On Death and Dying is rightly credited with giving rise to the hospice movement—and, by extension, the new specialty of hospice and palliative medicine—but the “changes it set in place have pervaded nearly every specialty of medicine and nursing practice.
In a period in which medical professionals spoke of advanced illness only in euphemisms or oblique whispered comments, here was a doctor who actually talked with people about their illness and, more radically still, carefully listened to what they had to say.
Kübler-Ross and this book captured the nation’s attention and reverberated through the medical and general cultures.
JAMAJAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Facial Plastic Surgery JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Top, The curves represent grief indicators as functions of time based on nonlinear regression models estimated from the data (N = 233).
The data markers along the x-axis are determined by the mean value of time from loss for the individuals included in the 10 groups of observations (n = 23 observations per group for 9 groups; n = 26 observations for 1 group). These 10 groups of observations were formed by ordering all of the observations used in the regression analyses (N = 233) by increasing time postloss (observations that occurred at the same time postloss were randomly assigned a position in the ordered sequence of observations for that time), and then assigning the first 23 observations on this ordered list to the first group, the next 23 observations to the second group, etc.
The 5 grief indicators achieve their respective maximum values in the exact sequence (disbelief, yearning, anger, depression, and acceptance) predicted by the hypothesized theory of grief presented in Figure 1. A longitudinal study comparing bereavement phenomena in recently bereaved spouses, adult children and parents. 1998;5-2419588303Google Scholar Crossref Zhang B, El-Jawahri A, Prigerson HG.
Update on bereavement research: evidence-based guidelines for the diagnosis and treatment of complicated bereavement. 2006;88-120317040157Google Scholar Crossref Barry LC, Kasl SV, Prigerson HG.
Instead, Elisabeth Kübler-Ross’s groundbreaking work opened up entirely new fields of inquiry into the care and subjective experiences of seriously ill people.
The resulting interest in and validity of both quantitative and qualitative research on dying and end-of-life care accelerated advances within psychology and psychiatry, geriatrics, palliative medicine, clinical ethics, and anthropology.
Ira Byock – Ira “In the post–World War II era, as with every other aspect of social life, optimism and defiance pervaded America’s orientation to illness.
A hopeful attitude in the face of adversity seemed intrinsically virtuous, part of the American way. Startling breakthroughs in physics, chemistry, engineering, and—to most people most important—medicine were occurring almost daily.