Evidence of impaired naming in patients with hippocampal amnesia

Object naming involves accessing meaning and retrieving the associated word form from remote semantic memory. Historically, previously acquired semantic knowledge (i.e., remote semantic memory) was thought to be independent of the hippocampus via neocortical consolidation. This view is based on evidence demonstrating a dissociation in behavior in patients with hippocampal amnesia: amnesic patients are impaired in acquiring new vocabulary yet can name and define previously acquired words. More recently, the view that remote semantic memory is hippocampus-independent has been challenged by the documentation of disruptions in aspects of remote semantic memory in patients with hippocampal amnesia, particularly in language use and depth of semantic knowledge. Based on these findings, we hypothesized that the hippocampus plays a long-term role in remote semantic memory. We tested amnesic patients and demographically matched healthy comparison participants in an extensive naming task using photographic images of objects normalized for familiarity, object agreement, and visual complexity. Amnesic patients were less likely to correctly name objects than healthy comparison participants. Further, amnesic patients' performance worsened for words that were less familiar, more visually complex, and had less object agreement. These findings suggest that the hippocampus may play a long-term role in semantic memory processes, rather than a time-limited role in the initial acquisition of semantic information, and that hippocampal damage can disrupt object naming.