Thursday, February 28, 2019

Good End of Life

At Books, Inc. Opera Plaza, Katy Butler introduced her new book, The Art of Dying Well: A Practical Guide to a Good End of Life, intended to be a “workaround” to the problem of medical interventions used to prolong life at the expense of quality of life, as her father’s painful 5-year dying process described in her first book, Knocking on Heaven’s Door: The Path to a Better Way of Death (2013). 


Sociology Professor Becky Yang Hsu discussed her upcoming book, Happiness in China: Family, Fate, and the Good Death, at the University of San FranciscoShe explained that death can be “happy” in China because it is a social event which strengthens existing relationships: 
·       Interacting with the dead in the context of family lineage rituals is a regular feature of China (e.g., household shrines, visiting graves, tomb-sweeping holiday, etc.)
·       People talk about preparing for one’s funeral as a good and happy event (e.g., preparing burial clothes)
·       Family, especially relationship with parents, is central for the young and urban (e.g., affirming family lineage brings calm).
In China, where death is frequently reinforced as a social phenomenon that is meaningful and represents a next step towards something that is continuous with one’s social relationships, people can feel calm and even happy about it.  
In contrast, critics often say people don’t know how to die in the United States because people endure painful and often pointless medical procedures for a chance to gain a few days of extra life, consume a lot of resources and time delaying the inevitable, and then are expected to make their own peace by themselves in their last days or hours.  Becky suggested that perhaps understanding death in an asocial way makes it difficult to die a good death, and misunderstanding death as solitary makes it harder for the living to grieve.

1 comment:

  1. The funeral as we know it is becoming a relic - just in time for death boom
    Karen Heller, The Washington Post
    Monday, April 15, 2019
    …Death is a given, but not the time-honored rituals. An increasingly secular, nomadic and casual America is shredding the rules about how to commemorate death, and it's not just among the wealthy and famous. Somber, embalmed-body funerals, with their $9,000 industry average price tag, are, for many families, a relic. Instead, end-of-life ceremonies are being personalized: golf-course cocktail send-offs, backyard potluck memorials, more Sinatra and Clapton, less "Ave Maria," more Hawaiian shirts, fewer dark suits. Families want to put the "fun" in funerals.
    The movement will accelerate as the nation approaches a historic spike in deaths. Baby boomers, despite strenuous efforts to stall the aging process, are not getting any younger. In 2030, people over 65 are expected to outnumber children, and by 2037, 3.6 million people are projected to die in the United States, according to the Census Bureau, 1 million more than in 2015, which is projected to outpace the growth of the overall population.
    Just as nuptials have been transformed - who held destination weddings in the 1990s? - and gender-reveal celebrations have become theatrical productions, the death industry has experienced seismic changes over the past couple of decades. Practices began to shift during the AIDS epidemic of the 1980s, when many funeral homes were unable to meet the needs of so many young men dying, and friends often hosted events that resembled parties.
    Now, many families are replacing funerals (during which the body is present) with memorial services (during which the body is not). Religious burial requirements are less a consideration in a country where 36% of Americans say they regularly attend religious services, nearly a third never or rarely attend and almost a quarter identify as agnostic or atheist, according to the Pew Research Center.
    More than half of all American deaths lead to cremations - about 28% did in 2002 - due to expense (they can cost a third the price of a burial), the environment and family members living far apart with less ability to visit cemetery plots, according to the National Funeral Directors Association…
    …Change has sparked nascent death-related industries in a culture long besotted with youth. There are death doulas (caring for the terminally ill), death cafes (to discuss life's last chapter over cake and tea), death celebrants (officiants who lead end-of-life events), living funerals (attended by the honored while still breathing), and end-of-life workshops (for the healthy who think ahead)…
    With increased concern for the environment, people are opting for green funerals, in which the body is placed in a biodegradable coffin or shroud…
    The industry is thinking outside the box.
    "My work is letting people connect with the natural cycle as they die," says Katrina Spade of Recompose in Seattle, who considers herself part of the "alternative death care movement." If its legislature grants approval this month, Washington will become the first state in the nation to approve legalized human composting. Her company plans to use wood chips, alfalfa and straw to turn bodies into a cubic yard of topsoil in 30 days. That soil could be used to fertilize a garden, or a grove of trees, the body returned to the earth.
    …even sadness is being treated differently. In some services, instead of offering hollow platitudes that barely relate to the deceased, "we are getting a new radical honesty where people are openly talking about alcoholism, drug use and the tough times the person experienced," Cunningham says. Suicide, long hidden, appears more in obituaries; opioid addiction, especially, is addressed in services…
    https://www.sfgate.com/lifestyle/article/The-funeral-as-we-know-it-is-becoming-a-relic-13767619.php

    ReplyDelete