We report a longitudinal study of a patient, ES, with a progressive degener
ative disorder resulting from generalised cerebral atrophy. Across a range
of tasks, ES showed a greater difficulty in recognising and naming artifact
s than living things. This deficit for artifacts emerged over time, as she
became more severely impaired, in one task, picture naming, there was a cro
ssover from an initial deficit for living things to the later artifact defi
cit. All materials were carefully controlled to rule out potential confound
ing factors such as concept familiarity or age of acquisition. There was no
evidence that ES's deficit for artifacts was associated with a greater los
s of functional than visual information. The pattern of results are consist
ent with a recently proposed distributed connectionist model. in which a de
ficit for artifact concepts can emerge as the result of severe, general dam
age to semantic memory. (C) 1999 Elsevier Science Ltd. All rights reserved.