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WORD-STEM COMPLETION PRIMING IN AD 9Downloaded By: [Mil<strong>le</strong>t, Xavier] At: 10:57 4 November 2009not influence word comp<strong>le</strong>tion priming tasks (Challis etal., 1996; Graf et al., 1982; Roediger et al., 1992),consistently with two other meta-analyses (Brown &Mitchell, 1994; Challis & Brodbeck, 1992), our resultssupport the assumption that cognitive operationsengaged at the encoding phase influence word-stemcomp<strong>le</strong>tion performances in AD.However, it is important to underline that the natureof processing at encoding is not sufficient to determinelater implicit retrieval. For examp<strong>le</strong>, it has been shownthat with the same encoding condition, AD patients’priming magnitude varies according to retrievalprocedure (Vaidya et al., 1999) since priming performancesare influenced by competition and se<strong>le</strong>ctionprocesses operating at retrieval. Thus, the pattern ofnormal and abnormal priming in AD patients may bethe result of a comp<strong>le</strong>x interaction between encoding andretrieval processes. Consistently with the latest model byRoediger et al. (2002) providing a procedural approachof memory, priming may depend on the specific matchof cognitive operations between study and test phases.As previously suggested by Maki and Knopman (1996),AD patients seem to show impaired priming in theabsence of processing contiguity between study and testphases. They would necessitate greater hyperspecificityof transfer operations between encoding and retrievalthan in normal elderly adults. Because word-stemcomp<strong>le</strong>tion priming is based on the generation processesin response to a fragment cue, a condition consisting inpreviously generating a word at the encoding phasecould constitute a significant help for AD patients toimplicitly retrieve the target information.In the last two decades, different programs ofcognitive rehabilitation taping residual implicit memoryprocesses such as error<strong>le</strong>ss <strong>le</strong>arning (e.g., Clare et al.,2000) and spaced retrieval (e.g., Camp, Foss, O’Hanlon,& Stevens, 1996) have been developed in AD. It appearsnow crucial to identify the conditions that may optimizepatients’ performances. Our study points out thatelaborate processing involving word generation orsemantic judgments would be necessary to elicit <strong>le</strong>vels ofword-stem comp<strong>le</strong>tion priming in AD patients equiva<strong>le</strong>ntto that of elderly controls. In particular, selfgeneratingwords at encoding may have provided a richcontextual input subverting loss of conceptual processesin AD patients. In addition, increasing the transferappropriatenessof cognitive operations betweenencoding and retrieval phases may also contribute to optimizingAD patients’ priming performances. These two theoreticalissues may be applied in daily living activities as anaid to sustaining the <strong>le</strong>arning of simp<strong>le</strong> information.Original manuscript received 17 April 2009Revised manuscript accepted 29 July 2009First published online day month yearREFERENCES*References marked with an asterisk indicate studiesincluded in the meta-analysis.Abbenhuis, M. A., Raaijmakers, W. G., Raaijmakers, J. G., &van Woerden, G. J. (1990). Episodic memory in dementia ofthe Alzheimer type and in normal ageing: Similar impairmentin automatic processing. The Quarterly Journal ofExperimental Psychology, 42, 569–583.*Arroyo-Anllo, E. 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