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Hausmann, Alessa, García, Adolfo M., Costa, Ana Sofia, Bose, Arpita, Tee, Boon Lead, Rivera-Fernandez, Claudia, Europa, Eduardo, Kavé, Gitit, Sung, Jee Eun, de Oliveira, Maira Okada, Wigdorowitz, Mandy, Garraffa, Maria 
ORCID: https://orcid.org/0000-0003-1767-424X, Carthery-Goulart, Maria Teresa, Kleiman, Michael J., Friedmann, Naama, Diouny, Samir, Franzen, Sanne, Toniolo, Sofia, Grasso, Stephanie, Bak, Thomas H. and Borghesani, Valentina
(2026)
Redefining the norms: An interdisciplinary perspective on language testing in multilinguals with acquired and progressive neurogenic disorders.
Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring, 18 (2).
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Abstract
Accurate language assessment is essential in clinical and research contexts. However, most assessment tools and questionnaires have been developed within monolingual frameworks, overlooking the particularities of the vast multilingual population and, thus, often leading to misdiagnosis and inequitable care. Here, we examine the limitations of monolingual-centric approaches to language testing in multilinguals with acquired and progressive neurogenic disorders and explore the implications of multilingualism across linguistic, cognitive, neural, clinical, and sociocultural domains. We also address the need for technological innovation and theoretical refinement to better accommodate linguistic diversity in healthcare. Ultimately, we advocate for a nuanced, equitable, and culturally sensitive model of language assessment that reflects the realities of multilingual populations by accounting for their diverse linguistic repertoires, cognitive trajectories, and neural profiles. This model integrates valid, adapted tools, inclusive normative data, and context-appropriate testing practices, with particular attention to under-represented and typologically diverse languages.
| Item Type: | Article |
|---|---|
| Additional Information: | Publisher Copyright: © 2026 The Author(s). Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals LLC on behalf of Alzheimer's Association. |
| Uncontrolled Keywords: | acquired aphasia,brain health equity,language assessment,multilingualism,personalized medicine,progressive neurogenic disorders,clinical neurology,psychiatry and mental health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2728 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Centres > Mental Health and Social Care (fka Lifespan Health) |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 08 Jul 2026 15:41 |
| Last Modified: | 12 Jul 2026 23:03 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/103795 |
| DOI: | 10.1002/dad2.70366 |
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