
doi: 10.1037/a0026869
pmid: 22409507
Behavioral evidence concerning memory in forms of high-functioning autism (HFA) and in moderately low-functioning autism (M-LFA) is reviewed and compared. Findings on M-LFA are sparse. However, it is provisionally concluded that memory profiles in HFA and M-LFA (relative to ability-matched controls) are similar but that declarative memory impairments are more extensive in M-LFA than in HFA. Specifically, both groups have diminished memory for emotion- or person-related stimuli. Regarding memory for nonsocial stimuli, both groups probably have mental-age-appropriate nondeclarative memory, and within declarative memory, both groups have mental-age-appropriate immediate free recall of within-span or supraspan lists of unrelated items, as well as cued recall and paired associate learning. By contrast, recognition is largely unimpaired in HFA but moderately impaired in M-LFA, and free recall of meaningful or structured stimuli is moderately impaired in HFA but more severely impaired in M-LFA. Theoretical explanations of data on declarative memory in HFA identify problems in the integrative processing, or the consolidation and storage, of complex stimuli or a specific problem of recollection. Proposed neural substrates include the following: disconnectivity of primary sensory and association areas; dysfunctions of medial prefrontal cortex, hippocampus, or posterior parietal lobe; or combinations of these associated with neural disconnectivity. Hypothetically, perirhinal dysfunction might explain the more extensive declarative memory impairments in M-LFA. Foreseeable consequences of uneven memory abilities in HFA and M-LFA are outlined, including possible effects on language and learning in M-LFA. Finally, priorities for future research are identified, highlighting the urgent need for research on memory in lower functioning individuals.
prefrontal cortex, Memory Disorders, hippocampus, Emotions, BF, Prefrontal Cortex, parietal lobe., Neuropsychological Tests, Hippocampus, Severity of Illness Index, memory, Autistic spectrum disorder, Memory, Research Design, connectivity, Face, Parietal Lobe, Humans, Autistic Disorder
prefrontal cortex, Memory Disorders, hippocampus, Emotions, BF, Prefrontal Cortex, parietal lobe., Neuropsychological Tests, Hippocampus, Severity of Illness Index, memory, Autistic spectrum disorder, Memory, Research Design, connectivity, Face, Parietal Lobe, Humans, Autistic Disorder
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