But the former South African president, who wrote of his regret at being unable to devote himself to his family during the fight against apartheid and afterward, reaches out in another way.
"It's the hand that he stretches out. It is the touching of the hand that speaks volumes for me. And for me, if you ask me what I would treasure, it is this moment that I treasure with my father," said Makaziwe Mandela, the oldest of Mandela's three surviving children, all daughters. "It means, 'My child, I'm here.' It means to me that, 'I'm here. I love you. I care.'"
That the couple's communication has become so elemental also sheds light on the fragile state of a larger-than-life figure, revered for his sacrifice during 27 years as a prisoner of apartheid and his peacemaking role in South Africa's shift to a democracy inclusive of all races.
"My Dad has not been in good, perfect health over the past month. And he has good days and he has bad days," Makaziwe Mandela said Friday in an exclusive interview with The Associated Press in her home, where a bust of her father, made from bronze and the wood of a railway tie, sits on a piano in the foyer.
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Zuma said Mandela was in good shape, but the footage the first public images of Mandela in nearly a year showed him silent and unresponsive, even when Zuma tried to hold his hand.
Makaziwe Mandela said her family is grateful that the "movement," as she refers to the ANC leadership, still visits her father. The broadcasting of the video, however, was unfortunate, she said. Critics allege the ANC was trying to score political points by its association with Mandela. The party fiercely denies it.
She is one of four children from her father's first marriage to Evelyn Mase, which ended in divorce. The other three died one in infancy, one in a car crash and one from an AIDS-related illness.