Death, Society, and Human Experience 9th Edition Robert Kastenbaum This multimedia product and its contents are protected under copyright law. The following are prohibited by law: •Any public performance or display, including transmission of any image over a network; •Preparation of any derivative work, including the extraction, in whole or in part, or any images; •Any rental, lease, or lending of the program. Copyright © Allyn & Bacon 2007 Chapter Three: The Death System This multimedia product and its contents are protected under copyright law. The following are prohibited by law: •Any public performance or display, including transmission of any image over a network; •Preparation of any derivative work, including the extraction, in whole or in part, or any images; •Any rental, lease, or lending of the program. Copyright © Allyn & Bacon 2007 A World Without Death: A Thought Experiment • • • • Suppose death is no longer inevitable Disease and aging have been conquered Air and water pollution have been reduced Make a list of predicted changes which would occur • In society in general • In your life specifically Copyright © Allyn & Bacon 2007 A World Without Death: General Consequences • Overcrowding would lead to infringements on privacy, mobility, and individual liberties • Space would be precious • Stringent and/or selective birth control • Who would be allowed to reproduce? • New laws would be needed • Inheritance and estates • Dealing with infants with birth defects Copyright © Allyn & Bacon 2007 A World Without Death: General Consequences • Society would be conservative • Slow to change old ways • Major economic changes • Insurance and funeral industries would change • Medical industry changes • Moral beliefs and priorities • Changes in views of marriage and divorce • What is life without death? • No ending, no Heaven or Hell, no Nirvana Copyright © Allyn & Bacon 2007 A World Without Death: Personal Consequences • We would plan and organize our lives differently • How can one plan ahead for so many years? • Free of the fear of death • Increased risk-taking • Personal relationships would extend indefinitely • Grow old right along with your parents and grandparents • Purpose and meaning of life would change • How to fill all that time? Copyright © Allyn & Bacon 2007 Components of the Death System • People • Directly connected, such as funeral directors, florists, health care professionals, clergy • Indirectly, such as the clerk who sells butchered meats or the scientist creating military weapons • Places • Hospitals, funeral homes, cemeteries • Historical battlefields, assassination sites Copyright © Allyn & Bacon 2007 Components of the Death System • Times • 9-11-01 and Memorial Day (U.S.), Days of the Dead (Mexico) • Objects • Obviously associated, such as a hearse, death certificate, coffin, noose, gallows, electric chair • Unintended to be, but has come to be associated, such as automobiles, cigarettes, over-the-counter drugs Copyright © Allyn & Bacon 2007 Components of the Death System • Symbols • Wearing black (U.S. culture) • Special music, usually slow, solemn organ music • Euphemisms: passed on, expired, went to their reward • Dysphemisms: OD’d, croaked, bit the dust Copyright © Allyn & Bacon 2007 Functions of the Death System • Warnings and Predictions • Alerts to global, societal, and personal threats • So many warnings it is hard to choose which ones to pay attention to • Preventing Death • Such as medically, militarily, against natural disasters • Often selective, following society’s general patterns of discrimination and unequal opportunity Copyright © Allyn & Bacon 2007 Functions of the Death System • Caring for the Dying • In some cases working for cure, and in others for comfort • Much debate over when to move from treatment orientation to care orientation • Disposing of the Dead • From home or hospital to ritual (funeral) to grave • Preferences change with generations and cultures Copyright © Allyn & Bacon 2007 Functions of the Death System • Social Consolidation After Death • Meet the challenges faced by individuals and society due to the loss of a member • May be strong right after the loss but then dissipate over time • Making Sense of Death • Offering comforting words or a way to reason or understand death • Often superficial, limited to clichés Copyright © Allyn & Bacon 2007 Functions of the Death System • Killing • Example: Capital punishment • Banned in some states • Other states still allow hanging or firing squad • Example: Killing animals • Food industries, including pet foods • Fashion industries Copyright © Allyn & Bacon 2007 Functions of the Death System • Kastenbaum highlights two forms of killing • War as a function of society • Natural and expected or preventable? • Deadly species • Examples: militaries, toxic waste dumps • Sacrifice • Most common: sacrificing children • Common theme: Give the gods vibrant lives and they will award continued life to society Copyright © Allyn & Bacon 2007 Challenge to Death System: Tsunami of 2004 • • • • • 200,000 to 300,000 killed; more than 1 million survivors No general warning system was in place The tsunami could not have been prevented Very few people were dying or injured; energies focused on disposing of the dead Little social consolidation Copyright © Allyn & Bacon 2007 Challenge to Death System: Hurricane Katrina, 2005 • “Most predicted natural disaster in history” • Weather forecasters concerned a month before it hit • • • • More than 1,000 deaths 80% of New Orleans under water Situation in Superdome was intolerable Much debate over the breakdown of the prevention and help systems Copyright © Allyn & Bacon 2007 Challenge to Death System: Hurricane Katrina, 2005 • Issues: • Frame of reference – everyday or emergency? • Turf issues – Who is in charge here? • Community and place can make the critical difference in emergency situations • Warnings were clear; Prevention lacking • Delay in care for dying and disposing of dead • Little social consolidation; Intense criticism and debate followed Copyright © Allyn & Bacon 2007 How Our Death System is Changing • Three key issues highlighted the need for a change in attitude toward death • World Wars I & II highlighted violent death • Many survivors were suffering mentally over the inability to grieve openly • Medical breakthroughs helped keep more people alive but under extreme suffering, despair, and isolation Copyright © Allyn & Bacon 2007 How Our Death System is Changing • Death Education, Research, and Counseling • Promoted by anthropologists, clergy, nurses, physicians, psychologists, sociologists, and social workers • Mission: to bring concern for the human encounter with mortality into the awareness of caregivers, educators, and researchers within existing disciplines Copyright © Allyn & Bacon 2007 How Our Death System is Changing: Life Expectancy • • • • • • Region with Life Expectancy at Birth Africa, 54 years old Asia, 67 years old Europe, 74 years old Latin America, 71 years old North America, 77 years old Copyright © Allyn & Bacon 2007 Leading Causes of Death In the U.S. in Order • • • • • 1) Heart disease 2) Cancer 3) Cerebrovascular Accidents (strokes) 4) Chronic Obstructive Pulmonary Disease (COPD) 5) Accidents • • • • • • • 6) Diabetes Mellitus 7) Pneumonia, Flu 8) Alzheimer’s Disease 9) Kidney Disease 10) Septicemia (blood poisoning) 11) Suicide 12) Liver Disease Copyright © Allyn & Bacon 2007 Causes of Death in the Future? • Quick-spreading infectious diseases and viruses • Examples: AIDS, Ebola virus, West Nile virus, SARS • Antibiotics are losing their effectiveness • Microorganisms are developing resistance • Bioterrorism • Particularly Anthrax and Smallpox Copyright © Allyn & Bacon 2007 Glossary: New Terms (1) • • • • • • Age-Standardized Death Rate Capital Punishment Cardiovascular Resuscitation (CPR) Cerebrovascular Accident (CVA) Cohort Disease (COPD) • • • • • • Chronic Obstructive Pulmonary Disease (COPD) Crude Death Rate (CDR) Death System Excessive Death Rate Life Expectancy Longevity Copyright © Allyn & Bacon 2007 Glossary: New Terms (2) • • • • • • • • Microbial Agents Morbidity Mortality Mortality rate Pathologists Radioactive Iodide Thanatology Tsunami Copyright © Allyn & Bacon 2007