quite possible to have an intact implicit memory despite a severely
impaired explicit memory. Priming is the effect in which exposure to a stimulus
influences response to a subsequent stimulus, so that, for instance, if a person reads a
list of words including the word concert, and is later asked to complete a word starting
with con, there is a higher probability that they will answer concert than, say,
contact, connect, etc. Studies from amnesic patients indicate that priming is
controlled by a brain system separate from the medial temporal system that supports
explicit memory.
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required for prospective memory. Thus, there have been case studies where an
impaired retrospective memory has caused a definite impact on prospective memory.
However, there have also been studies where patients with an impaired prospective
memory had an intact retrospective memory, suggesting that to some extent the two
types of memory involve separate processes.
MEMORY PROCESSES
We have already looked at the
different stages
of
memory
formation
(from
perception
to sensory
memory to short-term
memory to long-term memory) in the
section on Types of Memory. This
section, however, looks at the overall
processes involved.
Memory is the ability to encode, store
and recall information. The three
main processes involved in human
memory are therefore encoding,
storage and recall (retrieval).
Additionally, the process of memory
consolidation (which
can
be
considered to be either part of
the encoding
process
or
the storage process) is treated here
as a separate process in its own right.
Some of the physiology and neurology involved in these processes is highly complex
and technical (and some of it still not completely understood), and lies largely outside
the remit of this entry level guide, although at least a general introduction is given
here. More information on the architecture of the human brain, and the neurological
processes by which memory is encoded, stored and recalled can be found in the
section on Memory and the Brain.
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MEMORY ENCODING
Encoding is the crucial first step to creating a new memory. ??? Did You Know ???
It allows the perceived item of interest to be converted into
a construct that can be stored within the brain, and then Studies suggest that
characteristics of the
recalled later from short-term or long-term memory.
Encoding
is
a
biological
event
beginning
with perception through the senses. The process of laying
down a memory begins with attention (regulated by
the thalamus and the frontal lobe), in which a memorable
event causes neurons to fire more frequently, making the
experience more intense and increasing the likelihood that
the event is encoded as a memory. Emotion tends to
increase attention, and the emotional element of an event is
processed on an unconscious pathway in the brain leading
to
the amygdala.
Only
then
are
the
actual sensations derived from an event processed.
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Acoustic encoding is the processing and encoding ??? Did You Know ???
of sound, words and other auditory input
for storage and later retrieval. This is aided by the When presented with a visual
concept of the phonological loop, which allows stimulus, the part of the brain
input within our echoic memory to be sub-vocally which is activated the most
depends on the nature of the
rehearsed in order to facilitate remembering.
image.
Visual encoding is the process of encoding images A blurred image, for example,
and visual sensory information. Visual sensory activates the visual cortex at
information is temporarily stored within the iconic the back of the brain most.
memory before being encoded into long-term An image of an unknown face
the associative and
storage. The amygdala (within the medial temporal activates
frontal regions most.
lobe of the brain which has a primary role in the An image of a face which is
processing
of emotional reactions)
fulfills
an already in working memory
important role in visual encoding, as it accepts visual activates the frontal regions
input in addition to input from other systems and most, while the visual areas
encodes
the
positive
or
negative
values are scarcely stimulated at all.
of conditioned stimuli.
Tactile encoding is the encoding of how something feels, normally through the
sense of touch. Physiologically, neurons in the primary somatosensory
cortex of the brain react to vibrotactile stimuli caused by the feel of an object.
Semantic encoding is the process of encoding sensory input that has
particular meaning or can be applied to a particular context, rather than deriving
from a particular sense.
It is believed that, in general, encoding for short-term memory storage in the brain relies
primarily on acoustic encoding, while encoding for long-term storage is more reliant
(although not exclusively) on semantic encoding.
Human memory is fundamentally associative, meaning that
a new piece of information is remembered better if it can be
associated with previously acquired knowledge that is
already firmly anchored in memory. The more personally
meaningful the association, the more effective the
encoding and consolidation. Elaborate processing that
emphasizes meaning and associations that are familiar
tends to leads to improved recall. On the other hand,
information that a person finds difficult to understand cannot
be readily associated with already acquired knowledge, and
so will usually be poorly remembered, and may even be
remembered in a distorted form due to the effort to
comprehend its meaning and associations. For example,
given a list of words like "thread", "sewing", "haystack",
"sharp", "point", "syringe", "pin", "pierce", "injection" and
"knitting", people often also (incorrectly) remember the word
"needle" through a process of association.
21
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called weapon focus effect, in which witnesses to a crime tend to remember the gun
or knife in great detail, but not other more peripheral details such as the perpetrators
clothing or vehicle).
MEMORY CONSOLIDATION
Consolidation is the processes of stabilizing a memory
trace after the initial acquisition. It may perhaps be thought
of part of the process of encoding or of storage, or it may be
considered as a memory process in its own right. It is
usually considered to consist of two specific processes,
synaptic consolidation (which occurs within the first few
hours after learning or encoding) and system
consolidation (where hippocampus-dependent memories
become independent of the hippocampus over a period of
weeks to years).
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change, the memory may become associated with new emotional or environmental
conditions or subsequently acquired knowledge, expectations rather than actual events
may become incorporated into the memory, etc.
Research into a cognitive disorder known as Korsakoffs syndrome shows that
the retrograde amnesia of sufferers follows a distinct temporal curve, in that the more
remote the event in the past, the better it is preserved. This suggests that the more
recent memories are not fully consolidated and therefore more vulnerable to loss,
indicating that the process of consolidation may continue for much longer than initially
thought, perhaps for many years.
MEMORY STORAGE
Storage is the more or less passive process of retaining
information in the brain, whether in the sensory memory,
the short-term memory or the more permanent long-term
memory. Each of these different stages of human memory
function as a sort of filter that helps to protect us from the
flood of information that confront us on a daily basis,
avoiding an overload of information and helping to keep us
sane. The more the information is repeated or used, the
more likely it is to be retained in long-term memory (which is
why, for example, studying helps people to perform better
on tests). This process of consolidation, the stabilizing of a
memory trace after its initial acquisition, is treated in more
detail in a separate section.
Since
the
early
neurological
work
of Karl
Lashley and Wilder Penfield in the 1950s and 1960s, it
has become clear that long-term memories are not stored in
just
one
part
of
the brain,
but
are
widely distributed throughout
the cortex.
After consolidation, long-term
memories are
stored
throughout the brain as groups of neurons that are primed to
fire together in the same pattern that created the original
experience, and each component of a memory is stored in
the brain area that initiated it (e.g. groups of neurons in the
visual cortex store a sight, neurons in the amygdala store
the associated emotion, etc). Indeed, it seems that they may
even be encoded redundantly, several times, in various
parts of the cortex, so that, if one engram (or memory trace)
is wiped out, there are duplicates, or alternative pathways, elsewhere, through which
the memory may still be retrieved.
Therefore, contrary to the popular notion, memories are not stored in our brains like
books on library shelves, but must be actively reconstructed from elements scattered
25
throughout various areas of the brain by the encoding process. Memory storage is
therefore an ongoing process of reclassification resulting from continuous changes in
our neural pathways, and parallel processing of information in our brains.
The indications are that, in the absence of disorders due to trauma or neurological
disease, the human brain has the capacity to store almost unlimited amounts of
information indefinitely. Forgetting, therefore, is more likely to be result from incorrectly
or incompletely encoded memories, and/or problems with the recall/retrieval process. It
is a common experience that we may try to remember something one time and fail, but
then remember that same item later. The information is therefore clearly still there in
storage, but there may have been some kind of a mismatch between retrieval cues and
the original encoding of the information. Lost memories recalled with the aid
of psychotherapy or hypnosis are other examples supporting this idea, although it is
difficult to be sure that such memories are real and not implanted by the treatment.
Having said that, though, it seems unlikely that, as Richard Schiffrin and others have
claimed, ALL memories are stored somewhere in the brain, and that it is only in
the retrieval process that irrelevant details are fast-forwarded over or expurgated. It
seems more likely that the memories which are stored are in some
way edited and sorted, and that some of the more peripheral details are never stored.
Forgetting, then, is perhaps better thought of as the temporary or permanent inability
to retrieve a piece of information or a memory that had previously been recorded in
the brain. Forgetting typically follows a logarithmic curve, so that information loss is
quite rapid at the start, but becomes slower as time goes on. In particular, information
that has been learned very well (e.g. names, facts, foreign-language vocabulary, etc),
will usually be very resistant to forgetting, especially after the first three years.
Unlike amnesia, forgetting is usually regarded as a normal phenomenon
involving specific pieces of content, rather than relatively broad categories of memories
or even entire segments of memory.
Theorists disagree over exactly what becomes of material
that is forgotten. Some hold that long-term memories do
actually decay and disappear completely over time; others
hold that the memory trace remains intact as long as we
live, but the bonds or cues that allow us to retrieve the trace
become broken, due to changes in the organization of
the neural network, new experiences, etc, in the same way
as a misplaced book in a library is lost even though it still
exists somewhere in the library.
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of beta blockers (such as propanolol) suggests that it may be possible to tone down
the emotional aspects of such memories, even if the memories themselves cannot be
erased. The way this works is that the act of recalling stored memories makes them
"malleable" once more, as they were during the initial encoding phase, and their restorage can then be blocked by drugs which inhibit the proteins that enable the
emotional memory to be re-saved.
MEMORY RECALL/RETRIEVAL
Recall or retrieval of memory refers to the subsequent reaccessing of events or information from the past, which
have been previously encoded and stored in the brain. In
common parlance, it is known as remembering. During
recall, the brain "replays" a pattern of neural activity that
was originally generated in response to a particular event,
echoing the brain's perception of the real event. These
replays are not quite identical to the original, though otherwise we would not know the difference between the
genuine experience and the memory - but are mixed with an
awareness of the current situation.
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Free recall is the process in which a person is given a list of items to remember
and then is asked to recall them in any order (hence the name free). This type
of recall often displays evidence of either the primacy effect (when the person
recalls items presented at the beginning of the list earlier and more often) or
the recency effect (when the person recalls items presented at the end of the list
earlier and more often), and also of the contiguity effect (the marked tendency
for items from neighbouring positions in the list
to be recalled successively).
??? Did You Know ???
Several recent studies in the
growing area of neuroeducation have shown the
value of the "testing
effect" (or "retrieval effect"),
where quizzes a short time
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If we assume that the "purpose" of human memory is to use past events to guide future
actions, then keeping a perfect and complete record of every past event is not
necessarily a useful or efficient way of achieving this. So, in most people, some specific
memories may be given up or converted into general knowledge (i.e. converted
from episodic to semantic memories) as
part
of
the
ongoing
recall/reconsolidation process, so that that we are able to generalize from experience. It is also
possible that false or wrongly interpreted memories may be created during recall, and
carried forward thereafter. One can also, up to a point, choose to forget, by blocking out
unwanted memories during recall (a process achieved by frontal lobe activity, which
inhibits the laying down or re-consolidation of a memory.
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MEMORY DISORDERS
Memory
disorders can
range from mild to severe,
but they all result from
some kind of neurological
damage to the structures
of the brain, thus hindering
the storage, retention and
recollection of memories.
Memory disorders can
be progressive,
like Alzheimer's or
Huntingtons disease,
or immediate, like those
resulting
from traumatic
head injury. Most disorders
are exacerbated by the
effects of ageing, which Effects of memory disorders on brain activity: Images courtesy of US
remains
the single National Institute on Aging
greatest risk factor for
neurodegenerative diseases in general.
Research and analysis of individual case studies of memory disorders (including cases
such as "A.J.", "H.M.","K.C." and Clive Wearing) have yielded many important
insights into how human memory works, although much more work remains to be done.
In recent years, neuro-imaging techniques such as MRI, CAT and PET scans have
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also aided in the analysis of how memory disorders affect the brain physiologically and
neurologically.
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become more fragmented over time, and this begins to affect how easily we
can retrieve memories.
In particular, as the brain ages, the white matter which links
together different parts of the brain, begins to die off, largely
because the blood flow supplied to the brain is not as
healthy as in the young, which causes memory to become
impaired. Also, the production of the chemical messengers
(neurotransmitters) used to carry signals through
the brain is also reduced, perhaps by as much as 50%
between young adulthood and old age, which impairs our
ability to think and perform memory tasks.
The decline theory of forgetting suggests that, essentially, forgetting occurs when the
memory is not exercised, or the information in question is not retrieved often enough to
re-consolidate memories. This is illustrated by the order in which words tend to be
forgotten in old age: proper nouns, which are typically used less often, are usually the
first words to go, followed by common nouns, then adjectives, verbs and,
lastly, exclamations and interjections.
One theory for why this happens, at the cellular level, is that ageing causes major cell
loss in a tiny region at the front of the brain that leads to a drop in the production of a
neurotransmitter called acetylcholine, which is vital to learning and memory. In
addition, the brain itself shrinks in size to some extent, and becomes less efficient as
we age. In particular, the hippocampus, which is essential to the proper functioning of
the processes of memory, loses about 5% of its nerve cells with each passing decade,
up to a total loss of 20% by the age of about 80.
There are, however, several other environmental factors which may combine to speed
up memory decline, including the inheritance of unhealthy genes, exposure
to toxins and poisons, or lifestyle choices like smoking, drinking or bad diet. Physical
exercise and mental stimulation can improve mental function in general, and therefore
help to slow memory decline, although there is no "magic bullet" solution as some
might claim.
33
ALCOHOL
Alcohol, and the effects of alcohol on memory and general ??? Did You Know ???
cognitive functioning, has been the subject of much
research over the years.
One-time, or light, use of
stimulants, such as cocaine,
34
ALZHEIMER'S DISEASE
Alzheimer's
disease (also
known
as
just Alzheimer's or AD) is a progressive, degenerative and
ultimately fatal brain disease, in which cell to cell
connections in the brain are lost. It is the most common form
of dementia, and is generally (though not exclusively)
diagnosed in patients over the age of about 65.
The disease was first identified by Alois Alzheimer as early
as 1906, although up until the 1960s it was usually referred
to as "senile dementia" and considered a normal part
of ageing. Scientific interest in Alzheimer's was only reawakened in the 1960s and 1970s as the consequences of
an ageing society began to be examined, and it was during
the 1980s that research first focused on the toxic proteins
amyloid in plaques and tau in tangles.
35
Neurologically,
AD
(and dementia in
general)
is
characterized by a loss of neurons and synapses in
the cerebral cortex and certain subcortical regions of
the brain. This loss results in gross atrophy of the affected
regions,
including
degeneration
in
the hippocampus, temporal lobe and parietal lobe, as
well as parts of the frontal cortex and cingulate gyrus.
Although there is as yet no consensus on the causes of AD,
a couple of promising leads have been discovered. One
proposes that AD is caused by reduced synthesis of the
neurotransmitter acetylcholine, which is used in the
communication between neurons in the brain. The other
main theory, which appears to be gradually becoming the
front runner, involves two different proteins, tau and
amyloid beta, both of which are active in the normal healthy
brain but which run out of control in Alzheimer's patients.
36
In the 1990s, genetic links to Alzheimer's began to be discovered, and by the late
1990s the first drug treatments (such as Aricept, Exelon and Reminyl) were
approved. In 2004, an NMDA receptor blocker called Ebixa was the first drug to actually
slow the decline of patients with moderate to advanced Alzheimer's.
Recent research has investigated the possible beneficial effects of insulin on
Alzheimer's patients, with some researchers going so far as to suggest that Alzheimer's
is akin to diabetes of the brain. There is also some evidence that a widely-used cancer
drug called bexarotene may help in clearing amyloid plaques, at least in mice.
However, there have also been setbacks in treatments, and in 2010 a clinical trial for
the beta amyloid blocking drug Semagacestat was halted after it was found to make
patients worse, casting some doubt on the theory that amyloid plaques are the principal
cause of the disease.
AMNESIA
Amnesia is the general term for a condition in which
memory (either stored memories or the process of
committing something to memory) is disturbed or lost, to a
greater extent than simple everyday forgetting or absentmindedness. Amnesia may result either from organic or
neurological causes (damage to the brain through physical
injury, neurological disease or the use of certain drugs), or
from functional or psychogenic causes
(psychological
factors, such as mental disorder, post-traumatic stress or
psychological defence mechanisms).
There are two main types of amnesia: anterograde
amnesia (where the ability to memorize new things is
impaired or lost because data does not transfer successfully
from the conscious short-term memory into permanent longterm
memory);
and retrograde
amnesia (where
a
person's pre-existing memories are lost to conscious
recollection, beyond an ordinary degree of forgetfulness,
even though they may be able to memorize new things that
occur after the onset of amnesia). Anterograde amnesia is
the more common of the two. Sometimes both these types
of
amnesia
may
occur
together,
sometimes
called total or global amnesia. Another type of amnesia
is post-traumatic amnesia, a state of confusion and memory
loss that occurs after a traumatic brain injury. Amnesia
which occurs due to psychological factors is usually
referred to as psychogenic amnesia.
Many kinds of amnesia are associated with damage to the hippocampus and related
areas of the brain which are used in the encoding, storage and retrieval of memories. If
37
there is a blockage in the pathways along which information travels during the
processes of memory encoding or retrieval, or if whole regions of the brain are missing
or damaged, then the brain may not be able to form new memories or retrieve some old
ones.
The usual causes of amnesia are lesions to the brain from an accident or neurological
disease, but intense stress, alcohol abuse, loss of oxygen or blood flow to the brain, etc,
can all also cause amnesia, as sometimes can treatments such as electro-convulsive
therapy. For example, intense stress can cause the sympathetic nervous system to
activate the adrenal glands, which then secrete certain hormones into the
bloodstream which can significantly affect the plasticity of the brains neurons (i.e. their
ability to change and strengthen connections), especially those in the hippocampus.
In most cases, amnesia is a temporary condition, lasting from a few seconds to a few
hours, but the duration can be longer depending on the severity of the disease or
trauma, up to a few weeks or even months. Although it is very rare for anyone to
experience total (permanent) amnesia, one well-known case of long-lasting and acute
total (retrograde and anterograde) amnesia, perhaps the worst case of amnesia ever
recorded, is that of the British musician Clive Wearing, who suffered damage to his
brain as a result of an encephalitis virus in 1985. Because the damage was to an area
of his brain required to transfer memories from working memory to long-term memory,
he is completely unable to form lasting new long-term memories, and his memory is
therefore limited to a short-term memory of between 7 and 30 seconds, to the extent
that he will greet his wife like a long-lost friend even if she only left to go into the kitchen
30 seconds ago. However, Wearing still recalls how to play the piano and conduct a
choir, despite having no recollection of having received a musical education, because
his procedural memory was not damaged by the virus.
In general, memories of habits (procedural memory) are usually better preserved than
memories of facts and events (declarative memory), and the most distant long-term
memories, such as those of childhood, are more likely to be preserved. When memories
return, older memories are usually recalled first, and then more recent memories, until
almost all memory is recovered.
38
ANTEROGRADE AMNESIA
Anterograde amnesia is the loss of the ability to
create new memories, leading to a partial or complete
inability to recall the recent past, even though long-term
memories from before the event which caused the amnesia
remain intact. Sufferers may therefore repeat comments or
questions several times, for example, or fail to recognize
people they met just minutes before.
Anterograde amnesia may be drug-induced (several
benzodiazepines are known to have powerful amnesic
effects, and alcohol intoxication also has a similar effect) or
it follows a traumatic brain injury or surgery in which there is
damage to the hippocampus or medial temporal lobe of
the brain, or an acute event such as a concussion, a heart
attack, oxygen deprivation or an epileptic attack. Less
commonly, it can also be caused by shock or an emotional
disorder.
39
RETROGRADE AMNESIA
Retrograde amnesia is a form of amnesia where someone
is unable to recall events that occurred before the
development of the amnesia, even though they may be able
to encode and memorize new things that occur after the
onset.
Retrograde amnesia usually follows damage to areas of
the brain other than the hippocampus (the part of the brain
involved in encoding new memories), because already
existing long-term
memories are
stored
in
the neurons and synapses of various different brain regions.
For example, damage to Brocas or Wernickes areas of
the brain, which are specifically linked to speech production
and language information, would probably cause languagerelated memory loss. It usually results from damage to the
brain regions most closely associated with declarative (and
particularly episodic) memory, such as the temporal
lobe and prefrontal cortex. The damage may result from
a cranial trauma (a blow to the head), a cerebrovascular
accident or stroke (a burst artery in the brain), a tumour (if
it presses against part of the brain), hypoxia (lack of oxygen
in
the
brain),
certain
kinds
of encephalitis,
chronic alcoholism, etc.
Typically, episodic memory is more severely affected than semantic memory, so that
the patient may remember words and general knowledge (such as who their countrys
leader is, how everyday objects work, colours, etc) but not specific events in their
lives. Procedural memories (memory of skills, habits and how to perform everyday
functions) are typically not affected at all.
Retrograde amnesia is often temporally graded, meaning that remote memories are
more easily accessible than events occurring just prior to the trauma (sometimes known
as Ribot's Law after the 19th Century psychologist Thodule-Armand Ribot), and the
events nearest in time to the event that caused the memory loss may never be
recovered. This is because the neural pathways of newer memories are not as strong
as older ones that have been strengthened by years of retrieval and re-consolidation.
While there is no actual cure for retrograde amnesia, jogging the victims memory by
exposing them to significant articles from their past will often speed the rate of recall.
40
PSYCHOGENIC AMNESIA
Psychogenic amnesia, also known as functional
amnesia or dissociative
amnesia,
is
a
disorder
characterized by abnormal memory functioning in the
absence of structural brain damage or a known
neurobiological cause. It results from the effects of severe
stress or psychological trauma on the brain, rather than
from any physical or physiological cause. It is often
considered to be equivalent to the clinical condition known
as repressed memory syndrome.
There are two main types of psychogenic amnesia: global
amnesia and situation-specific
amnesia. Global
amnesia, also known as fugue state, refers to a sudden
loss of personal identity lasting a few hours or days, often
accompanied by severe stress or depression and often
involving extended periods of wandering and confusion. It is
very rare, and usually resolves over time (although memory
of the fugue episode itself may remain lost), often helped by
therapy. Situation-specific amnesia is a type of
psychogenic amnesia that occurs as a result of a severely
stressful event, as part of post-traumatic stress disorder.
Post-traumatic stress disorder (PTSD) is a severe anxiety
disorder that can develop after exposure to any event that
results in psychological trauma, which manifests itself in
constant
re-experiencing of
the original trauma
through flashbacks or nightmares and avoidance of any
stimuli associated with the trauma, as well as increased
arousal (such as difficulty falling or staying asleep, anger
and hypervigilance).
41
POST-TRAUMATIC AMNESIA
Post-traumatic amnesia is a state of confusion or memory
loss that occurs immediately following a traumatic brain
injury. The injured person is disoriented and unable to
remember events that occur after the injury, and may be
unable to state their name, where they are, and what time it
is, etc.
The amnesia resulting from a trauma may be retrograde
amnesia (loss of memories that were formed shortly before
the injury, particularly where there is damage to
the frontal or anterior temporal regions) or anterograde
amnesia (problems with creating new memories after the
injury has taken place), or both. In some cases, anterograde
amnesia may not develop until several hours after the injury.
42
Post-traumatic amnesia may be either short term, or longer lasting (often over a month see box at right), but is hardly ever permanent. When continuous memory returns, the
person can usually function normally. Retrograde amnesia sufferers may partially regain
memory later, but memories are never regained with anterograde amnesia because
they were not encoded properly.
Memories from just before the trauma are often completely lost, partly due to
the psychological repression of unpleasant memories (psychogenic amnesia), and
partly because memories may be incompletely encoded if the event interrupts the
normal process of transfer from short-term to long-term memory.
AUTISM
Autism is a disorder of neural development, characterized ??? Did You Know ???
by impaired social interaction and communication and by
restricted and repetitive behaviour, which usually begins in Savants are people who have
a prodigious memory, but
childhood.
Autism spectrum disorders may range from individuals
with severe impairments (who may be silent, mentally
disabled, and locked into hand flapping and rocking
behaviours) to high-functioning individuals who may have
active but distinctly odd social approaches, narrowlyfocused interests and verbose or pedantic communication.
Some individuals with autism spectrum disorder may even
show superior skills in perception and attention, relative to
the general population. No cure is known.
43
DEMENTIA
Dementia is a general term for a large class of disorders
characterized by the progressive deterioration of thinking
ability and memory as the brain becomes damaged.
Essentially, when memory loss is so severe that it interferes
with normal daily functioning, it is called dementia. Less
severe memory loss is usually referred to as mild cognitive
impairment.
It is sometimes estimated that dementia doubles in
frequency about every 5 years from the age of 65, which
suggests that around 5% of those age 65 have dementia,
and over 50% for those in the 85 to 90 year range.
44
Dementia may be caused by specific events such as traumatic brain injury (also
see post-traumatic amnesia) or stroke, or it may develop gradually as a result
of neurodegenerative disease affecting the neurons of the brain (thereby causing
gradual but irreversible loss of function of these cells) or as a secondary symptom of
other disorders like Parkinsons disease.
Although not its major consequence, HIV also often targets neural systems used
by procedural memory, notably in the striatum and basal ganglia parts of the brain.
White matter irregularity and subcortical atrophy in these areas, which are necessary for
both procedural memory and motor-skills, have been documented in HIV-positive
patients. Studies have shown that HIV-positive individuals perform worse than HIVnegative participants in procedural memory tasks (such as the rotary pursuit, mirror star
tracing and weather prediction tasks), suggesting that poorer overall performance on
such tasks is due to the specific changes in the brain caused by the disease.
45
HUNTINGTON'S DISEASE
Huntingtons disease is an inherited progressive
neurodegenerative disorder, which affects muscle
coordination and leads to general cognitive decline. If a
parent carries the gene, there is a 50% chance of the child
inheriting it.
Early symptoms include a general lack of coordination and
an unsteady gait, which develops into involuntary and
uncoordinated, jerky body movements (chorea) and a
decline in mental abilities and behavioural and psychiatric
problems, and a gradual decline of mental abilities
into dementia. The memory decline symptoms, especially
those affecting short-term memory, typically appear before
any motor function symptoms.
It typically becomes noticeable in middle age, affecting
about 1 in every 10,000-20,000 people in the United States
for example, and is much more common in people of
Western European descent than in those from Asia or
Africa. There is no known cure, and no way to stop or even
slow the progression of the disease.
46
KORSAKOFF'S SYNDROME
Korsakoff's
syndrome,
or Wernicke-Korsakoff
syndrome,
is
a
brain
disorder
caused
by
extensive thiamine deficiency, a form of malnutrition which
can
be
precipitated
by
over-consumption
of alcohol and alcoholic beverages compared to other
foods. It main symptoms are anterograde amnesia (inability
to form new memories and to learn new information or
tasks) and retrograde amnesia (severe loss of existing
memories), confabulation (invented memories, which are
then taken as true due to gaps in memory), meagre content
in conversation, lack of insight and apathy.
47
OCD
may
be
seen
as
a
result
of
an imbalance between long-term
memory and short-term
memory processes. A sufferer may be stuck in a mental loop where long-term
memory is in control of the subject's brain to such an extent that their reactions are
solely based on memory without the influence of the input (other than as a trigger for the
memory).
Neuroimaging studies show, however, that OCD patients perform considerably better
on procedural memory tasks (memory of skills and how to do things) due to overactivation of the striatum brain structures, specifically the frontostriatal circuit. Thus,
the procedural memory in OCD patients may actually be improved in its early learning
stages.
Although there is no scientific evidence to suggest that people with OCD have any
problems with verbal memory (remembering information that has been stored verbally
or in the form of words), it has been consistently found that people with OCD show
deficits in non-verbal, visual or spatial memory. Also, people with OCD (particularly
those whose symptoms involve compulsive checking) tend to have less confidence in
their memory than those without OCD, even if this level of confidence is not actually
related to their actual performance on memory tasks, and the worse the OCD symptoms
are, the worse this confidence in memory seems to be. This may explain to some extent
the repetitive nature of many OCD symptoms.
OCD has been linked to abnormalities with the neurotransmitter serotonin, and to
miscommunication between the different parts of the brain involved in problem solving.
In normal usage, when a problem or task is identified in the orbitofrontal cortex at the
front of the brain, it is dealt with in the cingulate cortex, and the caudate nucleus is
then responsible for marking the problem as resolved and removing any worry over it.
In OCD sufferers, it is thought that the caudate nucleus may be dysfunctional and so
this resolution never occurs, leading to increased worry and a recurring and everintensifying loop in behaviour.
48
Recent improvements in the understanding of the neuroplasticity of the brain may lead
to a potential cure for the disorder. If the obsessive compulsive behaviour is
consistently identified as such by the sufferer (so that, instead of thinking I need to
wash my hands, the patient gets into the habit of thinking it is my OCD which is
making me think that I need to wash my hands), a neuroplastic rewiring of
the brain can be induced over time, so that the caudate can be used to work for, rather
than against, the patient, in a constructive manner. Recent trials in this kind
of behaviour therapy, sometimes referred to as "exposure and response
prevention", have produced some very positive results.
PARKINSON'S DISEASE
Parkinson's disease is a chronic and progressive ??? Did You Know ???
degenerative disorder of the central nervous system that
impairs motor skills, speech and other functions. It is usually The brain uses 20% of the
characterized by muscle rigidity, tremor, postural instability, total
oxygen and blood circulating
and a slowing or loss of physical movement.
Ageing is an important risk factor, and the incidence of
Parkinson's increases with age, although about 4% are
diagnosed before the age of 50. An estimated 7-10 million
people worldwide (roughly 1 in 1,000 of the total population)
are thought to be living with Parkinson's.
in the body.
It uses about 20 - 25 watts of
power during waking hours,
enough to illuminate a dim light
bulb.
Interestingly, the brain uses
hardly any more energy when
a person is thinking than when
at rest.
49
SCHIZOPHRENIA
Schizophrenia is a mental disorder mainly characterized by
abnormalities in the perception or expression of reality,
usually manifesting itself in hallucinations, "voices",
paranoid delusions or disorganized speech and thinking,
often with significant social or occupational dysfunction. It
does not necessarily imply the "split mind" of dissociative
identity disorder (also known as multiple personality
disorder or split personality), but schizophrenia sufferers
can experience severe difficulty in distinguishing what is real
from what is not. Noise in the brains of schizophrenics also
results in cognitive impairment, memory loss and attention
deficits, resulting in difficulties in day to day functioning and
learning.
STROKE
50
A stroke causes brain injury as the resulting lack of oxygen damages particular parts of
the brain. If the temporal lobe of the brain is affected, the effects may include shortterm memory impairment and difficulty acquiring and retaining new information, as well
as problems with perception and attention, and may lead to full-blown dementia, often
referred to as vascular dementia (an overall decline in thinking abilities, with symptoms
similar to Alzheimer's).
Studies have shown that elderly people with mild cognitive impairment (defined as
where memory problems due to old age are mild and do not generally interfere with
normal daily activities) who also have a stroke have a much greater chance of
developing dementia. Approximately one third of stroke victims will develop memory
problems and experience serious difficulties in other aspects of performing daily
activities.
After a less severe stroke, memory often returns gradually over a period of weeks or
months. Even after a severe stroke, improvement in memory may continue for up to two
years, although it may be unrealistic to expect further progress after this time.
51
TOURETTE SYNDROME
Tourette syndrome, also known as Gilles De La Tourette
Syndrome or
simply Tourettes,
is
an
inherited
neuropsychiatric disorder of the central nervous system with
onset in childhood, characterized by physical and vocal tics,
which often wax and wane, and, less commonly but more
publicized, the spontaneous utterance of socially
objectionable or taboo words or phrases, or the repetition of
others words. It has been described, by both patients and
neurologists, as a lack of stop signs in the brain. Obsessivecompulsive
disorder
(OCD) and attention-deficit
hyperactivity disorder (ADHD) are often (but not
necessarily) associated with Tourettes.
Tourette's appears to be related to the skillacquisition process that ties stimuli to responses during the
learning part of procedural memory (memory of skills and how things work).
Physiologically, it involves changes in the sub-cortical brain area known as
the striatum, and its interaction with the basal ganglia due to abnormalities in the way
that hormones and neurotransmitters mediate communication between nerve cells in
the brain.
Although aspects of procedural memory may be abnormal in Tourettes, declarative
memory (memory of facts and events) remains largely spared. For example, rulegoverned knowledge (used in language, for example, to combine parts of words
together according to the grammatical rules of the language), which involves
the procedural memory system, is affected, whereas idiosyncratic knowledge (which
allows us to learn that a word is linked to an object), which depends on declarative
memory and is learned and processed in the hippocampus and other temporal
lobe areas in the brain, is not. Indeed, children with Tourettes are sometimes faster
and better than typically developing children at certain aspects of language.
52
53
54
55
Ganglia
Works
Another sub-cortical systems (inside the cerebral cortex) which is essential to memory
function is the basal ganglia system, particularly the striatum (or neostriatum) which
is important in the formation and retrieval of procedural memory.
Diagram of a neuron
Picture from Wikipedia (http://en.wikipedia.org/wiki/Neuron)
56
57
The interactions of neurons is not merely electrical, though, but electro-chemical. Each
axon terminal contains thousands of membrane-bound sacs called vesicles, which in
turn contain thousands of neurotransmitter molecules each. Neurotransmitters are
chemical messengers which relay, amplify and modulate signals between neurons and
other cells. The two most common neurotransmitters in the brain are the amino
acids glutamate and
GABA;
other
important
neurotransmitters
include acetylcholine, dopamine, adrenaline, histamine, serotonin and melatonin.
When stimulated by an electrical pulse, neurotransmitters of various types are released,
and they cross the cell membrane into the synaptic gap between neurons. These
chemicals then bind to chemical receptors in the dendrites of the receiving (postsynaptic) neuron. In the process, they cause changes in the permeability of the cell
membrane to specific ions, opening up special gates or channels which let in a flood of
charged particles (ions of calcium, sodium, potassium and chloride). This affects the
potential charge of the receiving neuron, which then starts up a new electrical signal in
the receiving neuron. The whole process takes less than one five-hundredth of a
second. In this way, a message within the brain is converted, as it moves from one
neuron to another, from an electrical signal to a chemical signal and back again, in an
ongoing chain of events which is the basis of all brain activity.
The electro-chemical signal released by a particular neurotransmitter may be such as
to encourage to the receiving cell to also fire, or to inhibit or prevent it from firing.
Different neurotransmitters tend to act as excitatory (e.g. acetylcholine, glutamate,
aspartate, noradrenaline, histamine) or inhibitory (e.g. GABA, glycine, seratonin), while
some (e.g. dopamine) may be either. Subtle variations in the mechanisms of
neurotransmission allow the brain to respond to the various demands made on it,
including the encoding, consolidation, storage and retrieval of memories.
58
Books:
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