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Eating disorders (ED) are severe psychiatric disorders characterized by dysfunctional behaviors related to eating or weight control, with profound impacts on health, quality of life, and the financial burden of affected individuals and society at large. Given that these disorders involve disturbances in self-perception, it is crucial to comprehend the role of self-awareness in their prevalence and maintenance. This literature review presents different self-awareness processes, discussing their functioning across different levels of complexity. By deconstructing this concept, we can gain a better understanding of how each facet of self and personality relates to the symptoms of these disorders. Understanding the absence or impairment of self-awareness in ED holds significant implications for diagnosis, treatment, and overall management. By recognizing and comprehending the characteristics of self-awareness, clinicians can develop tailored interventions and evidence-based treatments for individuals with ED. Furthermore, this narrative review underscores the importance of considering temperament and personality factors in the context of ED, as temperament traits and personality characteristics may interact with self-awareness processes, influencing the development and maintenance of ED. Ultimately, the results highlight the pressing need for further research on the development of effective interventions and support strategies grounded in the aspects of self-awareness mechanisms for individuals affected by these disorders.
Alzheimer’s disease (AD) has been associated with autobiographical overgenerality (i.e. a tendency of patients to retrieve general rather than specific personal memories). AD has also been associated with hallucinations. We investigated the relationship between autobiographical overgenerality and hallucinations in AD.
Methods:
We invited 28 patients with mild AD to retrieve autobiographical memories, and we also evaluated the occurrence of hallucinations in these patients.
Results:
Analysis demonstrated significant correlations between hallucinations and autobiographical overgenerality in the patients.
Conclusion:
AD patients who are distressed by hallucinations may demonstrate autobiographical overgenerality as a strategy to avoid retrieving distressing information that may be related with hallucinations. However, hallucinations as observed in our study can be attributed to other factors such as the general cognitive decline in AD.
Autobiographical memories show a temporal pattern with relatively many events recalled from the recent past (recency) and from adolescence to early adulthood (reminiscence bump), and very few events recalled from the first few years of life (childhood amnesia). The current study examined a temporal pattern for external memory – information stored outside of one's brain. Three survey studies asked participants to choose which age(s) in their life they would most want to keep photos from, supposing they had many photos from every year. Participants chose 1 year of photos in Study 1, which sampled undergraduates (N = 499, median age = 19), and in Study 2, which sampled online participants using stratified age brackets (N = 252, age range 18–82). Participants chose 3 years of photos in Study 3, which sampled online participants over 40 using stratified age brackets (N = 240, age range 40–93). Participants’ choices largely showed preferences for time periods likely to be well remembered (recency and the reminiscence bump). Qualitative coding of participants’ reasons for their choices showed common themes, such as positive emotions, connections to other people and pets, life milestones, personal growth, and school. Results suggest that in the case of photos, external memory served to mostly enhance or enrich internal memory and less often to compensate for internal memory.
In Chapter 5, we discuss the processing components that underlie the perspective-taking analogy that we articulated in Chapter 2. This analysis makes it clear that the retrieval of personal knowledge and experience is critical, and we review some of what is known about episodic retrieval and how it can be used in this context. In forming an analogy, one must be able to identify how elements of the story world are related to corresponding elements in one’s own experience. To understand this process, we discuss how readers must construct similarity relations. Finally, we discuss the mechanics of analogy formation per se and describe the notion of a structural mapping between the reader and the character that underlies the perspective-taking analogy. We close out Chapter 5 with a discussion of perspective-taking dynamics. This includes an illustration of how perspective taking can be driven by the events of the story world or evaluations of the character. As we make clear, perspective taking is an ongoing process that can unfold in a variety of ways over the course of reading a narrative.
In Chapter 7, we outline new empirical evidence that perspective taking depends on the reader’s analogy to their personal knowledge and experience. In the first experiment, participants read narratives that involved either familiar or unfamiliar cultural and social schemas. As predicted, we found that it was more difficult to take a character’s perspective when the events of the story world did not make sufficient contact with the reader’s own experience. A second experiment examined the use of prior knowledge and experience as it unfolds in the course of reading. When readers were asked to focus on places in the text where they were reminded of prior experience, the number of such remindings predicted perspective taking. In the third experiment, we manipulated the availability of relevant personal knowledge more directly: Before reading a story, participants were asked to think about a prior experience that either was or was not related to the experience of the character. As predicted, priming relevant prior experience promoted perspective taking.
What are life’s biggest decisions? In Study 1, I devised a taxonomy comprising 9 decision categories, 58 decision types, and 10 core elements of big decisions. In Study 2, I revealed people’s perceptions of and expectations for the average person’s big life decisions. In the flagship Study 3, 658 participants described their 10 biggest past and future decisions and rated each decision on a variety of decision elements. This research reveals the characteristics of a big life decision, which are the most common, most important, and most positively evaluated big life decisions, when such decisions happen, and which factors predict ‘good’ decisions. This research contributes to knowledge that could help people improve their lives through better decision-making and living with fewer regrets.
In the BBC show, The Repair Shop, members of the public bring their cherished but crumbling possessions into a workshop populated by expert craftspeople, who carry out restorations. These objects arrive as treasured possessions, which, despite their dilapidated state, still hold memories and meaning for their owners, albeit memories that may have faded as the object itself has aged. Something magical seems to take place after the objects are restored, however. The restored objects seem to reanimate and revive the memories that their owners have invested in them. How is it possible that this restoration can bring memories held by the objects back to life? What is special about The Repair Shop restoring objects to their former glory? We outline two ways in which objects can be evocative and embody emotion, memory, and meaning. We then outline the ways in which the restoration of these objects to something like their original form can improve scaffolded recall and bring memories back to life. For one class of evocative objects, the restoration enhances recall by reinstating details from the context in which the memories were encoded. For the second class of evocative objects, their restoration affords an imaginative connection to the past, which enables them to become powerful focal points of memory and shared narratives. In effect, The Repair Shop seems to work not only as a repair shop of objects but as a repair shop of memory too.
The extrication from rubble is particularly critical for the survival of the victims of an earthquake. Early repeated infusion of sedative agents (SAs) in the acute trauma phase may interfere with neural processes leading to posttraumatic stress disorder (PTSD).
Study Objective:
This study aimed to analyze the psychological status reported by the buried victims of the earthquake in Amatrice (August 24, 2016; Italy) by considering type of the SAs administered during the extrication maneuvers.
Methods:
This was an observational study on data from 51 patients directly rescued under the rubble during the earthquake in Amatrice. During extrication maneuvers, a moderate sedation was administered by titrating ketamine (0.3-0.5mg/kg) or morphine (0.1-0.15mg/kg) with respect to the Richmond Agitation and Sedation Scale (RASS; between -2 and -3) in buried victims.
Three years following the rescue, the survivors were interviewed on their perceived health status and stress using a questionnaire which consisted of 17 items: the standard four-item set of healthy days core questions (CDC HRQOL-4); the 12-item General Health Questionnaire (GHQ-12); and in addition, survivors were asked if they had a diagnosis for anxiety, depression, or for PTSD.
Results:
The study analyzed data from the complete clinical documentation of 51 survivors; 30 were males and 21 females, with an average age of 52 years. Twenty-six (26) subjects were treated with ketamine, while 25 were treated with morphine, during the extrication procedures. Concerning the quality-of-life analysis, only 10 survivors out of 51 perceived their health status as good; the others reported psychological disorders. The GHQ-12 scores showed that all survivors had psychological distress with a mean total score of 22.2 (SD = 3.5). Eighteen (18) victims declared to have had a diagnosis of generalized anxiety (35%), while 29 were treated for depression (57%) and PTSD (57%) by a specialist. With regards to the perceived distress level and the anxiety disorder, this analysis showed significant associations with SAs used during extrication, with a better performance for ketamine than for morphine.
Conclusion:
These findings suggest investigating whether early sedation with ketamine directly in the disaster setting may promote the prophylaxis and reduce the risk of developing trauma-related disorders (TRDs) on the buried victims of major natural disasters in future studies.
Involuntary autobiographical memories (IAMs) and déjà vu are phenomena that occur spontaneously in daily life. IAMs are recollections of the personal past, whereas déjà vu is defined as an experience in which the person feels familiarity at the same time as knowing that the familiarity is false. We present and discuss the idea that both IAMs and déjà vu can be explained as natural phenomena resulting from memory processing and, importantly, are both based on the same memory retrieval processes. Briefly, we hypothesise that both can be described as “involuntary” or spontaneous cognitions, where IAMs deliver content and déjà vu delivers only the feeling of retrieval. We map out the similarities and differences between the two, making a theoretical and neuroscientific account for their integration into models of memory retrieval and how the autobiographical memory literature can explain these quirks of daily life and unusual but meaningful phenomena. We explain the emergence of the déjà vu phenomenon by relating it to well-known mechanisms of autobiographical memory retrieval, concluding that IAMs and déjà vu lie on a continuum.
This Element delineates how the narrative expression of autobiographical memory develops through everyday interactions that frame the forms and functions of autobiographical remembering. Narratives are both outward and inward facing, providing the interface between how we perceive the world and how we perceive ourselves. Thus narratives are the pivot point where self and culture meet. To make this argument, the author brings together literature from multiple perspectives, including cognitive, personality, evolutionary, cultural, and developmental psychology. To fully understand autobiographical memory, it must be understood how it functions in the context of lives lived in complex sociocultural contexts.
Altered autobiographical memory (ABM) processing characterizes some individuals with experiences of childhood maltreatment. This fMRI study of ABM processing evaluated potential developmental plasticity in neural functioning following maltreatment. Adolescents with (N = 19; MT group) and without (N = 18; Non-MT group) documented childhood maltreatment recalled specific ABMs in response to emotionally valenced cue words during fMRI at baseline (age 12.71 ± 1.48) and follow-up (14.88 ± 1.53 years). Psychological assessments were collected at both timepoints. Longitudinal analyses were carried out with BOLD signal changes during ABM recall and psychopathology to investigate change over time. In both groups there was relative stability of the ABM brain network, with some developmental maturational changes observed in cortical midline structures (ventromedial PFC (vmPFC), posterior cingulate cortex (pCC), and retrosplenial cortex (rSC). Significantly increased activation of the right rSC was observed only in the MT group, which was associated with improved psychological functioning. Baseline group differences in relation to hippocampal functioning, were not detected at follow-up. This study provides preliminary empirical evidence of functional developmental plasticity in children with documented maltreatment experience using fMRI. This suggests that altered patterns of brain function, associated with maltreatment experience, are not fixed and may reflect the potential to track a neural basis of resilience.
I propose a triangular theory of self to characterise the sense of selfhood in the era of social media. According to the theory, the self in the social media era comprises the represented self that is located in the private mind of the person, the registered self that is presented on social media platforms, and the inferred self that is constructed by the virtual audience. The three components of the self interact in dynamic ways to constitute a sense of selfhood and identity specific to the social media era. Autobiographical memory plays a critical role in the development and maintenance of these components. The triangular theory of self introduces new ways to understand and study memory and self in a digitally mediated world.
In 2005 Elizabeth Parker and fellow researchers described the first case of Hyperthymestic Syndrome, a woman going by initials AJ. Thereafter, a handful more of such cases have emerged. Older descriptions of extraordinary memory in medical literature mainly considered semantic and working memories. Jorge Luis Borges in his 1930s short story ‘Funes, his Memory’ writes about his, presumably fictitious, encounter with a man named Ireno Funes who possessed an extraordinary memory and a knack for keeping track of briefest of passing moment. Among many qualities that Funes and AJ share are their extraordinary memories, obsession for keeping track of time, and their problems with abstraction. After describing his extraordinary memory, Borges says of Funes, ‘I suspect nevertheless, that he was not very good at thinking. To think is to ignore (or forget) differences, to generalize, to abstract.’ Similarly, AJ has been described to have impaired abstraction, hypothesis formation and conceptual shifting. Moreover, both Funes and AJ see their capability as a burden rather than a gift. “My memory, sir, is like a garbage heap.” Says Funes.
Objectives
A brief exploration of Jorge Luis Borges’ works in the context of autobiographical memory.
Methods
The comparisons between Borges’ description of his character’s autobiographical memory and findings of modern research techniques will be done qualitatively.
Results
Effort is made to undersatnd Borges philosophy in context of mordern memory research.
Conclusions
An in depth look into Borges’ philosohies linking perception of time, coding of memory, abstration and language can inform further line of research regarding autobiographical memory.
Many studies have documented the types of memory evident in nonhuman primates.These range in time scales of remembering for seconds to remembering for minutes or even years. An important distinction in human memory is between recognition and recall modes of remembering. Recognition occurs when an external cue aids in memory performance, where the cue evokes the memory. Recall, however, requires a more spontaneous and internally driven memory process. In humans, recall typically is seen when people report experiences verbally, without need of specific cues. This is more difficult to demonstrate in nonhuman animals but can be done if a test can be used that provides no specific, recognizable cues included in the assessment of what is remembered. Some of those tests, as given to different nonhuman primate species, are outlined in this chapter. The resulting data indicate that nonhuman primates do engage in memory recall without the need of external cues, and the implications of this reflect another commonality in the cognitive systems of humans and other animals.
Anorexia nervosa (AN) is characterized by an overgeneralization of food/body-related autobiographical memories (AM). This is regarded as an emotion regulation strategy with adverse long-term effects implicated in disorder maintenance and treatment resistance. Therefore, we aimed to examine neural correlates of food/body-related AM-recall in AN.
Methods
Twenty-nine female patients with AN and 30 medication-free age-sex-matched normal-weight healthy controls (HC) underwent functional magnetic resonance imaging while recalling AMs in response to food/body-related and neutral cue words. To control for general knowledge retrieval, participants engaged in a semantic generation and riser detection task.
Results
In comparison to HC, patients with AN generated fewer and less specific AMs in response to food/body-related words, but not for neutral cue words. Group comparisons revealed reduced activation in regions associated with self-referential processing and memory retrieval (precuneus and angular gyrus) during the retrieval of specific food/body-related AM in patients with AN. Brain connectivity in regions associated with memory functioning and executive control was reduced in patients with AN during the retrieval of specific food/body-related AM. Finally, resting-state functional connectivity analysis revealed no differences between groups, arguing against a general underlying disconnection of brain networks implicated in memory and emotional processing in AN.
Conclusions
These results indicate impaired neural processing of food/body-related AM in AN, with a reduced involvement of regions involved in self-referential processing. Our findings are discussed as possible neuronal correlates of emotional avoidance in AN and provide new insights of AN-pathophysiology underscoring the importance of targeting dysfunctional emotion regulation strategies during treatment.
Chapter 2 focuses on the autobiographical memory of the zhiqing who have lower and middle class positions today. Also, the end of the chapter presents a summary of the major arguments and some discussions of additional issues about autobiographical memory.
In Chapters 1 and 2, I use qualitative and quantitative analyses of the life history interviews with the zhiqing to describe and explain various patterns of their autobiographical memory. Their autobiographical memory varies greatly, and the variation can be explained by “class,” including their present class positions and their chushen and habitus formed in the Mao years. Chapter 1 focuses on those zhiqing with higher class positions today.
I review half-a-century of research in strategic and autobiographical memory, spanning Peter Ornstein’s scientific career (so far), highlighting Ornstein’s contributions to these literatures. I document advances in theory, understanding underlying processes, and application of memory development over the past 50 years, as well as the field’s substantial contribution to understanding cognitive development writ large, including issues of capacity, representation, intentionality, knowledge, and social context.
This chapter examines the development of children’s verbal event memory skills across early childhood. A multi-method approach to the study of children’s developing memory skills and the ways in which these skills are socialized through conversations about the present and past are described. Particular emphasis is placed on characterizing the development of children’s verbal event memory skills across two primary tasks and over time, and most importantly, linking this development to detailed analyses of the social-communicative exchanges that children have with parents and other adults. The primary contributions of this work include the use of microanalytic assessments of parent–child conversations that underscore the unique importance of elaborative Wh-questions and evidence of the clear causal connections between elaborative language and children’s memory reports.