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Chapter V develops the analyses of Chapters III and IV through a close reading of one of the most problematic passages of The Lord of the Rings, namely the fall of Gandalf in Moria and his following return. With the help of Tolkien’s own (elusive) exegesis of the passage, the chapter reveals that this narrative event embodies two key meta-literary motives recurrent in his mythology. First is sub-creative submission, featuring the sub-creator’s humble decision to hand over their sub-creations to the supreme “Writer of the Story” (the Godhead Eru) and affirm their “naked hope” in Him. This is followed by the direct, miraculous intervention of Eru, which interferes with the ontology of sub-creations, disrupting “the Rules” of their secondary world; in this particular, Eru’s intrusion transcends the intentions of Gandalf and his divine authorities – the Valar, the archetypical secondary sub-creators – and results in the enhancement of their plans, and their eventual integration within a higher creative project.
While dying at home is often described as desirable, to our knowledge, no reviews have focused specifically on people’s reasons for wanting to die at home. This review describes the breadth of what is known about motivations, attitudes, ideas, and reasons underlying the decision to choose “home” as one’s preferred placed of death.
Methods
This review was guided by a scoping review methodology following a five-stage approach including: (1) identify the research question, (2) identify relevant studies, (3) select studies based on inclusion/exclusion criteria, (4) chart the data, and (5) summarize and report the results.
Results
Seventeen articles were identified that met inclusion/exclusion criteria and discussed motivations underlying people’s desires to die at home. Thirty-five percent of studies were from Canada (n = 6/17), 29% were from Europe (n = 5/17), and 29% were from Asia (n = 5/17). Most studies (n = 11/17) used methods that involved collecting and/or analyzing interview data from participants, while the remaining studies (n = 6/17) used methods that involved administering and analyzing surveys or questionnaires. Characteristics of participants varied, but most commonly, studies included people with advanced illnesses who were nearing death (35% of studies, n = 6/17). Motivations for choosing a home death included desires to preserve a sense of self, factors relating to interpersonal relationships, and topics such as culture, religion, socioeconomic status, living situation, and lived experience.
Significance of results
The many interconnected reasons that lead people to choose a home death vary, as individuals have a range of motivations for choosing to die at home, which are highly influenced by contextual and cultural factors. Ultimately, this review will provide a comprehensive description of factors which may inform end-of-life planning, highlighting needs to be considered when planning the preferred location of a death.
This chapter considers Shelley’s diverse and complicated reflections on death in his prose and poetry. Shelley constantly interrogates and reads death as a matter of social, poetical, and political concern. It has no single systematic structure or meaning for him, and its conceptual irreducibility evokes the degree to which Shelley studied it with rigorous openness in order to maintain a theoretical scepticism regarding the many rhetorical uses and abuses of mortality.
This study aims to determine the effect of death anxiety on the life satisfaction of individuals living in 11 provinces declared as earthquake zones in Turkey.
Methods
This cross-sectional and correlational study was conducted with 435 participants in earthquake zones in Turkey. Data were collected online through Google Forms using a sociodemographic form, the Revised Death Anxiety Scale (RDAS), and the Satisfaction with Life Scale (SWLS).
Results
In this study, it was determined that 48.5% of the participants exhibited moderate levels of death anxiety. The participants’ average score on the RDAS was 53.97 (SD = 16.21), and their mean score on the SWLS was 12.30 (SD = 4.33).
Conclusions
This study showed that death anxiety adversely affects life satisfaction. Higher death anxiety among participants was associated with lower satisfaction with life. Consequently, health care professionals should offer increased psychological and communication support to individuals who have experienced significant disasters like earthquakes.
Clozapine-induced gastrointestinal hypomotility (CIGH) can cause constipation, which may progress to ileus, intestinal perforation and other life-threatening conditions. There were at least 527 unique cases of harmful CIGH (172 deaths) assessed by strict criteria in the UK, 1992–2017.
Aims
To assess the impact of strengthened warnings about the risks of CIGH, such as those issued by the UK Medicines and Healthcare products Regulatory Agency (MHRA) (2017) and the US Food and Drug Administration (2020), on reports of harmful CIGH in the UK.
Method
We audited UK MHRA Yellow Card reports recorded as clozapine-related gastrointestinal disorders, 2018–end 2022.
Results
Of 335 unique reports (36 fatal, 26 male) that met initial CIGH criteria, there were 129 (22 fatal, 18 male) that met the final CIGH inclusion criteria. Reports of non-fatal CIGH (final criteria) averaged 26 per year (15 in 2022). Deaths averaged four per year (two in 2022). Where data were available the greatest proportion of deaths occurred after 10–14 years of clozapine treatment.
Conclusions
Publicity aimed at raising awareness of the problem posed by CIGH has been associated with a reduction in harmful CIGH as reported to the UK MHRA since 2017. Continued vigilance is needed to reduce risk. Stopping smoking may pose a particular risk and should be monitored carefully.
‘Death in the monastery’ refers to liminal and temporal themes of dying in the poetry of an anonymous Carthusian monk-poet in the period 1964–2024. This article explores these topics in three subsections. The first section deals with texts where the monk-poet reflects on moments when he has witnessed the dying of a fellow monk. The second set of texts focuses on memories written about recently deceased members of the Carthusian monastic community. The third section consists of the Carthusian author’s reflections that arise from the physical proximity of the graveyard at the centre square of the monastery. The article concludes with some remarks on the liminal and temporal perspectives on dying in a monastery. Time spent with God in a cloister, while frequently witnessing the deaths of other members of the monastic community, prepares for a transition where death is followed by resurrection.
In December 2023, the authors screened the film Plan 75, a dystopic meditation on Japan's future as an aging society, with a public audience at Princeton University. The essay offers reflections on the experience of watching the film, the nature of Hayakawa Chie's social commentary and the visual way in which she realizes it, and the present social context for the film's futuristic meditation. The film won the Caméra d'Or Special Mention Prize at the 2023 Cannes Film Festival, and after screenings at global film festivals and the Japan Society of New York, was made available for streaming in the U.S. in late 2023. The film offers contributions to curricula that deal with issues of aging, global capitalism and degrowth, the anthropology and sociology of care, demographic transitions, neoliberal capitalism, and the emergence of a language of individual responsibility in social welfare.
In the face of a high aging population, decline in the rates of marriage and childbirth, and post-growth economic shifts, sociality is downsizing in Japan away from the family to more single lifestyles. The effects of this on the necro-landscape are examined here in terms of what happens to those who die all alone, untended by others (“lonely death”) as well as new practices emerging to replace the family grave and family caregivers with an alternative social model (what is called “promiscuous care”). The essay argues that, at both ends of this spectrum, smell can be used to register both the unsociality of a bad death, as well as the shifting sociality of new ways of handling the dead. (This short article is based on Being Dead Otherwise, recently published by Duke University Press).
Muslim migrants in Japan suffer from the lack of access to burial grounds when 99.9% of the nation is cremated. Muslims are usually met with opposition from the local community where cemetery construction is planned. Using ethnographic data, the study shows how Muslim associations inadvertently fail to respect the codes of Japanese rurality when seeking a cemetery in a community to which they do not have membership, leading to a conflict. This paper closes with policy prescriptions for the central government in ensuring the cultural rights of immigrant minorities in Japan.
The Rich Fool parable entails an implicit contrast between Joseph’s splendid public handling of the grain from superabundant harvests in Egypt and a private individual’s management of his abundance of stored crops. Condemned in the parable, the rich man’s focus on his own prosperity stands in sharp contrast to Joseph’s magnanimous contribution to the wider public’s welfare and the well-being of his own family.
The Healing on the Sabbath parable’s focus on higher and lower standing at a feast affirms humility over ostentation. Evoked is the grand meal given by Joseph in honor of his brothers who, on account of his high and their low standing, could not sit with him at his table.
The drinking party at Medius’ in Babylon on 31 May 323 b.c., marking the onset of Alexander’s terminal illness, is explored from contemporary and later texts. Close reading of fragments by Nicobule and Aristobulus, set beside the reticence of the court daybooks (Ephemerides) and the studied vagueness of secondary sources, clarifies in detail the sequence of events. Justin, Plutarch and the author of the Liber de morte Alexandri cast light on the silence imposed by the King’s successors. A narrative emerges of the day itself, the spread of rumour, the two false explanations for Alexander’s death that were successively propagated, and the third explanation, most probably correct, that Aristobulus was first to publish.
This study explored bereaved relatives’ experiences of end-of-life care (EoL care) in the last 3 days in an acute private hospital in Australia.
Methods
An interpretative qualitative study was conducted. Semi-structured interviews with 8 bereaved relatives whose family member had died at an acute private hospital shared their experiences of the EoL care during the last 3 days of life. The transcribed interviews were analyzed using inductive thematic analysis.
Results
Bereaved family members had mixed experiences, and their primary concerns related to the need for improvements in support for the family; communication; and clinicians partnering with families. The need for family support encompassed care for the person dying and the bereaved relatives, before and during the last days of life, and after death. Bereaved relatives perceived that hospital based EoL care could be positive when the care was collaborative with health professionals, patients, and relatives and there was effective communication.
Significance of results
A patient- and family-centered approach to EoL care should be provided in hospitals, and it requires understanding of the needs of both patients and family members, including informational requirements, communication approaches, and care delivery. Health-care organizations have a responsibility to care for families and this must be considered as part of organizational readiness and ongoing assessment to determine if the standards for EoL care are met. The findings serve as a guide for evidence-informed practice and may contribute to the development of resources and guidelines for delivery of quality EoL care.
This chapter takes three plant types – the shady tree, the happy crop, and the wayside flower – as starting points for an exploration of ancient attitudes towards plants as both in harmony with and divergent from human worldviews and goals. It demonstrates how the same or similar plants can represent very different moods in different settings, sometimes positively reinforcing a human view, sometimes obstructing it. The connection between the sense of a human lifespan and the longevity or brevity of plants’ lives is forged and reforged in different contexts, while very human concerns with morality and aesthetics are differently projected onto these three broad categories of plant. Ranging from the earliest Greek works to the mid-imperial period of Rome, the chapter highlights both some continuities and some differences emerging in the course of around 900 years of literary engagement with plants.
Chapter 7 examines representations of the afterlife: the heavens and purgatory. Venetian artists created some of the most spectacular visions of paradise of the century, works that pulse with vibrancy and life, deploying a series of artistic devices to insist on the veracity of the supernatural. Venice was also home to one of the earliest and most comprehensive purgatorial cycles in Italy, a theme that became an ever more popular one as the seventeenth century progressed.
Friendship occupies the last place in the five social relations in the Confucian tradition, yet it plays an important role in Confucian writings. In this article, I discuss the notion of friendship that lasts beyond death from ancient China. I examine how the friendship between Bo Ya and Zhong Ziqi finds its continuation in that of Fan Shi and Zhang Shao, insofar as one of the two friends dies in both cases. These friendly bonds are tinged with a tragic tone and have fueled the imagination of the Chinese who sublimate or amplify them in all kinds of literary genres – poetry, theater, and novel – dating back to the pre-imperial period and to the Han Dynasty. All the authors underscore the faithfulness of these characters, which they consider to be the characters’ virtue. They also emphasize the spiritual link that transcends life and death. Based on the translation of these well-known and celebrated narratives, I intend to show how the exemplary nature of friendship is enhanced or mythologized, and how intertextuality has shaped the Chinese vocabulary itself in this regard.
We aimed to identify risk factors related to COVID-19 reinfection in Hong Kong. We performed a population-based retrospective cohort study and reviewed case-based data on COVID-19 infections reported to the Centre for Health Protection from 8 January 2020 to 29 January 2023. We analyzed the epidemiology of COVID-19 infections and performed a Cox regression analysis. In this period, 3.32% (103,065/3,106,579) of COVID-19 infections recorded were classified as reinfection. Compared with primarily infected cases, a higher proportion of re-infected cases had chronic diseases (33.54% vs. 27.27%) and were residents of residential care homes (RCH) (10.99% vs. 1.41%). The time interval between the two episodes ranged from 31 to 1,050 days (median 282 days). Cox regression analysis of Omicron cases with the adjustment of covariates showed that being female (Hazard Ratio [HR] 1.12, 95% CI 1.11–1.13), chronic diseases (HR 1.18, 95% CI 1.16–1.20) and RCH residents (HR 6.78, 95% CI 6.61–6.95) were associated with reinfection, while additional vaccination after primary infection was protective (HR 0.80, 95% CI 0.79–0.81). Further analytical studies on the risk factors and protectors of COVID-19 reinfection are needed to guide targeted interventions.
Covenant, community and communion are ways in which God’s means and God’s ends are identical. Covenant is not the ‘Plan B’ after the failure of creation in the fall; it is the fulfilment of the reason for creation, and the anticipation of the true covenant, the incarnation itself. God’s love for Israel goes far beyond any instrumental goodwill: Israel is God’s child, God’s spouse, God’s companion forever. Communion is the centre of the Christian faith: being with but also being together. Communion and community name the two aspirations of church. The one is about being in, and bringing others into, relationship with God; the other is about relating civilly, cordially and sacrificially with one another, and attending to the things that need doing to function humanly. When Jesus talks of the realm of God, he is talking about this communion and community becoming a reality for all people.
Frances Ellen Watkins Harper work has helped reshape Civil War literary studies and illustrates the field’s larger preoccupations. This chapter centers on “Bury Me in a Free Land,” a poem that demonstrates the craft of a writer uniquely adept at using and subverting expectations in a literature that was highly conventional, thus illustrating for contemporary readers both the patterns and their breach. Harper’s poem speaks to the core preoccupations that scholars have been tracing as they identify an ever-broadening archive of Civil War literature, namely the importance of slavery and abolition, the role of death and suffering in the context of spirituality and sentimentality, the shifting understandings of race and gender, and the exploration of how the conflict would be remembered. Poetry was the period’s predominant genre, and this example points to current scholarly interest in works that are ephemeral, conventional, and written to appeal to a broad popular audience. Instead of asking what great works of literature writers in general and combatants in particular produced, as previous scholars had done, recent inquiries have considered a greater diversity of writers and taken an expansive approach to this large question: What is Civil War literature, and what cultural, social, and political contributions did it make?