RESUMO
The long-term fate of to-be-remembered information depends in part on the conditions of initial learning, including mental operations engaged via working memory. However, the mechanistic role of working memory (WM) processes in subsequent episodic memory (EM) remains unclear. Does re-exposure to word-pairs during WM recognition testing improve EM for those associations? Are benefits from WM re-exposure greater after an opportunity for retrieval practice compared to mere re-exposure to the memoranda? These questions are addressed in three experiments (N = 460) designed to assess whether WM-based recognition testing benefits long-term associative memory relative to WM-based restudying. Our results show null or negative benefits of WM recognition testing minutes later when initial WM accuracy was not considered. An EM benefit of WM recognition testing only emerges when the analyses are limited to pairs responded to correctly during WM. However, even when compared with accurate WM recognition, restudying can lead to similar associative EM benefits in specific experimental conditions. Taken together, the present results suggest that while WM re-exposure to studied pairs is beneficial to long-term associative memory, successful retrieval on initial tests may be a necessary but insufficient condition for the emergence of a "WM-based testing effect." We consider these results in relation to several hypotheses proposed to explain the testing effect in long-term memory (LTM). In view of empirical parallels with the LTM testing effect, we propose that similar processes influence the benefits of practice tests administered within the canonical boundaries of WM, suggesting continuities in memory over the short and long term.
RESUMO
This study reports the results of a longitudinal study examining the effects of treatment for sentence processing deficits for a 70-year-old gentleman (DK) with the agrammatic variant of Primary Progressive Aphasia (PPA). On entry into the study, he presented with a 2-year history of impaired verb and sentence processing and concomitant neural atrophy in primarily subcortical regions. Spanning an 18-month period, treatment focused on improving comprehension and production of syntactically complex, passive and object cleft, structures, consecutively. Results, derived from extensive behavioral and neurocognitive testing, showed not only improved ability to comprehend and produce both trained and untrained, less complex, linguistically related structures in offline tasks, but also improved online sentence processing strategies as revealed by partially normalized eye movements in online comprehension (i.e., emergence of thematic prediction and thematic integration) and production (i.e., use of incremental processing) tasks. Changes in neural activation from pre- to post-treatment of both structures also were found, with upregulation of tissue in both the left and right hemispheres, overlapping with regions recruited by neurotypical adults performing the same task. These findings indicate that Treatment of Underlying Forms (TUF) is effective for treatment of patients with the agrammatic variant of PPA (as it is for those with stroke-induced agrammatism), and show that unaffected neural tissue in patients with PPA is malleable and may be recruited to support language, providing evidence of experience-based plasticity in neurodegenerative disease.
