When creating affirmative activities, obsolete identities can often be seen as an obstacle. The person may dislike doing activities which are seen as being beneath them. They may refuse treatment as they do not see themselves as having a problem. Using the person's obsolete identity to create affirmative activities may be the solution. Nancy Reagan would help her husband Ronald Reagan get ready for a "working day at the office". He would eat breakfast, get dressed nicely in his suit and go to the office. The secretaries had blank paperwork for him to sign and he was happily occupied. There are also many stories of people still turning up to work despite a cognitive decline. Understanding support and adjusting the task demand to what they can still do is important for the person to maintain their dignity and sense of being.