In Search of a Good Death

  • David P. Schenck
  • Lori A. Roscoe


Spirituality and storytelling can be resources in aging successfully and in dying well given the constraints of modern day Western culture. This paper explores the relationship of aging to time and the dynamic process of the life course and discusses issues related to confronting mortality, including suffering, finitude, spirituality, and spiritual closure in regard to death. And, finally, the role of narrative in this process is taken up.


Aging End-of-Life Spirituality Closure Narrative 


  1. Balducci, L and R Meyer. “Spirituality and Medicine: A Proposal,” Cancer Control 8 2001: 368–376.Google Scholar
  2. Bochner, AP. “Narrative’s Virtues,” Qualitative Inquiry 7 2001: 131–157.Google Scholar
  3. Brody, H. Stories of Sickness, 2nd ed. New York: Oxford University Press, 2003.Google Scholar
  4. Callahan, D. False Hopes: Why America’s Quest for Perfect Health Is a Recipe for Failure. New York: Simon & Schuster, 1998.Google Scholar
  5. Callahan, D. Setting Limits: Medical Goals in an Aging Society. NewYork: Simon & Schuster, 1987.Google Scholar
  6. Callahan, D. What Kind of Life? The Limits of Medical Progress. NewYork: Simon & Schuster, 1990.Google Scholar
  7. Callahan, D. “Letter to the Editor.” The Hasting Center Report 38 2008: 6.Google Scholar
  8. Charon, R & M Montello, eds. Stories matter: The Role of Narrative in Medical Ethics. New York: Routledge, 2002.Google Scholar
  9. Charon R. Narrative Medicine: Honoring the Stories of Illness. New York: Oxford University Press, 2006.Google Scholar
  10. Cole, TR. The Journey of Life: A Cultural History of Aging in America. New York: Cambridge University Press, 1992.Google Scholar
  11. Curtis, JR, DL Patrick, RA Engelberg, K Norris, “A Measure of the Quality of Dying and Death: Initial Validation Using After-Death Interviews With Family Members.” Journal of Pain and Symptom Management 24 2002: 17–31.CrossRefGoogle Scholar
  12. Dworkin, R. Life’s Dominion: An Argument About Euthanasia, and Individual Freedom. New York: Knopf, 1993.Google Scholar
  13. Emanuel, LL, HR Alpert, DC Baldwin, and EJ Emanuel. “What Terminally Ill Patients Care About: Toward a Validated Construct of Patients’ Perspectives.” Journal of Palliative Medicine 3 2000: 419–431.CrossRefGoogle Scholar
  14. Fisher, WR. Human Communication as Narration: Toward a Philosophy of Reason, Value, and Action. Columbia, SC: University of South Carolina Press, 1987.Google Scholar
  15. Fisher, WR. “The Narrative Paradigm: In the Beginning,” Journal of Communication 35 1985: 74–89.CrossRefGoogle Scholar
  16. Frank, AW The Wounded Storyteller: Body, Illness and Ethics. Chicago: The University of Chicago Press, 1995.Google Scholar
  17. Groopman, J. The Measure of Our Days: A Spiritual Exploration of Illness. NY: New York: Penguin, 1997.Google Scholar
  18. Jackson, S. Patchwork Girl.
  19. Jennings, B, T Ryndes, C D’Onofrio, and MA Baily. “Access to Hospice Care: Expanding Boundaries, Overcoming Barriers.” Hastings Center Report Special Supplement 33 2003: S3–S59.Google Scholar
  20. Koenig, HG. “A Commentary: The Role of Religion and Spirituality at the End of Life.” The Gerontologist, 42, 2002: 20–23.Google Scholar
  21. Lo, B, D Ruston, W Kates, RM Arnold, CB Cohen. “Discussing Religious and Spiritual Issues at the End of Life: A Practical Guide for Physicians.” Journal of the American Medical Association 287 2002: 749–754.CrossRefGoogle Scholar
  22. MacIntyre, A. After Virtue, 2nd ed. Notre Dame, Indiana: University of Notre Dame Press, 1984.Google Scholar
  23. Montaigne, M de. Les essais. Ed. P Villey Paris: Presses Universitaires de France, 1965.Google Scholar
  24. Mueller, PS, DJ Plevak, and TA Rummans. “Religious Involvement, Spirituality, and Medicine: Implications for Clinical Practice.” Mayo Clinic Proceedings 76 2001: 1225–1235.CrossRefGoogle Scholar
  25. Patrick, DL, JR Curtis, RA Engelberg, E Nielsen, and E McCown. “Measuring and Improving the Quality of Dying and Death,” Annals of Internal Medicine 139 2003: 410–415.Google Scholar
  26. Patrick, DL, RA Engelberg, and JR Curtis. “Evaluating the Quality of Dying and Death,” Journal of Pain and Symptom Management, 22 2001: 717–726.CrossRefGoogle Scholar
  27. Pellegrino ED and DC Thomasma. Helping and Healing: Religious Commitment in Health Care. Washington, DC: Georgetown University Press, 1997.Google Scholar
  28. Post, SG, CM Puchalski, and DB Larson. “Physicians and Patient Spirituality: Professional Boundaries, Competency, and Ethics.” Annals of Internal Medicine 132 2000: 578–583.Google Scholar
  29. Roscoe, LA. “What to Do When Things Fall Apart: A Book Review Essay.” Journal of Mental Health and Aging 4 1998: 481–485.Google Scholar
  30. Roscoe, LA, J. Malphurs, LJ Dragovic, and D Cohen. “Dr. Kevorkian and Cases of Euthanasia in Oakland County, Michigan, 1990–1998.” The New England Journal of Medicine 343 2000:1735–1736.CrossRefGoogle Scholar
  31. Singer, PA, DK Martin, and M Kelner. “Quality End-of-Life Care: Patients’ Perspectives.” Journal of the American Medical Association 281 1999: 163–168.CrossRefGoogle Scholar
  32. Sloan, RP, E Bagiella, and T Powell. “Religion, Spirituality, and Medicine.” The Lancet 353 1999: 664–667.CrossRefGoogle Scholar
  33. Steinhauser KE, NA Christakis, EC Clipp, M McNeilly, L MacIntyre, “Factors Considered Important at the End of Life by Patients, Family, Physicians, and Other Care Providers.” Journal of the American Medical Association 284 2000: 2476–2482.CrossRefGoogle Scholar
  34. Steinhauser, KE, NA Christakis, EC Clipp, M McNeilly, J Parker, and JA Tulsky. “Preparing For the End of Life: Preferences of Patients, Families, and Other Care Providers.” Journal of Pain and Symptom Management 22 2001: 727–737.CrossRefGoogle Scholar
  35. Stewart, AL, J Teno, DL Patrick, and J Lynn. “The Concept of Quality of Life and Dying Persons in The Context of Health Care.” Journal of Pain and Symptom Management 17 1999: 93–108.CrossRefGoogle Scholar
  36. Sulmasy, DP. “Is Medicine a Spiritual Practice?” Academic Medicine 74 1999: 1002–1005.CrossRefGoogle Scholar
  37. Sulmasy DP. The Healer’s Calling: A Spirituality for Physicians and Other Health Care Professionals. New York/Mahwah, New Jersey: Paulist Press, 1997.Google Scholar
  38. Teno, JM, VA Casey, LC Welch, and S Edgman-Levitan. “Patient-Focused, Family-Centered End-of-Life Medical Care: Views of the Guidelines and Bereaved Family Members.” Journal of Pain and Symptom Management 22 2001: 738–751.CrossRefGoogle Scholar
  39. Verghese, A. “The Way We Live Now: Hope and Clarity.” The New York Times. 22 February 2004: 12.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  1. 1.University of South FloridaTampaUSA

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