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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.

The conventional view of brain development has been that most of this takes place in utero and in the first three years, with the further development continuing until the brain is fully mature at around 10-12 years of age. The turbulence of adolescent behavior has been deemed to be mostly caused by hormonal changes. Piaget, who identified four stages of cognitive development, assessed that his highest stage — that of formal, abstract reasoning — occurred around 13-14 years (although not everyone reaches this level, which requires appropriate education).

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.

On my walk today, I listened to a downloaded interview from the On Being website. The interview was with ‘vocal magician and conductor’ Bobby McFerrin, and something he said early on in the interview really caught my attention.

Have you ever been driving a car and suddenly you’re not sure what to do? You’re traveling along in usual automatic fashion and there comes a moment when you need to engage a new subroutine — say, you need to give way at an intersection, or you stall at the traffic lights, or you stop the car — and suddenly, you don’t know what to do. There’s a flash of panic, even while you’re thinking, “This is stupid, I’ve done this a thousand times”, and then, maybe it’s all right, maybe you have to take a moment to get your head in the right space, and ...

Types of reading disability

A longitudinal study that used imaging to compare brain activation patterns has identified two types of reading disability:

The Seattle Longitudinal Study of Adult Intelligence has followed a group of more than 5000 people for well over four decades. The program began in 1956 and participants have been tested across a whole gamut of mental and physical abilities at seven year intervals since that date.

The study has found:

I don't think anyone's going to try arguing that fruit and vegetables are not good for your health! We know they're good. But that's just general "oh, I know it's good for me" — do you know that the benefits are not only for your general health, your protection against obesity and diabetes, cancer and heart disease, but also for your brain. Actually, there's two aspects to this. An unhealthy diet (one rich in junk food, in saturated fat and sugar) is actively bad for your brain, and (the right) healthy diet is actively good for your brain.

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!

I have spoken before, here on the website and in my books, about the importance of setting specific goals and articulating your specific needs. Improving your memory is not a single task, because memory is not a single thing. And as I have discussed when talking about the benefits of ‘brain games’ and ‘brain training’, which are so popular now, there is only a little evidence that we can achieve general across-the-board improvement in our cognitive abilities.