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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.

Let’s talk about the cognitive benefits of learning and using another language.

In a recent news report, I talked about the finding that intensive learning of a very novel language significantly grew several brain regions, of which two were positively associated with language proficiency. These regions were the right hippocampus and the left superior temporal gyrus. Growth of the first of these probably reflects the learning of a great many new words, and the second may reflect heavy use of the phonological loop (a part of working memory).

You may have heard of “g”. It’s the closest we’ve come to that elusive attribute known as “intelligence”, but it is in fact a psychometric construct, that is, we surmise its presence from the way in which scores on various cognitive tests positively correlate.

In other words, we don’t really know what it is (hence the fact it is called “g”, rather than something more intelligible), and in fact, it is wrong to think of it as a thing. What it is, is a manifestation of some property or properties of the brain — and we don’t know what these are.

A new book, Moonwalking with Einstein: The Art and Science of Remembering Everything, has been creating some buzz recently.

Traumatic brain injury is the biggest killer of young adults and children in the U.S., and in a year more Americans suffer a TBI than are diagnosed with breast, lung, prostate, brain and colon cancer combined. There are many causes of TBI, but one of the more preventable is that of sports concussion.

Research has found that people are most likely to successfully apply appropriate learning and remembering strategies when they have also been taught general information about how the mind works.

The more you understand about how memory works, the more likely you are to benefit from instruction in particular memory skills.

When you have a good general understanding of how memory works, different learning strategies make much more sense.

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.

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).

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.

As I said in my discussion of different scripts, Russian uses the Cyrillic alphabet. Here it is (the 3rd column shows the English counterpart):

А  а   a

Б  б   b

В  в   v

Г  г   g

Д  д   d

Е  е   ye