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逆行性遗忘症中一般知识的严重丧失:来自遗忘症艺术家的证据。

Profound loss of general knowledge in retrograde amnesia: evidence from an amnesic artist.

机构信息

Department of Cognitive Science, Johns Hopkins University Baltimore, MD, USA.

出版信息

Front Hum Neurosci. 2014 May 6;8:287. doi: 10.3389/fnhum.2014.00287. eCollection 2014.

Abstract

Studies of retrograde amnesia have focused on autobiographical memory, with fewer studies examining how non-autobiographical memory is affected. Those that have done so have focused primarily on memory for famous people and public events-relatively limited aspects of memory that are tied to learning during specific times of life and do not deeply tap into the rich and extensive knowledge structures that are developed over a lifetime. To assess whether retrograde amnesia can also cause impairments to other forms of general world knowledge, we explored losses across a broad range of knowledge domains in a newly-identified amnesic. LSJ is a professional artist, amateur musician and history buff with extensive bilateral medial temporal and left anterior temporal damage. We examined LSJ's knowledge across a range of everyday domains (e.g., sports) and domains for which she had premorbid expertise (e.g., famous paintings). Across all domains tested, LSJ showed losses of knowledge at a level of breadth and depth never before documented in retrograde amnesia. These results show that retrograde amnesia can involve broad and deep deficits across a range of general world knowledge domains. Thus, losses that have already been well-documented (famous people and public events) may severely underestimate the nature of human knowledge impairment that can occur in retrograde amnesia.

摘要

逆行性遗忘症的研究主要集中在自传体记忆上,而对非自传体记忆的影响研究较少。那些进行过此类研究的人主要关注的是名人记忆和公众事件——这些记忆相对有限,与特定时期的学习有关,而不能深入挖掘一生中形成的丰富而广泛的知识结构。为了评估逆行性遗忘症是否也会导致其他形式的一般世界知识受损,我们在一个新确定的遗忘症患者中探索了广泛的知识领域的丧失。LSJ 是一名专业艺术家、业余音乐家和历史爱好者,她的双侧内侧颞叶和左前颞叶受到广泛损伤。我们在一系列日常领域(如运动)和她有前病识感的领域(如名画)检查了 LSJ 的知识。在所有测试的领域中,LSJ 表现出了前所未有的广泛和深入的知识丧失。这些结果表明,逆行性遗忘症可能涉及一般世界知识领域的广泛和深刻的缺陷。因此,已经有充分记录的损失(名人记忆和公众事件)可能严重低估了逆行性遗忘症中可能发生的人类知识损伤的性质。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d71/4018544/b55709eb0462/fnhum-08-00287-g0001.jpg

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