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Vascular dementia, caused by interruptions in the brain’s blood supply, often leaves individuals grappling with profound physical and cognitive challenges. Weakness on one side of the body, difficulties with speech, and struggles with memory or planning weave a fabric of disorientation and loss. Executive function slows, and with it, the ability to perform even the simplest daily rituals—like laying a family table.
In one poignant instance, a woman faced the unbearable distress of being unable to arrange the dinner table for her family. Her anguish reverberated through her loved ones, filling the room with a silent grief that everyone felt but no one could articulate. This small, seemingly mundane task had become a site of despair and disconnection.
The Creative Process: Forgetting as Liberation
In that moment, I saw an opening—not for perfection or restoration but for reconfiguration. Forgetting, I realized, can be a portal to something profoundly human: the ability to let go of fixed ideas and social conditioning.
Here, the insights of Proust seemed to echo: habit and convention immobilize us, chaining us to rituals that once served but now constrain. Dementia, with its vivid fragments of memory and disjointed narratives, disrupts this, forcing us to reimagine the present as something fluid, contradictory, and alive.
To forget, Proust argued, is to search for a deeper sense of existence—one that revitalizes and reorients us. Can we, like him, find beauty in fragments, in scenes and sensations that arrive without warning and refuse coherence?
A Poetics of the Table:
The Japanese aesthetic encourages an appreciation of impermanence, imperfection, and entropy. It invites us to see the degradation of form not as loss, but as an intimate bond between the object and its beholder. In this framework, the table is no longer a stage for convention but a site of improvisation—
a canvas for spontaneous formations.
Improvisation, after all, is the art of reacting to the moment, inventing new patterns, and reshaping the status quo. To lay a table “incorrectly” is not a failure but an act of redefinition: a playful rebellion against the tyranny of social conditioning.
The Outcome: Transformance
The table became Hella’s reclamation, her poetic resistance. By laying it her own way—forks scattered, knives misplaced, plates unaligned—she undid the suffocating ritual of “proper” table-setting. What emerged was not disorder but a new order: one that celebrated compassion, patience, and spontaneity.
Her family, at my suggestion, embraced the scene. They picked up their knives and forks from wherever they lay, transforming the moment into a playful ritual. This daily act, once a source of anguish, became an opportunity for connection, creativity, and renewal. The ordinary was elevated; the habitual reconsidered.
A Salvage Operation: Finding Beauty in the Everyday
Like salvaging a shipwreck, this process was about rescuing meaning from distress. Hella’s table-laying became a metaphor for her life: a spontaneous moment of inventiveness arising from loss. By allowing her to redefine the ritual on her own terms, we created space for dignity, joy, and the poetry of imperfection.
In this act, we were reminded of the power of art—not as something confined to galleries but as a practice embedded in daily life. Art, here, was a gesture: an invitation to sit, to eat, to gather, and to make peace with the imperfect beauty of the present moment.

This was recorded to send to her family in Germany.
Full permissions given to show.