This study presents revised and extended norms for a picture naming test [Laiacona et al. (Arch Neurol Psicol Psichiatr 54:209–248, 1993)], based on 80 Snodgrass and Vanderwart (J Exp Psychol Human Learn Mem 6:174–215, 1980) pictures, devised to detect a categorical dissociation in the naming of items between biological and man-made categories. This survey is based on data from 215 healthy Italian participants. Since males are more frequently reported to have a disproportionate impairment of biological categories, norms have also been separately calculated for males and females and for the two categories of man-made objects and biological entities. Besides providing new normative values based on the Equivalent Scores approach, this study reappraises the interaction between categorical dissociations and sex in the normal population, and discusses some methodological aspects concerning the use of statistical norms.

The literature reports a sex-related asymmetry in the ability to process different semantic categories: women are more proficient with biological categories and men with man-made objects. The origin of this asymmetry is still debated. in this study, we directly checked whether the acquisition of names belonging to different semantic categories differs according to sex. We carried out our inquiry on 202 children aged 3-5 years, who were given a coloured picture naming task using a battery of 60 stimuli belonging to different semantic categories, Boys differed from girls only on naming of stimuli belonging to the categories of tools and vehicles, where they showed an earlier name acquisition. No sex differences were found for animals or plant life, notwithstanding evidence in the literature of an overrepresentation of males among patients affected by biological categories impairment.Our findings suggest that the male advantage for tools and vehicles reported in the literature on verbal fluency and naming tasks is strongly related to the earlier age in males of name acquisition for these categories, and possibly to their higher familiarity. On the contrary, the female advantage for plant life knowledge, which becomes evident later in life, has a still undefined nature and only a dubious relationship to familiarity, although it is sufficient to cause an overrepresentation of males among patients affected by a category specific impairment of biological categories, especially of plant life knowledge. (C) 2008 Elsevier Srl. All rights reserved.

A sexual asymmetry has been recently found on semantic memory tasks: after brain damage, a disproportionate deficit for information about biological categories has been reported more frequently for male patients. A review of cases shows that the fine-grained pattern is more complicated in that there is a strong interaction with sex: Disproportionate plant-knowledge deficits are restricted to males, whereas disproportionate animal-knowledge deficits are rare and show no sex bias. These clinical data are consistent with semantic-knowledge data from normal subjects indicating a task-invariant female advantage with plant categories. In this study, we seek an explanation for this sex-by-semantic category interaction and discuss the possible roles of a greater female experience with plant items, both ontogenetically and over evolutionary time.

Sex differences in cognitive functions are heavily debated. Recent work suggests that sex differences do stem from different processing strategies utilized by men and women. While these processing strategies are likely reflected in different brain networks, so far the link between brain networks and processing strategies remains speculative. In the present study we seek for the first time to link sex differences in brain activation patterns to sex differences in processing strategies utilizing a semantic verbal fluency task in a large sample of 35 men and 35 women, all scanned thrice. For verbal fluency, strategies of clustering and switching have been described. Our results show that men show higher activation in the brain network supporting clustering, while women show higher activation in the brain network supporting switching. Furthermore, converging evidence from activation results, lateralization indices and connectivity analyses suggests that men recruit the right hemisphere more strongly during clustering, but women during switching. These results may explain findings of differential performance and strategy-use in previous behavioral studies.

We provide objective data concerning the age of acquisition (AoA) of words from 202 Italian children 34–69 months of age. We investigated picture naming with 80 concrete words belonging to eight semantic categories that are included in a widely used battery for the study of naming and semantic memory. For each word, we calculated three different indices: two directly expressing the age at which a picture was given the correct name by at least 75% of the subjects, and one expressing the overall percentage of our children who were correct in the task. (For the latter index, we provide separate values for boys and girls.) The correlation between objective indices of AoA and adult estimates culled from the literature was not very high. Moreover, objective indices showed low correlations with frequency and familiarity, in contrast to adult ratings. We conclude that adult estimates of AoA present validity problems and should be used with caution. The full set of stimuli is available at www.psychonomic.org/archive.

In this study we report the long-term follow-up of EA, a patient originally affected by a disproportionate semantic impairment of biological categories due to herpetic encephalitis. After 10 years, EA still presented a biological categories semantic impairment, but his deficit had become minimal for animals while it remained considerably severe for fruit and vegetables, without any evolution from the original level of impairment. The eventual discrepancy between the two subsets of biological categories was statistically significant at word-picture matching and verbal semantic probes (and could not be explained by nuisance variables), but not significant at picture naming due to an associated lexical impairment that, besides plant life items, also affected animals and artefact stimuli. Our recovery data corroborate the notion that biological categories should be further fractionated, and we comment on the suitability of different accounts of category specificity to accommodate such findings. We discuss our case against the background of other cases reported in the literature and the current models of organisation of the semantic system, bringing to light some interesting consistencies concerning patients whose semantic impairment disproportionately affects the categories of fruit and vegetables.

We present a new corpus of 80 pictures of unreal objects, useful for a controlled assessment of object reality decision. The new pictures were assembled from parts of the Snodgrass and Vanderwart [J. Exp. Psychol., Hum. Learning Memory 6; 1980: 174] set and were devised for the purpose of contrasting natural categories (animals, fruits and vegetables), artefacts (tools, vehicles and furniture), body parts and musical instruments. We examined 140 normal subjects in a free-choice and a multiple-choice object decision task, assembled with 80 pictures of real objects and above 80 new pictures of unreal objects in order to obtain a difficulty index for each picture. We found that the tasks were more difficult with pictures representing natural entities than with pictures of artefacts. We found a gender by category interaction, with a female superiority with some natural categories (fruits and vegetables, but not animals), and a male advantage with artefacts. On this basis, the difficulty index we calculated for each picture is separately reported for males and females. We discuss the possible origin of the gender effect, which has been found with the same categories in other tasks and has a counterpart in the different familiarity of the stimuli for males and females. In particular, we contrast explanations based on socially determined gender differences with accounts based on evolutionary pressures. We further comment on the relationship between data from normal subjects and the domain-specific account of semantic category dissociations observed in brain-damaged patients.

In the literature about category effects in semantic memory, body parts and musical instruments are often considered atypical, because in cases with a disproportionate impairment of living categories body parts are relatively spared, while musical instruments are often severely defective. In this study the performance of 57 subjects affected by diseases generally associated with lexical-semantic impairment, for the most part Alzheimer's disease and other forms of cortical degeneration, but also herpetic encephalitis and traumatic brain damage are analyzed. The subjects were given a picture naming task tapping eight categories: three living categories (animals, fruits and vegetables) and three non-living categories (tools, furniture and vehicles), plus body parts and musical instruments. On a preliminary analysis at the group level, body parts were the least impaired category and musical instruments the most severely impaired, the six living and non-living categories being intermediate. However, these differences disappeared after covariance for lexical frequency, name agreement and age of acquisition. The relationship between living categories, non-living categories, musical instruments and body parts was investigated by means of a Lisrel model of Confirmatory Factor Analysis. Two latent variables related to living and non-living categories respectively were defined, and it was found that both body parts and musical instruments were significantly related only with non-living categories. The results showed that the definition of the latent variable expressing the substrate of non-living categories was less satisfactory than that expressing the living categories. On this basis, the conclusions of this study appear statistically definite but their psychological interpretation is less straightforward.

The relation of symptoms to cognitive dysfunction in schizophrenia is still controversial. This study was aimed (i) at verifying if a homogeneous sample of 10 young treated outpatients in remission from psychotic symptoms displays a characteristic pattern of cognitive dysfunction and (ii) at testing the issue of a general cognitive impairment. The neuropsychological performance of the patients was confronted with a large control group by means of Equivalent Scores, a normative method widely used in Italy, which allows direct, reliable comparison between tests and between patients. We found that our patients, as a group, were affected by a basic activation deficit in attention and by a semantic impairment. These deficits in symptom-free patients could indicate that their brains are in some ways working differently from those of normal controls and that this pattern is not necessarily linked to psychotic symptoms: their neuropsychological impairment might reflect a basic difference in the way of processing information that is always present and is independent of general intellectual decay.

The sensitivity of the Mini Mental State Evaluation (MMSE) in severely impaired patients is reduced by a floor effect and limited score range. The Severe Impairment Battery (SIB) and Preliminary Neuropsychological Battery (BNP) may be valid alternatives. We studied a group of 37 severely compromised elderly inpatients to investigate the usefulness of these two test batteries as alternatives to the MMSE. Both proved reliable, but only the SIB had a wider distribution of results with respect to the MMSE in the lower score range. The BNP, that might be thought easier to perform being a simple verification task, could actually not be completed by the most compromised patients. The SIB seems better able than the MMSE to provide cognitive profile in the three diagnostic categories into which patients were subdivided (Psychogeriatric, Psychorganic, Mentally Retarded). We conclude that it may be useful to test patients with the SIB when they yield a MMSE score lower than 10-12 points.

A group of 51 patients affected by possible semantic memory deficit were given a picture naming task for the purposes of a comparison between six categories, three of Nonliving: nature (tools, furniture, vehicles) and three of a Living nature (animals, fruits, and vegetables). A logistic regression analysis was used for a multiple single case study, where also the items' basic difficulty was included in the model. Besides some patients showing a dissociation between Living and Nonliving categories, other patients showed a liner selectivity on naming, differentiating animals from fruits and vegetables, tools from nonmanipulable: objects, and even vehicles from furniture. These results are examined in the light of current theories of semantic category specificity. (C) 2000 Academic Press.

We carried out four experiments to assess the extent to which familiarity with certain objects in everyday life is related to gender and can account, at least partially, for the semantic category dissociation observed in a few brain-damaged patients. In the first experiment, 210 normal subjects, half males and half females, were given the names of 60 stimuli from the Snodgrass and Vanderwart's set, 30 belonging to living categories and 30 to non-living categories. The task was to rate their familiarity, based on the frequency with which one (i) thinks or speaks of a given item, (ii) sees it represented in the media, and (iii) is confronted with real exemplars. The three indices were highly correlated and their average value was, therefore, used. Females gave higher familiarity ratings to fruit, vegetables and furniture and males to tools. The second experiment was aimed to verify whether the gender difference was responsible for the category dissociation found following brain damage. A male patient with greater impairment for living categories and a female patient with greater impairment for non-living categories were requested to name the same 60 stimuli and their scores were analysed, partialling out the familiarity effect, measured both with the non-gender specific index of Snodgrass and Vanderwart and with the new gender-specific index. In either case, the category dissociation remained significant. To determine if the mean general population familiarity index was valid for the single subject, we studied whether a cohabitant first degree relative was able to predict a normal subject's familiarity better than the population index. Contrary to expectations, the better predictor was the population index. The test-retest reliability of each subject's familiarity ratings was satisfactory, but not higher than the correlation between the personal judgement of each subject and the population index.

Assuming that interference occurs in normals charged with learning a list of famous people's names paired with incongruous activities, Kapur (Kapur et al., 1986) demonstrated a facilitation effect in a selective retrograde amnesic, which he interpreted as interference elimination. We tested this assumption in 23 normals administering a list of famous names coupled with incongruous activities and, as control, another list of unknown names coupled with other activities. The experiment was then replicated with a more sensitive list in 13 normals. An interference effect was not confirmed. We argue that famous people's names do not need to be learned and the caricatural effect deriving from imaging famous people in an unusual activity is in any case facilitating the task. (C) 1999 Academic Press.

Recent studies suggest that gender influences phonetically-cued fluency and some semantic memory tasks. In this study we analysed the effect of demographic variables on semantic fluency tasks. The semantic categories considered were: animals, fruits, tools and vehicles. The influence of age and education was common to all the categories considered and seems a general characteristic of the semantic fluency task. Gender had a significant effect only with fruits and tools, but a diverging role: females fared better with fruits and males with tools. We discuss whether the source of the gender effect should be located at the level of the semantic representation of each category or at the level of item recall in the short time (one minute) granted for the task.

In attentional tasks a basic performance is often contrasted with the same task administered with some additional load, defined here as "interference". However, it is questionable how interference should be quantified. The raw difference between the interference-loaded ("complex") task and the basic task is marred by measurement artefacts. There are alternative ways, but the choice of which solution to employ appears arbitrary. Bivariate non-parametric tolerance limits were introduced as they retain the information linked to the bivariate nature of the observation, and in this study we compared the different approaches for evaluating interference using real data from 209 normal participants who performed Visual Reaction Times (basic and go / no-go) and the Stroop Test. Our analysis indicated that, among the univariate indices, the use of the complex score covaried for the basic score yields the most satisfactory evaluation of interference; however, its use can be decided only after data inspection. Bivariate non-parametric tolerance limits offer advantages in terms of generality of use.

Several studies on picture naming in Alzheimer’s disease have reported inconsistent findings regarding semantic category dissociation. To clarify this point, 26 patients suffering from dementia of the Alzheimer’s type (DAT) were given a naming task, based on 60 black and white drawings, which allowed us to take into account several variables that might influence performance, notably word frequency, stimulus familiarity and prototypicality, name and image agreement and visual complexity. On a raw analysis, DAT patients as a group gave a lower performance with stimuli of Living Categories (LC) than with stimuli of Non-Living Categories (NLC), but when all the confounding factors were taken into account the category effect disappeared. Nevertheless, with a multiple single case approach, some patients presented a true dissociation : 11 were significantly better with Non-Living stimuli, and 3 with Living stimuli. In order to find what factors were involved in determining this distribution, we took the distribution of asymmetry indices of each patient, and plotted the individual category effect against the level of the general performance. In our sample, the distribution of asymmetry indices was skewed, and included a definite cluster of male subjects who were better at performing with Non-Living stimuli. Multivariate analysis suggested that the greater discrepancy shown by male patients was due to a protection acting on Non-Living stimuli rather than to a selective hampering of Living stimuli. The greater personal experience of males with Non-Living things could explain the relative preservation of these in male DAT subjects.

Seven patients affected by Dementia of the Alzheimer Type (DAT) took part in a longitudinal study aimed at assessing the qualitative and quantitative evolution of picture naming impairment. The follow-up lasted 6–36 months and the patients were examined at intervals of 6 months or longer. We found that the absolute number of lexical-semantic errors tended to be constant or to rise slightly until an advanced stage of DAT severity was reached. However, the proportion of errors of the lexical-semantic type in relation to the overall number of errors showed a decline as the disease progressed, with empty and unrelated responses being increasingly observed. Visual errors were generally a minority; they were produced in different proportions for each patient but did not vary greatly over time. For the observed patients, the proportion of lexical and semantic errors was inversely related to the overall naming performance, following a negative logarithmic function. This finding was replicated analysing cross-sectional data from another 24 DAT patients who were given the same naming task.

Two-hundred and nine normal subjects underwent a study aimed at providing norms for some attention tests currently used in neuropsychological examination. Norms were calculated taking into account the demographic variables. Our battery included single visuo-manual and go/no-go reaction times, and two versions of the Stroop Colour-Word Test. For the latter test, we employed a traditional version based on card presentation and a new version based on computer-assisted presentation. We evaluated the intercorrelation of the different tests, and studied the statistical regression models in order to adjust the original scores according to age, education and gender. Normative values were calculated following the Equivalent Scores method. The pattern of intercorrelation of our battery and the regression models of the scores are discussed with reference to the literature. The newly developed computer-assisted presentation of the Stroop test offers some advantages over the traditional version, especially with patients affected by spatial disorders.