The medial temporal lobe (MTL) is critical to associative memory success. Yet not all types of associations may be processed in a similar manner within MTL subregions. In particular, work suggests that intra- and inter-item associations not only exhibit differences in overall rates of recollection, but also recruit different MTL subregions. Whereas intra-item associations, akin to unitization, take advantage of associations between within-item features, inter-item associations form links across discrete items. The current work aimed to examine the neural differences between these two types of associations using multivariate neural analyses. Specifically, the current study examined differences across face-occupation as a function of whether the pairing was viewed as a person performing the given job (intra-item binding) or a person saying that they knew someone who had a particular job (inter-item binding). The results show that at encoding, successfully recollected intra- and inter- item associations are discriminable from one another in the hippocampus, parahippocampal cortex, and perirhinal cortex. Additionally, the two trial types are reinstated distinctly such that inter-item trials have higher neural reinstatement from encoding to retrieval compared to intra-item trials in the hippocampus. We conclude that intra- and inter- associative pairs may utilize similar neural regions that represent patterns of activation differentially at encoding. However, in order to reinstate information to the same degree (i.e., subsequently successfully recollected) inter-item associations may act in a compensatory manner, while it is not necessary for intra-item associations to be reinstated to the same degree. This may indicate that intra-item associations promote more efficient reinstatement.
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