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An essential book for those coping with Alzheimer's and other cognitive disorders that "reframe[s] our understanding of dementia with sensitivity and accuracy . . . to grant better futures to our loved ones and ourselves" (Parul Sehgal, The New York Times).
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 outsize 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 experiences with people with dementia both in the U.S. health-care 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.
Expanding our understanding of dementia beyond progressive vacancy and dread, On Vanishing makes room for beauty and hope, and opens a space in which we might start to consider better ways of caring for, and thinking about, our fellow human beings. It is a rich and startling work of nonfiction that reveals cognitive change as an essential aspect of what it means to be mortal.
About the Author
Lynn Casteel Harper is a minister, chaplain, and essayist. Her work has appeared in Kenyon Review Online, North American Review, and Catapult magazine. She is a Barbara Deming Fund grant recipient and the winner of the 2017 Orison Anthology Prize in Nonfiction. She lives in New York City and is currently the minister of older adults at The Riverside Church.
A New York Times Book Review Editors' Choice
"A searching, poetic inquiry into dementia. . . . [Harper] writes without fear or aversion but with a robust, restless curiosity, a keenness to reframe our understanding of dementia with sensitivity and accuracy. . . . In her beautifully unconventional book, Harper examines the porousness of the borders, the power of imagination and language to grant better futures to our loved ones and ourselves." —Parul Sehgal, The New York Times
"[A] calm, clear-eyed discussion of new ways to see dementia and its impact on the individual." —Gemma Tarlach, Discover
"On Vanishing is a book that lingers in the mind for weeks. One reason for this is Harper’s striking language. The prose is dynamic and a joy to follow . . . On the grander scale, On Vanishing does nothing less than push its readers to rethink what it means to be a person: what parts of me could change or fade and yet allow me to remain myself? Who am I, actually?" —Caleb Tankersley, North American Review
"Harper envisions a future where the eldery and those with dementia don’t have to disappear from mainstream society, and instead of living in fear of the disease we can live in acceptance of it. So many of the ideas in On Vanishing are especially relevant now, in the age of the Covid-19 pandemic, as issues of ageism have come to the forefront of society." —Bailey Cook Dailey, Catapult magazine
"A compassionate collection of essays examining dementia from an unusually hopeful point of view . . . 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 . . . Moving insights into a situation many will face." —Kirkus Reviews
"This inspiring work takes us far from our often-arrogant efforts to vanquish (cure) dementia to seeing human vanity in another light. How do we envision vanishing and disappearance in the face of progressive cognitive decline? In On Vanishing, Lynn Casteel Harper holds a mirror to society and asks us to reflect . . . Just what does dying with dementia tell us about the human condition, both in the details of individual lives and in the grand scope of society? . . . In these troubled times of environmental deterioration and social injustice, can we learn to create more compassionate civilizations that celebrate caring?" —Peter J. Whitehouse, MD, author of The Myth of Alzheimer's
"The best nonfiction opens the mind in ways we didn't know it needed to be opened. Lynn Casteel Harper does that and more in On Vanishing, a significant contribution to writing on neurodiversity and aging, and a profound and useful corrective to the Western way of thinking about the trajectory of human life. I was afraid of what On Vanishing might reveal about my family's future, or mine, or how it might remind me of the suffering of my grandmother. But once I began this important book, I could not put it down or resist quoting it to friends and family. Harper is so wise, compassionate, and hopeful, as are the not-vanished people whose powerful stories she has gathered here." —Belle Boggs, author of The Art of Waiting