Clinical Psychopharmacology Unit, University College London, United Kingdom.
Biol Psychiatry. 2010 Aug 1;68(3):280-6. doi: 10.1016/j.biopsych.2010.01.010. Epub 2010 Mar 3.
A dual representation model of intrusive memory proposes that personally experienced events give rise to two types of representation: an image-based, egocentric representation based on sensory-perceptual features; and a more abstract, allocentric representation that incorporates spatiotemporal context. The model proposes that intrusions reflect involuntary reactivation of egocentric representations in the absence of a corresponding allocentric representation. We tested the model by investigating the effect of alcohol on intrusive memories and, concurrently, on egocentric and allocentric spatial memory.
With a double-blind independent group design participants were administered alcohol (.4 or .8 g/kg) or placebo. A virtual environment was used to present objects and test recognition memory from the same viewpoint as presentation (tapping egocentric memory) or a shifted viewpoint (tapping allocentric memory). Participants were also exposed to a trauma video and required to detail intrusive memories for 7 days, after which explicit memory was assessed.
There was a selective impairment of shifted-view recognition after the low dose of alcohol, whereas the high dose induced a global impairment in same-view and shifted-view conditions. Alcohol showed a dose-dependent inverted "U"-shaped effect on intrusions, with only the low dose increasing the number of intrusions, replicating previous work. When same-view recognition was intact, decrements in shifted-view recognition were associated with increases in intrusions.
The differential effect of alcohol on intrusive memories and on same/shifted-view recognition support a dual representation model in which intrusions might reflect an imbalance between two types of memory representation. These findings highlight important clinical implications, given alcohol's involvement in real-life trauma.
侵入性记忆的双重表现模型提出,个人经历的事件产生两种类型的表现:一种基于图像的、以自我为中心的表现,基于感觉-知觉特征;另一种更抽象的、以位置为中心的表现,包含时空背景。该模型提出,侵入性记忆反映了自我中心表现的无意识重新激活,而没有相应的以位置为中心的表现。我们通过研究酒精对侵入性记忆的影响,同时对自我中心和以位置为中心的空间记忆的影响,来检验该模型。
采用双盲独立组设计,参与者接受酒精(0.4 或 0.8 g/kg)或安慰剂。使用虚拟现实环境呈现物体,并从与呈现相同的视角(敲击自我中心记忆)或不同的视角(敲击以位置为中心的记忆)测试识别记忆。参与者还观看了创伤视频,并要求在 7 天内详细描述侵入性记忆,之后评估他们的外显记忆。
低剂量酒精会选择性地损害转换视角的识别,而高剂量酒精会导致相同视角和转换视角条件下的整体损害。酒精对侵入性记忆呈剂量依赖性的倒“U”形影响,只有低剂量增加了侵入性记忆的数量,这与之前的研究结果一致。当相同视角的识别保持完整时,转换视角的识别下降与侵入性记忆的增加有关。
酒精对侵入性记忆和相同/转换视角识别的不同影响支持了双重表现模型,该模型认为侵入性记忆可能反映了两种记忆表现之间的不平衡。鉴于酒精在现实生活中的创伤事件中的参与,这些发现强调了重要的临床意义。