Extended exposure to study material can markedly improve subsequent re
cognition memory performance in amnesic patients, even the densely amn
esic patient H.M. To understand this phenomenon, the severely amnesic
patient E.P., 3 other amnesic patients, and controls studied pictorial
material and then were given either a yes-no (Experiment 1) or a 2-al
ternative, forced-choice (Experiment 2) recognition test. The amnesic
patients and controls benefited substantially from extended exposure,
but patient E.P. consistently performed at chance. Furthermore, confid
ence ratings corresponded to recognition accuracy. The results do not
support the idea that the benefit of extended study time is due to som
e kind of familiarity process made available through nondeclarative me
mory. It is likely that amnesic patients benefit from extended study t
ime to the extent that they have residual capacity for declarative mem
ory.