The cholinergic hypothesis claims that the decline in cognitive functi
ons in dementia is predominantly related to a decrease in cholinergic
neurotransmission. This hypothesis has led to great interest in the pu
tative involvement of the cholinergic neurotransmission in learning an
d memory processes. This review aims to assess the data of studies in
which the role of acetylcholine (ACh) in cognitive functions was inves
tigated. For this purpose, studies from three different fields of rese
arch, namely: (1) behavioral pharmacology (effects of drugs on behavio
r); (2) behavioral neuroscience (effects of brain lesions on behavior)
; and (3) dementia, are discussed separately. The experimental tools t
hat have been used in pharmacological studies may appear to be inadequ
ate to enable conclusions to be drawn about the involvement of ACh in
learning and memory processes. Especially, the use of scopolamine as a
pharmacological tool is criticized. In the field of behavioral neuros
cience a highly specific cholinergic toxin has been developed. It appe
ars that the greater and more specific the cholinergic damage, the few
er effects can be observed at the behavioral level. The correlation be
tween the decrease in cholinergic markers and the cognitive decline in
dementia may not be as clearcut as has been assumed. The involvement
of other neurotransmitter systems in cognitive functions is briefly di
scussed. Taking into account the results of the different fields of re
search, the notion that ACh plays a pivotal role in learning and memor
y processes seems to be overstated. Even when the role of other neurot
ransmitter systems in learning and memory is taken into consideration,
it is unlikely that ACh has a specific role in these processes. On ba
sis of the available data, ACh seems to be more specifically involved
in attentional processes than in learning and memory processes.