Training Working Memory

Working memory refers to the memory you can consciously hold in your mind at any one instant — such as a phone number you just looked up. Most people can only hold about four totally independent items in their working memory.
Working memory relates to intelligence. The reason is that thinking involves streaming into the brain’s “thought engine” chunks of information held in working memory. The working memory streams in, much like a Web video streams into your computer. The more you can hold in working memory, the more information the brain has to think with — that is, the smarter it can be.
IQ is not fixed. It improves dramatically in the early school years in all children. Moreover, a recent study shows that both verbal and non-verbal IQ can change (for better or worse) in teenagers.
Educators have known for some time that it is possible to train ADHD children to have better working memories, and in the process improve their school performance. The idea that working memory capacity might be expanded by training normal children has not yet caught on. Test-driven teaching in U.S. schools teaches students what to learn, not how to learn.
Researchers in Japan recently tested whether a simple working memory training method could increase the working memory capacity of children. While they were at it, they tested for any effect on IQ. Children ages 6-8 were trained 10 minutes a day each day for two months. The training task to expand working memory capacity consisted of presenting a digit or a word item for a second, with one-second intervals between items. For example, a sequence might be 5, 8, 4, 7, with one-second intervals between each digit. Test for recall could take the form of "Where in the sequence was the 4?" or "What was the 3rd item?" Thus students had to practice holding the item sequence in working memory. With practice, the trainers increased the number of items from 3 to 8.
After training, researchers tested the children on another working memory task. Scores on this test indicated in all children that working memory correlated with IQ test scores. When first graders were tested for intelligence, the data showed that intelligence scores increased during the year by 6% in controls, but increased by 9% in the group that had been given the memory training. The memory training effect was even more evident in the second graders, with a 12% gain in intelligence score in the memory trained group, compared with a 6% gain in controls. As might be expected, the lower IQ children showed the greatest gain from memory training.
I recently found a paper revealing lasting improvements in brain function were produced in healthy adults by only five weeks of practice on three working-memory tasks involving the location of objects in space, using a training program called CogMed. Similar results have been reported by other investigators.
Another study provides strong evidence that increasing adult working memory capacity will raise their IQ. Subjects, young adults were trained on a so-called dual N-back test in which subjects were asked to recall a visual stimulus that they saw two, three or more stimulus presentations in the past. As performance improved with each block of trials, the task demands were increased by shifting from two-back to three, then three to four, etc. Daily training took about 25 minutes.
The investigators found working memory training improved scores on the IQ test. Moreover, the effect was dose-dependent, in that intelligence scores increased in a steady straight-line fashion as the number of training sessions increased from 8 to 12 to 17 to 19.
Advances in this arena of raising IQ in teenagers and adults may come faster now that we have some many published reports that working memory capacity can indeed be expanded by training. The trick is in finding which approaches work best. Currently, we believe that working memory can be expanded by attentiveness training, music, and certain game environments. Actually, I believe demanding education can do the same thing.
Various techniques are reported in the research literature, and the best results seem to come from n-back methods. One study by Verhaeghen and colleagues show that memory span could be increased from one to four steps back with 10 hours (1 hr/session) of N-back training.
A whole cognitive enhancement industry is flourishing. The idea of brain fitness software is that playing mentally challenging games will make you smarter. This is not necessarily true. Several recent reviews suggest that such games do little. I can only recommend with some certainty those games that focus on expanding working memory capacity, and even here, one should not expect too much. I know about three such programs, MindSparke, Cogmed, and Jungle Memory. I have no personal experience or financial interest in any of these, but each has the potential to be helpful, especially in kids or adults with attention deficit.

Training Working Memory Can Be Fun

Biological reward comes from the release of the neurotransmitter, dopamine. Dopamine release is promoted by performing working memory tasks, which suggests that working memory tasks are actually rewarding. In the study of human subjects by Fiona McNab and colleagues in Stockholm, human males (age 20-28) were trained for 35 minutes per day for five weeks on working memory tasks with a difficulty level close to their individual capacity limit. After such training, all subjects showed increased working memory capacity. Functional MRI scans also showed that the memory training increased the cerebral cortex density of dopamine D1 receptors, the receptor subtype that mediates feelings of euphoria and reward.
Some games that are fun to play may also help working memory. The most obvious example is chess. To play chess well, you have to learn to expand working memory capacity to hold a plan for several offensive moves while at the same time holding a memory of how the opponent could respond to each of the moves. Not surprisingly there are studies showing that IQ scores can go up after several months of chess playing. Some schools, especially in minority schools in impoverished neighborhoods have seen marked improvements in school work by students who joined school chess clubs.
Students who make good grades feel good about their success. Likewise, people who are "life-long learners" have discovered learning lots of new things makes them feel good.
For numerous ideas on how to be a more effective learner, don’t forget to check out my inexpensive e-book, Better Grades, Less Effort, available in all formats from Smashwords.com.

Soucres:
Alloway, T. P. & Alloway, R. G. (2008). Jungle Memory Training Program (Memosyne Ltd, UK).
Alloway, T. P. & Alloway, R. G. (2009). The efficacy of working memory training in improving crystallized intelligence.  Nature Precedings. Htl: 1010/npre.2009.3697.1
McNab, F. et al. (2009). Changes in cortical dopamine D1 receptor binding associated with cognitive training. Science. 323: 800-802.
Verhaeghen, P., Cerella, J., and Basak, C. (2004). A working memory workout: how to expand the focus of serial attention from one to four items in 10 hours or less. J. Exp. Psychol, Learning, Memory and Cognition. 30 (6): 1322-1337.
Share:

Teaching as a Profession in Jeopardy

Politicians and the stock market may give the impression that we are recovering from the recession. Teachers won’t buy it. A survey completed last November by the health insurance and annuity company, MetLife, reveals that teacher job satisfaction is the lowest level in the last 20 years.* In just the last two years, the number of teachers who say they are likely to leave teaching has risen from 17% to 29%. You may recall from my last post that 50% of teachers will actually drop out within five years.

We can all think of legitimate reasons for this disenchantment with teaching. The survey documented that the bad economy was the main culprit. School budget cuts are a factor, particularly as they cause increased class size, unaffordability of access to updated instructional material, and reductions in school programs. More than one third (36 percent) of teachers experienced reductions or eliminations of programs in arts or music, foreign language, or physical education in the past year.

Over a third of the teachers cite fear over job security. The last time this question was asked, in 2006, only 7% had job security worries.

Also important are inadequate opportunities for professional development, time to collaborate with other teachers and more preparation and support for engaging parents effectively. Teachers report increases in the needs of students and the families.

All of this is attributed to “trickle down” effects of the bad general economy. Some 76% of the teachers reported their school budgets have been cut. Nearly a third of the teachers indicated that there have been reductions or eliminations of health or social service programs in their schools in the past year. In addition, 64 percent of teachers report an increase in the number of students and families requiring health and social support services, and 35 percent say the number of students coming to school hungry has increased.

Teacher morale benefits from increasing parent involvement in educating their children. The good news is that teachers report increasing involvement by parents, no doubt because the public is gradually coming to accept the importance of education and that U.S. public education is in trouble.


*The survey was conducted by telephone among 1,001 public school teachers, and online among 1,086 parents and 947 students in October and November, 2011

Source:

Share:

How Teacher Labor Market Affects Teaching Quality

Turnover of U.S. teachers is a major reason for our educational problems. In 1987, the modal value of teacher experience has dropped from 15 years to just one year in 2007-2008. Today, 50% of new teachers drop out within five years of entering teaching. Obviously, more and more students are being taught by novice teachers. Once teachers get enough experience to start having positive effects, they quit.

I won't go into the reasons teaching seems unappealing. While salary can be a factor, in my experience with teachers, it is working conditions they find most objectionable.

Numerous other sources have debated such causes as lack of status, misbehaving students, apathetic parents, our general anti-intellectual culture, etc. What I want to highlight here is a new study that explores the relationship between teaching quality and experience - with emphasis on science teaching.

The first good thing this study did was define teaching quality in terms of value added, and they used huge numbers of students and teachers. They monitored over the course of five years the effect of high school teachers on 1.05 million end-of-year exams from over 624,000 individual students and 7,961 teachers. The study covered all the science and math courses and three non-science courses (history, civics, English). Of the issues they examined, two were especially noteworthy: 1) do novice science and math teachers improve with experience? and 2) does the experience effect vary by subject matter? The researchers framed the study this way because numerous prior studies made it clear that teachers and teacher experience are clearly the most important variable affecting student learning.

The next good thing they did was use sophisticated statistics that adjusted for other variables such as prior achievement of students and classroom and school environments. They also disentangled any possible affect due to the possibility that teachers who leave teaching early are less effective, thus giving a misleading impression that the remaining teachers are more effective than they really are.

Results showed that in all subject areas, teacher effectiveness increased in near-linear fashion for the first three years. But then a plateau was reached, and actually showed a decrease by year five for biology teachers. Results also showed science and math teachers who quit by year four were typically less effective than those who stayed on the job.

The implications seem clear. New teachers benefit greatly from early teaching experience, but soon "top out" in effectiveness. Moreover, it is the science and math teachers who have the greatest capacity for improvement, with the steepest growth curves observed for teachers of physics and chemistry. Obviously, students don't learn as well from new science and math teachers as they do from more experienced ones.

In terms of the job market, the high turnover of teachers leads to lower average effectiveness. Another way to think about it, not mentioned in the paper, is the possibility that students don't learn science and math very well because their teachers are not very effective in early years and many of them leave teaching by the time they get good at it. This could account for the poor showing of U.S. math and science students compared with students in other countries.

It's time that educational policy makers addressed three problems revealed by this study: 1) attract better science and math students into teaching careers, 2) provide better initial preparation of science and math teachers, and 3) reduce high teacher attrition.

Source:
Henry, G. T., Fortner, C. K., and Bastian, K. C. (2012). The effects of experience and attrition for novice high-school science and math teachers. Science. 335: 1118-1121.

Share:

School Discipline and Learning Motivation

A major public flap seems to be occurring over the discipline policy of the Noble Street College Prep schools in Chicago. The news report that was called to my attention on this matter began with criticism of the “superficial effort” in reporting the story by the New York Times, Huffington Post, and ABC News. The decline of responsible journalism should come as no surprise to anybody. I won’t get into the journalism, but I would like to reflect on the educational issues involved.

The problem seems to be that Noble school policy is to have a conduct demerit system, use detention for bad student conduct, and impose a $5 fine when detention has to be imposed. A parents group is up in arms over such policy.

First, let me make the point that in learning, motivation is everything. If a student wants to learn, learning happens. If a student does not want to learn, learning will be minimal, no matter the greatness of teaching or enlightenment of educational policy. The old saw fits: “you can lead a mule to water, but you can’t make him drink.”

So, from a learning perspective, the issue is does punishment (negative reinforcement) work? It may or may not, and Noble school’s policy needs to be tested against that criterion. Apparently, Noble school has a permissive enrollment policy that accepts all who apply. It is not like a private prep school where students are screened before admission. Open enrollment will always yield some misfits. Drill sergeants in the military can shape up misfits in a hurry. That may work in a school, but only for some students.

You can train animals with negative reinforcement. But in animals, and people, positive reinforcement is usually more effective. The trick in education is to do things that make students want to learn. And there are numerous ways that good teachers know how to do that.

However, some students are incorrigible, at least at a given moment in their development. There is nothing positive that will reach them. The issue for a school then, especially one such as Noble which is a college prep school where parents volunteer their students for enrollment, is whether a misfit student is interfering with the education of others. No student has a right to interfere with the learning of others. If a misfit does not respond to whatever rules the school has, throw the jerk out. In a charter school, enrollment is not forced. If the parent does not like the rules, they should stop whining and send their child to a regular school. I would add that parents who take their child’s side in such arguments are teaching the child to be a whiner like they are and reinforcing the rebellious nature of such children. If you want to create spoiled brats who grow up to be spoiled adults, this is the way to do it. In case you haven’t noticed, our U.S. population is degenerating into an entitlement society of spoiled adults. 
Share:

The Role of Learning and Memory in "Free Will"

One common definition of “free will” is that a person can decide or choose among multiple alternatives without being forced by physical laws, luck, fate, or divine will. Most of us feel we are in charge of our choices when no outside force requires us to make a particular choice. But it is fashionable these days for scholars to insist that free will is an illusion, a trick the brain plays on us. I will spare you the philosophical knots of specious assumptions and convoluted logic that that scholars tie themselves into.

Why do I bring this up? What has the “free will” issue have to do with learning and memory? Everything.

Human brains make choices consciously and unconsciously by real-time evaluation of alternatives in terms of what has been learned previously from other situations and of their anticipated usefulness. This learning occurs in the context of the learned sense of self, which begins unconsciously in the womb. The conscious brain is aware that it is aware of choice processing and makes decisions in light of such understanding. When a given alternative choice is not forced, the conscious mind is aware that it is not obliged to accept any one choice but is "free" to select any one of the available options. Such realization might even guide many decisions at the subconscious level. In either case, the probable value of each alternative is weighed in neural networks, which collectively reach a "decision" by inhibiting networks that lead to less-favored alternatives. Thus, network activity underlying the preferred choice prevails and leads to a selective willed action. What governs the  network activity causing the final choice is the activity in other networks, which in turn is governed by stored memories and real-time processing of the current environmental choice contingencies. 

What usually gets left out of free-will discussions is the question of how a brain establishes stored-memory preferences and how it evaluates current contingencies. These functions surely cause things to happen, but what is the cause of the cause? Any given brain can choose within certain limits its learning experiences and what it will store as lasting memory. Those choices in turn are often governed by what a brain has learned about the self-interest value associated with given contingencies. So, it is learned values that underlie much of choice behavior.

Brain circuitry assigns value, and values chosen are largely optional choices. The conscious brain directs the choices that govern value formation, reinforcement, and preservation in memory.

Now we are confronted with explaining how neural circuit impulse patterns (CIP) representing the sense of self can have a free will. First, I reason that each person has a conscious Avatar that is created by brain as an active agent to act in the world on embodied brain’s behalf, as explained more completely in my recent book.[1] This is reminiscent of the 3rd Century idea of a homunculus, a “little person” inside the brain. The modern view is that this homunculus exists in the form of mapped circuitry.

Certain maps are created under genetic control. These include the topographic map of the body in the sensory and motor cortices. Then there is the capacity for real-time construction of maps of the body in space that resides in circuitry of the hippocampus and entorhinal cortex. Other maps are created from learning experience from the near-infinite circuit capacity of association cortex. What is learned in these maps is stored in memory as facilitated circuit synapses and deployed “on-line” in the form of CIP representations of what was originally learned. New learning likewise exists as CIP representations in sub-network populations.

The Avatar itself is a constellation of CIPs representing the conscious sense of self. Certainly, by definition, the Avatar can make choices and decisions. The Avatar is released in wakefulness from its stored representation to make its own choices and decisions. Avatar processing is certainly not random, and presumably can occur with more degrees of freedom than found in unconscious mind.

If the Avatar exists as CIPs, how can something as “impersonal” and physiological as that have any kind of “will,” much less free will. Let us recall that “will” is little more than an intent that is often coupled with bodily actions to achieve the intent. This kind of thing occurs even in the circuitry that controls unconscious minds. These circuits automatically generate actions in response to conditions that call for a response. Such actions are stereotyped and inflexible whenever they are controlled without conscious oversight (Fig. 1).

Fig. 1 llustration of how alternative ideas or choices may be processed in the brain. Each alternative is represented as circuit impulse patterns (CIPs) within a subpopulation of brain, which be considered as constituting part of the sub- or non-conscious mind. Each population’s activity interacts with the others — and with the CIP representation of the Conscious Avatar. When activity level in any one subpopulation reaches a threshold, it suppresses activity in the alternative representation populations, leading to selection of that population’s activity as the choice result. The Avatar CIP is poised to influence activity in the alternative sub-populations and thus can help direct the final processing result.


The Avatar must have some criteria which its circuits use to make a given decision. Those criteria have been learned and remembered. When CIP processes operate in Avatar circuitry, the Avatar population activity can modulate the alternative-choice representations in the context of self-awareness according to the informational representations of past learning and value assessments of current contingencies. You might say that when the brain generated the CIPs to represent the sense of self, those CIPs were endowed with a certain autonomy and freedom of action not available to the other CIPs in the brain that constituted unconscious mind.

People who believe that humans have no free will are hard-pressed to explain why no one is responsible for their choices and actions. What is it that compels foolish or deviant behavior? Is our Avatar compelled to believe in God or to be an atheist? Is our Avatar compelled to accept one moral code over any other? Is it compelled to become a certain kind of person, with no option to “improve” itself in any self-determined way? Are we compelled in our choices of learning experiences? If so, what or who does the compelling? Are we inevitable victims of genetics and experience?

It seems to this Avatar that current debates about determinism and free will tend to obscure the important matters of our humanness. The door to understanding what is really going on is slammed shut by assertions that value choices and the decisions that flow from them cannot be free because they are caused by neural circuit impulse patterns. Free will debates distract us from a proper framing of the issues about human choices and personal responsibility.

While it is true that Avatar circuitry is programmed by genetics and experience, the Avatar makes choices about who to interact with and what experiences to value, promote, and allow. The Avatar can insist that some lessons of experience need to be remembered. In short, the Avatar gets to help shape what it becomes.


[1] Klemm, W. R. 2011. Atoms of Mind. New York: Springer. http://www.springer.com/biomed/neuroscience/book/978-94-007-1096-2

Share:

Evidence Matters

Evidence Matters

Quite often, I suspect, readers of my memory columns wonder (complain?) about my emphasis on memory studies, what they show and do not show. Editors and publishers have told me that readers do not want to read about the evidence behind my advice. “Do this, don’t do that” is the kind of thing they want me to say. I, after all, am the authority and readers expect to take my word for it. However, I am constitutionally reluctant to pose as a know-it-all, and more so am opposed to believing that people don’t benefit from introspection about what they are doing and why they don’t change to become better at learning and memory.

A more practical reason is that improving learning and memory ability requires breaking old habits and the imposing difficulty of forging new and better approaches and mental habits. Just telling people what they should do (because I and fellow scientists know best) is not likely to be very effective. Change does not come easy to anybody and is even more difficult if clear and good reasons are not provided for making the change.

For example, in my e-book Better Grades, Less Effort (available at Amazon for Kindle and at Smashwords.com for all other readers), I tell students not to cram for exams. But that advice is largely ignored if I don’t explain why cramming is inefficient and unreliable. I have to be convincing, and that requires presenting the evidence for my position. Cramming is something students naturally do. It is not easy to get students to stop procrastinating and discipline themselves into routine study protocols.

There is also this: knowledge is often partial and temporary. What we think is the best way to go about things may even be wrong or sub-optimal at best. If we don’t know the evidence for the various options, how can we make the best choice?


Share:

How Memory Is Stored

When you look up a phone number, the digits are coded as patterns of nerve impulses flowing around in a group of neurons. As long as the encoded numbers are “on-line” like this, your memory has access to the numbers.

But what if you start thinking about something else before you dial? Those neurons now have been recruited for another purpose and no longer carry the original number encoding. So you have to look up the number again.

But if the on-line activity goes on long enough, your memory of the number encoding can become stored permanently. How does that happen? Evidence indicates that new learning, as it becomes stored permanently causes new junctions (synapses) to be formed in the neurons of the circuit that originally encoded the information. You can even see physical signs in the form of new growths, called spines, on the nerve fiber terminals.

But what creates these new spines and their functional connections? This involves new RNA and protein synthesis. This in turn requires some genes to be activated to manufacture and maintain the new spines. There are apparently memory genes that are activated by nerve impulse activity. Gene activation is typically driven by specific regulatory proteins, and one such activity-dependent regulatory protein is called CREB.

For a short UTube video on gene expression, click here.

Formation of long-term memory first requires nerve impulse activation of the compound, cyclic AMP. The early studies on CREB were done in different labs, one of which used the mollusc, Aplysia, and the other using the fruit fly. So what does activated AMP do? One of the things is that it binds to a pre-existing protein (called protein kinase), causing part of the protein’s subunits to be liberated. The liberated components move to the neuron’s nucleus, where they bind to another protein, called CREB. Activated CREB then binds to the memory genes, switching them on.

Most recently, another activity-dependent memory gene activator has been discovered called Npas4. This one is especially important because it exists in mammals (mice were the experimental animal) and because it occurs in the hippocampus, the part of the brain necessary to form explicit long-term memories. Moreover, this protein regulates many well-known activity-regulated genes, which suggests that Npas4 might be a “master” control protein. In the study, Npas4 emerged in response to a contextual learning task. A knock-out gene strain of mice that had no Npas4 were poor at learning this task, and the deficit was restored by reversing the Npas4 knockout.

Research on drugs affecting activity-dependent gene regulator proteins is exciting, and may lead to a memory pill. In the meanwhile, the best you can do for your memory is to provide learning situations where original encoding is preserved intact long enough for these gene activation processes to be accomplished.

Sources:

1. Kandel, Eric R. (2005), "The Molecular Biology of Memory Storage: A Dialog Between Genes and Synapses", Bioscience Reports 24 (4–5): 475–522, doi:10.1007/s10540-005-2742-7, PMID 16134023

2. Ramamoorthi, K. et al. (2011). Npas4 regulates a transcriptional program in CA3 required for contextual memory formation. Science. 334: 1669-1675.
Share:

Popular Posts

Labels

Featured post

Take the Stress out of School

Got kids or grandkids in school? Are you in school or college? This blog is for you. I don’t have to tell you that school is stressful, what...

Tag

ADHD Alzheimer's disease Berkeley CREB Dale Carnegie Depression Dept. Education EEG EEG coherence Einstein Erta Finland I IQ Internet learning Kagel Krebs MRI Memory Power 101 Memory improvement NeuroRacer No Child Left Behind Npas4 PTSD Pauling SVO TED talk TV Thielen Trump W. R. Klemm accumens addiction adolescents adrenalin advertising aerobic exercise age agency aggression aging alpha ambiguity amygdala analysis anger anterior cingulate anti-oxidant anti-oxidants anxiety application attention attitude avatar bad memories bariatric surgery behavioral economics belief beta bias blame blueberries body mass index brain brain connectivity brain development brain exercise brain fitness brain research brain scans brain shrinkage brains have owners cell parts child development chocolate choice chunking cingulate cortex classroom environments clutter coffee cognition cognitive development cognitive resources coherence collaborative learning college comedians comedy comparison competence conditioned reflex conditioning consciousness consolidation constructivism context cortisol creativity critical thinking cueing cursive cytokine deception decision-making development diabetes diet discipline dishonesty drawing dream dream sleep dual N back dyslexia education education policy educational TV educational neuroscience educational policy educaton elements of learning emotions empathy encoding environment epigenetics episodic memory evidence excuses executive control executive function exercise expectations expert fMRI false memory family famous active seniors fear memory feed forward feedback flash cards focus forced retrieval forgetting free radicals free will functional connectivity gamma gene activation genes genetics glucocorticoids glucose glutamate government government policy grades grit gym habit habituation hand-eye coordination handwriting happiness hate speech health heart disease high-stakes testing hippocampus home school homework hostility identity politics images improve reading inflammation inheritance insight intelligence interference interference theory interference theory of memory irrational jazz jogging journal joy judgment kindergarten knowledge standards lasting memory learn to learn learning learning and memory learning competencies learning how to learn learning to learn learning to lie lie life span lifestyle location logic logic errors long-term memory love lying lyrics magazine managing information manipulation math melatonin memory memory athlete memory athlete tips memory athletes memory consolidation memory gimmicks memory graphic memory palace memory recall memory rehab memory rehearsal memory research memory tips memory tricks mental activity mental health mental rest method of loci method-of-loci mnemonic mnemonics monkey motivation movement feedback multi-tasking multiple sclerosis music music education myelin myth myths n-back training naps negative attitudes neocortex networks neural circuits neural plasticity neuro-education neurons neuroplasticity neuroscience noise note taking note-taking nurture obesity omega-3 operant conditioning optogenics organization oscillation pain past play politics positive emotions positive reinforcement post-traumatic stress disorder pray pre-K pre-kindergarten prefrontal cortex present primates proactive inhibition problem solving production effect progressive prostate psychology psychotherapy public speaking re-consolidation reading reading aloud reading comprehension reason recall recognition memory rehearsal reinforcement relationships relationships. forgiveness religion research resveratrol retrotransposons reward riots schema school school budgets school choice school policy schools science education selective attention self self-confidence self-efficacy self-esteem self-help self-knowledge self-test self-worth sensation sense of self sleep sleep apnea sleep disorders sleep learning smart smart phones social engagement social interactions space spaced learning stereotype story chains stress students study study habits study intervals synapses synthesis tea teacher accountability teacher education teacher survey teachers teaching technology teenagers television tests therapy theta thinking thinking errors time timing tips training trivia truth tumeric unconscious unconsciousness understanding universities video games vision visual tracking vitamin D vitamin E web portal wine wisdom withdrawal women wonder working memory working memory improvement workplace