What causes humans to begin and end a meal? A role for memory for what has been eaten, as evidenced by a study of multiple meal eating in amnesic patients

Although many factors have been proposed and studied as causes of onset and termination of meals by humans, little attention has been paid to memory for what has previously been eaten. We propose that a principal determinant of meal onset and cessation in humans is memory of when a last meal,was eaten and how much,vas consumed. Knowledge that one has just eaten a culturally defined complete meal may be sufficient grounds for refusal of further food. This hypothesis was tested by studying two densely amnesic patients who had almost no explicit memory for events that occurred more than a minute ago, and who, in particular usually failed to remember that they had just eaten a meal. Both patients (on three occasions each) readily consumed a second lunch when it was offered IO to 30 min after completion of the first meal, and usually began to consume a third meal when it,vas offered IO to 30 min after completion of the second meal. These findings suggest that memory for,that has recently been eaten is a substantial contributor to the onset or cessation of eating of a meal.