“…Difficulty in naming or word retrieval has been observed to be the most obvious early symptom of dementia, regardless of cause, and has been found to occur before other language changes associated with the syndrome are measurable (Bayles, Tomoeda, Kaszniak, & Trosset, 1991;Bayles, Tomoeda, & Trosset, 1990;Chan, Butters, Paulsen, Salmon, Swenson, & Maloney, 1993;Emery & Breslau, 1989;Hodges, Salmon, & Butter, 1992;Huff, Corkin, & Growden, 1986;Shuttleworth & Huber, 1988;Sommers & Pierce, 1990). Naming has been considered a meaningful representation of the integrity of the semantic memory system; naming failures exhibited by individuals with dementia have been examined as a means of identifying the nature of the semantic memory impairment.…”