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The Unforgettable Amnesiac

jamie found an account in the NYTimes of the life and death of one of the most important figures in modern neuroscience, Henry Gustav Molaison — a man who could not form memories. Molaison became an amnesiac after a brain operation in 1953. Known worldwide as H.M., Molaison was studied intensively for 55 years. Dr. Brenda Milner, a psychologist from Montreal, was the first researcher to visit Molaison. In 1962 she authored a landmark study demonstrating that a part of Molaison's memory was fully intact. "The implications were enormous. Scientists saw that there were at least two systems in the brain for creating new memories. One, known as declarative memory, records names, faces and new experiences and stores them until they are consciously retrieved. ... Another system, commonly known as motor learning, is subconscious and depends on other brain systems. This explains why people can jump on a bike after years away from one and take the thing for a ride, or why they can pick up a guitar that they have not played in years and still remember how to strum it. Soon 'everyone wanted an amnesic to study,' Dr. Milner said..."

39 of 120 comments (clear)

  1. What was I going to post? by isBandGeek() · · Score: 4, Funny

    I forgot.

    1. Re:What was I going to post? by FooAtWFU · · Score: 4, Funny

      See? Your motor-memory posting skills are obviously intact!

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    2. Re:What was I going to post? by buswolley · · Score: 4, Informative
      Let me fix this thread:

      New Topic:

      H.M. learned how to solve the Tower of Hanoi (documented by decreasing time to solve) but denied ever seeing the Tower of Hanoi before.

      This is an example of some evidence that distinguished between semantic(facts) and episodic(event) memory systems.

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    3. Re:What was I going to post? by buswolley · · Score: 5, Interesting
      Here is another:

      A scientist would tape a tack onto his palm. Then he would walk into the room with H.M. He would first ask him, "Have you ever seen me before?" H.M. would deny ever seeing the scientist before. Then they would shake hands. OUCH!! The scientist leaves the room, and comes back in two minutes. Rinse. Repeat. H.M. over and over would get poked by the tack.

      Then one day: Scientist asks, "Have you ever seen me before?" H.M. denies seeing the scientist before. The scientist offers a hand to shake. H.M. refuses to shake hands. When asked why, H.M. responds,

      "Sometimes scientists tape tacks on their palms."

      --

      A Good Troll is better than a Bad Human.

    4. Re:What was I going to post? by TheLink · · Score: 2, Interesting

      From that account, she (an amnesiac) didn't want to shake Dr. C's hand but didn't know the reason why.

      Does make me wonder about our "gut feel" stuff and how accurate it is, and how it might be subverted. A lot of our decisions are not based on the "declarative" stuff.

      Whether you choose chocolate or vanilla, fried chicken or something else. You might make up the reasons later (justify your decisions), but maybe your gut has already chosen. Of course if you see something gross, your gut gets informed about it and then you don't feel like eating anymore.

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    5. Re:What was I going to post? by stephanruby · · Score: 2, Insightful

      From that account, she (an amnesiac) didn't want to shake Dr. C's hand but didn't know the reason why.

      Without disputing the Doctor's main conclusion, which goes well with the current mainstream understanding in psychology, and without having read the primary source of his study (the google sholar link only showed a summarized secondary source), I'd like to dispute the Doctor's particular line of thinking in this example (at least, the reasoning that I could glean from the secondary source, perhaps his actual study already addresses my concern).

      The second time the Doctor extended his hand to the amnesic patient (the second time he was about to prick her), he must have been even more apprehensive that he was going to be discovered/remembered this second time around.

      Fear only begets fear. Did he try to prick her the exact same way that second time? I doubt it.

      People usually look at their hand when they fear getting bitten/burned. People also try to avoid making eye contact when they're apprehensive, also they'll wait until the last possible moment to act, and then when they do try to act -- they'll do it when the other person is slightly off balance -- and they'll try do it as quickly as possible (thus unintentionally compounding the surprise and the fear in the other person, and thus compounding their own fear even more since both people's fear would only reinforce each others).

      Just imagine a pet that wants to petted by you, but that is already afraid of you. Would you pet such a dog? I doubt it. You would be afraid, right? Then the dog would even be more afraid of you because of your fear. It wouldn't have to be a previous bad memory with that exact same dog that triggers your fear. It's only the body language and the apprehensive vibe that the dog is giving off, and perhaps it could even be the result of a previous childhood memory with a different fearful animal, that is reminding you not to touch this particular fearful dog (although, that last postulation is just an hypothesis, I don't even know if this is what's true in this particular case).

      No, this experiment of pricking this amnesiac should be repeated with an actual good dog trainer, an experienced horse trainer, or a professional poker player, not just a Doctor. And even then, this kind of experiment still wouldn't even be perfect. Its results would have to be interpreted very-very carefully still.

  2. Interesting case by NinthAgendaDotCom · · Score: 4, Interesting

    I can't remember if it was this case or another, but in a cognitive psych class I had, we watched a video about a man who couldn't form new long-term memories. His own wife would walk into a room once, then a second time a few minutes later, and he'd greet her as if he hadn't seen her in years. The most disturbing part was the notebooks he kept. He would write, "Now I'm awake!" And "Now I'm *really* awake." He kept being on the verge of being able to remember his situation, but then losing it.

    --
    -- http://ninthagenda.com/
    1. Re:Interesting case by Lurker2288 · · Score: 4, Informative

      I think the guy you mean is Clive Wearing. Whenever showed his earlier writings, he denied being responsible for them. Over time his caretakers learned to always speak to him in terms of the immediate present, and to never refer to their past time together.

    2. Re:Interesting case by TACD · · Score: 4, Interesting

      You're thinking of Clive Wearing - pretty much the most severe case of amnesia ever recorded. His wife has written a book about her experiences in dealing with it. It's really quite an interesting insight into the way memory functions; for example, he will still hoot with glee whenever his wife enters the room, believing he has not seen her in years. However, even though his illness happened over 30 years ago and his wife has of course visibly aged, he's not surprised by her current appearance.

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    3. Re:Interesting case by tomhudson · · Score: 2, Interesting

      There was this one guy a few years ago who, whenever he bumped his head (not a big bump, either), he'd forget what he was doing.

      He sat in a van for 2 days in the middle of winter, engine idling, trying to figure out what to do next. The Montreal police finally found him and called his wife.

      Memory is a strange beast at times.

    4. Re:Interesting case by Ihmhi · · Score: 4, Funny

      ...and his wife has of course visibly aged, he's not surprised by her current appearance.

      Well of course not, he hasn't seen her in years!

  3. I believe this was part of the inspiration by Jane+Q.+Public · · Score: 4, Informative

    for the movie "Memento".

    1. Re:I believe this was part of the inspiration by Anonymous Coward · · Score: 3, Funny

      ...and 50 First Dates.

    2. Re:I believe this was part of the inspiration by pushing-robot · · Score: 4, Funny

      Just when you thought it was safe to form new memories...

      --
      How can I believe you when you tell me what I don't want to hear?
    3. Re:I believe this was part of the inspiration by Jane+Q.+Public · · Score: 2, Funny

      Even funnier that only one of them was at all memorable.

    4. Re:I believe this was part of the inspiration by tehcyder · · Score: 2, Funny

      Which one was that?

      --
      To have a right to do a thing is not at all the same as to be right in doing it
  4. Offered his brain for further scientific study by haus · · Score: 4, Interesting

    I am sure that this man's misfortune has provided the rest of us a great opportunity to benefit form the research that has been performed on him to date, and possible further gains with his brian now (or soon to be) directly accessible to scientific research.

    But I do wonder how a man who was unable to create new memories (or at least had great difficulty in this area) would be able to take in what is going on around him and give informed consent to offer his brain for further study after his passing.

    1. Re:Offered his brain for further scientific study by Lurker2288 · · Score: 2, Informative

      I'm not familiar with the details of this case, but most likely he was declared unable to manage his own affairs due to his mental status, in which case a caregiver (usually a family member) would be assigned to make decisions for him. It may not be ideal, but it's probably the best way we have of dealing with informed consent in cases of patients who are unable to give fully informed consent.

    2. Re:Offered his brain for further scientific study by haus · · Score: 4, Interesting

      This may well be, but the NPR piece on this seem to make a big point about HM himself wanting his brain to be available for further research.

      In my mind this would seem to imply that he had an understanding that he was an unusual case. The story seemed to imply that with great effort he was able to remember items beyond the 30 seconds of short term memory, but given the complexities of this case I wonder how much he himself understood of it as his life drew to a close.

    3. Re:Offered his brain for further scientific study by Clanked · · Score: 2, Interesting

      In the article it stated that all the while he had a sense that he was helping something important. His sub conscious was still in tact, and was probably what made him so interesting. He could be taught to do things, without knowing it.
      So sub consciously he knew he was helping. So when asked to consent to giving his brain up, it was probably that sub conscious that gave him the feeling to say "Yes, I'll do that."

    4. Re:Offered his brain for further scientific study by Korbeau · · Score: 2, Funny

      You only have to get his signature on some paper ONCE ;)

    5. Re:Offered his brain for further scientific study by buswolley · · Score: 2, Informative

      If he is unable or unfit to give consent, then his legal guardian would have been. How else do you think that research on children, or with people with Autism is able to get conducted?

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      A Good Troll is better than a Bad Human.

    6. Re:Offered his brain for further scientific study by venicebeach · · Score: 4, Informative

      Yes, H.M. was aware of his condition, which is typical of temporal lobe amnesia. (Patients who also have damage to the frontal lobes as in Korsakoff's syndrome are often unaware of their memory deficit, a form of anosognosia.)

      One of the quotes from H.M. I always read in my neuroscience classes:

      "Right now I'm wondering, have I done or said anything amiss? You see, at this moment everything looks clear to me, but what happened just before? That's what worries me. It's like waking from a dream; I just don't remember.... Every day is alone in itself, whatever enjoyment I've had, whatever sorrow."

      RIP, Henry.

    7. Re:Offered his brain for further scientific study by tehcyder · · Score: 2, Funny

      How else do you think that research on children, or with people with Autism is able to get conducted?

      Evil Mad Nazi Scientists?

      --
      To have a right to do a thing is not at all the same as to be right in doing it
  5. thanks for the memories by jollyreaper · · Score: 4, Funny

    So when we see this article duped next week, now we'll know why?

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    1. Re:thanks for the memories by Tubal-Cain · · Score: 4, Funny

      Where were you last week? This is the dupe.

  6. Authored???? by duncan+bayne · · Score: 2, Funny

    Verbing weirds language :-(

    1. Re:Authored???? by lilomar · · Score: 4, Informative

      Author has been a verb (and a noun) since at least 1596 (oed).

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      The creator of this post (Jacob Smith) hereby releases it, and all of his other posts, into the public domain.
    2. Re:Authored???? by TapeCutter · · Score: 4, Informative

      Give it up, I'm 50 and have known about it since high school.

      --
      And did you exchange a walk on part in the war for a lead role in a cage? - Pink Floyd.
    3. Re:Authored???? by bmo · · Score: 4, Interesting

      It's been a valid use of the word for 400 years.

      "The problem with defending the purity of the English language is that English is about as pure as a cribhouse whore. We don't just borrow
      words; on occasion, English has pursued other languages down alleyways to beat them unconscious and rifle their pockets for new vocabulary."
      --James D. Nicoll

  7. Hmm... by Konster · · Score: 3, Funny

    Looking down from Heaven, Gustav Molaison was surprised to learn people remembered him.

  8. H.M. Is the Father of my Field by buswolley · · Score: 4, Informative
    Seriously. As far as the summary: Decalarative vs Implicit memory systems. Yes. But also: Semantic vs. Episodic Memory Systems.

    The most important contribution of H.M. is helping pin down the fact that for Episodic memory, the Medial Temporal Lobe is critical. From there a whole lot of work has been done pinning down the sub regions of the Medial Temporal Lobe with memory function:

    The hippocampus: CA1 CA3 and dentate gyrus, is important for associating memory traces with contexts. The surrounding cortices important for making global assessments of the familiarity of a memory trace. Look up Professor Andrew Yonelinas at his UC Davis website for some current reviews of Recollection and Familiarity processes.

    --

    A Good Troll is better than a Bad Human.

    1. Re:H.M. Is the Father of my Field by zappepcs · · Score: 2, Interesting

      When I see slashdot stories like this, I'm always hopeful that someone will post links to relevant and insightful research information that I might use to glean more insight into how intelligence works. I do realize that this last sentence might not have been overly intelligent, but I do have a notion that the human brain (in fact all mammalian brains) function as several highly integrated processors might. I've tried finding discussions and research along these lines, but it would seem non-existent or not accessible to me.

      When we think of the memory functions learned through H.M. and others, it seems like we are seeing the function of wetware applications and how they interact as well as what part of the brain provides processing for them... if you can think of the brain that way.

      If anyone is interested, I also have a notion that much of the interlinking of processes can be represented as a large (read complex) cascade of FSM whose states are processed out of band of actual data. That is to say that the complex state of external processes drives or guides data processing in any given process inside the brain.

      I probably sound like I'm talking out of an orifice, but thanks for the look up reference.

      For others: Here is a search at UCDavis for Yonelinas

    2. Re:H.M. Is the Father of my Field by zappepcs · · Score: 2, Informative

      mea culpa - Yes, I did mean finite state machine. Though a complex cascade of flying spaghetti monsters has a certain ring to it.

  9. Link to another interesting article by Matt+Perry · · Score: 4, Informative

    I find this stuff fascinating. Oliver Sacks, who has researched this condition, wrote a lengthy article about Clive Wearing, who is another person with the same condition as H.M.

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  10. One of the best ways to explore motor control by sleeponthemic · · Score: 2, Interesting

    One of the best ways to explore motor control retention is to practice drumming. It is uncanny (and fascinating) how you can conquer a pattern requiring new and unfamiliar coordination with some proficiency, sleep, and the next day be much more capable (to the point of it often being trivial) of reproducing it. I think if more people understood just how easily the mind can be developed, we'd have a whole lot more proactive people in society. Stuff like this would be great for teaching kids confidence in their own abilities.

    --
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  11. It doesn't matter. by Renozhin · · Score: 2, Informative

    As long as you remember Sammy Jenkis you'll be fine.

  12. This is obvious if you have experienced it by ile.vm · · Score: 3, Interesting

    A very good friend of mine hit her head, and had amnesia for about 5 days. She didn't know anyone's name, for example, including her own. Her parents and boyfriend were strangers. We took her to the pool for morning workout (we were both on the swim team). She says that she swam to the opposite wall, and remembers thinking "I don't know what I'm supposed to do when I get to the wall. How do I turn around?" Her body promptly went through a typical perfectly executed flip turn, and as she pulled away, she thought to herself "Oh, I guess that must be what you do."

  13. 3 Case Studies by DynaSoar · · Score: 2, Informative

    Due to an accidental needle stick while working in surgery, I contracted hepatitis C. I didn't know it until my liver almost stopped working. The way I found out about it was being told that I'd totaled my van the day before as well as having two other accidents. In all 3 cases the police came and didn't detect any evidence of intoxication. And I wasn't intoxicated. But I was anesthetized. I was taking prescribed amounts of Ativan and Benadryl. My liver wasn't clearing them out of me, and they built up to a level that made me a fully functional zombie. I've since had another episode of amnesia caused by medication, and my liver is running at 100% now. I took Ambien, and ended up 2 days later finding out that I'd spent the previous 2 days eating all 30 days worth of the stuff, forgetting that I'd taken any previously. The first dose caused it. And it's even listed as a side effect: "can cause sleep walking with no memory of the event". It's not sleepwalking, but it's a good description anyway.

    The most distressing case of amnesia I ever saw was an educational movie about a man who had been an orchestra conductor, had been in an accident, and due to the whiplash effect of the brain inside the skull, sustained brain damage in the hippocampus, where memories are formed. The best (or worst, you decide) example of what a person goes through was shown in the movie as he wrote in his journal "I have just woken up. I have only just this moment become aware." Over, and over, and over, day after day.

    I once visited a man in a nursing home who had amnesia. He was due to all the thiamine (vitamin B-1) being washed out of his hippocampus by alcohol. Commonly called "wet brain", its clinical name is Wernicke-Korsakoff syndrome. It appears almost exactly like Alzheimer's. You can tell the difference by giving the person a list of words to remember. Later, ask them to recall the words, and neither can. But give the first two letters of the words, and the W-K patients can recall the words. They have implicit memory -- they can remember, but they don't know they remember. The Alzheimer's patients can't recall even having been given the list if shown the complete list later. As I spoke with this man, he frequently interrupted and asked me my name, what I do for a living, and similar questions, and asked these same questions again every couple minutes. He never once caught on to the fact that I was his son, and I didn't bother to tell him, because he wouldn't have remembered it just a few minutes later.

    --
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