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Journey of struggle: Kalothanasia and the hospice way of dying

Published online by Cambridge University Press:  28 September 2010

Ciroaugusto Floriani  and
Fermin Roland Schramm
Ciroaugusto Floriani*
Affiliation:
Bioethics Council, Brazilian National Cancer Institute, Rio de Janeiro, Brazil
Fermin Roland Schramm
Affiliation:
Bioethics Council, Brazilian National Cancer Institute, Rio de Janeiro, Brazil Researcher of Applied Ethics and Bioethics, National School of Public Health Sérgio Arouca, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
*
Address correspondence and reprint requests to: Ciro Augusto Floriani, Rua Erotides de Oliveira, 44/1003, Niterói, Rio de Janeiro 24230-230, Brazil. E-mail: [email protected]
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Abstract

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.

Keywords

Attitude to deathBioethicsGood deathHospice movementPalliative careTerminal care
Type
Review Articles
Information
Palliative & Supportive Care , Volume 8 , Issue 4 , December 2010 , pp. 461 - 468
Copyright
Copyright © Cambridge University Press 2010

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