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Alzheimer’s disease has a profound effect on explicit memory. Mild cognitive impairment is an early sign of Alzheimer’s disease. People with memory conditions often receive cognitive training. When an fMRI was used to view brain activity after training, it found increased activation in various neural systems that are involved with explicit memory. People with Alzheimer’s have problems learning new tasks. However, if the task is presented repeatedly they can learn and retain some new knowledge of the task. This effect is more apparent if the information is familiar. The person with Alzheimer’s must also be guided through the task and prevented from making errors. Alzheimer’s also has an effect on explicit spatial memory. This means that people with Alzheimer’s have difficulty remembering where items are placed in unfamiliar environments. The hippocampus has been show to become active in semantic and episodic memory. The effects of Alzheimer’s disease are seen in the episodic part of explicit memory. This can lead to problems with communication. A study was conducted where Alzheimer’s patients were asked to name a variety of objects from different periods. The results shown that their ability to name the object depended on frequency of use of the item and when the item was first acquired. This effect on semantic memory also has an effect on music and tones. Alzheimer’s patients have difficulty distinguishing between different melodies they have never heard before. People with Alzheimer’s also have issues with picturing future events. This is due to a deficit in episodic future thinking.

Testing of information while learning has also shown to improve encoding in explicit memory. If a student reads a text book and then tests themselves afterward, their semantic memory of what was read is improved. This study – test method improves encoding of information. This Phenomenon is referred to as the Testing Effect. The conditions in which information is memorized can effect recall. If a person has the same surroundings or cues when the original information is presented, they are more likely to remember it. This is referred to as encoding specificity and it also applies to explicit memory. In a study where subjects were asked to perform a cued recall task participants with a high working memory did better than participants with a low working memory when the conditions where maintained. When the conditions where changed for recall both groups dropped. The subjects with higher working memory declined more. This is thought to happen because matching environments activates areas of the brain known as the left inferior frontal gyrus and the hippocampus Staresina, B. P., Gray, J. C., & Davachi, L. (2009). Event congruency enhances episodic memory encoding through semantic elaboration and relational binding. Cerebral Cortex, 19(5), 1198-1207. doi:10.1093/cercor/bhn165.