INSERM, Paris, France; Institut de la Mémoire et de la Maladie d'Alzheimer (IM2A), Département de Neurologie, Hôpital de la Pitié-Salpêtrière, Sorbonne Universités, Université Pierre et Marie Curie, Paris6, Paris, France; Dipartimento di Scienze Della Vita, Università Degli Studi di Trieste, Italy; Centro Medico di Foniatria, Unità Operativa Complessa di Riabilitazione Neurocognitiva, Padova, Italy.
Centro Medico di Foniatria, Unità Operativa Complessa di Riabilitazione Neurocognitiva, Padova, Italy.
Neuropsychologia. 2020 Mar 16;140:107367. doi: 10.1016/j.neuropsychologia.2020.107367. Epub 2020 Jan 30.
Confabulation, defined as the production of statements and actions that are unintentionally incongruous to the patient's history, background, present and future situation, is a rather infrequent memory disorder, which usually affects patients with significant memory impairment, but may be also observed in patients with normal memory and learning abilities. Confabulation may be selective affecting some cognitive, memory domains while relatively sparing others. In particular, it may affect more Temporal Consciousness, i.e. a specific form of consciousness that allows individuals to remember their personal past, to be oriented in their present world and to predict their personal future, than Knowing Consciousness, i.e. a specific form of consciousness allowing individuals to be aware of past, present and future impersonal knowledge and information. In this study we evaluated confabulations in TC and KC in a group of confabulatory amnesics of various aetiologies. Based on previous studies, it was predicted that confabulations affect significantly more TC than KC. It was also predicted that "Habits Confabulations", i.e. habits and repeated personal events mistaken as specific, unique past and future personal episodes, is the more frequently observed type of confabulation. The results confirmed these predictions and are discussed within the framework of the Memory, Consciousness and Temporality Theory.
虚构症是一种记忆障碍,定义为患者产生的陈述和行为与患者的历史、背景、现在和未来情况无意识地不一致。这种病症相对较少见,通常影响记忆严重受损的患者,但也可能在记忆和学习能力正常的患者中观察到。虚构症可能是选择性的,影响某些认知和记忆领域,而相对保留其他领域。特别是,它可能更影响时间意识,即一种允许个体记住自己过去的个人经历、在当前世界中定向并预测自己未来的特定形式的意识,而不是知道意识,即一种允许个体意识到过去、现在和未来的非个人知识和信息的特定形式的意识。在这项研究中,我们评估了一组不同病因的虚构性遗忘症患者的 TC 和 KC 中的虚构症。基于先前的研究,我们预测虚构症会显著影响 TC 而不是 KC。我们还预测“习惯虚构”,即习惯和重复的个人事件被错误地认为是特定的、独特的过去和未来个人事件,是更常见的虚构类型。研究结果证实了这些预测,并在记忆、意识和时间理论框架内进行了讨论。