Medial temporal lobe amnesia is associated with a deficit in recovering temporal context
Medial temporal lobe (MTL) lesions are associated with severe impairments in episodic memory. In the framework of the Temporal Context Model (TCM), the hypothesized mechanism for episodic memory is the reinstatement of a prior experienced context (i.e., “jump back in time”), which relies upon the MTL (Howard, Fotedar, Datey, & Hasselmo, 2005). This hypothesis has proven difficult to test in amnesia due to floor-level performance by patients in recall tasks. To circumvent this issue, in the present study we used a “looped-list” format, in which a set of verbal stimuli was presented multiple times in a consistent order. This allowed for comparison of statistical properties such as probability of first recall and lag conditional response probability (lag-CRP) between amnesic patients and healthy controls. Results revealed that the lag-CRP, but not the probability of first recall, is altered in amnesia, suggesting a selective disruption of temporal contiguity. To further characterize the results, we fit a scale-invariant version of TCM (Howard, Shankar, Aue, & Criss, 2015) to the probability of first recall and lag-CRP curves. The modeling results suggested that the deficit in temporal contiguity in amnesia is best described as a failure to recover temporal context. These results provide the first direct evidence for an impairment in a jump-back-in-time mechanism in patients with MTL amnesia.