This study was designed to examine and contrast cognitive effects (exp
licit memory and access to semantic knowledge) of the benzodiazepine H
alcion (triazolam) in ten normal volunteers and ten cognitively unimpa
ired detoxified alcoholics. The two groups were indistinguishable from
one another under placebo conditions on all measures of cognitive fun
ctioning. Under Halcion test conditions (0.375 mg PO), both groups wer
e about equally impaired in their recall of to-be-remembered informati
on. However, alcoholics, were more likely to recall information that t
hey were not asked to remember (intrusion errors) on all measures of e
xplicit remembering. Alcoholics also generated relatively uncommon (lo
w frequency) responses from semantic memory, rather than common, categ
orically related associations in response to stimuli such as types of
vegetables, flowers, and fruit following the administration of Halcion
, but were not different from normal volunteers in the types of respon
ses generated under placebo conditions. These findings suggest that a
drug challenge that simulates many of the effects of acute alcohol adm
inistration induces alcoholics to think and remember differently (qual
itatively) from normal volunteers.