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Episodic memory and consciousness in antisocial personality disorder and conduct disorder

Published online by Cambridge University Press:  22 January 2018

Franco Fabbro
Affiliation:
Department of Medicine, University of Udine, 33100 Udine, Italy. https://people.uniud.it/page/franco.fabbro
Cristiano Crescentini
Affiliation:
Department of Languages and Literatures, Communication, Education and Society, University of Udine, 33100 Udine, Italy. cristiano.crescentini@uniud.ithttps://people.uniud.it/page/cristiano.crescentini

Abstract

Episodic memory is one of the most significant sources of information of humans. It entails cooperative and linguistic skills and, as Mahr & Csibra (M&C) note, the capacity to ground veridical beliefs about the past. In some psychiatric disorders (antisocial personality disorder and conduct disorder), it was found that the habit of lying is associated with episodic memory and consciousness deficits.

Type
Open Peer Commentary
Copyright
Copyright © Cambridge University Press 2018 

A distinctive feature of human cognition is the tendency for cooperation, which has been linked with the phenomenon of shared intentionality (which includes joint goals and joint attention). The development of human cooperation gave birth, in Homo sapiens, to linguistic communicative cooperation. A key aspect of social cooperation and linguistic communication concerns the commitment, on the part of communicators, to inform others truthfully and accurately (Tattersall Reference Tattersall2012).

Information is true in the sense that one should speak independently of their own selfish interests, allowing information to be of benefit to all interlocutors. In addition, human social cooperation is linked with other typical features of human cognition, such as theory of mind (ToM: the ability to attribute mental states such as beliefs, desires, intents, and knowledge to others), and the development of beliefs and social norms related to normative self-monitoring, which allows individuals to operate in accordance with generic group norms in order to protect their public reputation and be considered cooperative group members (Tomasello Reference Tomasello2008).

Given that humans can only live within social and cultural groups, whose numeric entities have universal characteristics (Dunbar Reference Dunbar1993; Reference Dunbar1997), social evaluation of an individual from other members of the group is vital. For this reason, from early childhood children are concerned with what others think of them (Haun & Tomasello Reference Haun and Tomasello2011). In fact, humans tend to show signs of guilt and shame when their passions or their behaviors, deemed illicit under the rules of the group, are made public (Tomasello Reference Tomasello2016).

In their thorough review, Mahr & Csibra (M&C) argue that episodic memory (memory of events and autonoesis) is connected to the ability to ground veridical beliefs about the past. Episodic memory is then connected to the experience of truthful witness, which is one of the most meaningful aspects of language communication. Language, in fact, has been considered to be a suitable system to exchange complex, semantic information, more than a communication system (Fabbro et al. Reference Fabbro, Aglioti, Bergamasco, Clarici and Panksepp2015; Jerison Reference Jerison1973; Reference Jerison and Ramachandran2002). Thus, it is likely that in hunter-gatherer communities, in which Homo sapiens evolved, the testimony of past experiences constituted a privileged way of transmitting information – for instance, concerning tools and poisons (Lee & Daly Reference Lee and Daly1999).

The argumentations proposed by M&C seem confirmed by previous studies that have investigated cognition and behavior in children and adult patients exhibiting antisocial behavior such as those observed in conduct disorder (CD) or antisocial personality disorder (APD). It has indeed been reported that these individuals show repeated violations of rules, deceitful behavior, aggressive and destructive behavior, and, in particular, a tendency for antisocial lying (i.e., deception for personal gain) and minimizing antisocial behavior (Holmqvist Reference Holmqvist2008; Iñiguez et al. Reference Iñiguez, Govezensky, Dunbar, Kaski and Barrio2014; Jiang et al. Reference Jiang, Liu, Liao, Ma, Rong, Tang and Wang2013; Pasion et al. Reference Pasion, Fernandes, Pereira and Barbosa2017; Searight et al. Reference Searight, Rottnek and Abby2001; Talwar & Crossman Reference Talwar and Crossman2011). Despite being able to identify others' thoughts, desires, and beliefs, subjects with antisocial behavior, such as those documented in CD and APD, may demonstrate a poor ability to understand emotions of others and to recognize inner cognitive beliefs and moral rules (so-called theory of nasty minds; Happe & Frith Reference Happe and Frith1996; Lonigro et al. Reference Lonigro, Laghi, Baiocco and Baumgartner2014). Previous studies on the organization of memory and consciousness in patients with CD, APD, or with syndromes with which they share some similarities – such as attention-deficit/hyperactivity disorder (ADHD), major depression, and borderline personality disorder – have confirmed the presence of deficits in episodic memory and consciousness (Fertuck et al. Reference Fertuck, Lenzenweger, Clarkin, Hoermann and Stanley2006a; Reference Fertuck, Marsano-Jozefowicz, Stanley, Tryon, Oquendo, Mann and Keilp2006b; Holmqvist Reference Holmqvist2008; Krauel et al. Reference Krauel, Duezel, Hinrichs, Santel, Rellum and Baving2007; Quinlan & Brown Reference Quinlan and Brown2003; Söderlund et al. Reference Söderlund, Kumar, Flint, Moscovitch, Daskalakis, Herrmann and Levine2014).

There is a long tradition of studies about how unethical behavior changes beliefs (e.g., the phenomenon of cognitive dissonance). Recently, a series of experiments has been conducted to evaluate the effects of unethical actions on episodic memory. It was shown that episodic memory of unethical actions becomes less accessible, vivid, and clear over the time relative to memories of ethical actions or other types of behaviors (“unethical amnesia”; Kouchaki & Gino Reference Kouchaki and Gino2016). Although the mechanisms through which episodic memories of people's unethical acts become obfuscated over time still remain to be fully clarified, it has been proposed that this obfuscation occurs through motivated retrieval-suppression mechanisms that operate to make unwelcome memories of unethical acts less accessible and vivid; this would also contribute to maintenance of one's acceptable self-image (Anderson & Hanslmayr Reference Anderson and Hanslmayr2014; Freud Reference Freud1937; Goleman Reference Goleman1985; Kouchaki & Gino Reference Kouchaki and Gino2016).

The degree of truth and congruence of testimonies may depend on the presence or absence of lies. Moreover, many studies have been conducted on the reconstructive nature of episodic memory (Hassabis & Maguire Reference Hassabis and Maguire2009; Schacter Reference Schacter1996) and on the possible limitations of verbal testimony (Michaelian 2016a; Schacter Reference Schacter2001). Also, what is worth noting is the inherent characteristic of the human mind to create stories and theories up to the narration of one's life (autobiographical memory; Deutsch Reference Deutsch1997; Gazzaniga Reference Gazzaniga2011; Gottschall Reference Gottschall2012). This typical tendency of the linguistic mind, organized in the left cerebral hemisphere (Wolford et al. Reference Wolford, Miller and Gazzaniga2000), has given great opportunities to human beings (including the development of religion and literature), but it is a tendency that must be controlled by means of a critical attitude, which humans have slowly learned to develop within the realm of philosophical and scientific thought (Kahneman Reference Kahneman2011; Smolin Reference Smolin2006; Reference Smolin2013).

References

Anderson, M. C. & Hanslmayr, S. (2014) Neural mechanisms of motivated forgetting. Trends in Cognitive Sciences 18(6):279–92. Available at: http://www.sciencedirect.com/science/article/pii/S1364661314000746.Google Scholar
Deutsch, D. (1997) The fabric of reality. Viking.Google Scholar
Dunbar, R. I. M. (1993) Coevolution of neocortical size, group size and language in humans. Behavioral and Brain Sciences 11:681735.Google Scholar
Dunbar, R. I. M. (1997) Grooming, gossip, and the evolution of language. Harvard University Press.Google Scholar
Fabbro, F., Aglioti, S. M., Bergamasco, M., Clarici, A. & Panksepp, J. (2015) Evolutionary aspects of self- and world consciousness in vertebrates. Frontiers in Human Neuroscience 9:116.CrossRefGoogle ScholarPubMed
Fertuck, E. A., Lenzenweger, M. F., Clarkin, J. F., Hoermann, S. & Stanley, B. (2006a) Executive neurocognition, memory systems, and borderline personality disorder. Clinical Psychology Review 26:346–75.Google Scholar
Fertuck, E. A., Marsano-Jozefowicz, S., Stanley, B., Tryon, W. W., Oquendo, M., Mann, J. J. & Keilp, J. G. (2006b) The impact of borderline personality disorder and anxiety on neuropsychological performance in major depression. Journal of Personality Disorders 20:5570.Google Scholar
Freud, A. (1937) The ego and the mechanisms of defense. Hogarth Press.Google Scholar
Gazzaniga, M. S. (2011) Who's in charge? Free will and the science of the brain. Harper (Ecco).Google Scholar
Goleman, D. (1985) Vital lies, simple truths: The psychology of self-deception. Simon & Schuster.Google Scholar
Gottschall, J. (2012) The storytelling animal: How stories make us human. Houghton Mifflin Harcourt.Google Scholar
Happe, F. & Frith, U. (1996) Theory of mind and social impairment in children with conduct disorder. British Journal of Developmental Psychology 14:385–98.Google Scholar
Hassabis, D. & Maguire, E. A. (2009) The construction system of the brain. Philosophical Transactions of the Royal Society B: Biological Sciences 364(1521):1263–271. Available at: http://rstb.royalsocietypublishing.org/content/364/1521/1263.short.Google Scholar
Haun, D. & Tomasello, M. (2011) Conformity to peer pressure in preschool children. Child Development 82:1759–67.Google Scholar
Holmqvist, R. (2008) Psychopathy and affect consciousness in young criminal offenders. Journal of Interpersonal Violence 23:209–24.CrossRefGoogle ScholarPubMed
Iñiguez, G., Govezensky, T., Dunbar, R., Kaski, K. & Barrio, R. A. (2014) Effects of deception in social networks. Proceedings of the Royal Society B: Biological Sciences 281:19.Google Scholar
Jerison, H. J. (1973) Evolution of the brain and intelligence. Academic Press.Google Scholar
Jerison, H. J. (2002) Evolution of the brain. In: Encyclopedia of the human brain, vol. 2, ed. Ramachandran, V. S., pp. 251–67. Academic Press.Google Scholar
Jiang, W., Liu, H., Liao, J., Ma, X., Rong, P., Tang, Y. & Wang, W. (2013) A functional MRI study of deception among offenders with antisocial personality disorders. Neuroscience 244:9098.Google Scholar
Kahneman, D. (2011) Thinking, fast and slow. Farrar, Straus and Giroux.Google Scholar
Kouchaki, M. & Gino, F. (2016) Memories of unethical actions become obfuscated over time. Proceedings of the National Academy of Sciences USA 113(22):6166–71. Available at: http://www.pnas.org/content/113/22/6166.short.Google Scholar
Krauel, K., Duezel, E., Hinrichs, H., Santel, S., Rellum, T. & Baving, L. (2007) Impact of emotional salience on episodic memory in attention-deficit/hyperactivity disorder: A functional magnetic resonance imaging study. Biological Psychiatry 61:1370–79.Google Scholar
Lee, R. B. & Daly, R. H. (1999) The Cambridge encyclopedia of hunters and gatherers. Cambridge University Press.Google Scholar
Lonigro, A., Laghi, F., Baiocco, R. & Baumgartner, E. (2014) Mind reading skills and empathy: Evidence for nice and nasty ToM behaviours in school-aged children. Journal of Child and Family Studies 23:581–90.Google Scholar
Michaelian, K. (2016b) Mental time travel: Episodic memory and our knowledge of the personal past. MIT Press.Google Scholar
Pasion, R., Fernandes, C., Pereira, M. R. & Barbosa, F. (2017) Antisocial behaviour and psychopathy: Uncovering the externalizing link in the P3 modulation. Neuroscience & Biobehavioral Reviews. Available at: https://doi.org/10.1016/j.neubiorev.2017.03.012.Google ScholarPubMed
Quinlan, D. M. & Brown, T. E. (2003) Assessment of short-term verbal memory impairments in adolescents and adults with ADHD. Journal of Attention Disorders 6:143–52.CrossRefGoogle ScholarPubMed
Schacter, D. L. (1996) Searching for memory: The brain, the mind, and the past. Basic Books.Google Scholar
Schacter, D. L. (2001) The seven sins of memory: How the mind forgets and remembers. Houghton Mifflin Harcourt.Google Scholar
Searight, H. R., Rottnek, F. & Abby, S. L. (2001) Conduct disorder: Diagnosis and treatment in primary care. American Family Physician 63:1579–89.Google ScholarPubMed
Smolin, L. (2006) The trouble with physics: The rise of string theory, the fall of a science, and what comes next. Houghton Mifflin Harcourt.Google Scholar
Smolin, L. (2013) Time reborn: From the crisis in physics to the future of the universe. Houghton Mifflin Harcourt.Google Scholar
Söderlund, H., Kumar, N., Flint, A., Moscovitch, M., Daskalakis, Z. J., Herrmann, N. & Levine, B. (2014) Autobiographical episodic memory in major depressive disorder. Journal of Abnormal Psychology 123:5160.CrossRefGoogle ScholarPubMed
Talwar, V. & Crossman, A. M. (2011) From little white lies to filthy liars: The evolution of honesty and deception in young children. Advances in Child Development and Behavior 40:139–79.CrossRefGoogle ScholarPubMed
Tattersall, I. (2012) Masters of the planet: The search for our human origins. Palgrave Macmillan.Google Scholar
Tomasello, M. (2008) Origins of human communication. MIT Press.Google Scholar
Tomasello, M. (2016) A natural history of human morality. Harvard University Press.Google Scholar
Wolford, G., Miller, M. B. & Gazzaniga, M. (2000) The left hemisphere's role in hypothesis formation. Journal of Neuroscience 20:14.Google Scholar