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by David Shenk
Anchor, 2001
Review by Kevin M. Purday on May 17th 2002

The Forgetting

Most of us know or know of someone who has Alzheimer’s or a similar form of dementia. It is frightening to be told in this book that there are about five million people with the disease in the U.S.A. alone and that worldwide, by the middle of this century, an estimated eighty plus million will be its victims.

This book is essentially a piece of first-rate journalism. It is not aimed at the tiny number of professional cognoscenti, neurobiologists and others, who are immersed in finding the causes of and devising a cure for the disease. It is intended for the ninety nine per cent of us who have to cope with a mother or father who has been diagnosed with the disease, who have seen friends and colleagues reduced to childhood status by its ravages or who are simply deeply concerned human beings.

There are several strands to this book, all carefully interwoven to make a cunning tapestry. The first strand has two threads: the story of Ralph Waldo Emerson, the great American sage, whose slow decline in his later years was almost certainly due to Alzheimer’s. His wisdom and serenity throughout his decline serve as an anchor-thread and leitmotif for the whole book; and then the story of Ronald Reagan who, in retrospect, showed the very first signs of the disease while still in the White House. A second strand is made up of the mini-biographies and personal testimonies of lesser-known people either suffering from the early stages of the disease or caring for relatives who are its victims. Many of these testimonies are very moving. A third strand is the scientific discovery trail that is just a hundred years old. This starts with the admission to hospital of a fifty one year old woman on November 25, 1901, continues with Dr. Alois Alzheimer’s discovery of the plaques and tangles in the deceased woman’s brain, takes us through all the scientific hypotheses since then, leads us up some bizarre alleys and brings us up to date, as far as is possible for any book, with the possibility of a vaccine. Like the first two strands, this scientific discovery trail is revealed through the spoken witness of major participants in the search for a cure. It is this emphasis on personal testimony which makes this book both a piece of compelling journalism and a highly readable account of how people are coping with this spectre which has come to haunt our increased human longevity or probing into its causes with the hope of finding a cure.

Like all forms of writing where an author dares to tread outside his area of immediate expertise, there are some mistakes and ambiguities in David Shenk’s book. For example, while discussing (p.86) the Roman general Lucius Licinius Lucullus who died in 57 B.C. after suffering for some time with an Alzheimer’s type of dementia, he refers to Lucullus’ commanding officer, Lucius Cornelius Sulla, as the emperor. As Sulla died in 78 B.C. and the Roman Empire was not created until Augustus established the so-called Principate in 31 B.C., the term “emperor” is clearly an anachronism. Officially he was a “dictator”. However, this is basically nit-picking. David Shenk’s book not only succeeds in giving us a portrait of the disease but he also makes us think about a wide range of ethical problems along the way: the excision of parts of the brain in order to reduce the severity of epileptic fits at the cost of massive changes to the person; the public versus private funding of research leading to the assertion of intellectual copyright by the latter; the creation by transgenics of knock-out mice suffering from a range of human ailments; the slippery slope of racial hygiene theories; and many more.

His greatest achievement, however, is probably to remove some of the mystique and its accompanying fear which surround this disease. He gives us many examples of how people have faced up to the knowledge that they have the disease with amazing calm and dignity and how they have maintained that dignity to the end. It is a deeply compassionate book that everyone would do well to read.

 

© 2002 Kevin M. Purday                      

                                                                                               

Kevin M. Purday is the head of an international school in Jordan, and is currently a distance learning student on the Philosophy & Ethics of Mental Health course in the Philosophy Dept. at the University of Warwick.




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Affirmation Center
One Main Street

Hartford, CT 06106
Phone: (860) 727-8703
Fax: (860) 548-2045
Mon & Tu: 8:30 - 7:00
Wed, Th, Fri, Sat: 8:30 - 4:30

Cole Center
2550 Main Street
Hartford, CT 06120
Phone: (860) 548-0101
Fax: (860) 524-7781
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Wed & Thu: 8:30 - 7:00

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