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How to justify avoidance of communications related to death anxiety in the health care system

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Abstract

It might seem obvious that dealing with death anxiety in the health care system is desirable. Hence, there are either voices that demand more research on how this openness can be fostered or those who consider this topic unworthy of further investigations because of its triviality. The idea behind both deficient perspectives is that the health care system as a communication system can assume the position of a second-order observer who can account for his deficits. However, in terms of Luhmannian systems theory, external perturbations cannot force a functional system to reflect and change the structure of his communications in a certain way. The health care system as a communication system cannot do more than integrating the topic of death anxiety in terms of its functional perpetuation. For example, in hospitals, neither health care staff nor external counselors are able to address existential issues without being affected by functional and structural requirements of the hospital. We present an outline for the justification of the avoidance of death-anxiety related talk in the health care system by reference to systems theory and existential philosophy.

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References

  • Boyd, K., and S.A. Murray. 2010. Recognising and managing key transitions in end of life care. BMJ 341: c4863.

  • Bryson, Kenneth A. 2004. Spirituality, meaning, and transcendence. Palliative & Supportive Care 2(03): 321–328.

    Article  Google Scholar 

  • Camus, A. 1999. Le Mythe de Sisyphe: Essai sur L’absurde. Paris: Gallimard.

    Google Scholar 

  • Cobb, Mark, Christina M. Puchalski, and Bruce Rumbold. 2012. Oxford textbook of spirituality in healthcare. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Grant, L., S.A. Murray, and A. Sheikh. 2010. Spiritual dimensions of dying in pluralist societies. BMJ 341: c4859.

    Article  Google Scholar 

  • Günther, G. 1980. Ideen zu einer Metaphysik des Todes. In Beiträge Zur Grundlegung Einer Operatonsfähigen Dialektik. Band 3, 1–13. Hamburg: Felix Meiner.

  • Heidegger, M. 2010. Being and time. New York: State University of New York Press.

    Google Scholar 

  • Hughes, Philippa M., Peter A. Bath, Nisar Ahmed, and Bill Noble. 2010. What progress has been made towards implementing national guidance on end of life care? A National survey of UK general practices. Palliative Medicine 24(1): 68–78.

    Article  Google Scholar 

  • Jaspers, K. 1973. Philosophie, Bd. 2: Existenzerhellung, 4th ed. Berlin: Springer.

    Book  Google Scholar 

  • Johnstone, H.W. 1978. Does death have a nature. Journal of Medicine and Philosophy 3(1): 8–23.

    Article  Google Scholar 

  • Jung, C.G. 1992. Psychological types. New York: Routledge Chapman & Hall.

    Google Scholar 

  • Kübler-Ross, E. 1997. On death and dying. New York: Scribner.

    Google Scholar 

  • Luhmann, N. 1982. Autopoiesis, action, and communicative understanding. Zeitschrift für Soziologie 11(4): 366–379.

    Google Scholar 

  • Luhmann, N. 1987. Tautology and paradox in the self-descriptions of modern society. Zeitschrift für Soziologie 16(3): 161–174.

    Google Scholar 

  • Luhmann, N. 1992a. What is communication? Communication Theory 2(3): 251–259.

    Article  Google Scholar 

  • Luhmann, N. 1992b. Die Wissenschaft der Gesellschaft, 6th ed. Frankfurt am Main: Suhrkamp Verlag.

    Google Scholar 

  • Luhmann, N. 1994. Die Wirtschaft der Gesellschaft, 6th ed. Frankfurt am Main: Suhrkamp Verlag.

    Google Scholar 

  • Luhmann, N. 1996a. Social systems. Stanford: Stanford University Press.

    Google Scholar 

  • Luhmann, N. 1996b. On the scientific context of the concept of communication. Social Science Information Sur Les Sciences Sociales 35(2): 257–267.

    Article  Google Scholar 

  • Luhmann, N. 2006. System as difference. Organization 13(1): 37–57.

    Article  Google Scholar 

  • Marcel, G. 1951. Mystery of being. New York: AMS Press.

    Google Scholar 

  • McQueen, David V. 2007. Health and modernity: The role of theory in health promotion. Berlin: Springer.

    Google Scholar 

  • Peach, F. 2008. Death, deathlessness and existenz in Karl Jaspers’s philosophy. Edinburgh: Edinburgh University Press.

    Book  Google Scholar 

  • Perpich, D. 2008. The ethics of Emmanuel Levinas. Palo Alto: Stanford University Press.

    Google Scholar 

  • Peters, L., R. Cant, S. Payne, et al. 2013. How death anxiety impacts nurses’ caring for patients at the end of life: A review of literature. The Open Nursing Journal 7: 14–21.

    Article  Google Scholar 

  • Puchalski, Christina M., Robert Vitillo, Sharon K. Hull, and Nancy Reller. 2014. Improving the spiritual dimension of whole person care: Reaching national and international consensus. Journal of Palliative Medicine 17(6): 642–656.

    Article  Google Scholar 

  • Rando, T. 1984. Grief, dying, and death: Clinical interventions for caregivers. Illinois: Research Press.

    Google Scholar 

  • Romano, Thiago Gomes, and Henrique Palomba. 2014. Palliative dialysis: A change of perspective. Journal of Clinical Medicine Research 6(4): 234–238.

    Google Scholar 

  • Rumbold, Bruce, and Samar Aoun. 2013. Bereavement and palliative care: A public health perspective. Progress in Palliative Care 22(3): 131–135.

    Article  Google Scholar 

  • Sariyar, M. 2012. Justification of ethical considerations in health economics: Merging the theories of Niklas Luhmann and Charles Taylor. Health Sociology Review 21(3): 343–354.

  • Scheler, M. 1986. Schriften aus dem Nachlaß, Bd. 1: Zur Ethik und Erkenntnislehre: Tod und Fortleben, 3rd ed. Bern: Bouvier.

    Google Scholar 

  • Seale, C., J. Addington-Hall, and M. McCarthy. 1997. Awareness of dying: Prevalence, causes and consequences. Social Science and Medicine 45(3): 477–484.

    Article  Google Scholar 

  • Sleeman, K.E., and E. Collis. 2013. Caring for a dying patient in hospital. BMJ 346: f2174.

  • Taylor, C. 1992. Sources of the self: The making of the modern identity. Harvard: Harvard University Press.

  • Von Foerster, H. 2003. Understanding systems: Conversations on epistemology and ethics. New York: Springer.

    Google Scholar 

  • Warsop, A. 2011. The ill body and das Unheimliche (the Uncanny). Journal of Medicine and Philosophy 36(5): 484–495.

    Article  Google Scholar 

  • Zimmermann, C. 2007. Death denial: Obstacle or instrument for palliative care? An analysis of clinical literature. Sociology of Health & Illness 29(2): 297–314.

    Article  Google Scholar 

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Acknowledgments

I am indebted to Karim Patrick Alexander Zahri for fruitful discussions on death and death anxiety, to Elke Witt for important hints, and to the reviewers as well as the editor for their helpful comments, which improved the paper significantly.

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Correspondence to Murat Sariyar.

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Sariyar, M. How to justify avoidance of communications related to death anxiety in the health care system. Med Health Care and Philos 18, 353–359 (2015). https://doi.org/10.1007/s11019-014-9609-2

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