Synopsis
Winner of the 2002 BMA Popular Medicine Book This is a haunting literary and scientific examination of Alzheimer’s disease and the race to find a cure. ‘A truly remarkable book – the definitive work on Alzheimer’s, both in social and medical terms, “The Forgetting” is incisive, humane, never ponderous, full of dry humour and brilliantly written with quiet, unpretentious authority. As a layman with personal experience of “caring” for an Alzheimer’s sufferer I am well aware of the stages of the disease and its prognosis and ending. Shenk is excellent on all these, and in his reflections on memory and the individual, and the individual’s response to the progress of the disease. I can’t imagine a book on Alzheimer’s being better researched and understood, or presented with greater sympathy.’ John Bayley In 1906 Alois Alzheimer dissected and examined the cerebral cortex of Auguste D’s brain and became the first scientist in medical history to link a specific brain pathology to behavioural changes. The disease named after him, turns otherwise active and healthy people into living ghosts. It is a rare condition for those in their 40s and 50s but 10% of the 65+ population suffers from it and 50% of the 85+. It is longevity’s revenge and as the baby boom generation drifts into its elderly years the number of Alzheimer’s victims is expected to quadruple, making it the fastest-growing disease in developed countries. As Adam Phillips writes in his foreword ‘This remarkable book will radically change our notions of looking after people and our assumptions about independence. Out of fear of mortality we have idealised health and youth and competence. “The Forgetting” reminds us among many other things that there is more to life than that.’ Shenk’s history of Alzheimer’s is both poignant and scientific, grounded by the fundamental belief that memory forms the basis of our selves, our souls, and the meaning in our lives.
Review
First attracted to his subject by its horrific ability to destroy the human mind and body, journalist David Shenk ultimately finds reasons to accept Alzheimer's disease--and almost forgive it--in The Forgetting. Shenk describes his work as a biography, the life story of a biological outlaw that sends victims "on a slow but certain trajectory toward forgetting and death." But his illuminating portrait of this growing epidemic offers more than a basic chronology. Shenk begins with the disease's christening in 1906, when German physician Alois Alzheimer discovered mysterious tangles and plaques in the brain of a dead woman who in life had suffered severe memory loss and dementia. The tale unfolds to reveal a host of intriguing players: struggling scientists (the clever, the bullheaded, and the pharmaceutically endowed), politicians divided by opposing priorities, exhausted caregivers, and patients whose biological clocks virtually tick backward over an average eight-year period. It includes impossible twists: longer life expectancies and successful treatments for other diseases mean more cases of Alzheimer's will inevitably occur. Shenk's graceful synthesis of personal accounts (from Plato to Reagan) with a century-long search for answers and cures leads him to an impressive conclusion. Perhaps Alzheimer's disease is much like winter: "Once it is gone, we'll face less hardship, but we'll also have lost an important lens on life." --Liane Thomas
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