Repetition and reading of various types of pronounceable nonwords (pse
udowords) was examined in patients with probable Alzheimer's disease (
AD) and healthy elderly controls. Overall accuracy of performance was
lower in AD patients compared to controls, but the two groups showed q
ualitatively similar response patterns when reading different kinds of
pseudowords aloud and when repeating pseudowords composed of familiar
phonological forms. analogous to those in real English words. AD pati
ents diverged in performance from controls, however, when repeating ps
eudowords composed of phonologically unusual forms. These results supp
ort two conclusions: (1) Aspects of phonological processing may become
disrupted in AD patients in association with increasing dementia seve
rity, while orthographic processing remains comparatively less impaire
d. (2) The results are consistent with the view that the processing of
pseudowords is achieved through the same system as real words, and fu
rther show that the influence of prior language experience on the proc
essing of novel linguistic forms occurs primarily at the level of phon
ological, rather than orthographic processing. (C) 1998 Academic Press
.