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Impaired Categorization Processes for Semantic Memory in Alzheimer's Disease and Frontotemporal Degeneration

 J. Rhee, P. Koenig, E. Smith and M. Grossman
  
 

Abstract:
U. Pennsylvania and U. Michigan Patients with Alzheimer's disease (AD) and frontotemporal degeneration (FTD) chose one of two categories based on a description (e.g. "A round object 3 inches in diameter"). One category had fixed dimensions (e.g. "quarter"); the other, variable (e.g. "pizza"). The described value fell between the 2 categories on the relevant dimension. The descriptions were "brief" (as above) or "rich" (e.g. "A round object 3 inches in diameter found in an arcade"), biasing toward the fixed-dimension category. This task was performed at separate times with 2 different instructions. "Definitional" instructions indicated that one category must be correct, requiring subjects to identify and reject the fixed-dimensions category (a quarter cannot have 3-inch diameter). "Similarity" instructions asked for the category most similar to the description. With brief descriptions, controls chose the (correct) variable-dimension category significantly more under definitional (80%) than similarity instructions (56%). Patients showed no such difference: Variable-dimension categories were chosen 60% by 11 AD patients and 55% by 25 FTD patients with definitional instructions (significantly less than controls), and 53% by AD and 50% by FTD under similarity instructions. Rich descriptions biased all subjects toward fixed-dimension categories, indicating sensitivity to feature content in descriptions. Under definitional instructions, controls chose the variable-dimension category 59%, AD 44%, and FTD 41%; under similarity instructions, controls chose the variable-dimension category 38%, AD 36%, FTD 34%. AD and FTD patients cannot process the critical features necessary to define and categorize an object.

 
 


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