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If Pat Robertson was my child (an idea both impossible and weird), I would wash out his mouth with soap.

Both the evangelical and medical communities have responded swiftly to Pat Robertson's latest thoughtless comment. This time it wasn't about blaming earthquakes or floods on homosexuality or societal decadence. This time he encouraged a man who was thinking of divorcing his Alzheimer's wife to go ahead and "move on with his life," since Alzheimer's is a "kind of death." Robertson may have been playing the sympathetic pastor here, offering a bit of empathy through a grid of realism. If the guy isn't going to be "true to his vows" (which he admitted), he should just move on and make sure she has medical care.

Commentators have reacted swiftly to Robertson's advice. Some have pointed out that Robertson's response highlights the lack of an evangelical theology of divorce while others pointed to the insufficiency of this position in light of the Gospel we profess to believe. Both are right. But much more needs to be said.

Today (September 21) is Global Alzheimer's Day—an initiative spearheaded by Alzheimer's Diease International and related groups for the purpose of bringing attention to a growing global problem. As life expectancies increase, the problem of Alzheimer's grows with it. Currently, ADI reports an estimated 30 million persons suffer from dementia; by 2050, over 100 million people will suffer from this degeneration of the brain which impacts memory, language use, problem solving and other capacities we so often take for granted. Alzhiemer's Disease, the leading cause of dementia, kills brain cells; but it's not, in Robertson's terminology, a "kind of death."

Robertson's comment illustrates a deficiency in our theology of the human person. What does it mean to be human? What does it mean to be created in the image of God? In the early and medieval Christian tradition, the image of God was primarily defined in substantive terms, primarily with reference to the capacities of humans for high intellect and rational thought. While most contemporary theologians have discarded this view, in the popular imagination it has unfortunately remained with us. A human is a person and reflects the image of God insofar as they can "reason" and insofar as they have access to and mastery of the common world of understanding. In this scheme, the more intelligent a person is, the more he or she reflects the image of God. The loss of these capacities reflects the loss of the imago Dei.

A kind of death. If a person has lost precious memories of the distant and recent past, is he or she no longer alive? No longer a person worthy of our respect, our commitment and our sacrifice? If a person now struggles for words, because linguistic capabilities have been disabled, are they no longer capable of relationship?

Psychologists and caregivers are helping us to think of a different and better way to understand what is happening with someone who has Alzheimer's and other degenerative brain diseases that lead to dementia. In Deeper into the Soul (Elders Academy Press, 2008), Nader Robert Shabahangi and Bogna Szymkiewicz suggest that we conceptualize Alzheimer's not so much as a degeneration, but as a "journey toward forgetfulness." Those suffering from Alzheimer's progressively find themselves inhabiting a "dreamlike" state, different from the common world of rationality that most of us regularly inhabit. In this dreamlike state, a person does not have easy access to memories of past and present, struggles with depth perception and lacks a general sense of belonging in the regular, common world of traffic negotiation, public achievement, and time constraints. But these people are not devoid of emotion, feeling, relational capacities and even powerful religious experiences. In fact, they can often experience these things to a greater and deeper degree than the rest of us.