Seven Types Of Normal Memory Problems - Forgetting Whats Normal: Improving Memory Understanding Age Related Memory Loss
Seven types of normal memory problems
Regardless of age, healthy people can experience memory loss or memory distortion. Daniel Schacter, a professor of psychology at Harvard University, describes seven common "sins" of memory, discussed below. Some of these memory flaws become more pronounced with age, but — unless they are extreme and persistent — they are not considered indicators of Alzheimer's or other memory-impairing illnesses.
Transience
This is the tendency to forget facts or events over time. You are most likely to forget information soon after you learn it. However, memory has a use-it-or-lose-it quality: Memories that are called up and used frequently are least likely to be forgotten. Although transience might seem like a sign of memory weakness, brain scientists regard it as beneficial because it clears the brain of unused memories, making way for newer, more useful ones. In this sense, transience is akin to cleaning the junk out of your closets or clearing the temporary files from your computer's hard drive.
Although everyone experiences transience of memory, it is extreme and debilitating in people with particular kinds of brain damage. For instance, people with amnesia from damage to the hippocampus and related structures have normal short-term memory, but they are unable to form new long-term memories (see "Amnesia: Memory loss caused by injury or trauma"). They forget information soon after they learn it.
Absentmindedness
This type of forgetting occurs when you don't pay close enough attention. You forget where you just put your pen because you didn't focus on where you put it in the first place. You were thinking of something else (or, perhaps, nothing in particular), so your brain didn't encode the information securely. Absentmindedness also involves forgetting to do something at a prescribed time, like taking your medicine or keeping an appointment.
One way to avoid this problem is to identify things that can serve as cues to remind you to do something. For example, if the doctor told you to take your medicine at bedtime and you forgot to do so, it could be that you didn't pay close enough attention to the key word: bedtime. If you had, chances are that certain details of your bedtime routine (like brushing your teeth or watching a particular show on TV) would have served as cues to remind you to take your medicine. Similarly, if you need to take your vitamins at breakfast, you could put them at your place at the table so they'd provide a cue when you sit down to eat.
Blocking
Someone asks you a question and the answer is right on the tip of your tongue — you know that you know it, but you just can't think of it. This tip-of-the-tongue experience is perhaps the most familiar example of blocking, the temporary inability to retrieve a memory. Blocking doesn't occur because you weren't paying attention or because the memory you're looking for has faded from your brain. On the contrary, blocking occurs when a memory is properly stored in your brain, but something is keeping you from finding it.
In many cases, the memory block is a memory similar to the one you're looking for, and you retrieve it instead of the one you want. This other memory is so intrusive that you can't think of the memory you want. A common example is if you call your older daughter by your younger daughter's name, or vice versa. Scientists call blocking memories "ugly stepsisters" because they're domineering, like the stepsisters in Cinderella. Scientists have used ugly stepsisters experimentally to block memories. In one such experiment, people were asked to pick out the definitions of uncommon words from a selection of possible definitions. When definitions that were similar in sound or in meaning were given along with the accurate definition, more people had memory blocks than when unrelated ones were given.
Brain-imaging studies suggest how blocking might work in the brain. When a person is retrieving a memory, some regions of the brain become more active and others become less active. Scientists interpret this finding to mean that the active regions actually inhibit the other regions. When the right regions are activated, the inhibition of other regions can work in your favor by keeping your brain from calling up irrelevant information. But when you call up an ugly stepsister by mistake, the brain regions that encode it may suppress the regions needed to retrieve the memory you really want.
Scientists think that memory blocks become more common with age and that they account for the trouble older people have remembering other people's names. But it remains unclear whether tip-of-the-tongue experiences are more common than other age-related memory problems. Nor have researchers determined whether memory blocks are simply caused by the overall slowing of memory retrieval that occurs with age. In any case, there's encouraging news about blocking. Research shows that people are able to retrieve about half of the blocked memories within just a minute.
Misattribution
Consider the following scenario: You're asked who "John Smith" is, and you remember quite clearly not only who he is, but also what he's done lately that's been in the news. Then you're asked where you learned these details. You think for a moment and reply that it was on the evening TV news. However, there was no report about John Smith on TV. Instead, you got your information from the friend you had lunch with yesterday.
Right memory, wrong source — that's one example of misattribution. Misattribution occurs when you remember something accurately in part, but misattribute some detail, like the time, place, or person involved. Another kind of misattribution occurs when you believe a thought you had was totally original when, in fact, it came from something you had previously read or heard but had forgotten about. This sort of misattribution explains cases of unintentional plagiarism, in which a writer passes off some information as original when he or she actually read it somewhere before.
Misattribution happens to everyone. Usually it's harmless, but it can have profound consequences, particularly in the criminal justice system. In some cases, misattribution on the part of eyewitnesses is responsible for the arrest and conviction of individuals for crimes they didn't commit.
The older the memory, the more likely it is to suffer misattribution. One study documented how misattribution crept into people's recollections of the explosion of the space shuttle Challenger. Immediately after the Challenger tragedy, researchers at Emory University asked students to write down what they were doing when they heard the news. A year later, the researchers asked the same students to write down their memories of the event again. These later descriptions were riddled with misattributions. But misattributions can be startlingly strong. When told of the discrepancies, the students had trouble believing that their memories were inaccurate. Indeed, three years later, when the students were once again asked to recall the Challenger explosion, their recollections were closer to their second accounts.
As with several other kinds of memory lapses, misattribution becomes more common with age. Age matters in at least two ways. First, as you age, you absorb fewer details when acquiring information because you have somewhat more trouble concentrating and processing information rapidly. Second, as you grow older, your memories grow older as well. And old memories are especially prone to misattribution.
Suggestibility
Imagine that you saw someone fleeing from a car as its antitheft alarm was blaring. You didn't get a good look at the thief, but another person on the street insisted that it was a man wearing a green plaid jacket. Later, when the police show you photos of possible suspects, you're confused until you see a man dressed in green plaid. Then you point to him.
Suggestibility is the vulnerability of your memory to the power of suggestion — information that you learn about an occurrence after the fact. Although little is known about exactly how suggestibility works in the brain, the suggestion fools your mind into thinking it's a real memory. Suggestibility is the culprit in recollections that adults have of incidents from their childhood that never really happened (see "Are recovered memories real?").
In several studies, people have been induced to "recall" false events from their childhood after a researcher planted ideas in their minds. In one study, college students' parents were asked to complete a questionnaire that asked whether certain events happened to the students. Then the students themselves were asked whether they recalled several events — some of which had actually happened (according to the parents' responses) and some of which hadn't. At first, 80%–90% of the students accurately recalled the events that had and hadn't happened to them. But in later interviews, if a researcher suggested that a false event had actually happened to them when they were children, 20%–40% of the students described some memory of it.
We don't know whether people become more or less vulnerable to suggestibility as they age, but studies have demonstrated that many children experience it when asked to recollect alleged incidents of sexual abuse. Several studies with preschoolers indicate that suggestive questioning by the police or other adults can lead children to assert that certain events occurred when in fact they didn't.
Bias
One of the enduring myths about memory is that it works like a camera, recording what you perceive and experience with complete, objective accuracy. But even the sharpest memory isn't a flawless snapshot of reality. In your memory, your perceptions are filtered by your personal biases — experiences, beliefs, prior knowledge, and even your mood at the moment. Your biases affect your perceptions and experiences when they're being encoded in your brain. And when you retrieve a memory, your mood and other biases at that moment can influence what information you actually recall.
Bias can affect all sorts of memories, but among the most interesting examples are people's recollections of their romantic relationships. In one study, couples who were dating were asked to evaluate themselves, their partners, and their relationships — initially and then two months later. During the second session, participants were asked to recall what they had said initially. The people whose feelings for their partners and their relationships had become more negative over time recalled their initial evaluations as more negative than they really were. On the other hand, people whose feelings for their partners and their relationships had become more loving recalled their initial evaluations as more positive than they really were.
Although everyone's attitudes and preconceived notions bias their memories, there's been virtually no research on the brain mechanisms behind memory bias or whether it becomes more common with age.
Persistence
Most people worry about forgetting things. But in some cases people are tormented by memories they wish they could forget, but can't. The persistence of memories of traumatic events, negative feelings, and ongoing fears is another form of memory problem. Some of these memories accurately reflect horrifying events, while others may be negative distortions of reality.
Two groups of people are particularly prone to having persistent, disturbing memories. One group is individuals with depression. Research has shown that depressed people are given to ruminating over unpleasant events in their lives or mistakes that they believe they have made. Dwelling on such negatives also fuels a vicious cycle of increasing depression. The other group with persistent, unwanted memories includes people with post-traumatic stress disorder (PTSD). PTSD is a condition that can result from many different forms of traumatic exposure — for example, sexual abuse or wartime experiences. Flashbacks, which are persistent, intrusive memories of the traumatic event, are a core feature of PTSD.
Research has demonstrated that recurrent memories of traumatic experiences depend on the activation of those parts of the brain that respond to fear, anxiety, and emotionally charged information. Brain-imaging studies have shown that when people with PTSD recall a persistent, intrusive memory, there is activity in the amygdala as well as in other regions associated with the experience of fear and anxiety. Many people learn to control intrusive memories through therapy that involves guided imagery, or visualization. With this technique, a therapist helps the patient learn gradually to envision the traumatic incident without intense fear, eventually lessening PTSD symptoms.
Watching the brain at workMuch of what we know about how the brain remembers and where memories are stored is the product of a revolution in brain-imaging technology. The living brain used to be regarded as a "black box" into which no one could see. But things have changed. Structural imaging techniques — such as computed tomography (CT) and magnetic resonance imaging (MRI) — can show the shape, size, and contour of the brain and other aspects of internal anatomy. And since the 1980s, scientists have been able to trace the activity of the living, working brain with the help of functional imaging techniques such as single photon emission computed tomography (SPECT), positron emission tomography (PET), and functional magnetic resonance imaging (fMRI). These methods scan blood flow and track the brain's use of certain substances to show which parts of the brain are most active during a particular activity. MRI, a high-resolution structural imaging technique, has helped researchers identify key structural differences between the brains of young people and old, and between old people with normal age-related memory loss and those with Alzheimer's disease. MRI has revealed that certain brain areas shrink in people with abnormal memory impairment from conditions such as Alzheimer's. SPECT can help doctors identify abnormally low blood flow within key brain areas years before shrinkage of those areas is visible on a structural image from MRI. A PET scan consists of a succession of three-dimensional images that show metabolic activity in brain tissue. When it became available in the 1980s, PET scanning disproved the long-held myth that memories are stored in just one "memory bank" in the brain. Instead, researchers could see diverse areas of the brain become activated as people learned and processed new information, and as they remembered things. Scientists determined that memory relies upon a widely distributed network of brain regions. SPECT and PET scanning have become useful in diagnosing Alzheimer's disease because they can reveal abnormal patterns of blood flow or energy metabolism in key brain regions which are impacted early in the onset of the disease. Research at the University of Pittsburgh has led to the development of a compound (Pittsburgh Compound B or PIB) which, when used in conjunction with PET scanning, can reveal the pattern of amyloid deposition in the brain, one of the hallmarks of Alzheimer's disease. The ability to image amyloid in the living brain is a major breakthrough in clinical diagnosis and in the evaluation of potential treatments. FMRI involves acquiring a rapid succession of images of the brain while it is engaged in mental activity. By comparing patterns of brain activation on two similar and overlapping types of mental tasks, a researcher can identify which areas of the brain are particularly important for a specific type of mental activity. But even the most advanced brain-imaging technology has limitations. First of all, fMRI works more slowly than the brain itself: It takes a few seconds to record changes in blood flow that relate to electrochemical changes which, in real time, occur in fractions of a second. In addition, scientists are still learning how to interpret the scanned images. Seeing which areas of a person's brain "light up" during a given mental activity doesn't entirely explain what is happening in that region. To overcome these limitations, researchers are learning to combine fMRI with faster imaging methods, such as magnetoencephalography (MEG) and evoked response potentials (ERP), which measures electrical activity in the brain. They're also using new means of computer analysis to help separate the important information in brain images from the "background noise." In the near future, scientists hope to gain a greater understanding not only of where specific brain functions take place, but also how and why. |
| Last updated: | January 23, 2007 |
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Medical content reviewed by the Faculty of the Harvard Medical School. Harvard Health Publications, Copyright © 2007 by President and Fellows of Harvard College. All rights reserved. Used with permission of StayWell.
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