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Abstract: 

This is a first-person account about the author’s contacts with a disheveled looking older couple over the course of several years, “a case study in coping mechanisms” and an example of dual self-neglect. From them, the author learned several lessons, among them to balance the duty to protect with self-determination. She goes on to elaborate on this and the other lessons learned through this couple.

Keywords: multi-dimensional assessment tools; defining successful outcomes

Affiliations:  1: independent consultant.