Concurrent and Sequential Pattern Discrimination Learning by Patients with Korsakoff Amnesia

Abstract

Patients with Korsakoff's syndrome and alcoholic controls learned to discriminate sets of pairs of patterns presented concurrently, in order to test predictions based on monkeys' performance in similar tasks following medial temporal or diencephalic lesions. In Experiment 1 the subjects learned a 2-pair, a 6-pair and a 10-pair set; the Korsakoff group were impaired on the first and last, but not on the second set. In Experiment 2, the same subjects learned single pairs sequentially, and 2-pair and 8-pair sets concurrently. The effect of 2 types of feedback for correct responses (visual or non-visual) was also compared. The Korsakoff patients were markedly poorer than controls under all conditions; the type of feedback made little difference. In several respects the patients' impairment differed from what had been predicted from the animal experiments.