Professional Documents
Culture Documents
7 SUICIDE 203
What Do the Statistics Tell Us? 205
What About Suicide Attempts? 208
Four Problem Areas 209
Some Cultural Meanings of Suicide 221
A Powerful Sociological Theory of Suicide 224
Some Individual Meanings of Suicide 226
Facts and Myths about Suicide 231
Suicide Prevention 232
Emerging Issues and Challenges 235
Summary 238
Glossary 239
For Further Thought . . . 240
References 240
viii Contents
Summary 354
Glossary 356
For Further Thought . . . 356
References 357
Summary 446
Glossary 447
For Further Thought . . . 447
References 448
1
As We Think About Death
Union General John Sedgwick was killed during the battle of Spotsylvania on
May 8, 1864, while watching Confederate troops. His last words were, “They
couldn’t hit an elephant at this dist . . . .”
—quoted by John Richard Stephens (2006, p. 161)
One man was stretchered away after he was hit in the back by a bull with its
horn and another man who had tripped had a lucky escape when the animal
simply tripped over him . . . “You’re not even thinking. You’re just sprinting.
The elation at the end of it. You’re just ecstatic,” said a 23-year-old accountant
from Adelaide, Australia, Jim Atkinson
—CNN (2004)
“His brow was perfectly calm. No scowl disfigured his happy face, which
signifies he died an easy death, no sins of this world to harrow his soul as it
gently passed away to distant and far happier realms.”
—U.S. Civil War Confederate soldier, quoted by
Drew Gilpin Faust (2008, p. 21)
In the land of the Uttarakurus grows the magic Jambu tree, whose fruit has the
property of conferring immunity from illness and old age, and, by means of this
fruit, they lengthen their lives to a thousand years or even, in some accounts, to
eleven thousand years . . . among other things, their realm includes landscapes
of precious stones and trees from whose branches grow beautiful maidens.
—Gerald J. Gruman (2003, p. 33)
*
2 Chapter 1 • As We Think About Death
L
IFE IS SUPPOSED to go on. Yes, there is death, unbearable was the fact that sons, brothers,
but not here, not now, and surely not for us. husbands, and fathers had died far from home,
We wake to a familiar world each day. We bereft of comfort and spiritual ministry, and
splash water on the same face we rinsed yesterday. possibly in a despairing state of mind. The
We talk with people whose faces are familiar. We Confederate soldier quoted by Faust at the
see so much of what we have seen many times beginning of this chapter was providing a
before. It is so comforting . . . this ongoingness of welcome service when he described his cousin’s
daily life. Why disturb this pattern? Why think of death in such positive terms in a condolence
death? Why make each other anxious? And why do letter. It was best if his relatives could be made
anything that would increase our risk? Here are a to believe that their young man had ended his
few quick, if perhaps not entirely satisfying answers: life at peace with himself and God. How people
died reflected on how they had lived and hinted
• General Sedgwick led an eventful life, but is at what would be their estate in the afterlife (see
remembered now for his inadvertently famous also the good death in Chapter 15).
last words. Did he deny his immediate danger • Through the centuries, most people died before
to set a bold example for his troops, to cover up what we now would consider to be midlife.
his own fear, or perhaps just because he would Many did not even survive childhood. Perhaps
not think of taking advice from a junior officer? this is one reason why the folklore of ancient
Denial of vulnerability can be a fatal gesture. times is filled with stories about fortunate people
• Who can resist the opportunity to be scared who lived so long that they hardly needed to
out of their wits on a diabolical rollercoaster think about death. The Uttarakurus were sup-
or gored and trampled by a bull? Each year so posed to live in the far north of India, but similar
many people crowd into the northern Spanish tales flourished in Greek, Persian, Teutonic,
town of Pamplona that they become almost as Hindu, and Japanese lore, among others. One of
much a menace to each other as the six bulls the oldest Hebrew legends speaks of the River
who rush down cobblestone streets. (Fifteen of Immortality, which some scholars believe
have died and hundreds have been injured since provided the background for Christ being
the first bull run in 1911.) The “ecstasy” of identified with the Fountain of Life. The idea that
outrunning death is hard to understand for those in a faraway place there were refreshing waters
who organize themselves around the avoidance that could extend life and perhaps also renew
of mortal anxiety. Our friend “Anonymous” tries youth was still credible enough to gain funding
out the biggest and baddest rollercoasters, and for Ponce de Leon’s expedition to Florida
does it over and over again. It’s the thrill of (although skeptics suggest it was gold lust all
terror and the joy of survival (see edge theory, this the way). Fear of dying could be attributed to
chapter). the prevailing short life expectancy. If only we
• In mid-nineteenth-century United States, people could do something about death, we wouldn’t
thought often and intensely about death. No have to be thinking about it so often!
family was secure from the threat of virulent epi-
demics and lethal infections, especially during Some families today cherish fading photographs
or after childbirth. Fortunately, they knew how of relatives who died years ago of pneumonia,
they were supposed to think about death. tuberculosis, cholera, typhoid, scarlet fever, infantile
Guidebooks for Christian living and dying were paralysis, and other widespread diseases. One hoped
relied on by many families. The Civil War to survive the diseases that threatened children and
brought death on an unprecedented scale and young adults. One hoped for the chance to realize
in horrifying forms. The loss of young lives was personal dreams for a good life. Perspectives have
devastating to families on both sides of the changed about what to do when life isn’t good.
conflict. What made these losses all the more There are now increasing demands for release from
Chapter 1 • As We Think About Death 3
life when the quality of that life has been reduced that! Therefore, in this book we offer historical per-
by painful or incapacitating illness. Death, once the spectives in many specific areas, e.g., hospice care,
problem, is being regarded as the answer by a euthanasia, terrorism, and afterlife beliefs. One
growing number of people. scholar stands out, however, for his effort to identify
In this chapter we begin our exploration of basic themes in attitudes toward death over an
thoughts, knowledge, attitudes, and feelings about extended period. Phillipe Aries had already made
death. We will consider many world societies, substantial contributions to the history of family life
although our focus is on the United States. It is not (1987) and the social construction of childhood
enough, though, to attend only to the way other (1962). Aries’ influential work (1981) energized the
people think about death; therefore, this chapter study of death from a historical perspective. He
also provides the opportunity to take stock of our attempted to reconstruct the history of European
own dealings with mortality. First, we gather around death attitudes, focusing on approximately a
the campfire and spare a few thoughts for our thousand years after the introduction of Christian-
ancestors. ity up to the present time. He drew most of his
observations from burial practices and rituals
surrounding the end of life. Aries’ book is a treasure
A HISTORY OF DEATH of information regarding how our ancestors lived
with death.
We have already touched a little on the history of What does Aries extract from this daunting mass
death. In fact, one might grumble that all of history of observations? Four psychological themes and
is just death warmed over. The people who did their variations: awareness of the individual; the defense
those things, or had those things done to them—their of society against untamed nature; the belief in an afterlife;
lives, no matter how lively, have been absorbed and belief in the existence of evil. These themes have
into yesteryear. Grumbles aside, the history of death unfolded through the centuries.
is so interwoven with life that scholars have hesi- Death was primarily a community event in the
tated to take it on. Try to encompass life and death earliest human societies. The community or tribe
in the big picture, leaving nothing out and placing could be seriously weakened by the loss of its mem-
everything in balanced perspective. Good luck with bers, and the survivors feared even more for their
4 Chapter 1 • As We Think About Death
lives. Nature was dangerous, so the death of the technological advances and the growing importance
individual was relatively “tame.” How the com- of family life and privacy. People lived more as
munity would keep itself strong and viable was the members of a tight-knit family than as cogs in the
challenge. larger society. Death had become more personal—
Ritualization was a way of protecting fragile individual grief breaking through communal ritual.
human society from the uncontrollable perils of “What the survivors mourned was no longer the
nature and malevolent gods. Death and the dead had fact of dying but the physical separation from
to be dealt with constantly. Much of the danger the deceased” (Aries, 1981, p. 610). Death now was
resided in potential harm from the dead, who might neither tame nor wild. It could be viewed as a
return with a vengeance. The dead as well as death beautiful adventure. This social reconstruction of
were tamed by requiring them to return only under death was made possible by the dismissal of purg-
specified occasions and conditions. Mostly, the early atory, Hell, and an eternity of suffering. Death was
Christian dead were assigned the role of peaceful revisioned as a guilt-free trip. One could therefore
sleepers. Speak not ill of them. contemplate the mysteries and wondrous trans-
About a thousand years into the Christian era, formations rather than tremble at the threshold of
a darker shadow fell over prevailing attitudes: the damnation. Best of all, death meant reunion with
death of the self became the most intense concern. loved ones. Heaven had been improved with an
People became more aware of themselves as extreme makeover that promised reunion with loved
individuals. This was associated with a heightened ones, a projection of the earthly good life into a
sense of vulnerability. It was their very own life, their forever space.
very own soul that was at stake. And there was a Next? The invisible death made its impact in the
lot more to life. The quality of life was improving, nineteenth century and continues its dominance
so people were reluctant to surrender the pleasures today. It does not revoke the death of the other, but
of earthly life unless postmortem bliss was assured. takes us to a different place in the mind. “Death
The hour of death became the most important hour of life. became dirty, and then it became medicalized”
The Ave Maria became a fervent prayer for a good (p. 612). Why? Because “success” had become every-
death. Death was no longer simply a natural part of thing. The opposite of absolute success was absolute
life: it was make-or-break with individual destiny. failure, and that was the new role assigned to
This transformation became evidence in burial death. This meant that it was a kindness to protect
practices: the body and face were now covered and people from knowledge of their imminent death:
concealed, taken out of nature. enter denial! Avoidance, misrepresentation, and
Next came what might be called twisted death. denial had an effect that could hardly have been
Rationalism and science were contributing to an more unthinkable in earlier eras. It was spiritual
increasingly progressive and sophisticated world- deprivation—deprived of the opportunity for that
view; however, at the same time, death became more transformative deathbed moment. Distracted from
entwined with both violence and sexuality. In other their own final passage and shorn of interpersonal
words, death had become strange, alien, and support and communal ritual, people now died
sometimes perverted. neither in grace nor in peril of damnation. If death
Furthermore, a specific dark fear becomes “viral” were no longer an evil, it was no longer a sacred pass-
throughout the world: being buried alive. Horror is age either. It was just, well, failure of the machine.
on the loose as people recoil but are fascinated at the Aries offers many examples in support of his
image of life and death so closely mingled, perhaps conclusions. His book is little short of a revelation
with forbidden sexuality as a terrifying temptation. for those who have never attended to the connec-
Sex and death would remain strange bedfellows as tion between our social constructions and how we
a cross-cultural theme still having its say. live and die. Nevertheless, Aries’ conclusions have
Attitude change did not stop at this point. not escaped challenge. It is possible to read history
Next into prominence came the death of the other. in more than one way. Perhaps he emphasized
This took place within the context of widespread one source of data too much while ignoring others.
Chapter 1 • As We Think About Death 5
In any event, he does not delve into the history of then concern either the living or the dead, since for
death attitudes and practices in Africa, Asia, and the former it is not and the latter are no more.
the Pacific Islands. A fair assessment is that Aries (Epicurus, third century B.C.)
has made a remarkable contribution for one scholar
as he pioneered a vast and neglected realm of human Neither the living nor the dead should be
experience. concerned about death. Instead, we should cultivate
For a brief, intensive immersion in the history a pleasurable life of learning and friendship.
of death, a top recommendation is Barbara W. Epicurus illustrated this approach by creating a
Tuchman’s (1978) authoritative and richly illustrated garden community that welcomed people of all
A Distant Mirror: The Calamitous 14th Century. Here backgrounds who wanted to live here and now in
we find death raw, up close, and personal, and in a peaceful and friendly manner. It is said that,
command of town and country, crown and church. remarkably, this community endured for 500 years.
Another informative read is John R. Hall’s (2009) Is that a philosophy we should live by—are we
Apocalypse. He traces the history of doom-saying entitled too, or are we condemned to worry about
from antiquity to the twenty-first century. If you have our mortal endings?
ever wondered about the end of the world, here is
the opportunity to catch up with what others have
been imagining through the centuries. Many entries NOT THINKING ABOUT DEATH:
on specific historical developments are offered in A FAILED EXPERIMENT
the encyclopedias listed at the end of this chapter.
Our books, Beyond the Threshold: Afterlife Beliefs As a society, we have tried not thinking about death.
and Experiences in World Religions (Moreman, 2017), Most of us completed our school days without
which offers an overview of afterlife beliefs from a being exposed to substantial readings and
wide range of major religious traditions and also discussions about dying, death, grief, and suicide.
explores the purported evidence for an afterlife from Who would have taught us, anyway? Our teachers
individual experiences, and On Our Way: The Final were products of the same never-say-die society.
Passage Through Life and Death (Kastenbaum, 2004), Death did surface sporadically as an event remote
are both excellent resources to consult. from our own experiences. For example, X many
Philosophers were most active in pondering gunmen murdered each other in a famous shoot-out.
death when abstract thought burst through with Some king or other died and somebody else grabbed
unprecedented enthusiasm during the Golden Age the throne on a date we might need to remember
of Greek antiquity. Socrates himself suggested that for the exam. Occasionally, interesting people died
all philosophy was ultimately geared towards or people died in interesting ways; otherwise, death
death. What is the world made of? What is really had little to do with us.
real, and what is illusion? How do we know any- Students who persevered to a graduate degree
thing, and how do we know that we know it? What received only further lessons in death avoidance.
is the good? And what are we to make of this limited Nurses, physicians, psychologists, social workers,
run on Earth? For a reliable overview of the current and others who would be relied on to provide human
state of philosophical discourses surrounding death, services were not helped to understand their own
see Stephen Luper’s Cambridge Companion to Life and death-related feelings, let alone anybody else’s.
Death (2014), and also Luper’s own text on The During these long years, even clergy often felt un-
Philosophy of Death (2009). As a challenging sample prepared to cope with the death-related situations
of early philosophical thought, here is what one they would face. Few of their instructors had them-
maverick passed along: selves mastered the art of ministering to the dying.
The media also cooperated. Nobody died. Nobody
So death, the most terrifying of ills, is nothing to us, had cancer. Lucky “Nobody”! Instead, people would
since so long as we exist, death is not with us, but “pass away” after a “long illness.” Deaths associated
when death comes, then we do not exist. It does not with crime and violence received lavish attention,
6 Chapter 1 • As We Think About Death
then as now, but silence had settled over the deaths Listening and Communicating
of everyday people. When a movie script called for
More physicians are now listening and com-
a deathbed scene, Hollywood would offer a senti-
municating. Patients and family members feel more
mental and sanitized version. A typical example
empowered to express their concerns, needs, and
occurs in Till the Clouds Go By (1946), a film that
wishes. Physicians feel more compelled to take these
purported to be the biography of songwriter Jerome
concerns, needs, and wishes into account.
Kern. A dying man tries to communicate to a friend
Some people have a ready-made answer that
his realization that this will be the last time they see
dismisses open discussion of death: “There’s nothing
each other, but the visitor obeys the Hollywood
to think about. When your number’s up, it’s up.” This
dictum of avoidance and pretense. As a result, the
idea goes back a long way. The Ancient Greeks
friends never actually connect, never offer significant
spoke of the Three Fates—Clothos, Lachesis, and
words of parting to each other. A physician then
Atropos—minor divinities that spun, measured, and
enters the room and nods gravely to the friend, who
cut the string of each person’s life. It is part of that
immediately departs. Another mortal lesson from
general view of life known as fatalism. Outcomes are
Hollywood: The moment of death belongs to the
doctor, not to the dying person and the bereaved. determined in advance. There’s nothing we can do
Audiences today see this scene as shallow and to affect the outcomes, so why bother? There is some-
deceptive. One student spoke for many others in thing to be said for respecting the limits of human
complaining, “It was as phony as can be—what a knowledge and efficacy. But there is also something
terrible way to end a relationship!” A new question to be said for doing what we can to reduce suffering
has arisen, though: Does the fascination with grisly and risk within our limits. The person who is quick
corpses and mangled body parts on television to introduce a fatalistic statement often is attempting
programs such as CSI literally depersonalize death? to end the discussion before it really begins. It is what
In “Dead,” an episode of Viceland’s documentary communication experts call a silencer.
series, Balls Deep, Thomas Morton remarks on how Fatalistic attitudes in today’s world are perhaps
much easier the autopsy becomes the more parts of more dangerous than ever. As we will see, many
the body are removed and the less the remaining deaths in the United States can be attributed to
masses of flesh resemble a person. Is immersion in lifestyle. Our attitudes, choices, and actions con-
gory details just another maneuver to avoid emo- tribute to many other deaths across the entire life
tional confrontation with the death of a person? span. Ironically, it is the belief that there is no use
Not thinking about death was a failure. People in thinking about death and taking life-protective
continued to die, and how they died became an measures that increase the probability of an
increasing source of concern. Survivors continued avoidable death.
to grieve, often feeling a lack of understanding and
support from others. Suicide rates doubled, then
tripled, among the young, and remained excep-
YOUR SELF-INVENTORY OF
tionally high among older adults. Scattered voices ATTITUDES, BELIEFS, AND
warned us that in attempting to evade the reality of FEELINGS
death, we were falsifying the totality of our lives.
Who were we kidding? Neither an individual nor a We have touched briefly on a few of the death-
society could face its challenges wisely without related questions and beliefs that are current in
coming to terms with mortality. our society. Perhaps some of your own thoughts
It is still difficult to think about death, especially and feelings have come to mind. One of the most
when our own lives and relationships are involved. beneficial things you can do for yourself at this point
Nevertheless, enforced silence and frantic evasion is to take stock of your present experiences, attitudes,
seem to be less pervasive. There is an increasing beliefs, and feelings. This will give you not only a
readiness to listen and communicate. personal data baseline but will also contribute further
Chapter 1 • As We Think About Death 7
to your appreciation of the ways in which other regarding various facets of death. This is followed
people view death. by exploring your attitudes and beliefs. We then
Before reading further, please begin sampling move on to your personal experiences with death.
your personal experiences with death by com- Finally, we look at the feelings that are stirred in
pleting Self-Inventories 1–4. Try to notice what you by dying, death, and grief. Our total view of
thoughts and feelings come to mind as you answer death comprises knowledge, attitudes, experiences,
these questions. Which questions make you angry? and feelings—and it is useful to identify each of
Which questions would you prefer not to answer? these components accurately. For example, if I fail
Which questions seem foolish, or make you want to distinguish between my personal feelings and
to laugh? Observing your own responses is part of my actual knowledge of a death-related topic, I
the self-monitoring process that has been found thereby reduce my ability to make wise decisions
invaluable by many of the people who work and take effective actions.
systematically with death-related issues.
Each of the inventories takes a distinctive per-
spective. We begin with your knowledge base,
sampling the information you have acquired Please complete the Self-Inventories now.
Inventory 1
1. Your friend wants to live as long as possible— 4. The leading cause of death for the population in
and would change species to do it. general is ________
Which of the following species has the longest
5. A person born in the United States a century
verified life span?
ago had an average life expectancy (ALE) of
a. Bat _________ about ________ years.
b. Cat _________
6. A person born in the United States today has
c. Lobster _________
an ALE of about _________ years.
d. Queen termite _________
7. In the nation of _________, ALE dropped from
2. Most baby boomers:
69 in 1987 to only 41 in 2002. Why?
a. Do not believe in Heaven _________
b. Believe in Heaven, but not in ghosts 8. There is a new entry among the ten leading
_________ causes of death in the United States. This is
c. Believe in Heaven, but do not expect to ___________
go there _________ 9. What is the leading cause of fatal accidental
d. Believe in Heaven, and expect to go injuries in the United States? __________
there_________
10. A seriously ill person is in the hospital and not
3. How many deaths are there in the United States expected to recover. How much time is this
each year? ________ person likely to spend alone each 24-hour day?
Continued
8 Chapter 1 • As We Think About Death
11. Homicide rates in the United States have been 17. Palliative care most often has relief from
consistently highest in: ________ as its top priority.
New England _______ 18. In the United States, cremation is now chosen
Mountain states _______ by about one person in ________.
Southern states _______
West north central states _______ 19. Near-death experience reports have several key
elements in common. How many can you
12. Does your state recognize an advance directive
name? ________
for end-of-life medical care as a legal and
enforceable document? 20. Jack Kevorkian, M.D., “assisted” in the death of
Yes _______ No _______ more than 100 people. How many of these
people were terminally ill? ________
13. A suicide attempt is most likely to result in death
when made by a/an: 21. “Periodic mass extinctions” have totally
a. Young woman eliminated many species and taken a
b. Young man tremendous toll of life. The three most recent
c. Elderly woman mass die-offs are thought to have been caused
d. Elderly man by _______.
14. Cryonic suspension is a technique that is 22. The Harvard Criteria offered an influential guide
intended to preserve a body in a hypothermic to the diagnosis of ________.
(low-temperature) state until a cure is
23. ________is the philosopher who turned
discovered for the fatal condition. How many
down the opportunity to escape his unjust
people have actually been placed in cryonic
execution, and instead used the occasion to
suspension, and how many revived? ________
explain to his friends why death should not
15. The earliest childhood memory reported by be feared.
most adults is an experience of ________.
24. PTSD has been receiving increased media
16. The number of states that have legalized
attention lately. What is it? ________
physician-assisted death is ________.
Answers to self-inventory questions are found later in this chapter. Not going to peek, are you?
Inventory 2
1. I believe in some form of life after death: 2. I believe that you die when your number comes
Yes, definitely ______ up. It’s in the hands of fate.
Yes, but not quite sure ______ Yes, definitely ______
No, but not quite sure ______ Yes, but not quite sure ______
No, definitely ______
Chapter 1 • As We Think About Death 9
4. I believe that taking another person’s life is: Yes, agree ______
Tend to agree ______
Never justified ______
Tend to disagree ______
Justified in defense of your own life ______
No, disagree ______
Justified when that person has committed a
terrible crime ______ 11. A person has been taken to the emergency
room with internal bleeding that is likely to
5. I believe that dying people should be:
prove fatal. This person is 82 years of age and
Told the truth about their condition
has an Alzheimer’s disease-type dementia.
______
What type of response would you recommend
Kept hopeful by sparing them the facts
from the ER staff?
______
Comfort only ______
Depends upon the person and the
circumstances ______ Limited attempt at rescue ______
All-out attempt at rescue ______
6. In thinking about my own old age, I would
prefer: 12. You have been taken to the emergency room
with internal bleeding that is likely to prove
To die before I grow old ______
fatal. You are now 82 years of age and have an
To live as long as I can ______
Alzheimer’s disease-type dementia. What type
To discover what challenges and
of response would you hope you receive from
opportunities old age will bring ______
the ER staff?
7. To me, the possibility of nuclear warfare or
Comfort only ______
accidents that might destroy much of life on
Limited attempt at rescue ______
Earth has been of:
All-out attempt at rescue______
No concern ______
Little concern ______ 13. Another round of chemotherapy has failed
Some concern ______ for a woman with advanced breast cancer.
Major concern ______ The doctor suggests a new round of
experimental therapy. She replies, “I wish
8. To me, the possibility of environmental I were dead.” What do you think should be
catastrophes that might destroy much of life done—and why?
on Earth has been of:
___________________________________________
No concern ______ ___________________________________________
Little concern ______ ___________________________________________
Some concern ______ ___________________________________________
9. Drivers and passengers should be required to ___________________________________________
wear seat belts.
10 Chapter 1 • As We Think About Death
Inventory 3
B. How I felt when my pet died can be 9. I have provided care for a dying person.
described by words such as __________ and Never _______
__________. One person _________
Several people ________
2. The following people in my life have died:
Many people ________
Person How Long Ago?
A. _______________________ _______________ 10. I have known a person who attempted suicide.
B. _______________________ _______________ Not to my knowledge ______
One person ______
C. _______________________ _______________
Several people ______
D. _______________________ _______________
11. I have known a person who committed suicide.
E. _______________________ _______________
Not to my knowledge ______
3. The death that affected me the most at the time One person ______
was ____________. Several people ______
4. How I felt when this person died can be 12. I have known a person who died in an accident.
described by words such as ________ and Not to my knowledge ______
________. One person ______
5. This death was especially significant to me Several people ______
because ________________________________ 13. I have known a person who was murdered.
________________________________________
Never ______
________________________________________
One person ______
________________________________________
Several people ______
6. In all the circumstances surrounding this
14. I have known a person who died of AIDS-related
person’s death, including what happened
disease.
afterward, my most positive memory is of
Not to my knowledge ______
____________________________________
One person ______
7. My most disturbing memory is of Several people ______
________________________________________
15. I know a person who has tested positive for the
________________________________________
AIDS virus.
8. I have conversed with dying people. Not to my knowledge ______
Never _______ One person ______
One person _________ Several people ______
Chapter 1 • As We Think About Death 11
Inventory 4
My Feelings
Select the answer that most closely represents your feelings.
1. I would feel comfortable in developing an 8. I fear that I will die too soon.
intimate conversation with a dying person. Yes, agree ______ Tend to agree ______
Yes, agree ______ Tend to agree ______ Tend to disagree ______ No, disagree ______
Tend to disagree ______ No, disagree ______
9. I have no fear of death as such.
2. I would hesitate to touch someone who was Yes, agree ______ Tend to agree ______
dying. Tend to disagree ______ No, disagree ______
Yes, agree ______ Tend to agree ______
10. I have no fears associated with dying.
Tend to disagree ______ No, disagree ______
Yes, agree ______ Tend to agree ______
3. My hands would tremble if I were talking to a Tend to disagree ______ No, disagree ______
dying person.
11. I feel good when I think about life after death.
Yes, agree ______ Tend to agree ______
Tend to disagree ______ No, disagree ______ Yes, agree ______ Tend to agree ______
Tend to disagree ______ No, disagree ______
4. I would have more difficulty in talking if the
dying person was about my age. 12. I am anxious about the possible death of
somebody I love.
Yes, agree ______ Tend to agree ______
Tend to disagree ______ No, disagree ______ Yes, agree ______ Tend to agree ______
Tend to disagree ______ No, disagree ______
5. I would avoid talking about death and dying
with a person who was terminally ill. 13. I am grieving over somebody who has already
died.
Yes, agree ______ Tend to agree ______
Tend to disagree ______ No, disagree ______ Yes, agree ______ Tend to agree ______
Tend to disagree ______ No, disagree ______
6. I would avoid talking with a dying person if
possible. 14. I have a hard time taking death seriously: It feels
remote to me, and not really connected to my
Yes, agree ______ Tend to agree ______
own life.
Tend to disagree ______ No, disagree ______
Yes, agree ______ Tend to agree ______
7. I have had moments of anxiety in which I think Tend to disagree ______ No, disagree ______
of my own death.
Never ______ Once ______ 15. I have some strong, even urgent, feelings
Several times ______ Often ______ regarding death these days.
Yes, agree ______ Tend to agree ______
Tend to disagree ______ No, disagree ______
Note: Questions 1–6 are part of a scale introduced and updated by Bert Hayslip.
12 Chapter 1 • As We Think About Death
21. Scientists now believe that asteroids were paramedic who has responded to a thousand motor
responsible for the three most recent mass vehicle accidents is likely to have a stronger attitude
die-offs or extinctions, though other theories and more intense feelings when noticing children
continue to be debated, including climate without seat belts in a car. A person who has never
change, flooding, volcanic activity, and others suffered the death of a loved one may be more
(Chapter 15). impatient with a bereaved colleague who does not
22. The Harvard Criteria have been applied to seem to “snap back” right away.
determine whether a nonresponsive person There is a profound experiential difference between
should be considered brain-dead (Chapter 2). people who have had a personally significant death and
23. Socrates (Chapter 15). those for whom death has remained a distant topic, or
24. Post-traumatic stress disorder is a disabling con- even just a word. Death stopped being just a word
dition that is related to overwhelming experi- for a graduate student of social work when both her
ences, such as warfare and disaster (Chapter 3). parents were killed in an automobile accident. She
could not go on with her own life until she fully
realized their deaths as well as her own mortality.
Attitudes, Experiences, Beliefs,
“Before all this happened, it was just a word to me,
Feelings death. I could hear death. I could say death. Really,
Attitudes refer to our action tendencies. I am ready though, it was just a word. Now it’s like something
or not ready to act. I am ready to approach or to under my own skin, if you know what I mean.”
avoid this situation. Beliefs refer to our worldview. Simply knowing intellectually that people die was
Fatalism, already mentioned, is one type of belief. not enough; she now had to connect death with life
Feelings provide us with qualitative information, a in a very personal way.
status report on our sense of being. I feel safe This challenge is ours as well. If we have
or endangered, happy or sorrowful, aroused or experienced a death that “got” to us—whether the
lethargic. Two people may hold identical beliefs death of a person or an animal companion—then
and attitudes but differ greatly in their feelings. we are also more likely to realize what other people
On Inventory 2, question 10, for example, these have been going through. This is one of the most
two people may answer, “Yes, agree: The availability powerful dynamics at work in community support
of handguns should be more tightly controlled groups. Organizations such as Compassionate
to reduce accidental and impulsive shootings.” Friends and Widow-to-Widow provide emotional
However, one of these people may have relatively support for bereaved persons from those who have
little feeling attached to this view. Perhaps this already experienced the sorrow and stress of loss.
person thinks that it is risky to have a lot of handguns New support groups continue to be formed to help
around on general principles. The other person might people with specific types of death-related stress
be the widow of a physician who was shot to death (for parents whose child has been killed by a drunk
by an emotionally disturbed person who did not driver or for persons with AIDS). However, there
even know him. Her feelings could hardly be more are limits to the value of experience. Just because a
intense. (This is a real person, the former owner of person has had a particular kind of loss experience
a home my wife and I [Robert] purchased. Incredible does not necessarily enhance his or her ability to
as it may seem, the young widow herself became support others. Furthermore, some people have
the recipient of death threats because she spoke up proven helpful to the dying, the grieving, and the
in favor of gun control.) suicidal, even if they have not had very similar
Personal experience influences our attitudes, experiences in their lives. The basic point to consider
beliefs, and feelings. For example, people who is whether at this time in your life you are someone
have had near-death experiences while in a life- who has experienced death in an undeniably
threatening situation often develop a different personal way, or whether you still have something
perspective on life and death (Chapter 14). A of an outsider’s perspective.
14 Chapter 1 • As We Think About Death
Some people have an inner relationship with substantial barrier to completing the document”
death that goes beyond basic realization. The sense (1996, p. 80). Over the past few years there has been
of being dominated or haunted by death can emerge an increase in the number of people signing an
from one critical experience or from a cluster of advance health care directive (a successor to the
experiences. Perhaps you have mourned the deaths living will) because this option is now part of
of so many people that you could not even list them established hospital policy—but many hospital
in the space provided. Perhaps several people died personnel still have not gotten around to completing
unexpectedly at the same time. Perhaps you are still their own document because, well, they’d rather not
responding strongly to the death of one person who think about it. Spoelhof and Elliot (2012) identified
had been at the center of your life. The question physician discomfort with the topic and patient
of whether your life is being highly influenced by expectation that the physician should begin the
death-related experiences cannot be answered by discussion as barriers to the writing of advance
examining a simple list. We would need to appreciate directives. Ask your favorite health-care provider if
what these people meant to you, and what lingers he or she has completed a living will or other
in your mind regarding the deaths themselves, the advance directive: It could be an interesting
funeral, and the memorialization process. Further- conversation.
more, we would need to examine your own
involvement in the situation. Perhaps you have a • Should I sign an organ donation card?
vivid memory of your last visits with a person who All states, as well as the District of Columbia, have
was a very important part of your life. On the other enacted some version of the Uniform Anatomical
hand, perhaps you were thousands of miles away Gift Act (Chapter 6). Despite the widespread avail-
when this person died and had no opportunity to ability of the organ donation option in association
be with your loved one. We may be much influenced with the driver’s license, relatively few people sign
by how a person has died as well as by the fact of and carry organ donor cards (Lock, 2002). Personal
death itself. A death by suicide, for example, has attitudes play a major role in this decision. Non-
often been considered tainted, resulting in additional donors tend to be more anxious about death and to
stress and social isolation for the bereaved family. have the specific fear of being declared dead
prematurely (Robbins, 1990). Additionally, people
who think of themselves as effective and self-reliant
How Does State of Mind Affect Death-
are more likely to sign the donation cards. The
Related Behavior? decision to donate organs to save another person’s
Much remains to be learned about the link between life seems closely related to the individual’s general
what goes on in our minds and how we actually attitude, spiritual beliefs, and personal fears and
behave in death-related situations. Here are a few anxieties. A great deal of current research has been
studies that have addressed some of the questions: directed to finding ways to increase comfort with
becoming an organ donor.
• The living will: why most of the living won’t.
The document known as the living will (Chapter 6) • Stepping off the curb.
has been available since 1968. Although this docu- Is there a relationship between state of mind and
ment was designed to meet the growing public risk-taking behavior in everyday life? Laura Briscoe
interest in controlling end-of-life decisions, most and I (Kastenbaum & Briscoe, 1975) observed 125
people did not choose to use it. Why? VandeCreek people as they crossed a busy street between the
and Frankowski (1996) found that most people had Detroit Art Institute and Wayne State University.
not thought much about their own deaths and also There were equal numbers of street crossers in five
believed that their last days were a long way off. risk categories. People classified as Type A, the safest
The authors conclude that “completing living wills pedestrians, stood at the curb until the light changed
connotes personal death, and this appears to be a in their favor, scanned traffic in both directions,
Chapter 1 • As We Think About Death 15
as a grown-up colleague, suddenly struck Peter 2. Peter Ivanovich immediately becomes concerned
Ivanovich with horror . . . “Three days of frightful for Peter Ivanovich. His feelings do not center
suffering, then death! Why, that might suddenly, at on the man who has lost his life or the woman
any moment, happen to me,” he thought, and for a who has lost her husband.
moment felt terrified. But—he himself did not know 3. Yet he cannot admit that his outer line of defenses
how—the customary reflection at once occurred to has been penetrated. He is supposed to show
him, that this had happened to Ivan Ilych and not to concern for others, not let them see his own
him. . . . After which reflection Peter Ivanovich felt distress. Furthermore, he hopes to leave this
reassured, and began to ask with interest about the house of death with the confidence that death
details of Ivan Ilych’s death, as though death were has been left safely behind.
an accident natural to Ivan Ilych, but certainly not 4. Peter Ivanovich’s basic strategy here is to dif-
to himself (1960, pp. 101–102). ferentiate himself from Ivan Ilych. Yes, some
people really do die, but not people like himself.
Peter Ivanovich knows that we are all called The proof was in the fact that Peter was the
mortals for a good reason. Yet he is playing a vertical and mobile man while Ivan (that luckless,
desperate game of evasion. Consider some of the inferior specimen) was horizontal and immobile.
elements in Peter Ivanovich’s response: We witness Peter Ivanovich, then, stretching and
tormenting his logic in the hope of arriving at
1. He already knows of Ivan Ilych’s death, but it is an anxiety-reducing conclusion.
only on viewing the corpse that the realization 5. Once Peter Ivanovich has quelled his momentary
of death strikes him. There is a powerful panic, he is able to discuss Ivan Ilych’s death.
difference between intellectual knowledge and Even so, he is more interested in factual details
emotional realization. For one panicked moment, than in feelings and meanings. He has started to
Peter feels that he himself is vulnerable. How rebuild the barriers between himself and death.
could that be? Whatever he learns about how his friend died
will strengthen this barrier: all that was true of distressing states of being, neither can be reduced
Ivan obviously is not applicable to him. to the other, and both can be experienced at once
(Kastenbaum & Heflick, 2010–2011). Sorrow is
These evasive strategies, and others, are not oriented toward the past, anxiety toward the future.
confined to the pages of a Russian novel. You might Furthermore, neuroscientists (Izard, 2009; Mobbs,
see them in operation when people in your life are Petrovic, Marchant, & Hassabis, 2007) are finding
confronted by what researchers today refer to as that strong emotional states have differential path-
mortality salience. How will you deal with these ways of operation. Still another strategy is to identify
situations? with death. Some people attempt to reduce their own
death anxieties by joining forces with death and
killing others, whether in reality or in games and
ANXIETY, DENIAL, AND fantasies. How much harm have people done to
ACCEPTANCE: THREE CORE each other when they have tried to control their
CONCEPTS own anxiety by becoming instruments of death?
Despite these limitations, some findings have been openly with their thoughts and feelings on many
obtained repeatedly and are worth our attention. emotionally intense subjects, not only on those that
Death anxiety research has also become somewhat are death-related.
more sophisticated in recent years. Over the years, I (Robert) have observed that
women almost always outnumber men decisively
in seminars and workshops that deal with dying,
MAJOR FINDINGS FROM SELF- death, and grief. I have met many more women
REPORTS OF DEATH ANXIETY than men in hospice and other caregiving situations
as well (also see Chapter 5). If this is anxiety, perhaps
Several patterns have emerged from self-report we should be grateful for it, since relatively few
studies of death anxiety. “low death anxiety” men have responded to these
challenges. In any event, research findings reveal a
gender difference, but do not demonstrate that
How Much Do We Fear Death? women are “too” anxious. Most nurses reported a
Self-report studies consistently find a low to higher level of death anxiety than the general pop-
moderate level of death anxiety. Should we take ulation, yet they also accepted death as an integral
these results at face value? Or should we suspect part of life. Furthermore, some of the anxiety could
that most people are trying to convince themselves be attributed to their limited training in caring for
and others that death holds no terror? However we people with life-threatening or terminal conditions
interpret the results, it appears that most people do (Brisley & Wood, 2004). Level of death anxiety tells
not consider themselves to be very anxious about us something, but not everything, about the way a
death as they go about their everyday lives. I (Robert) person interprets and responds to death-related
am inclined to believe that the self-report instruments situations.
measure death anxiety only when the scores are
very high: when the respondent is in a genuine state
Are There Age Differences in Death
of alarm—and that seldom is the situation when the
questionnaire is presented.
Anxiety?
The few studies that have used laboratory Do we become more anxious as the years pass and
experiments find that people could be cool, calm, the distance from death decreases? If so, then elderly
and collected on the verbal level while at the same adults might be expected to express a higher level
time experiencing a strong emotional response on of death anxiety. Not so. Studies show either no age
the neurophysiological level (e.g., Feifel & Brans- differences or somewhat lower death anxiety for
comb, 1973; Cai, Tang, Wu, & Li, 2017). Most often, elders. Having seen and learned much from life,
though, we can only speculate about what the many people have come to terms with death as they
respondents were feeling when they were providing move through their later years. The fear of becoming
their moderate replies. helpless and dependent on others may increase,
but with death itself regarded as a natural ending
to their lives. Elderly participants in a cardiac fitness
Are There Gender Differences in
program were totally aware of their continuing
Death Anxiety? risk, but had found their own individual ways to
Women tend to have higher death anxiety scores experience a meaningful life without the sharp edge
on self-report scales. This pattern is confirmed by a of death anxiety (Kastenbaum, 2010).
survey of studies conducted in 15 nations (Lester, Episodes of intense death anxiety in elderly
Templer, & Abdel-Khalek, 2006–2007; cf. Pierce, people often are related to relationship loss, in-
Cohen, Chambers, & Meade, 2007). Does this mean creased health concerns, or uncertainties and also
that women tend to be “too” anxious? Probably not. often can be relieved when the person is helped to
Women are more comfortable than men in dealing feel safe again (Kastenbaum, 2000a). There is still
Chapter 1 • As We Think About Death 19
another side to death anxiety in the later adult years: are generational as well as age differences at work.
Some people experience so much distress from The baby boomer generation is a case in point.
bereavement, social isolation, financial concern, The term has usually been applied to people in the
and physical ailments that they feel ready to have United States and the United Kingdom who were
their lives come to an end (Kastenbaum, 2009a). born between 1946 and 1964. Experts, however,
This attitude is also reflected in the high completed see two population waves with significantly differ-
suicide rates for elderly white men. Low death ent cultural experiences (e.g., Gillon, 2004). Those
anxiety might then be related to dissatisfaction with born soon after the end of World War II are the
the quality and prospects of life. true boomers because there are so many of them,
Death anxiety tends to be relatively high in the product of a spike in the birth rate (roughly,
adolescence and early adulthood (Twelker, 2004; 1945–1955). They became the first television-from-
Robin & Omar, 2014). The younger respondents also the-cradle and rock-and-roll generations and came
had more specific worries about dying before they of age during the Vietnam War era, with its tensions
could do everything they wanted to do, dying alone, and dissensions. By the mid-1960s, the population
not being remembered, and what to expect after increase had subsided, coincident with the newly
death. It is possible that such concerns are moderated available birth control pills.
as one’s life becomes more settled and predictable. Babies no more, boomers are now eligible for
On the other hand, it is also possible that death Social Security. Many have earned the right to be
anxiety goes underground through much of the called the sandwich generation because they have had
adult life course, not so much overcome as sent back the challenge of caring for their long-lived parents
to the closet. Death anxiety is apt to rise again in as well as their children. Aging is not popular with
later middle age, perhaps occasioned by the death this active and achieving generation. They are not
of friends and family and signs of one’s own aging. the first generation with the preference to stay young
After this rise, there is a decline to a new low in death and live forever (Grossman, 2000), but perhaps the
anxiety for people in their seventies. most dynamic in trying to accomplish this feat.
A study by Russac, Gotliff, Reece, and Spotts- Boomers are falling into the many nets laid about
wood (2007) gives us something else to think about. by researchers. Benton, Christopher, and Walter
Death anxiety peaked at around age 20 for both men (2007) have found a close connection between aging
and women. It was also found that women—but not anxiety and existential death anxiety (see also below).
men—experienced a secondary peak in death anxiety Retirement can reduce social status and amputate
as they entered their fifties. Death anxiety decreases part of one’s identity. Other losses include the death
for women as they enter their sixties, and continues of family members and friends and physical changes
relatively low for men. Why? The researchers suggest that the mirror impudently reports. There will be
that for women the age 50 spike is related to the end more research and more insights from the boomers
of their reproductive careers and therefore a themselves, but it is clear that belonging to a
depressing reminder that they are growing older. particular generation influences our view of death
They also note that the peak of death anxiety occurs as well as our style of life.
at the same time that men and women reach the
height of their reproductive capabilities. These are
Is Death Anxiety Related to Mental
the researchers’ speculations. What do you think?
Health and Illness?
Death anxiety that is high enough to be disabling
Here Come the Boomers may warrant the attention of professional caregivers.
Most of the studies reviewed here are cross-sectional. Generally, self-reported death anxiety is higher in
In the Russac et al. study, for example, they were people with diagnosed psychiatric conditions. Death
not able to wait for 20-year-old respondents to anxiety can rush to the surface when a person’s ego
become 50 or 80 years old. It is probable that there defenses are weakened and can no longer inhibit the
20 Chapter 1 • As We Think About Death
impulses, fears, and fantasies that are ordinarily reducing the individual’s intense fear of death. A
suppressed. However, death concern is not limited fellow anthropologist, A. R. Radcliffe-Brown (1952)
to people who are emotionally disturbed. For exam- came to just the opposite conclusion: Religion gives
ple, it is not unusual to experience an upsurge of rise to fear of evil spirits, punishment, torment, and
death anxiety when we realize how close we have hell. Both sets of observations were based primarily
come to being killed in a motor vehicle accident. The on an outsider’s observations of preliterate societies,
sudden, unexpected death of another person can and leave untouched the question of whether or not
have a similar effect. Situations in which people feel religion serves the same function in societies at a
alone and unprotected can also arouse a passing higher level of general development.
sense of separation anxiety, which often is indis- There are substantial differences in religious
tinguishable from death anxiety. belief and practices. In many tribal societies, death
There are reasons to be both anxious about death is believed to be followed by a life similar to the one
and to keep our anxiety within bounds. People with that has just been concluded (Chapter 13). There
a sound mental health status have learned to avoid may be anxiety about the journey through death
the extremes of too much anxiety and too heavy a to the next life (Kastenbaum, 2004), but the outcome
reliance on defenses against anxiety. It has also been is neither annihilation nor some frightening new
found that people with a knack for regulating their state of being. By contrast, spirit possession is a
thoughts in general are less likely to have anxious major component in some religions, so interactions
and defensive responses to death-related situations between the living and the dead are vital concerns.
(Gailliot, Schmeichel, & Baumeister, 2006). Fear of the dead may be more intense than fear of
death (Frazer, 1966). People in one society may fear
eternal damnation, while in another there might be
Does Religious Belief Lower or Raise
an intense taboo against contact with a dead body.
Death Anxiety? A longitudinal study in the United States (Wink
The influence of religion in death anxiety has been & Scott, 2005) found no support for the assumption
a subject of controversy for many years. Bronislaw that highly religious people would report the lowest
Malinowski (1948), a pioneering anthropologist, level of death anxiety in their later adult years.
concluded that religion has the basic function of Strong religious belief did not provide an effective
Chapter 1 • As We Think About Death 21
buffer against fear of dying and death. People who doned increases our sense of vulnerability, which,
firmly believe or firmly disbelieve in religion and on the emotional map, is not far from fear of
an afterlife report less anxiety than those with doubts mortality. Heightened death anxiety might pervade
or “moderate belief.” Other studies continue to find society during periods of financial distress, violent
otherwise, though. Morris and McAdie (2009), for episodes, family separation because of military
example, illustrate the ways that religion’s role in action, and whatever else can shake a society’s
death anxiety continues to confound. In their com- confidence in its values and competence. And very
parison of Christians, Muslims, and non-religious little research has yet been conducted on the effects
they found that a strong religious identity equated of persistent exposure to death and mortality cues
to a lowered death anxiety among Christians, but among workers whose jobs have them at the front
that the reverse was true with Muslims—in the latter lines of death and dying. Nurses and firefighters,
case, stronger religious belief actually led to higher for example, have been found to have higher levels
levels of death anxiety. On the other hand, some of burnout related to persistent trait death anxiety
studies do suggest the importance of meaning in life (Sliter, Sinclair, Yuan, & Mohr, 2014).
as a buffer for death anxiety, and religion can often Exposure to death might seem to be a situation
support such life-meaning. One study of elderly that will increase our anxiety. Often, though, we seal
participants in Iran (Taghiabadi, Kavosi, Mirhafez, off such episodes before they can penetrate aware-
Keshvari, & Mehrabi, 2017) found that a sense of ness. Most of us have strategies for limiting the
spirituality, different from strict adherence to a impact of an exposure to death. For example, it’s too
particular religious identity, did serve to buffer death bad about the neighbor who died of pulmonary
anxiety. disease, but we don’t smoke the same brand of
Religion seems to enter into our death orien- cigarettes, so, no worry. However, a delayed stress
tations in a complex manner. From a practical reaction often arises some time after the brush with
perspective, we would probably be more effective death. We might have nightmares or sudden
by learning how religion and death are associated moments of distress without quite knowing why.
for a particular person or family. We would also Often, this is the death-related experience getting
become aware of the many ways in which people through to us. A severe response of this type is now
in the United States construct distinctive religious recognized as post-traumatic stress disorder (PTSD).
ideas and practices from a variety of sources instead The death of another person sometimes becomes
of accepting one traditional view. the wake-up call that reminds us of our own
mortality. Often it is the death of a parent, or some
other significant person in our life, whom we had
Situational Death Anxiety let ourselves assume always would be there. “When
The apprehension and restlessness we carry around my father died, it was like Death had me next on
with us in everyday life is sometimes called trait his list,” a colleague confided. The “pecking order
anxiety. Some of us are more “antsy” than others. of death” phenomenon is perhaps more common
However, there are also situations that tend to make than realized.
most people more anxious. We are gradually learn- Life-threatening illness can persist for weeks,
ing more about situational factors in death anxiety months, even years. During this extended period,
(Kastenbaum, 2009a). people are likely to have a variety of thoughts and
Transitional situations often lead to a spike in feelings about their situations. The first jolt often
death anxiety. A list of transitional situations might occurs when people discover that illnesses are life-
well begin with separation, divorce, and other types threatening or terminal. Suicidal thoughts might
of relationship loss. Even the exercise of imagining occur at this time. A second period of anxiety arousal
separation from a relationship partner can lead to may occur later, accompanied by depression, as a
more death-related thoughts (Mikulincer, Florian, result of continuing physical decline and fatigue.
Birnbaum, & Malishkevich, 2002). Feeling aban- At this point the anxiety may be focused more on
22 Chapter 1 • As We Think About Death
the fear of abandonment and suffering, rather than enced during our normally abnormal psychosexual
on death itself. Other moments of anxiety can development. Boy loves mother and fears that father
develop when a new complication arises or a new will cut him down to size. Freud’s description of the
treatment is proposed. Nevertheless, drawing upon Oedipus complex has enjoyed a flourishing career
their own resources and support from family and in fiction, drama, and popular psychology, but not
friends, many people can cope with a life-threatening so much in the behavioral and social sciences. If
situation without experiencing intense anxiety. people have not been dead before, it is also the case
Effective communication, symptom relief, and a that very few have been castrated, so, to use Freud’s
positive worldview contribute much to anxiety own reasoning, how could they be afraid of this
reduction. calamity? Castration anxiety is even more a stretch
when applied to females. The assertion that girls feel
they have already been castrated because they don’t
THEORETICAL PERSPECTIVES ON have what boys have deserves all the ridicule it has
DEATH ANXIETY reaped.
However, Freud’s castration/death anxiety
There are two classic theories of death anxiety, and theory could be interpreted more generously. He
they could hardly be more opposed to each other. admitted to making up little stories as a way of
Which one seems more convincing to you? getting new ideas across. Freud might have been
suggesting that the source of death anxiety is the
fear of losing value, love, and security by being less
Early Psychoanalytic Theory than a whole person. People who are losing their
Sigmund Freud reasoned that we could not really sense of security in the world might experience this
be anxious about death: generalized confusion and fear as death anxiety.
This is an interpretation that does ring true with
Our own death is indeed quite unimaginable, and clinical observations. People who feel they cannot
whenever we make the attempt to imagine it we can control the frightening things that are happening
perceive that we really survive as spectators . . . at (or might happen) to them often do experience an
bottom nobody believes in his own death, or to put upsurge in death anxiety (Kastenbaum, 2000a).
the same thing in a different way, in the The bottom line for the early psychoanalytic
unconscious every one of us is convinced of his own position is clear, even if the explanation is open to
immortality (1953, p. 304). question: Way down deep, we just cannot compre-
hend our own annihilation; therefore, our anxieties
Our “unconscious system” does not respond to can only seem to be about death.
the passage of time, so the end of personal time
through death would just not register. Again, on
the unconscious level, we do not have the concept
The Existential Challenge
of negation, so there is no death to cancel out life. The existential position takes the opposite approach.
Furthermore, we have not actually experienced Awareness of our mortality is the basic source of
death. When we express death anxiety it is only a anxiety. Our fears take many forms but can be traced
cover story. For many years psychoanalysts spoke back to our sense of vulnerability to death. Ernest
of thanatophobia as the expressed fear of death that Becker (1973) believed that people with schizo-
serves as a disguise for the actual source of dis- phrenia suffer because they do not have enough
comfort. Their mission was to dig, dig, dig until insulation from the fear of death. The rest of us
unearthing the underlying fear. might share the schizophrenic’s panic if our society
What, then, do we fear, if it is not death? Freud’s did not work so hard to protect us from the ontological
answer was not exactly his finest moment: Thanato- confrontation—the awareness that we are always and
phobia derives from the castration anxiety experi- acutely mortal.
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DANCE ON STILTS AT THE GIRLS’ UNYAGO, NIUCHI
I see increasing reason to believe that the view formed some time
back as to the origin of the Makonde bush is the correct one. I have
no doubt that it is not a natural product, but the result of human
occupation. Those parts of the high country where man—as a very
slight amount of practice enables the eye to perceive at once—has not
yet penetrated with axe and hoe, are still occupied by a splendid
timber forest quite able to sustain a comparison with our mixed
forests in Germany. But wherever man has once built his hut or tilled
his field, this horrible bush springs up. Every phase of this process
may be seen in the course of a couple of hours’ walk along the main
road. From the bush to right or left, one hears the sound of the axe—
not from one spot only, but from several directions at once. A few
steps further on, we can see what is taking place. The brush has been
cut down and piled up in heaps to the height of a yard or more,
between which the trunks of the large trees stand up like the last
pillars of a magnificent ruined building. These, too, present a
melancholy spectacle: the destructive Makonde have ringed them—
cut a broad strip of bark all round to ensure their dying off—and also
piled up pyramids of brush round them. Father and son, mother and
son-in-law, are chopping away perseveringly in the background—too
busy, almost, to look round at the white stranger, who usually excites
so much interest. If you pass by the same place a week later, the piles
of brushwood have disappeared and a thick layer of ashes has taken
the place of the green forest. The large trees stretch their
smouldering trunks and branches in dumb accusation to heaven—if
they have not already fallen and been more or less reduced to ashes,
perhaps only showing as a white stripe on the dark ground.
This work of destruction is carried out by the Makonde alike on the
virgin forest and on the bush which has sprung up on sites already
cultivated and deserted. In the second case they are saved the trouble
of burning the large trees, these being entirely absent in the
secondary bush.
After burning this piece of forest ground and loosening it with the
hoe, the native sows his corn and plants his vegetables. All over the
country, he goes in for bed-culture, which requires, and, in fact,
receives, the most careful attention. Weeds are nowhere tolerated in
the south of German East Africa. The crops may fail on the plains,
where droughts are frequent, but never on the plateau with its
abundant rains and heavy dews. Its fortunate inhabitants even have
the satisfaction of seeing the proud Wayao and Wamakua working
for them as labourers, driven by hunger to serve where they were
accustomed to rule.
But the light, sandy soil is soon exhausted, and would yield no
harvest the second year if cultivated twice running. This fact has
been familiar to the native for ages; consequently he provides in
time, and, while his crop is growing, prepares the next plot with axe
and firebrand. Next year he plants this with his various crops and
lets the first piece lie fallow. For a short time it remains waste and
desolate; then nature steps in to repair the destruction wrought by
man; a thousand new growths spring out of the exhausted soil, and
even the old stumps put forth fresh shoots. Next year the new growth
is up to one’s knees, and in a few years more it is that terrible,
impenetrable bush, which maintains its position till the black
occupier of the land has made the round of all the available sites and
come back to his starting point.
The Makonde are, body and soul, so to speak, one with this bush.
According to my Yao informants, indeed, their name means nothing
else but “bush people.” Their own tradition says that they have been
settled up here for a very long time, but to my surprise they laid great
stress on an original immigration. Their old homes were in the
south-east, near Mikindani and the mouth of the Rovuma, whence
their peaceful forefathers were driven by the continual raids of the
Sakalavas from Madagascar and the warlike Shirazis[47] of the coast,
to take refuge on the almost inaccessible plateau. I have studied
African ethnology for twenty years, but the fact that changes of
population in this apparently quiet and peaceable corner of the earth
could have been occasioned by outside enterprises taking place on
the high seas, was completely new to me. It is, no doubt, however,
correct.
The charming tribal legend of the Makonde—besides informing us
of other interesting matters—explains why they have to live in the
thickest of the bush and a long way from the edge of the plateau,
instead of making their permanent homes beside the purling brooks
and springs of the low country.
“The place where the tribe originated is Mahuta, on the southern
side of the plateau towards the Rovuma, where of old time there was
nothing but thick bush. Out of this bush came a man who never
washed himself or shaved his head, and who ate and drank but little.
He went out and made a human figure from the wood of a tree
growing in the open country, which he took home to his abode in the
bush and there set it upright. In the night this image came to life and
was a woman. The man and woman went down together to the
Rovuma to wash themselves. Here the woman gave birth to a still-
born child. They left that place and passed over the high land into the
valley of the Mbemkuru, where the woman had another child, which
was also born dead. Then they returned to the high bush country of
Mahuta, where the third child was born, which lived and grew up. In
course of time, the couple had many more children, and called
themselves Wamatanda. These were the ancestral stock of the
Makonde, also called Wamakonde,[48] i.e., aborigines. Their
forefather, the man from the bush, gave his children the command to
bury their dead upright, in memory of the mother of their race who
was cut out of wood and awoke to life when standing upright. He also
warned them against settling in the valleys and near large streams,
for sickness and death dwelt there. They were to make it a rule to
have their huts at least an hour’s walk from the nearest watering-
place; then their children would thrive and escape illness.”
The explanation of the name Makonde given by my informants is
somewhat different from that contained in the above legend, which I
extract from a little book (small, but packed with information), by
Pater Adams, entitled Lindi und sein Hinterland. Otherwise, my
results agree exactly with the statements of the legend. Washing?
Hapana—there is no such thing. Why should they do so? As it is, the
supply of water scarcely suffices for cooking and drinking; other
people do not wash, so why should the Makonde distinguish himself
by such needless eccentricity? As for shaving the head, the short,
woolly crop scarcely needs it,[49] so the second ancestral precept is
likewise easy enough to follow. Beyond this, however, there is
nothing ridiculous in the ancestor’s advice. I have obtained from
various local artists a fairly large number of figures carved in wood,
ranging from fifteen to twenty-three inches in height, and
representing women belonging to the great group of the Mavia,
Makonde, and Matambwe tribes. The carving is remarkably well
done and renders the female type with great accuracy, especially the
keloid ornamentation, to be described later on. As to the object and
meaning of their works the sculptors either could or (more probably)
would tell me nothing, and I was forced to content myself with the
scanty information vouchsafed by one man, who said that the figures
were merely intended to represent the nembo—the artificial
deformations of pelele, ear-discs, and keloids. The legend recorded
by Pater Adams places these figures in a new light. They must surely
be more than mere dolls; and we may even venture to assume that
they are—though the majority of present-day Makonde are probably
unaware of the fact—representations of the tribal ancestress.
The references in the legend to the descent from Mahuta to the
Rovuma, and to a journey across the highlands into the Mbekuru
valley, undoubtedly indicate the previous history of the tribe, the
travels of the ancestral pair typifying the migrations of their
descendants. The descent to the neighbouring Rovuma valley, with
its extraordinary fertility and great abundance of game, is intelligible
at a glance—but the crossing of the Lukuledi depression, the ascent
to the Rondo Plateau and the descent to the Mbemkuru, also lie
within the bounds of probability, for all these districts have exactly
the same character as the extreme south. Now, however, comes a
point of especial interest for our bacteriological age. The primitive
Makonde did not enjoy their lives in the marshy river-valleys.
Disease raged among them, and many died. It was only after they
had returned to their original home near Mahuta, that the health
conditions of these people improved. We are very apt to think of the
African as a stupid person whose ignorance of nature is only equalled
by his fear of it, and who looks on all mishaps as caused by evil
spirits and malignant natural powers. It is much more correct to
assume in this case that the people very early learnt to distinguish
districts infested with malaria from those where it is absent.
This knowledge is crystallized in the
ancestral warning against settling in the
valleys and near the great waters, the
dwelling-places of disease and death. At the
same time, for security against the hostile
Mavia south of the Rovuma, it was enacted
that every settlement must be not less than a
certain distance from the southern edge of the
plateau. Such in fact is their mode of life at the
present day. It is not such a bad one, and
certainly they are both safer and more
comfortable than the Makua, the recent
intruders from the south, who have made USUAL METHOD OF
good their footing on the western edge of the CLOSING HUT-DOOR
plateau, extending over a fairly wide belt of
country. Neither Makua nor Makonde show in their dwellings
anything of the size and comeliness of the Yao houses in the plain,
especially at Masasi, Chingulungulu and Zuza’s. Jumbe Chauro, a
Makonde hamlet not far from Newala, on the road to Mahuta, is the
most important settlement of the tribe I have yet seen, and has fairly
spacious huts. But how slovenly is their construction compared with
the palatial residences of the elephant-hunters living in the plain.
The roofs are still more untidy than in the general run of huts during
the dry season, the walls show here and there the scanty beginnings
or the lamentable remains of the mud plastering, and the interior is a
veritable dog-kennel; dirt, dust and disorder everywhere. A few huts
only show any attempt at division into rooms, and this consists
merely of very roughly-made bamboo partitions. In one point alone
have I noticed any indication of progress—in the method of fastening
the door. Houses all over the south are secured in a simple but
ingenious manner. The door consists of a set of stout pieces of wood
or bamboo, tied with bark-string to two cross-pieces, and moving in
two grooves round one of the door-posts, so as to open inwards. If
the owner wishes to leave home, he takes two logs as thick as a man’s
upper arm and about a yard long. One of these is placed obliquely
against the middle of the door from the inside, so as to form an angle
of from 60° to 75° with the ground. He then places the second piece
horizontally across the first, pressing it downward with all his might.
It is kept in place by two strong posts planted in the ground a few
inches inside the door. This fastening is absolutely safe, but of course
cannot be applied to both doors at once, otherwise how could the
owner leave or enter his house? I have not yet succeeded in finding
out how the back door is fastened.