Interpretations of meaningful and ambiguous hand gestures in autistic and non-autistic adults: A norming study.

Gestures are ubiquitous in human communication, and a growing but inconsistent body of research suggests that people with autism spectrum disorder (ASD) may process co-speech gestures differently from neurotypical individuals. To facilitate research on this topic, we created a database of 162 gesture videos that have been normed for comprehensibility by both autistic and non-autistic raters. These videos portray an actor performing silent gestures that range from highly meaningful (e.g., iconic gestures) to ambiguous or meaningless. Each video was rated for meaningfulness and given a one-word descriptor by 40 autistic and 40 non-autistic adults, and analyses were conducted to assess the level of within- and across-group agreement. Across gestures, the meaningfulness ratings provided by raters with and without ASD correlated at r > 0.90, indicating a very high level of agreement. Overall, autistic raters produced a more diverse set of verbal labels for each gesture than did non-autistic raters. However, measures of within-gesture semantic similarity among the responses provided by each group did not differ, suggesting that increased variability within the ASD group may have occurred at the lexical rather than semantic level. This study is the first to compare gesture naming between autistic and non-autistic individuals, and the resulting dataset is the first gesture stimulus set for which both groups were equally represented in the norming process. This database also has broad applicability to other areas of research related to gesture processing and comprehension. The video database and accompanying norming data are available on the Open Science Framework.

3D Nipple-Areolar Tattoo: It's Technique, Outcomes, and Utilization.

BACKGROUND: Three-dimensional (3D) nipple-areolar tattoo is a novel approach to nipple-areolar complex reconstruction for which little data exist. Our aim was to evaluate 3D nipple-areolar tattoo outcomes and investigate if patient factors, payer status, surgeries, or therapies affect tattoo utilization. METHODS: Patients pursuing skin-sparing (SSM) or attempted nipple-sparing mastectomy (NSM) with breast reconstruction from 2008 to 2019 were reviewed. Outcomes included frequency of 3D tattoo, post-procedure complications (infections, or other local adverse sequelae), and rates, indications, and timing of revisions. Patient factors, payer status, surgeries, and adjuvant therapies underwent univariate analysis comparing rates of 3D tattoo and revisions. RESULTS: A total of 191 patients were identified; median follow-up was 4 years. The majority of patients were white (165, 86%), married (146, 76%), and post-menopausal (97, 51%), with private insurance (156, 81%). Surgeries included SSM (172, 90%) or attempted NSM (19, 10%) with implant (154, 81%) or autologous reconstruction (37, 19%). Sixty-two patients (32%) underwent 3D nipple-areolar tattooing. No post-procedure complications occurred. After tattooing, 20 patients (32%) pursued revisions, the majority due to color fading (12, 60%). Average time from tattoo to completion of revisions was 5.6 months. Patients undergoing autologous reconstruction had a higher rate of 3D tattooing (p < 0.001). Adjuvant radiation led to a higher rate of revisions (p = 0.02). Patient factors, payer status, index mastectomy, and chemotherapy did not significantly affect rates of 3D tattooing or revisions. CONCLUSIONS: 3D nipple-areolar tattoo utilization is likely unaffected by age, marriage, menopause, or payer status. Radiotherapy and color fading can lead to more revisions. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Frontal alpha asymmetry in schizotypy: electrophysiological evidence for motivational dysfunction.

Introduction: Schizotypy is defined as personality traits reflecting an underlying risk for schizophrenia-spectrum disorders. As yet, there is a dearth of suitable objective markers for measuring schizotypy. Frontal alpha asymmetry, characterised by reduced left versus right frontal region activity, reflects trait-like diminished approach-related systems and has been found in schizophrenia. Methods: The present study used electroencephalography (EEG) recorded on a consumer-grade mobile headset to examine asymmetric resting-state frontal alpha, beta, and gamma power within the multidimensional schizotypy (e.g. positive, negative, disorganised) during a three-minute "eyes closed" resting period in college undergraduates (n=49). Results: Findings suggest that schizotypy was exclusively related to reduced left versus right-lateralised power in the alpha frequency (8.1-12.9 Hz., R2= .16). Follow-up analysis suggested that positive schizotypy was uniquely associated with increased right alpha activity, indicating increased withdrawal motivation. Conclusions: Frontal asymmetry is a possible ecologically valid objective marker for schizotypy that may be detectable using easily accessible, consumer-grade technology.

The Hippocampus Promotes Effective Saccadic Information Gathering in Humans.

It is well established that the hippocampus is critical for memory. Recent evidence suggests that one function of hippocampal memory processing is to optimize how people actively explore the world. Here we demonstrate that the link between the hippocampus and exploration extends even to the moment-to-moment use of eye movements during visuospatial memory encoding. In Experiment 1, we examined relationships between study-phase eye movements in healthy individuals and subsequent performance on a spatial reconstruction test. In addition to quantitative measures of viewing behaviors (e.g., how many fixations or saccades were deployed during study), we used the information-theoretic measure of entropy to assess the amount of randomness or disorganization in participants' scanning behaviors. We found that the use of scanpaths during study that were lower in entropy (e.g., more organized, less random) predicted more accurate spatial reconstruction both within and between participants. Scanpath entropy was a better predictor of reconstruction accuracy than were the quantitative measures of viewing. In Experiment 2, we found that individuals with hippocampal amnesia tended to engage in viewing patterns that were higher in entropy (less organized) relative to healthy comparisons. These findings reveal a critical role of the hippocampus in guiding eye movement exploration to optimize visuospatial relational memory.

Reconstructing relational information.

Hippocampal involvement in learning and remembering relational information has an extensive history, often focusing specifically on spatial information. In humans, spatial reconstruction (SR) paradigms are a powerful tool for evaluating an individuals' spatial-relational memory. In SR tasks, participants study locations of items in space and subsequently reconstruct the studied display after a short delay. Previous work has revealed that patients with hippocampal damage are impaired both in overall placement accuracy as well as on a specific measure of relational memory efficacy, "swaps" (i.e., when the relative location of two items is reversed). However, the necessity of the hippocampus for other types of spatial-relational information involved in reconstruction behaviors (e.g., where in the environment and relative to which other items an item was located) have not yet been investigated systematically. In this work, three patients with hippocampal damage and nine healthy matched comparison participants performed an SR task. An analysis framework was developed to independently assess three first-order types of relations: (1) memory for the binding of specific item identities to locations, (2) memory for arrangement of items in relation to each other or the environment bounds, regardless of memory for the item identity, and (3) higher-order, compound relational errors (i.e., errors involving multiple pieces of relational information). Reconstruction errors were evaluated to determine the degree to which patients and comparisons differed (or not) on each type of spatial-relational information. Data revealed that the primary group difference in performance was for identity-location information. However, when the locations of items were evaluated without regarding the identities, no group difference was found in the number of item placements to studied locations. The present work provides a principled approach to analysis of SR data and clarifies our understanding of the types of spatial relations impaired in hippocampal damaged.

Infectious Surgical Complications are Not Dichotomous: Characterizing Discordance Between Administrative Data and Registry Data.

OBJECTIVE: To characterize reasons for discordance between administrative data and registry data in the determination of postoperative infectious complications. BACKGROUND: Data regarding the occurrence of postoperative surgical complications are identified through either administrative or registry data. Rates of complications vary significantly between these two types of data; the reasons for this are not well-understood. METHODS: The occurrence of 30-day inpatient infectious complications (pneumonia, sepsis, surgical site infection, and urinary tract infection) was compared between the NSQIP and administrative mechanisms at 4 academic hospitals between 2012 and 2014. In each situation where the NSQIP and administrative data were discordant regarding the occurrence of a specific complication, a 2-clinician chart abstraction was performed to characterize the reasons for discordance as (i) administrative coding error, (ii) NSQIP coding error, (iii) "question of criteria", where the discordance was the result of differences in criteria, or (iv) "dually incorrect", where both data sources coded the complication incorrectly. RESULTS: The cohort included 19,163 patients undergoing surgery in 4 different academic hospitals. Rates of infectious complications varied up to 5-fold between the two data sources. A total of 717 discordant complications were identified. Of these, the greatest portion (43%) was due to "question of criteria," followed by administrative coding error (37%), NSQIP error (15%), and dually incorrect (5%). CONCLUSIONS: With a goal of improving existing mechanisms for measuring surgical quality, definitions for the occurrence of a postoperative complication need to be developed and applied consistently. Progress toward this goal will enable patients and payers to better take advantage of recent advances in healthcare data transparency.

Is Routine Pathologic Evaluation of Sebaceous Cysts Necessary?: A 15-Year Retrospective Review of a Single Institution.

A question arose in our practice of whether all cysts considered sebaceous should be sent for pathologic evaluation. To address this controversial topic, we performed a retrospective study of our single institution's histopathology database. A natural language search of the CoPath database across the institution was undertaken using the diagnosis of sebaceous cyst, epidermal cyst, epidermoid cyst, epithelial cyst, infundibular cyst, pilar cyst, trichilemmal cyst, and steatocystoma. A surgical pathologic review of all specimens with one of these preexcision diagnoses was included in the 15-year retrospective study of 1998 to 2013. All slides were confirmed to have undergone histopathologic review, and the preexcision diagnoses were compared with the postexcision diagnoses. Chart review was undertaken in instances of a diagnosis of malignancy. A total of 13,746 samples were identified. Forty-eight specimens had histopathologic diagnosis of malignancy, for an incidence of 0.3% and with the most common malignancy being squamous cell carcinoma. Chart review showed that for all cases, the surgeons reported uncertainty with regard to the diagnosis because of history or physical characteristics, or both. In addition, a comprehensive literature review showed results consistent with our data and illustrated 19 cases during the past 10 years in which most of the findings were squamous cell carcinoma. We propose the recommendation that routine pathologic evaluation of sebaceous cysts is necessary only when clinical suspicion exists.

Manipulating letter fluency for words alters electrophysiological correlates of recognition memory.

The mechanisms that give rise to familiarity memory have received intense research interest. One current topic of debate concerns the extent to which familiarity is driven by the same fluency sources that give rise to certain implicit memory phenomena. Familiarity may be tied to conceptual fluency, given that familiarity and conceptual implicit memory can exhibit similar neurocognitive properties. However, familiarity can also be driven by perceptual factors, and its neural basis under these circumstances has received less attention. Here we recorded brain potentials during recognition testing using a procedure that has previously been shown to encourage a reliance on letter information when assessing familiarity for words. Studied and unstudied words were derived either from two separate letter pools or a single letter pool ("letter-segregated" and "normal" conditions, respectively) in a within-subjects contrast. As predicted, recognition accuracy was higher in the letter-segregated relative to the normal condition. Electrophysiological analyses revealed parietal old-new effects from 500-700 ms in both conditions. In addition, a topographically dissociable occipital old-new effect from 300-700 ms was present in the letter-segregated condition only. In a second experiment, we found that similar occipital brain potentials were associated with confident false recognition of words that shared letters with studied words but were not themselves studied. These findings indicate that familiarity is a multiply determined phenomenon, and that the stimulus dimensions on which familiarity is based can moderate its neural correlates. Conceptual and perceptual contributions to familiarity vary across testing circumstances, and both must be accounted for in theories of recognition memory and its neural basis.

Dynamic interactions between memory and viewing behaviors: Insights from dyadic modeling of eye movements.

Humans use eye movements to build visual memories. We investigated how the contributions of specific viewing behaviors to memory formation evolve over individual study epochs. We used dyadic modeling to explain performance on a spatial reconstruction task based on interactions among two gaze measures: (a) the entropy of the scanpath and (b) the frequency of item-to-item gaze transitions. To measure these interactions, our hypothesized model included causal pathways by which early-trial viewing behaviors impacted subsequent memory via downstream effects on later viewing. We found that lower scanpath entropy throughout the trial predicted better memory performance. By contrast, the effect of item-to-item transition frequency changed from negative to positive as the trial progressed. The model also revealed multiple pathways by which early-trial viewing dynamically altered late-trial viewing, thereby impacting memory indirectly. Finally, individual differences in scores on an independent measure of memory ability were found to predict viewing effectiveness, and viewing behaviors partially mediated the relation between memory ability and reconstruction accuracy. In a second experiment, the model showed a good fit for an independent dataset. These results highlight the dynamic nature of memory formation and suggest that the order in which eye movements occur can critically determine their effectiveness. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Behavioral and electrophysiological evidence for the flexible recruitment of feature- and object-based processing in visual working memory comparison.

Previous research is inconclusive on when visual working memory (VWM) can be object-based or feature-based. Prior event-related potential (ERP) studies using change detection tasks have found that amplitudes of the N200-an ERP index of VWM comparison- are sensitive to changes in both relevant and irrelevant features, suggesting a bias toward object-based processing. To test whether VWM comparison processing can operate in a feature-based manner, we aimed to create circumstances that would support feature-based processing by: 1) using a strong task-relevance manipulation, and 2) repeating features within a display. Participants completed two blocks of a change detection task for four-item displays in which they were told to respond to color changes (task relevant) but not shape changes (task irrelevant). The first block contained only task-relevant changes to create a strong task-relevance manipulation. In the second block, both relevant and irrelevant changes were present. In both blocks, half of the arrays contained within-display feature repetitions (e.g. two items of the same color or shape). We found that during the second block, N200 amplitudes were sensitive to task-relevant but not irrelevant features regardless of repetition status, consistent with feature-based processing. However, analyses of behavioral data and N200 latencies suggested that object-based processing was occurring at some stages of VWM processing on task-irrelevant feature change trials. In particular, task-irrelevant changes may be processed after no task-relevant feature change is revealed. Overall, the results from the current study suggest that the VWM processing is flexible and can be either object- or feature-based.

Conceptual priming and familiarity: different expressions of memory during recognition testing with distinct neurophysiological correlates.

Familiarity and recollection are qualitatively different explicit-memory phenomena evident during recognition testing. Investigations of the neurocognitive substrates of familiarity and recollection, however, have typically disregarded implicit-memory processes likely to be engaged during recognition tests. We reasoned that differential neural responses to old and new items in a recognition test may reflect either explicit or implicit memory. Putative neural correlates of familiarity in prior experiments, for example, may actually reflect contamination by implicit memory. In two experiments, we used obscure words that subjects could not formally define to tease apart electrophysiological correlates of familiarity and one form of implicit memory, conceptual priming. In Experiment 1, conceptual priming was observed for words only if they elicited meaningful associations. In Experiment 2, two distinct neural signals were observed in conjunction with familiarity-based recognition: late posterior potentials for words that both did and did not elicit meaningful associations and FN400 potentials only for the former. Given that symbolic meaning is a prerequisite for conceptual priming, the combined results specifically link late posterior potentials and FN400 potentials with familiarity and conceptual priming, respectively. These findings contradict previous interpretations of FN400 potentials as generic signals of familiarity and show that repeated stimuli in recognition tests can engender facilitated processing of conceptual information in addition to retrieval processing that leads to the awareness of memory retrieval. The different characteristics of the electrical markers of these two types of process further underscore the biological validity of the distinction between implicit memory and explicit memory.

Familiarity or conceptual priming? Good question! Comment on Stenberg, Hellman, Johansson, and Rosén (2009).

Stenberg et al. argued that FN400 brain potentials index familiarity rather than conceptual priming. Their data from a test of name recognition showed that both familiarity and FN400s were influenced by frequency but not fame, whereas separate behavioral measures of priming were influenced by fame but not frequency. However, this apparent dissociation was gravely weakened by confounds in task demands and inadequate behavioral measures of priming. Although Stenberg et al. failed to provide evidence suitable for disentangling neural correlates of familiarity from those of conceptual priming, an analysis of their report can be used to highlight difficulties that remain to be surmounted to understand recognition and the neural events that signal distinct memory functions engaged during recognition.

Adult Age Differences in the Use of Conceptual Combination as an Associative Encoding Strategy.

It is well-established that aging impairs memory for associations more than it does memory for single items. Aging also impacts processes involved in online language comprehension, including the ability to form integrated, message-level representations. These changes in comprehension processes could impact older adults' associative memory performance, perhaps by reducing or altering the effectiveness of encoding strategies that encourage semantic integration. The present study examined age differences in the use of a strategy termed conceptual combination, which involves integrating two words (e.g., "winter" and "salad") into a single concept ("a salad for winter"). We recorded ERPs while participants studied unrelated noun pairs using a strategy that either did or did not encourage conceptual combination. We also varied the concreteness of the first noun in each pair in order to measure compositional concreteness effects, or ERP differences at the second noun due to the concreteness of the first noun. At the first nouns, older adults showed word-level concreteness effects that were similar to those of younger adults. However, compositional concreteness effects were diminished in older adults, consistent with reduced semantic integration. Older adults' associative memory performance was better for word pairs studied during the conceptual combination task versus the non-combinatory encoding task; however, the magnitude of the age-related associative memory deficit did not differ between tasks. Finally, analyses of both memory accuracy and trial-by-trial ratings of perceived combination success suggested that older adults had disproportionate difficulty applying the conceptual combination strategy to word pairs that began with abstract nouns. Overall, these results indicate that changes to integrative language processing that occur with age are not independent of - and may sometimes exacerbate - age-related memory decline.

Grappling With Implicit Social Bias: A Perspective From Memory Research.

There is now widespread consensus that social biases often influence actions independently of the actor's intention or awareness. The notion that we are sometimes blind to the origins of our thoughts, attitudes, and behaviors also features prominently in research into domain-general human memory systems, which has a long history of distinguishing between implicit and explicit repercussions of past experience. A shared challenge across these fields of study is thus to identify techniques for effectively managing the contents of our memory stores, particularly those aspects into which we have limited metacognitive insight. In the present review, we examine recent developments in the cognitive neuroscience of human memory that speak to this challenge as it applies to the social domain. One area of progress pertains to the role of individuation, the process of attending to and representing in memory unique characteristics of individuals, which can limit the influence of generalizations based on social categories. A second body of work concerns breakthroughs in understanding memory consolidation, which determines the fate of newly encoded memories. We discuss the promise of each of these developments for identifying ways to become better stewards of our social minds. More generally, we suggest that, as with other forms of learning and memory, intentional practice and rehearsal may be critical in learning to minimize unwanted biases.

A Survey of the Prevalence and Practice Patterns of Human Acellular Nerve Allograft Use.

BACKGROUND: There have been many technical and scientific advances over the last decade in peripheral nerve surgery. Human acellular nerve graft (HANA) has become increasingly popular but current practice patterns among hand surgeons have yet to be defined. Coding practices may not have kept up with this innovation. A 26 question survey of hand surgeons was performed to evaluate the adoption of HANA, and current coding and billing practices. The survey was sent to hand surgeons trained in orthopedic, plastic, general, and neuro surgery. The survey was designed and implemented by the Mayo Clinic Survey Center. RESULTS: Four hundred sixty-one responses to the survey were received. Most respondents currently use HANA (70%). Of those surgeons who do use HANA, nearly all use it less than 10 times per month (98%). There was no significant difference in the use of HANA across different specialties. There was a significant difference in HANA use depending on practice type with higher use by those in group private practice (57%) compared with academic practice (28%), solo practice (12%), and other practice environment (3%). There was a significant difference in HANA use depending on the number of years in practice. Those in practice less than 5 years used HANA the most (32%), followed by > 20 years in practice (27%), 6-10 years in practice (16%), 16-20 years in practice (14%), and 11-15 years in practice (11%). When asked the Current Procedural Terminology code they would use to bill for the procedure of choice, the most common response was 64910 (nerve repair with synthetic conduit or vein allograft). CONCLUSIONS: HANA has surpassed nerve conduit as the traditional gold standard in our study with nearly 70% of hand surgeons using HANA in their practice and a greater percentage of respondents choosing HANA as their first choice to repair as compared with nerve conduit, nerve autograft, or vein graft. There remains confusion regarding appropriate billing practices for the use of HANA. Due to its common use, a Current Procedural Terminology code should specifically designated for the use of HANA in the hand.

Flexible conceptual combination: Electrophysiological correlates and consequences for associative memory.

When meaningful stimuli such as words are encountered in groups or pairs (e.g., "elephant-ferry"), they can be processed either separately or as an integrated concept ("an elephant ferry"). Prior research suggests that memory for integrated associations is supported by different mechanisms than is memory for nonintegrated associations. However, little is known about the neurocognitive mechanisms that support the integration of novel stimulus pairs. We recorded ERPs while participants memorized sequentially presented, unrelated noun pairs using a strategy that either did or did not involve attempting to construct coherent definitions. We varied the concreteness of the first noun in each pair to examine whether conceptual combination instructions would induce compositional concreteness effects, or differences in ERPs evoked by the second noun as a function of the concreteness of the first noun. We found that the conceptual combination task, but not the noncombinatory encoding task, produced compositional concreteness effects on a late frontal negativity previously linked to visual imagery. Moreover, word pairs studied under conceptual combination instructions showed evidence of more unitized or holistic memory representations on associative recognition and free recall tests. Finally, item analyses indicated that (a) items with higher normed imageability ratings were rated by participants as easier to conceptually combine, and (b) in the conceptual combination task, ease-of-combination ratings mediated an indirect relationship between imageability and subsequent associative memory. These data are suggestive of a role of compositional imagery in the online formation of novel concepts via conceptual combination.

Dynamic Hippocampal and Prefrontal Contributions to Memory Processes and Representations Blur the Boundaries of Traditional Cognitive Domains.

The hippocampus has long been known to be a critical component of the memory system involved in the formation and use of long-term declarative memory. However, recent findings have revealed that the reach of hippocampal contributions extends to a variety of domains and tasks that require the flexible use of cognitive and social behavior, including domains traditionally linked to prefrontal cortex (PFC), such as decision-making. In addition, the prefrontal cortex (PFC) has gained traction as a necessary part of the memory system. These findings challenge the conventional characterizations of hippocampus and PFC as being circumscribed to traditional cognitive domains. Here, we emphasize that the ability to parsimoniously account for the breadth of hippocampal and PFC contributions to behavior, in terms of memory function and beyond, requires theoretical advances in our understanding of their characteristic processing features and mental representations. Notably, several literatures exist that touch upon this issue, but have remained disjointed because of methodological differences that necessarily limit the scope of inquiry, as well as the somewhat artificial boundaries that have been historically imposed between domains of cognition. In particular, this article focuses on the contribution of relational memory theory as an example of a framework that describes both the representations and processes supported by the hippocampus, and further elucidates the role of the hippocampal-PFC network to a variety of behaviors.

Relational memory and self-efficacy measures reveal distinct profiles of subjective memory concerns in older adults.

OBJECTIVE: Subjective memory concerns (SMCs) in healthy older adults are associated with future decline and can indicate preclinical dementia. However, SMCs may be multiply determined, and often correlate with affective or psychosocial variables rather than with performance on memory tests. Our objective was to identify sensitive and selective methods to disentangle the underlying causes of SMCs. METHOD: Because preclinical dementia pathology targets the hippocampus, we hypothesized that performance on hippocampally dependent relational memory tests would correlate with SMCs. We thus administered a series of memory tasks with varying dependence on relational memory processing to 91 older adults, along with questionnaires assessing depression, anxiety, and memory self-efficacy. We used correlational, regression, and mediation analyses to compare the variance in SMCs accounted for by these measures. RESULTS: Performance on the task most dependent on relational memory processing showed a stronger negative association with SMCs than did other memory performance metrics. SMCs were also negatively associated with memory self-efficacy. These 2 measures, along with age and education, accounted for 40% of the variance in SMCs. Self-efficacy and relational memory were uncorrelated and independent predictors of SMCs. Moreover, self-efficacy statistically mediated the relationship between SMCs and depression and anxiety, which can be detrimental to cognitive aging. CONCLUSIONS: These data identify multiple mechanisms that can contribute to SMCs, and suggest that SMCs can both cause and be caused by age-related cognitive decline. Relational memory measures may be effective assays of objective memory difficulties, while assessing self-efficacy could identify detrimental affective responses to cognitive aging. (PsycINFO Database Record

Retrieval intention modulates the effects of directed forgetting instructions on recollection.

The neurocognitive basis of memory retrieval is often examined by investigating brain potential old/new effects, which are differences in brain activity between successfully remembered repeated stimuli and correctly rejected new stimuli in a recognition test. In this study, we combined analyses of old/new effects for words with an item-method directed-forgetting manipulation in order to isolate differences between the retrieval processes elicited by words that participants were initially instructed to commit to memory and those that participants were initially instructed to forget. We compared old/new effects elicited by to-be-forgotten (TBF) words with those elicited by to-be-remembered (TBR) words in both an explicit-memory test (a recognition test) and an implicit-memory test (a lexical-decision test). Behavioral results showed clear directed forgetting effects in the recognition test, but not in the lexical decision test. Mirroring the behavioral findings, analyses of brain potentials showed evidence of directed forgetting only in the recognition test. In this test, potentials from 450-650 ms (P600 old/new effects) were more positive for TBR relative to TBF words. By contrast, P600 effects evident during the lexical-decision test did not differ in magnitude between TBR and TBF items. When taken in the context of prior studies that have linked similar parietal old/new effects to the recollection of episodic information, these data suggest that directed-forgetting effects manifest primarily in greater episodic retrieval by TBR than TBF items, and that retrieval intention may be important for these directed-forgetting effects to occur.

More than a feeling: Pervasive influences of memory without awareness of retrieval.

The subjective experiences of recollection and familiarity have featured prominently in the search for neurocognitive mechanisms of memory. However, these two explicit expressions of memory, which involve conscious awareness of memory retrieval, are distinct from an entire category of implicit expressions of memory that do not entail such awareness. This review summarizes recent evidence showing that neurocognitive processing related to implicit memory can powerfully influence the behavioral and neural measures typically associated with explicit memory. Although there are striking distinctions between the neurocognitive processing responsible for implicit versus explicit memory, tests designed to measure only explicit memory nonetheless often capture implicit memory processing as well. In particular, the evidence described here suggests that investigations of familiarity memory are prone to the accidental capture of implicit memory processing. These findings have considerable implications for neurocognitive accounts of memory, as they suggest that many neural and behavioral measures often accepted as signals of explicit memory instead reflect the distinct operation of implicit memory mechanisms that are only sometimes related to explicit memory expressions. Proper identification of the explicit and implicit mechanisms for memory is vital to understanding the normal operation of memory, in addition to the disrupted memory capabilities associated with many neurological disorders and mental illnesses. We suggest that future progress requires utilizing neural, behavioral, and subjective evidence to dissociate implicit and explicit memory processing so as to better understand their distinct mechanisms as well as their potential relationships. When searching for the neurocognitive mechanisms of memory, it is important to keep in mind that memory involves more than a feeling.