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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.

Vocabulary is a sticking point for many language learners. That’s because words have a certain arbitrary quality that makes them hard to memorize. There are two strategies which are very effective with this task: the keyword mnemonic, and retrieval practice. I have written about these extensively in my books Mnemonics for Study, and How to revise & practice.

The limitations of working memory have implications for all of us. The challenges that come from having a low working memory capacity are not only relevant for particular individuals, but also for almost all of us at some points of our lives. Because working memory capacity has a natural cycle — in childhood it grows with age; in old age it begins to shrink. So the problems that come with a low working memory capacity, and strategies for dealing with it, are ones that all of us need to be aware of.

We forget someone’s name, and our response might be: “Oh I’ve always been terrible at remembering names!” Or: “I’m getting old; I really can’t remember things anymore.” Or: nothing — we shrug it off without thought. What our response might be depends on our age and our personality, but that response has nothing to do with the reason we forgot.

I don't often talk about eyewitness testimony, but it's not because of the lack of research. It's a big field, with a lot of research done. When  I say I don't follow it because I regard the main finding as a done deal - eyewitness testimony is useless - that's not meant to denigrate the work being done. There is, clearly, a great deal of value in working out the exact parameters of human failures, and in working out how we can improve eyewitness testimony. I just arbitrarily decided to ignore this area of research until they'd sorted it all out!

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.

At the same time as a group of French parents and teachers have called for a two-week boycott of homework (despite the fact that homework is officially banned in French primary schools), and just after the British government scrapped homework guidelines, a large long-running British study came out in support of homework.

Montessori education

Maria Montessori (1870-1952) was an Italian physician. After working with retarded children in a psychiatric clinic attached to the University of Rome, she applied the ideas she had developed to children in a slum district in Rome. This was the first Casa dei Bambini ("children's house"). It opened in 1907. Two years later she set out her methods and principles in a book, which was translated as The Montessori Method in 1912.

Planning memory contains your plans and goals (such as, “I must pick up the dry-cleaning today”; “I intend to finish this project within three months”). Forgetting an appointment or a promise is one of the memory problems people get most upset about.

We all like simple solutions. However much we may believe we are ‘above’ black-&-white dichotomies, that of course we understand that every situation is complex, nevertheless we have a brain that can only think of a very very few things at once. So it's unsurprising that we are drawn to solutions that can be summed up simply, that can fit comfortably within the limitations of working memory.