Narrating the Cinderella Story in Adults with Primary Progressive Aphasia

  • Louise CummingsEmail author
Part of the Perspectives in Pragmatics, Philosophy & Psychology book series (PEPRPHPS, volume 20)


The language of adults with non-Alzheimer’s dementias is still relatively unexplored. This is problematic given that, in the absence of definitive biomarkers, linguistic features have an important role to play in the diagnosis of these dementias. In this article, the performance of adults with primary progressive aphasia during narration of the Cinderella story is examined. The adults were all participants in an investigation of primary progressive aphasia conducted by researchers in the School of Medicine at Johns Hopkins University. Narration of the Cinderella story is a high-level language task which permits a detailed examination of cognitive-linguistic skills to be undertaken. This examination reveals that the narrative impairments of adults with primary progressive aphasia cannot be entirely explained by the structural language deficits of these adults. The sensitivity of the Cinderella story to cognitive-linguistic impairments in primary progressive aphasia warrants the use of this narrative task in the diagnostic evaluation of adults with this form of dementia.


Cinderella story Dementia Diagnosis Language assessment Narrative discourse Neurodegenerative disease Pragmatics Primary progressive aphasia 


  1. Bora, E., Velakoulis, D., & Walterfang, M. (2016). Social cognition in Huntington’s disease: A meta-analysis. Behavioural Brain Research, 297, 131–140.CrossRefGoogle Scholar
  2. Catani, M., Mesulam, M. M., Jakobsen, E., Malik, F., Martersteck, A., Wieneke, C., Thompson, C. K., de Schotten, M. T., Dell’Acqua, F., Weintraub, S., & Rogalski, E. (2013). A novel frontal pathway underlies verbal fluency in primary progressive aphasia. Brain, 136, 2619–2628.CrossRefGoogle Scholar
  3. Chenery, H. J., Copland, D. A., & Murdoch, B. E. (2002). Complex language functions and subcortical mechanisms: Evidence from Huntington’s disease and patients with non-thalamic subcortical lesions. International Journal of Language & Communication Disorders, 37, 459–474.CrossRefGoogle Scholar
  4. Coelho, C. A. (2007). Management of discourse deficits following traumatic brain injury: Progress, caveats, and needs. Seminars in Speech and Language, 8, 122–135.CrossRefGoogle Scholar
  5. Conroy, P., Sage, K., & Ralph, M. L. (2009). Improved vocabulary production after naming therapy in aphasia: Can gains in picture naming generalize to connected speech? International Journal of Language & Communication Disorders, 44, 1036–1062.CrossRefGoogle Scholar
  6. Cummings, L. (2013). Clinical pragmatics and theory of mind. In A. Capone, F. Lo Piparo, & M. Carapezza (Eds.), Perspectives on linguistic pragmatics (Series: Perspectives in pragmatics, philosophy & psychology, Vol. 2, pp. 23–56). Cham, Switzerland: Springer International Publishing AG.Google Scholar
  7. Cummings, L. (2014). Pragmatic disorders and theory of mind. In L. Cummings (Ed.), Cambridge handbook of communication disorders (pp. 559–577). Cambridge: Cambridge University Press.Google Scholar
  8. Cummings, L. (2015). Theory of mind in utterance interpretation: The case from clinical pragmatics. Frontiers in Psychology, 6, 1286.Google Scholar
  9. Cummings, L. (2016). Reported speech: A clinical pragmatic perspective. In A. Capone, F. Kiefer, & F. Lo Piparo (Eds.), Indirect reports (Series: Perspectives in pragmatics, philosophy & psychology, Vol. 5, pp. 31–55). Cham, Switzerland: Springer International Publishing AG.Google Scholar
  10. Cummings, L. (2017). Cognitive aspects of pragmatic disorders. In L. Cummings (Ed.), Research in clinical pragmatics (Series: Perspectives in pragmatics, philosophy & psychology, Vol. 11, pp. 587–616). Cham, Switzerland: Springer International Publishing AG.Google Scholar
  11. Cummings, L. (2018). Speech and language therapy: A primer. Cambridge: Cambridge University Press.Google Scholar
  12. De Anna, F., Attali, E., Freynet, L., Foubert, L., Laurent, A., Dubois, B., & Dalla Barba, G. (2008). Intrusions in story recall: When over-learned information interferes with episodic memory recall. Evidence from Alzheimer’s disease. Cortex, 44, 305–311.CrossRefGoogle Scholar
  13. Etcheverry, L., Seidel, B., Grande, M., Schulte, S., Pieperhoff, P., Südmeyer, M., Minnerop, M., Binkofski, F., & Huber, W. (2012). The time course of neurolinguistic and neuropsychological symptoms in three cases of logopenic primary progressive aphasia. Neuropsychologia, 50, 1708–1718.CrossRefGoogle Scholar
  14. Gansler, D. A., Huey, E. D., Pan, J. J., Wasserman, E., & Grafman, J. H. (2017). Assessing the dysexecutive syndrome in dementia. Journal of Neurology, Neurosurgery & Psychiatry, 88, 254–261.CrossRefGoogle Scholar
  15. Heitz, C., Noblet, V., Philipps, C., Cretin, B., Vogt, N., Philippi, N., Kemp, J., de Petigny, X., Bilger, M., Demuynck, C., Martin-Hunyadi, C., Armspach, J.-P., & Blanc, F. (2016). Cognitive and affective theory of mind in dementia with Lewy bodies and Alzheimer’s disease. Alzheimer’s Research & Therapy, 8, 10.Google Scholar
  16. Macoir, J., Lavoie, M., Laforce, R., Brambati, S. M., & Wilson, M. A. (2017). Dysexecutive symptoms in primary progressive aphasia: Beyond diagnostic criteria. Journal of Geriatric Psychiatry and Neurology, 30, 151–161.CrossRefGoogle Scholar
  17. MacWhinney, B., Fromm, D., Forbes, M., & Holland, A. (2011). AphasiaBank: Methods for studying discourse. Aphasiology, 25, 1286–1307.CrossRefGoogle Scholar
  18. Magnin, E., Démonet, J.-F., Wallon, D., Dumurgier, J., Troussière, A.-C., Jager, A., Duron, E., Gabelle, A., de la Sayette, V., Volpe-Gillot, L., Tio, G., Evain, S., Boutoleau-Bretonnière, C., Enderle, A., Mouton-Liger, F., Robert, P., Hannequin, D., Pasquier, F., Hugon, J., & Paquet, C. (2016). Primary progressive aphasia in the network of French Alzheimer plan memory centers. Journal of Alzheimer’s Disease, 54, 1459–1471.CrossRefGoogle Scholar
  19. Mesulam, M., & Weintraub, S. (2008). Primary progressive aphasia and kindred disorders. In C. Duyckaerts, & I. Litvan (Eds.), Handbook of clinical neurology, Vol. 89 (3 rd series) dementias (pp. 573–587). New York, NY: Elsevier.CrossRefGoogle Scholar
  20. Spinelli, E. G., Mandelli, M. L., Miller, Z. A., Santos-Santos, M. A., Wilson, S. M., Agosta, F., Grinberg, L. T., Huang, E. J., Trojanowski, J. Q., Meyer, M., Henry, M. L., Comi, G., Rabinovici, G., Rosen, H. J., Filippi, M., Miller, B. L., Seeley, W. W., & Gorno-Tempini, M. L. (2017). Typical and atypical pathology in primary progressive aphasia variants. Annals of Neurology, 81, 430–443.CrossRefGoogle Scholar
  21. Stein, N. L., & Glenn, C. G. (1979). An analysis of story comprehension in elementary school children. In R. O. Freedle (Ed.), New directions in discourse processing (pp. 53–120). Norwood, NJ: Ablex.Google Scholar
  22. Stenclik, J. H., Sperling, S. A., & Manning, C. A. (2015). Neuropsychological findings and the logopenic variant of primary progressive aphasia. JSM Alzheimer’s Disease and Related Dementia, 2, 1013.Google Scholar
  23. Thompson, C. K., Cho, S., Hsu, C.-J., Wieneke, C., Rademaker, A., Weitner, B. B., Mesulam, M. M., & Weintraub, S. (2012). Dissociations between fluency and agrammatism in primary progressive aphasia. Aphasiology, 26, 20–43.CrossRefGoogle Scholar
  24. Torralva, T., Gleichgerrcht, E., Torres Ardila, M. J., Roca, M., & Manes, F. F. (2015). Differential cognitive and affective theory of mind abilities at mild and moderate stages of behavioural variant frontotemporal dementia. Cognitive and Behavioral Neurology, 28, 63–70.CrossRefGoogle Scholar
  25. Webster, J., Franklin, S., & Howard, D. (2001). An investigation of the interaction between thematic and phrasal structure in nonfluent agrammatic subjects. Brain and Language, 78, 197–211.CrossRefGoogle Scholar
  26. Weintraub, S., Rogalski, E., Shaw, E., Sawlani, S., Rademaker, A., Wieneke, C., & Mesulam, M. M. (2013). Verbal and nonverbal memory in primary progressive aphasia: The three words-three shapes test. Behavioural Neurology, 26, 67–76.CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of English, The Hong Kong Polytechnic UniversityHung Hom, KowloonHong Kong

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