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虚构症中不同的回忆障碍模式揭示了不同的意识障碍:一项多病例研究。

Different patterns of recollection impairment in confabulation reveal different disorders of consciousness: A multiple case study.

作者信息

La Corte Valentina, Serra Mara, George Nathalie, Pradat-Diehl Pascale, Dalla Barba Gianfranco

机构信息

Institute of Psychology, University Paris Descartes, Sorbonne Paris Cite, France; Inserm UMR 894, Center of Psychiatry and Neurosciences, Memory and Cognition Laboratory, Paris, France; Inserm U 1127, CNRS UMR 7225, Sorbonne Universités, UPMC Univ Paris 06 UMR S 1127, Institut du Cerveau et de la Moelle épinière, ICM, F-75013, Paris, France; Departement de Neurologie, Institut de la Mémoire et de la Maladie d'Alzheimer, Hôpital de la Pitié-Salpêtrière, Paris, France.

Inserm U 1127, CNRS UMR 7225, Sorbonne Universités, UPMC Univ Paris 06 UMR S 1127, Institut du Cerveau et de la Moelle épinière, ICM, F-75013, Paris, France; Dipartimento di Scienze della Vita, Università degli Studi di Trieste, Italy.

出版信息

Conscious Cogn. 2016 May;42:396-406. doi: 10.1016/j.concog.2016.04.013. Epub 2016 May 9.

Abstract

Recollection is used to refer to the active process of setting up retrieval cues, evaluating the outcome, and systematically working toward a representation of a past experience that we find acceptable. In this study we report on three patients showing different patterns of confabulation affecting recollection and consciousness differentially. All patients confabulated in the episodic past domain. However, whereas in one patient confabulation affected only recollection of events concerning his personal past, present and future, in another patient confabulation also affected recollection of impersonal knowledge. The third patient showed an intermediate pattern of confabulation, which affected selectively the retrieval of past information, both personal and impersonal. We suggest that our results are in favor of a fractionation of processes involved in recollection underling different disorders of consciousness.

摘要

回忆是指建立检索线索、评估结果以及系统地构建我们认为可接受的过去经历表征的主动过程。在本研究中,我们报告了三名患者,他们表现出不同的虚构模式,对回忆和意识产生了不同程度的影响。所有患者都在情景性过去领域存在虚构现象。然而,其中一名患者的虚构仅影响了他对个人过去、现在和未来事件的回忆,另一名患者的虚构还影响了对非个人知识的回忆。第三名患者表现出一种中间虚构模式,选择性地影响了个人和非个人过去信息的检索。我们认为,我们的结果支持了在不同意识障碍下,回忆过程存在分离的观点。

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