The Ethics of Sex and Alzheimer's

Husbands and wives owe each other sexual intercourse: Jewish and Christian theologians have cultivated this expectation. What happens to a traditional marriage when Alzheimer’s disease frustrates this expectation? This book argues for sexual generosity, an attitude rooted in a wish for the beloved’s happiness and romantic fulfillment beyond the marriage. A broader view of fidelity can strengthen marriage in the age of Alzheimer''s.

A growing epidemic, Alzheimer’s punishes not only its victims but also those married to them. This book analyzes how Alzheimer’s is quietly transforming the way we think about love today. Without meaning to become rebels, many people who find themselves "married to Alzheimer’s" deflate the predominant notion of a conventional marriage. By falling in love again before their ill spouse dies, those married to Alzheimer’s come into conflict with central values of Western civilization – personal, sexual, familial, religious, and political. Those who wait sadly for a spouse’s death must sometimes wonder if the show of fidelity is necessary and whom it helps.

Most books on Alzheimer’s focus on those who have it, as opposed to those who care for someone with it. This book offers a powerful and searching meditation on the extent to which someone married to Alzheimer’s should be expected to suffer loneliness. The diagnosis of dementia should not amount to a prohibition of sexual activity for both spouses. Portmann encourages readers to risk honesty in assessing the moral dilemma, using high-profile cases such as Nancy Reagan and Justice Sandra Day O''Connor to illustrate the enormity of the problem. Ideal for classes considering the ethics of aging and sexuality.