Metacognition and false recognition in Alzheimer's disease: further exploration of the distinctiveness heuristic

The distinctiveness heuristic is a response mode in which participants expect to remember vivid details of an experience and make recognition decisions on the basis of this metacognitive expectation. The authors examined whether the distinctiveness heuristic could be engaged to reduce false recognition in a repetition-lag paradigm in patients with Alzheimer's disease (AD). Patients with AD were able to use the distinctiveness heuristic--though not selectively--and thus they showed reduction of both true and false recognition. The authors suggest that patients with AD can engage in decision strategies on the basis of the metacognitive expectation associated with use of the distinctiveness heuristic, but the patients' episodic memory impairment limits both the scope and effectiveness of such strategies.