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On Vanishing

Mortality, Dementia, and What It Means to Disappear

ebook
1 of 1 copy available
1 of 1 copy available
A New York Times Book Review Editors’ Choice
This “beautifully unconventional” book on dementia “reframes our understanding” of Alzheimer’s and aging “with sensitivity and accuracy” (New York Times).

Personal stories weave with meditations on history, philosophy, and more in this moving collection of essays for dementia patients and their families.
An estimated 50 million people in the world suffer from dementia. Diseases such as Alzheimer’s erase parts of one’s memory but are also often said to erase the self. People don’t simply die from such diseases; they are imagined, in the clichés of our era, as vanishing in plain sight, fading away, or enduring a long goodbye. In On Vanishing, Lynn Casteel Harper, a Baptist minister and nursing home chaplain, investigates the myths and metaphors surrounding dementia and aging, addressing not only the indignities caused by the condition but also by the rhetoric surrounding it. Harper asks essential questions about the nature of our outsized fear of dementia, the stigma this fear may create, and what it might mean for us all to try to “vanish well.”
Weaving together personal stories with theology, history, philosophy, literature, and science, Harper confronts our elemental fears of disappearance and death, drawing on her own experiences with people with dementia both in the American healthcare system and within her own family. In the course of unpacking her own stories and encounters—of leading a prayer group on a dementia unit; of meeting individuals dismissed as “already gone” and finding them still possessed of complex, vital inner lives; of witnessing her grandfather’s final years with Alzheimer’s and discovering her own heightened genetic risk of succumbing to the disease—Harper engages in an exploration of dementia that is unlike anything written before on the subject.
A rich and startling book on dementia, On Vanishing reveals cognitive change as it truly is, an essential aspect of what it means to be mortal.
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    • Kirkus

      January 15, 2020
      A compassionate collection of essays examining dementia from an unusually hopeful point of view. As a Christian minister and chaplain, first-time author Harper has spent considerable time working in assisted living and memory loss facilities with those experiencing varying degrees of dementia. Initially reluctant, like many of us, to deal with older people experiencing the disease, she gradually began to understand those she worked with as complicated people and to think about the many ways in which our misunderstanding of dementia leads us to stop paying attention to those affected by it--to see them as "vanishing" before they actually die. In fact, argues the author, they are vividly alive and sensitive to the presence of others and often capable of increased "compassion, honesty, humility." In these essays, some of which were published in various journals, Harper explores with an open mind and empathetic imagination the question of why "we--those whom the dementia activist Morris Friedell termed the 'temporarily able-brained'--need them to vanish. Why are we so eager to view them as disappearing or disappeared?" She explores how our often unconscious biases lead us to assume that people are "gone" when they are actually right in front of us, longing for connection. She ponders the possible link between Shakespeare's King Lear and dementia, considers Ralph Waldo Emerson's relatively peaceful encounter with the state, and reflects on her own experience of sleepwalking and the ways it helps her understand dementia. "While I do not presume I can or should know in full the experiences of another," she writes, "I wondered if sleepwalking might be one point of correspondence." Harper moves smoothly between abstract reflections and concrete experiences, reflecting often on the effects of dementia on her grandfather and on her relationship with him, her fears that a genetic link to the disease may have been passed down to her, and her encounters with many individuals, all described in strikingly specific terms, surviving dementia in their own ways. Helpful, sometimes moving insights into a situation many will face.

      COPYRIGHT(2020) Kirkus Reviews, ALL RIGHTS RESERVED.

    • Publisher's Weekly

      December 16, 2019
      Baptist minister and essayist Harper, drawing upon her experience as a nursing home chaplain, devotes her affecting but uneven debut to reclaiming dementia patients from being defined primarily by their cognitive deficits. Arguing against seeing people with late-stage Alzheimer’s and similar disorders as suffering a “death before death,” she shows, instead, that a “palpable life force abides” in such individuals. Her wide-ranging work runs into some trouble, at times digressing into discussions of conditions she considers comparable, such as her own sleepwalking. More damagingly, she crosses the line separating a serious, medically informed look at dementia and a romanticization of it as an opportunity for “reorienting one’s spirituality.” For example, on apparent dementia sufferer Ralph Waldo Emerson’s last years, she indulges in ethereal mysticism: “Seams widen, running outward to new and larger circles, to greater expanses of beauty and repose, and without end.” In contrast, Harper touches too little upon experiences of anxiety, fear, bewilderment, and loss, such as that of a woman who tells her, “I don’t know who I am anymore.” Thus, while it’s an admirable argument that dementia patients exist “along the continuum of human experience,” this often moving book falls short of being persuasive. Agent: Chris Clemans, Janklow & Nesbit.

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