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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Fletcher, Karen 2014. Midwifing distress at end of life: Missed opportunities?. Palliative and Supportive Care, Vol. 12, Issue. 01, p. 81.

    Floriani, Ciro Augusto and Schramm, Fermin Roland 2012. Routinization and medicalization of palliative care: Losses, gains and challenges—CORREGENDUM. Palliative and Supportive Care, Vol. 10, Issue. 04, p. 311.

    Floriani, Ciro Augusto 2011. A fight to beyond death. Palliative and Supportive Care, Vol. 9, Issue. 04, p. 431.


Journey of struggle: Kalothanasia and the hospice way of dying

  • Ciroaugusto Floriani (a1) and Fermin Roland Schramm (a1) (a2)
  • DOI:
  • Published online: 01 September 2010

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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  • ISSN: 1478-9515
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