Innovative practice: Conversational use of English in bilingual adults with dementia.

Regression to mother tongue is common in those with dementia. In two long-term care facilities, we explored the use of bilinguals' two languages for five older adults with mild-moderate dementia who have begun to regress to Greek. We also examined the role of Montessori DementiAbility Methods: The Montessori Way-based English language activities in fostering conversational use of English. Over 10 sessions, participants' vocabulary or grammatical structure in English did not improve. However, four of the five participants were able to maintain a conversation in English for longer periods of time. This study contributes to strategies for optimizing meaningful conversation for bilingual long-term care residents with dementia. Moreover, the data suggest a change in the policy and practice for dementia care so that there are more opportunities for residents to speak English in non-English mother-tongue facilities. Greater attention to the specific language needs of bilinguals in English-dominant settings would also be advisable.

Cross-cultural beliefs about memory and aging for self and others: South Korea and Canada.

Young adults in Canada (N = 161) and South Korea (N = 165) rated either themselves or typical others at target ages 25, 45, and 65 years. In both countries, poorer memory was anticipated with each increase in age on all 3 memory belief factors: capacity, change, and locus. Both groups demonstrated a self-protective bias about age-related decline, with Koreans showing a greater effect. These findings demonstrate the cross-cultural generality of negative memory stereotypes of middle and old age and the importance of self-other distinctions in age biases.

Communication strategies to promote spiritual well-being among people with dementia.

Declining communication skills in dementia threaten a person's sense of self. Building on enduring capabilities, pastoral visitors can significantly enhance spiritual well-being through the use of individualized, person-centered strategies. This article outlines the primary spiritual needs of older adults with dementia and some general strategies to improve communication based on enduring abilities. Detailed examples illustrate how these personhood-centered strategies can meet spiritual needs by connecting with individuals with dementia through life stories and through helping them to participate in religious life.

Communication beliefs about youth and old age in Asia and Canada.

Two cross-cultural studies compared beliefs in Asia and Canada about communication in later life. With an expanded version of the Language in Adulthood Questionnaire, respondents rated a young or old adult target on communication skills selected to elicit both negative and positive stereotypes. Chinese, Chinese-Canadian, and Canadian participants were compared in Study 1 while younger and older respondents from South Korea and Canada were contrasted in Study 2. All groups showed negative beliefs about hearing and memory in old age. Positive communication beliefs were also evident for empathy, storytelling and social skills. Participants in Asia showed less stereotyping overall, for both negative and positive beliefs. Significant age interactions in Study 2 reflected positive communication beliefs only for the older participants. In line with recent investigations of the multidimensional impact of Eastern traditions, greater positivity toward older adults was not observed in Asia. This work highlights the importance of assessing both positive and negative age beliefs in cross-cultural comparisons.

Intergenerational communication across cultures: young people's perceptions of conversations with family elders, non-family elders and same-age peers.

Young adults from three Western (Canada, U.S.A., and New Zealand) and three East Asian (The Philippines, South Korea and Japan) nations completed a questionnaire regarding their perceptions of interactions with family elders, non-family elders, and same-age peers. Results showed that East Asians perceived family elders to be as accommodating as same-age peers, whereas Westerners perceived family elders as more accommodating than their same-age peers. Participants in both cultural blocks indicated an obligation to be most deferential towards non-family elders, followed by family elders, followed by same-age peers. Whereas both groups perceived interactions with same-age peers more positively than with the two older groups, the Western group perceived the older age groups more positively than did East Asians. Intergenerational communication is reportedly be more problematic than intragenerational communication and, consistent with previous findings, this pattern is more evident in East Asian nations on some variables.

Age excuses: conversational management of memory failures in older adults.

The social consequences of appealing to age to excuse memory failure were examined in 2 vignette-based studies. In Study 1, 75 older (M = 72 years) and 78 young (M = 22 years) adults evaluated forgetful older targets in their 70s who used their age, lack of ability, lack of effort, or the situation to explain forgetting. In Study 2, 105 older (M = 72 years) and 105 young participants (M = 19 years) evaluated forgetful targets with no specific age given in 4 excuse conditions (age, ability, situation, and no excuse). In support of the prediction of positive consequences, age excuses were rated as more believable than situation in both studies and more believable and socially fluent than effort in Study 1. In support of predictions of negative consequences, both groups in Study 2 rated target persons who used an age excuse to be much older than their peers and, along with ability excuse users, as eliciting more worry and frustration than the others. Moreover, young adults showed additional sensitivity to the negative aspects of age excuses in terms of worry and frustration in Study 1 and anticipated repeat forgetting in Study 2. These results suggest that although age excuses may relieve socially awkward situations, this strategy reinforces negative age stereotyping of the older forgetter.