The presence of visual hallucinations in addition to auditory hallucinations (V + AH) is associated with poor prognosis in patients with schizophrenia. However, little consideration has been given to these symptoms and their underlying cognitive bases remain unclear. Based on cognitive models of hallucinations, we hypothesized that V + AH are underpinned by an impairment in reality-monitoring processes. The objective of the present study was to test whether reality-monitoring deficits were associated with V + AH in schizophrenia. This study examined reality-monitoring abilities in two groups of patients with schizophrenia: a group of patients with V + AH (n = 24) and a group of patients with AH only (n = 22). Patients with V + AH were significantly more likely to misremember imagined words as being perceived from an external source, compared to patients with AH only (p = 0.008, d = -0.82). In other words, V + AH patients display a larger externalization bias than patients with AH only. One explanation for these results could be that experiencing hallucinations in two sensory modalities may contribute to increased vividness of mental imagery and, in turn, lead to disruption in reality-monitoring processes. This study helps to refine our understanding of the cognitive processes underlying the presence of both auditory and visual hallucinations in patients with schizophrenia.

Although many studies have investigated the consequences of bilingualism on cognitive control, few have examined the impact of bilingualism on other cognitive domains, such as memory. Of these studies, most have focused on item memory and none have examined the role of bilingualism in source memory (i.e., the memory for contextual details from a previous encounter with a stimulus). In our study, young adult bilinguals and monolinguals completed a source memory test, whose different conditions were designed to stress working memory and inhibitory control. Bilinguals performed significantly faster than monolinguals across all conditions without compromising accuracy, and also showed an overall speed advantage on the Flanker task. We interpret these processing speed advantages within the context of current models of bilingual production.

Background: Source monitoring (SM) refers to our ability to discriminate between memories from different sources.

Methods: Twenty healthy high-cognitive functioning older adults, 20 healthy low-cognitive functioning older adults, and 20 older adults with dementia of Alzheimer's type (DAT) were asked to perform a series of SM tasks that varied in terms of the to-be-remembered source attribute (perceptual, spatial, temporal, semantic, social, and affective details).

Results: Results indicated that older DAT adults had greater difficulty in SM compared to the healthy control groups, especially with spatial and semantic details.

Conclusions: Data are discussed in terms of the SM framework and suggest that poor memory for some types of source information may be considered as an important indicator of clinical memory function when assessing for the presence and severity of dementia.

Numerous studies have suggested that frontal cortex plays a strategic, rather than an absolute, role in memory performance. Typically, frontal patients are reported to have impaired recall but normal recognition memory. A recent meta-analysis, however, has questioned this conclusion. To further investigate the role of frontal cortex in long-term memory, patients with focal frontal lesions and age- and education-matched controls were tested on a new version of the California Verbal Learning Test (CVLT–II). Frontal patients exhibited a number of deficits on this test, including overall poorer recall, an increased tendency to make intrusions, reduced semantic clustering, and impaired yes/no recognition performance. Further analysis of the error rates in the yes/no recognition task revealed that frontal patients were most likely to mistakenly endorse 2 types of distractors: semantically related words and words from an interference list. These findings are discussed with respect to the role of frontal dysfunction in false recollections and poor source memory, as well as the distinction between the roles of frontal and temporal cortex in long-term memory. (JINS, 2002, 8, 539–546.)

Event-related potentials (ERPs) were recorded during recognition tasks for line drawings (items) or for both drawings and their spatial locations (sources). Recognized drawings elicited more positive ERPs than new drawings. Independent of accuracy in the spatial judgment, the old/new effect in the source recognition task was larger over the prefrontal scalp, and of longer temporal duration than in the item recognition task, suggesting that the source memory task engaged a qualitatively distinct memory process. More posterior scalp sites were sensitive to the accuracy of the source judgment, but this effect was delayed relative to the difference between studied and unstudied drawings, suggesting that source memory processes are completed after item recognition. Similarities and differences between spatial source memory and memory for conjunctions of other stimulus attributes are discussed, together with the role of prefrontal cortex in memory.