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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.

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.

Many people, particularly as they get older, have concerns about short-term memory problems: going to another room to do something and then forgetting why you’re there; deciding to do something, becoming distracted by another task, and then forgetting the original intention; uncertainty about whether you have just performed a routine task; forgetting things you’ve said or done seconds after having said or done them; thinking of something you want to say during a conversation, then forgetting what it was by the time it’s your turn to speak, and so on.

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:

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!

Movement with Meaning: A Multisensory Program for Individuals in Early-Stage Alzheimer's Disease

Those of us in the field of dementia care are reexamining our philosophical beliefs and exploring practical, hands-on approaches in our relationships with individuals living with Alzheimer's disease. We are creating innovative programs and developing a new framework for preserving the emotional health, autonomy, and dignity of those who need us to walk hand in hand with them, witnessing the process of their experiences with empathy and respect.

Learning a new language is made considerably more difficult if that language is written in an unfamiliar script. For some, indeed, that proves too massive a hurdle, and they give up the attempt.

Do experts simply know "more" than others, or is there something qualitatively different about an expert's knowledge compared to the knowledge of a non-expert?

While most of us are not aiming for an expert's knowledge in many of the subjects we study or learn about, it is worthwhile considering the ways in which expert knowledge is different, because it shows us how to learn, and teach, more effectively.

Some personal experience

I have two sons. One of them was a colicky baby. Night after night my partner would carry him around the room while I tried to get a little sleep. One night, for his own amusement, my partner chose a particular CD to play. Magic! As the haunting notes of the hymns of the 12th century abbess Hildegard of Bingen rang through the room, the baby stopped crying. And stayed stopped. As long as the music played. Experimentation revealed that our son particularly liked very early music (plainchant from the 15th century Josquin des Pres was another favorite).

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.