Marco Aurélio Gomes Veado
3 min read
•
November 10, 2025
For decades, most research on memory loss has focused on the damaged brain. When symptoms of Mild Cognitive Impairment (MCI) appear, scientists examine what has deteriorated: shrinking hippocampi, reduced synaptic density, and the infamous buildup of beta-amyloid plaques.
But what if we have been asking the wrong question? Instead of only examining what is lost, perhaps it’s time to study what remains. This shift matters. Understanding memory decline only through the lens of degeneration is like trying to fix a puzzle by staring only at the missing pieces.
Human cognition is not just biology; it’s also behavior, adaptation, emotional meaning, and lived experience. Let’s explore how redefining dementia is not simply a scientific issue, but a human one. Keep on reading.

Neuroscience has traditionally centered memory in the hippocampus. But we now know that memory is distributed across multiple networks:
Someone may forget the date, but still remember how to dance. A mother may lose names, but instinctively strokes her child’s face.
So the question becomes: Why do some memories fade while others stay? And how can we support the memories that persist?
Recent research suggests that dementia may be less about memory disappearing and more about memory becoming inaccessible due to communication breakdowns between neural networks. This means that stimulation, routine, music, and emotional connection may unlock memory access, even when cognitive tests show decline.
Conventional dementia assessments are heavily biased toward short-term recall, time orientation, and verbal tests.
These tools often overlook:
In real life, these abilities matter deeply.
A person may not recall breakfast, yet they may still laugh at a joke or respond with warmth to a familiar song. These are functional forms of consciousness. They reflect identity, meaning, and personhood.
By focusing only on what is “lost,” we risk missing the person who is still very much here.
Supporting someone with MCI or dementia means working with the brain that remains functional, not only compensating for what is failing.
Practical approaches include:
These strategies are low-cost, accessible, and powerful. And they do not require waiting for the next breakthrough drug.
As we often highlight at MCI and Beyond, meaningful care is not just medical. It is relational, environmental, and emotional.
Emerging fields like neuroplasticity and consciousness studies are leading us to new questions:
This is not false hope. It is evidence-based, human-centered neuroscience.
If we want to improve dementia care, we need to stop focusing exclusively on the brain that forgets and start studying the brain that remembers.
Mild Cognitive Impairment, dementia care, memory loss, neuroplasticity, brain networks, Alzheimer’s, emotional memory, caregiving, MCI support, brain health.
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