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Awareness Context
The degree to which people know and acknowledge that someone is dying.
Closed Awareness
The dying person does not know they are dying, while others know.
Suspected Awareness
The dying person suspects they are dying, but others do not openly confirm it.
Mutual Pretense Awareness
Everyone knows someone is dying, but everyone pretends that no one knows.
Open Awareness
The dying person and everyone around them openly acknowledge that death is approaching.
Elisabeth Kübler-Ross
Pioneer of the modern death-awareness movement and a major figure in studying dying.
Kübler-Ross's Five Stages
Denial, anger, bargaining, depression, and acceptance.
Denial
The initial refusal or inability to accept the reality of impending death.
Anger
The stage involving frustration, resentment, or anger about dying.
Bargaining
The stage involving attempts to negotiate for more time or a different outcome.
Depression
The stage involving sadness and recognition of the approaching loss.
Acceptance
The stage involving acknowledgment and acceptance of the reality of death.
Kübler-Ross and Hospice
Kübler-Ross's work helped promote the hospice movement.
Kübler-Ross and Autonomy
Her work contributed to the broader movement toward patient autonomy in end-of-life care.
Advance Directive
A document stating a person's wishes for future medical treatment.
Living Will
A document specifying which medical treatments a person wants or does not want.
Medical Proxy
A person authorized to make medical decisions for someone who cannot make them.
Power of Attorney
Legal authority allowing another person to make decisions on someone's behalf.
Preconditions for Defining Death
Questions about whether death is biological or social, reversible or irreversible, and a process or event.
Death as a Biological Phenomenon
The view that death fundamentally concerns the biological functioning of an organism.
Death as a Social Phenomenon
The view that definitions and recognition of death are also shaped by society and culture.
Can an Organism Be Neither Alive Nor Dead?
A question about whether intermediate states exist between life and death.
Death as a Process
The idea that dying may occur gradually rather than as one instantaneous event.
Death as an Event
The idea that death occurs at a particular identifiable point.
Reversible Death
A state in which vital functions can potentially be restored.
Irreversible Death
A state in which the lost vital functions cannot be restored.
Possible Definition of Death
Irreversible cessation of all cellular functions.
Possible Definition of Death
Death occurs when the soul departs the body.
Possible Definition of Death
Death is the loss of vital functions.
Contemporary Definition of Death
Cessation of functioning of the organism as a whole.
Criterion of Death
A condition used to determine whether death has occurred.
Necessary Criterion
A condition that must be present for a particular conclusion to be true.
Sufficient Criterion
A condition that is enough by itself to establish a particular conclusion.
Death Criteria Debate
The debate over whether death should be determined by the brain or by circulation and respiration.
Brain Criterion
Death is determined through the irreversible loss of brain functioning.
Higher-Brain Criterion
Death is defined by irreversible loss of higher brain functions associated with consciousness and personality.
Whole-Brain Criterion
Death is defined by irreversible cessation of all functions of the entire brain.
Cardiopulmonary Criterion
Death is defined by irreversible cessation of circulation and respiration.
Conscious Awareness and Death
A major issue in determining whether loss of consciousness should constitute death.
Why Is the Higher-Brain Standard Useful?
It focuses on loss of consciousness and the qualities associated with personhood.
Biological Concept of Death
Death understood in terms of the organism's biological functioning.
Medical Concept of Death
Death determined using medical criteria and clinical standards.
Biological vs Medical Death
Biology asks what death is; medicine applies criteria to determine when it has occurred.
Organ Donation and Death Criteria
A controversy over whether the need for transplantable organs influences death standards.
Irreversible vs Permanent
Irreversible means the function cannot be restored; permanent may mean it simply will not be restored.
DCDD
Donation after circulatory determination of death.
DCDD and Death
A procedure in which organs are donated after death is determined using circulatory criteria.
Holism
The view that the body is essential to being a complete person or self.
Dualism
The view that a person consists of two distinct aspects, commonly body and mind or soul.
Holistic View of the Self
The physical body is an essential part of what makes someone who they are.
Dualistic View of the Self
The self can be understood as distinct from the physical body.
Religion as a Cultural Institution
Religion is embedded within particular cultures and shapes beliefs about existence and death.
Religion and Birth
For many people, religious affiliation is largely determined by the culture or family into which they are born.
Spirituality
The experience of encountering something beyond or transcendent to oneself.
Religious Questions About Death
What happens after death, how to attain a positive afterlife, and how to relate to the dead.
Ancient Near East
Ancient civilizations whose religious ideas strongly influenced later Western thought.
Why Study Ancient Near Eastern Religions?
They are formative influences on later Western religious and philosophical ideas.
Mesopotamia
An ancient civilization located roughly in present-day Iraq.
Mesopotamian View of the Dead
The dead were believed to continue as shades or spirits in an underworld.
Shade
A spirit-like existence of a deceased person that continues after bodily death.
Etimmu
A Mesopotamian term referring to the spirit or ghost of a deceased person.
Epic of Gilgamesh
Ancient Mesopotamian epic containing important reflections on mortality and the limits of human life.
Gilgamesh's Lesson About Death
Human beings cannot escape mortality, so they must confront and accept the limits of life.
Ancient Egypt
Egyptian civilization with a complex and evolving conception of death and the afterlife.
Egyptian Mummification
The preservation of the body, reflecting the importance of bodily existence after death.
Why Was the Body Important in Egypt?
The body was considered important for continued spiritual existence after death.
Ka
An aspect of the Egyptian person associated with life force or vital essence.
Ba
An aspect of the Egyptian person associated with personality and mobility between worlds.
Osiris
Egyptian god associated with death, resurrection, and judgment in the afterlife.
Isis
Osiris's wife and an important Egyptian goddess associated with restoration and resurrection.
Egyptian Judgment
The deceased's heart was evaluated as part of determining their fate after death.
Heart in Ancient Egyptian Belief
The seat of consciousness and conscience.
Pyramid Texts
Early Egyptian funerary texts dating roughly from 2700–2100 BCE.
Coffin Texts
Egyptian funerary texts dating roughly from 2100–1700 BCE.
Egyptian Book of the Dead
A collection of spells, prayers, hymns, formulas, and procedures for the afterlife.
Egyptian Book of the Dead Meaning
Also translated as chapters of going forth by day.
Greco-Roman Conceptions of Death
Ancient Greek and Roman myths and philosophies offered multiple ideas about death and the afterlife.
Psyche
The Greek concept of the soul or life principle.
Hades
Both the Greek realm of the dead and the god who ruled it.
Persephone
Wife of Hades and queen of the Greek underworld.
Tartarus
A section of the underworld associated with punishment of the wicked.
Greek Shade
An idea that the dead continue after death as a spiritual or shadow-like existence.
Necromancy
The practice of summoning or communicating with the dead.
Mystery Cults
Religious movements that offered initiatory experiences and ideas about death and salvation.
Dualism in Greek Philosophy
The body and soul are treated as distinct, with the body often associated with evil and the soul with good.
Plato's View of the Self
Plato emphasized the higher mind or soul as divine and distinct from the body.
Plato and Death
Death can free the soul from the limitations of the physical body.
Aristotle's View of the Self
Aristotle viewed the body and active intelligence as interconnected, with individuality ending when the body dies.
Stoic View of Matter
Stoics viewed everything as matter, including the mind, which they considered finer matter.
Epicurus's View of Death
Epicurus held that everything is material and therefore there is no personal afterlife.
Plato's Influence
Plato's dualistic ideas became highly influential on later Western religious traditions.
Judaism and Death
Judaism is diverse and has historically placed strong emphasis on living this life well.
Jewish Views of the Afterlife
Judaism contains multiple views of the afterlife and does not have universal agreement.
Holocaust and Jewish Life
The Holocaust reinforced the importance placed on living and valuing this life.
Tanakh
The Hebrew Bible containing Torah, Nevi'im, and Ketuvim.
Torah
The first five books of the Tanakh.
Nevi'im
The Prophets section of the Tanakh.
Ketuvim
The Writings section of the Tanakh.
Biblical Judaism
Judaism associated with the era of the Hebrew Bible and the Jerusalem Temple.
Jewish Cause of Death
In Genesis, death enters human existence after Adam and Eve's disobedience to God.