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K.C.的案例:一个记忆受损者对记忆理论的贡献。

The case of K.C.: contributions of a memory-impaired person to memory theory.

作者信息

Rosenbaum R Shayna, Köhler Stefan, Schacter Daniel L, Moscovitch Morris, Westmacott Robyn, Black Sandra E, Gao Fuqiang, Tulving Endel

机构信息

Rotman Research Institute, Baycrest Centre for Geriatric Care, 3560 Bathurst Street, Toronto, Ont., Canada M6A 2E1.

出版信息

Neuropsychologia. 2005;43(7):989-1021. doi: 10.1016/j.neuropsychologia.2004.10.007. Epub 2005 Jan 12.

Abstract

K.C. has been investigated extensively over some 20 years since a motorcycle accident left him with widespread brain damage that includes large bilateral hippocampal lesions, which caused a remarkable case of memory impairment. On standard testing, K.C.'s anterograde amnesia is as severe as that of any other case reported in the literature, including H.M. However, his ability to make use of knowledge and experiences from the time before his accident shows a sharp dissociation between semantic and episodic memory. A good deal of his general knowledge of the world, including knowledge about himself, is preserved, but he is incapable of recollecting any personally experienced events. In displaying such "episodic amnesia," which encompasses an entire lifetime of personal experiences, K.C. differs from many other amnesic cases. Here, we document for the first time the full extent of K.C.'s brain damage using MRI-based quantitative measurements. We then review the many investigations with K.C. that have contributed to our understanding not only of episodic and semantic memory but also to the development of other aspects of memory theory. These include the distinction between implicit and explicit memory, the prospect of new learning in amnesia, and the fate of recent and remote memory for autobiographical and public events, people, and spatial locations.

摘要

自一场摩托车事故致使K.C.脑部广泛受损,包括双侧海马体大面积损伤,从而导致严重的记忆障碍以来,在过去约20年里,人们对他进行了广泛研究。在标准测试中,K.C.的顺行性遗忘症与文献中报道的任何其他病例(包括H.M.)一样严重。然而,他运用事故前知识和经验的能力显示出语义记忆和情景记忆之间的明显分离。他对世界的许多常识,包括关于他自己的知识,都得以保留,但他无法回忆起任何个人经历过的事件。在表现出这种涵盖一生个人经历的“情景性遗忘症”方面,K.C.与许多其他遗忘症病例不同。在此,我们首次使用基于MRI的定量测量方法记录了K.C.脑部损伤的全部范围。然后,我们回顾了对K.C.进行的诸多研究,这些研究不仅有助于我们理解情景记忆和语义记忆,也有助于记忆理论其他方面的发展。这些方面包括内隐记忆和外显记忆的区别、遗忘症中新学习的前景,以及自传体和公共事件、人物及空间位置的近期和远期记忆的情况。

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