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We wish to die peacefully in a manner suited to our values and taste. We also wish to be attended at our deathbed by people whom we love and try to find meaning in death. Here, I evaluate nursing of dying patients with regard to alienation of life and death from our daily living, problems concerning the judgment of death, how to die in a manner that fits the person's values and taste, and nursing for spiritual healing with traditional views of life and death, and cultural background of attending dying persons of the Japanese.

Purpose: To explore how families respond to the death and dying of their loved ones in a hospital setting, archival research was conducted using eight qualitative articles describing next-of-kins’ perceptions of end-of-life care in Veterans Affairs Medical Centers (VAMCs). The articles were based on the qualitative arm of the VA Health Services Research and Development (HSR&D) study entitled, “Best Practices for End-of-life Care and Comfort Care Order Sets for our Nation’s Veterans” (BEACON).

Design: The archival research consisted of an interactive methodological process of data immersion, analysis, and interpretation which resulted in the emergence of two overarching thematic frameworks called “losing control” and “holding on.”

Findings: “Losing control” is the process that occurs when the patient experiences a cascading sequence of deleterious biological events and situations rendering the caregiver no longer able to direct the timing or setting of the dying trajectory. The notion of “holding on” captures family member’s responses to the need to maintain control after relinquishing the patient’s care to the institutional setting. During the patient’s hospitalization, the dual dynamics of “losing control” and “holding on” unfolded in the spatial, temporal, and life narrative domains.

Originality: The findings not only contribute to better overall understanding of family members’ responses to death in the pre-COVID-19 hospital setting but also heighten the awareness of the complex spatial, temporal, and narrative issues faced by family members who lost a hospitalized loved one during the COVID-19 pandemic.

In 1969, the psychiatrist Elisabeth Kübler-Ross wrote On Death and Dying. In this influential essay, she presented her now-famous 5-stage model of approaching death, which can be modelled into a downward trajectory (1. shock and denial, 2. anger, 3. bargaining, 4. depression) followed by a symmetrical psychological rise (5. acceptance).

In 1888–1894, in response to Hans von Bülow's death, Gustav Mahler composed his Symphony No. 2 (subtitled ‘Resurrection’), in which the idea of death is omnipresent: it opens with a funeral march based on a symphonic poem called Totenfeier (‘Remembrance Ceremony’) containing a Dies Irae motive and closes with a very long finale inspired by Klopstock's Die Auferstehung (The Resurrection). The structure of the finale itself is quite similar to the symmetrical mechanism described by Kübler-Ross, which can be summarised in the symphony by this verse sung by the choir: ‘Sterben werd’ ich, um zu leben!’ (‘I shall die, to live!’). With this ‘death and transfiguration’ movement, the orchestra and the choir embodying the psychological process of a dying subject covers every single step of the model: from a ‘cry of despair’ in the first bar (1. shock) to a horn call without response (2. denial), to the depiction of a rivalry between the Dies Irae motive (‘death’) and what will be the Resurrection theme (3. bargaining), to a grieving section (4. depression) and to a long rising towards an optimistic climax at the end (5. acceptance).

Even though the death acceptance process was far from being formalised in Mahler's days, this symphony shows that more than 75 years before Kübler-Ross, the composer, who had many opportunities to grieve since his youth (facing his brothers' and sisters' deaths), intuitively converted these experiences into an in-depth knowledge of the psychological processes of dying. In other words, after having dealt with the loss of loved ones, Mahler turns out to know how to deal with his own.

This chapter is a reflection on the digital mediation of death and dying in the COVID-19 pandemic from a critical political economy perspective. It asks: What is the role of the communication of death and dying in capitalist society? How has communication with dying loved ones changed in the COVID-19 pandemic? What roles have digital technologies and capitalism played in this context?

Building on foundational theoretical insights into the role of death and dying in capitalism, this essay presents some empirical studies of death and dying in society and the COVID-19 pandemic and interprets their findings from a Communication Studies perspective.

In capitalist societies, death and dying are taboo topics and are hidden, invisible and institutionalised. The COVID-19 pandemic had contradictory effects on the role of death in society. It is a human, cultural and societal universal that humans want to die in company with loved ones. The presented empirical studies confirm the insights of the philosophers Kwasi Wiredu and Jürgen Habermas that humans are fundamentally social and communicative beings from the cradle to the grave. The wish to die in a social manner derives from humans' social and communicative nature. In capitalism, the reality of dying diverges from the ideal of dying. Capitalism hides, individualises, makes invisible and institutionalises death and dying.

The analysed studies confirm the insights of the philosophers Kwasi Wiredu and Jürgen Habermas that humans are fundamentally social and communicative beings from the cradle to the grave. Building and going beyond the works of the political theorist and philosopher Achille Mbembe and the philosopher and sociologist Erich Fromm, the essay introduces the notion of capitalist necropower. It is shown how the COVID-19 pandemic in many cases destroyed the social and communicative nature of human beings and how capitalist necropower created unnecessary surplus deaths and formed the context of the digital mediation of communication with dying loved ones in the pandemic.

This article intervenes in the debate, among US disability rights advocates, about physician-assisted suicide (PAS). Through an ethnographic study, I situate this debate in the context of the dominant form of end-of-life care in the US hospice. Based on this analysis, I argue that PAS should be an issue of secondary concern to disability rights advocates, and that their primary concern, at the end-of-life, should be the improvement of US hospice care. By thus “putting the ‘right to die’ in its place,” they can achieve consensus among themselves and leverage this consensus to achieve the most substantial advancement of disability rights.

Purpose: Death is a universal inevitability of life, though parents and adults often report difficulty or concerns about discussing the topic with children. This investigation reports on how parents of very young children (ages 3–6) have or would discuss death with their child, and what parents consider in navigating such discussions.

Methodology: In-depth interviews were conducted with parents (N = 24) of very young children (ages 3–6) to develop a grounded theory of parents actual and anticipated approaches to discussing death with children.

Findings: Parents generally described either seeking to protect children’s “innocence” by avoiding or limiting conversations of death, or, seeking to promote children’s socioemotional competence in confronting the complexities of death through more extensive discussions. We identified four factors we hypothesize may influence parents intended strategies for navigating these approaches: (1) parents’ past and current experiences related to death, (2) children’s exposure to deaths, (3) cultural and personal beliefs about death, and (4) parents’ knowledge and awareness of their child’s cognitive competences. While protection of children’s “innocence” and cultivation of children’s socioemotional competences are not opposing goals, these concepts appeared to be situated on a continuum.

Originality/Value: Given the prevalence of death in contemporary media, and an ongoing global pandemic, young children’s exposure to death will remain heightened for the foreseeable future. Family scholars and practitioners would be wise to prepare to assist families and children thoughtfully and compassionately. We further explore tools, resources, and strategies parents and professionals have found helpful in navigating these discussions.