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Hello Gail and M.Dawn, Tue, 14 Jul 1998 13:32:06 -0400 Gail Vass <[log in to unmask]> wrote on the subject: Re: Face/Mask <<<< "Many PWP are unable to UNDERSTAND subtle changes in facial expression, and the nuances of speech: sarcasm, ellipsis, double entendre." How did you come to this conclusion? Could you site what information led you to conclude this? >>>> .....AND..... Tue, 14 Jul 1998 15:10:32 EDT "M.Dawn Legan" <[log in to unmask]> wrote on the subject: Re: Face/Mask <<<< BTW, I didn't know that "Many PWP are unable to UNDERSTAND subtle changes in facial expression, and the nuances of speech: sarcasm, ellipsis, double entendre." This makes sense to me if it's in the context of dementia. Is there more to it? If it's part of dementia, that's a tough one. If it's something else, I'd think we could come up with some ways to perk that skill up. ? ? ? >>>> *I* didn't come to this conclusion, but it is one of the statements made by the author: "Work carried out in Glasgow has revealed that many people with the disease were not able to understand subtle changes in facial expression, or those nuances of speech that we use daily, sarcasm, ellipsis, and double entendre. Aged-matched peers had no such difficulty." It was the first time I read about this too!! If it's true, I agree with M.Dawn, that we should find ways of dealing with this problem, and CG's and others should be told about this too. Has any PWP experienced this problem? Perhaps CG's have experienced this problem in communicating with their PWP? Perhaps it's a point for discussion on the CARE-list? M.Dawn, the statement says: "...many PWP...". I read that as "most" as in 75% or more. Because "most" PWP do NOT become demented, I see no relation with dementia. BTW M.Dawn: I think it's great the way you took control! (with the doctors). Hans.