Beyond wordless

David Aaronovitch tells a tale in today’s Times which seems to speak volumes about, uh, attitudes to death, or families, or Britishness or… something, such that I thought I must share it with you. The background is that the Aaronovich family dog, a Kerry Blue, has been diagnosed with cancer and will die soon. 

When the vet told us, my wife Sarah and I were upset enough on our own account. But Sarah was particularly worried about how the children would take it. Exams were coming; there were other problems to be dealt with. Perhaps we should put off telling them until the moment was more propitious.

Then, as we dithered, a friend who lives in Lincolnshire phoned and told us about her experience. She has four young children, and they had grown together, played together, yapped together with their dog, a schnauzer called Dennis. Dennis was afflicted by illness rather more suddenly order cialis with paypal than Ruby and a schoolday visit to the vet established that it was probably best for the poor animal to be ushered in the next world within the week.

Our friend could not bring herself to tell the children who she knew would be badly affected by the news. So she didn’t let on, which meant that on the day of execution she had done nothing to prepare her little ones. They came home from school to the dogless house and, amazingly, didn’t seem to notice. So our friend put off the dreaded moment again.

Tuesday came and went, then Wednesday and she began to wonder. After a week in which not one of the children had so much as mentioned the dog once, it occurred to their mother that she might have overestimated the trauma of Dennis’s demise. To this day she hasn’t said anything and neither have her children.

Source

When death is no longer the worst thing that can happen to you

It’s not the worthy efforts of the members of the Dying Matters coalition that have raised awareness of the need to talk about death and dying. What’s actually got more and more of us talking is our personal experiences of the difficult and protracted end-of-life suffering of members of our families. Alongside twenty-first century death agony, extinction is the least we have to fear. Bring it on, goes up the cry, as, just this week, the Falconer Assisted Dying Bill passed its first reading in the House of Lords, Vermont became the fourth state in the USA to legislate for assisted suicide (let’s call it what it is, shall we, Charlie?) and in liberal (if that’s the right word) Switzerland an 80 year old woman in perfectly good health appealed to the European Court of Human Rights to be allowed to go now rather than get any older. She’s had enough, thanks. 

Live issues in this debate are: 1) what constitutes suffering; 2) the right of the state to limit personal autonomy and an individual’s right to self-determination; 3) the duty of doctors to write a prescription for those who ask for a chemical exit; and 4) the protection of those going through a depressive patch or who are susceptible to duress from predatory relatives, etc.

Over time, of course, this is going to reconfigure attitudes to funerals. 

In the context of all this, I was struck by the following letter in last Sunday’s Sunday Times:  

It isn’t just dementia that thwarts our plans. I also dread the disease that robbed me of my mother, and the thought of my daughter changing my nappies and enduring tyrannical rages  and repeated conversations fills me with dismay.

So strong are my feelings that five years ago I wrote a detailed advance directive,  had it witnessed, shared it with my family and lodged a copy with my GP. I take little comfort from this as it  appears that some people — who do not know me but  have some religious or ethical opinion — are insisting they have more rights over my  body than me.

Why should the limited resources of this tiny planet be used on my dribbling, deranged shell when I’ve requested otherwise?

Sue Parkes, Halesowen, West Midlands

What taught Chuck about death?

We like Chuck Lakin at the GFG. We’ve blogged about him here and here. Here’s his reply to the question ‘When did you begin learning about death?’

The precipitating incident was the death of my own father. This was in 1979 and he was home for the last six week of his life, and I’m glad to say I was there for the last month of that. And he was in his own bed with his wife and four kids touching him. It has been a very personal experience up until that point. And I didn’t know it before that, but I knew I wanted to be a part of whatever happened next. But I didn’t know what I could do. So, we called a funeral director. And he did what I’m sure he thought we wanted him to do, which was arrive promptly and zip dad in a body bag and take him away and mail us a box of ashes four days later. And that disconnect was very important to me. And it was almost 20 years later that I found the information that I needed that told me what I could have done at the point. I started giving people the information that they needed to have if they wanted the experience that I wanted to have when my father died. It has evolved past that. I started out just talking about home funerals. Now, I’m big on planning and making choices. It’s about thinking about it and making sure it is written down and you’ve had a conversation with the family. If you haven’t transmitted the information about what you’d like to have happen to your body to anybody, those people are going to have to make a lot of potentially expensive or contentious decisions. It’s a tragedy and it’s very stressful for everybody. If you’ve made the plans ahead of time, it can be a spiritual time. It can give them a chance to grieve.

Full interview here

Chowing down with the antecedents

Debate about attitudes to death, funerals and the commemoration of the dead has largely been colonised by a section of the liberally-educated chattering sector of the middle class. They’re the ones most likely to opinionate about this stuff; they’re the ones who like to think think they can get their heads around it. They are intellectual adventurers with a degree of emotional courage and, even when a touch arrogant in their conclusions, are mostly well-meaning.

The opinionators have been moderately effective opinion-formers.  Undertakers don’t like em much and would point out that, for all their reforming zeal, the overwhelming majority of funeral shoppers still opt for a black funeral and twenty minutes at the crem.

This is not to say that funerals haven’t changed a great deal in the last twenty years. What goes on after the coffin has been deposited on the catafalque has altered greatly. The early opinionators probably did not envisage the aesthetic which has evolved, neither the exuberance of the words, music and conduct of mourners, nor what the Daily Mail has termed the Poundland look in our cemeteries, especially the children’s sections. But I think most of us applaud a tendency to outpour. There’s a healthy decorum shift under way, expressed in a range of behaviours. No one should presume to legislate in matters of taste.

The coining of the pejorative term ‘death denial’ may well have been a mistake — an expression of benign condescension. All sorts of people don’t like thinking about death. My liberally educated and very nice dentist has just told me he hates passing the undertaker as he drives to work. He became a dentist, not a doctor, because he didn’t want people dying on him. And even though this is his disposition, it doesn’t mean he doesn’t know perfectly well, like all so-called death-deniers, that he will die one day. It is said that an awareness of mortality sharpens our appreciation of life. It can just as convincingly argued that shutting it out does, too. Nothing we think can alter what will be the experience of our dying, which is likely to be disagreeable.

Which is not to say that the availability of good exemplar funeral ceremonies is anything but a good thing, especially for those who prefer only to think about death when they have to. As established religions show, an off-the-peg course of action is best suited to people in grief. The work of thoughtful and humane undertakers and celebrants offers a great deal of solace to those wrestling to get their heads around what has happened. They have made an enormous difference.

The attractions of the death debate to academics, especially sociologists, are obvious enough. And so it is that the irredeemably chattery, middle-class GFG has been invited to sit on a panel at the University of Cardiff”s Before I Die festival on Sunday 20 May. It comprises stuff like Stages of Death: Men, Women, and Suffering in Opera and Ballet and Re-thinking the Organisation of Death and A Matter of Life or Death: Representing Coma. I can’t understand the titles, so I’d never get my pea-brain around the content. It is likely that audience will be made up of… the usual suspects. Is it worth going all that way for? My jury is in the out position.

An esoteric, abstract quality is a characteristic of academic discourse. On the 29-30 June the University of Bath is holding its annual conference, entitled New Economies of Death: The Commodification of Dying, the Dead Body, and Bereavement.  It tempts us with stuff like Exemplars of good death: biopolitics and governmentality between commodification and social movement. I notice that Barbara Chalmers of Final Fling is slated to speak. She has a gift for refreshingly earthy utterance. Give em both barrels, B. Then re-load.

To be fair, the titles of talks at these academic gatherings are becoming plainer in their language. I have just had a look at the titles of the talks at the next Death, Dying and Disposal conference and there’s nothing there – yet – that I can use to illustrate my point. And I have to admit that I’ve had a lot of fun at these conferences and met all sorts of nice people. If I a have a beef with academics it is that they don’t make their research papers available, free, to the people who pay their wages.

All this talk of death is spawning death-themed shows and exhibitions. They mostly target middle-class chatterers. The Wellcome show earlier this year was a prime example. It featured a ‘spectacularly diverse’ range of stuff including ‘anatomical drawings, war art and antique metamorphic postcards; human remains; Renaissance vanitas paintings; twentieth century installations celebrating Mexico’s Day of the Dead; a group of ancient Incan skulls; and a spectacular chandelier made of 3000 plaster-cast bones.’ What are we to make of Richard Harris, the man who stockpiled all this melancholy clobber? A lot of people would say that someone who fetishises mortabilia is a bit of a saddist, and who is to say they are wrong? I went, and couldn’t understand what on Earth the hordes drifting round the show were actually making of it. If I detected a mood of self-admiration and camouflaged bafflement amidst all the peering I’d probably be describing my own dimness and insecurity.

Still, it was a relief to get back to Carla Conte’s Graveland exhibition next door, full of stuff that ordinary, plebby people do when someone dies. That was a great show. It was useful, that’s why. Unsnobbish. There wasn’t a Heaven’s Gate floral tribute, but there could have been. I wish there had.

There may be much to be said for studying other cultures for the sake of it. At the same time, let’s not get carried away by cultural voyeurism. What we learn can be useful to us. There are very few practices in other cultures that can be adopted as they are, but there are some that can be usefully adapted. Let’s not to underrate Britain’s continuing cultural deficit in this matter. We’re not at ground zero as we pretty much were twenty years ago, but further enrichment is definitely desirable.

Every year there’s a great outpouring of homage to the Mexican Dia de los Muertos. “Oh, we should do this, too,” people cry. I’m not so sure. 1) it expresses a belief system that cannot possibly transplant, 2) it happens months after marigolds have finished flowering and 3) November is not a notably doing-stuff-outside-friendly month.  To turn it into a jolly romp complete with face-painting is to send it the way of Hallowe’en.

The Dia de los Muertos does resonate, though. A great many Britons commune with their dead in all sorts of solitary ways. We don’t call them ancestors  — but we could come to think of them that way.

Probably the most concerted time of the year for remembrancing is Christmas, when people leave wreaths on graves, much to the anxiety of the cemetery managers.

Oddly (or not), no envious attention is ever paid to Qingming. It’s a Chinese festival with broadly the same purpose — to commemorate the ancestors in a coming-together way by sweeping their graves and bringing them gifts, food mostly. It’s a sad-and-happy day. There’s a lot of kite-flying, too.

It happens at roughly the same time as the Japanese Cherry Blossom Festival, which is not dedicated to a remembrance of the dead at all. It is devoted to picnicking under the cherry trees and admiring the beauty of the blossom. Spring is a great time of the year to get out and glory in being alive.

If we Brits were to cherry-pick all three festivals and add a dash of our own ingenuity we could probably develop a very useful Day of the Dead of our own. Springtime. Blossom. Picnics. Holiday. Festivity. Community. Kite-flying. A natter with the ancestors. Would that not make a good stock for an emotionally and spirtually nourishing celebration this weekend?

Or is it, like so many chattering class notions, just a bit  la-la?

That bloody box

“This was a funeral that celebrated unity. Like all other funerals. That bloody box: the awful finality: the dreadful unduckable certainty that life has to come to an end.

So of course it was the same today. We knew she was dead, and all of us, no matter how little interest we take in politics, have been talking about her life — and how some people thought she was great and some people thought she wasn’t and how some people thought a state funeral was great and how others thought it brought back the divisions of the 1980s. 

But in the end it was the usual infinitely solemn, infinitely banal parading of a box with the usual unspeakable contents. The flag and gun-carriage and the marching bands and the statuesque airmen with reversed arms outside the church of St Clement Danes in the Strand didn’t try to conceal the fact it contained death. 

Miners and policemen, tycoons and street-sleepers, liberals and authoritarians, winners and losers, wets and drys, warmongers and pacifists, the cruel and the compassionate, the bullies and the gentle: every funeral you ever go to reminds you that in the end there are no divisions between us. Death is the ultimate unity. 

Why should the funeral of Baroness Thatcher be any different?”

Simon Barnes in The Times

De mortuis nil nisi bonum

Pace the spirit of the age, a celebration-of-life funeral does not fit everybody. Nasty, bad, horrible people die, too. We refrain from holding celebration-of-death funerals for them, preferring instead to curtail, allude and acknowledge, to a degree, often disguising our meaning between the lines. Difficult people die, too. They often mean different things to different people. As any celebrant or undertaker will tell you, they’re possibly the hardest of the lot. 

Mrs Thatcher was one of the latter. In the shadow of the old idea that one mustn’t speak ill of the dead, there’s been a lot of talk about what we may and what we mustn’t say about her just now, before she’s had her funeral. 

In the Independent, the philosopher AC Grayling wrote this:

Why should one not speak as one did when the person was alive? The story of a prominent individual’s life cannot be complete without the truth about what people felt at the moment of summing up, whether it is in mourning or rejoicing. Let us say what we think, and be frank about it: death does not confer privileges.

Respect for the dead is a hangover from a past in which it was believed that the dead might retain some active influence on the living, and that one might re-encounter them either in this life or a putative next life.

Future historians will be glad that people have begun to speak frankly of their estimations of major figures when they die. Frank opinions explain far more than the massaged and not infrequently hypocritical views expressed in obsequies [he means eulogies, of course].

The democratic value of frank expression of opinions about public figures and public matters should not be hostage to squeamishness or false ideas of respect – let us respect ourselves instead, and say what we truly feel.

In The Times, Libby Purves responded thus:

In November 1990 a young Quaker was staying with us. He was even more anti-Thatcher than me, but as the news of her fall from office came, he took George Fox’s advice to “walk cheerfully across the world, answering that of God in every one” and muttered unironically: “I hope she’ll be happy.”

The nastiness of the past few days on the streets, online and sometimes in print raises a bigger question about our attitude to death itself. Traditionally it “pays all debts” and you do not insult the newly deceased at least until after the funeral and family shock, when history may claim its due. To dance in the streets when a dictator falls is understandable, so is the soldier who, fresh from extreme danger, high-fives at a successful shot. But we don’t let the soldier urinate on the corpse. We bury enemies decently. We acknowledge the fellowship of mortality.

For the modish entrepreneurial philosopher Professor A. C. Grayling, this is nonsense. “Do we owe the dead respect, even if we disagreed with them?” he pipes scornfully. For him the Bitch-Is-Dead celebrations are “understandable and justifiable” and “death does not confer privileges”. Respect is “a hangover from a past in which it was believed that the dead might retain some active influence on the living”. He likens it to Chinese ancestor worship. “Honouring the dead is not only a form of remembrance but propitiation.”

Concluding, Professor Grayling condemns “false” respect and smirks: “Let us respect ourselves instead.” There lies all the smug, narrow, self-regarding, inhumane, mechanistic aridity of atheist academe. Thank goodness he’s still alive, so I can say so straightaway.

Finally, on Facebook, and not à propos Thatcher, the celebrant Lol Owen wrote this:

I’ve written services for some right swine. For my own father’s service, who definitely had many faults, there was nothing to be gained from disclosing any of them. It would in no way validate our feelings towards him, and only diminish him in the eyes of others. Those who know the truth will gain nothing from shouting it from the rooftops. Rather, they will look small people.

May we all unlearn our fear of death

There’s a good review of the Natural Death Handbook, fifth edition, in the Huffington post. Here are some extracts: 

The Natural Death Centre, the charity behind The Natural Death Handbook, exists to help re-open the dialogue about life’s end, offering a combination of practical advice, how-tos, go-tos, and reflections that inspire, comfort and challenge. At the heart of the movement is a commitment to death as a natural part of life. No longer conceived of as a terror, death is refigured as the winding down of life’s frantic clock — and dying as a means of coming to terms with our identities, our loved ones, ourselves. The second major contribution of this movement is the reconsideration of our death practices, particularly the harmful effects of certain preservation techniques on the earth itself, that patient womb to which we are returned.

a new addition to this printing, is a collection — Writings on Death. Aptly described by the editor, Ru Callender, as “smoked glass, through which together we might glimpse death’s outline,” these essays demonstrate a collective wisdom, courage and clarity in the face of our endings. Whether it be the inspired self-reflection of a mourner or the studied vision of the historian — or the creative spiritualism of celebrants, practitioners and questioners of faith — the perspectives offered here might better be described as prism glass, refracting in full color. It is a great relief and respite from our often somber-hued considerations of death and dying, the best accompaniment I can think of for Death’s summer coat.

Read the whole review here

Buy your copy of the handbook here

Fight to the death

One of the things that’s changed is that ever so many people end up falling into the clutches of technology at the end of their lives. Something happens to them and the emergency response is to admit them to hospital – because the traditional view is that doctors are in a fight against death – that you have to ward off the evil death with everything you can.

But when death is coming, when it is inevitable, if you can actually help a person and a family to achieve a good death you’ve done a wonderful thing.

I think that there’s a lot of people who fear death. I don’t fear death at all, I just don’t. The idea for me of death is good, I can go to sleep. 

Dr Chris Abel, Islay

Watch it here.

Hat-tip: Mary Robson

Is it politic to target terror of death?

According to the BBC, the UK is falling off the pace in the international race to live forever. There may be a measure of national shame here. In a table of 18 countries we stand at #11 behind Greece.

Spain is top. Spaniards enjoy an average of 70.9 years of healthy life. Finland is bottom. Finns eke out a paltry 67.3 years of healthy life. 

What’s chilling (perhaps) is the number of, by implication, ‘unhealthy’ years that follow. In Spain, it’s 10.5 years. In Finland it’s 12.8. In the UK it’s 11.3 years. But the report does not linger over these dispiriting figures. 

Instead, it highlights can-do-better-must-do-better declarations from the health police. According to them, we smoke too much, drink too much and eat too much. Says Health Secretary Jeremy Hunt, sounding stung, “For too long we have been lagging behind and I want the reformed health system to take up this challenge and turn this shocking underperformance around.”

The prize is sizeable: ‘30,000 lives a year could be saved if England performed as well as its European neighbours’. 

What a fascinating verb that is. Saved. 

When what they mean, of course, is extended a bit. 

Is it a good idea, one wonders, for the public health quangocrats to incentivise us to look after ourselves better (and save them money) by targeting and exacerbating the terror of death? There’s a little bit more to cause of death than self-indulgent lifestyle choices — which is why everyone born in the year 1890 is now dead. 

Apart from anything else, there’s another costly quango tasked with undoing all this terror in the interest, again, of healthy attitudes (and cost saving). It is called Dying Matters, and it is ‘committed to supporting changing knowledge, attitudes and behaviours around death and dying, and aim[s] to encourage a greater willingness to engage on death and bereavement issues.’ 

Weighing the End of Life

ONE weekend last year, we asked our vet how we would know when it was time to put down Byron, our elderly dog. Byron was 14, half blind, partly deaf, with dementia, arthritis and an enlarged prostate. He often walked into walls, stood staring vacantly with his tail down, and had begun wandering and whining for reasons we could not always decipher.

Our vet said he used the 50 percent rule: Were at least half of Byron’s days good days? Or was it two bad days for every good? When you get to the latter, he explained, it’s time.

This conversation gave me pause for two reasons. First, what did Byron want? Was 50 percent good enough for him? How about 70? Or 20? There was, of course, no way to know.

Which brings me to my second reason for pause. When not serving as faithful servant to our tiny dog, I am a geriatrician. Because older adults have a greater range of needs and abilities than any other age group, and because there is a national shortage of geriatricians, I care for the frailest and sickest among them.

To many people’s surprise, most of my patients are as satisfied with their lives as they were when they were less debilitated. But this isn’t true for everyone, and some are eager to say they’ve had enough.

Read the whole article in the New York Times here

http://www.nytimes.com/2013/02/03/opinion/sunday/weighing-the-end-of-life.html?pagewanted=2