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question everything Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Nov-05-09 11:59 AM
Original message
Of Love and Alzheimer's
NOVEMBER 3, 2009

Of Love and Alzheimer's
When Caregivers Find New Companions, Is it Adultery?

By ALICIA MUNDY
WSJ

Sid loves his wife of more than 40 years, and has no intention of divorcing her. But Sid, who is in his 70s, lives with her only three days a week in their Manhattan home. The rest of the time, he stays with another woman in her 60s with whom he has developed an intimate relationship. His grown children like her and approve of the arrangement. The situation isn't as strange as it sounds. Sid's wife has later-stage Alzheimer's disease. That places him among an increasingly visible group of people ranging in age from their 50s to their 90s who are finding romance outside of their marriages while continuing to care for spouses with Alzheimer's. (Sid asked that his last name not be used.)

Caregivers often face a stark choice: Either start an extramarital relationship and risk estrangement from friends and family—not to mention their own guilt—or live without a real companion for many years. The trend is prompting religious leaders, counselors and others to rethink how they define adultery. Support groups of people caring for spouses with the disease are seeing an increase in people who want to recover the intimacy they had in their marriage. "This didn't get discussed much earlier, I think, because people felt embarrassed or guilty for wanting companionship," says Jed Levine, director of programs at the Alzheimer's Association's New York chapter. "We're seeing the issue come up more frequently now."

Alzheimer's causes "a profound loss—that of the marital partner," says Mr. Levine. While spouses may still feel their old bond in the disease's earlier stages, once it progresses, "that connection is lost, too," he says. "It's not sex as much as special friendship," such as being held at night, that well spouses miss the most, he says.. Support-group leaders say they have seen a number of caregiver spouses start relationships with one another. One woman in her 80s began a companionship with a man she met in such a group, and married him after her husband died, Mr. Levine says. Caregiver spouses often agonize over breaking their marital vows, and whether seeking a new companion represents a betrayal of their convictions. Religious leaders have come down on both sides of the issue... Secular support-group leaders, for their part, strenuously try to keep members from judging each other, says Beth Kallmyer of the Alzheimer's Association. "It's easy for the well spouse to become the second victim of Alzheimer's," says Richard Anderson, a board member of the Well Spouse Association, a national support network. "Many of the people who have joined our association are burned out. Their lives have become more than a little unbalanced. They become ill themselves."

(snip)

Sid, a former architect, says he waited several years after his wife's condition seriously deteriorated before he even thought about finding someone else. He remembers the day his wife, a history professor, suddenly exhibited what he later learned was a symptom of Alzheimer's. "We were in Europe in a field of lavender," he says. The fragrance was almost overpowering, but his wife smelled nothing. She was in her late 50s. That was a dozen years ago. "We have had more than 40 years of a wonderful marriage. She is my wife," he says. "When she was first diagnosed, I was unrealistic. I was always able to solve anything. But this time I couldn't." He put his wife though mental-exercise programs and into clinical drug trials, but she slipped away quickly. After several years of caring for her, Sid says he became depressed and physically ill.

(snip)

His oldest son says that, at first, he was somewhat upset about the new friend. But he says he and his siblings soon accepted the relationship. "Dad was sick, his mental health was going downhill. He has gotten better, physically changed," the son says. "As long as my mother isn't in any harm, and is being cared for, I understand. I'm a realist."

http://online.wsj.com/article/SB10001424052748704317704574503631569278424.html (subscription, I think)

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UndertheOcean Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Nov-05-09 12:11 PM
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1. Once you lose your mind , the body is just a shell.
If society had any decency , it would euthanize late-stage Alzheimer sufferers.

I sure hope they would do that favour to me if I slip away before having the courage to do it.
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MUAD_DIB Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Nov-05-09 12:17 PM
Response to Reply #1
3. Euthanize with or without their approval?
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TwilightGardener Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Nov-05-09 12:18 PM
Response to Reply #3
4. Yeah, I wasn't even going to touch that post. Yikes.
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UndertheOcean Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Nov-05-09 12:18 PM
Response to Reply #3
5. How do you get their approval when they are at that stage ?
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MUAD_DIB Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Nov-05-09 12:40 PM
Response to Reply #5
10. You can't. Thus it would be condisered murder.
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question everything Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Nov-05-09 12:32 PM
Response to Reply #3
8. I have often wanted to put something like that in my will
but then, someone would argue whether, at the time I wrote this, was I already suffering from the first symptoms of dementia, while not realizing it?

My mother lingered for many years. She was healthy all her life until she was diagnosed with Alzheimer's. I would often looked at her, knowing that, had she have any say, she would not have wanted to end her life like that.
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DURHAM D Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Nov-05-09 12:32 PM
Response to Reply #1
7. Actually Alzheimer's is a form of self-euthanasia.
Most advanced Alzheimer's patients stop chewing and swallowing after awhile. If they have provided proper instructions then they won't get a feed tube or anything else to keep themselves alive.

My Mother died after 19 months in an Alzheimer's unit. For her last two - three months she was in a semi-conscious state and received no nourishment and the only moisture she received was from a damp sponge when they swabbed her mouth. The day before she died the sponge had too much water in it and she had a very bad choking episode because she could no longer swallow.

Her care level was provided by her own instructions. She had updated her instructions after her Alzheimer's diagnosis. My 94 year old father has been in an Alzheimer's unit since July. His instructions are the same as my Mother's and they will be followed because we love and respect our parents.
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mopinko Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Nov-06-09 09:18 AM
Response to Reply #1
12. +1
my family has strict orders to do what they can to put me out of my misery if i should end up in any kind of situation where i have lost my autonomy.
i would totally want my husband to have whatever happiness he can find once i have checked out, whether my shell is still alive or not.
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TwilightGardener Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Nov-05-09 12:13 PM
Response to Original message
2. Boy, that's a tough one. But as long as the ill spouse is loved and visited
and cared for, it's hard to condemn the other for wanting to live life. Alzheimer's patients can live a long time after their cognitive function has declined. I wouldn't want my husband to be alone, waiting for me to die. I'd want him to have some enjoyment and companionship--but he'd better wait until I'm so far gone I don't know what's going on, LOL.
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Sal Minella Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Nov-05-09 12:32 PM
Response to Original message
6. The full article appears without subscription.
(Registration is required to post a Comment.)

This article has turned my thinking on the subject upside down.

Who would think that an article in the WSJ would completely reverse my thinking on something, anything.

Thank you for posting this. . . . :)
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question everything Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Nov-05-09 12:38 PM
Response to Reply #6
9. Thank you for checking
Since I am a subscriber I have no way to test.

And, yes, the WSJ often has good, thoughtful stories... once you move away from their editorials. Even there, Thomas Frank has a column every two weeks and the reactions are always: in the WSJ??

http://www.democraticunderground.com/discuss/duboard.php?az=show_topic&forum=103&topic_id=493832

http://www.democraticunderground.com/discuss/duboard.php?az=show_topic&forum=103&topic_id=491263

:hi:


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Sal Minella Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Nov-05-09 07:46 PM
Response to Reply #9
11. Thanks for posting the links. Good stuff indeed.
I am somewhat discombobulated at the idea of reading anything in the WSJ regularly, having cut my political teeth on I.F.Stone's Weekly, but Thomas Frank is obviously well worth following.

And the Alzheimer's article you posted is going to result in dramatic change in at least two lives, that I know of. :)
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