Claims that patients with probable Alzheimer's disease (AD) have seman
tic memory difficulty have received equivocal support. A common assump
tion has been that defining or core information determines the truth v
alue of word meaning on measures requiring semantic memory such as cat
egory membership judgments or confrontation naming, but this assumptio
n may not be valid. In the present study, we assessed the comprehensio
n of subject-predicate sentences independent of their truth value by a
sking AD patients to judge the coherence of statements such as ''The t
ulip is tall'' or ''The tulip is jealous.'' We found that AD patients
are significantly more impaired than controls at judging the coherenc
e of these simple subject-predicate sentences. Moreover, AD patients w
ere more successful at judging the coherence of statements that contai
n attributes with a narrow scope of reference compared to attributes w
ith a broad scope of reference. These findings support the hypothesis
that AD patients have a semantic memory impairment and suggest a speci
fic deficit processing the network of semantic relations underlying wo
rd meaning in semantic memory. (C) 1996 Academic Press, Inc.