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Prevalence of dementia

Dementia is estimated1 to afflict over 35.5 million people worldwide -- this includes nearly 10 million people in Europe, nearly 4.4 million in North America, nearly 7 million in South and Southeast Asia, about 5.5 million in China and East Asia and about 3 million in Latin America.

Context is absolutely critical to successful communication. Think of the common experience of being a stranger at a family gathering or a meeting of close friends. Even familiar words and phrases may take on a different or additional meaning, among people who have a shared history. Many jokes and comments will be completely unintelligible, though you all speak the same language.

Research; study; learning; solving problems; making decisions — all these, to be done effectively and efficiently, depend on asking the right questions. Much of the time, however, people let others frame the questions, not realizing how much this shapes how they think.

I was recently asked for advice in the case of increased “brain blocks” — failures to retrieve information that should be readily accessible. This question is, I suspect, of interest to many of my readers, so I thought I would answer it here.

There are many possible causes for an increase in this type of memory failure. These causes fall into three main categories: physical, environmental, and strategic. Let’s deal with the physical first.

Two large-scale international studies have become established to compare countries' performance in the core subjects of literacy, mathematics and science.

TIMSS: Trends in International Mathematics and Science Study

TIMSS is an international study involving 50 countries that assesses math and science achievement at four year intervals. It has been running since 1995. Students are assessed in the 4th and 8th years of school, and in their final year. The next assessment round will be in 2007.

A New Yorker cartoon has a man telling his glum wife, “Of course I care about how you imagined I thought you perceived I wanted you to feel.” There are a number of reasons you might find that funny, but the point here is that it is very difficult to follow all the layers. This is a sentence in which mental attributions are made to the 6th level, and this is just about impossible for us to follow without writing it down and/or breaking it down into chunks.

I’ve recently had a couple of thoughts about flow — that mental state when you lose all sense of time and whatever you’re doing (work, sport, art, whatever) seems to flow with almost magical ease. I’ve mentioned flow a couple of times more or less in passing, but today I want to have a deeper look, because learning (and perhaps especially that rewiring I was talking about in my last post) is most easily achieved if we can achieve "flow" (also known as being ‘in the zone’).

Let’s start with some background.

Visual Language, a term introduced by Robert Horn, refers to "language based on tight integration of words and visual elements". The visual elements include shapes, as well as images (e.g., icons, clip art).

What does this have to do with memory? Well, partly of course, because the appropriate use of images usually makes information more memorable, but visual language has considerably more to offer than that. To appreciate what it is, Horn has examples at http://web.stanford.edu/~rhorn/

On a number of occasions I have reported on studies showing that people with expertise in a specific area show larger gray matter volume in relevant areas of the brain. Thus London taxi drivers (who are required to master “The Knowledge” — all the ways and byways of London) have been found to have an increased volume of gray matter in the anterior hippocampus (involved in spatial navigation). Musicians have greater gray matter volume in Broca’s area.

Retrieval practice, as its name suggests, is a simple strategy that involves retrieving the target information one or more times prior to testing. It is not the same as repetition or rehearsal! The idea is not to simply repeat the correct information, but to try and retrieve it. Feedback as to the correct answer may or may not follow.