Signs of Sir Terry Pratchett’s dementia may have been hidden in his books – new study

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Signs of Sir Terry Pratchett’s dementia may have been present in his writing a decade before his official diagnosis, new research has found.

Led by Loughborough University’s Dr Thom Wilcockson, researchers examined the "lexical diversity" – a measure of how varied an author’s word choices are – of 33 books from Pratchett's Discworld series, focusing specifically on his use of nouns and adjectives.

The study found that Pratchett’s language in “The Lost Continent”, written almost 10 years before his diagnosis of Posterior Cortical Atrophy (PCA), a rare form of Alzheimer's, showed a significant decline in the complexity of the language used compared to his previous works. 

Published in peer-reviewed journal Brain Sciences, the research team hope that the study may aid in the early detection of dementia, for which there is currently no cure.

Dr Thom Wilcockson, from Loughborough’s School of Sport, Exercise and Health Sciences, explained: “Identifying dementia in the early stages is important as it may enable us to use interventions sooner before the brain is damaged beyond repair.

“Research indicates that memory problems may not be the first symptom of dementia. We wanted to explore whether language could be an early warning sign, and to do this, we used Sir Terry Pratchett’s books, who himself suffered dementia.

“Our analysis found that Sir Terry’s use of language did indeed change during his career. These results suggest that language may be one of the first signs of dementia, and Sir Terry’s books reveal a potential new approach for early diagnosis.”

Supporting researcher, Dr Melody Pattison, Lecturer in the School of English, Communication and Philosophy, Cardiff University, added: "We would normally expect less lexical diversity as texts get longer, but even after controlling for text length, our findings were still significant. The shifts in language were not something a reader would necessarily notice, but rather a subtle, progressive change.”

Sir Terry Pratchett spoke candidly about the disease and was vocal that more needed to be done to raise awareness. He sadly died in 2015, aged 66.

Notes for editors

Press release reference number: 26/21

Loughborough is one of the country’s leading universities, with an international reputation for research that matters, excellence in teaching, strong links with industry, and unrivalled achievement in sport and its underpinning academic disciplines.

It has been awarded five stars in the independent QS Stars university rating scheme and named the best university in the world for sports-related subjects in the 2025 QS World University Rankings – the ninth year running.

Loughborough has been ranked seventh in the Complete University Guide 2026 – out of 130 institutions.

This milestone marks a decade in the top ten for Loughborough – a feat shared only by the universities of Oxford, Cambridge, LSE, St Andrews, Durham and Imperial.

Loughborough was also named University of the Year for Sport in the Times and Sunday Times Good University Guide 2025 - the fourth time it has been awarded the prestigious title.

In the Research Excellence Framework (REF) 2021 over 90% of its research was rated as ‘world-leading’ or ‘internationally-excellent’. In recognition of its contribution to the sector, Loughborough has been awarded eight Queen Elizabeth Prizes for Higher and Further Education.

The Loughborough University London campus is based on the Queen Elizabeth Olympic Park and offers postgraduate and executive-level education, as well as research and enterprise opportunities. It is home to influential thought leaders, pioneering researchers and creative innovators who provide students with the highest quality of teaching and the very latest in modern thinking.