Dementia, fears, & mirrors

Dementia: the very idea raises fears about the loss of control, loss of beloved memories, loss of self. Is a person who is deep into dementia still sentient, still conscious? If we lose our ability to connect with who we are–let alone with other people–have we misplaced whatever it is we call consciousness, or mind?

Yet no one who has interacted with a person who has dementia would say the person has no consciousness. It is, instead, an altered consciousness: sometimes a loss of ego or sense of self in the world, or the disintegration of social or emotional “filters,” or a series of cognitive gaps that collapse into fugue, fears, or blankness. There are people who lose everything but the distant past, and people who lose everything but the present moment. Dementia has many causes and takes many forms. We do not understand it, and that creates fear.

Of the things I fear that are actually not unlikely to occur, dementia–more than death–unsettles my equilibrium. I have watched it unfold among a number of people, uniquely and inexorably each time, devastating to the loved ones of the person who has become ill and frustrating beyond measure to the victim.

I try to avoid the word victim when describing illness, but there it appears.

Personhood, consciousness, rationality, emotionality, familiarity, habits and the framework of the person’s life erode while the person goes through the usual day; nothing stays usual. Sometimes all that remains are useless habits, physical tics, fragmented phrases that no longer convey social information.

Because I struggle with the concept of mind, because I read philosophy concerning mind and neuro-psychological texts about human consciousness, because I am a writer and feel passionate about human expression and interconnectedness and how we originated the tools of speech, metaphor, storytelling narrative and writing, the loss of sentience that dementia seems to bring represents the deepest kind of loss.

How do you face your fear?

~

How about in a mirror? Through a glass, darkly…*

Through some sort of glass–of which there are so many varieties, a huge number of which I encountered recently at the Corning Museum of Glass in Corning, NY. It is worth the trip to western New York state to experience this gallery of art glass, collection of glassware spanning 35 centuries, interactive exhibits on the development of such commercial and scientific glass innovations such as Pyrex, tempered glass, shatterproof and mirrored and flexible glass, fiber-optic glass, telescope mirrors and lenses, silicon chips, and bottle-making equipment. The huge museum, established as an in-house exhibit in the Corning Glass headquarters in 1951, has had several major architectural upgrades and expansions from 1980 to 2015 (and suffered a disastrous flood in 1972).

We can face fear through changes in our perspective, I think.

inverted

photo by David Sloan

~

*1 Corinthians 13:12, King James Version:For now we see through a glass, darkly; but then face to face: now I know in part; but then shall I know even as also I am known.”

 

Tendrils

In the vegetable patch, pole bean seedlings send up new, green tendrils–slightly streaked with purple–that wrap around the bamboo “teepee”. Sweetpeas begin to stretch their threads out and up as though seeking support; they’ll even twine around grass stems. With all this rain, tomato plants surge and leaf out.

13568809_10210037198150804_7456809613944121549_oAmong the perennials, weedy vines snake and coil: poison ivy, virginia creeper, bindweed, creeping charlie, nightshade, wintercreeper, wild cucumber. These plants make the process of keeping my perennial beds “clean” very challenging.

But the clematis vines, which I love, also use tendrils to spread themselves over bushes and trellises.

~

 

In botany, the curl or tendril is termed cirrus. Visualize the cirrus cloud, thin and thready and curled:

200px-Cirrus_clouds2

It’s easy to imagine how the apparent action of tendrils inspired metaphor and why humans so easily anthropomorphize the twining and vining as grasping, embracing, tugging, clinging, clasping–terms that are by turns tender and aggressive in implication. The plant’s tendril is, in fact, sensitive, another word that can be used to describe people but which means, in botany, something closer to irritable (susceptible and responsive to touch). The Encyclopedia Britannica says:

Tendrils are prehensile and sensitive to contact. When stroked lightly on its lower side, the tendril will, in a minute or two, curve toward that side. As it brushes against an object, it turns toward it and—the shape of the object permitting—wraps about it, clinging for as long as the stimulation persists. Later, strong mechanical tissue (sclerenchyma) develops in the tendrils, thus rendering them strong enough to support the weight of the plant.

Usually, that means a movement upwards–toward light, against gravity–another metaphor we human beings like to adopt.

Because these are things all human beings need: support, and a way to move toward the light. A little sensitivity helps. Then, strength can develop; we can bloom.

 

Depression narratives

I have been an avid and interested reader of books, usually memoirs, describing the authors’ experiences with depression, unmanageable grief, or depressive episodes. There are a number of reasons for my interest, one being that I have an interior depression narrative of my own and the other because of my passion for delving into concepts of consciousness. Consciousness and depression must be intimately linked, of course; a person cannot feel depressed if he or she lacks a reflective sense of self or Mind. Sorrow differs, but some grief is so deep that depression enters in and squeezes the soul dry. Each narrative contains parallels to other narratives, and yet each is as unique as the author. We are “storytelling animals,” and the impetus to tell the story of depression may be to help others or to assist in re-knitting the disjunctions depression creates in consciousness.

For example: This Close to Happy, Darkness Visible, An Unquiet Mind, H is for Hawk, Hyperbole and a Half, The Year of Magical Thinking, The Solace of Open Spaces…even in the relatively brief Chapter 75 of Bruce Springsteen’s memoir Born to Run–there are dozens of such memoirs on my bookshelves, and this list does not even mention the books by poets, psychologists, and philosophers who have explored the human challenges of depression. [I have not yet read Andrew Solomon’s Noonday Demon; but it is on my list.]

Porcelain doll, “Rain,” by Alexandra Koukinova of “Alexandra” Company.

Because I am a writer, these narratives, and the lyric inventions crafted by poets, teach me much about how to explain the un-nameable, to describe–in words–the kind of numb grip that a depressive crash or a monumental grief exerts on a person’s sense of self, or even of language (which fails); the way depression shrinks into nothingness a person’s feeling of shared community/communion/communication with others, even with beloved others. There’s a story there, the story of how the story itself gets subsumed by stasis.

In these cases, metaphor: the person is the story; the story loses its narrative, tapers off, stands still. No longer interesting, expressive, alive.

Unfortunately, I know that feeling. I know how it arrests creativity and savages my ability to write.

~

Why do we “get” depressed? What does depression do to the brain? Does the brain itself cause depression? Despite the insights medical researchers have gleaned about neurological networks, cells, synapses, the anatomy of the organ we call “the brain,” there are no answers to these questions; the former can be tracked through scans to some extent, but there is seldom a “before” MRI or PET scan with which to compare “normal” and “depressed” in a unique individual. A New York Times Health & Science article from 2005 puts things pretty succinctly:

” ‘I think that, with some notable exceptions, the community of scientists was excessively optimistic about how quickly imaging would have an impact on psychiatry,’ said Dr. Steven Hyman, a professor of neurobiology at Harvard and the former director of the National Institute of Mental Health. ‘In their enthusiasm, people forgot that the human brain is the most complex object in the history of human inquiry, and it’s not at all easy to see what’s going wrong.’

For one thing, brains are as variable as personalities.”

brainOne of the problems is determining causation: which was first, the disease or a perceived (and possibly inaccurate) difference in brain structure or function? Is it chemical or hereditary, or is it traumatically-induced? Or are we not really seeing a difference in brain structure? Why do medications work for some people but not others? And why and how do medications work, exactly? Twelve years after Carey’s NYT article, psycho-neuro-biologist folks still do not know any definitive facts, though there is slow movement toward progress. [For a quite up-to-date and thorough but readable article about the complexities involved in depression, I recommend Harvard Health Publication’s online pamphlet “What Causes Depression?”]

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From the standpoint of a person who has had a lifelong relationship with depression, I’m not sure I need a cure at this point. My depression narrative includes taking a pill that seems to help considerably; but that has not been the magic bullet that alleviated a chronic, possibly chemical, condition. What has balanced my conscious mind with my chemistry is at least as likely to be related to support, friendship, talk therapy, cognitive behavioral changes, personal motivation, love, reflection, experience, information, aging, writing, spiritual study, Zen, nature, environment, valuable work, art, and tai chi.

The Nautilus article (cited below–do consider reading it) suggests there may be an “up” side to depression:

In a study of 61 depressed subjects, 4 out of 5 reported at least one upside to their rumination, including self-insight, problem solving, and the prevention of future mistakes.

“It may be best to let depression work its miserable magic, under protective supervision.”

“Most episodes of depression end on their own—something known as spontaneous remission…” says Steven Hollon, a professor of psychology at Vanderbilt University.

The Nautilus article cites several researchers who use the evolutionary model of fitness and bargaining, concepts that Marjorie Grene might caution us away from relying too heavily upon. Drake Baer of The Science of Us, whose article was certainly titled by editors, not scientists, writes “that, in some circumstances, depression may be, in the arc of a life, yielding of insights and personal meaning. All of this is in no way meant to minimize the suffering that depression can cause — but to suggest the uses that it may serve.”

Baer’s article dwells upon the idea that there are structural and cultural concepts at work in the identification of, experience of, and healing of depression; that the “illness” or disease resides in the subjective, non-empirical, non-testable world of human consciousness (interiority). I’m on board with that suggestion. Baer closes by relating depression to katabasis, an ancient Greek word that refers to the inexorable downhill slide, the descent into the underworld, the sinking down into darkness.

Baer writes that “Katabasis leads to catharsis; not coincidentally, there’s a shared theme in the personal narratives of people who reach midlife with a sense of well-being and generativity toward others: redemption.”

My personal depression narrative, just past mid-life (by some reckoning), suggests redemption. Which is to say there’s hope.

~

2011A-rainbow.jpg

Totally cheesy rainbow photo.

See also: http://psycnet.apa.org/journals/rev/116/3/620/

http://nautil.us/issue/45/power/does-depression-have-an-evolutionary-purpose

http://nymag.com/scienceofus/2017/02/a-new-way-to-understand-and-treat-depression.html

Please, if you or someone you know and care about has challenges with depression, read the Harvard article linked in the text at very least; and check out the other links as well. This is as close as I ever get to a public service announcement, but the urgency is explicit.

Prunes & store tea

I just returned from an extended family gathering where a conversation or two arose concerning specific, regional, well-known-to-the-family phrases and sayings perhaps invented by some ancestor. These idioms are outdated; the young people often find them hilarious, quaint, or mystifying.

“What does that even mean?” became a common refrain.

I have heard these terms and phrases since I was a very young child, and they usually don’t seem strange to my ears. But a cousin reminded me of the phrase “full of prunes and store tea,” and while I know it means that the person full of said comestibles is lively, wound up, and possibly talking nonsense (in the region where I now reside, the term might be ruchy), I had never really thought about its origin.

Ruchy is a combination of Polish and Pennsylvania German derived from the word ruch (meaning movement or motion). So that new-world regional neologism makes sense. But prunes and store tea?

I did a little hunting around on various etymology and idiom websites (yes, this is part of my job!) and found that being full of beans and being full of prunes are somewhat but not entirely synonymous, depending upon region. Both can mean being wiggly and mobile, and both can mean acting silly. The layperson’s theory is that beans and prunes cause intestinal gas, hence fidgeting about or, alternately, being full of hot air. *

Store tea. Okay, tea purchased at a store? I suppose there was, in the days when the US was thinly populated in many areas, a reason to differentiate that which was made at home from that which was purchased at a store. I remember my great-grandmother saying that someone well-off she knew in her childhood had a house with “boughten rugs” rather than rag, home-woven, or rush rugs.

As for the odd combination of prunes and tea…eventually I found success by changing the and to in.

Prunes can be stewed in tea! This delicacy goes back centuries and is–no surprise here–probably British in origin. If you are curious, here’s one of several recipe sites you can check out for methods of stewing prunes in tea: melecotte. The author provides links to other tea & prune confections.

So it turns out that, all along, the idiom is “You’re full of prunes in store tea!” Though I doubt that will change the way we say it–in the rare times we blurt out an old-fashioned regional phrase at a ruchy child or a bullshitting teenager.

StewedPrunes2

Thanks to Melecotte

* See comment below…

Problems of moral order

“Authority in the moral sphere is modeled on dominance in the physical sphere. The moral authority of the parent over the child is metaphorically modeled on the physical dominance of the parent over the young child…it is a metaphorical model in which the logic of moral authority makes use of the logic of physical dominance.”   –from Philosophy in the Flesh, George Lakoff & Mark Johnson (p. 301, my italics)

Here is a problem: “folk philosophy” assumes that the moral order is the natural order, a logic much used in the dogma of many Western religions; but Lakoff and Johnson point out how such suppositions lead to “a hierarchy of moral superiority and authority.” Because we are corporeal, physical phenomena in a physical world and our initial human relationships get established through the parent-child model, human beings have a hard time escaping the physical dependence-physical dominance-physical responsibility metaphors, which we incorporate into our languages and philosophies.

There is no reason to refute or escape such metaphors, fundamentally embodied as they are, as long as we are aware of them. For people who accept physical dominance as the natural order without recognizing it as evolutionary and metaphorical, however, the logic that [this metaphor]=Natural Law=Moral Order can be harmful.

And not just to them but to their families, their neighbors, and their societies.

Lakoff & Johnson write, “The consequences of the metaphor of Moral Order are sweeping, momentous, and, we believe, morally repugnant…the Moral Order metaphor gives us a better understanding of what fascism is: Fascism legitimatizes such a moral order and seeks to enforce it through the power of the state” (p. 304).

The authors later note that “the view of moral concepts as metaphoric profoundly calls into question the idea of ‘pure’ moral reason” (p. 330). In other words, pretty much all of Western philosophy since Aristotle. Which makes me contemplate whether that question also suggests there is no “pure” abstract consciousness–whether there is any me (I do not mean Ego here) without the body I inhabit.

content

Then again,  Dürr’s speculation that memories exist as data–a kind of cloud network, as an analogy–and somehow persist, merits some consideration. I find Lakoff persuasive, however. I know he has since added to, altered, and labored on the concepts laid out in this 1999 book.

The foundations and evolutionary development of our families, tribes, and languages create our philosophies; this much seems as certain to me as anything–and thus arrive in our collective consciousness as metaphors, stories, poems.

 

Metaphor & mind

In a recent New Yorker article about the trial of Charleston church shooter Dylann Roof, Jelani Cobb reports that during the lead prosecutor’s presentation

Roof’s mother sank down on the bench as he delivered his opening statement, which contained details of the crime that had previously been withheld from the press. At a certain point, she slumped over. It seemed for a moment that she had fainted, but she was taken to a hospital, and it was later learned that she had suffered a heart attack. She survived, but did not return for the remainder of the trial.

In her situation, I might have had the same response. How metaphorical: the heart revolts from within–an embodied reaction. When I read about this incident, I thought of cognitive scientist/philosophers George Lakoff and Mark Johnson, who have been pioneering the concept that the mind and body evolved together and cannot be separated through the literal, analytical, categorical approaches of classic Western thought.

Languages the world over use body-based metaphors and gestures that reinforce how our  minds are integrated with and connected to our human bodies–we intuit from the gut; a situation makes our skin crawl; we place hands over hearts to demonstrate love, loyalty, compassion. Medical science confirms what people have long understood, in a “folk physiology” way, for years: emotional and intellectual stress has physical expressions and repercussions.

Lakoff and Johnson have been investigating such universal human phenomena since the 1970s. Their work has implications for a wide range of endeavors from artificial intelligence to brain trauma. In 1999, when Philosophy in the Flesh was published, they said Western philosophy needs to retool its thinking from the ground up, the ground being the body itself.

Reason, they assert, is as embodied as emotion; and their argument that intellectual functioning arises metaphorically through the physiological experiences of the (human) body is persuasive and extensively documented through research, particularly neurological research. Exactly where what we term “consciousness” arises may never be determined, but phenomenology, Taoism, and empirical science converge with what we are learning about synapses, cells, hormones, and the neural network to suggest there may be an answer as to how consciousness emerges; and that answer is likely to be biological.

brain

~

The brain, the heart, the entire bodily system under emotional, mental, psychological duress, the conflicting moods of love, grief, anger, fear, and a chasm of misunderstanding; the terrible awe of disbelief–an embodied self might well collapse, physically, literally, under the metaphorical strain.

 

 

Head in a book

I am tackling some fairly difficult texts* at the moment and, when I need to find something less academic, have interspersed them with poetry and short fiction. In the latter genre, Ted Chiang‘s work has been a marvelous discovery for me. His speculative fiction derives its plot points from scientific and mythological sources. Though his writing style differs from hers, much about the short stories reminds me of the late Octavia Butler‘s work. “Understand” is a fascinating perspective on intellect vs consciousness, “Tower of Babylon” a lovely mythology that owes something to Borges, Calvino, archeology, the Hebrew Bible, and torus theory.

As to poetry, I’m reading Moira Egan‘s sometimes hilarious and often authentically moving Hot Flash Sonnets. Although “women of a certain age” can easily relate to the apparent topic of the sonnets, these poems appeal to much more than insight into female physiology or stereotyped emotionality/mood swings; they are about desire of many kinds, about taste and sex and grief, aging and joy–moments the world opens up to us and sings (in sonnet form!).

Yes, I know history is going on around me; and here I am with my head in a book.

It’s better than having my head in the sand. I’m learning something!

 

 

 

*Philosophy in the Flesh; Untranslatable: A Philosophical Lexicon.