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Creativity ,Dementia and Brain Reserve Capacity
L Fornazzari, C Fischer, M Saragosa L Ringer Memory Clinic St Michael Hospital University of Toronto, Canada
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The preservation of Art when other cerebral functions are failing -
another precious legacy from artists
Luis Fornazzari MD FRCPCMemory Disorders Clinic
St. Michael’s HospitalDivision of Neurology, Department of Psychiatry
University of Toronto
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Artful minds have been with us for more than 50,000 years
but the process probably took millions of years to develop
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Art and other cognitive functions represent diverse communication forms, each
with potentially infinite combinations.
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Regardless of the timing, both modes of human
communication, art and cognition, relied on pre-
existing brain mechanisms that supported the highly abstract metaphorically
thinking of the human brain.
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But both are not necessarily related:
Language may be severely affected, while art expression
and comprehension are preserved with minimal
impairment or no impairment at all.
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Chauvet Pont d’Arc (37-35,000 BC)
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Lascaux on Mortignac (15-13,000 BC)
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16-14, 000 BC
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After Altamira all is decadence!!
Pablo Picasso
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BilingualismArts
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“de Kooning’s late colours and forms: dementia,
creativity, and the healing power of art.”
Espinel CH. Lancet 1996 Apr 20;347(9008):1096-8.
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Brain surface projection of activated areas during passive music listening in control subjects and
musicians
Source: Ohnishi T, Matsuda H, Asada T, et al. “Functional Anatomy of Musical Perception in Musicians. Cerebral Cortex, Aug 2001;11:754-760
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“Maurice Ravel and right-hemisphere musical creativity:
influence of disease on hislast musical works?”
Amaducci L, Grassi E, Boller F. Eur J Neurol, 2002; 9:75-82.
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Ravel’s Brain
By Justine Sergent
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“I had to go on writing, because I wouldn’t be able to go on without writing. It is the only function that
works for me, and without a function, we die”
Farley Mowat, Sept 2006, at 85 years of age
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“The effects of very early Alzheimer’s disease on the
characteristics of writing by a renowned author”
P Garrard, L M Maloney, J R Hodges, K Patterson Brain. (2005) 128, 250-260
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“My rewards have been great. Friends have helped. The documentation of me in the Who’s Who books on both sides of the pond please me
and validate me to me. I can go and look at them and reaffirm my work and my having been here. But the greatest reward are the work itself, that
its been a good life and that it’s been a good way to live. Coming up seventy, I’ve survived and enjoyed it and look forward to each day I’m
granted”
MH
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“I’m not cutting edge; I am perhaps a synthesizer. I call myself
Impressionist/Expressionist. The sources from Byzantine, Medieval Art, German Expressionist Art, pre and post World Wars I&II, the Holocaust in Germany and the other Holocaust in Japan, and the deaths in my family. I can also see the
abstract qualities of the pulls and balances in my work. I guess that’s the XX Century”
M. H
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“In 1970 I left the USA for Canada. In ’68 I had said I would leave if Nixon gained
office. He did, so I did”
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CNS lesions:White matter lesionsBrain atrophyPlaques, tanglesVascular damageMetabolic/Endocrine disease Injury
Clinical Expressionof Disease
Other Influences onDisease Expression:PersonalityHealth Service Delivery and UptakeCultural norms
Brain Size & Function:Neural NetworkDensity & Complexity Premorbid Cognitive AbilityProcessing Capacity & Efficiency
Influencing Factors:GenesEarly Social and Material EnvironmentEducational & Occupational AttainmentPhysical HealthHealth Behaviours & LifestyleBilingualismArt
Richards & Deary: Cognitive Aging and Development
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I like for you to be still
I like for you to be still it is as though you wereabsent
and you hear me from far away and my voice does not touch you.
It seems as though your eyes had flown away and it seems that a kiss had sealed your mouth. Pablo Neruda, 1924 “Twenty Love poems and a
song of Despair”
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An Idiomatic Plea
• The presentation today was not a piece of cake. I skate on thin ice, but not in hot water, I hope.
I intended to rock your brains, so don’t lose your grip, but hold your horses and bury the hatched when you speak your mind. Please don’t give me the cold shoulder, because I would give the world for your comments. Naturally I would like to leave this conference with flying colours and not under the weather.