This study was undertaken to investigate whether
alcoholics differ qualitatively from controls in their
organizational approach to the Rey–Osterrieth Complex
Figure (ROCF) and to examine the effects of problem-solving
and organizational ability on learning and retention. Data
were collected on 3 groups of neuromedically healthy, middle-aged
men: 29 recently detoxified alcoholics (RDA) abstinent
at least 2 weeks, 29 long-term abstinent alcoholics (LTA)
abstinent at least 18 months, and 29 nonalcoholic controls
(NAC). Groups were comparable in age, education, WAIS–R
Vocabulary score, and ANART IQ. Three indices of problem-solving
approach were used to score how participants produce
the ROCF during the copy condition: perceptual clustering,
organization, and constructional accuracy. Learning and
retention were measured by immediate recall, 20-min delayed
recall, and recognition performance. RDAs had significantly
impaired immediate recall, delayed recall, and recognition
scores compared to NACs. RDAs also had significantly lower
perceptual clustering, organization, and constructional
accuracy scores than their long-term abstinent and nonalcoholic
counterparts. Multiple regression analyses revealed that
problem-solving ability at copy accounted for a significant
proportion of the variance in immediate recall, delayed
recall, and recognition. Further investigation of memory
performance using a repeated measures design revealed that
across the 3 groups, little forgetting occurred between
immediate and delayed recall, while performance improved
significantly on the recognition trial. Use of less efficient
problem-solving strategies appears to affect RDAs'
ability to learn and retrieve complex figural information.
(JINS, 2000, 6, 12–19.)