Memory and the Korsakoff syndrome: not remembering what is remembered.

Following the distinction between involuntary unconscious memory, involuntary conscious memory, and intentional retrieval, the focus of the present paper is whether there is an impairment of involuntary conscious memory among Korsakoff patients. At study, participants generated associations versus counted the number of letters with enclosed spaces or the number of vowels in the target words (semantic versus perceptual processing). In the Direct tests, stems were to be used to retrieve the targets with either guessing or no guessing allowed; in the Opposition tests, the stems were to be completed with the first word that came to mind but using another word if that first word was a target word; and in the Indirect tests, no reference was made to the target words from the study phase. In the Direct tests, the performance of Korsakoff patients was not necessarily worse than the one of healthy controls, provided guessing was allowed. More critical for the Korsakoff patients was the deficient involuntary conscious memory. The deficiency explained the suppression failures in the Opposition tests, the absence of performance differences between the Indirect and Opposition tests, the absence of a beneficial effect in providing information about the status of the stem, the performance boost when allowed to guess, and the very low rate of "Know"/"Remember" responses.