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Semantic aphasia (SA) patients have impaired semantic control despite relatively preserved semantic representations. To date, no studies have examined creativity in SA. It remains unclear how impaired control affects patients' creative potential, and whether spreading activation alone supports this. Creative potential was assessed across three experiments. Experiments 1 and 2 involved 11 SA patients and 25 controls; Experiment 3 included 13 SA patients and 14 controls. In Experiment 1 (category judgement), participants selected five targets from distractors across 24 categories with differing coherence levels (shared features among members). Experiment 2 (constrained category fluency) involved generating five exemplars per category. Creative potential was measured via uniqueness, flexibility, semantic distance and creativity ratings. Experiment 3 (unconstrained fluency) asked participants to name as many Animals as possible in 1\u2009minute, with additional measures of clustering and switching. Although SA cases were unable to shape retrieval to pre\u2010defined associations (in the category judgement task), they showed creative potential in the constrained fluency task. In the unconstrained fluency task, patients were less able to use strategies. However, with fluency controlled, no group differences in creative potential existed. These findings provide the first neuropsychological evidence that spreading activation, even with impaired semantic control, can support creative responses. Creative potential in SA depends on task demands, aligning with broader findings of patients' sensitivity to context.<\/jats:p>","DOI":"10.1111\/jnp.70019","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T09:41:21Z","timestamp":1765359681000},"page":"154-174","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Category fluency and creative potential in semantic aphasia"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0679-1961","authenticated-orcid":false,"given":"Hannah E.","family":"Thompson","sequence":"first","affiliation":[{"name":"Department of Psychology and Neuroscience City St George's, University of London  London UK"},{"name":"School of Psychology University of Surrey  Guildford UK"}]},{"given":"Paul T.","family":"Sowden","sequence":"additional","affiliation":[{"name":"School of Psychology University of Surrey  Guildford UK"},{"name":"School of Psychology and Social Sciences University of Winchester  Winchester UK"}]},{"given":"Lucy","family":"Cogdell\u2010Brooke","sequence":"additional","affiliation":[{"name":"School of Psychology University of Surrey  Guildford UK"}]},{"given":"Ines R.","family":"Violante","sequence":"additional","affiliation":[{"name":"School of Psychology University of Surrey  Guildford UK"},{"name":"School of Biomedical Engineering &amp; Imaging Sciences King's College London  London UK"}]},{"given":"Beth","family":"Jefferies","sequence":"additional","affiliation":[{"name":"Department of Psychology University of York  York UK"}]}],"member":"311","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/107319110100800308"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.riob.2016.10.001"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tics.2016.10.002"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0012815"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuron.2005.07.023"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.3758\/BF03196968"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tics.2023.04.004"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0029171"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.3758\/s13421\u2010014\u20100428\u20108"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2517-6161.1995.tb02031.x"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460\u20106984.12710"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0028\u20103932(00)00034\u20108"},{"key":"e_1_2_13_14_1","volume-title":"The Hayling and Brixton tests","author":"Burgess P. 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