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While parents and teachers have always strongly supported small class sizes, their belief has not always been supported by evidence. Part of the problem lies in that word “small” — what constitutes a small class? Different interventions have looked at reducing class sizes from 40 to 30, or 30 to 25. It may well be that such reductions are not sufficient to show clear benefits.

People are poor at assessing their own memory

One thing research seems to show rather consistently is that, for older adults in particular, beliefs about one's own memory performance have little to do with one's actual memory performance¹. People who believe they have a poor memory are usually no worse at remembering than those who believe they have a good memory.

What constitutes proof? How much weight can we put on research results?

I’ve been reporting on memory research for 20 years, and this issue has always been at the back of my mind. Do my readers understand these questions? Do they have the background and training to give the proper amount of weight to these particular research findings? I put in hints and code words (“pilot study”; “this study confirms”; “adds to the evidence”; “conclusive”; and so on), but are these enough?

So here is the article I’ve always meant to write.

Prevalence

Vascular dementia, as its name suggests, is caused by poor blood flow, produced by a single, localized stroke, or series of strokes.

It is the second most common dementia, accounting for perhaps 17% of dementias. It also co-occurs with Alzheimer's in 25-45% of cases. Although there are other types of dementia that also co-occur with Alzheimer's, mixed dementia generally refers to the co-occurrence of Alzheimer's and vascular dementia.

A fascinating article recently appeared in the Guardian, about a woman who found a way to overcome a very particular type of learning disability and has apparently helped a great many children since.

The evidence that diet, physical exercise, and mental stimulation all help prevent age-related cognitive decline and reduce the risk of mild cognitive impairment and Alzheimer’s, is now very convincing.

Studies of mice and (rather intriguingly) beagles, have provided evidence that ‘enriched’ environments — ones that provide opportunities for regular exercise and mental stimulation — reduce or prevent age-related cognitive decline, and reduce the risk of Alzheimer’s.

What do we mean by word-finding problems?

Here are some examples:

  • increasing use of circumlocutions rather than specific terms (e.g., "I wonder where the thing that goes here is")
  • use of empty phrases, indefinite terms, and pronouns without antecedents (i.e., referring to something or someone as "it" or "him / her" without first identifying them by name)
  • increased frequency of pauses

These problems are all characteristic of Alzheimer's, but also, to a much lesser extent, of normal aging.

How the keyword method works

The keyword method has been especially pushed as an effective strategy for learning foreign vocabulary. It is presumably equally valuable for extending your native-language vocabulary and learning technical jargon, and has also been used successfully to teach social studies facts (e.g., the products of a country; capital cities), science facts (e.g., chemical reactions, parts of the skeletal and nervous systems) and the names and faces of people.

There are two stages to the method:

Speed-reading techniques

Like many memory improvement courses, speed-reading programs tend to make inflated claims. Also like memory programs, most speed-reading programs proffer the same advice. In essence, speed-reading techniques involve the following components: