← Back to context

Comment by AQuantized

3 days ago

> You really don't want to end up with dementia and related illnesses, it totally sours everyone's view of you.

This seems like such an absurd conclusion to this, as though the opinions of other people of you are what matter when you functionally lose your personhood and then die.

Maybe a better focus would be that there often isn't a good way for a community to manage a person who suddenly becomes irrational because of an illness.

The parent described someone who went above and beyond the norm of other members in his community in his constant positive interaction with his neighbors, collegues, and former students. It is highly likely this kind of person would give a considerable shit if he knew he would become a nightmare for the same community.

There may be others reading in the thread who also can relate to the personality of the teacher and may care about their affect on others when they are "not themselves".

  • There's a difference between "I don't want the disease because I don't want to become a menace to others" (what you're saying) and "I don't want the disease because it would make me lose social status" (what the original commenter said).

    • I am left wondering. Can’t people (in general) understand that Alzheimer’s changes a person fundamentally, irreversibly and forever until death follows? Many positive traits of personality disappear, the negative starts to dominate, I think mainly from fear and a subconscious awareness of what is being lost. That’s pretty much 101 of grieving when a loved one is struck with Alzheimer’s. The person has left. You continue caring for a body / a different person because of the relation you have to a former them. But please don’t connect the persons past deeds and being to the actions with Alzheimer’s.

      For myself: I hope for assisted suicide before Alzheimer’s. I value me for me. Not-me I don’t value, and Alzheimer’s does not improve not-me over me. But people who cannot separate me from not-me (with whom not-me loses status for me)… I don’t care about them! (Philosophical mood.)

      1 reply →

    • Either and or both?

      I don’t want to go that way either. If I start losing my mind to Alzheimer’s or dementia I don’t want to slowly turn unrecognizable to those who love me, fuck that shit. Give me something suitable and I’ll do it my damn self if needs be.

      1 reply →

    • There are lots of degenerative diseases particularly striking the various biological systems of the body. But neurodegeneration, whether Glio, ALS or dementia are especially cruel and horrific in that they attack and erode the patient's personality, a fundament of individuality and self.

In my experience having had a parent suffer this way, you lose them before they are dead and you grieve along the way. I can understand the "souring" phrasing - in that there is less affection for the altered person in the present even while feeling a duty for their care and a deep love for who they were.

I'm grateful for this story - it's powerful to see examples of autonomy at end of life - and contrasts starkly with the experiences many of us have with aging parents. End of life, at least in the US, can be deeply flawed and misery for all.

Valuing how others remember you is definitely a motivation in life for many. I respect that it is not your own, respect that it may be mine. It is by no means "absurd".

  • It is absurd because it places subjective opinions over objective goods. This is the vice of “human respect”. Human beings do not have a final say about others. They can opine, but opinions are like buttholes, everyone has one.

    Sure, it is nice to be remembered well, if you deserve it, but I do not live for the opinions of others. This is slave mentality and pathetic. I care about being good, and if I am hated for that, then so be it. Sad, but better to be hated for being a good person than loved for being a mediocrity or a knave.

    And to off yourself out of concern with how people remember you is a condemnation of our society, our lack of charity, our lack of magnanimity, and our selfish prioritization of convenience. Full throttle consumerism.

    • The definition of good is probably the closest to doing the opposite of inflicting pain on others. There’s very little chance that you will be hated by being good. So definitely behaving or being good is not so different than behaving in a way that other people don’t hate you.

      4 replies →

    • > It is absurd because it places subjective opinions over objective goods.

      Care to name even a single objective good, and explain how exactly it is objectively good?

      10 replies →

    • There is no such thing as objectivity in human experience. Every single thing, even attempts to be objective, are all filtered through the subjective experience of life. Our brains interpret objective reality and provide us a subjective translation.

      1 reply →

    • You were so close to genuine self-ownership in this post, especially with decrying slave morality - than you ended by getting spooked all over again.

      You might enjoy “the unique and its property” by Max Stirner. An excellent philosophical book and especially relevant given that Alzheimer’s takes away the self…

    • The point is he deserved to be remembered well but due to recency bias and the severity of whatever he did during the end stages of his disease he will not be. I personally suffered immense trauma in my early 20s when I moved to a really cheap place. My parents refused to believe me that there was a black mold and general mold problem in the place I was living and that it was causing me psychological distress and flaring up my eczema. Despite all evidence that I had they dismissed it because I had told them I was depressed beforehand. They are not very in touch with empathy or compassion or mental health. Very old-fashioned view that these things are character flaws which are not to be spoken of. Anyways they dismissed my concerns did not read my messages or view my pictures of personal property being destroyed and the landlord not responding to me, the whole rental was illegitimate and I had identified that early on they even ignored that I got a scalp infection which I had to take oral anti-fungal medication to get rid of. The preponderance of evidence was so overwhelming, but for whatever reason they could not admit I had been right and that they were wrong and refused to help me and actively discouraged me from taking legal action or even to move home for months. Eventually I was blessed with an extended relative who gave me shelter. During one of the worst parts of this period my parents even went so far as to assert that what was actually happening to me was the onset of paranoid schizophrenia. I was close to the right age and sex for it to happen. I knew that paranoid schizophrenics often become homeless and violent and the general awfulness of the condition. If it was not for my own investigation that there was no family history of it and a friend who believed what I was saying and told me that I needed to leave the house and then finally extended family I had a plan to no longer exist. This was partially out of not wanting to be remembered badly, but also so many other things like; not wanting to hurt my loved ones, not wanting to hurt strangers, not wanting to slowly degrade into an unstable and potentially dangerous person and of course the median life expectancy for that condition is so low. I lacked the constitution to allow myself to become someone who would likely damage the world and severely damage those close to me so my logical conclusion based on a false premise during those couple days was to nip it in the bud so to speak as it's a progressive condition. My relationship with my parents has not been the same since, but how could it be. I am forever indebted to a friend and extended family... they quite literally saved my life.

      The end point being that with the parents I have there was nearly a guaranteed outcome of only objectively bad things happening for me, for them, for people around me. During that state I saw my plan as honorable and wrote it down in what I was to leave to explain my actions.

My brother had schizophrenia. No one thought well of him. I guess he should have killed himself as well by the logic some are professing on here. Oh, he tried, but he ended up dying of heart disease.

> Maybe a better focus would be that there often isn't a good way for a community to manage a person who suddenly becomes irrational because of an illness.

Yes, this is the focus. Science has stalled when it comes to neurological disorders. But the response is love and understanding. I do not understand how someone would "sour" on a person because they have an illness. A very absurd conclusion indeed.

  • Dementia and Alzheimer is not something that can simply be managed throught treatment. It is an inexorable descent into suffering for both the person and its entourage with absolutely zero hope of getting better. At best in the last stages you get very short glimpses of normality within hours of confusions, frustrations, anger and pain.

    If I am ever diagnosed with one of those, I absolutely want the chance to end my life before I reach a stage I become a burden to my loved ones and can't give a trustable consent. I'd rather go too soon than too late.

    • I’ve had a lot of people suffer in my life from health conditions, ranging from mental illness, heart disease, and cancer. And I’ve had to take care of them all at different times. Did I consider this a burden or a gift? Oh, it was hard, but does that mean it’s a burden?

      If you think you’ll be a burden on your loved ones can we really say they’re your loved ones? This is a serious question. If you’re thinking that you’ll be a burden do you think that these people really love you?

      At least I would want to let them use experimental drugs, or do anything to further the cause of curing Alzheimer’s.

      But again, this is all far from the original article about an old man who decided to die because well, we don’t really know, he just didn’t see the point of living anymore.

      20 replies →

    • Yup. Ask me if I want to live. If I'm unable to answer and it's not reasonably expected that I will be able to answer in the future then the answer is no. I am the mind inside, not the body outside. If the mind is gone that's it, the body is worthless.

  • > I do not understand how someone would "sour" on a person because they have an illness.

    It is extremely exhausting to try and be ‘understanding’ of someone that does everything to sabotage themselves.

  • > I guess he should have killed himself as well by the logic some are professing on here.

    Maybe people are able to answer that question by themselves and don't need the judgement of other people answering differently.

the conclusion is true, though obviously the worst part is that this guy spent at least a year in varying states of despair, anger, and even worse psychological terrors.

you don't want dementia because it damages and hurts you and everything and everyone around you

(my grandpa physically attacked grandma multiple times in his last year)

>This seems like such an absurd conclusion to this, as though the opinions of other people of you are what matter when you functionally lose your personhood and then die.

They do matter.

Being concerned with how your behavior affects your family or your community, and the opinion they have of you, above your own self-interest, is how good parents, good friends, good citizens, and so on, are made.

  • > Being concerned with how your behavior affects your family or your community, and the opinion they have of you, above your own self-interest, is how good parents, good friends, good citizens, and so on, are made.

    You've changed the meaning behind the original comment in a subtle but important way. The original commenter wasn't concerned about their effects on other people, they were concerned about how the disease would ruin their public image. Maybe they didn't mean that but it's what they wrote.

    This distinction matters because those people whose top priority is their public perception (i.e. social status) are never "good people". It's normal to care about your social status to some degree but it shouldn't be the first thing you consider.

My wife's grandma passed some years back due to dementia/Alzheimers. Her final memories of her were of struggling to change her diaper because she insisted "she didn't need a change" and being really racist.

I really don't want my family's last memories of me to be that. Yeah my wife remembers when her grandma was of sound mind, and has some good memories with her back then, but they stopped due to the disease.

Everyone should be entitled to their own opinions on how they want to be remembered. I would rather be allowed to pass in sane mind.

It's not so absurd. The only afterlife that exists (in a materialist sense) is what other people think of you. The only part of 'you' still around us quite literally just a memory in someone's head. That's not nothing.

Whether we should care about that or not is a philosophical conversation, I suppose. I would take the side of if we care about what people think about us when we are alive, surely we should care what they think of us when we are dead. Otherwise, we only value their opinion of us as a function of what they will do for/to us, which seems not great.

This is a maximalist view, in reality not feasible or scalable. Of course this is what we need to strive for, but aiming to decrease 'total unhappiness' with what we have, is a rational, if somewhat cynical, aim.

But even at aface value, more rational long-term approach would be to treat it, surely

To more precisely represent the words of the person you're replying to, you should have said "memories" not "opinions".

This. Life is such a precious random occurrence that failing to protect it in the face [dementia|physical disabilities|etc] is the real tragedy.

  • It's not like life stops when someone (with a grave an irreversible condition that causes suffering) dies. It goes on with the young generations (i.e. the billions of them!). I think too much clinging to a single life causes the whole (which is more important) to suffer. That's not to say we shouldn't value and respect elders, but clinging to life excessively is ignorant and potentially cruel, in my humble opinion. I defend the right to die in the face of incurable diseases that cause a lot of anguish and suffering.

    I think clinging to life is partially rooted in an egoist/solipsistic metaphysics that you yourself are all that matters (to yourself at least, of course). Relax, we're just a small part of the cosmos. Ancient and immortal :)

    • The alternative being when someone becomes inconvenient to others we should encourage their death? What good is compassion or empathy when the lesser in society could just go off and die, right? Why stop at incurable diseases? Political opponents, coworkers, nasty service workers, double parkers, lawyers, and many other groups cause a lot of anguish and suffering.

      12 replies →

  • As I mentioned in a another comment, framing it as "how one is remembered" is leading to pointless tangents in this thread.

    The important point is this: are you causing emotional, psychological, physical distress in the real world to those you care about when you have this disease? Yes or no. That's what I care about. Whether they are able to remember me well despite that, or poorly because of that should be completely secondary.

    • That’s irrelevant here. What is relevant is that we have a contempt for human life and a lack of charity. The teacher was not at fault for his condition. We should learn magnanimity.

      Sure, we can think about how the burdens of caring for our family can be lessened as they age, or how we may help reduce that burden for our family, but family does have the duty to care for its members, and to place such considerations above the intrinsic value of human life is very sad indeed.

      7 replies →

  • What does protecting life look like when one is literally losing everything about themselves that they value?