After having published Swedish Death Cleaning for Artists & Writers, Swedish Death Cleaning Part 2 (including keeping your homeschool library crisp and updated), and Swedish Death Cleaning Part 3, here follows decluttering in relation to dementia. It is based on empirical experiences by the writer, Paula Kuitenbrouwer, as well as on input by her friends (all in the same age group, dealing with 80-90+ parents).
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I like to state beforehand that as a lay person, having no medical degree and no education in geriatric care, I am aware of making simplifying and generalizing remarks. I hold a degree in Philosophy and I work as an artist. My article presents ideas (only), unpretentiously, and it welcomes criticism.
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What is Swedish Death Cleaning? Or Döstädning?
“Swedish Death Cleaning is not about cleaning but more about decluttering (which makes cleaning easier). It is a method to reach a permanent form of home keeping and home organization easier. Death Cleaning makes dealing with your possessions smoother both for yourself as for your heirs. You practise Swedish Death Cleaning till you feel comfortable with your home, your storage, home keeping, and what you will leave behind.”
Why start döstädning at 60 years of age? At 60 you are past your midlife but perhaps around the time of your ne plus ultra. At sixty you know what is on your bucket and more clutter and cleaning is certainly not on that list.
From 4 objects to 3: that is 25% decluttering.
Memory Loss & Dwelling in the Past
A compelling reason to do several rounds of Swedish Death Cleaning not only has to do with age but also with dementia. Many people with later-stage dementia often think they are at an earlier period of their life (known as ‘time shifting’). I lack the medical knowledge whether this dwelling in the past can be prevented but many say there are factors like good sleep, good hearing, physical activities, reading, and good food that can postpone the onset of dementia. Maybe adopting Swedish Death Cleaning should be on that list as well. I like to share some empirical observations that support this thesis.
Dementia comes with forgetfulness and the first memory that goes is one’s ‘working-memory’. This is the retention of a small amount of information in a readily accessible form. It facilitates planning, comprehension, reasoning, and problem-solving.
‘What did I say at the start of the meeting?’
‘Can somebody help me to recall how this conversation started?’
After that, dementia affects short-term memory and later progressively long-term memory loss.
‘I haven’t seen you for ages’, whilst you paid a visit two weeks ago.
Dementia related memory loss is like a constant ripping out of pages of a family album starting with the most recent pages and working its way to the beginning of the book.
‘I can’t remember her (sister-in-law) but I do remember my brother’. Because the brother was there at one’s youth and his marriage came much later.
The past is helpful, or maybe not?
One might think that it is helpful to surround a demented patient with family photos, sentimental stuff, and a room that looks like a mood board of his/her past. Like a mnemonic. Like a 360-degree museum exhibition of one’s past. But what if the contrary is more helpful? What if you limit the exhibition of the past and surround a demented patient with a more modern surrounding that stimulates the lasts bits of an inquisitive mind? (Disclaimer, of course, not all patients suffering from dementia have a curious mind to start with).
Let me return to the picture of a demented person surrounded by the past: family photos, old clothing, old fashioned furniture, old digital devices (because they can’t handle newer versions despite that the most recent devices are more intuitively driven), old books, old everything. Like stepping into their house is like stepping into a time capsule.
Add the here & now
Swedish Death Cleaning and Japanese Minimalism puts a strong emphasis on living in the present, in the ‘here & now’. Old and sentimental items gravitate a person to the past. That can be wonderful, especially when you have beautiful antique. Equally an object reminding of the past might prompt feelings of grief: that the past is over, that one’s life is lived, and there is not much time ahead anymore. This all might cause intense longing to the past, which is not good. If one lesson Buddhism and Stoicism has taught us, it is that we suffer when we wrongfully long for something that we cannot have. When we think of ‘what should be the case’ instead of accepting ‘what is the case’, we create an impossible situation, and as a result we experience Duḥkha (Sanskrit: दुःख; Pali: dukkha), which means suffering. We are not ‘here & now’ because we want to return to the past, relive the emotions that belong to the past resulting into missing out on being in the present. That living in the past, that dwelling in the past can cause a loss of joy. And if there is one thing accelerating dementia, it is depression. ⠀⠀⠀⠀⠀
From that follows that Swedish Death Cleaning might help people as from the age of 60 to have a good look at (sentimental) belongings. Generally speaking one is fit enough at 60 to seriously declutter. One is knowledgeable to know what is needed and what is in the house purely for sentimental reasons. One has enough time to do several rounds of decluttering at 60. Start at 70 and it will be harder. Start at 80, and you might need help especially with lifting heavy stuff.
Why should be do away sentimental objects? Of course not all, but maybe a whole lot. Like 50%? Or perhaps even 70%? Because perhaps it is just better to let the past go and not create a time capsule of the past. Perhaps because all the time dwelling in the past, clinging on to old fashioned possessions, reliving the memories provoked by old stuff, prevents one from relating in a healthy way to the present. All that old stuff certainly does not stimulate a person to explore (create new neural networks) the present.
For a long time we were taught that we are most fertile and have the best brain neuroplasticity around the age of 25. It was a sobering even depressive thought to know that as from 25 years of age onward we are going downhill. Nothing to do about that as it is just aging: non-pathological changes in the structure of the adult brain, as Santiago Ramón y Cajal (1852-1934) coined it. However that depressing knowledge soon received hopeful updates: we shouldn’t live sedentary lives, we should do aerobic exercise, keep on reading, and staying engaged with society, all to delay shrinkage in the prefrontal cortex. The key to not shrink cognitively is to continuously creating new pathways and connections to break apart stuck neural patterns in the brain.
From that follows that the refreshing and renewing effects of döstädning might contribute to keeping the brain as fit as possible. To break down stuck clutter; stuck interior design. To update, refresh, modernize. That said, demented patients have massive brain damage and once dementia sets in, döstädning simply comes too late. Hence, the advice to start well before serious aging sets in. I have therefore come to believe that Swedish Death Cleaning is a very healthy way of staying in tune with changing times and that offers a way to stimulate the brain to live in the present.
Hardship for heirs
As if having a demented parent isn’t hard enough and, in some cases, it demands from an adult child to live in his/her parent’s bubble of craziness. When language, memory, and empathic thinking fall away -as is the case with advanced dementia-, old people often take medications that causes personal alienation. Add to this mix of brain damage and medications, old age related character changes which result in a child hardly recognizing his or her parent (and vice versa the demented patient forgetting his/her children). There is so much hurt because living with a demented parent demands from the healthy generation to go along with the madness dementia causes.
‘When I ask what time it is, she looks at her watch and says ’25 Euros’. All I can say then is ‘Of course’. The result is that step by step, I function in a distorted reality otherwise there is no communication possible with her‘.
‘My demented parent wants to physically fight, maybe to test his strength or for dominance. He is a very combative person although he hides it under layers of charm. But the hiding mechanisms are gone, now he starts to smack me to provoke me’.
Cleaning out one’s estate
The loathsome task of cleaning out a parent’s estate is hardship. Having had to deal with the dementia related madness and not seldom hurtful remarks by a demented parent, now one must inherit all that stuff that reminds you of the hardship years (dementia can last 10 years). Therefore….
Do not start too late!
“My parent was a materialist. Swedish Death Cleaning would not have made sense to her. If she could, she would have taken all her money and belongings into her grave. And because she didn’t let things go at the right time, time took revenge; her stuff lost its monetary and sentimental value for future generations. It is sad.
Despite that some old people won’t or can’t do Swedish Death Cleaning, I keep on pointing out its benefits. Seeing the time capsule of my demented parent made me desire Swedish Death Cleaning for myself! I have been surprised how much I felt a need to busy myself with Swedish Death Cleaning and I have thought that perhaps next to my need for a neat home, my desire to declutter has to do with having a demented parent living in his house of the past. Sitting alone there day after day, dwelling in the past, isn’t a healthy situation. I like to prevent that for myself and for my family. I have been döstädning like crazy. My family members are unhappy with the word Döstädning, but very happy with the result! Our living room, hall, and kitchen are now so spacious, neat, and lean. I feel intuitively that that is better for the (my) brain. It results in more space and more happiness.
Help is around the corner…
A Dutch National Denk Tank (NDT) offers ‘Ontspul-dagen’ (declutter-days, click here) to old people. It is part of a program to offer older people a meaningful way of growing older. Decluttering, the NDT says, provides room in one’s house and in one’s head. Research shows that few people prepare for what happens to their stuff when they must move (due to old age) or check in an old people’s home. Or for what happens to their belongings after their demise. The NDT states that the age group of 60 -75 moves house the least of all other age groups. And moving house is the moment to declutter. Hence old people have too few decluttering opportunities. Old people can request help with decluttering which -hopefully- leads to more physical space (safer) and less anxiety to move house.
A home reflects its owner’s health, somebodies emotional and brain health. Declutter your emotions and your brain from the past in order to live happily and healthily in the present.
My wish….
What I fancy about growing older is steadily creating a home that is free of clutter and free of sentimental stuff that ties me to the past. I like to surround myself with a few things that offer joy and happy memories, and the rest should go. The older I become, the younger and more minimalist my place should look like. Why? Because its presence, its design, must radiate my brain health and vitality should be firmly rooted in the present.
I wish you many happy hours of Döstädning. Contrary to its morbid name, it brings happiness. It is not easy, especially letting go of gifts, sentimental objects, or heirlooms. But it frees space with invites new inspiration and a lightness of being.
Disclaimer 1. I am not indicating that old age dementia is curable through Swedish Death Cleaning but I feel much sympathy for the statement by the Dutch NDT that decluttering creates both physical and mental space.
Disclaimer 2. I am also not stating that living in the present prevents old age dementia but I would like to see research done on that subject. Science has just established a link between air pollution and dementia, it is not unthinkable that a minimalist and clean home might have beneficial effects as well.
Dutch Ontspul-help (Declutter assistance): https://ontspulknul.nl/
Another article by me is on How to Declutter your Artist Studio:
Paula Kuitenbrouwer, Drs. M.A.
Art at www.paulakuitenbrouwer.com
Paula’s self portrait is here.
- The Artist’s Life
- Swedish Death Cleaning or Döstädning & Dementia
- Swedish Death Cleaning Part 3.
- Swedish Death Cleaning Part 2.
- Self Portrait