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- Jean-Marie Danion, Caroline Huron, Lydia Rizzo & Pierre Vidailhet (2004). Emotion, Memory, and Conscious Awareness in Schizophrenia. In Daniel Reisberg & Paula Hertel (eds.), Memory and Emotion. Oxford University Press.
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Memory researchers have discussed the relationship between consciousness and memory frequently in the last few decades. Beginning with research by Warrington and Weiskrantz (1968; 1970), memory has been shown to influence task performance even without awareness of retrieval. Data from amnesic patients show that a study episode influences task performance despite their lack of conscious memory for the study session. More recently, issues of intentionality, awareness, and the relationship between conscious and unconscious forms of memory have come to the forefront. Conscious memory has sometimes been defined by intention to retrieve and sometimes by awareness of retrieval. This distinction has been debated as measurement methodologies have developed. In addition, the functional relationship between conscious and automatic forms of memory has implications for measurement of memory processes and the development of models of memory task performance. Several measurement techniques for conscious and automatic memory are reviewed. The current state of these issues is also discussed.
Recent studies have shown that schizophrenia may be a disease affecting the states of consciousness. The present study is aimed at investigating metamemory, i.e., the knowledge about one's own memory capabilities, in patients with schizophrenia. The accuracy of the Confidence level (CL) in the correctness of the answers provided during a recall phase, and the predictability of the Feeling of Knowing (FOK) when recall fails were measured using a task consisting of general information questions and assessing semantic memory. Nineteen outpatients were paired with 19 control subjects with respect to age, sex, and education. Results showed that patients with schizophrenia exhibited an impaired semantic memory. CL ratings as well as CL and FOK accuracy were not significantly different in the schizophrenic and the control groups. However, FOK ratings were significantly reduced for the patient group, and discordant FOK judgments were also observed more frequently. Such results suggest that FOK judgments are impaired in patients with schizophrenia, which confirms that schizophrenia is an illness characterized by an impaired conscious awareness of one's own knowledge.
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