As efforts intensify to develop more powerful means to identify patients with Alzheimer's disease in its earliest stages, inclusion of specialist tests posing greater cognitive challenge than standard mental status scales has been one strategy. Our study explored how some of these neuropsychological tools behave psychometrically when analyzed on a single-case basis, and the results suggest a few are sensitive enough to boost detection above base rates alone while also being specific enough to reduce false alarms. Retention on Wechsler's Logical Memory and Visual Reproduction tasks and scores on Kendrick's Object Learning Test helped decrease the degree of ambiguity when cognitive profiles were used to distinguish depressed patients with Alzheimer disease from those without.

Wilson, Bacon, Kaszniak, and Fox (1982) suggest that the learning of low associate pairs on the Wechsler Memory Scale involves episodic memory alone while the learning of high associate pairs involves semantic memory as well. Tulving (1983) also comments that, whereas some information in episodic memory is relatively unorganized and access to its content tends to be deliberate and requiring conscious effort (e.g., low associate pairs), information in semantic memory is organized and access to its content is more automatic (e.g., high associate pairs). As there may be occasions when it would be useful to compare these two types of memory functioning, differential diagnosis between depressive pseudodementia and organic dementia for example, normative data is provided enabling the calculation of the frequency with which differences between the learning of the two kinds of associate occur, based on the performance of 500 subjects with no known neuropsychiatric involvement.

SYNOPSISFour groups of healthy women matched for age and IQ were reliably classified on the Eysenck Personality Questionnaire as being either high or low in extraversion or neuroticism. As part of a larger research project, each participant was administered a range of psychometric measures together with three paired-associate learning lists varying in hedonic tone and difficulty levels together with the Beck Depression Inventory. Performance on the hedonic lists covaried with personality categories but, unlike what typically obtains in clinical patients, less association emerged between performance and mood states. Performance was particularly polarized in women scoring high in neuroticism but low in extraversion. Speculations about the apparent correlates of so-called mood congruence in healthy subjects are put forward and parallels are drawn with studies reporting the phenomenon in clinically depressed patients.

SUMMARYIn 1979, Wells tabled a list of 'major clinical features' which he found most useful in distinguishing dementia due to organic disease from dementia occurring in the context of psychiatric conditions like depression. This article reviews recent findings on the most commonly accepted items of this list and, for several of them, concludes that the evidence is controversial. Newer aspects are then briefly considered which, when validated in longitudinal studies, may add to the clinician's range of implements during diagnostic workup.