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[Xmca-l] Re: Memory, aging and culture

I heard Stephen Wey from York St John Uni give a fascinating account of working with dementia patients. He was talking about using the notion of ZPD in their treatment and assessment, showing that where the patients were in more familiar environments their memories and coping strategies were a whole load better than in an alien hospital environment.
I have lost the link to his slides, sadly.
I gave Stephen this group info, so it would be great if he would contact us all!


On 9 Dec 2013, at 08:46, peter jones wrote:

Hi Mike, All

I can't identify a literature but am sure there is one (culturally orientated) out there such is the prospective scale of the challenges. Emerging you would hope?

In Feb 2011 I gave a presentation and workshop in Paipa, Colombia. I used a case study of an elderly lady living alone. Very common here in the UK and yet the audience in Colombia could not really identify with this scenario. The family would assure the well-being of their family member, except in extremis. In this sense the culture in Colombia could be said to be 'rich' in comparison with the loneliness and alienation frequently experienced in the UK.

Mental health services in the UK have lost 1700 beds in the past two years (Health Service Journal) due to austerity measures. This might mean family have a 30 mile or more trip to visit a relative in hospital.

There are studies that espouse a role for telecare to facilitate people maintaining their independence with other sources of support.

You might refer to the health policy debate and eventual emergence of a 'dementia strategy' or other governmental response as measure of some sort?

In terms of the sciences and political (mechanistic) domains of Hodges' model, governments (e.g. UK) needs to know how prevalent the problem is. Therefore the emphasis is still upon diagnosis, or more accurately 'screening'.

I have advocated for more local use of geographic information systems - GIS to consider such activities. For example, which family doctors are referring people, which are not and if so why not?

There is a fascinating question(?) in what a culture considers 'challenging behaviour'? With this is 'tolerance' of individuals, through to family and communities. When medical language is introduced then 'sense making' is radically altered (of course)?

The cultural impacts are yet to be fully realised and if there is a connection with diabetes may be even greater than thought (without scaremongering)?

http://www.newscientist.com/article/mg22029453.400-are-alzheimers- and-diabetes-the-same-disease.html#.UqWAnOLm72k

The cultural expectations around driving could also be very interesting, having the grace to give up the car when the time comes. This will (is) not easy for a great many people.

Hope this helps.

Peter Jones
Lancashire, UK
Blogging at "Welcome to the QUAD"
Hodges Health Career - Care Domains - Model
h2cm: help 2C more - help 2 listen - help 2 care

On Monday, 9 December 2013, 0:47, mike cole <lchcmike@gmail.com> wrote:

The link between involvement in cultural practices as a function of age/health and memory seems to have opened up a lot of considerations of common interest. As Geraldine suggests word meaning is a central phenomenon associated with memory loss and Peter reveals himself as deeply involved in the issues that Laure's question provoked. And look at the
geographic/temporal distribution of this concentrated "intelligence."

Peter, is there a literature on cultural differences in partterns of say, dementia, or Alzheimers, when societies adopt our most civilized practices? Clearly you are pointing toward a shift in the kinds of issues changing demographics will pose socially and economically, which I think requires a corresponding shift in cultural practices and their associated meanins.

Am I tracking this right?
(Asked the old man, speaking of dimentia)

On Sun, Dec 8, 2013 at 3:53 PM, peter jones <h2cmng@yahoo.co.uk> wrote:

Culturally one of the factors must be what is 'home'?

Another extends beyond cultural perception to involve politics and policy. With an ageing population we (health services - private as well as public) need older adults to retain their independence and if needed to be cared for at home and to die at home and not in hospital.

The following may help in specifics around dementia.

http://eprints.soton.ac.uk/349714/13/dementia%20specialist% 20nurses.pdf

Culturally are we ready for more people to die at home?.

I also blogged this w/e about residential care and deprivation of liberty:

http://hodges-model.blogspot.co.uk/2013/12/reading-and-writing- minutia-of-locked.html

There are other posts on dementia & memory which may illuminate several dimensions.


Peter Jones
Lancashire, UK
Blogging at "Welcome to the QUAD"
Hodges Health Career - Care Domains - Model
h2cm: help 2C more - help 2 listen - help 2 care

On Sunday, 8 December 2013, 21:49, Martin John Packer <mpacker@uniandes.edu.co> wrote:

I suspect that 'memory loss' with age also depends on cultural *practices* of memory. I know couples where one person is largely responsible for remembering things for both. In the US, the UK and elsewhere we tend to put old people in institutions where no one knows their history, whereas in cultures where old'uns continue to have a place in the family, their relatives know what they need to recall and can do so for them, or help them do so.


On Dec 8, 2013, at 12:43 PM, Laure Kloetzer <laure.kloetzer@gmail.com> wrote:

Hi Mike,

I agree the question was quick and fuzzy,
 sorry. I wonder to what extent
the extended complaint on memory loss (especially loss of episodic
memories, related to specific events of one's life) by people who are
getting old in our current societies is related to cultural factors
(including social expectations towards a precise memory, esp. relating to one's own life events, and anxiety to get old, including fear of Alzheimer
pathology, for example). We know that the way we sleep, our sleeping
cycles, are influenced by our culture. I guess our perception of our memory performance and accuracy is also influenced by cultural factors, and I wonder if some colleagues have been working on these topics. Which cultural dimensions worsen or improve the situation regarding memory problems and
aging ?
Thanks for your help !
Best regards,

2013/12/8 mike cole <lchcmike@gmail.com>

What does the term, cultural perceptions mean, Laure? The answer to that
question would help a lot in answering your questions.

On Sun, Dec 8, 2013 at 12:44 AM, Laure Kloetzer <laure.kloetzer@gmail.com>wrote:


I am looking for references on aging, and how memory loss is affected by cultural perceptions. Would you have some references to point me to ?

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