Journal of Neuropsychology (2015)
© 2015 The British Psychological Society
www.wileyonlinelibrary.com
‘Language of the past’ – Exploring past tense
disruption during autobiographical narration in
neurodegenerative disorders
Muireann Irish
1,2,3
*, Jody Kamminga
1,2
, Donna R. Addis
4
,
Stephen Crain
3,5
, Rosalind Thornton
3,5
, John R. Hodges
2,3,6
and
Olivier Piguet
2,3,6
1
School of Psychology, The University of New South Wales, Sydney, Australia
2
Neuroscience Research Australia, Randwick, Sydney, New South Wales, Australia
3
Australian Research Council Centre of Excellence in Cognition and Its Disorders,
Sydney, New South Wales, Australia
4
School of Psychology and Centre for Brain Research, The University of Auckland,
New Zealand
5
Department of Linguistics, Macquarie University, Sydney, New South Wales,
Australia
6
School of Medical Sciences, The University of New South Wales, Sydney, Australia
Compromised retrieval of autobiographical memory (ABM) is well established in
neurodegenerative disorders. The recounting of autobiographical events is inextricably
linked to linguistic knowledge, yet no study to date has investigated whether tense use
during autobiographical narration is disrupted in dementia syndromes. This study
investigated the incidence of correct past tense use during ABM narration in patients with
Alzheimer’s disease (AD, n = 10) and semantic dementia (SD, n = 10) in comparison with
healthy older Controls (n = 10). Autobiographical narratives were analysed for episodic
content (internal/external) and classified according to tense use (past/present). Across
both patient groups, use of the past tense was significantly compromised relative to
Controls, with increased levels of off-target present tense verbs observed. Voxel-based
morphometry analyses based on structural MRI revealed differential associations
between past tense use and regions of grey matter intensity in the brain. Bilateral
temporal cortices were implicated in the SD group, whereas frontal, lateral, and medial
temporal regions including the right hippocampus emerged in AD. This preliminary study
provides the first demonstration of the disruption of specific linguistic constructs during
autobiographical narration in AD and SD. Future studies are warranted to clarify at what
point in the disease trajectory such deficits in tense use emerge, and whether these
deficits are a product or contributing factor in memory disruption in these syndromes.
The capacity to retrieve self-referential and personally defining events from the past
represents an important expression of the episodic memory system. Autobiographical
memories (ABM) are typically imbued with rich visual imagery and emotional salience and
*Correspondence should be addressed to Muireann Irish, Neuroscience Research Australia, Barker Street, Randwick, NSW
2031, Australia (email: m.irish@neura.edu.au).
DOI:10.1111/jnp.12073
1