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The rich record of medicine in Cordoba, in its historical aspect, has given personalities of great significance, as Felix Garzon Maceda and Enrique Pedro Aznarez. The author of this article traces a right profile of these famous personalities who contributed with their knowledge and experience to the specialty.
The present study was aimed at evaluating whether the very high accuracy of memory for familiar faces, demonstrated by Ge et al (2003, Perception 32 601-614) with a very familiar famous person, generalises to faces of personally known individuals. The accuracy of participants' perceptual memory for a close colleague's face and for their own face was evaluated by presenting original and manipulated pictures of these two targets. The manipulation consisted of increasing or decreasing the interocular distance. As in Ge et al's study, results indicated that proportions of correct recognition of the original faces, and just noticeable differences for the detection of alterations in the recognition task, were not significantly different from the corresponding measures in a perceptual discrimination task performed by a sample of participants who did not know the target persons at all. High accuracy of memory generalises to faces of personally known individuals.
Following a trauma causing bilateral posterior brain damage, a patient complained of dyslexia and prosopagnosia, but not object agnosia. On testing she showed intact recognition of object drawings, even when it was assessed with perceptually demanding tasks such as Ghent's overlapping figures and Street completion test. This pattern of deficit is inconsistent with Farah's (1990) prediction that the simultaneous occurrence of alexia and prosopagnosia is invariably associated with object agnosia. The patient's reading performance had the features typically found in letter-by-letter readers. On face tests, she showed a discrepancy between the impairment exhibited in familiarity recognition and famous face naming and the correct (though slow) performance in matching the names of famous persons with their photographs. This apparent contradiction was clarified by showing that the patient had maintained the ability to generate the mental images of famous faces in response to the presentation of their names. We assume that face recognition units were intact, but partially disconnected from the output of perceptual processing.
Patients with closed-head injury frequently complain about difficulties with retrieving the names of familiar people, but very few studies have investigated these complaints by objective measurements. Three experiments are reported that compared personal name retrieval in patients with severe closed-head injuries and normal controls. The patients more frequently failed to produce the names of famous persons, and had longer naming latencies than the controls. Accuracy of recognizing familiar persons was normal in the patients, even though they were slower in this task than the controls. The patients' main problem appeared to involve a disturbance in activating the stored name information. The patients' response pattern shows clear resemblance with simulations of the effects of brain damage in models for person naming.
Recognition of proper and common nouns was compared in four patients diagnosed with global aphasia secondary to ischemic left-hemisphere infarction. For proper noun recognition, subjects matched the spoken or written name of a famous person to a photograph, and for common nouns, subjects were tested on standardized and special word recognition tests. As expected, common noun recognition was severely compromised in the aphasic patients. In contrast, familiar personal names, despite their greater length and complexity, were recognized equally well by aphasic and normal control subjects. The right hemisphere may mediate the ability to recognize personally familiar names, as it may be specialized for establishing personally relevant environmental stimuli.
BACKGROUND: A retrospective, qualitative study in a university setting was undertaken to better understand factors influencing patient compliance with screening sigmoidoscopy. METHODS: Individuals who completed screening sigmoidoscopy were interviewed to learn about the physician-patient relationship, general knowledge of cancer, family experience with cancer, exposure to the media, and specific reasons why sigmoidoscopy was completed. RESULTS: Respondents reported that their physician's recommendation had a strong positive influence on their decision to have sigmoidoscopic screening, as did their family and personal experiences with cancer. In all cases, the patients stated that they would not have had a sigmoidoscopy without the recommendation of their physician. Respondents were little influenced by exposure to the media or by famous personalities. CONCLUSIONS: The importance of the physician's recommendation for the patient to have sigmoidoscopy and demonstration of concern with early cancer detection may represent the primary motivating factors in completion of screening sigmoidoscopy.
Recent, cognitively based neuropsychological studies have established that retrograde amnesia is not a single entity. Profound loss of autobiographical memory, with relative sparing of knowledge of word meaning, facts about other people and personal semantic information, may arise from either disruption of thematic retrieval frameworks or a loss of individual memory traces. The opposite pattern of profound loss of general semantic information with preservation of autobiographical memory also occurs. Finer-grained loss of semantic information, involving famous persons or other categories have also been described, providing important clues regarding the representation and organization of such knowledge.
Until recently, it seemed unlikely that any semantic knowledge could be acquired following extensive bilateral damage to the medial temporal lobes (MTL). Although recent studies have demonstrated some semantic learning in amnesic patients, questions remain regarding the limits of this capacity and the extent to which it relies on those patients' residual MTL function. The present study examined whether detailed, semantic memory could be acquired by a patient with no functioning hippocampus. We used cued recall and forced-choice recognition tasks to investigate whether the patient H.M. had acquired knowledge of people who became famous after the onset of his amnesia. Results revealed that, with first names provided as cues, he was able to recall the corresponding famous last name for 12 of 35 postoperatively famous personalities. This number nearly doubled when semantic cues were added, suggesting that his knowledge of the names was not limited to perceptual information, but was incorporated in a semantic network capable of supporting explicit recall. In forced-choice recognition, H.M. discriminated 87% of postmorbid famous names from foils. Critically, he was able to provide uniquely identifying semantic facts for one-third of these recognized names, describing John Glenn, for example, as "the first rocketeer" and Lee Harvey Oswald as a man who "assassinated the president." Although H.M.'s semantic learning was clearly impaired, the results provide robust, unambiguous evidence that some new semantic learning can be supported by structures beyond the hippocampus proper.
Organisms are expected to be sensitive to cues of genetic relatedness when making decisions about social behaviour. Relatedness can be assessed in several ways, one of which is phenotype matching: the assessment of similarity between others' traits and either one's own traits or those of known relatives. One candidate cue of relatedness in humans is facial resemblance. Here, I report the effects of an experimental manipulation of facial resemblance in a two-person sequential trust game. Subjects were shown faces of ostensible playing partners manipulated to resemble either themselves or an unknown person. Resemblance to the subject's own face raised the incidence of trusting a partner, but had no effect on the incidence of selfish betrayals of the partner's trust. Control subjects playing with identical pictures failed to show such an effect. In a second experiment, resemblance of the playing partner to a familiar (famous) person had no effect on either trusting or betrayals of trust.
OBJECTIVES: To clarify the clinical and neuropsychological aspects of transient epileptic amnesia (TEA) based on 10 personally studied cases as well as review of 21 previously published cases; and to propose tentative diagnostic criteria for the diagnosis of TEA. METHODS: All 10 patients and informants underwent a standardised clinical interview. The radiological and neurophysiological (EEG) data were also reviewed in all cases. The diagnosis of transient epileptic amnesia was made on the basis of the following criteria: (1) there was a history of recurrent witnessed episodes of transient amnesia; (2) cognitive functions other than memory were judged to be intact during typical episodes by a reliable witness; (3) there was evidence for a diagnosis of epilepsy. This evidence was provided by either (a) wake or sleep EEG, or (b) the co-occurrence of other seizure types (if their roughly concurrent onset or close association with episodes of transient amnesia suggested a connection), or (c) a clear cut response to anticonvulsant therapy, or by a combination of these three factors. In addition all patients were administered a comprehensive neuropsychological test battery designed to assess verbal and non-verbal anterograde memory and retrograde memory for famous personalities and personal events. Their results were compared with those of 25 age and IQ matched normal controls. RESULTS: TEA usually begins in later life, with a mean age of 65 years in this series. Episodes are typically brief, lasting less than one hour, and recurrent, with a mean frequency of three a year. Attacks on waking are characteristic. Repetitive questioning occurs commonly during attacks. The anterograde amnesia during episodes is, however, often incomplete so that patients may later be able to "remember not being able to remember". The extent of the retrograde amnesia during attacks varies from days to years. Most patients experience other seizure types compatible with an origin in the temporal lobes, but transient amnesia is the only manifestation of epilepsy in about one third of patients. Epileptiform abnormalities arising from the temporal lobes are most often detected on interictal sleep EEG. Despite normal performance on tests of anterograde memory, many patients complain of persistent interictal disturbance of autobiographical memory, involving a significant but variable loss of recall for salient personal episodes. The epochs affected may predate the onset of epilepsy by many years. CONCLUSIONS: TEA is an identifiable syndrome and comprises episodic transient amnesia with an epileptic basis, without impairment of other aspects of cognitive function. Future studies should consider the question of whether TEA reflects ictal activity or a postictal state, and the mechanism of the persistent autobiographical amnesia. It is hypothesised that the latter may result in part from impairment of very long term memory consolidation as a result of epileptic activity in mesial temporal structures.
A prosopagnosic was shown two sets of faces, one comprised of famous personalities, the other of family members. After he was allowed to visually inspect each face, he was given five names, one of which was correct. Skin conductance was continuously recorded. He could not identify any of the faces spontaneously, and performed at chance level when given multiple choice names. However, electrodermal responses indicated far more accurate discrimination between correct and incorrect names, suggesting that the patient "recognized" facial identity at the psychophysiological level. Neuropsychological mechanisms for this phenomenon, which in this case involve multiple visual-limbic interrelationships, are postulated. The method appears useful for studying islands of spared recognition ability in associative agnosia.
A case is reported of a patient who experienced numerous episodes of transient global amnesia (TGA) during which anterograde amnesia was less prominent than usual, and who developed a permanent selective retrograde amnesia. On formal testing, he performed well on traditional verbal memory tests, but showed marked retrograde amnesia for verbal material, including items on a famous voices recognition test. He was administered a paired-associate learning test where the names of famous personalities for which he was amnesic were associated with incongruous activities (e.g. John Newcombe-singing). Our patient performed better on this task than a group of five matched control subjects. Our observations indicate that in the organization of human memory retrograde amnesia may be fractionated from anterograde amnesia and that in certain situations specific types of amnesia can produce a facilitation effect compared to the performance of control subjects.
The recognition potential component (RP) in the event-related brain potential (ERP) appears during rapid stream stimulation and has been related to the activation of word form or word meaning. The early repetition effect (ERE/N250r) is observed in repetition priming designs and has been linked to the access to stored representations of the structure of familiar faces and names. Because of the apparent similarities in latency, topography and theoretical interpretation we compared the RP and ERE/N250r within the same rapid stream stimulation design and for the same type of stimulus material: names and faces of famous persons and names and pictures of common objects. Contrasting with RP, the ERE/N250r occurred later and differed in both scalp topography and amplitude patterns across stimulus conditions. Therefore, the ERE/N250r seems to reflect a separate and content-specific stage of information processing, following the RP, which appears to reflect domain-general processes of structural analyses.
It has been suggested that knowledge about some famous people depends on both a generic semantic component and an autobiographical component [Westmacott, R., & Moscovitch, M. (2003). The contribution of autobiographical significance to semantic memory. Memory and Cognition, 31, 761-774]. The neuropsychological studies of semantic dementia (SD) and Alzheimer disease (AD) demonstrated that the two aspects are very likely to be mediated by different brain structures, with the episodic component being highly dependent upon the integrity of the medial temporal lobe (MTL) [Westmacott, R., Black, S. E., Freedman, M., & Moscovitch, M. (2004). The contribution of autobiographical significance to semantic memory: Evidence from Alzheimer's disease, semantic dementia, and amnesia. Neuropsychologia, 42, 25-48]. Using an fMRI design in healthy participants, we aimed: (i) to investigate the pattern of brain activations sustaining the autobiographical and the semantic aspects of knowledge about famous persons. Moreover, (ii) we examined if the stimulus material (face/name) influences the lateralisation of the cerebral networks. Our findings suggested that different patterns of activation corresponded to the presence or absence of personal significance linked to semantic knowledge; MTL was engaged only in the former case. Although choice of stimulus material did not influence the hemispheric lateralisation in "classical" terms, it did play a role in engaging different cerebral regions.
We describe a patient who developed a severe but temporally limited retrograde amnesia coupled with a relatively mild anterograde amnesia following herpes simplex encephalitis. The patient showed a profound retrograde amnesia for autobiographical events extending for about 10 years prior to the disease onset. Her knowledge about public events and famous persons was also impaired for this period. An MRI and SPECT demonstrated bilateral medial temporal pathology. This case represents a further instance of a relatively focal retrograde amnesia following brain damage. We review other reported cases with focal retrograde amnesia and consider theoretical and neuroanatomical accounts for the present case. Two factors may account for her amnesic patterns: a partial disruption of the store for premorbid binding codes (i.e., information that multimodal feature representations occurred synchronously); along with a relative preservation of the encoding process required to develop new synchronous codes.
The purpose of this study was to investigate electrophysiological correlates related to the recognition of repeated faces in the intact human by means of event-related brain potentials (ERPs). A group of young healthy adults performed a continuous face recognition task, in which 240 unfamiliar faces were flashed upon a computer screen with 80 of the faces being repetitions. The subjects had to classify faces as previously seen and previously unseen faces. The concomitantly recorded ERPs from 19 scalp sites revealed a more positive going waveform for the correctly classified repeated faces beginning at about 280 ms (old/new effect). The same subjects performed a similar task with visually presented concrete nouns as stimuli. The old/new effect in this task showed a similar distribution, amplitude and onset latency. It is thus concluded that the old/new effect is not specific to the materials to be memorized. In contrast, the old/new effect in an implicit face repetition experiment (with the detection of famous persons being the task) showed a different distribution. It is argued that the differential distribution might reflect the different requirements of the two tasks (explicit vs. implicit task). Recent interpretations of the old/new effects are discussed.
OBJECTIVE: To determine young adolescents' range of factual knowledge and beliefs about human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) among those who have received AIDS education. DESIGN: Focus group analysis. SETTING: Urban middle school. PARTICIPANTS: Two male and two female groups consisting of 4-7 students each, ages 11-15 years. RESULTS: The predominant responses in all four groups relating to factual knowledge of HIV transmission and mechanisms of prevention were correct. However, responses indicated that factual information had not been integrated into students' plans for situations involving relationships and sexual activity. All four groups shared the image of AIDS as a disease of adults. The girls frequently gave responses which included discussion and use of condoms, whereas only a few boys could realistically visualize using condoms. Many students, predominantly boys, identified with media figures such as Magic Johnson and saw themselves to be at risk for HIV, but the girls almost exclusively saw Magic Johnson as a rich, famous person and did not identify with him. Students gave suggestions about ways to improve AIDS education and recommended that AIDS education begin in the early grades. CONCLUSION: Standard AIDS education may be effective in teaching factual information about AIDS, but it may have little effect on students' future behavior. The format of AIDS education may need to be modified to better address adolescents' beliefs and behaviors regarding HIV and AIDS.
BACKGROUND: The aim of the present study was to rate the importance of attributes of screening for bowel cancer. METHOD: Randomly selected households in central Sydney were contacted to identify men and women aged 50-70 years who were then asked to complete a self-administered questionnaire about bowel cancer screening and related issues. Seven hundred and ninety-one residents (362 men and 429 women) returned questionnaires. Respondents were asked to rate the extent to which each of 34 attributes would encourage them to participate in bowel cancer screening. RESULTS: The three most highly rated attributes were: if the test was recommended by their general practitioner (GP; 94% either 'strongly agreed' or 'agreed'); if the test identified early cancers (92%); and if the test would avert a premature death due to bowel cancer (90%). Having a friend or relative with bowel cancer (61%), advertising (41%) or famous people promoting the program (62%) were less influential. Respondents who were unemployed or on a pension were less likely to participate in screening than those who were employed if there was an 'out of pocket' charge of 15.00 Australian dollars (chi 2 = 7.56, 2df, P = 0.006). Respondents with higher levels of education were significantly more concerned than respondents with lower levels of education about test accuracy (chi 2 = 15.76, 2df, P < 0.001), its availability from their local chemist (chi 2 = 16.96, 2df, P < 0.001), being able to return the test kit by post (chi 2 = 21.9, 2df, P < 0.001) or deposit it with their local chemist (chi 2 = 10.0, 2df, P < 0.01). They were also less likely to be influenced by a famous person promoting bowel cancer screening (chi 2 = 18.87, 2df, P < 0.001). CONCLUSIONS: Our results endorse the role of the GP in bowel cancer screening. However, the study also has demonstrated that test accuracy, the convenience of the screening service and notification of test results are valued differently by subgroups in the community, according to their level of education.