I turned 75 this year and like many people my age I have started to worry about my memory. I’ve always had a good memory. I seldom had to write anything down and I almost never forgot anything. But that’s rapidly becoming a thing of the past. I try to tell myself it’s because I don’t need to remember things now. I have my phone with my calendar and my to-do list and my reminders all right there in my pocket. Things for which I once relied on my memory are now just a simple “buzz” away. As much as I try to tell myself that, I can’t really believe it. I’m afraid things are starting to slip away, and I worry just how far and how fast this will progress. I know from talking to others my age I am not the only one with this concern. But what exactly is memory? How does it work? And what can we do to prevent its decline, or even better to reverse it?
What is memory?
Marriam-Webster Dictionary defines memory as: “…the power or process of reproducing or recalling what has been learned and retained especially through associative mechanisms; the store of things learned and retained from an organism’s activity or experience as evidenced by modification of structure or behavior or by recall and recognition.” I hope that’s more enlightening for you than it is for me. While it may describe memory, it doesn’t really explain it.
I think that I like Salvador Dali’s approach to memory. In his famous painting shown above, The Persistence of Memory, we see the passage of time as it inexorably moves on but leaves persistence in our memory. But as we can see memory is fluid and it is malleable. While memory may persist, it is not unchanged. OK, that may sound like philosophical mumbo jumbo, but I just want to get across the idea that memory is not a concrete thing, and it is as much about perception as anything else.
Types of memory
One of the first things to recognize is that memory is not a single monolithic sense. There are many types of perceptions or abilities that are encompassed in the collective term memory.
The type of memory we use most frequently is working memory. This is where we store things for short-term use. It would include things such as remembering numbers to add in your head. You don’t need it for long term, but if you have problems with your working memory it can take you much longer to get things done such as balancing a check book, following directions or grocery shopping.
Episodic memory is how we recall past events, personal experiences, conversations, feelings, and emotions. If you’re struggling to recall recent events and activities, you may have a problem with your episodic memory. This is the type of memory loss that most people first worry about.
Semantic memory is what you use to recall the definitions of words, the names of objects and to recognize familiar faces. It’s not tied to any specific experience, but these are just things that you just know, such as your key is used to unlock your door or if you want a drink of water, you pour it into a glass. If you find yourself frequently struggling for the right words in a conversation you may be having problems with your semantic memory.
Our prospective memory is the way we remember future things. It’s how we keep track of appointments and obligations. If you find yourself forgetting that you have made plans or where you were supposed to be going you may have problems with your prospective memory. We most commonly experience this when we find we have walked into a room, and we can’t remember why we went there. (Unless it’s the bathroom; I always remember why I’m there.)
Is it dementia?
Of course, this is our greatest worry. I think many of us fear dementia more than we fear stroke, heart attack, or cancer. Memory loss is not always dementia; there is some natural degradation of memory as we get older. But what is age-appropriate memory loss and what are some of the more common and frequently reversible forms of memory losses, and how do we know it’s not dementia.
So, is it normal memory loss or not? It’s normal to forget the date but it is not normal to not know the month or the year. It is normal to have to search for the appropriate word at times. It is not normal to be unable to hold a conversation. It is normal to occasionally forget someone’s name. (By this standard I’ve been suffering from memory loss since I was about 20 years old.) It’s not normal to not recognize close friends or family members. It’s normal to forget where you put your car keys. It’s not normal to forget what they are used for.
The fact that you’re worrying about some of these mild memory problems is in itself good. It just means that you recognize your memory is not as sharp as it once was. Dementia is a sudden and rapid decline in cognitive ability. It is frequently recognized by everyone except its victim.
Other causes
But before you jump right to worrying about Alzheimer’s, there are several more common medical problems that can cause memory loss and confusion. Most of these are, at least partially, reversible.
One of the most common causes of confusion and memory loss in older adults is what we in the medical field call polypharmacy and what most people call over medication. Some of the most common medications that cause mental impairment are diphenhydramine (more commonly known as Benadryl), pain medications, sleeping pills, medications for dizziness or anxiety, as well as some Parkinson medications. Some side effects of all of these can mimic the symptoms of dementia. This is particularly true if any of these medications are mixed with alcohol. If you’re experiencing some episodes of confusion or memory impairment and you’re on a variety of medications, ask your doctor or pharmacist to review them for potential memory impact.
Other common causes of memory impairment in older adults are dehydration, lack of sleep and lack of exercise. It’s a common misconception that our need for sleep and exercise decreases as we get older. Simple exercises such as daily walking have been shown to increase brain health and memory. The positive effects of exercise appear almost immediately.
Undiagnosed anxiety or depression often can mimic memory loss and dementia. This even has a nice clinical sounding name as the pseudodementia of depression. Poorly controlled chronic diseases such as type 2 diabetes can cause chronic inflammation in the body which can lead to cognitive and memory impairment as well.
It’s also generally believed that poor nutrition can cause memory impairments and a Mediterranean style diet has been recommended as a way of protecting against cognitive decline.
What can I do?
If you have concerns about your memory, of course the first step is to consult your doctor. Ask them to look for and deal with any of those common causes listed above. Be prepared, they may ask you some embarrassing questions about your past. They don’t think you’re a bad person, the only effective way to evaluate problems is to ask the same questions of everyone.
So, from there we get on to what can be done for prevention.
Excessive alcohol use and cigarette smoking have both been shown to have a negative impact on memory and can speed cognitive decline. Try to decrease your alcohol intake to one or two drinks a day and your cigarette smoking to none. There is no safe level of cigarette use. Despite common belief, vaping isn’t safer than cigarette use. Although oral tobacco hasn’t been extensively studied as it relates to memory, in studies related to other diseases it has been shown to increase inflammation and microvascular disease, all of which are known to accelerate memory loss and even vascular dementia.
Plan and implement a regular exercise program. You don’t need to be a marathon runner or a gym rat, you just need to have a steady regular plan. Thirty minutes of moderate exercise four or five times a week will show great benefits. Make sure you don’t get overly aggressive at the beginning and injure yourself. Walking is perfectly adequate for most people and doesn’t put undue stress on your joints.
Sleep like your life depends on it. Set a regular bedtime and stick with it both on weekdays and weekends. Try to get up at the same time every day. Just remember that during normal sleep, memory and learning are consolidated and brain toxins are disposed of. Improved sleep can also help with weight management, blood pressure control and blood sugar control. (More on sleep in a later blog.)
Social interaction has been shown to be as important for preventing cognitive decline as anything else. Strong bonds between family and friends are important for a healthy life. Involvement in churches, social groups and civic organizations are all equally beneficial. People who are socially isolated tend to develop earlier and more rapid cognitive decline. Social engagement also reduces the likelihood of depression.
Activities that require mental engagement, particularly in a social setting, have been shown to delay the onset of cognitive decline and in some cases have even reversed some of the signs in people who have previously been socially isolated.
Activities such as reading, writing, puzzle solving, card games and learning new skills have been shown to delay cognitive decline. For example, one of the things that I have done to try to stay mentally active is starting this blog. Not only am I engaged in researching and writing articles, but I had to learn how to set up and manage a website. Also, I had to learn how to work with voice recognition software because I must admit I’m too old to learn how to type.
Can’t I just take a pill?
For as long as I can remember, the pill to cure or reverse dementia is being tested and will be released sometime soon (it always seems to be within the next year). Unfortunately, most of those have been a disappointment. There have been some medications that have been shown to slightly delay decline, but none have substantially reversed it. And none of these medications have, so far, shown to be superior to correcting polypharmacy, or underlying medical problems, and improving social interactions and mental activities.
The Grumpy Doc says the best way to keep your memory is to stay out there living your life and making new memories. Keep moving, keep thinking, and keep doing. And the next time you see me you can tell me all about it, even if it does take me a while to remember your name.
Christmas in Colonial America
By John Turley
On December 15, 2023
In Commentary, Food and Drink, History, Travel
In the United States today, we have a very expansive view of what constitutes Christmas celebrations. We don’t find it at all unusual to see an inflatable Santa Claus next to a manger scene. The wisemen are as likely to be following neon snowflakes as yonder star. This combination of religious and secular is something that we just accept without a whole lot of thought. But it wasn’t always the case. In colonial America Christmas was celebrated in a mostly religious fashion when it was celebrated at all.
Colonial New England
Colonial New England was settled in large part by Puritans. They even extended their influence to areas that they did not initially settle. They went so far as to banish, and in some cases even execute people who did not agree with them. They were determined to create a society dominated by Puritan beliefs.
The Puritans did not favor Christmas celebration; they believed there was no scriptural basis for acknowledging Christmas beyond doing so in prayer. In 1621 Governor William Bradford of Plymouth Colony criticized some of the settlers who chose to take the day off from work because as Puritans he felt that they could best serve God by being productive and orderly.
The celebration of Christmas was outlawed in most of New England. Calvinist Puritans and some other protestants abhorred the entire celebration and likened it to pagan rituals and “Popish” observances. In 1659, the General Court of Massachusetts forbade, under the fine of five shillings per offense, the observance “of any such day as Christmas or the like, either by forebearing of labour, feasting, or any such way.” The Assembly of Connecticut, in the same period, prohibited the reading of the Book of Common Prayer, the keeping of Christmas and saints’ days, the making of mince pies, the playing of cards, or performing on any musical instruments. These statutes remained in force until they were repealed early in the nineteenth century.
It is important to note that Puritan hostility to Christmas was not because they did not believe in the divinity of Jesus Christ. They objected to the way the holiday was being celebrated. They disliked the excesses of Yuletide festivities in England. Christmas had become a time for the working class to drink, gamble, and party. The Puritans would not tolerate any sign of disorder and believed that it was an affront to God.
They tried to protest Christmas revelries while still living in England but had little impact. Once they moved to the New World where they were able to exert control, they would not condone any form of excess. Except, perhaps, an excess of piety and self-righteousness.
Any form of Christmas observance that did occur took the shape of fasting, prayer, and religious service. Even the famous New England cleric Increase Mather loathed Christmas and believed the holiday was derived from the excesses of the pagan Roman holiday Saturnalia. We shouldn’t think that Mather was completely humorless; he once called alcohol. “a good creature of God “. Drinking wasn’t bad, but like all things it must be done in moderation with complete self-control. That’s probably good advice for everyone, whether they’re a Puritan or not.
Middle Atlantic Colonies
Many of the traditions that we now consider part of the American Christmas have their origins in the middle Atlantic colonies, most notably in Pennsylvania. Many of these were brought by settlers of German heritage as well as some traditions brought by the Scots and the Dutch.
In Pennsylvania there were two quite different Christmas traditions, one of the protestant groups and another of the Quakers. They differed considerably in their approach to Christmas.
Some colonists celebrated Christmas by importing English customs such as drinking, feasting, mumming and wassailing. Mumming involved wearing masks and costumes and going door-to-door singing carols or performing short plays in exchange for food or drink. Wassailing was a tradition where people would go from house to house singing carols and drinking toasts to the health of their neighbors. Some non-Puritan New Englanders also continued these traditions but kept them private to avoid attracting the attention of the Puritan officials.
Many of the Christmas traditions that we think of as being a quintessentially American are derived from the settlers of German descent who were known as the Pennsylvania Dutch. These include celebration of the advent season, the decoration of the Christmas tree, singing of Christmas carols, the display of nativity scenes, and the exchange of gifts on Christmas Eve or Christmas morning. We can’t imagine Christmas without these things, but we seldom remember that it was our German American ancestors who gave us these wonderful traditions.
To me the most interesting and probably most significant tradition passed on by the Pennsylvania Dutch was what led to our current concept of Santa Claus. During the colonial period, they had the tradition of Beltznickle. He is depicted as a man wearing furs and a mask and having a long tongue. He’s usually shown as being very ragged and wearing dirty clothes. He had a pocketful of cakes, candies and nuts for good children, but he also carried a switch or a whip with which to beat naughty children. Beltznickle took the naughty and nice list very seriously.
He was a long way from Clement Clark Moore’s jolly old elf in ‘Twas the Night Before Christmas and the jovial Santa Claus that we know today from the original Coca-Cola ads of 1930.
Quakers had a much different approach to Christmas. They did not celebrate it at all. It is not that they were opposed to Christmas as were the Puritans. It’s just that they did not celebrate any holidays, Easter, birthdays or any other holidays. They had no set liturgical calendar, so they did not have an advent, or an Easter season or any other religious holiday. There is no central Quaker authority to set beliefs or doctrines. Each Quaker is free to decide how to observe religious traditions. They focus on spiritual reflection and social justice.
Non-Quakers did not always understand their religious beliefs or practices. Here is an example of how Quaker practices were seen by outsiders. Swedish naturalist Peter Kalm visited Philadelphia in 1747 and recorded the following observation in his diary:
Christmas Day. . . .The Quakers did not regard this day any more remarkable than other days. Stores were open, and anyone might sell or purchase what he wanted. . . .There was no more baking of bread for the Christmas festival than for other days; and no Christmas porridge on Christmas Eve! One did not seem to know what it meant to wish anyone a merry Christmas. . . at first the Presbyterians did not care much for celebrating Christmas, but when they saw most of their members going to the English church on that day, they also started to have services.
Apparently, Presbyterians were much quicker to adopt popular practices then were the Quakers.
Southern Colonies
Celebration of Christmas was similar throughout all of the southern colonies. We’ll consider Colonial Williamsburg as a proxy for the rest of the southern colonial region. This is largely because there is more information available about Williamsburg than other areas and because it represented what was the majority of practices at the time. The major religion of the southern colonies was Church of England and they followed those practices.
Religious services were a central part of their celebration. The majority of the religious observances were during the advent season, the four weeks leading up to Christmas which were a period of reflection on the significance of the coming of Christ. The southern colonies usually held Christmas Eve services although occasionally Christmas Day services were held. Christmas Day was considered a day of celebration and family feasting.
It should be noted that the Christmas celebration was only for the white population. If the enslaved people received a holiday for Christmas, it was only because the weather was too bad to work in the fields. And of course, the house slaves were expected to attend to all the needs of the Christmas celebration.
Margie and I decided to visit Colonial Williamsburg in December of 2019, the period we refer to as BC (before COVID). We’ve always had a special affinity for Williamsburg because that’s where we spent our honeymoon 52 years ago. I’m not sure exactly what I was expecting, perhaps a large inflatable George Washington holding a Christmas wreath. But it was much more understated than what I had anticipated.
According to our tour guide, even those low-key decorations were probably more than would have been evident in the colonial era. People typically decorated their homes on the day before Christmas and removed the decorations the day after Christmas. Decorations were usually limited to candles in the window and pine boughs on the tables and mantle pieces. Pine boughs were used to decorate the church in what was known as “sticking the church”.
At Colonial Williamsburg we saw many displays that included fresh fruits and pineapples. Our tour guide told us that those were too precious to actually have been used as decorations and might have been included as part of a table display to be consumed during the Christmas feast. Some people would even rent a pineapple to display on their table as a sign of their wealth.
The first Christmas tree did not make its appearance in Williamsburg until 1848.
The southern colonists were very social people. They enjoyed wassailing as did the people of the mid Atlantic colonies. They also considered Christmas as a time for feasting, dancing, and celebrations. Men of the upper class celebrated Christmas with fox hunts and other outdoor activities. Men of the working classes frequently celebrated Christmas with shooting matches and drinking parties. Women, of course, were expected to stay at home and prepare the meals. Christmas Balls were a common practice among the upper class of the southern colonies. They were often elaborate and included large banquets with musicians, dancing and occasionally masquerades.
Present exchange was not standard practice in the southern colonies. However, it was common to give children small presents of nuts, fruit, candy, and small toys. Adults generally did not exchange presents.
Virginian Phillip Fithians writing in his journal in 1773 gave the following description of a gather just before Christmas: When it grew to dark to dance. . . . we conversed til half after six; Nothing is now to be heard of in conversation, but the Balls, the Fox-hunts, the fine entertainments, and the good fellowship, which are to be exhibited at the approaching Christmas.
Life in colonial America could be hard, but that did not stop them from having a joyous Christmas celebration.