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Synthese

pp 1–17 | Cite as

Confabulation and constructive memory

  • Sarah K. RobinsEmail author
S.I.: Psych&Phil

Abstract

Confabulation is a symptom central to many psychiatric diagnoses and can be severely debilitating to those who exhibit the symptom. Theorists, scientists, and clinicians have an understandable interest in the nature of confabulation—pursuing ways to define, identify, treat, and perhaps even prevent this memory disorder. Appeals to confabulation as a clinical symptom rely on an account of memory’s function from which cases like the above can be contrasted. Accounting for confabulation is thus an important desideratum for any candidate theory of memory. Many contemporary memory theorists now endorse Constructivism, where memory is understood as a capacity for constructing plausible representations of past events (e.g., De Brigard in Synthese 191:155–185, 2014; Michaelian in Philos Psychol 24:323–342, 2012, 2016). Constructivism’s aim is to account for and normalize the prevalence of memory errors in everyday life. Errors are plausible constructions that, on a particular occasion have led to error. They are not, however, evidence of malfunction in the memory system. While Constructivism offers an uplifting repackaging of the memory errors to which we are all susceptible, it has troubling implications for appeals to confabulation in psychiatric diagnosis. By accommodating memory errors within our understanding of memory’s function, Constructivism runs the risk of being unable to explain how confabulation errors are evidence of malfunction. After reviewing the literature on confabulation and Constructivism, respectively, I identify the tension between them and explore how different versions of Constructivism may respond. The paper concludes with a proposal for distinguishing between kinds of false memory—specifically, between misremembering and confabulation—that may provide a route to their reconciliation.

Keywords

Confabulation Remembering Constructive memory Memory errors Psychiatric nosology 

Notes

Acknowledgements

I am grateful to attendees of the Early Career Scholars Conference in Philosophy of Psychiatry at the University of Pittsburgh and the audience at a University of Kansas colloquium for helpful comments on previous drafts of this paper. Special thanks to Serife Tekin and Kourken Michaelian for their feedback and conversations about confabulation.

References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington: American Psychiatric Association.Google Scholar
  2. Arnedo, J., Svrakic, D. M., del Val, C., Romero-Zaliz, R., Hernandez-Cuervo, H., & Fanous, A. H., et al. (2014). Uncovering the hidden risk architecture of the schizophrenias: Confirmation in three independent genome-wide association studies. American Journal of Psychiatry, 172(2), 139–153.Google Scholar
  3. Berrios, G. E. (1998). Confabulations: A conceptual history. Journal of the History of the Neurosciences, 7, 225–241.CrossRefGoogle Scholar
  4. Bortolotti, L. (2011). Psychiatric classification and diagnosis: Delusions and confabulations. Paradigmi, 1, 99–112.Google Scholar
  5. Bortolotti, L., & Cox, R. (2009). Faultless ignorance: Strengths and limitations of epistemic definitions of confabulation. Consciousness and Cognition, 18, 952–965.CrossRefGoogle Scholar
  6. Brainerd, C. J., & Reyna, V. F. (2005). The science of false memory. Oxford: Oxford University Press.CrossRefGoogle Scholar
  7. Buchanan, A. (1991). Delusional memories: First-rank symptoms? British Journal of Psychiatry, 159, 472–474.CrossRefGoogle Scholar
  8. Christianson, S., & Loftus, E. F. (1987). Memory for traumatic events. Applied Cognitive Psychology, 1, 225–239.CrossRefGoogle Scholar
  9. Chrobak, Q. M., & Zaragoza, M. S. (2008). The cognitive consequences of forced fabrication: Evidence from studies of eyewitness suggestibility. In W. Hirstein (Ed.), Confabulation: Views from neuroscience, psychiatry, psychology, and philosophy (pp. 67–90). Oxford: Oxford University Press.Google Scholar
  10. Clancy, S. A., McNally, R. J., Schacter, D. L., Lenzenweger, M. F., & Pittman, R. K. (2002). Memory distortions in people reporting abduction by aliens. Journal of Abnormal Psychology, 111, 455–461.CrossRefGoogle Scholar
  11. Coltheart, M., Langdon, R., & McKay, R. (2011). Delusional belief. Annual Review of Psychology, 62, 271–298.CrossRefGoogle Scholar
  12. Coltheart, M., Menzies, P., & Sutton, J. (2010). Abductive inference and delusional belief. Cognitive Neuropsychiatry, 15, 261–287.CrossRefGoogle Scholar
  13. Coltheart, M., & Turner, M. (2009). Confabulation and delusion. In W. Hirstein (Ed.), Confabulation: views from neuroscience, psychiatry, psychology, and philosophy (pp. 173–188). Oxford: Oxford University Press.CrossRefGoogle Scholar
  14. Dalla Barba, G. (1993). Different patterns of confabulation. Cortex, 29, 567–581.CrossRefGoogle Scholar
  15. De Brigard, F. (2014). Is memory for remembering? Recollection as a form of episodic hypothetical thinking. Synthese, 191, 155–185.CrossRefGoogle Scholar
  16. DeLuca, J. (2001). A cognitive neuroscience perspective on confabulation. Neuropsychoanalysis, 2, 119–132.CrossRefGoogle Scholar
  17. Demery, J. A., Hanlon, R. E., & Bauer, R. M. (2008). Profound amnesia and confabulation following brain injury. Neurocase, 7, 295–302.CrossRefGoogle Scholar
  18. Dewhurst, S. A., Thorley, C., Hammond, E. R., & Ormerod, T. C. (2011). Convergent, but not divergent, thinking predicts susceptibility to associative memory illusions. Personality and Individual Differences, 51, 73–76.CrossRefGoogle Scholar
  19. Ellis, H. D., Whitley, J., & Luaute, J. P. (1994). Delusional misidentification: The three original papers on the Capgras, Fregoli, and intermetamorphosis delusions. History of Psychiatry, 5, 117–146.CrossRefGoogle Scholar
  20. Feinberg, T. E., Venneri, A., Simone, A. M., Fan, Y., & Northoff, G. (2010). The neuroanatomy of asomatognosia and somatoparaphrenia. Journal of Neurology, Neurosurgery, and Psychiatry, 81, 276–281.CrossRefGoogle Scholar
  21. French, L., Garry, M., & Loftus, E. (2008). False memories: A kind of confabulation in non-clinical subjects. In W. Hirstein (Ed.), Confabulation: Views from neuroscience, psychiatry, psychology, and philosophy (pp. 33–66). Oxford: Oxford University Press.Google Scholar
  22. Fotopoulou, A. (2010). The affective neuropsychology of confabulation and delusion. Cognitive Neuropsychology, 15, 38–63.CrossRefGoogle Scholar
  23. Fotopoulou, A., Conwat, M., Griffiths, P., Birchall, D., & Tryer, S. (2007). Self-enhancing confabulation: revisiting the motivational hypothesis. Neurocase, 13, 6–15.CrossRefGoogle Scholar
  24. Greenberg, D. L. (2004). President Bush’s false ‘flashbulb’ memory of 9/11/01. Applied Cognitive Psychology, 18, 363–370.CrossRefGoogle Scholar
  25. Haidt, J. (2001). The emotional dog and its rational tail: A social intuitionist approach to moral judgment. Psychological Review, 108, 814–834.CrossRefGoogle Scholar
  26. Hirstein, W. (2005). Brain fiction. Cambridge: MIT Press.Google Scholar
  27. Hirstein, W. (2009). The name and nature of confabulation. In J. Symons & P. Calvo (Eds.), The Routledge companion to philosophy of psychology (pp. 647–658). New York: Taylor & Francis.Google Scholar
  28. Howe, M. L., Garner, S. R., Charlesworth, M., & Knott, L. (2011). A brighter side to memory illusions: False memories prime children’s and adult’s insight-based problem solving. Journal of Experimental Child Psychology, 108, 383–393.CrossRefGoogle Scholar
  29. Johnson, M. K., O’Connor, M., & Cantor, J. (1997). Confabulation, memory deficits, and frontal dysfunction. Brain and Cognition, 34, 189–206.CrossRefGoogle Scholar
  30. Korsakoff, S. (1889). Psychic disturbance in conjunction with peripheral neuritis. Trans. M. Victor & P. I. Yakovlev. Neurology, 5, 394–406 (1955).Google Scholar
  31. Kraepelin, E. (1919). Dementia praecox and paraphrenia. G. M. Roberston (Ed.). Trans. R. M. Barclay. Edinburgh: E&S Livingstone.Google Scholar
  32. Langdon, R., & Turner, M. (2010). Delusion and confabulation: Overlapping or distinct distortions of reality? Cognitive Neuropsychiatry, 15, 1–13.CrossRefGoogle Scholar
  33. Lofuts, E. F., Miller, D. G., & Burns, H. J. (1978). Semantic integration of verbal information into a visual memory. Journal of Experimental Psychology, 4, 19–31.Google Scholar
  34. Loftus, E. F., & Pickrell, J. E. (1995). The formation of false memories. Psychiatric Annals, 25, 720–725.CrossRefGoogle Scholar
  35. McKenna, P. J., Lorente-Rovira, E., & Berrios, G. E. (2009). In W. Hirstein (Ed.), Confabulation: Views from neuroscience, psychiatry, psychology, and philosophy (pp. 159–172). Oxford: Oxford University Press.Google Scholar
  36. Michaelian, K. (2011). The epistemology of forgetting. Erkenntnis, 74, 399–424.CrossRefGoogle Scholar
  37. Michaelian, K. (2012). Generative memory. Philosophical Psychology, 24, 323–342.CrossRefGoogle Scholar
  38. Michaelian, K. (2016). Mental time travel: Episodic memory and our knowledge of the personal past. Cambridge, MA: MIT Press.Google Scholar
  39. Moscovitch, M. (1989). Confabulation and the frontal systems: strategic vs. associative retrieval in neuropsychological theories of memory. In H. Roediger & F. I. M. Craik (Eds.), Varieties of memory and consciousness: Essays in honor of Endel Tulving (pp. 133–160). Hillside: Erlbaum Associates.Google Scholar
  40. Murphy, D. (2006). Psychiatry in the scientific image. Cambridge: MIT Press.Google Scholar
  41. Nisbett, R. E., & Wilson, T. D. (1977). Telling more than we can know: Verbal reports on mental processes. Psychological Review, 84, 231–259.CrossRefGoogle Scholar
  42. Paradis, C. M., Solomon, L. Z., Florer, F., & Thompson, T. (2004). Flashbulb memories of personal events of 9/11 and the day after for a sample of New York City residents. Psychological Reports, 95, 304–310.Google Scholar
  43. Ramachandran, V. S. (1996). What neurological syndromes can tell us about human nature: Some lessons from phantom limbs, Capgras syndrome, and anosognosia. Cold Spring Harbor Symposia on Quantitative Biology, 65, 115–134.Google Scholar
  44. Robins, S. K. (2016). Misremembering. Philosophical Psychology, 29(3), 432–447.Google Scholar
  45. Roediger, H. L. (1996). Memory illusions. Journal of Memory and Language, 35, 76–100.CrossRefGoogle Scholar
  46. Schnider, A. (2008). The confabulating mind: How the brain creates reality. Oxford: Oxford University Press.CrossRefGoogle Scholar
  47. Swartz, B. E., & Brust, J. C. (1984). Anton’s syndrome accompanying withdrawal hallucinations in a blind alcoholic. Neurology, 34, 969–973.CrossRefGoogle Scholar
  48. Talberg, I. M., & Almkvist, O. (2001). Confabulation and memory in patients with Alzheimer’s disease. Journal of Clinical Experimental Neuropsychology, 23, 172–184.CrossRefGoogle Scholar
  49. Talland, G. A. (1965). Deranged memory. New York: Academic Press.Google Scholar
  50. Wernicke, C. (1906). Grundriss der Psychiatrie (2nd ed.). Leipzig: Thieme.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2017

Authors and Affiliations

  1. 1.Department of PhilosophyUniversity of KansasLawrenceUSA

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