Hektoen International

A Journal of Medical Humanities

Tag: dementia

  • A portrait of dementia

    Lindsay RipleyDallas, Texas, United States A few months ago, I watched The Father, a film with Olivia Colman in a main role and Anthony Hopkins as the titular father. Hopkins plays Anthony, a character who bears Hopkins’ own name because writer and director Florian Zeller wrote the part imagining Hopkins in it. Like Hopkins, now…

  • Revising my bargain with the deity

    Barry Perlman New York, New York, United States   Photo by S. Tsuchiya on Unsplash. My parents lived into their nineties. Before they died, they endured years of dementia. Aware of my potential genetic inheritance, I have long harbored a deep dread of what my future might hold. If my curved pinky fingers were inherited…

  • Eugen Bleuler and schizophrenia

    JMS Pearce East Yorks, England, United Kingdom   Fig 1. Eugen Bleuler, 1900. from: G. Wehr, Jung, ed. René Coeckelberghs, Collection Les Grands Suisses, ISBN=2-8310-0009-2. Clinique du Burghölzli. Paul Eugen Bleuler (1857-1939) (Fig 1) was one of the most influential psychiatrists of his time, best known today for his introduction of the term schizophrenia to…

  • Alzheimer and his disease

    JMS Pearce Hull, England   Fig 1. Alois Alzheimer. 1915 or earlier. From Wikimedia “Fortiter in re, suaviter in modo (powerfully in deed, gently in manner).” — Franz Nissl’s description of Alzheimer (1916)   Curiously, until the 1970s the high prevalence Alzheimer’s disease was not recognized as the most common cause of dementia.1 Most demented…

  • The loneliness of the long-living doctor

    Peter Arnold Sydney, Australia   Study of the head of an old man. Peter Paul Rubens. between 1610 and 1615. Kunsthistorisches Museum. Via Wikimedia. A noticeable phenomenon of the twenty-first century is the increasing frequency of friendships between older men. The importance of such friendships to both mental and physical health has been well documented.1,2,3…

  • Can behavioral variant frontotemporal dementia salvage Semmelweis?

    Faraze A. Niazi Jack E. Riggs Morgantown, West Virginia, United States   Ignaz Semmelweis. 1818 – 1865. Age 47 years at death. Via Wikimedia. Remember me for the mind I had; not the mind a disease created.  Few physicians have made a more significant observation than did Ignaz Semmelweis.1 In 1847 he took over two…

  • Great expectations

    Anthony Papagiannis Thessaloniki, Greece   Summer Calm—image by the author “Doctor, I want you to treat her as a forty-year old!” What is the appropriate answer to a demand like that from a daughter about the treatment of her eighty-eight-year-old mother? Any suggestion that her mother might not do well even with the best treatment…

  • A dog like that

    Rebecca Osborn New Haven, Connecticut, United States   An Old Man with a Dog. Giacomo Ceruti. 1740s. The Metropolitan Museum of Art. “You ever seen a dog like that?” I smile and shake my head. Tony sips his black coffee, his eyes lingering on the open doorway. “What a dog. What a beautiful dog. Most…

  • Good patient, good doctor

    Lealani Mae Acosta Nashville, Tennessee, United States   Illustration by Lealani Mae Y. Acosta What makes a “good” patient? What makes a “good” doctor? I am a cognitive behavioral neurologist who specializes in dementia. I relish the longitudinal relationship I have with patients and appreciate hearing them say with pride, “Dr. Acosta is MY doctor.” Being someone’s…

  • Hölderlin’s madness

    Nicolas Robles Badajoz, Spain   The only representation on which Hölderlin looks people directly in the face – a pastel picture by Franz Karl Hiemerthat that the poet gave to his sister Rieke in 1792. According to his mother and sister, it does not resemble him. German Literature Archive, Marbach, Germany. Accessed via Wikimedia. Original:…