1 Psychology and human development1.4 Memory
1.4 Memory
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Written by Resident Doctor Committee · Published
Stages of memory
Memory runs through three processes: encoding, storage and retrieval.
Process | What it does | Failure | Bedside sign |
|---|---|---|---|
Encoding | Converts incoming sensory input into a code that can be held | Material never registered | Recognition also poor |
Storage | Retains and consolidates the trace | Trace lost over time | Delayed recall lost |
Retrieval | Brings the stored trace back | Trace intact but inaccessible | Recognition helps |
Encoding is the first stage, told apart from attention, which selects input, and from consolidation, storage and retrieval, which follow it.
Synaptic consolidation takes minutes to hours; systems consolidation takes months to years as the neocortex takes over support of the memory.
Head injury, electroconvulsive therapy, benzodiazepines and alcohol can disrupt memory formation.
Strengthening encoding
Levels of processing (Craik and Lockhart): processing meaning improves recall more than processing sound or appearance, even when the person is not trying to learn.
Elaborative rehearsal is deep, meaning-based, associative processing that transfers material into long-term memory.
Maintenance (rote) rehearsal only holds items in short-term memory.
Encoding strategies shape how material is laid down: organising, chunking, elaborating and imagery mnemonics.
Cue-based strategies act at retrieval instead, through the encoding specificity principle.
Focused attention, spaced rather than massed study, and retrieval practice rather than repeated study all strengthen memory.
The multi-store model
Atkinson and Shiffrin's multi-store (modal) model (1968) has three structurally separate stores in series: the sensory register, a brief limited-capacity short-term store and a permanent long-term store.
Transfer | Process that drives it |
|---|---|
Sensory register to short-term store | Attention |
Within the short-term store | Rehearsal maintains items |
Short-term to long-term store | Rehearsal and encoding |
Long-term back to short-term store | Retrieval |
Rival accounts are working memory, levels of processing, and Tulving's and Squire's models.
Sensory memory
Sensory memory is the first store: it holds a large amount of raw, unprocessed (precategorical), modality-specific input for well under a second, which decays unless attended to.
Echoic persistence is longer than iconic, and new input in the same modality masks it.
Register | Modality | Duration | Evidence |
|---|---|---|---|
Iconic | Visual | About 0.5 to 1 second | Sperling's partial report experiments |
Echoic | Auditory | About 2 to 4 seconds |
A hold lasting seconds and kept alive by rehearsal, such as a short digit string, is short-term or working memory, not the iconic register.
Short-term memory
Capacity is classically seven plus or minus two items (Miller); unrehearsed items last about 18 seconds.
Chunking regroups many small items into fewer meaningful units, so more material fits within the span.
The Brown-Peterson task blocks rehearsal with a filler task, such as counting backwards, during the retention interval; recall falls as the delay grows.
Recall of verbal material after a filled delay of minutes tests long-term memory, because unrehearsed short-term traces fade within seconds.
Serial position curve
Effect | Items recalled better | Reflects | After a filled delay |
|---|---|---|---|
Primacy | Early | Rehearsed items that reached long-term memory | Survives |
Recency | Final | Items still in short-term memory | Lost |
Amnesia impairs the primacy effect.
Working memory
Working memory holds information briefly and manipulates it for the task in hand, as when reversing digits or using newly heard information at once. Forward span needs only passive holding.
Baddeley and Hitch's model has four components.
Component | Handles |
|---|---|
Central executive | Attentional control: divides attention and coordinates concurrent verbal and spatial tasks |
Phonological loop | Verbal material, through subvocal speech |
Visuospatial sketchpad | Holds and manipulates visual and spatial information such as location, shape and speed |
Episodic buffer | Binds codes together and links them to long-term memory |
The central executive is distinct from the storage subsystems, so normal forward span with failed manipulation or dual tasking localises the deficit to it.
Working memory depends chiefly on the prefrontal cortex, especially its dorsolateral part.
Capacity is not fixed: it grows through childhood, differs between people and responds to practice.
Frontal pathology reduces capacity, and anxiety uses it up through worry.
Dysfunction impairs tasks that hold and manipulate information online, such as calculation, planning and reasoning, but spares retrieval of well-established knowledge from long-term memory.
Long-term memory systems
Declarative (explicit) memory is consciously recalled and has two subtypes, episodic and semantic.
Non-declarative memory is the same as implicit memory: it shows through performance without awareness ("knowing how") and covers procedural memory, priming and conditioning.
System | Branch | Holds |
|---|---|---|
Episodic | Declarative | Personally experienced events tied to a particular time and place |
Semantic | Declarative | General, impersonal knowledge, concepts and word meanings, with no record of when or where they were learned |
Procedural | Non-declarative | Practised motor skills and habits, such as driving |
Priming | Non-declarative | Altered later processing of a specific item after one earlier exposure, without conscious recollection |
Recalling the occasion on which a skill was learned is episodic; the skill itself is procedural.
Procedural memory improves with practice without recollection of the sessions and depends on the basal ganglia and cerebellum.
Procedural memory survives medial temporal damage: patient H.M. improved at mirror drawing without recalling the practice.
Priming survives the diencephalic damage of Korsakoff syndrome.
Semantic amnesia removes general knowledge, word meaning and concepts while episodic memory is relatively spared, as in semantic dementia with anterior temporal lobe atrophy.
Prospective and flashbulb memory
Prospective memory is memory for intentions: carrying out a planned action at a future time (time-based) or on a future cue (event-based).
Prospective memory relies on self-initiated retrieval, so it is sensitive to frontal executive dysfunction; it can fail in attention deficit hyperactivity disorder, depression and dementia.
Flashbulb memory is a vivid, lasting, confidently held recollection of the personal circumstances of learning shocking public news (Brown and Kulik, 1977), laid down under emotional arousal.
A flashbulb memory's vividness and confidence do not guarantee accuracy, and it can change without the person noticing.
Flashbulb memory is not eidetic (photographic) memory.
Retrieval
Form | What happens |
|---|---|
Free recall | Unaided reproduction with no cue |
Cued recall | Reproduction helped by a cue such as a category, a first letter or a paired word |
Recognition | A previously met item is re-presented among new ones and identified as old or new; usually easier than recall |
Redintegration | A fragment of a past experience, such as a smell, acts as the cue that restores the whole experience to awareness |
Encoding specificity principle (Tulving): cues work best when they match the conditions at encoding.
Context-dependent memory: recall improves when the external setting present at learning is reinstated, as when divers recalled material learned underwater best underwater.
State-dependent (mood-dependent) memory: retrieval is best when the internal mood or drug state at recall matches that at encoding.
Mood-congruent recall favours material that matches current mood, so depressed people retrieve negative events more easily.
Forgetting
Retrieval failure, an intact trace that the available cues cannot reach, is the commonest cause of long-term forgetting, ahead of encoding failure and failed consolidation.
Ebbinghaus's forgetting curve, from nonsense syllables, shows steep early loss, with more than half lost within nine hours, after which the curve levels off.
Jost's law: of two memories of the same current strength, the older decays more slowly. This is normal decay, not Ribot's gradient after brain damage.
Theories of forgetting rest on decay, interference, repression and state dependency; Maslow's need hierarchy is a theory of motivation, not of forgetting.
Mechanism | What happens |
|---|---|
Inadequate encoding | Material is never registered |
Decay | The trace weakens, mostly over seconds |
Displacement | New items exceed store capacity |
Proactive interference | Earlier learning acts forwards on later learning, as when an old bank card number intrudes on a new one |
Retroactive interference | Later learning disrupts earlier learning |
Retrieval failure | Cues fail, though recognition may succeed |
Motivated avoidance | Distressing material and its cues are avoided |
Similar material interferes most.
Whether extensive autobiographical memories can be wholly repressed and later accurately recovered remains contested.
Everyday lapses
Absent-mindedness, one of Schacter's seven sins of memory, is a failure at the interface of attention and memory: attention is elsewhere at the critical moment, so intact memories go unused.
Transience is fading of memory over time.
Blocking is a retrieval failure in which a stored memory is temporarily inaccessible despite cues; the tip-of-the-tongue state is the standard example, with an intruding related word (the "ugly sister" effect).
Source amnesia is loss of memory of when, where or from whom a fact was learned while the fact itself is kept; it follows frontal lobe damage and is milder in normal ageing.
Emotion and memory
The amygdala interacts with the hippocampus to strengthen the encoding and consolidation of emotionally arousing memories.
Weapon focus shows that arousal strengthens memory for central emotional content but weakens peripheral detail: a gun is recalled better than the assailant's face.
Extreme arousal and glucocorticoid release can impair contextual and sequential encoding, leaving traumatic memories poorly ordered.
Reconstruction and distortion
Bartlett found that repeated recalls of The War of the Ghosts shortened and normalised the story, with schemas supplying plausible additions.
Loftus found that asking how fast cars "smashed" rather than "hit" raised speed estimates and false reports of broken glass, so post-event information can be remembered as witnessed.
Repetition or pressure raises confidence in a memory without making it more accurate.
Phenomenon | State of memory | What happens |
|---|---|---|
Retrospective falsification | Genuine memory, no organic loss | Unconscious, unintentional reshaping to fit present mood, wishes or needs; common in depression, as when a fair appraisal is recalled as humiliating |
Confabulation | Organic amnesic gap | The gap is filled with fluent, plausible but false material, with no intent to deceive; seen in Korsakoff syndrome and after rupture of an anterior communicating artery aneurysm |
Cryptomnesia | Genuine memory returning without its source or sense of familiarity | Experienced as an original idea (unintentional plagiarism) |
Pseudologia fantastica | Intact | Elaborate, self-aggrandising lying that the teller half-believes but admits is false when challenged |
Déjà vu | No earlier encounter | False familiarity attached to a new experience, in healthy people and as a temporal lobe epilepsy aura |
Recognition differs from déjà vu because it rests on a genuine earlier encounter.
Brain basis and the lifespan
The hippocampus consolidates new declarative memories into long-term storage, so damage (for example hypoxic-ischaemic injury or temporal lobe surgery) causes anterograde episodic amnesia.
Hippocampal damage spares working memory, remote memory and procedural learning.
Long-term potentiation at glutamate synapses is triggered by the calcium-permeable N-methyl-D-aspartate (NMDA) receptor and is the proposed cellular basis of Hebbian memory formation.
Infantile (childhood) amnesia is the normal, universal, non-pathological absence of retrievable autobiographical memories from about the first three to four years of life, reflecting immature memory systems and narrative language.
Age-associated memory impairment falls chiefly on delayed, uncued free recall of new material, while immediate span, recognition, orientation and semantic knowledge are relatively preserved.
Amnesia
Type | Definition | Spared |
|---|---|---|
Anterograde | Failure to form new memories after the causal event | Memories consolidated before the event |
Retrograde | Loss of memories laid down before the event | Implicit (procedural) memory most consistently; semantic memory relatively |
Ribot's law: in organic retrograde amnesia, recent memories are lost before remote ones, giving a temporal gradient that runs through episodic memory.
Implicit memory survives retrograde amnesia because it does not depend on the hippocampus and medial temporal lobe.
Amnesic syndrome selectively damages episodic memory, with immediate (short-term), working, semantic and procedural memory and priming intact or little affected.
Pattern | Causes |
|---|---|
Impaired registration: poor attention or arousal, reduced span | Delirium, intoxication, severe anxiety |
Anterograde amnesia | Medial temporal or diencephalic damage, post-ictal states, benzodiazepines |
Retrograde amnesia | Head injury, electroconvulsive therapy, herpes encephalitis |
Accelerated long-term forgetting: normal 30-minute recall, loss over days | Transient epileptic amnesia |
Organic amnesias
Korsakoff syndrome is the chronic amnesic state after thiamine deficiency, which damages the mammillary bodies and dorsomedial thalamus.
Korsakoff syndrome gives dense anterograde and variable retrograde amnesia, apathy and confabulation, with working and procedural memory spared.
In suspected Wernicke encephalopathy, give parenteral high-potency thiamine before any carbohydrate or glucose load, to prevent worsening and progression to Korsakoff amnesia.
Alcohol-induced blackouts are anterograde amnesia from failed consolidation of new memories during intoxication, with earlier memories spared.
In schizophrenia, procedural memory is relatively spared while declarative and executive memory systems are impaired.
Post-traumatic amnesia ends when continuous memory returns.
Transient amnesia | Onset and duration | Features |
|---|---|---|
Transient global amnesia | Abrupt, usually after age 50; self-limiting, resolving within 24 hours | Anterograde amnesia, repetitive questioning, preserved identity, no focal signs |
Transient epileptic amnesia | Brief recurrent attacks on waking, each under an hour | Temporal lobe aura; accelerated long-term forgetting |
Psychogenic amnesias
Type | Features |
|---|---|
Global dissociative amnesia | Abrupt onset after severe stress; retrograde loss of autobiographical memory and sometimes of personal identity; new learning and general knowledge spared |
Fugue | Dissociative amnesia with purposeful travel over hours to days; global dissociative amnesia often occurs within one |
Situation-specific (lacunar) amnesia | A gap confined to one traumatic event, with intact memory before and after; documented in offenders, crime victims, adult survivors of childhood sexual abuse and post-traumatic stress disorder |
Organic medial temporal amnesia mainly impairs new learning and keeps identity; dissociative amnesia mainly loses the past, sometimes including identity, and spares new learning.
Testing memory
Domain | Bedside test |
|---|---|
Registration and span | Forward digit span (adult usually 6 to 7); name and address |
Working memory | Backward digit span (healthy adult about 5 plus or minus 1, below forward span); serial sevens; months backwards |
Recent memory (minutes to days) | A checkable recent event, such as the last meal or how the patient arrived |
Delayed recall | List or story after a filled delay of 10 to 30 minutes |
Recognition | Targets among distractors |
Retrograde gradient | Comparable material sampled from recent and remote periods |
Procedural and prospective | A practised skill; a later intended action |
Poor span suggests impaired attention or arousal rather than isolated amnesia.
Retest after days if accelerated forgetting is suspected.
Below-chance forced-choice recognition argues against a simple organic deficit.
Mood, education, language and sensory function affect performance, and an informant shows whether the patient under- or overestimates the difficulty.