Summary:

Mattie, recently divorced from Nick, the father of her two children, is coping with the aftermath of divorce, functioning as a single parent, feeling ambivalence toward Nick who still shows up and sometimes stays the night, and becoming aware of her own attraction to other men. Her mother, an aging social activist, lives nearby with her lover and companion who copes with the mother’s insistent personality and mood swings better than Mattie. Her brother, Al, also lives nearby and fills in some of the father functions for Mattie’s children.

In the background is the story of Mattie’s father, now dead, much loved by both Mattie and Al, who, as it turns out, fathered a child now living in the community by a young girl about Mattie’s age. The mother of the child lives in the squalor of near homelessness at the edge of town. This disclosure, Mattie’s blossoming friendship and eventual romance with the man who comes to repair her house, and Mattie’s mother’s descent into dementia are the three main threads of plot in this story of pain, forgiveness, and healing in family life.

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The author of this chapbook of poems is the chaplain of a large geriatric outpatient unit in Iowa City. Her In Strange Places is a series of 23 "poem portraits," each one of them a short narrative that speaks for one of the patients who is "not to be defined by illness and years and deserve(s) to be free of the condescending devaluing attitudes" that the elderly often encounter." (p. 3)

The poems are particularly eloquent in speaking of the progressive losses of aging. For example, there is "At Ninety: Embers of a World," which depicts two elderly persons as they "decompensate in sorrow." (pp. 8-9); and "Of Late I Have Taken to Falling," in which a patient describes her recent falls, but concludes, "I shall not / fall again." (p. 16-17).

Other portraits deal lovingly with an "impressively calm" dying matriarch ("CHF and the Matriarch, p. 6) and "The Good Storyteller" (pp. 18-19), who "wants her life / to begin again / to call her out / to play her part / once more with / cleaner closets / open doors." In "Funeral Plan" (p. 22), we meet an elderly woman carefully considering the magnificent array of flowers she plans to have at her funeral, "no hot house roses please," but great expanses of seasonal flowers: "ditch lilies / apple blossoms / naked ladies . . . " and so forth.

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The 58 year old plastic surgeon who narrates this story has plenty of problems. He drinks too much and his surgical skills are deteriorating. His wife Maya, a neurosurgeon young enough to be his daughter, has a miscarriage not long after her father dies from a brain tumor. The narrator is plagued by an obsession with butterflies.

He seems to have inherited his unnatural interest in these insects from both his father and grandfather. Strangely, the pursuit of butterflies has brought only tragedy to these men. Maya believes her husband's butterfly collection is a curse so she destroys it. Her action seems insufficient to liberate the narrator from the burden of his ancestors. He is convinced that his destiny was dictated by his family years ago.

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Born in Newnan, Georgia, and raised in Jackson, Florida, Cary Henderson was the first member of his family to go to college. He eventually earned a Ph.D. from Duke University and with his family, settled into an academic career as a history professor at James Madison University. In 1985, at the age of fifty-five, he was diagnosed with Alzheimer's disease.

As his ability to read and write deteriorated, Henderson began using a pocket recorder to tape what he called "the anecdotal career of an Alzheimer's patient" in order to help others "understand the world that they are now forced to live in" (4). His recorded journal spans the fall of 1991 to the summer of 1992. His wife and daughter began the long process of editing his tapes and were ultimately joined in the project by Nancy Andrews, award-winning photographer from The Washington Post, who provided images of Henderson to accompany his words.

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This is a handsome and unusual volume of self-published poetry by a chaplain who is part of a multidisciplinary team in a geriatric outpatient clinic in Iowa City, Iowa. The poems articulate the struggles of older individuals, their families, and their caregivers to make sense of changes in later life. The 30 "poem portraits" are told from varying points of view. Three of the more compelling works are "Constance," "Remembering the Trees," and "House Dreaming."

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When Gerald is three, his mother, a drug addict, leaves him alone one time too often and he accidentally sets the apartment on fire. His mother is imprisoned for negligence, he goes to the hospital, and thereafter lives with "Aunt Queen," a great-aunt who exercises considerable authority from her wheelchair, and gives him all the love his mother hasn't.

When he is 9, however, his mother returns with a new sister and a man who claims to be the sister's father. They want to take him "home"; Gerald wants to stay with Aunt Queen. The matter is settled unhappily when Aunt Queen dies of a heart attack.

Gerald soon learns to despise his stepfather for his violence and, eventually, for the abuse of his half sister, which she hides out of fear until she's driven to confess it to Gerald in hope of his protection. Their mother remains in denial about that problem as well as her own and her husband's addictions to alcohol and drugs.

Caring for his sister, however, keeps love in Gerald's life. In defending her one last time, the apartment catches fire and his stepfather is killed. As he, his sister, and his mother ride away in the ambulance, a flicker of hope survives in the darkness for another new chapter in family life, this time without violence.

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One 1970s summer, Madeleine L'Engle brings her mother to Crosswicks, the rambling country house where the extended family has spent extended vacations for many years. At ninety, the elder Madeleine is suffering from the ravages of the now vanished diagnosis, 'hardening of the arteries.' By times she is frightened, angry, or difficult; at night she cries out or tries to wander. Round-the-clock caregivers help with the strain, while the writer's own children and grandchildren figure in her journal with concern, affection, and wonder.

The presence of the dwindling old lady provokes detailed recollections--direct and indirect memories--of the lives of her mother, grandmother, and great-grandmother, all named Madeleine--bringing the span of this narrative to six generations. Despite the grandmother's slow mental decline, death comes suddenly, while L'Engle is away and her son is left to help.

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This multimedia online documentary is an essay on the ecstasies and agonies of longevity, researched and composed by photojournalist, Ed Kashi and reporter, Julie Winokur. The site consists of written and audio commentaries and a number of short slide shows. The documentary is divided into six segments, each of which is a complete "essay" in itself: Introduction: Julie Winokur on aging; Part 1, Youth in age: The spirited side of longevity; Part 2, Sentenced to life: Growing old behind bars; Part 3, Helping hands: New solutions for elder care; Part 4, Vanishing heritage: Tribal elders face modern times; and Part 5, Surviving death: Losing a mate with dignity.

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This memoir is DeBaggio's first-person account of his early experience of Alzheimer's disease and its effect on his life and the life of his family. The book is a collection, in loosely narrative form, of the author's diagnosis of early-onset Alzheimer's; brief excerpts from his journal; excerpts from the medical literature on the disease; and memories from his past that he wants to commit to paper before he can no longer recall them. He documents his struggle simply to write the book, as it becomes more and more difficult to sustain thoughts or find the words to express what he wants to say.

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Please note that in order to provide a useful analysis of this novel, it is necessary to reveal the novel's ending in the discussion below. It is England, 1935. Briony Tallis, 12 years old, decides to become a writer. Her first experiment in novelistic technique involves narrating from three different points of view an odd incident she witnesses from her bedroom window: her sister Cecilia undresses and steps into a fountain in the presence of Robbie Turner, the son of a family servant. Robbie has been educated at Cambridge under Mr. Tallis's patronage, and intends to become a physician. He and Cecilia are in love.

Briony's reconstruction of the incident is inaccurate, but she fails to recognize the lesson of her exercise in multiple perspectives: her version is sufficiently coherent for her to mistake it for reality. She jumps to further conclusions and causes Robbie's wrongful conviction and imprisonment for rape and Cecilia's permanent estrangement from her family.

The rest of the novel both elucidates and unravels the opening sequence. It is 1940 and Briony is becoming both a nurse and a novelist. Both roles represent her efforts to atone for her disastrous narrative misconstrual. As a nurse, she learns a new humility and cares for the appalling injuries of soldiers who, like Robbie, are suffering the war in France.

A more metaphysical atonement lies in her work as a novelist: we realize that we have been reading Briony's own rewriting of the initial events and her careful imaginative reconstruction of Robbie's experiences in the Dunkirk evacuation. She tells of her discovery of the actual rapist (if a rape it was), her decision to retract her accusations and her efforts to make amends with Robbie and Cecilia.

In a final section, set in 1999, the aging Briony, now a successful novelist, learns that she is developing progressive vascular dementia. Soon, her ability to remember and grasp reality will desert her. But she has finished writing her latest version of Robbie and Cecilia's story, the novel we have just read, and can rest.

Her atonement seems complete until we learn that Robbie died in France and Cecilia in the Blitz, and that the (relatively) happy ending we read was simply made up by Briony. Devastatingly, we learn that atonement for an error of fiction has been limited to fictional reparation. The lethal damage it has caused in the actual world is beyond mending . . . unless, of course, we accept the vertiginous truth that the damage described in this novel is itself also no more (or less) than a fiction.

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