I have a mother with alzheimer dementia in a very advanced stage and she is unconscious about anything is happening around her. I think she is alive phisically but not a conscious being, she acts by instincts, grabbing a piece of bread or crying when she needs something, like a baby or an animal. Cant talk, dont know who she is or anything... I cant stop asking myself wether she is "alive", alive here meaning as a conscious human being. If I was religious I would ask where did her soul go?? Is it still there? Is it only her body what is left? Is all mad people also "alive"under this terms? What about very young children (who hasnt developed self awareness yet)? What about people who lives in auto pilot all their life and never question ther existence? Actually when do we start being "alive" under this concept? "I think therefore I am" Sorry for the long lines, I hope I explained myself. Thank you in advance. Juan C.

It is very sad to hear your story. I can give a guess about the awfulness of what you are going through, but I am more certain that I cannot appreciate the full daily horror for you.

Your question is a most reasonable one. Is your mother "alive"? It is interesting that you feel obliged to put this word in scare quotes. It is something that "you can't stop asking yourself". So there is something very important here, an important issue. But you have also answered your own question, or part of it. Let us distinguish between the mental and the physical. Is your mother alive physically? Her body is not dead, if we can put it that way. Is she alive "as a conscious being"? Here you give your own answer: ' . . . she is unconscious about anything [that] is happening around her.' I think perhaps you should say that she is conscious only of the most immediate and restricted domain. That perhaps is part of the reason the question is difficult. She is conscious, but not in a full sense. The whole difficulty about this kind of condition is that it seems to be a kind of living death, and we have not fully developed ethical concepts to match its metaphysical complexity.

I hope this answer does help with your question. You should ask more questions if they present themselves.

All the best to you.

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