The earliest signs of dementia are rarely dramatic. They do not arrive as forgotten names or misplaced keys, but as changes so subtle they are almost impossible to notice: a slightly narrower vocabulary, less variation in description, a gentle flattening of language.
New research my colleagues and I conducted suggests that these changes may be detectable years before a formal diagnosis — and one of the clearest examples may lie hidden in the novels of Sir Terry Pratchett.
Pratchett is remembered as one of Britain’s most imaginative writers, the creator of the Discworld series and a master of satire whose work combined humour with sharp moral insight. Following his diagnosis of posterior cortical atrophy, a rare form of Alzheimer’s disease, he became a powerful advocate for dementia research and awareness. Less well known is that the early effects of the disease may already have been present in his writing long before he knew he was ill.
