Memory for internally generated words in Alzheimer-type dementia: breakdown in encoding and semantic memory.

The "generation effect" is a phenomenon in which words that are generated by the subject are remembered better than words which are read. The present experiments examined this effect in patients with mild-to-moderate dementia of the Alzheimer type (DAT), healthy elderly adults, and young adults under a variety of different encoding and retrieval conditions. Experiment 1 employed an intentional learning task with multiple study/test trials using the same list of words. While both the young and elderly adults exhibited higher recall for internally generated words than read words, the DAT patients failed to demonstrate the effect even after repeated exposures to the same stimulus list. Experiment 2 replicated this same pattern of results using an incidental learning paradigm with both recall and recognition tests. Various explanations as to why the DAT patients failed to show the generation effect were discussed with particular emphasis placed on the role of semantic memory and encoding failure.