Hyperthymesia

Hyperthymesia, also known as hyperthymestic syndrome or highly superior autobiographical memory, is a condition that leads people to be able to remember an abnormally large number of their life experiences in vivid detail. It is extraordinarily rare, with fewer than 100 people in the world having been diagnosed with the condition as of 2021. A person who has hyperthymesia is called a hyperthymesiac.
American neurobiologists Elizabeth Parker, Larry Cahill and James McGaugh identified two defining characteristics of hyperthymesia: spending an excessive amount of time thinking about one's past, and displaying an extraordinary ability to recall specific events from one's past. The authors wrote that they derived the word from Ancient Greek: hyper- 'excessive' and allegedly thymesis 'remembering', although such a word is not attested in Ancient Greek, but they may have been thinking of Modern Greek thymisi 'memory' or Ancient Greek enthymesis 'consideration', which are derived from thymos 'mind'.

Signs and symptoms

Individuals with hyperthymesia can recall extensive details of their own lives, along with public events that hold personal significance. They often describe their memories as uncontrollable associations: when presented with a date, they immediately "see" a vivid depiction of that day without conscious effort. These memories are strikingly detailed but not literal recordings of experience. In the case of Jill Price, anonymised as "AJ" in the 2006 study by Parker, Cahill and McGaugh, her recollections resembled a movie running in her mind, yet she could not remember incidental details such as what her interviewers were wearing hours earlier.

Although she describes her mind like having a movie running, she is not recording her world verbatim in its totality. One day after several hours together, she was asked to close her eyes and tell what her two interviewers were wearing. She was unable to do so.

Hyperthymesia differs from other forms of exceptional memory, which usually rely on mnemonic devices or rehearsal strategies. Hyperthymestic memories are overwhelmingly autobiographical, encompassing both significant and mundane events, and are encoded involuntarily and retrieved automatically. Although hyperthymesiacs may be able to recall the day of the week on which a date occurred, they are not calendrical calculators; their recall is constrained to lived experiences and thought to operate subconsciously.
Hyperthymesia is not classified as a form of autism, though certain similarities exist. Like autistic savants, some hyperthymesiacs develop an obsessive fascination with dates. Jill Price, the first documented case, differed notably from mnemonist Solomon Shereshevsky, described by psychologist Alexander Luria. Shereshevsky could deliberately memorise vast amounts of information, whereas Price could recall only autobiographical events and generally performed poorly at memorisation tasks. Hyperthymestic individuals may even have below-average memory for arbitrary information.
Another parallel drawn between Price and Shereshevsky is the role of synesthesia. Shereshevsky exemplified time-space synesthesia, and some researchers suggest superior autobiographical memory may be linked to this phenomenon.

Difficulties

Hyperthymestic abilities can have a detrimental effect. The constant, irrepressible stream of memories has caused significant disruption to Price's life. She described her recollection as "non-stop, uncontrollable and totally exhausting" and as "a burden". Price is prone to getting lost in remembering. This can make it difficult to attend to the present or future, as she is often spending time re-living the past. Others who have hyperthymesia may not display any of these traits, however.
Price displays considerable difficulty in memorising allocentric information. According to James McGaugh, "Her autobiographical memory, while incredible, is also selective and even ordinary in some respects". This was demonstrated by her having poor performance on standardised memory tests and average performance at school, unable to apply her exceptional memory to her studies.
Deficits in executive functioning and anomalous lateralisation were also identified in Price. These cognitive deficiencies are characteristic of frontostriatal disorders.
Even those with a high level of hyperthymesia do not remember exactly everything in their lives or have "perfect memory". Studies have shown that it is a selective ability, as shown by Price's case, and they can have comparative difficulty with rote memorisation and therefore cannot apply their ability to school and work.
Their memorisation of events tends to exceed their ability to memorise given facts; for example, if a hyperthymesiac were told a fact, he might forget the fact even while remembering the teller's clothing and other aspects of the situation, making the memories even more potent.
Hyperthymesiacs also have difficulties letting go of difficult events or traumatic memories, which can stay with them for life. Joey DeGrandis, who was featured in the magazine Time said, "I do tend to dwell on things longer than the average person, and when something painful does happen, like a break-up or the loss of a family member, I don't forget those feelings."
Cases of hyperthymesia have forced many people to re-evaluate what is meant by "healthy" memory: "it isn't just about retaining the significant stuff. Far more important is being able to forget the rest."

Causes

Because of the small number of people diagnosed with hyperthymesia, relatively little is known about the processes governing this superior memory ability. However, more is beginning to be understood about this condition.

Psychological

It has been proposed that the initial encoding of events by such people includes semantic processing, and therefore semantic cues are used in retrieval. Once cued, the memory is retrieved as episodic and follows a pattern similar to that of a spreading activation model. This is particularly evident in Jill Price's case. She describes how one memory triggers another, which in turn triggers another and how she is powerless to stop it: "It's like a split screen; I'll be talking to someone and seeing something else." This theory serves to explain why hyperthymestics have both a sense of 'knowing' and 'remembering' during recollection.
One writer claimed hyperthymesia may be a result of reviewing memories constantly to an obsessive-compulsive degree. However, Price has completely dismissed this article as "a load of crap", and hyperthymesiacs claim to never revisit uneventful memories. Other findings have shown that the tendencies to absorb new information and fantasise are personality traits that are higher in hyperthymestics than the rest of the population. These traits, absorption and fantasising, also correlated with a test which measures superior autobiographical memory within the hyperthymestic sample.
McGaugh rejects the idea that hyperthymestic syndrome can be explained away so easily; he argues that nothing explains how subjects are able to memorise so much: "You'd have to assume that every day they rehearse it... The probability of these explanations dwindles as you look at the evidence."

Biological

An MRI study conducted on Price provides a plausible argument as to the neurological foundation of her superior memory. Both the temporal lobe and the caudate nucleus were found to be enlarged.
Parker and colleagues speculated that a defective frontostriatal circuit could be responsible for the observed executive function deficits in hyperthymesia. This circuit plays a crucial role in some neurodevelopmental disorders including obsessive–compulsive disorder and Alzheimer's. Given the parallels in some aspects of behavior, Price's hyperthymestic abilities possibly stem from atypical neurodevelopment. Scientists now need to ascertain if and how these brain areas are connected to establish a coherent neurological model for superior autobiographical memory.
For autobiographical memory, the hippocampus, located in the medial temporal lobe, is involved in the encoding of declarative memory, while the temporal cortex is involved in the storage of such memory. The caudate nucleus is primarily associated with procedural memory, in particular habit formation, and is, therefore, intrinsically linked to obsessive-compulsive disorder.
A 2018 clinical trial published that there were higher levels of activation in the medial prefrontal cortex and temporoparietal junction along with heightened connection between the prefrontal cortex and the hippocampus in hyperthymesiacs, suggesting that these regions may play a role in the enablement of the condition. This contradicts information published earlier in a Wired article, which states that the hyperthymesiac Jill Price had been brain scanned and her "hippocampus and prefrontal cortex were reportedly normal", suggesting that these regions of the brain do not need to be different for hyperthymesia to occur.
Significant debate also exists over the limits of memory capacity. Some are of the view that the brain contains so many potential synaptic connections that, in theory at least, no practical limit exists to the number of long-term memories that the brain can store. In 1961, Wilder Penfield reported that specific stimulation of the temporal lobes resulted in vivid recollection of memories. He concluded that our brains were making "continuous, effortless, video-like recordings" of our experiences, but that these records are not consciously accessible to us. However, a study published in the Proceedings of the National Academy of Sciences suggested that hyperthymesiacs may reconstruct memories from traces and incorporate post-event information and associations—a finding at odds with Penfield's video-like recording analogy.