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Role of the Brain in Memory ยป HM Amnesia Case Study (Milner et al.)

What you'll learn this session

Study time: 30 minutes

  • Understand the famous case of HM and his severe amnesia
  • Learn about different types of memory and how the brain stores them
  • Explore Milner's groundbreaking research methods and findings
  • Discover how HM's case changed our understanding of memory
  • Examine the role of the hippocampus in forming new memories
  • Understand the ethical considerations in psychological research

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Introduction to HM's Amnesia Case Study

The case of HM (Henry Molaison) is one of the most famous and important studies in psychology. In 1953, a young man had brain surgery to treat his severe epilepsy. What happened next changed our understanding of memory forever. This case study, led by Brenda Milner and her colleagues, revealed crucial information about how our brains store and retrieve memories.

Key Definitions:

  • Amnesia: Loss of memory, often caused by brain damage or trauma.
  • Hippocampus: A seahorse-shaped brain structure crucial for forming new memories.
  • Anterograde amnesia: Inability to form new memories after brain damage.
  • Retrograde amnesia: Loss of memories from before brain damage occurred.
  • Procedural memory: Memory for skills and habits (like riding a bike).
  • Declarative memory: Memory for facts and events that can be consciously recalled.

🧠 Who Was HM?

Henry Molaison (known as HM to protect his privacy) was born in 1926. He began having seizures at age 10 after a bicycle accident. By his twenties, his epilepsy was so severe that he couldn't work or live normally. Desperate for help, he agreed to experimental brain surgery in 1953.

The Surgery That Changed Everything

Dr William Scoville performed the operation, removing parts of HM's temporal lobes, including most of his hippocampus, to stop the seizures. The surgery worked - HM's epilepsy improved dramatically. However, it had an unexpected and devastating side effect: HM could no longer form new memories.

What Happened to HM's Memory?

After surgery, HM experienced severe anterograde amnesia. He could remember events from his childhood and early adulthood, but couldn't form new long-term memories. Every day was like starting fresh - he couldn't remember what he had for breakfast or recognise people he'd met the day before.

What HM Lost

New factual memories, new personal experiences, ability to learn new information consciously

What HM Kept

Childhood memories, basic skills, short-term memory (for about 20 seconds), personality

🤔 Surprising Discovery

HM could still learn new motor skills, even though he couldn't remember learning them!

Case Study Focus

Milner and her team studied HM for over 50 years, making him the most studied patient in neuroscience history. Their research revealed that memory isn't just one system - it's made up of different types stored in different parts of the brain.

Milner's Research Methods

Brenda Milner, a neuropsychologist, began studying HM in 1955. She used various tests to understand exactly what had happened to his memory. Her careful, systematic approach set the standard for how we study brain-damaged patients today.

Key Research Techniques

Milner used several innovative methods to test HM's different types of memory:

Mirror Drawing Task

HM had to trace a star shape while looking at his hand in a mirror. This tested his ability to learn new motor skills. Amazingly, he got better each day, even though he couldn't remember doing the task before!

📜 Memory Tests

Milner tested HM's ability to remember word lists, stories and faces. These tests showed his severe problems with forming new declarative memories, whilst his short-term memory remained normal.

Major Findings and Their Impact

HM's case revolutionised our understanding of memory. Before this study, scientists thought memory was stored throughout the brain. HM's case proved that different types of memory are stored in different brain regions.

The Two Memory Systems

Milner's research with HM revealed that we have two main memory systems:

🧠 Declarative Memory

Facts and events you can consciously remember. Needs the hippocampus. HM lost this ability.

💪 Procedural Memory

Skills and habits you do automatically. Stored elsewhere in the brain. HM kept this ability.

💡 Key Insight

You can learn without being aware you're learning - HM proved this!

Real-World Example

HM could learn to play new card games and get better at puzzles, but each time he played, he thought it was his first time. This showed that skill learning and conscious memory are completely separate brain systems.

The Hippocampus: Memory's Command Centre

HM's case proved that the hippocampus is essential for forming new declarative memories. Without it, information can't move from short-term to long-term memory storage.

How Memory Formation Works

Thanks to HM's case, we now understand the memory process:

Normal Memory Process

Information enters short-term memory โ†’ hippocampus processes it โ†’ transfers to long-term storage in cortex โ†’ can be recalled later

HM's Broken Process

Information enters short-term memory โ†’ damaged hippocampus can't process it โ†’ information is lost โ†’ no new long-term memories formed

Ethical Considerations

HM's case raises important ethical questions about research with vulnerable participants. Although HM couldn't remember giving consent for studies, researchers had to consider his wellbeing carefully.

Ethical Challenges

How do you get informed consent from someone who can't form new memories? Researchers had to re-explain studies each time and ensure HM wasn't distressed by the testing.

Legacy and Modern Applications

HM's case continues to influence psychology and neuroscience today. His contributions helped develop treatments for memory disorders and improved our understanding of conditions like Alzheimer's disease.

What HM Taught Us

The case study revealed fundamental principles about memory that we still use today:

🏠 Memory Systems

Different types of memory are stored in different brain areas

🧠 Hippocampus Role

Essential for forming new declarative memories

🔧 Clinical Applications

Helps doctors understand and treat memory disorders

HM's Final Gift

When HM died in 2008, he donated his brain to science. Researchers created a detailed 3D map of his brain, allowing future scientists to continue learning from his extraordinary case. His identity was finally revealed as Henry Molaison, honouring his massive contribution to our understanding of memory.

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