Pathological verbal repetition by Chinese elders with Dementia of Alzheimer’s Type

A functional perspective

Authors

  • Lin Zhu Tongji University
  • Lihe Huang Tongji University

DOI:

https://doi.org/10.1558/eap.38862

Keywords:

alzheimer’s disease, verbal behaviour, pathological repetition, metafunction, language aging

Abstract

Verbal repetition has been acknowledged as one of the most common symptoms in early Dementia of Alzheimer's Type (DAT). Despite previous attempts, the applicability of verbal repetition as an essential linguistic marker indicating this disease remains unexplored for Chinese DAT patients. This study collects Chinese DAT patients' daily conversation data to investigate both structural and functional aspects of pathological verbal repetition. Three major types are set regarding the cases of pathological repetition, respectively ‘unconscious concept repetition', ‘perseveration', and ‘involuntary word repetition'. The analysis focuses on what features these repetitions have from the perspective of ‘ideational function', ‘interpersonal function', and ‘textual function' within the framework of Systemic Functional Linguistics. A better understanding of pathological verbal repetition by DAT elders as the linguistic markers of cognitive impairment promotes effective communication between patients, nursing staff, and family members.

References

Bayles, K. A., Tomoeda, C. K., Kaszllial, A. W., Stern, L. Z., & Eaganns, K. K. (1985). Verbal perseveration of dementia patients. Brain and Language, 25(1), 102–116. https://doi.org/10.1016/0093-934x(85)90123-3

Boschi, V. (2017). Connected speech in neurodegenerative language disorders: A review. Frontiers in Psychology, 8, 1–21.

Burke, D. M.. (1999). Language production and aging. In Susan Kemper & Reinhold Kliegl (Eds.), Constraints on language aging, grammar and memory (pp. 3–28). Boston: Kluwer Academic Publishers.

Charazac, P. M. (2009). Loss of identity in Alzheimer’s disease: A psychoanalytic approach. Psychologie & Neuropsychiatrie du Vieillissement, 7(3), 169–174.

Cook, C., Fay, S., & Rockwood, K. (2009). Verbal repetition in people with mild-tomoderate Alzheimer disease: A descriptive analysis from the VISTA clinical trial. Alzheimer Disease & Associated Disorders, 23(2), 146–151. https://doi.org/10.1097/wad.0b013e318193cbef

Cullen, B., Coen, R. F., Lynch, C. A., Cunningham, C. J., Coakley, D., Robertson, I. H., & Lawlor, B. A. (2005). Repetitive behaviour in Alzheimer’s disease: Description, correlates and functions. International Journal of Geriatric Psychiatry, 20(7), 686–693. https://doi.org/10.1002/gps.1344

Eggins, S. (2004). An introduction to systemic functional linguistics (2nd ed.). London: Continuum.

Fraser, K. C., Meltzer, J. A., & Rudzicz, F. (2016). Linguistic features identify Alzheimer’s disease in narrative speech. Journal of Alzheimer’s Disease, 49(2), 407–422. https://doi.org/10.3233/jad-150520

Guendouzi, J., & Müller, N. (2006). Approaches to discourse in dementia. Mahwah, NJ: Lawrence Erlbaum Associates, Inc.

Halliday, M. A. K. (2005). A note on systemic functional linguistics and the study of language disorders. Clinical Linguistics & Phonetics, 19(3), 133–135. https://doi.org/10.1080/02699200410001698580

Halliday, M. A. K., & Matthiessen, C. M. I. (2004). An introduction to functional grammar. London: Arnold.

Hamilton, H. E. (2019). Language, dementia and meaning making: Navigating challenges of cognition and face in everyday life. Cham, Switzerland: Palgrave Macmillan. https://doi.org/10.1007/978-3-030-12021-4

Hodges, J. R. (2000). Memory in the dementias. In E. Tulving & F. I. M. Craik (Eds.), The Oxford handbook of memory (pp. 441–459). New York: Oxford University Press.

Huang, L. H. (2015). Jinshinian laonianren yuyan shuailao xianxiang yanjiu: Huigu yu qianzhan ???????????????????? [The study of language aging in the last decade: Retrospect and prospect]. Beijing dier waiguoyu xueyuan xuebao [Journal of Beijing International Studies University], 10, 17–24.

Huang, L. H. (2019). duomotai yuyongxue shiyu xia de yanyuxingwei yu qinggan yinsu ???????????????????????????????? [Speech Act and Emotion Analysis in Multimodal Pragmatics and the Application in Gerontolinguistics]. Dangdai xiucixue [Contemporary Rhetoric], 6, 42-53.

Huang, L. H., Wang, J., & Li, Y. X. (2019). Aercihaimobing yanyu zhang’ai biaoxian ji xiangguan shenjing xinlixue liangbiao bianzhi wenti ??????????? ??????????????? [Alzheimer’s disease: Speech impairment and neuropsychological rating scale assessment]. Yuyan zhanlue yanjiu [Chinese Journal of Language Policy and Planning], 5 (4), 34–45.

Huang, Y. Q., Wang, Y., & Wang, H. (2019). Prevalence of mental disorders in China: A cross-sectional epidemiological study. The Lancet Psychiatry, 6(3), 211–224.

Joubert, S., Brambati, S. M., Ansado, J., Barbeau, E. J., Felician, O., Didic, M., … Kergoat, M.-J. (2010). The cognitive and neural expression of semantic memory impairment in mild cognitive impairment and early Alzheimer’s disease. Neuropsychologia, 48(4), 978–88. https://doi.org/10.1016/j.neuropsychologia.2009.11.019

Kempler, D. (1995). Language changes in dementia of the Alzheimer type. In R. Lubinski (ed.), Dementia and communication: Research and clinical implications (98–114). San Diego, CA: Singular Publishing Group.

Liu, H. Y. (2014). Renzhi zhang’ai huanzhe yuyan renzhi zhang’ai ji yanyu yuyan zhiliao yanjiu ????????????????????? [Research into the linguistic cognitive barrier and the speech language therapy of cognitive impairment sufferers]. Jiaoyu lilun yu shijian [Theory and Practice of Education], 34(21), 41–43.

Liu, H. Y. (2015). Repetition in Chinese Alzheimer’s patients’ situated discourse: A corpus-based study in comparison with healthy aging speakers. In H. Y. Tao, Y. H. Lee, & D. Su (Eds.), Proceedings of the 27th North American Conference on Chinese Linguistics (NACCL-27) (Vol. 1; pp. 194–211). Los Angeles: UCLA.

Macduffie, K. E., Atkins, A. S., Flegal, K. E., Clark, C. M., & Reuter-Lorenz, P. A. (2012). Memory distortion in Alzheimer’s disease: Deficient monitoring of short- and longterm memory. Neuropsychology, 26(4), 509–516. https://doi.org/10.1037/a0028684

Mueller, K. D., Hermann, B., Mecollari, J., & Turkstra, L. S. (2018). Connected speech and language in mild cognitive impairment and Alzheimer’s disease: A review of picture description tasks. Journal of Clinical and Experimental Neuropsychology, 40(9), 917–939. https://doi.org/10.1080/13803395.2018.1446513

Müller, N., & Mok, Z. (2012). Applying systemic functional linguistics to conversations with dementia: The linguistic construction of relationships between participants. Seminars in Speech and Language, 33(1), 5–15. https://doi.org/10.1055/s-0031-1301159

Müller, N., & Mok, Z. (2014). “Getting to know you”: Situated and distributed cognitive effort in conversations with dementia. In R. W. Schrauf & N. Mueller (Eds.), Dialogue and dementia: Cognitive and communicative resources for engagement (pp. 61–86). New York: Psychology Press. https://doi.org/10.4324/9781315851747

Müller, N., & Wilson, B. T. (2008). Collaborative role construction in a conversation with dementia: An application of systemic functional linguistics. Clinical Linguistics & Phonetics, 22(10–11), 767–774. https://doi.org/10.1080/02699200801948488

Orimaye, S. O., Wong, S. M., Golden, K. J., Wong, C. P., & Soyiri, I. N. (2017). Predicting probable Alzheimer’s disease using linguistic deficits and biomarkers. BMC Bioinformatics, 18(1), 34. https://doi.org/10.1186/s12859-016-1456-0

Pistono, A., Jucla, M., Bézy, C., Lemesle, B., Le Men, J., & Pariente, J. (2019). Discourse macrolinguistic impairment as a marker of linguistic and extralinguistic functions decline in early Alzheimer’s disease. International Journal of Language & Communication Disorders, 54(3), 390–400. https://doi.org/10.1111/1460-6984.12444

Ready, R. E., Ott, B. R., & Grace, J. (2003). Amnestic behavior in dementia: Symptoms to assist in early detection and diagnosis. Journal of the American Geriatrics Society, 51(1), 32–37. https://doi.org/10.1034/j.1601-5215.2002.51006.x

Schrauf, R. W., & Müller, N. (Eds.). (2014). Dialogue and dementia: Cognitive and communicative resources for engagement. New York: Psychology Press.

Scinto, L., & Daffner, K. (2000). Early diagnosis of Alzheimer’s disease. New Jersey: Humana Press.

Shafto, M. A., & Tyler, L. K. (2014). Language in the aging brain: The network dynamics of cognitive decline and preservation. Science, 346(6209), 583–587. https://doi.org/10.1126/science.1254404

Szatloczki, G., Hoffmann, I., Vincze, V., Kalman, J., & Pakaski, M. (2015). Speaking in Alzheimer’s disease, is that an early sign? Importance of changes in language abilities in Alzheimer’s disease. Frontiers in Aging Neuroscience, 7, 195. https://doi.org/10.3389/fnagi.2015.00195

Taler, V., & Phillips, N. A. (2008). Language performance in Alzheimer’s disease and mild cognitive impairment: A comparative review. Journal of Clinical and Experimental Neuropsychology, 30(5), 501–556. https://doi.org/10.1080/13803390701550128

Tannen, D. (1987). Repetition in conversation: Toward a poetics of talk. Language, 63(3): 574–605. https://doi.org/10.2307/415006

Wallesch, C. W. (1990). Repetitive verbal behaviour: Functional and neurological considerations. Aphasiology, 4(2), 133–154. https://doi.org/10.1080/02687039008249066

Wallesch, C. W., & Blanken, G. (2000). Recurring utterances – How, where, and why are they generated? Brain and Language, 71(1), 255–257. https://doi.org/10.1006/brln.1999.2263

Published

2020-07-24

How to Cite

Zhu, L., & Huang, L. (2020). Pathological verbal repetition by Chinese elders with Dementia of Alzheimer’s Type: A functional perspective. East Asian Pragmatics, 5(2), 169–193. https://doi.org/10.1558/eap.38862

Issue

Section

Articles