Recent Research Trends in Dementia Discourse : Tasks, Transcription and Measures

치매환자 담화분석의 최근 연구동향 : 과제, 전사 및 측정요인

  • 김보선 (연세대학교 언어병리학협동과정) ;
  • 김향희 (연세대학교 언어병리학협동과정/의과대학 재활의학교실)
  • Received : 2015.04.13
  • Accepted : 2015.05.11
  • Published : 2015.09.28


Discourse analysis is useful for examining discourse characteristics of dementia patients and differentiating them from normal adults. However, inconsistent tasks, transcription methods and measures have been utilized, thus analyses were inevitably unsystematic. The purpose of this study was to investigate tasks, transcription methods and measures of discourse studies in dementia. Studies on dementia discourses written in English were collected via Scopus database containing abstracts and citations from 2005 to 2014, and were analyzed in detail. From the results, the most frequently used task was 'storytelling-topic'. It was observed that use of consistent transcription conventions rendered more reliable transcription data. Measures could be categorized into coherence, cohesion, productivity, propositional syntactic lexical analysis, and fluency, and each category belonged to discourse processing levels (i.e., processing of conceptual networks, propositions, and natural language units). In conclusion, future research warrants not only utilization of discourse tasks depending on dementia types and features, but also application of consistent transcription conventions. Additionally, measures based on the discourse processing theory would enable us to systematically interpret discourse studies.




Supported by : 한국연구재단


  1. T. A. van Dijk, Discourse as structure and process: Discourse studies: a multidisciplinary introduction, London: Sage, 1997.
  2. H. H. Wright and G. J. Capilouto, "Manipulating task instructions to change narrative discourse performance", Aphasiology, Vol.23, No.10, pp.1295-1308, 2009.
  3. M. Brady, L. Armstrong, and C. Mackenzie, "An examination over time of language and discourse production abilities following right hemisphere brain damage", Journal of Neurolinguistics, Vol.19, pp.291-310, 2006.
  4. J. Angermuller, D. Maingueneau, and R. Wodak, The discourse studies reader: main currents in theory and analysis, Amsterdam/Philadelphia: John Benjamins Publishing Company, 2014.
  5. Y. Lai and Y. Lin, "Discourse markers produced by Chinese-speaking seniors with and without Alzheimer's disease", Journal of Pragmatics, Vol.44, pp.1982-2003, 2012.
  6. E. G. March, P. Pattison, and R. Wales, "The role of cognition in context-dependent language use: evidence from Alzheimer's disease," Journal of Neurolinguistics, Vol.22, pp.18-36, 2009.
  7. E. G. March, R. Wales, and P. Pattison, "The uses of nouns and deixis in discourse production in Alzheimer's disease", Journal of Neurolinguistics, Vol.19, pp.311-340, 2006.
  8. B. Law, B. Young, D. Pinsker, and G. A. Robinson, "Propositional speech in unselected stroke: the effect of genre and external support", Neuropsychological Rehabilitation, Vol.25, No.3, pp.374-401, 2015.
  9. M. Brady, L. Armstrong, and C. Mackenzie, "Further evidence on topic use following right hemisphere brain damage: procedural and descriptive discourse", Aphasiology, Vol.19, No.8, pp.731-747, 2005.
  10. G. S. Olness, "Genre, verb, and coherence in picture-elicited discourse of adults with aphasia", Aphasiology, Vol.20, No.2/3/4, pp.175-187, 2006.
  11. C. A. Coelho, "Story narratives of adults with closed head injury and non-brain-injured adults: influence of socioeconomic status, elicitation task, and executive functioning," Journal of Speech, Language, and Hearing Research, Vol.45, pp.1232-1248, 2002.
  12. L. D. Nicholas and R. H. Brookshire, "A system for quantifying the informativeness and efficiency of the connected speech of adults with aphasia", Journal of Speech and Hearing Research, Vol.36, pp.338-350, 1993.
  13. V. Taler and N. A. Phillips, "Language performance in Alzheimer's disease and mild cognitive impairment: a comparative review," Journal of Clinical and Experimental Neuropsychology, Vol.30, No.5, pp.501-556, 2008.
  14. G. Glosser and T. Deser, "Patterns of discourse production among neurological patients with fluent language disorders", Brain and Language, Vol.40, pp.67-88, 1990.
  15. Y. Joanette and H. Brownwell, Discourse ability and brain damage: theoretical and empirical perspectives, New York: Springer Verlag, 1990.
  16. Y. Lai, "Discourse features of Chinesespeaking seniors with and without Alzheimer's disease", Language and Linguistics, Vol.15, No.3, pp.411-434, 2014.
  17. S. Shune and M. C. Duff, "Verbal play as an interactional discourse resource in early stage Alzheimer's disease", Aphasiology, Vol.26, No.6, pp.811-825, 2012.
  18. L. J. Williams, H. Abdi, R. French, and J. B. Orange, "A tutorial on multiblock discriminant correspondence analysis (MUDICA): a new method for analyzing discourse data from clinical populations", Journal of Speech, Language, and Hearing Research, Vol.53, pp.1372-1393, 2010.
  19. F. M. Da Cruz, "Verbal repetitions and echolalia in Alzheimer's discourse", Clinical Linguistics & Phonetics, Vol.24, No.11, pp.848-858, 2010.
  20. P. Feyereisen, J. Berrewaerts, and M. Hupet, "Pragmatic skills in the early stages of Alzheimer's disease: an analysis by means of a referential communication task", International Journal of Language and Communication Disorders, Vol.42, No.1, pp.1-17, 2007.
  21. S. Carlomagno, A. Santoro, A. Menditti, M. Pandolfi, and A. Marini, "Referential communication in Alzheimer's type dementia," Cortex, Vol.41, pp.520-534, 2005.
  22. K. A. Bridges and D. V. Lancker Sidtis, "Formulaic language in Alzheimer's disease," Aphasiology, Vol.27, No.7, pp.799-810, 2013.
  23. F. Gayraud, H. Lee, and M. Barkat-Defradas, "Syntactic and lexical context of pauses and hesitations in the discourse of Alzheimer's patients and healthy elderly subjects", Clinical Linguistics & Phonetics, Vol.25, No.3, pp.198-209, 2011.
  24. E. Asp, X. Song, and K. Rockwood, "Self-referential tags in the discourse of people with Alzheimer's disease", Brain and Language, Vol.97, pp.41-52, 2006.
  25. J. O. de Lira, K. Z. Ortiz, A. C. Campanha, P. H. Ferreira Bertolucci, and T. S. Cianciarullo Minett, "Microlinguistic aspects of the oral narrative in patients with Alzheimer's disease," International Psychogeriatrics, Vol.23, No.3, pp.404-412, 2011.
  26. L. L. Murray, "Distinguishing clinical depression from early Alzheimer's disease in elderly people: can narrative analysis help?," Aphasiology, Vol.24, No.6-8, pp.928-939, 2010.
  27. A. Duong, F. Giroux, A. Tardif, and B. Ska, "The heterogeneity of picture-supported narratives in Alzheimer's disease", Brain and Language, Vol.93, pp.173-184, 2005.
  28. S. Ahmed, C. A. de Jager, and A. M. Haigh, "Semantic processing in connected speech at a uniformly early stage of autopsy-confirmed Alzheimer's disease", Neuropsychology, Vol.27, No.1, pp.79-85, 2013.
  29. F. Assal and J. Ghika, "Language capacities in dementia", Swiss Archives of Neurology and Psychiatry, Vol.164, No.8, pp.280-285, 2013.
  30. S. Ash, C. McMillan, D. Gunawardena, B. Avants, B. Morgan, A. Khan, P. Moore, J. Gee, and M. Grossman, "Speech errors in progressive non-fluent aphasia", Brain and Language, Vol.113, pp.13-20, 2010.
  31. L. Mikesell, "Repetitional responses in frontotemporal dementia discourse: Asserting agency or demonstrating confusion?", Discourse Studies, Vol.12, No.4, pp.465-500, 2010.
  32. I-M. Tallberg, "Confabulation in dementia: constantly compensating memory systems," Neuro-Psychoanalysis, Vol.9, No.1, pp.5-17, 2007.
  33. S. B. Wong, R. Anand, S. B. Chapman, A. Rackley, and J. Zientz, "When nouns and verbs degrade: facilitating communication in semantic dementia", Aphasiology, Vol.23, No.2, pp.286-301, 2009.
  34. P. Garrard and R. Forsyth, "Abnormal discourse in semantic dementia: a data-driven approach", Neurocase, Vol.16, No.6, pp.520-528, 2010.
  35. P. Garrard, V. Rentoumi, B. Gesierich, B. Miller, and M. L. Gorno-Tempini, "Machine learning approaches to diagnosis and laterality effects in semantic dementia discourse", Cortex, Vol.55, pp.122-129, 2014.
  36. S. Ash, S. X. Xie, R. G. Gross, M. Dreyfuss, A. Boller, E. Camp, B. Morgan, J. O'Shea, and M. Grossman, "The organization and anatomy of narrative comprehension and expression in Lewy body spectrum disorders", Neuropsychology, Vol.26, No.3, pp.368-384, 2012.
  37. S. Ash, C. McMillan, R. G. Gross, P. Cook, B. Morgan, A. Boller, M. Dreyfuss, A. Siderowf, and M. Grossman, "The organization of narrative discourse in Lewy body spectrum disorder", Brain and Language, Vol.119, No.1, pp.30-41, 2011.
  38. G. A. Robinson, "Primary progressive dynamic aphasia and Parkinsonism: generation, selection and sequencing deficits", Neuropsychologia, Vol.51, pp.2534-2547, 2013.
  39. C. Taylor, K. Croot, E. Power, S. Savage, J. R. Hodges, and L. Togher, "Trouble and repair during conversations of people with primary progressive aphasia", Aphasiology, Vol.28, No.8-9, pp.1069-1091, 2014.
  40. S. A. Sajjadi, K. Patterson, M. Tomek, and P. J. Nestor, "Abnormalities of connected speech in the non-semantic variants of primary progressive aphasia", Aphasiology, Vol.26, No.10, pp.1219-1237, 2012.
  41. A. Hilger, G. Ramsberger, P. Gilley, L. Menn, and A. Kong, "Analyzing speech problems in a longitudinal case study of logopenic variant PPA", Aphasiology, Vol.28, No.7, pp.840-861, 2014.
  42. K. E. Forbes-McKay and A. Venneri, "Detecting subtle spontaneous language decline in early Alzheimer's disease with a picture description task", Neurological Society, Vol.26, pp.243-254, 2005.
  43. V. B. Fleming and J. L. Harris, "Complex discourse production in mild cognitive impairment: detecting subtle changes," Aphasiology, Vol.22, No.7-8, pp.729-740, 2008.
  44. J. L. Harris, S. Kiran, T. P. Marquardt, and V. B. Fleming, "Communication wellness check-up: age-related changes in communicative abilities", Aphasiology, Vol.22, No.7-8, pp.813-825, 2008.
  45. V. B. Fleming and J. L. Harris, "Test-retest discourse performance of individuals with mild cognitive impairment", Aphasiology, Vol.23, No.7-8, pp.940-950, 2009.
  46. V. B. Fleming, "Early detection of cognitive-linguistic change associated with mild cognitive impairment", Communication Disorders Quarterly, Vol.35, No.3, pp.146-157, 2014.
  47. C. Barras, E. Geoffrois, Z. Wu, and M. Liberman, "Transcriber: development and use of a tool for assisting speech corpora production," Speech Communication, Vol.33, pp.5-22, 2001.
  48. P. Boersma and D. Weenink, Praat, v.5.1.09 [Software], Amsterdam, the Netherlands: Institute of Phonetic Sciences, University of Amsterdam, 1992-2009.
  49. B. MacWhinney, The CHILDES project: Tools for analyzing talk (3rd ed.), Mahwah, NJ: Lawrence Erlbaum Associates, 2000.
  50. P. Garrard, A-M. Haigh, and C. de Jager, "Techniques for transcribers: assessing and improving consistency in transcripts of spoken language", Literary and Linguistic Computing, Vol.26, No.4, pp.389-405, 2011.
  51. S. Sherratt, "Multi-level discourse analysis," Aphasiology, Vol.21, No.3/4, pp.375-393, 2007.
  52. W. Kintsch and T. A. van Dijk, "Toward a model of text comprehension and production", Psychological Review, Vol.85, No.5, pp.363-394, 1978.
  53. J. Miller and A. Inglesias, Systematic analysis of language transcripts (SALT), English and Spanish (version9), Madison: University of Wisconsin-Madison, Language Analysis Lab, 2006.
  54. M. Hall, E. Frank, G. Holmes, B. Prahringer, P. Reutmann, and I. H. Witten, "The WEKA data mining software: an update", ACM Special Interest Group on Knowledge Discovery and Data Mining Explorations, Vol.2, pp.10-18, 2009.
  55. R. J. C. Watt, Concordance (3rd ed.), Dundee, 2002.