Self-reference recollection effect and its relation to theory of mind: An investigation in healthy controls and schizophrenia.

This study explores the links between the Self-Reference Effect (SRE) and Theory of Mind (ToM) in typical adults and patients with schizophrenia. Participants were assessed with a self-referential memory paradigm investigating the mnemonic effect of both semantic and episodic self-reference with a recognition task associated with the Remember/Know/Guess paradigm. They also completed a self-descriptive scale and shortened versions of the attribution of intention task and the reading the mind in the eyes test as measures of cognitive and affective ToM respectively. Unlike typical adults, the patients showed no semantic SRRE (correct recognition associated with remembering), and there was no episodic SRRE and no SRE (on the number of correct recognitions) in either group. Semantic SRRE was correlated with the affective ToM in patients and with the positivity of the self-concept in the healthy group. We discuss that patients and typical adults use different strategies during self and other-reflection.

"The Castle of Remembrance": New insights from a cognitive training programme for autobiographical memory in Alzheimer's disease.

Autobiographical memory deficits are prominent from the early stages of Alzheimer's disease (AD) and result in a loss of personal identity. Nevertheless, standardised methods of autobiographical memory stimulation for the neuropsychological rehabilitation of patients with AD remain underdeveloped. Our aim was to evaluate the impact of a new cognitive training programme for autobiographical memory (REMau) on both the episodic and semantic components of autobiographical memory performance across lifetime periods, as well as on mood. Pre/post evaluations were conducted on two groups of patients with early to moderate AD, assigned to one of two different training activities: either the REMau or a cognitive training programme focused on collective semantic memory. Statistical comparisons showed significant improvement of episodic and semantic autobiographical memory performance in the REMau group, which was more pronounced for the semantic component, as well as improved mood. By contrast, deleterious pre/post differences were observed in the other group. Most interestingly, this study showed that the REMau programme boosted autobiographical memory from the reminiscence bump period, which is considered crucial for the construction and maintenance of personal identity. We discuss the theoretical and practical implications of these results for the reduction of autobiographical memory deficits in AD.

The self-reference effect on episodic memory recollection in young and older adults and Alzheimer's disease.

The Self-reference effect (SRE) on long-term episodic memory and autonoetic consciousness has been investigated in young adults, scarcely in older adults, but never in Alzheimer's patients. Is the functional influence of Selfreference still present when the individual's memory and identity are impaired? We investigated this issue in 60 young subjects, 41 elderly subjects, and 28 patients with Alzheimer's disease, by using 1) an incidental learning task of personality traits in three encoding conditions, inducing variable degrees of depth of processing and personal involvement, 2) a 2- minute retention interval free recall task, and 3) a 20-minute delayed recognition task, combined with a remember-know paradigm. Each recorded score was corrected for errors (intrusions in free recall, false alarms in recognition, and false source memory in remember responses). Compared with alternative encodings, the Self-reference significantly enhanced performance on the free recall task in the young group, and on the recognition task both in the young and older groups but not in the Alzheimer group. The most important finding in the Alzheimer group is that the Self-reference led the most often to a subjective sense of remembering (especially for the positive words) with the retrieval of the correct encoding source. This Self-reference recollection effect in patients was related to independent subjective measures of a positive and definite sense of Self (measured by the Tennessee Self Concept Scale), and to memory complaints in daily life. In conclusion, these results demonstrated the power and robustness of the Self-reference effect on recollection in long-term episodic memory in Alzheimer's disease, albeit the retrieval is considerably reduced. These results should open new perspectives for the development of rehabilitation programs for memory deficits.

[Main interventions for rehabilitation of autobiographical memory in Alzheimer's disease from early to severe stage: a review and new perspectives]. / Prise en charge des troubles de la mémoire autobiographique dans la maladie d'Alzheimer du stade débutant au stade sévère : revue de la littérature et nouvelles perspectives.

Given the limitations of pharmacological treatments in Alzheimer's disease, many non-drug therapies have emerged in recent decades and are often offered in complement of pharmacological treatments. The cognitive rehabilitation interventions focused on memory are usual in Alzheimer's disease. Memory deficits are prominent from the early stages of the disease and cause detriment to patient autonomy in daily life. In particular, problems of identity and autobiographical memory, although still often overlooked in the patients' general neuropsychological profile, appear right away. Because of their more insidious negative influence, specific treatments are still underdeveloped. Rehabilitation of autobiographical memory is complex because it requires taking into account its multiple components, both semantic and episodic, but also understanding its links with personal identity. Thus, this article provides an overview of existing cognitive rehabilitation interventions of anterograde and retrograde autobiographical memory in Alzheimer's disease. We specify the contribution of new technologies to improve the consolidation of recent events memory and of a rehabilitation program of autobiographical memory - REMau -, derived from the TEMPau task, which takes into account the constructive nature of episodic memories via the personal semantic through different periods of life. The main aim is to examine what are the objectives, benefits and limitations of these interventions and to estimate how they can meet the more general problem of deficiency in personal identity. As identity is constructed on the basis of past experience, but is modulated by new experiences, our current challenge is to associate combined treatments of anterograde and retrograde memory based on the interaction between autobiographical memory and the self.

[Self-reference effect and episodic memory in normal aging and Alzheimer's disease: myth or reality?]. / Les effets de référence à Soi sur la mémoire épisodique dans le vieillissement normal et pathologique : mythe ou réalité ?

The Self is defined as a dynamic structure of self-referent-cognitive processes and a set of multidimensional representations stored in memory. This paper aims to explore the links between the Self and memorization of information, thus we propose to review the Self-reference effect (SRE) on memory processes and its neural basis in young and older adults. The literature reports a strong benefit from self-referencing on the encoding and retrieval processes in episodic memory. Indeed, the individuals demonstrate a better retention of information previously processed in relation with their preexisting self-knowledge. The SRE is supported by a well-known self-schema highly activated in information processing; its involvement would be relatively natural and therefore effortless. Self-referencing also influences the feeling of remembering during recollection via autonoetic consciousness. The cerebral correlates of Self-reference processing involve principally cortical midline structures such as prefrontal, cingular and parietal cortices. Then, we also address the question of the persistence of SRE in Alzheimer's disease. Although patients at an early stage of dementia present anterograde and retrograde amnesia as well as an alteration of their sense of identity, we report first evidences for the persistence of SRE in Alzheimer's disease. Finally, we discuss the perspectives of Self-referencing for the creation of new non-medical therapies of memory deficits.