WHAT is truth? A question raised not just by Pilate, but hotly
debated by theologians and secular philosophers, was given a novel
twist in Channel 4's Dementiaville (Thursday of last
week). This study of the work of Poppy Lodge care home demonstrated
how whole-heartedly the staff seek to build an ethos diametrically
opposed to what the majority of those of us with loved ones
suffering this terrible disease attempt.
Instead of trying to find ways of making the residents aware of
what is going on in the "real world", they accept and reinforce the
jumble of concepts that are real and present to them, here and now.
By buying into the patient's world-picture, they are comforting and
supportive rather than constantly correcting what the patients
think is going on.
The obvious response to dementia patients is to try to find the
magic key that will unlock the door to lead them back to the
present. Surely I can make her acknowledge that her mother is long
dead now, that she has six grandchildren (look - here is a photo of
you at the baptism).
It is a process that carries a high failure risk, and a build-up
of mutual frustration and impotence. Poppy Lodge cares for
residents with a wide range of dementia, from those whose truth
lies in splinters of past experience to those reasonably engaged in
the present. The quality and commitment of the staff are exemplary,
and we saw several months of the elaborate ways in which they seek
to build up their residents' self-esteem. It was a moving
journey.
The Syndicate (BBC1, Tuesdays) has just broadcast the
opening episode of its new series. This time, the group of people
who have won the lottery are the staff of a grand country house
just outside Scarborough, the new gag being that the ancestral
estate is millions of pounds in debt, and those below stairs are
suddenly far richer than the nobs above. There is a fair amount of
cliché and stereotype: the real toff is democratic, his parvenu
wife is glacial, and his stepson is unspeakable.
But the dialogue has more grit than most family dramas. At the
moment of triumph, the daughter who helps out, having built up a
persona of shallow opportunist, willing to snog anyone who might
get her modelling work in London, goes missing in suspicious
circumstances, and everyone's justifiable exasperation with her is
turned into genuine concern.
Previous series have explored at real depth the conundrum
whether the acquisition of sudden wealth is a good thing, and what
it does to strengthen or destroy relationships and values. I have
high hopes that this will follow a similar path.
Among a splendid cast, best of all is the character played by
Lenny Henry, the gardener with mental-health issues. He is the one
who keeps the syndicate together, who spends his time on the most
abstruse calculations to arrive at what he stakes his life on will
be winning numbers. The joke is that, through a series of errors,
they failed to use his numbers, and won on a purely random
sequence.
He is distraught: he can't accept it: his gentle generosity is
turned into anger and isolation. This could develop into a
performance of genuine stature.