dementia

Early in “Queen at Sea,” there’s a sex scene. It’s brief and shows little, but the fleeting moment will inform everything that happens in writer-director Lance Hammer’s crushing second feature. This movie about consent and dementia — and ultimately, far much more — hinges on a questionable act that provokes a hasty emotional reaction. In the process, a family tries to come to the aid of its ailing matriarch, presented with only a series of unappealing options, each more unbearable than the next.

Juliette Binoche is beautifully fragile as Amanda, the dutiful daughter of Leslie (Anna Calder-Marshall), who herself has been married to second husband Martin (Tom Courtenay) for 18 years. Amanda and her teenage daughter Sarah (Florence Hunt) visit the older couple’s London home one morning, shocked to open their bedroom door to find Martin on top of Leslie, thrusting away. But embarrassment quickly gives way to anger for Amanda: Leslie has advanced dementia and her doctor has told Martin that he can no longer have sex with Leslie because she doesn’t possess the mental acuteness to give consent. Furious at her stepfather, Amanda phones the police, hoping the authorities can put a scare into him.

But Amanda’s call has unintended consequences. When the police arrive, they arrest Martin, advising Amanda that she take her mother for a “forensic medical examination” — or, as Amanda puts it bluntly, a rape exam — to ensure she has not been injured. Amanda’s rage quickly morphs into panic because she knows how dependent the childlike Leslie is on her husband, who functions as her primary caregiver. She just wanted to teach Martin a lesson, but soon, social services intervene to determine whether the elderly couple has to be separated for Leslie’s safety.

Even before the police becomes involved, Hammer hints at his film’s tense tenor. You can feel it in how he shoots the house’s severely winding stairs — dangerous for Leslie and Martin to navigate — from occasionally vertiginous angles. The camera rarely moves as we spy charged conversations from a distance, sometimes from another room or from a floor above the characters. We’re intruders, stealing glimpses of a private domestic drama not meant for our prying eyes.

Unlike previous terrific pictures about dementia (such as “The Father”), “Queen at Sea” is less about the crippling condition than it is the fulcrum for a troubling exploration of several topics: mortality, love, parenting and the grim futility of everything. Similarly, although Hammer takes seriously the question of consent, he widens his narrative’s lens to provide a thoughtful, complex view of the issue. Martin adores his wife, insisting that their doctor is wrong and that Leslie, in fact, does understand her sexual urges. To back up his argument, he informs Amanda that, frequently, it is her mother who initiates sex. But is that because dementia has robbed Leslie of the ability to modulate her urges? “Queen at Sea” offers no answers, leaving the viewer as uncertain as Amanda, who wants to protect her mother but cannot deny how drawn Leslie is to her kindly husband.

At the film’s heart is a terribly relatable family conflict in which each character assumes that they know best. Binoche plays Amanda with a surfeit of tenderness for her mother, who goes from being lucid to infantile without warning. (Calder-Marshall poignantly channels the silent helplessness that consumes those with dementia, making her an unstable chemical compound always on the verge of explosion.)

Just as fiercely loyal as Amanda, Martin vainly advocates for his beloved, knowing that Amanda has power of attorney and, therefore, the upper hand. Courtenay gives a marvelous performance suffused with simmering rage: To Martin’s way of thinking, it was Amanda’s foolish overreaction to seeing them have sex that led to all these problems. That feeling of betrayal resides on his face for the rest of “Queen at Sea,” even as he and his stepdaughter negotiate a wobbly truce concerning Leslie’s future, which includes an unexpectedly fraught trip to a care home.

Hammer has not made a film since 2008’s “Ballast,” another spare drama about brittle lives. Eighteen years later, his formal command remains formidable. Eventually, Hammer starts cutting away from the central narrative to focus on Sarah as she hangs out with friends and spends time with a cute boy, James (Cody Molko). At first, these carefree interludes seem to be a welcome respite from “Queen at Sea’s” choking anxiety. But as Leslie’s situation grows increasingly complicated, Sarah’s emerging love story proves to be a bittersweet, ironic counterpoint. Maybe Sarah will find love and great sex — like her parents and grandparents before her — but the shadow of despair that has descended on her family will someday come for her. She’s still too young to know how impossible aging can be.

British actor Patrick Stewart died Wednesday at 86. His spokesperson said Thursday that he died from Alzheimer’s disease and Lewy body dementia.

The two conditions often occur together, said UCLA neurology professor Dr. Keith Vossel, and when that happens, the individual’s decline may be faster.

Lewy body dementia is the second-most-common form of degenerative dementia, behind Alzheimer’s disease, Vossel said. It occurs when a protein called alpha-synuclein aggregates in clumps inside the brain. The condition is under-recognized and under-diagnosed in part because its symptoms can overlap with those of Alzheimer’s.

Other celebrities who suffered from the condition include Robin Williams, who took his own life at 63, and Casey Kasem.

The condition is named after Friedrich H. Lewy, the neurologist who discovered the brain abnormalities in the early 1900s, according to the Alzheimer’s Assn. website.

“Essentially the only way to really diagnose these conditions together is after an autopsy and to see the hallmark features of the diseases under the microscope,” Vossel said.

Lewy body dementia symptoms tend to start with rapid eye movement sleep behavior disorder, such as screaming or kicking during sleep. A sufferer may have rigidity or tremors in one of their arms or legs. And they may experience slowness of movement.

A patient may be diagnosed with Lewy body dementia after also experiencing cognitive symptoms within one year of motor symptoms. Cognitive symptoms could include illusions or hallucinations — some patients report sensing a shadowy figure nearby — and difficulties with problem solving and navigation. The condition is also marked by dramatic fluctuations in alertness that occur within hours of the same day.

Another early feature of Lewy body dementia is anxiety, Vossel said.

By contrast, Alzheimer’s disease typically is associated with memory and language loss, and is more associated with apathy and depression than with anxiety. The course of Alzheimer’s disease is slightly slower than that of Lewy body dementia, according to Vossel.

Lewy body dementia is more common in men than in women. Anyone over the age of 60 is at higher risk of having a degenerative condition. Lewy body dementia is most common in people in their 70s to 80s, he said.

There is currently no cure for Lewy body dementia, which is terminal and progressive. After a diagnosis, people can typically expect to live six to eight years before they need 24-hour care, Vossel said.

But medication can help manage symptoms. Clinical studies have found that cardiovascular fitness can slow the rate of decline, Vossel said.

Those who suspect they have Lewy body dementia symptoms should contact a neurologist or a clinician trained in either geriatric medicine or geriatric psychiatry for an evaluation, Vossel said.

SIR Patrick Stewart secretly battled Alzheimer’s and dementia before his death aged 86.

The acting legend, best known for starring in X-Men and Star Trek, sadly passed away at his home in Los Angeles, it was revealed.

The exact timeline of his diagnosis was kept private and his secret health battle has left fans around the world devastated.

His family and spokesperson described his experience with Alzheimer’s Disease and Lewy Body Dementia as a “brief and poignant journey” and a “brief battle” before his passing.

Sir Patrick died at his home in Los Angeles on Wednesday.

He was said to be “in the loving care of his beloved wife Sunny”.

A post on the actor’s Instagram account added: “He has been held in the warm embrace of family and friends, surrounded by live music, prayer, tears, laughter, and the kind of profound emotion that only he could inspire after a lifetime of devotion to us all.

“We will forever cherish the peaceful ease and reflection on his face, an enduring reminder of his invincible grace.

“A son of Mirfield in the West Riding of Yorkshire, he travelled from the Royal Shakespeare Company to an equally acclaimed career spanning six decades on Broadway, the silver screen and television.”

Earlier in his career, Stewart portrayed a retired intelligence agent suffering from early-stage Alzheimer’s in the 1998 independent thriller Safe House.

In his last post on Instagram around six months ago, he appeared to have a raspy voice.

Sir Patrick’s illustrious career on stage and screen spanned over 60 years.

He received numerous accolades including two Olivier Awards and a Grammy Award and was knighted by Queen Elizabeth II for services to drama in 2010.

Paying tribute, Marvel Studios posted on X: “Sir Patrick brought Professor Charles Xavier to life with extraordinary grace, intelligence, and humanity, defining the character for generations of fans, from X- Men to Logan to Avengers: Doomsday.

“He was a singular talent, a generous collaborator, and a true gentleman.

“Our hearts go out to his wife Sunny, his children, his friends, and the countless fans around the world whose lives he touched with his art.”

Born in Mirfield, West Riding of Yorkshire, in 1940, his early years were defined by working-class hardship.

A young Patrick secured a grant to attend the Bristol Old Vic Theatre School before joining the prestigious Royal Shakespeare Company in 1966.

For decades, he was a respected but largely unheralded stage actor, mastering the works of the Bard and establishing himself as a formidable theatrical talent in the UK.

Sir Patrick’s career trajectory shifted dramatically in 1987 when he was cast as Captain Jean-Luc Picard in “Star Trek: The Next Generation”.

Initially sceptical about the show’s prospects, Stewart famously admitted he refused to unpack his bags for weeks, fully expecting the American sci-fi venture to fail and send him straight back to the London stage.

Instead, Picard became his defining television role.

He commanded the Starship Enterprise for seven highly successful seasons and four feature films.

Stewart conquered a second massive franchise as the telepathic mutant Professor Charles Xavier in the highly lucrative “X-Men” films.

Despite his immense Hollywood success, Stewart never abandoned his classical roots, frequently returning to the West End and Broadway to star in celebrated productions like “Macbeth” and “Waiting for Godot”.

His monumental contribution to drama was officially recognised in 2010 when he was knighted by Queen Elizabeth II at Buckingham Palace.

He was last pictured watching his beloved football club as the team pay tribute to “hero” supporter.