In the winter 2006 issue of Buddhadharma Magazine, in a regular feature called "Ask The Teacher," the question was put,
Is there a Buddhist perspective regarding practitioners who become afflicted with Alzheimer's disease or dementia?
As those of us who are part of the first generations of dharma students in this country reach old age, I suspect this will become an important (and disturbing) question.
This also resonated with me because I know of one very fine, elderly, teacher whose mind is no longer at all clear. Several months ago, when I mentioned this situation to a friend of mine, she was startled. She asked how someone with such spiritual accomplishments could be so affected by the aging process. Her basic thought was that enlightenment and senility are mutually exclusive.
I've been thinking about this myself for quite awhile, and my friend's reaction underlined the question. It brings back a memory of another conversation with one of my own teachers a number of years ago. A fellow-student had remarked something about mental failure in the process of old age, something that implied that enlightened or highly accomplished meditators were immune to this. My teacher replied that this was not so at all, and she gave a concrete example. At the time, I was shocked - just as my friend was recently. And the idea of this limitation to the effects of meditative achievement discouraged me. It made it all seem a bit of a sham; enlightenment doesn't really make a difference.
To return to the magazine article, the first teacher to respond described the use of familiar methods and gave the example of a man who applied mindfulness to his anxiety as he became more and more disoriented, and was able to relax, at least in the early stages of his disease as the use of familiar ritual and practice provided him with calm. Several other such examples were given. In a way this responds to a slightly different question: how might meditation practice be used to cushion the mental effects of aging.
Then the second teacher spoke of a great master who, though very much affected by some sort of "senile dementia" nevertheless seemed to suffuse with "love... the entire world, above, below, and all around without limit." This is different - at least at some level, this master's attainments, which were the root of his compassion, were still intact.
The third teacher, Geshe Tenzin Wangyal, spoke in terms of how each of us could prepare for old age. He spoke of dream yoga, and how by practicing awareness in the day time, awareness and clarity within one's dreams can develop. As he put it,
By practicing with clear light as you enter sleep, experiences of clear light will awaken at a time when you normally lose awareness....If you [later] become diagnosed with Alzheimer's or dementia...then, in those moments when you loose the reference points of self, clarity will naturally dawn.
This is more encouraging - and it makes sense. This clarity isn't just a good focus on your ordinary train of thoughts - rather it is what is there as the ground or field in which those thoughts arise. It is emptiness, I think, something that is not easy for most of us to recognize. It's both unlimited and immediate - perhaps unaffected by the loss of control over the ordinary train of thoughts that arise from it.
So - my personal conclusion is that if you become accustomed to this clarity, it can not be lost, even when your ordinary thinking processes are unable to function.
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