Objectives:Social isolation is increasing in aging societies and several studies have shown a relation with worse cognition in old age. However, less is known about the association in the oldest-old (85+); the group that is at highest risk for both social isolation and dementia. Methods:Analyses were based on follow-up 5 to 9 of the longitudinal German study on aging, cognition, and dementia in primary care patients (AgeCoDe) and the study on needs, health service use, costs, and health-related quality of life (...) in a large sample of oldest-old primary care patients (AgeQualiDe), a multi-center population-based prospective cohort study. Measurements included the Lubben Social Network Scale (LSNS-6), with a score below 12 indicating social isolation, as well as the Mini-Mental Status Examination (MMSE) as an indicator of cognitive function. Results:Dementia-free study participants (n = 942) were M = 86.4 (SD = 3.0) years old at observation onset, 68.2% were women. One third (32.3%) of them were socially isolated. Adjusted linear hybrid mixed effects models revealed significantly lower cognitive function in individuals with smaller social networks (β = 0.5, 95% CI = 0.3-0.7, p <.001). Moreover, changes in an individual's social network size were significantly associated with cognitive changes over time (β = 0.2, 95% CI = 0.1-0.4, p =.003), indicating worse cognitive function with shrinking social networks. Conclusion:Social isolation is highly prevalent among oldest-old individuals, being a risk factor for decreases in cognitive function. Consequently, it is important to maintain a socially active lifestyle into very old age. Likewise, this calls for effective ways to prevent social isolation. (shrink)

This collection honors William James - arguably the most famous American philosopher - as an eminent scholar and the father of pragmatism. Moreover, it examines the impact of pragmatism on various disciplines in the U.S., Canada, and Europe, engaging in a discourse that breaks new ground and advances new perspectives in theoretical debates that still seem to be largely dominated by European traditions. As with James's work itself, whose interdisciplinary character has inspired work especially in philosophy, psychology and physiology, this (...) book is also characterized by interdisciplinarity and transnational dialogue. Scholars from the fields of philosophy, literary and cultural studies, social science, and religious studies innovatively explore pragmatism's importance, potential, and current relevance. (shrink)

This two-step argument first establishes that the majority of recent American films dealing with mental illness draw on a traditional iconography of madness as it has been established over the centuries in Western culture. In this vocabulary of images, the mad are typically seen as wise fools, as dangerous villains or as gifted geniuses. The author then argues that some of these new films add a fourth category in which the mad are defined as normal and the person with autism (...) as the embodiment of this normalcy. A close examination of the films then suggests that high functioning autism has become the embodiment of America’s current cultural condition. (shrink)