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Palliative Medicine
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The denial of death thesis: sociological critique and implications for palliative care

Camilla Zimmermann

Gary Rodin

Princess Margaret Hospital, University Health Network, University of Toronto, Canada

It has become commonplace to say that contemporary western society is ’deathdenying‘. This characterization, which sociologists have termed the ’denial of death thesis‘, first arose in the social science, psychological and clinical medical literature in the period between 1955 and 1985. During the same time period, the hospice and palliative care movements were developing and in part directed themselves against the perceived cultural denial of death in western society. While the denial of death has been taken for granted by the lay public as well as by clinicians, in the sociological literature it has been increasingly questioned. In this paper we use sociological critiques of the denial of death thesis to raise critical questions about the theory and practice of contemporary palliative care. In particular, we argue that the emphasis of palliative care should not be on extinguishing the denial of death but on the relief of suffering. Palliative Medicine 2004; 18: 121-128

Key Words: attitude to death • denial • palliative care • sociology medical

Palliative Medicine, Vol. 18, No. 2, 121-128 (2004)
DOI: 10.1191/0269216304pm858oa


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[Abstract] [PDF]