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Journey of struggle: Kalothanasia and the hospice way of dying

  • Ciroaugusto Floriani (a1) and Fermin Roland Schramm (a1) (a2)

The purpose of this article is to characterize the notion of a “good death” both historically and conceptually, grounding the philosophy of the modern hospice movement. This concept encompasses elements originating in ancient societies, such as peasant societies, where death was prepared for and shared socially, with ethical and aesthetic elements originating from Ancient Greece. These Greek elements emerged from a “journey of struggle” and can be recognized in the current day as a journey to cope with illness. From this conceptualization emerged a category of “good death” (kalothanasia), adding to the expertise of advocates of the modern hospice movement, who seek to revive a process of dying that is socially ritualized. However, this is challenging in the setting of a medical practice that is constantly incorporating new technology, in accordance with its present bio-techno-scientific paradigm, and in a medical scenario that identifies itself with the continued and persistent use of new technologies.

Corresponding author
Address correspondence and reprint requests to: Ciro Augusto Floriani, Rua Erotides de Oliveira, 44/1003, Niterói, Rio de Janeiro 24230-230, Brazil. E-mail:
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P. Berta (2001). Two faces of the culture of death: Relationship between grief work and Hungarian peasant soul beliefs. Journal of Loss and Trauma, 6, 83113.

A. Bradshaw (1996). The spiritual dimension of hospice: The secularization of an ideal. Social Science & Medicine, 43, 409419.

W. Breitbart (2006). The goals of palliative care: Beyond symptom control. Palliative & Supportive Care, 4, 12.

G. Brungardt (2009). Teaching The Death of Ivan Ilych: A guide of introducing Tolstoy's classic. Journal of Palliative Medicine, 12, 679682.

D. Car (2003). A “good death” for whom? Quality of spouse's death and psychological distress among older widowed persons. Journal of Health and Social Behavior, 44, 215232.

H.M. Chochinov (2006). Dying, dignity, and new horizons in palliative end-of-life care. CA Cancer Journal for Clinicians, 56, 84103.

D. Clark (1998). Originating a movement: Cicely Saunders and the development of St. Christopher's Hospice, 1957–1967. Mortality, 3, 4363.

E.J. Emanuel & L.L. Emanuel (1998). The promise of a good death. Lancet, 351 (Suppl. II), 2129.

D. Field (1996). Awareness and modern dying. Mortality, 1, 255265.

A.I. Ganstal (2003). Good death may be possible in emergency departments. British Medical Journal, 327, 1048.

J. Grogono (2000). Sharing control in death: The role of “amicus mortis.” British Medical Journal, 320, 1205.

B. McNamara , C. Waddell & M. Colvi (1995). Threats to the good death: The cultural context of stress and coping among hospice nurses. Sociology of Health & Illness, 17, 222244.

J. Neuberger (2003). A healthy view of dying. British Medical Journal, 327, 207208.

S.F. Pierce (1999). Improving end-of-life care: Gathering suggestions from family members. Nursing Forum, 34, 514.

S.C. Prigerson & E.H. Bradley (2003). A good death is an oxymoron without consideration of mental health. British Medical Journal, 327, 222.

C.D. Santina & R.H. Bernstein (2004). Whole-patient assessment, goal planning, and inflection points: Their role in achieving quality end-of-life care. Clinics in Geriatric Medicine, 20, 595620.

Y. Saunders , J.R. Ross & J. Riley (2003). Planning for a good death: Responding to unexpected events. British Medical Journal, 327, 204206.

C. Seale (1995). Heroic death. Sociology, 29, 597613.

C. Seale (2001). Sporting cancer: Struggle language in news reports of people with cancer. Sociology of Health & Illness, 23, 308329.

R. Smith (2000). A good death. British Medical Journal, 320, 129130.

K.E. Steinhauser , N.A. Christakis , E.C. Clipp , (2000). Factors considered important at the end of life by patients, family, physicians, and other care providers. Journal of the American Medical Association, 284, 24762482.

The SUPPORT Principal Investigators. (1995). The study to understand prognoses and preferences for outcomes and risks of treatments. Journal of the American Medical Association, 274, 15911598.

M. Wright , J. Wood , T. Lynch , (2008). Mapping levels of palliative care development: A global view. Journal of Pain and Symptom Management, 35, 469485.

J. Young-Mason (1988). Tolstoi's The Death of Ivan Ilych: A source of understanding compassion. Clinical Nurse Specialist, 2, 180183.

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Palliative & Supportive Care
  • ISSN: 1478-9515
  • EISSN: 1478-9523
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