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We tested (1) whether the PQRST method, involving Preview (P), Question (Q), Read (R), State (S), and Test (T) phases, is effective in enhancing long-term memory in patients with mild memory problems due to prefrontal cortex lesions, and (2) whether patients also benefit from a more self-initiated version of the PQRST. Seven patients with prefrontal lesions encoded new texts under three different conditions: the Standard condition, requiring to read texts repeatedly, the PQRST-Other condition, in which the experimenter formulated questions about the text (Q phase), and the PQRST-Self condition, in which patients formulated the relevant questions on their own. Compared to the Standard condition, both the PQRST-Other and the PQRST-Self condition resulted in higher immediate and delayed recall rates, as well as a higher ability to answer questions about the texts. Importantly, the two PQRST conditions did not differ in efficacy. These results confirm that the PQRST method is effective in improving learning of new material in brain-injured populations with mild memory problems. Moreover, they indicate that the PQRST proves effective even under conditions with higher demands on patients' autonomy and self-initiation, which encourages its application to real-life situations. [ABSTRACT FROM AUTHOR]

Choices are often intertemporal, requiring tradeoff of short-term and long-term outcomes. In such contexts, humans may prefer small rewards delivered immediately to larger rewards delivered after a delay, reflecting temporal discounting (TD) of delayed outcomes. The medial orbitofrontal cortex (mOFC) is consistently activated during intertemporal choice, yet its role remains unclear. Here, patients with lesions in the mOFC (mOFC patients), control patients with lesions outside the frontal lobe, and healthy individuals chose hypothetically between small-immediate and larger-delayed rewards. The type of reward varied across three TD tasks, including both primary (food) and secondary (money and discount vouchers) rewards. We found that damage to mOFC increased significantly the preference for small-immediate over larger-delayed rewards, resulting in steeper ID of future rewards in mOFC patients compared with the control groups. This held for both primary and secondary rewards. All participants, including mOFC patients, were more willing to wait for delayed money and discount vouchers than for delayed food, suggesting that mOFC patients' (impatient) choices were not due merely to poor motor impulse control or consideration of the goods at stake. These findings provide the first evidence in humans that mOFC is necessary for valuation and preference of delayed rewards for intertemporal choice. [ABSTRACT FROM AUTHOR]

The ventral (VPC) and dorsal sectors of the posterior parietal cortex are long known to mediate bottom-up and top-down attention to the external space. Because these regions also are implicated in retrieval of episodic memories, we proposed they also mediate attention to the internal (memory) space. One objection to this Attention to Memory hypothesis is that parietal regions involved in directing attention to percepts and memory are spatially adjacent but not overlapping, suggesting that different neural mechanisms are involved in each. This misalignment is most pronounced in VPC. Here, we re-examine fMRI data, and show that (1) different VPC subregions are associated with different aspects of bottom-up attention to the external space, (2) only VPC subregions showing invalid cue (but not oddball) effects overlap with those associated with episodic memory retrieval, leading us to conclude that (3) the same regions that signal unexpected percepts also signal unexpected memories. These findings are consistent with the 'overarching view' of VPC as deploying bottom-up attention during both perception and episodic memory retrieval, and suggest that the degree of anatomical convergence across the two domains depends on the correspondence between the specific bottom-up attention demands of perceptual and memory tasks. • Different VPC subregions mediate different aspects of bottom-up attention. • Overlapping VPC subregions signal detection of unexpected percepts and memories. • VPC plays an 'overarching role' in bottom-up attention. • Findings supports the role of posterior parietal cortex in Attention-to-Memory. [ABSTRACT FROM AUTHOR]

Under what conditions can prefrontal cortex direct the composition of brain states, to generate coherent streams of thoughts? Using a simplified Potts model of cortical dynamics, crudely differentiated into two halves, we show that once activity levels are regulated, so as to disambiguate a single temporal sequence, whether the contents of the sequence are mainly determined by the frontal or by the posterior half, or by neither, depends on statistical parameters that describe its microcircuits. The frontal cortex tends to lead if it has more local attractors, longer lasting and stronger ones, in order of increasing importance. Its guidance is particularly effective to the extent that posterior cortices do not tend to transition from state to state on their own. The result may be related to prefrontal cortex enforcing its temporally-oriented schemata driving coherent sequences of brain states, unlike the atemporal "context" contributed by the hippocampus. Modelling a mild prefrontal (vs. posterior) lesion offers an account of mind-wandering and event construction deficits observed in prefrontal patients. [ABSTRACT FROM AUTHOR]

Humans have the capacity to form new memories of events that are, at times, highly similar to events experienced in the past, as well as the capacity to integrate and associate new information within existing knowledge structures. The former process relies on mnemonic discrimination and is believed to depend on hippocampal pattern separation, whereas the latter is believed to depend on generalization signals and conceptual categorization supported by the neocortex. Here, we examine whether and how the ventromedial prefrontal cortex (vMPFC) supports discrimination and generalization on a widely used task that was primarily designed to tax hippocampal processes. Ten individuals with lesions to the vMPFC and 46 neurotypical control participants were administered an adapted version of the mnemonic similarity task [Stark, S. M., Yassa, M. A., Lacy, J. W., & Stark, C. E. L. A task to assess behavioral pattern separation (BPS) in humans: Data from healthy aging and mild cognitive impairment. Neuropsychologia, 51, 2442–2449, 2013], which assesses the ability to distinguish previously learned images of everyday objects (targets) from unstudied, highly similar images (lures) and dissimilar images (foils). Relative to controls, vMPFC-lesioned individuals showed intact discrimination of lures from targets but a propensity to mistake studied targets and similar lures for dissimilar foils. This pattern was accompanied by inflated confidence despite low accuracy when responding to similar lures. These findings demonstrate a more general role of the vMPFC in memory retrieval, rather than a specific role in supporting pattern separation. [ABSTRACT FROM AUTHOR]

Is retrograde amnesia associated with an ability to know who we are and imagine what we will be like in the future? To answer this question, we had S.G., a patient with focal retrograde amnesia following hypoxia, two brain-damaged (control) patients with no retrograde memory deficits, and healthy controls judge whether each of a series of trait adjectives was descriptive of their present self, future self, another person, and that person in the future, and later recognize studied traits among distractors. Healthy controls and control patients were more accurate in recognizing self-related compared to other-related traits, a phenomenon known as the self-reference effect (SRE). This held for both present and future self-views. By contrast, no evidence of (present or future) SRE was observed in SG, who concomitantly showed reduced certainty about his personality traits. These findings indicate that retrograde amnesia can weaken the self-schema and preclude its instantiation during self-related processing. [ABSTRACT FROM AUTHOR]

We studied the role of the ventromedial prefrontal cortex (vmPFC) in supporting the self-schema, by asking vmPFC patients, along with healthy and brain-damaged controls, to judge the degree to which they (or another person) were likely to engage in a series of activities, and how confident they were in their responses. Critically, participants provided their judgments on two separate occasions, a week apart. Our underlying assumption was that a strong self-schema would lead to confident and stable self-related judgments. We observed that control groups exhibited higher across-session consistency for self-related compared to other-related judgments, while this self-advantage was absent in vmPFC patients. In addition, regression analyses showed that in control groups the level of confidence associated with a specific (self- or other-related) judgment predicted the stability of that judgment across sessions. In contrast, vmPFC patients' confidence and rating consistency were aligned only for other-related judgments. By contrast, self-related judgments changed across sessions regardless of the confidence level with which they were initially endorsed. These findings indicate that the vmPFC is crucial to maintaining the self-schema and supporting the reliable retrieval of self-related information. • We studied the stability of self- and other-related judgments in vmPFC patients. • vmPFC (vs control) patients gave inconsistent self- but not other-related judgments. • vmPFC patients' confidence predicted the stability of other-related judgments. • vmPFC patients' confidence did dstnot predict the stability of self-related judgments. • vmPFC damage selectively impairs the self-schema. [ABSTRACT FROM AUTHOR]

Distraction reflects a drift of attention away from the task at hand towards task-irrelevant external or internal information (mind-wandering). The right posterior parietal cortex (PPC) and the medial prefrontal cortex (mPFC) are known to mediate attention to external information and mind-wandering, respectively, but it is not clear whether they support each process selectively or rather they play similar roles in supporting both. In this study, participants performed a visual search task including salient color singleton distractors before and after receiving cathodal (inhibitory) transcranial direct current stimulation (tDCS) to the right PPC, the mPFC, or sham tDCS. Thought probes assessed the intensity and contents of mind-wandering during visual search. The results show that tDCS to the right PPC but not mPFC reduced the attentional capture by the singleton distractor during visual search. tDCS to both mPFC and PPC reduced mind-wandering, but only tDCS to the mPFC specifically reduced future-oriented mind-wandering. These results suggest that the right PPC and mPFC play a different role in directing attention towards task-irrelevant information. The PPC is involved in both external and internal distraction, possibly by mediating the disengagement of attention from the current task and its reorienting to salient information, be this a percept or a mental content (mind-wandering). By contrast, the mPFC uniquely supports mind-wandering, possibly by mediating the endogenous generation of future-oriented thoughts capable to draw attention inward, away from ongoing activities. • tDCS over the PPC reduces attention toward external distractors and mind-wandering. • tDCS over mPFC attenuates future-based mind-wandering. • PPC mediates both external and internal distraction (mind-wandering). • mPFC selectively mediates in mind-wandering, especially towards the future. [ABSTRACT FROM AUTHOR]

Previous studies show that the right hemisphere is involved in time processing, and that damage to the right hemisphere is associated with a tendency to perceive time intervals as shorter than they are, and to reproduce time intervals as longer than they are. Whether time processing deficits following right hemisphere damage are related and what is their neurocognitive basis is unclear. In this study, right brain damaged (RBD) patients, left brain damaged (LBD) patients, and healthy controls underwent a time bisection task and a time reproduction task involving time intervals varying between each other by milliseconds (short durations) or seconds (long durations). The results show that in the time bisection task RBD patients underestimated time intervals compared to LBD patients and healthy controls, while they reproduced time intervals as longer than they are. Time underestimation and over-reproduction in RBD patients applied to short but not long time intervals, and were correlated. Voxel-based lesion-symptom mapping (VLSM) showed that time underestimation was associated with lesions to a right cortico-subcortical network involving the insula and inferior frontal gyrus. A small portion of this network was also associated with time over-reproduction. Our findings are consistent with a slowdown of an 'internal clock' timing mechanism following right brain damage, which likely underlies both the underestimation and the over-reproduction of time intervals, and their (overlapping) neural bases., (Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)