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Understanding Cognitive Impairment: Placing Dementia Within a Realistic Framework

Session Information:

Tuesday, 24 March 2026 14:30
Session: Conference Featured Session
Room: Room 701 (7F)
Presentation Type: Panel Presentation

All presentation times are UTC + 9 (Asia/Tokyo)

The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) updated the definition of dementia in May 2013, during the American Psychiatric Association's annual meeting in San Francisco. ‘Major neurocognitive disorder’ (MND) replaced the term ‘dementia’ in order to reduce stigma and to focus on the decline from a previous level of functioning rather than the deficit. The DSM-5 also allowed for the inclusion of dementias where other cognitive domains were affected first, such as in vascular or frontotemporal dementia. Unfortunately, the redefinition of dementia to MND allowed a broad reinterpretation of risks associated with ‘dementia’ to emerge in the research literature, often incorporating chronic health conditions or sensory disabilities as predictors of future dementia. Based upon these loose interpretations, recent estimates suggest that 40 percent or more of the current world's population will have dementia in the coming decades. This panel will place definitions of MND within the framework of a progressive neurological disease and ways we can intelligently address the needs of individuals facing cognitive impairment.

Biographies

Seoyoun Kim

Dr Seoyoun Kim is affiliated with ICPSR and the Population Studies Center at the Institute for Social Research within the University of Michigan, United States She is also the director of the NACDA Program on Aging. She holds a dual-title PhD in Sociology and Gerontology from Purdue University, United States. Her research lies at the intersection of social gerontology, epidemiology, multi-omics, and cardiovascular health. Dr Kim explores how social and environmental factors shape health outcomes, particularly in ageing populations. She examines the impact of paid and unpaid productive engagement on the well-being of older adults, shedding light on the social determinants of health in later life. Her research also integrates multi-omics approaches to unravel the complex interactions between genetic, epigenetic, and environmental influences on health and ageing.

James W. McNally

Dr James W. McNally is the Emeritus Research Scientist for the NACDA Program on Aging, located in the Institute for Social Research at the University of Michigan, United States. He was trained initially in forensic anthropology at the University of Maryland and then in formal demography at Georgetown University. As part of this PhD work, Dr McNally was awarded the first minor degree in social gerontology from the Population Studies and Training Center at Brown University, followed by a two-year postdoctoral appointment examining policy applications of health data at Syracuse University’s Center for Policy Research. After teaching at Brown University as an Assistant Research Professor, Dr McNally directed the NACDA Program on Aging from 1998 to 2025, building an internationally recognised collection of seminal studies on the aging lifecourse, health, retirement, and international aspects of ageing. In addition to lifecourse research, he has spent much of his career addressing mechanisms to maintain and strengthen family support networks, focusing on the needs of frail or cognitively impaired elders, presenting on these issues in the United States and internationally. Dr McNally serves on the International Academic Board of IAFOR.

Lowell Sheppard

Mr Lowell Sheppard is an author, speaker, social entrepreneur, and Fellow of the Royal Geographical Society with a lifelong commitment to social impact, ethical leadership, and exploration. He has worked extensively with established NGOs and start-ups, most notably as the Founder of HOPE International Development Agency Japan. Under his leadership, HOPE-JP has grown to rank among the top 2% of charitable organizations in Japan, achieving the prestigious nintei tax-deductible certification. Mr Sheppard has been a longtime supporter and past speaker at IAFOR Conferences. He currently serves as the organisation’s Director of Development, seeking to expand the Global Fellowship Programme and scholarship opportunities. Mr Sheppard’s passion for social and environmental improvement projects has driven his career. For over two decades, Lowell has served as an informal advisor to companies and boards around the globe.
In pursuit of adventure and deeper insights into ageing and longevity, Mr Sheppard moved onto a sailboat five years ago and has been sailing full-time around Japan, embracing the life of a digital nomad and explorer. After spending fifteen months moored and deeply immersed in the Blue Zone culture of Okinawa, Mr Sheppard set out in 2025 to revisit a journey that had first shaped his life twenty-five years earlier: chasing Japan’s cherry blossoms from south to north. What began as a seasonal passage became a year-long quest, repeatedly visiting and revisiting Japan’s key longevity hotspots—rural prefectures, islands, and communities where people continue to live long, healthy, independent lives. Between these journeys, he regularly returned to his own ‘longevity laboratory’” a remote island village where he lives and observes daily community life at close quarters, blending slow travel, field research, and lived experience.
As an author, his book Never Too Late (Lion Hudson PLC, 2005), published in four languages, became the inspiration for his latest social enterprise, the Never Too Late Academy. His most recent book, Dare to Dream, was shortlisted for the UK Business Book of the Year Award in 2023.


About the Presenter(s)
-Dr Seoyoun Kim is affiliated with ICPSR and the Population Studies Center at the Institute for Social Research within the University of Michigan, United States She is also the director of the NACDA Program on Aging.
-Dr James W.
-Mr Lowell Sheppard is an author, speaker, social entrepreneur, and Fellow of the Royal Geographical Society with a lifelong commitment to social impact, ethical leadership, and exploration.

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Posted by James Alexander Gordon

Last updated: 2023-02-23 23:45:00