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Thinking pain

Care worker Annika announces that she does not want to go to Mr Moran. “He always complains.” “I’ll go”, says her colleague Robin, and turning to me he says, “I don’t have the intern today so you can come along if you want to see for yourself how it goes”. We head off to assemble the materials for the morning …

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Opening up shrinking life-worlds

Lives change dramatically as dementia progresses. Using observations of people suffering from obsessions and compulsions, I will analyse this change along three dimensions.

Obsessive-Compulsive Disorder (OCD) is characterised by intrusive anxiety-provoking thoughts (obsessions) and rituals aimed at reducing anxiety, which then paradoxically come to exacerbate it (compulsions). I have been studying clinicians working with people who suffer from a severe, …

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The final station

The sun wakes her up. But Mrs Wijngaard keeps her eyes closed. She is 90 years old and sits quietly in her armchair in her apartment in the nursing home. And lets her thoughts wander. For three months she has been living here now, in an apartment with a living room, one bedroom, private bathroom and a kitchen corner. She …

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Burning down the house: When crisis becomes daily life in early-onset dementia

For my doctoral research, I interviewed family members living with a loved one with early-onset dementia, a diagnosis that one receives under the age of 65. Jans, not his real name, was the fourth person I interviewed in April 2015. Since he lived in a remote village in the east of the Netherlands, we met at a train station to …

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The fool with the watering can, or asynchronous time travelling

One of the most bewildering and fascinating things about spending time with people with dementia is that they can rapidly travel through time. This was most clear with Mrs B., a daydreaming woman of 86. Her skin was deeply wrinkled and in the nursing home she kept pretty much to herself. One day, I had a long, stretched out conversation …

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“I do want euthanasia, but not now.” Timing a request for euthanasia with dementia in the Netherlands

Sitting on orange seats in the corridor, Ms Verbeek, her niece Hannie and I are waiting for the general practitioner. Ms Verbeek seems a little restless and is quiet. She is 79 years old and lives by herself in a small town in the south of the Netherlands. We have met several times before, sometimes one on one, and sometimes …