Abstract
Parkinson’s disease (PD) is a neurodegenerative illness that leads to motor difficulties, cognitive impairments and impairments in social communication abilities that impact negatively on the psychosocial well-being of those living with the disease. Communication difficulties can arise as secondary consequences of motor symptoms (e.g. slurring of speech) or cognitive deficits (e.g. executive dysfunction), or they can be directly affected by how the neurodegenerative pathology of PD affects critical regions of the ‘social brain.’ Research shows the people with PD have difficulties understanding indirect (non-literal) meanings, emotional connotations of verbal cues, metaphorical expressions, and the social-pragmatic implications of indirect speech acts (such as interpreting irony or veiled requests). Adults with PD also have notable deficits in the perception of socioemotional cues from facial and vocal expressions and the ability to understand another person’s perspective or mental state. This chapter provides a critical overview of how PD affects pragmatic performance in the areas of verbal communication and social cognition, explores the complex relationship between communication, cognitive, and sensory-motor functions, and considers current and yet-to-be-tested therapeutic approaches which might alleviate the impact of pragmatic impairments in individuals with PD.
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Pell, M.D., Monetta, L., Caballero, J.A., Coulombe, V. (2021). Parkinson’s Disease. In: Cummings, L. (eds) Handbook of Pragmatic Language Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-74985-9_15
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