The role of current personal experience in understanding of word meani
ng was investigated in a patient, WM, who suffers from semantic dement
ia. The study was prompted by the observation that WM, despite being s
everely impaired on formal tests of word comprehension and naming, ret
ained a range of vocabulary pertaining to her daily life. If autobiogr
aphical experience has a general facilitatory effect, then this should
affect which concepts are retained and which lost, but not influence
the quality of that conceptual knowledge. Conversely, if personal auto
biography has a direct role in investing concepts with meaning, then W
M's understanding of nominal terms that she uses spontaneously in conv
ersation ought not to be normal, but should be constrained by the auto
biographical context in which she uses those terms. WM could define no
uns and noun phrases drawn from her conversational vocabulary, but her
definitions had a markedly autobiographical quality. Moreover, WM was
extremely impaired in her ability to define new noun phrases, constru
cted by combining words from her conversational vocabulary (e.g. ''dog
licence'', constructed from ''driving licence'' and ''dog''; ''oil fi
eld'' constructed from ''oil'' and ''field''). It was concluded that W
M does not have normal conceptual understanding of nouns and noun phra
ses that she uses appropriately in conversation. Her understanding is
narrow and autobiographically constrained. The findings, which suggest
an interactive relationship between autobiographical and semantic mem
ory, have implications for understanding of the progressive breakdown
of semantic knowledge.