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Soc m138 intro

by: Freddie816

Soc m138 intro Sociology M138

GPA 3.3
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About this Document

Death in America, social movements, ideal death
Death, suicide and trauma
Class Notes
soc m138, timmermans, suicide




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This 3 page Class Notes was uploaded by Freddie816 on Wednesday March 30, 2016. The Class Notes belongs to Sociology M138 at University of California - Los Angeles taught by Timmermans in Spring 2016. Since its upload, it has received 540 views. For similar materials see Death, suicide and trauma in Sociology at University of California - Los Angeles.

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Date Created: 03/30/16
    3/30/16    ● Dying in the US  ○ Life expectancy increase to 77.8 years  ■ Better health conditions in the 20th century as a potential explanation   ■ Increased access to therapy to help avoid premature death among infants   ● Death remains problematic    ○ 2.4mln people die per year, 75% of those are over 65yrs old   ■ Most deaths are from prolonged illness  ■ 70% of those die in medical institutions   ○ 1990: patient self determination act  ■ Patient is given the right to make last requests upon checking into the  hospital  ● Intent is to increase communication bw doctor and patient  ● The good death  ○ US death Cultural Script ­a widely shared scenario of what we consider a “good  death” to be (elements and components of a good death)  ○ Example:  ■ peaceful , pain free, surrounded by family, continuity of living ­a lasting  statement, not a burden for others etc.   ■ The notebook:  ● A couple who finds each other again, dies together holding hands  on their deathbed   ● Where does this idea come from?  ○ The sixties  ■ Death: phenomenon that death should be in the hospital  ● 1977­ dramatic increase from the 1900s: 70% of patients die in  hospitals   ○ Critiques   ■ Gorer: pornography and death   ● Death is glorified in the media   ■ Feifel: the meaning of death  ● Western culture today denies death (ie­attempt to prolong life  through medical intervention)   ■ Aries­the hour of our death  ● Idea of a tame death  ○ Humans engage in rituals in an attempt to acknowledge that  death is inevitable and a normal stage of life, people gather  as a community and attempt to reconcile grievances such as  through giving last wishes and apologizing to each other  ○ Example­Death Macabre   ■ Death is inevitable   ■ We need to make sure that we live a moral life   ■ Death is a communal event       3/30/16  ● 19th century: dying patients are isolated with medicalization  (hospital) ­­>  attempt are made to explain death in scientific terms   ■ Glaser and Strauss: awareness of dying (findings)   ● Patients are abandoned in hospitals and are uninformed about their  medical conditions  ○ Once the patient is discovered to be dying  ■ Nurses avoid patients  ■ Nurses stop communicating with patients  ● Patients are treated but are not told what  treatment was for   ● I.e.­ treatment is supposedly for arthritis  when in fact it is for cancer   ● Patients are lied to   ○ Not told of their condition  ○ Reasoning is that once the patient is told that he is dying, it  makes it seem as if the doctor has given up   ● Four awareness contexts    ○ Closed awareness  ■ Physician knows that patient is dying but patient  does not   ○ Suspicion awareness  ■ Patient begins to become suspicious of his condition  through possible medical intervention (suspicion of  treatment)   ○ Mutual pretense  ■ Both patient and doctor know that the patient is  dying but neither discusses the topic  ● The doctor knows that the patient knows   ○ Open awareness   ■ Both patient and doctor know that the patient is  dying and they both openly communicate about the  topic   ■ Kubler­Ross (findings)   ● 5 stages of grief  ○ Denial  ○ Anger  ○ Bargaining  ■ Usually to god (I’ll do this or stop doing that)  ○ Depression  ○ Acceptance (the ideal stage) becomes part of the cultural  script   ■ Mitford: american way of death      3/30/16  ● Finds that the funeral industry is corrupt as workers attempt to take  advantage of grieving families by offering unnecessary and  expensive services  ○ I.e.­casquet is sold to a family although they are cremating  their loved one   ○ Social movements: death with dignity   ■ Hospice care: a new way of dying through religious practices (a place  where people go to die in comfort), not meant to provide the right to  die/help the dying process but make death more comfortable (after an  understanding that medical intervention can no longer be of any use)   ● ie­Saunders: St. Christopher's Hospice  ○ Focus on cancer patients, pain management, diet  and  spiritual­religious care   ● Saunders and Ross  ○ New Haven Hospice   ■ Right to die movement  ● Gave people the right to withdraw or withhold life support   ● National hemlock society   ○ Derek humphry: final exit  ■ Helps patients learn how to die  ○ Jack kevorkian: suicide apparatus  ■ Apparatus for lethal dose of medication   ● Oregon: death dignity act of 1994  ● Patient self determination act  ■ Commonalities between movements  ● Power on the method of death is taken from the medical field and  given it to patients  ■ How realistic? (Carr)  ● Pain reduction is associated with SES  ○ Those with higher education have an 11% decrease in pain  during death   ● Racial differences in life planning  ○ Those who are wealthy and white, are more likely to plan  their death (wills),  than the poor   ● SES disparities in informal end of life planning   ● Medicare cost in last 6 months of life: $20k whites, $27k blacks and  $32k latinos   ○ Although medical breakthroughs have helped to increase  life expectancy, minorities do not benefit from these gains 


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