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People are poor at assessing their own memory

One thing research seems to show rather consistently is that, for older adults in particular, beliefs about one's own memory performance have little to do with one's actual memory performance¹. People who believe they have a poor memory are usually no worse at remembering than those who believe they have a good memory.

Distributed practice more effective than massed practice

It has long been known that spacing practice (reviewing learning or practicing a skill at spaced intervals) is far more effective than massed practice (in one heavy session). An interesting example of this comes from a study that aimed to find the best way of teaching postmen to type (this was at the request of the British Post Office). The researchers put postmen on one of four schedules:

In a recent news report, I talked about how walking through doorways creates event boundaries, requiring us to update our awareness of current events and making information about the previous location less available. I commented that we should be aware of the consequences of event boundaries for our memory, and how these contextual factors are important elements of our filing system. I want to talk a bit more about that.

A study1 of nearly 2000 older adults has found that eating a Mediterranean diet was associated with less risk of developing mild cognitive impairment or of transitioning from MCI to Alzheimer's disease. The third with the highest scores for Mediterranean diet adherence had a 28% lower risk of developing MCI compared to the third with the lowest scores, and of those who already had MCI, those with the highest scores for Mediterranean diet adherence had a 48% less chance of developing Alzheimer’s.

When we are presented with new information, we try and connect it to information we already hold. This is automatic. Sometimes the information fits in easily; other times the fit is more difficult — perhaps because some of our old information is wrong, or perhaps because we lack some of the knowledge we need to fit them together.

Most people believe that an adult learner can't hope to replicate the fluency of someone who learned another language in childhood. And certainly there is research to support this. However, people tend to confuse these findings - that the age of acquisition affects your representation of grammar - with the idea that children can learn words vastly quicker than adults. This is not true. Adults have a number of advantages over children:

Except in the cases of stroke or traumatic brain injury, loss of cognitive function is not something that happens all at once. Cognitive impairment that comes with age may be thought of as belonging on a continuum, with one end being no cognitive impairment and the other end being dementia, of which Alzheimer's is the most common type.

We don’t deliberately practice our memories of events — not as a rule, anyway. But we don’t need to — because just living our life is sufficient to bring about the practice. We remember happy, or unpleasant, events to ourselves, and we recount our memories to other people. Some will become familiar stories that we re-tell again and again. But facts, the sort of information we learn in formal settings such as school and university, these are not something we tend to repeatedly recount to ourselves or others — not for pleasure anyway!

What do we mean by word-finding problems?

Here are some examples:

  • increasing use of circumlocutions rather than specific terms (e.g., "I wonder where the thing that goes here is")
  • use of empty phrases, indefinite terms, and pronouns without antecedents (i.e., referring to something or someone as "it" or "him / her" without first identifying them by name)
  • increased frequency of pauses

These problems are all characteristic of Alzheimer's, but also, to a much lesser extent, of normal aging.

The evidence that diet, physical exercise, and mental stimulation all help prevent age-related cognitive decline and reduce the risk of mild cognitive impairment and Alzheimer’s, is now very convincing.

Studies of mice and (rather intriguingly) beagles, have provided evidence that ‘enriched’ environments — ones that provide opportunities for regular exercise and mental stimulation — reduce or prevent age-related cognitive decline, and reduce the risk of Alzheimer’s.