Cambridge University Press
978-0-52169-429-2 - A Social History of Dying - by Allan Kellehear
Index



ability to kill ‘remotely’ 19,50

aboriginal rock art, fighting scenes 21

absurdities of life that must end in death (Bauman) 182–3

advanced directives 246

affluence, and heart disease 140,141,149

Africa

   AIDS epidemic 204,206

   farming in 69

   tolerance for the elderly 222

afterlife journeys 16,33

   and religions 64,198

   indigenous Australians 30

   Stone Age 23,24,27,30

   see also otherworld journeys

afterlife stories, popular interest in 199

aged care policy, Cosmopolitan Age 245

ageing persons 4,199

   and cancer deaths 141,207

   and death through degenerative diseases 119,149

   and the good death 99–100,119

   awareness of dying 216

   bitterness and helplessness 231

   causes of death 207–8

   dementia in 203–4,208,211,217

   depression in 229

   despair and hopelessness 229

   dismay over physical appearance 221

   dying in hospitals and nursing homes 207,213,217

   finding the right time to die 233

   frailty and poor health 208,236

   increased illness and disability 202

   increasing life expectancy 202

   living in community 207

   living too long 232

   loneliness 223,231

   ‘old age’ as cause of death 222

   organ failure 208

   patterns of dying 208

   preparations for death 216

   refusing to have a ‘retirement’ period 242

   resistance by attempting to ‘pass’ as normal 228

   shameful death 210–11,241,242

   stigmatisation 211,221–2,228,237,242

   sudden death 208

   suffering at death 208

   suicide 33,202,208,228–9,230–1,233

   timing of dying 237,240

   wealthy countries 202

   see also nursing home residents; nursing homes

agricultural communities, diseases inicultural land, availability at end of Ice Age 76

agricultural revolution 193

agriculture, as reason to settle 71

AIDS see HIV/AIDS

Alzheimer’s disease 203,204

ambivalence towards the dead 107–9

   group experience 109

   personal 109,109–12

ambivalent farewell 41–2

analogical thinking 31–2

ancestor worship 114,115

ancestralisation 24

ancient Athens, citizens as farmers 73–4

ancient civilisations, farming communities as basis of 70,73

ancient Egypt

otherworld journeys 79">peasants used on civic projects 81

   

ancient Israelites, good death 93

animal sacrifice, origins 108

animals

   and spread of disease to humans 76

   awareness of death 12–15

   cannibalism in 22

   colony development 125–6

   feigning death 14

   not as death-denying 60

anticipating death 47–65

   accepting responses 51–4

     learning about death 51–2

     planning for death 52–4

     preparing for death 52

   defensive responses

     desire to predict the coming of death &kren;48–9

     desire to ward death off 49

     identifying the risks that bring death &kren;49–51

   versus the denial of death 54–62

anticipation of dying, Stone Age 26–7,43–6

   as impetus for culture building 53

   understandable responses to fearsome otherworld journey 44–5

ants, social organisation 126

anxiety over individual fate, and need for religious counsel 120–1

archaeology, reliance on analogous thinking 31

Aries, Philippe 16,100,102,120

   on tame death 171,172–7,178,181

     anomalies 175–6

     criticisms 173–5

Arunta, ghost-chasing ceremonies 39,40

attachment to the dead, and the development of identity by referral to past ancestors 72

Australopithecines 18,20

awareness of dying

   as feature of ‘good death’ 87,88,216

   nursing homes 216

   well-managed death 216

Aztecs, political nature of good death 97–8

bad deaths 12">baboons, recognition of death2,94–6,103,165,184

   and preparation for death 106

   and promotion of disorder in society 94,95

   and slow dying, social implications 95–6

   as challenging social order 104

as matters of public concernsudden deaths 95

   

   Christian perspective 100

middle classes, Victorian England 94">inability of dying person to settle debts and obligations1;6

    ‘bare life’ states of dying 95">‘shame’ elements of–4

   as ‘liminal states’ 243,244

Bauman, Zygmunt

   denial of death 58–60

   on tame death 177,181–4

beauty 182

Becker, Ernest 11,56–7,57,58

beehives, social organisation 125–6

biographical dying 240–4

   age as indicator of economic and political value to others 241

   early or late 241

   technological interventions 241

biological death 2,16,64

   and subsequent life, indigenous Australians 39–40

   as beginning of new period of post-mortem life 39

   coordination with social aspects of death 237

Black Death 139

boat graves 23,81

Bourgeois Death 151

Bowker, J. 62,63–4,64

brain death 241

bread wheat 72–3

Brown, Norman O. 55,56,57,58

bubonic plague 80,139,185

burial alive 234

burial grounds, links with permanent settlements 71–2

burial practices, Stone Age 22–3

cancer, causes of 142

cancer deaths 4,118,119,141,149,161,164,167,184,186,207

   as painful 142,143,150,167

cancer epidemic, cities 141,142

cannibalism 22

capitalism 128

captured warriors, good death 97–8,98

Catholic Church, guardian angel, and the good death 101–2

Catholic clergy, responsibilities 134

causal memory 13

cave paintings 23–4,27,29

   depicting the dead or spirits of the dead 51

   depiction of shamanism 37,51

China

   farming in 69

   life-expectancy 77

   peasant health 78,161

Chiriguano Indians, South America

   killing of ageing relatives 34

   ritual killings 33

Christian community

   dying the good death as a moral contest 102

   guardian angel in struggle with Satan at the time of dying 101–2

cities

   and development of suburbia 136

   anonymity as cultural feature 147,148

   as places attracting the rural poor 129

   as places of social freedoms 127,129

   as seats of learning 127

   as sites of affluence and culture 127,130

   as urban nodules, late 20th century 186

   based on absolute monarchs and rulers 128

   cancer epidemic 141,142

   death toll 139

development of 74">development linked to farming communities–4,121,126–9

    epidemiological context 74">epidemics in11;42

    gentrification 74">expansion of power,215

   

   heart disease and affluence 140–1

   individual approach to death in 137

   infectious diseases 138,139

   international experiences of death in 186

   landed gentry 128,129

   living and dying in 129–31,138–46,215

   living conditions linked to deaths 139

   market development 128

   mercantilism 128,130

   middle classes 128,130,131–46,185

   origins 126–9

   professionalisation 128,131–4

   rise and spread 125–46

   skilled workmanship 128

   slow deaths 139

   social and physical context 126–9

   social and political interest in things ‘rural’ 131

   social relations 147–8

city formation, theory of 7">well-managed deathcondaryIE>

city life 147

city-states 121,127,128

clergy 134,145,150

clerics see clergy

climate change, impact on pastoralism 19">coalitional enforcement 71

colonialism 18">cognitive development in humans

   impact on development of poverty 199–200

communication revolution 19">communication patternsimaryIE>

communications 50,193–4

community control of dying 29,40–1,43,151,159,166,217

community determination of death 252

community immortality 114

community rites to support the ‘dying person’ 25

concentration camps 243,253,254–5, 255

confession 132,155

consolation and comfort 116–17

control of dying see community control of dying; personal control of dying

coronary heart disease see heart disease

Cosmopolitan Age 7

   aged care policy 245

   and poverty 200–1

   ‘bare life’ states of dying 242–4

   characteristics 194–5

   dying in 8,206–10,214,216,219,245,246,250

Cosmopolitan Age (cont.)

     ‘old age’ as cause of death 222

     summary 210

   globalisation and disease 7–8

   life-expectancy 7

   privatisation of death 251

   recognition of dying 252

   sequestering of dying 254

   shameful death 236,240–1,248–9

   timing dying 235,237

Cosmopolitan period

   health/nursing care to patients where prospect of death is unclear 217

   ongoing status in social world of 215–16

cosmopolitan stance 195

countries 194

countryside migration 128

cretin skeletons 20

crisis management 153,154

crop growing 69

‘crowd-type’ diseases 76

culture, as transcendence 58

culture development, through anticipation of dying 53

culture/society trade off, psychoanalytic perspective 55

Darwin, Charles 108

dead

   ambivalence towards the 107–9

   ‘hostility’ from, towards the living 106,107

   ritual treatment of 106–9

death

   and middle-class values 134–8

   animal awareness of 12–15

   as a life to be given for life 64

   as a place 177

   as a way of life 63,179

   as a ‘wild’ thing 170

   as continuation of life 59

   as dying 28–33

   as ‘nothing’ or ‘unknowable’ 58,61

   as social journey of human spirit 27

   as threat to legitimacy of society’s values, norms and relationships 112–13

   association with renewal of fertility 115

   competing emotions towards (Freud) 109

   cross-cultural view of customs 107

   dismissal of religious interpretation of 61

   harbingers of 88

   in agricultural communities 76

   in nursing homes 186,204,207,210–11,213,236,252–3

   instinctual response to 107

   international experiences of 186

   metaphorical basis as self-journey 63

   of kin 109

   preparation for see preparation for death

   sudden see sudden death

   ultimate meaning of (Freud) 116

   useful economic and social functions 63

   see also good death; well-managed death

death attitudes 57,58

death-denying people, humans not as 60

death instinct 55

death rites 89,114,116,116–17

deathbed visions 82,100,199

defensive approaches to death, and religion 62–3

degenerative diseases 119,149,184,206

dementia 250

   as stigmatising 222

   in ageing persons 203–4,208,211,217

   in HIV/AIDS patients 203,209,211,218

dementia patients, loss of identity 225

democracy 128

denial of death

   Bauman perspective 58–60

   Becker perspective 56–7,57,58

   Brown perspective 55,56,57,58

Lasch perspective 60">Seale perspective 55

   

   versus anticipation of death 54–62

depression 76">dental health

   ageing persons 229

   HIV/AIDS 230

desire to die 226–7,230,230–1,246

desire to learn more about otherworld journey 45

desire to predict the coming of death 48–9

desire to ward death off 49

despair

   in ageing persons 229

   in nursing home residents 226–7

detention centres 243,252–3,254–5, 255

developing countries

   hazardous working conditions 200

   HIV/AIDS in 204,205,206,214

   see also poor countries

disease

   pastoral communities 76,77,80

   prevention and treatment, peasant societies 78

   spread through living with animals 76

   Stone Age 20

   see also epidemics; infectious disease

disputed inheritance 120

distress of dying 169

do-not-resuscitate (DNR) orders 247

doctor–patient relationship 157–8

doctors see medical professions

dogs 12,23

domestic animals, living with and spread of disease 76

domestication of plants and animals 69,72–3,171

dreams, and otherworld journeys 51

dying

   and social expectations of society 110

   anticipation of, Stone Age 26–7

   as a dramatic and personal trial 82

   as a sentient being capable of an awareness of death 15

   as a trial or set of trials 211

   as interpersonal journey 16

   as otherworld journey 29,32,36–40,81,82,88,151,159,161,166,178,215,251

   as post-death activity, Stone Age 24,25

   as shameful see shameful deaths

   as social matter of identity 163

   as something one could see coming 82–6

   as state-defined experience 253,254

   as this-world experience 81,85,89,106,178,212,252

   at the point of the death of one’s identity 16

   at the ‘right’ time 232–3,234–50

   community control see community control of dying

   cyclical nature of 236

   definitions 2,16,252

   development of a social presence 89

   disintegration of 215–19

   game of 110,111

   hospice patients' perspective 164

   in modern, Cosmopolitan world 8,206–10

   in recent hunter-gatherer and small-scale horticulturalist communities 42–3

   literature on 4

   meaning of 15–17

   Pastoral age 80–3

   personal awareness of 24,28

   personal control see personal control of dying

   preparations for see preparing for death

   public recognition of 253

   recognition of 251–3

   sequestering of 252,253

   serviced nature of 135,145

   social requirements of 227

   Stone Age 25–7

   what is it? 2

dying behaviour 1,16,110

   as rite of passage 83

dying conduct 1,16,173

dying experience 2,5,15,39

dying journeys 235–6

dying management, prosperous countries 245

‘dying people’ 15

dying periods 235

dying persons

   ambivalence of everyday life 109–12

   and kin’s role in good death 99–100

   and life before death 164

   and the doctor–patient relationship 157–8

   as interacting with the otherworld 82

   as kin 41

   as social category for all human history 218

   as social ghosts 41,159

   desire to die 226–7,230,230–1, 246

   dying in silence and incommunicado, medieval times 176

   evading their customary obligations 162

   hope for a new life 114–15

   leaving goods to survivors 88

   left to die alone 158,176

   participating self in plans for funeral or interment 83,84

   power-sharing arrangements 175,178

   reclassification 252,253

   religious requests 92

   role in preparing for journey ahead 88

   sharing tasks of support, continuity and control 114

   silence of 253

dying rites 114

   and reinvention of self 117–18

   and sense of social and personal power 115

   consolation and comfort 116,116–17

dying self 26

dying-soon experience 15

dying spirits, agency in 42

dying styles 5

dying trajectory 236

early humans 17

   life and death 18

economic functions of death 63

economism 137

elderly see ageing persons

elephants 13–14

Elias, Norbert 11,223–24,239

elite see urban elite

Elizabeth I, Queen, encounter with smallpox 159–60

emmer wheat 72

emotions towards death 2,109

epidemics 74,201

   and poverty 205

   blamed on minority groups 79

   development 196

   HIV/AIDS 204

pastoral societies 79">impact of malnutrition on1;7

    epidemiology 87">smallpox

   applied to cities 138–42

   of modernity 201–6

   of Pastoral Age 74–80

eschatological destinies 42

ethnoarchaeology 30

ethnographic analogy, interpretation 30–2

eu thanatos 90

euthanasia 33,90,166,186,230,230–1

   HIV/AIDS patients 230

   nursing home residents 227

experience of dying see dying experience

exponential rise in modernity 191–212

factories 130

family, provision of inheritance for 91,120

family structures, modern world 199

famine, pastoral societies 79,81,84,88

farewell rites

   ambivalent, indigenous peoples 41–2

farmers see peasants 29">Stone Age

farming, development of 69–73

fear of annihilation 56,57

fear of death 55,56–7

fertility and regeneration 14">feigning death in animals 115,117

fetal developmenthting amongst Stone Age peoples 18

Fijians

otherworld journeys 34">killing of ageing relatives 38–9,40

    preparing for deathual killing 52

   

fish 14,18

folklore to predict deathetelling death, amongst peasant societies 82

fraternal organisations 136

Frazer, Sir James 33–4,36,37–41,106–7

Freud, Sigmund 107–9,116,117

funeral rites 116

   consolation and comfort 116–7

game of dying 110,111

gardening, Stone Age 70

gender, and life expectancy 78

gentrification 128,130,137,215

   affluence and heart disease 140

   and development of specialist professionals 134

   of the good death 143–5

   process of 121,130

geography 194

Gesellschaft-type societies 147

ghosts 39">ghost-chasing, Arunta people

   dying persons becoming 29,41

   Kwearriburra people’s burning of skulls to keep ghosts away 41

   practices designed to bid a very final farewell 41

global community 194

globalisation 193

glory 182

god-kings, ritual killing 33,234

good death 4,216,251

   ancient Israelites 93

   and preparation for death 91–2,92,93,106,106–9,161–2

   and religious requests 92

   Aries’ conflation with well-managed death 173

good death (cont.)

   as a quiet death without fuss 164

   as an act of community 114,161

   as lasting personal portrayal of good life 90

   as reproducing social order 104

   as rite of passage 89–90

   as well-managed death 145,146,147–68

   Aztecs 97–8

   birth of 87–104

   change to well-managed death 149–52

   Christian communities views 101–2

   commencement 150,151

   community’s values 92

   conforming to prescriptions of peasant or farming life 89

   cooperative and persuasive relationships 162

   development in pastoral societies 85

   etymological origins 90

   examples 92–4

   for ideological purposes 98

   for suffering patient 167

   gentrification of 143–5

   imperative to prepare 103

   kin’s intervention to assure inheritance 99–100

   Lusi-Kailai horticulturalists, West New Britain 93–4

   Mayan peasants 93

   medical/nursing view 90,165

   middle classes 136,144,145,146,155

   moral view 90

   pastoral societies 180

   peasants and farmers 89,92,93,183

   political nature of 96–103

   Portuguese peasants 92

   power-sharing arrangements 178

   professionals involvement 131,133–4,134,161,216

   self-awareness of encroaching death 87,88,90

   social matter of inheritance 88,91–2,98–9

   undermining developments 118–22

   what is it? 90–2

good life, end of 85

Goody, Jack 106,109

gradual nature of dying, Pastoral Age 80,83,84

‘grandmother’ hypothesis 19

grave goods

   ancient Egypt 81

   as wasteful economic loss 36

   Homo sapiens 35

   hunter-gatherers 36,40

   indigenous Australians 36,40

   interment of significant grave goods 36

   role in otherworld journey 36

   Stone Age 23,35,36

   to keep ghosts away 40,41

graves, provision of food and shelter on, Aboriginal nations 40

Greek cities 127

grief 13,42,111

groups, ambivalence towards the dead 109

guardian angel, and the good death 101–2

health care services

   middle class use of 153

   provision for patients where prospect of death is unclear 217

health determinants 136

health insurance 154

health services staff, management of terminal stage, dying patients 165

heart disease 118,119,184,208

   and affluence 140,141,149

   slow deaths from 141

   unreliable statistics 140–1

   urban obsession with 186

helping behaviour 255–6

high-ranking people, people’s reactions to death of 113

historical sociologies 5–6

histories of dying 4

HIV/AIDS 4,78,186,202,250

   and dementia 203,209,211,218

   and poverty 205,206,236,253

   and suicide 209,230

   countries affected by the disease 205,206,214

   depression 230

   desire for euthanasia 230

   dying from 205,209,210–11,216,217,236

   effect of antiviral drugs on survival time 206

   fears about ‘ability to function properly’ 210

   incidence 204

   personal control of dying 160

HIV/AIDS (cont.)

   premature death 223

   resistance by attempting to ‘pass’ as normal 228

   shameful death 210–11,217,223,240–1,242

   social isolation amongst patients 223

   sources of infection 204,223

   stigma associated with 209,211,214,222–3,228,242–3

   timing of dying 237,240–1

hominids 17

Homo erectus 18,33

Homo neanderthalensis 18

Homo sapiens 18,35

horses 12–13

horticulturalist communities 56

   characteristics of dying 42–3

   good death 93–4

   ritual killing 33

hospices

   care philosophy 236

   idea of living until you die 163, 165

   sedation of patients 164

hospitals

   aged deaths in 207

   timing of dying in 236

hostility from the dead 106,107

household, provision of inheritance for 91,120

human ancestors 17

human beginnings

   epidemiological context 20–2

   social and physical context 17–19

human beings

as primates 11">awareness of mortality 17

    human dispersal 18">human evolution 18

human history, problems in interpreting 17–18

human sacrifice 79,80,81,83,90,118

   Aztecs 97–8

human values, shrinkage of 255

humans

communication patterns 18">fetal development 19

    neurological and cognitive developmential development 18

   

   species survival 19

   technological development 18,19

hunter-gatherer societies

   belief in immortality 29

   dying in 152

   shaman’s role 131

hunter-gatherers 7,70

   characteristics of dying 42–3

   death as a way of life 63

   death as part of the natural and social order 171

   death brought about by evil influences 217

   experience of otherworld journeys through dreams 51

   fear of ‘being alone in the dark’ 55, 56

   grave goods 36,40

   hard life for 20

   infanticide 20

   life-expectancy of 19

   mercy-killing 34

   perceive caves as entrances to another world 23

   recognition of dying 252

   risks of scavenging 21

   ritual killing 33,34

   short duration of dying 35

   sudden deaths 89

   time role 239

   transition to pastoralism 70–2

Ice Age, end of, impact on settlement 71

identity

   death of 16

   killing off of old identity for renewal 111

   loss of, dementia patients 225

immortality 52–4,58

   as defiance and denial of death 59

   belief in, hunter-gatherer societies 29

   community 114

indigenous Australians

   afterlife concepts or journeys 30,33

   Central Australian, belief in reincarnation 39,40

   grave goods 36

     reasons for provision 40

   otherworld journeys 40–1

   placement of spears and tools in graves 36,40

   provision of food and shelter on graves 40

individualism 39">tree burial

Industrial Revolution 130,133,147,193

industrialisation 130

infant behaviour 255

infectious diseases 20">infanticide, hunter-gatherer societies

and slow dying 80">and knowledge of impending deathcondaryIE>

   

   effect on doctors and priests 185

   impact on different social classes of cities 138

   spread amongst pastoral peoples 76–7,80,83

   spread in cities 139

information management 154

information sharing 191–2,193–4

inheritance for the dying

   Stone Age 28,35–6

   see also social act of inheritance

insects 14,125–6

institutional dying 173,175,253

intellectualism 137

‘invisible death’ 173

iodine deficiency, Stone Age 90">kalos thanatos 20

Kaposi’s Sarcoma 33">Kamants of Abyssinia, ritual killing 209,218

Kennedy, John F., assassination of 113

killing at a distance, as human survival strategy 19,50

kin

   intervention to assure themselves of inheritance 99–100

power struggles, and food resources 91">provision of inheritance to 71

    kin obligationsarriburra people, grave goods to keep ghosts away 52

labelled people 220

landed gentry 128,129

   life-expectancy 138

Lasch, Christopher 55,138

‘last hours’ dying 8">‘the last dance’imaryIE>

law and ethics 133

lawyers 131,132,133,134,145,150

learning about death 51–2

life

   absurdity of 183

   monotony of 182

life expectancy

   ageing persons 202

and public health measures 78">and gender 119,186,201,244

   

   and socio-economic status 119,138

   and urban living 210

Pastoral age 79">peasants 77

   

   wealthy countries 202

living–dead ambivalence 4">literatureimaryIE>

living death 247

living wills 246

living–dying relations, ambiguity 112

loneliness

   ageing persons 223,231

   in nursing home residents 223,225–6,229

Lusi-Kailai horticulturalists

   bad deaths 94

   good deaths 93–4,94

magic rites, development 49

malaria 201

Malinowski, B. 107

malnutrition

   amongst pastoral peoples 79,81, 118

   Stone Age 20

mammals 18,22

managed deaths see well-managed deaths

Mangaians of the South Pacific, ritual killing 33

Marais, Eugene 12

markets 128

mass migration 148

Mayan peasants, good death 93

Mead, George Herbert 110

Mead, Margaret 109

measles 77

medical power, sociological view 157

medical professions 131,132,134,145,150

   and the well-managed death 156–8,161,185

   management of death 144

medical professions (cont.)

     as disempowering 175

     criticisms 157,158

   prevention of dying 236

   relationships with patients 157,157–8

   taboo/silence about discussing death 157,175

   view of good death 90,165

medical sociology 156–8

medical specialists 154

medical symptoms of approaching death 48

medical taming 178,179

medieval times see Middle Ages

mercantilism 128,130

merchants 128,132,140

metalworking skills 128

Middle Ages

   Aries’ descriptions of dying amongst elite 174,178

   dying incommunicado 176

   dying people holding power 175

   good death behaviours as methods to keep death tame 174

middle-class values, and death 134–8

middle-class workers 130

middle classes 128,130

   affluence and heart disease 140

   anxieties underlying 135,138

   as active troubleshooters 138

   as major users of health care services 153

   bad deaths, Victorian England 95–6

   clergy arranging peace with God 145

   death requiring attention of specialists to settle financial affairs 150

   desire for avoidance of death 143

   financial and legal planning 153

   forward planning 144

   good death 136,144,145,146,155

   health determinants 136

   individualism 137

   lawyers role 145

   life-expectancy 138

   lifestyle and longer life 140

   management of death 152

   management of personal crises 153

   ministrations by doctors, lawyers and priests 144–5,150,153

   pain relief for diseases 150

   paying for services 155–6

   preparations for death 151,154

   psychology of 137

   recognition of dying 252

   religious salvation 155–6

   service provision to 135,145

   social matter of inheritance 149

   social reforms 136

   urbane 131–4

   well-managed death 149–52,185

   wills 154–5

modern world

   rate of social change 195–7

   scope of social change 197–9

modernity

   beginning of 192

   decline in the way we relate to religion 198

   epidemiological context 201–6

   exponential rise in 191–212

   personal and social impact 196

   social and physical context 193–201

   summary features 210

monasteries 132

moral disapproval of labelled people 220

mortal awareness, dawn of 11–27

mortality rates 22">mortuary deposits, Stone Age 77

mortuary practices, Stone Age 22–3

mortuary rites 24,99,106,109

Mumford, Lewis 125

nation-states 194,198

nationalism 194

‘naturalness’ of death 179

Neanderthals 35">burial of bodies in the foetal position 18

    dyingve goods 43

    trauma injuries through hunting 20">skeletonssecondaryIE>

   

near-death experiences 44,199

Near East

   early cities 127

Neolithic Revolution 69">farming in 133

network society 192

neurological disease 18">neurological development in humans–4

New Hebrides people

   otherworld journeys 37–8,52

preparing for death 33">ritual killing 52

    non-spouses, views on timing of dying 76">New World communities, and spread of diseaseimaryIE>

nuncupative wills 154

nursing home residents

   classified as chronically ill or disabled 252

   desire to die 226–7,230,230–1

   despair 226–7

   finding the right time to die 233

   loneliness 223,225–6,229

   powerlessness and uselessness of 221–2

   sexual needs 222

   see also ageing persons

nursing homes 249

   awareness of dying 216

   awkwardness and embarrassment in addressing early dying concerns 227

   criticisms 214

   deaths in 186,204,207,213,236,252–3

     medical causes 207

   dying in 252–3

   erosion of awareness of dying 210

   erosion of support for dying 211

   level of disability and dementia among residents 202

   preparation for death 217

   problem of stigma 211

   shameful deaths 224–7,246

   staff attitude to dying dementia patient 225

   staff treatment of dying patient 224–5

   ‘uneasy deaths’ in 213

occupational diversification 148

occupational specialisation 135

old age see ageing persons

old identity, killing off for renewal 111,117

‘one world’ 76">Old World diseases, spread by living with domestic animals 194

organ donation 14">opossums 241

organ harvesting 241

otherworld journeys 32–3

   ambivalent farewell 41–2

and dreams 81">ancient Egypt 51

   

   and shamanism 45,51

community control of dying 59">challenge in1;1,151

    denial of structure ofire to know when they will occur 61

    dying as 45">desire to learn about6–40,81,82,88,151,159,161,166,178,215,251

   

   dying in, leading to immortality 52–4

   dying process 216

   fearsome responses to, Stone Age 44–5

   Fijians 38–9,40,52ve goods role

    hazardous nature of

   indigenous Australians 33,39–41,41

New Hebrides peoples 52">New Hebrides1;8

   

   other cultures 37

   people’s belief in 60

   preparation for 45

   psychoanalytic perspective 55

   Scandinavia 23,81

   Stone Age 29,32,36,43,44

   Torres Strait Islanders 42

   tricksters and deception in 52

   uncertainty and anxiety over 44–5

overview 6–8

palliative care 4,154,169

Paraguay Indians, ritual killing 34

pareschatology 42,64

partible inheritance 91

Pastoral Age 67,69–86,104

   epidemiology 74–80

   peasants as mainstream population 76

   population growth 78

   predictable deaths from infectious disease 76–7,80,83

Pastoral Age dying 80–3

   summary features 83–6

pastoral societies

   awareness of one’s impending death 87

   bad deaths and promotion of disorder 95

   development of good death 85

   fatalistic approach to death 85

   good death 180

   preparation for death 83,84,89,104

   ‘round’ of time 85

   social act of inheritance 88

   time role 239

pastoralism

   advent of 69–70

   and development of bread wheat 72–3

   and population pressures 71

   and species-transfer of bacteria and viruses 77

   development at end of Ice Age 71

   epidemiological context 74–80

   impact of climate change 71

   peasants and death 80–3

   social and physical context 70–4

   transition from huntering and gathering to 70–2

peasant economy, role of gradual dying insants 84

   arts and craft activities 128

as backbone of ‘ancient civilisations’mainstream population of Pastoral Age 70

    as rural workerssupport for large city-states 75

   

   attitudes to death and dying 57,58

connection with the landtural characteristics 75

    deathbed visions 78">cultural practices affecting health and mortality risk/secondaryIE>

    dependence on animalsng person’s religious requests 76

   

   effect of famine on 81,84

gentrification, and development of cities 85">fatalistic approach to deathcondaryIE>

   

   good death 89,92,93,183

harbingers of deathlth, illness and death 88

    malnutrition 79">life expectancy/secondaryIE>

   

   pastoralism and death 80–3

plan for a ‘round’ of timeulation size 85

   

   practical tasks of dying 183

   preparation for death 7,92,93,183

   prosperity and physical suffering 118–19

   recognition of dying 252

‘sin eating’ial devices for foretelling death 81

    transitional inheritanceerestimation of importance in history 92

   

   used as military and civic conscripts 76,79

   used for human sacrifice 79,80

   wills 93,154

perinatal mortality

   Pastoral Age 77,83

   Stone Age 19,20

development of 65">permanent settlements 69–86

   

   link with burial grounds 71–2

   social and physical context 70–4

personal ambivalence towards the dead 109,109–12

personal and social benefits of preparing to die 112–18

   consolation and comfort 116–17

   hope 114–15

   reinvention of self 117–18

   social and personal power 115–16

   social control and threat containment 112–13

   support 114

   upholding continuity 113–14

personal awareness of dying, Stone Age 24,28

personal control of dying 160,246–8

philosophical experience of dying 42">personal experience of dying, recent hunter-gatherers1;16

physical suffering, and prosperity 118–19

plague 80,139,185

planning for death 52–4

political nature of good death 96–103

   Church view of battle between good and evil 101–2

   for captured warriors 97–8,98

poor countries 99">importance of inheritance to survivors

   lack of public health measures 244

   shameful deaths 246

   strategies to avoid shameful death 247

poor people 200–1,247

   short-term management strategies 247–8

population explosion 197

population pressure, and pastoralismtuguese peasants, good death 71

post-death dying process 24,25

postmodernism 19">postmenopausal survival, Stone AgeimaryIE>

postmodernity 192

poverty 129,185,244,247,247–8

   and colonialism 199–200

   and epidemics 205

   and HIV/AIDS 205,206,236

   developing countries 200

   impact on Cosmopolitan world 200

   see also poor countries; poor people

predation on Stone Age ancestors 93">prayer reciters 20,49

pre-death experience, absence of, Stone Agedicting death, folklore for 25

prehistoric behaviour

   and problems of analogical thinking 30–2

modern ethnographic insights 60">prehistory, death perception in 31

preparations after death

   reasons for 106–9

preparing for death 16,52,90,103,105–22,163,216,249

   affirmation of new life 114

   and ambivalence of everyday life 109–12

   and good death 91–2,92,93,106,106–9,161–2

   as matter of personal and social identity 163

   Cosmopolitan world 207,216

   elderly dying 216

   individualistic, middle classes 151

   information management strategy 154

   inheritance component 98–9,216

   motives for 110

nursing homes 52">New Hebrides peoplecondaryIE>

   

   pastoral societies 83,84,89,91,104

   peasants and farmers 7,92,93,183

   personal and social benefits 112–18

Stone Agen and rural dwellers 45

   

   urban societies 184

   see also planning for death

prevention of dying 236

priests 131,131–2,134,145,185

   see also clergy

primal horde 108

primates

age of 22">cannibalism amongst 17

    printing 12">understanding of death 194

privatisation of death 251

‘Professional’ Revolution 133

professions

   converging with business 133

   development of 131–4

   lifestyle and longer life 140

   ministrations to middle classes 144–5

   perils and uncertainties 135

   power of 133

   role in management of good death 131,133–4,134,216

   role in well-managed death 149–52, 216

   service provision 135,145

   specialist 134,135

   see also lawyers; medical professions; priests

prosperity

   and disputed inheritance 120

   and physical suffering 118–19

   and religious uncertainty 120–1

prosperous countries

   dying management 245

   public health measures 244

prostitution 200,206

protest suicides 185,186

psychoanalysis otherworld journeys 54

    as asociological view of human historythe collective unconscious 55

   

   in interpretation of denial of death 54–62

psychological–religious approach to death 62–3

psychology, as new ‘religion’lic dying, self-indulgent, Aztecs 58

public health, urban obsession with 186

public health measures

   and life expectancy 119,186,201

   to potentially delay death 244

purpose of life, role of religion/society in providing 54

randomness of death 183

rate of social change, modern world 195–7

reincarnation 42

   and Arunta ghost-chasing ceremonies 39,40

reincarnation (cont.)

   belief in, Central Australian Aboriginal nations 39

   transition to, through ‘intermediate state’ 39

reinvention of self 111,117–18

religion/society

   providing understanding of the purpose of life 54

   psychoanalytic perspective 54–5

religions

   and accepting and defensive approaches to death 62–5

   and the afterlife 64,198

   as part of the ‘denial of death’ 62

   creating rites for the dead 107

   modern world alteration in the way we relate to 198

   provision of consolation and comfort 116,117

   psychological approach to death 62–3

   role in preparing adherents for the journey at death 64

   sociological approach to death 62

   view death as perennially important 64

religious beliefs about death, diversity of 64

religious interpretation of death, dismissal of 61

religious preparation for death, middle classes 145,150,155–6

religious preparation for journey ahead available to living dying personigious requests from dying person 88

religious taming 176–9,179

religious uncertainty, and prosperity 120–1

‘right’ time to die 232–3,234–50

   biographical challenges 240–4

   coordination of biological and social aspects of death 237

   Cosmopolitan Age 235,236

   power of timing 244–6

   spouses/non-spouses views 237

   terminal challenges 235

   when is it? 236

risk management to avoid death 50

rites of passage 24,25,89

   through good death 89–90

ritual killing

   common peoples 33–4,43

   god-kings 33,234

ritual treatment of the dead

   cross-cultural view of customs 107

   Freud’s view 107–9

   religious approaches 107

Roman cities 127

‘round’ of time, pastoral societies 85

royalty

   and priestcraft 131

   keeping of wild animals 171,172–6

rural poor, attracted to cities 129

rural settlements 69–70

   social relations 148

sacrificial rites 109

Scandinavia, boat graves 23,81

scavenging, by Stone Age ancestors 21

scope of social change, modern world 197–9

Seale, Clive 60,230

second life 42

sedentism

   and development of ‘crowd-type’ disease 76

   emergence of 69–86

self

   and self-control over dying process, Stone Age 26,28

   former, creation as another self, Arunta Aboriginal people 39

   participating in preparation for interment, Pastoral Age 83,84

   reinvention of 111,117–18

self-awareness of encroaching death, as feature of ‘good death’ 87,88,90

self-preparation for death see preparing for death

service provision 135,144–5,145

settlement cultures 7

   impact of end of Ice Age 71

   reasons for development 70–2

settler societies

   death as ‘good’ or ‘bad’ 217

   dying in 152

   ‘naturalness’ of death 179

   well-managed deaths 180

sexual needs, nursing home residents 222

shamanism 37,51

   and otherworld journeys 45

shamanistic art 23,24,29

shamans 131

shameful deaths 8,212,214,218,243,254

   as moral and social failure to provide social care for dying people 248–9

   bare life 241,242–4

   birth of 213–33

   characteristics

     erosion of awareness of dying 210

     erosion of support for dying 211

     problem of stigma 211

   Cosmopolitan Age 236,240–1,248–9

   detention centres 254–5

   developing countries 246

   early or late as condition for 241

   examples 224–7

   in elderly 210–11,241,242

   origins 219

   people with HIV/AIDS 210–11,217,223,240–1,242

   personal strategies to avoid 246–7

   what is it? 219–23

   see also ageing persons; HIV/AIDS; nursing homes

‘sin eating’, among peasants 81

single heir inheritance 91

sins, preoccupation with 132

skilled workmanship 128

slavery 200

slow dying 232

   and bad death 95–6

   associated with longer life-expectancy 215

   from heart disease 141

   through degenerative diseases 119

   through malnutrition or infections 118

smallpox 87,139,159–60

snakes 14

social act of inheritance 29,35–6,91–2,216

   and good death 88,91–2,100

   as crucial rite for survivors 99

   disputed inheritance 120

   kin intervention 99–100

   middle classes 149

   partible inheritance 91

   pastoral societies 88

   precarious nature of inheritance 99–100

   single-heir inheritance 91

   through provision for family and household 91

   transitional inheritance 92

social and personal power 115–16

social benefits of preparing to die see personal and social benefits of preparing to die

social change

   rate of, modern world 195–7

   scope of, modern world 197–9

social consciousness 194

social death 62,237

social development in humans 18

social expectations of society towards the dying 110

social impact of death 63">social functions of deathimaryIE>

   of high-ranking people 113

   threats to society’s values, norms and relationships 112–13

social insects 125–6

social obligations of the dying 111

social organisation

   and time 238

   surrounding killing of animals 50

social relations

   cities 147–8

   rural settlements 148

social relationships, and time 238–40

social requirements of dying 227

social theory books on dying 4

socio-economic status, and life expectancy 119,138

sociological–religious approach to death 62

South America, farming in 69

Southeast Asia, farming in 69

specialist professionals 134,135

spiritual view of dying 2

spouses, views on timing of dying 237

stigma, origins 220

stigmatised people 219–23

stigmatising disease, dying from 209,211,214

stigmatision

   ageing persons 211,221–2,228,237,242

   dementia patients 222

   HIV/AIDS patients 209,211,214,222–3,228,242–3

   process stages 228

Stone Age 16,17–22

Stone Age dying 33–42

   as a post-death experience 24,25

   as otherworld journeys 29,32,36–40,43,44

     fearsome responses 44–5

   second life as ‘real’ life of the dying person 42

   self dispersed in a broader identity 26

   summary features 25–7

Stone Age people

   ability to kill ‘remotely’ 50

   afterlife journey 23,24,27,30

   ambivalent farewell 41–2

   anticipation of dying 26–7,43–6,53

   as hunter-gatherers 21,70

   average age 19

   burial practices 22–3

   cannibalism amongst 22

   causes of death 19,21

   cave art 23–4

   communications 50

   community control of dying 29,40–1,43

   death worlds 22–5

   deliberate killing 34

   development of magic and superstitious rites 49

   farewell rites 29

   gardening 70

   grave goods 23,35,36

   identifying risks that bring death, Stone Age 49–51

   inheritance for the dying 28,35–6

   interest in keeping the dead where they lay 62

   personal awareness of dying 24,28

   problem of predation 20,49

   scavenging by 21

   short awareness of dying 33–5

   social act of dying 29

   sudden death 22,25,44,49

   trauma injuries through hunting 21,49

   violence amongst 21–2,49,50

   weaponry 21,50

   see also Australopithecines; Neanderthals

structuration 238

suburbia, development of 136

succession planning 53,83

sudden death 167

   ageing persons 208

   as ‘good death’ for suffering patient 167

Stone Age 89">hunter-gatherers4,49

   

   without warning as ‘bad’ deaths 92,94

suicide 186,246

   amongst elderly 33,202,208,228–9,230–1,233

   amongst people with HIV/AIDS 209,230

   as ‘anti-heroic’ end 231

   as ‘bad’ deaths 92,94

   as civil disobedience 232

   incidence 228

   protest 185,186

   social price for 231

   see also euthanasia

supernatural beliefs, Stone Age 24

superstitious rites, development 49

support for dying person 114

tame, definition 170

tame death 170

   Aries' views 171,172–7,178,181

     criticisms 173–6

   as a type of place 177

   Bauman’s views 177,181–4

     criticisms 183–4

   medieval Europe examples 173–6, 177

tame enemies 177

taming death 169–87

   challenge of 166–8

   medical taming 178

   ‘naturalness’ of death 179

   origins 170,171,172

   religious taming 176–9

   the tame and the wild 170–2

   taming the wild 180

   threats and ironies 184–7

   urban elite 184

technological development, in humans 18,19

technological innovation 193,197,197

technological intervention

   in biographical dying 241

   in well-managed life 248

terminal illness, living with 230

terminal phase of dying 164,164,165

   ‘early’ and ‘late’ 240

   prevention of 242

thanatosis 14

Third Revolution 133

time

   and social relationships 238–40

   in small-scale societies 239

   organised to suit humans own purposes 238,239

   ‘right’-time and ‘right’-place social experiences 239

   social nature of 239

timing death 232–3,234–50

   personal control 246–8

tools 18

Torres Strait Islanders, funeral ceremonies 42

totemic animals, ritual killing 108

totemism, origins 108

transitional inheritance 92

transnational businesses 198–201

transnational policy bodies 198–201

tree burial 39

tribal ambivalence towards the dead (Freud) 107–9

tuberculosis 77,150

uncertainty and anxiety over otherworld journey 44–5

undermining developments against the good death 118–22

   disputed inheritance 120

   prosperity and physical suffering 118–19

urban dying 7">urban dwellers, preparation for death11;46

   crisis management of 153

   summary features 145–6

Aries’ description of dying, medieval Europe 74">urban elite

   

   good death 150

   political and social power 180

   recognition of dying 252

   settlement of affairs 150

   taming death 184

   well-managed death 183

   see also landed gentry; royalty

urban poor, good death 149

urban professionals 149

urban societies 147–8

   preparing for death 184

urbane middle classes 131–4

urbanism, social and physical context 126–9

vervet monkeys, understanding of death threats 12

Victorian England

   bad deaths, middle classes 95–6

   public health measures 201

village development 74

violence amongst Stone Age people 21–2

vitamin A deficiency, Stone Age 20

voluntary death 33

voluntary euthanasia movements 166,230,230–1,236

volunteer human sacrifice 90,97–8,98

warfare, amongst Stone Age peoples 21

wars

   as reason for existence of cities 126

   deaths through 80,81,83

weapons and weapon development, Stone Age 21,50

well-managed deaths 145,146,147–68,249,251

   and medical power 156–8,161

   as individualist model 152

   as part of well-managed life 249

   as privatised and sequestered 151, 252

   as ‘team’ death 146

   break from broader community 151

   commencement of 150–1

   examples 159–62

   following on from good death 149–52

   good, bad and misunderstood 163–6

   idiosyncratic nature of 161

   management by carers 166

   middle classes 149–52,185

   personal and social identity issues 163

   personal control in 160

   professional services in 149–52,216,217

   Queen Elizabeth I’s encounter with smallpox 159–60

   settler societies 180

   terminal stage, hospice patients 164,164

   transference to health services staff 165

   what is it? 152–6

well-managed life 248,249

Western Europe, farming in 69,70

wheat hybridisation 72–3

wild, definition 170

wild animals 171,172–6

wild beasts 171

wild enemies 177

‘wild’ thing called death 170,177,181

   urban desire to tame 172,180

wills 92,93,154–5,169

   see also living wills

working classes

   denial of vulnerability 154

   heart disease among 140

   life-expectancy 138

yaws, Stone Age 20

zoos 171–2




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