People with whom one is personally acquainted tend to elicit richer and more vivid memories than people with whom one does not have a personal connection. Recent findings from neurons in the human medial temporal lobe ( epilepsy ͉ hippocampus ͉ memory ͉ familiarity ͉ single-unit recordings H umans are self-absorbed by nature. One virtually infallible method of enhancing memory is simply to relate the to-be-remembered information to one's self. The self-reference effect (1) is a well-documented encoding enhancement: people are more likely to remember items that are personally relevant, than items that have undergone some other deep or semantically elaborative encoding processes (2). One mechanism by which the self-referent effect might operate is via the incidental recollection of a rich network of information related to past experiences with that particular item. In addition, incidental recollection of related autobiographical associations can lead to performance advantages such as enhanced memory and speeded responding (3). This incidental recollection has been shown to occur in the context of identifying famous people (3), and has also been shown to involve the hippocampus (4, 5). Furthermore, famous faces and names have long been used to query the integrity of recent and remote semantic memory in patients with temporal lobe epilepsy (TLE) (3, 6-11). Finally, autobiographical memory retrieval consistently engages the medial temporal lobe (12), suggesting that cells in this region may respond differentially to faces that elicit autobiographical memory retrieval.Recently, recordings from the human medial temporal lobe (MTL) have shown that individual neurons can be highly selective in terms of the stimuli to which they respond (13). Out of a set of about 100 visual images across several categories, such as faces, animals, and landmarks, some cells showed robust responses to only a handful of pictures pertaining to a single conceptual category, such a particular famous person. This selectivity provides an important clue as to the mechanism by which the brain represents information currently in awareness (14). In animals, selective sparse coding has also been observed in recordings from the MTL (15, 16). In fact, the idea that the MTL represents information using a sparse code is one of the basic tenets of most contemporary memory models (17)(18)(19). Given that the MTL assigns a relatively small number of neurons to a specific stimulus (20), and that the number of stimuli in the environment is very large, does a feature such as personal relevance, which may be related to the incidental recollection of autobiographically significant information (3), make a stimulus more likely to elicit a selective excitatory response from a cell? Here, we address the question of whether individual neurons in the MTL show a preference for personally relevant pictures.In this study, patients with intracranial electrodes implanted for clinical reasons were shown photographs of varying personal relevance: previously unknown faces and...