Professional Documents
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Jordan Friederike Thesis Stories of Care 2023-12-27
Jordan Friederike Thesis Stories of Care 2023-12-27
By
FRIEDERIKE S. JORDAN
DECEMBER 2023
accepted.
ii
ACKNOWLEDGEMENTS
I sincerely thank Liz Siler and Stanley Smith for their guidance, warmth, and invaluable
support on this writing journey. Your open ears and hearts have been a constant source
Spelman, for listening and caring when there was sometimes nothing left to say. I am
deeply thankful for my committee members, who have played an invaluable role in my
academic journey. Dr. Jeannette M. Mageo, your guidance from the beginning of my
moment of grief and nurturing my research and ideas. Dr. Raven Weaver, thank you for
navigating the complexities of endless IRB forms and your introduction to many
thanks for your profound feedback and insightful contributions, which enhanced the
depth of my thesis.
My deep appreciation goes to the individuals who graciously shared their time,
vulnerabilities, and stories as interviewees. Thank you, Return Home for your time and
knowledge and White Eagle Memorial Preserve, for the great experience of grave
digging. Lastly, I express my gratitude to my friends and family Antje, Muffin, and
Marcus; Arian; Esther; Luise and Seçil; Matt; Skyler, and Malekai; workers at the Mobile
Farm Stand; Yiting; and my parents Karin and (the ghostly presence of) Heinrich; who
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STORIES OF CARE: DEATH CARE WORKERS’ PERSPECTIVES ON
Abstract
This thesis explores the relationship between Death Care Worker (DCW) and sensory
experiences, and how these experiences shape their understanding of death, dying,
and grief. Drawing on DCW's personal experiences, I argue that death and dying are
highly relational. That they shape the DCW’s sense of self, identity, and meaning in life.
Facing death and dying can start a process of (re)orientation (Ahmed 2006). Sensory
(Ozawa-de Silva 2021), co-poiesis (Desjarlais 2018), and sympoiesis (Dempster 1998)
as concepts of making together-with. This research defines DCW as not only human
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TABLE OF CONTENTS
Page
ACKNOWLEDGEMENTS................................................................................................. iii
ABSTRACT...................................................................................................................... iv
CHAPTERS
v
Disorientation and re-orientation in end-of-life care and death care...............56
Findings.......................................................................................................... 93
Limitations...................................................................................................... 95
Future directions............................................................................................. 95
BIBLIOGRAPHY............................................................................................................. 97
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LIST OF FIGURES
Page
Figure 1: Showing the tools used to dig a grave. The picture captures the
result, after day one, of digging a grave.………………………………….31
Figure 2: Picture taken from inside the finished hand-dug grave………………….32
Figure 5: Sliding doors at Return Home with gray vessels (on the left).................70
Figure 9: Soil of one human in burlap bags (in the front), with smaller
burlap bags (in the back)........................................................................77
Figure 10: Composting instructions (postcard size)...............................................78
Figure 11: Woodland area with two people walking along an asphalt path……....79
Figure 12: Map of places, marked with pins, that Return Home has served……..80
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LIST OF CENTRAL DEATH CARE WORKERS
Leo (she/they), 31, Seattle area Death advocacy worker, EMT, employee at a
funeral home
Henry (he/him), 80, Palouse Death Care Worker who experienced several
deaths in his life
Karmen (she/her), 42, Palouse Death Care Worker who experienced several
deaths in her life
Oceana (they/them), 46, Seattle area Death Care Worker who experienced several
deaths in her life
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Dedication
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PREFACE - A SENSUAL LOSSOGRAPHY
(2021) advises in one of her talks to start your writing always with something that you
love. I love Professor Jeannette Mageo, who was my advisor and the reason why I
came to the US. I started graduate school in Anthropology and was deeply impacted by
her death at the beginning of 2023, midway through my graduate program. At the
beginning of this thesis, which addresses processes of death and dying, I use the
al. 2014; Weaver et. al 2022). It is a form of storytelling to engage with the dead,
It acknowledges personal emotions associated with grief and comes to terms with
mortality as it considers how these experiences have shaped one's perspective on life.
A lossography can also provide a framework from which to move into research of some
point or points for further research and analysis. In a study on death and dying a
mentor and the research I started with that mentor on the subject of death and dying.
Students writing lossographies are often asked to consider questions such as What do
you wish could have been different about this death? Whom did you talk about this
death? What did you learn about death? I have added the sensual to the lossography,
asking myself what (unconscious) role smell, touch, vision, taste, and sound played in
1
Here, in the form of a sensual lossography, I start with a personal reflection on
Jeannette’s recent death and my grief experience as her student and friend. After
Jeannette’s death, everything seemed to happen all at once but was also lacking in joy
and excitement. Days went by fast, and at the same time, they crept slowly.
Odor
I preserved Jeannette’s scent. Jeannette gifted me a green shirt, which was her
favorite color. She got out of bed and presented me with the shirt. I held her arm to
strengthen her walk back to bed. I tried it on, and we both decided we liked how it
looked. Our shared decision was to me most personal and intimate. Giving her physical
support was also a change in our role as student and professor, and as friends. After
her death, I put this shirt in a plastic bag to contain her scent. Odor, LeBreton (2017,
145) argues, “can deny the absence or death, or summon ghosts from the past.”
I couldn’t agree more, smelling that shirt acts as a powerful trigger to evoke
Jeannette’s presence. Especially with my eyes closed. When everything was moved out
of her house after she died, her scent was gone, too. With the loss of the sensory
connection to the past, it was easier for me to leave her house. Now, I can summon
Jeannette’s presence by smelling the green shirt and again, in my grief, feel connected
to her memory.
Touch
and feel privileged that I was able to meet Jeannette, privileged that she spent time with
me and shared her wisdom, knowledge, and stories. I carried her ashes in a plastic bag
2
on a beautiful California Beach, the place where she wanted to return. The slight burden
of her ashes created a new feeling of connection with Jeannette. I felt honored and filled
with gratitude. That night, Jeannette’s boyfriend and I went on a walk at the beach, and
he fell on a rock. It felt like the lingering presence of Jeannette did not want him to leave
the beach. The beach and the ocean became a symbolic place of Jeannette’s lingering
2018). For a second, all that frailty of life and death came back. We sat down on the
Taste
During the Winter Break, I went to Germany, and Jeannette asked me to bring
her some German bread. We had weekly meetings but did not talk about her impending
death. There was always a bit of hope for a miracle, like a magic touch that could cure
her. Jeannette was referring to Michelangelo's (around 1511) fresco “Creation of Adam.”
When I came back to the US in January, Jeannette, her boyfriend, another friend, and I
all shared Pumpernickel from Germany together, and I was introduced to Mint
Chocolate ice cream - one of her favorites. Even though she did not have the greatest
appetite, somehow, the Pumpernickel and the ice cream became a lively, spontaneous
sociologist Léo Moulin (1975, 10) put it, “we eat our most reassuring memories."
Sound
I found some stability in helping to organize a small informal wake for Jeannette
for a selected group of friends and graduate students, to whom her boyfriend would
3
serve some wine. We were a group of three, and our Monday meetings to set up the
wake became regular weekly meetings to talk about Jeannette. We created a safe
After the wake was over, I felt horribly isolated. The absence of supportive people
from the wake threw me into a deep void of loss. I felt my grief in physical ways: a
numbness on my forehead (which I only experienced when my father died), and I had a
ringing in my ears along with a sensation of normal sounds being distant. My grief and
pain shut out the world, a common experience to many in the aftermath of a death. I
crawled into my dark studio flat and hoped all would just be over. I played “Candy
distraction. Reality was dark, empty, and frightening. While I was waiting for those
moments to pass, I felt like a broken caged item on display with people looking at me
After a weekly meeting with my writing instructor, who listened and asked about
my grief, I felt encouraged to reach out to the Mental Health Care at WSU. I ended up in
a Mindfulness group. No spots for individual counseling were open, but I took whatever
online class on Dreaming and Culture. Jeannette was the first person who really
showed me how to grade class assignments, interact with undergraduates as part of the
grading process, and become a graduate student. She immediately figured out that I am
a worrier, so we had weekly meetings to discuss my research and graduate life. I cannot
express in words how much she positively shaped my academic experience in the US.
Never in my life have I experienced a professor who cared so much for her students.
4
In the semester Jeannette died, I was the TA for the same asynchronous online
videos was hard. The person instructing the class (a friend of mine) was also a student
of Jeannette’s, and we both were grieving in our own ways. I am amazed we managed
the semester together, but I could not tell you how. Being dependent on our Teaching
Assistantship, we did not get a break from graduate school. Managing that class, on top
of grief and money worries, put additional stressors on our friendship. Our friendship
Vision
In early February, Jeannette (2022) received the Boyer prize for her new book
“The mimetic nature of dream mentation.” Jeannette made sure, in case of her death,
that her students would accept the prize on her behalf during the Society for
students, including myself1, attended the SPA conference in 2023 to accept this prize.
After a speech in Jeannette’s honor, I was feeling sad, frustrated, and angry. It
was the first speech of the evening, and not all participants were at their table. It was
loud, messy, and chaotic when the speaker started. Our table was next to a water
fountain, and it was hard to understand what was said. At some point, the speaker
pointed to our table and indicated that we, as her students, were accepting her prize.
What could have been a beautiful moment felt rushed. I felt disappointed and had to get
out of this scene. I took off into the night and found myself in a garden at the back of the
building. Almost nobody was there, and I felt safe to cry. As I vented in tears my feelings
1
The department covered some of my travel expenses.
5
of sadness and frustration, a big, unexpected firework came up. (It was unrelated to the
SPA conference.) I had a great view over San Diego at night, tinted by the fireworks.
The fireworks felt like a response to my feelings, they seemed like a symbol to me. It felt
like Jeannette was offering me guidance and perspective beyond the disappointment of
the speech; to be humble and grateful. I felt connected to Jeannette. This experience
blurred for me the boundaries between the living and dead, and the material and
poetics Langford means certain emotional experiences wherein one feels connected
with the dead by encountering definite if ambiguous symbols and signs that call to mind
the departed.
After the first day of Jeannette’s wake, I slept next to her urn. It was strange in
that way that I never slept next to an urn, but doing so made me feel connected. I had
the option to sleep in a bed on the same floor where Jeannette died, but I could not
bring myself to do that, instead, I would sleep on a couch next to her physical remains.
I own Jeannette’s orange chair. A friend of mine said that they do not want
anything of Jeannette’s belongings as they worried Jeannette’s spirit would see this as
thinking about my friend's concerns further and wondered if I would find this personally
concerning. Instead, I make sure Jeannette’s chair is empty at night so she can come
6
Analysis
dealing with grief. It was hard to balance different responsibilities - being a graduate
student, being in grief, being a friend, being an international student away from my
assistantship.
The anthropology department did not provide sufficient support and care and
only sent out an email titled “sad news.” It was composed of three sentences, informing
the anthropology graduate student email list of Jeannette’s “passing” and possible
future updates about any funeral plans. Hours later, the dean of the College of Arts and
Sciences sent out an email with more words about Jeannette, her work, and her
achievements, and also shared resources for counseling. Four days later, the
anthrograds email list got an update, saying that the department would provide a
summary2 of her career. In the same email, the reader learned that Jeannette did not
passing of a human life, a colleague, a friend and a mentor - all dismissed in two
sentences.
“cluster hire” to Pullman. Not one of the new hires was informed about Jeannette’s
meant for Jeannette’s students when asked, “Who is your advisor?” they must inform
2
A faculty member asked a friend and me to support that write-up if we wanted, but I did not participate in
it.
7
the candidates themselves about the recent death. That was the only time our
department, or rather the graduate students, publicly talked about Jeannette’s death in
After a month or so, when colleagues assumed everything was getting better, this
is when it really got worse for me. I was short-tempered, sad, mean, eating a lot, eating
nothing, smoking, drinking, crying. I was longing for a break, trying to stand still so time
would also stand still. At some point, I avoided seeing those people who knew about
Jeannette’s death but were not willing to talk about it. I was afraid to act improperly, to
frustration and avoided others. Fearing to endanger my teaching assistantship, just like
the Samoans whose social roles overshadow their internal states (Mageo 1998), I
organized a remembrance for the academic community. I am grateful that this gathering
took place, in that it provided an opportunity for colleagues and students coming
meaningful story around my experiences of Jeannette’s death. In a real sense, this loss
and this lossography, the stories I have told about this loss, have helped me in the act of
to become oneself is always intertwined with one’s connections to and experiences with
8
others - we do not exist in isolation but are constantly becoming-with many by forming
relationships with others. Such others can be animals, microorganisms, machines, soil,
done in collaboration with others. It is a relational and interconnected view of the self.
This suggests also that subjectivity, as a part of the self, is always constructed with
(Davies 2016, 3). The way a person approaches dying - their own death experience or
that of others they are caring for - is part of becoming-with many, a way that is at least in
relationships with others while accepting the vulnerability that sharing my emotions,
thoughts, and experiences with my readers entails. With these experiences in mind, I
seek to explore related themes in the following thesis: loss, death, authenticity, care,
caring for, and stories and their shaping impact on the lives of Death Care Workers.
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CHAPTER ONE: INTRODUCTION
Death care, at its core, is “being in it together” (LeGuin 1974), the “it” here
referring to death and dying. LeGuins phrase of “being in it together” reflects the idea of
becoming-with others. On a symbolic and emotional level, a form of care can mean
acknowledging and attending to a “ghostly presence” beyond the physical realm. Care
2016) commitments. Care involves learning from each other by talking, reading, and
listening to stories - as in this thesis wherein I will present stories about death and
dying. Care is a social commitment to staying with the dying. Care requires facing
recognizing and valuing what truly matters - the mutual sharing of “response-ability”
fantasy, speculative fabulation, science fact, and so far” (Haraway 2016, 2). SF, or string
figuring, is a method of “worlding and storying” (Haraway 2016, 13). The idea of
“worlding and storying” suggest that a persons lived experiences shape the way a
It matters what matters we use to think other matters with; it matters what stories
we tell to tell other stories with; it matters what knots knot knots, what thoughts
think thoughts, what descriptions describe descriptions, what ties tie ties. It
matters what worlds make worlds, what worlds make stories. (Haraway 2016,
12-13)
Haraway’s ideas are inspired by anthropologist Marilyn Strathern.
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SF (including the idea of relationality as becoming-with) becomes a heuristic
device by “staying with the trouble” (Haraway 2016, 3). Staying with the trouble is a
and commit to confronting the challenges of current times (e.g., mass extinctions, wars,
climate change) and to make a positive impact (Haraway 2016, 13). We have a duty to
care.
SF are woven entangled threads of knowledge. String figures are complex webs
game “Cat’s Cradle” as a metaphor to elaborate this storying practice. An example from
my lossography: Jeannette and her lingering presence, her death, her boyfriend, my
relationship with Jeannette and her boyfriend, the beach, the rock, and her smell are
entangled in the String Figure (SF) of death care. Thus, it is that we, as SF ourselves,
I would also propose another SF, sensory feeler (antenna). I explored the SF, that
is the entanglements, of death care by engaging with Death Care Workers (DCW) and
their sensory experiences. DCW include not only human beings but also
DCW travel with the dying and the dead. DCW care for the dying in various ways:
They can provide solace and company, handle the disposal of a body after death, or
I studied DCWs in the Palouse and Seattle area, including funeral home owners;
end-of-life doulas; hospice and palliative care workers; people who sat with their dying
homes and attended funeral services, death cafes, and support groups. I visited a
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conservation burial ground (to volunteer for grave digging by hand) and land-partners of
funeral homes. I attended exhibitions around death and dying and End-of-life Doula
trainings.
I interviewed human DCWs for their perspectives on and experiences with death,
dying, and care. I came to a deeper understanding of the SF of death care. In this
a) How do DCW, drawing from their own experiences, become re-oriented in their
encounters with loss and grief, shaping their death care practices?
rural Palouse area, and then discovered the metropolitan setting of the Seattle area with
not conducting a direct geographic comparison between these areas, but I follow the
To discuss the string figures of death care, those entangled with it, it is necessary
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CHAPTER TWO: LITERATURE REVIEW
The self has a relational nature (Kitayama et. al 1997; Rochat 2009; Ozawa-de
Silva 2021). The self develops through our entanglement and interactions with others
and our environment. This relational nature, this interdependence between individuals,
Early on, anthropological literature had ontological premises about the self
(Mageo 1995). Anthropologists' interpretations of the self often emphasize either the
a role within a larger group (often referred to as sociocentric). Interpretations of the self
are ontological premises, as they are cultural versions of what it means to be a person.
Anthropologist Ozawa-de Silva (2021, 195) argues for the “dual-natured sense of self”
which recognizes both individual and interdependent aspects of self as they appear to
Professor of Education and Maori Development Linda Tuhiwai Smith (2012, 58)
critiques Western concepts of “place and space, knowledge and research, individual
decolonizing research methodologies. The egocentric Western view of the self has
13
2001; Mageo 2002; Ozawa-de Silva 2021). The population of the US shares egocentric
Anthropologist Marshall Sahlins (2013, 9) discusses the sense of self and life,
emphasizing the “mutuality of being,” the essence of being or existence that involves a
extend beyond life.” Anthropologist Abou Farman (2017) writes about the collective
contemporary experience. The choices and actions of individuals and societies impact
the entire global ecosystem. Sociologist Lyn Lofland (Lofland, Troyer, and Francis 2019,
20) describes this conscious confrontation and connection between dying and extinction
as “prolonged dying.”
biodiversity on Earth driven primarily by human activities. We all share those challenges
2015). Anthropologist Heather Paxson (2014, 41) states, “Never think you speak for all
of yourself.” Her remark underscores the idea that a significant portion of humans'
animals, plants, microorganisms - and the environment shape our sense of self and
14
one that considers these more-than-human elements. For example, the legalization of
natural organic reduction (NOR), the process of transforming a deceased person into
interdependency. In the process of NOR (an act of death care), string figures like
microorganisms, plants, the environment, and humans play roles and relate one to
another. For one interviewee, Judith (she/her/they), being composted was about her
I don't think that I'm personally slowing down climate change, but I'm trying to do
my part not to make things any worse for our poor earth that is burning. That, for
me, extends to death. I want my death and the things that surround my death to
be as friendly on the earth as possible. That is also just as low intervention as
possible. Decomposing, that's what I would like, has low impact for the
environment, low impact for me, low impact for the people around me.
(09/22/2023)
Judith anchors herself in the natural world instead of subordinating nature
she is concerned with a flourishing, biodiverse environment and livable futures. Judith
recognizes the relational nature of self (challenging the dualism of human/nature) and
shows response-ability by caring for the environment, the people around her, and
herself.
A person's subjectivity, including roles within the family, community, society, and
selfhood refers to “all aspects of being a person” (Mageo 2003, 7). Subjectivity is the
emotions, thoughts, beliefs, fears, and other aspects of experience. The processes of
15
subjectivity are dynamic, relational, and continuously transforming (Ozawa-De Silva
god, that could simultaneously look into the past with one face and the present with the
other face. In reference to subjectivity, Ozawa-de Silva (2021, 21) uses the metaphor of
a Janus-faced nature to imply a dynamic interaction between the inner and outer
social context, lived experience, and power relations continually influences and
Silva 2021). Subjectivities encompass a “sense of self and self-world relations” (Hollan
and Leander 2004, 127). Subjectivity involves a relational process to become-with many
transforming. For instance, creating meaning, values, beliefs, and attitudes occurs
collaboratively with others (Ozawa-De Silva 2021, 21). Society, as Ozawa-De Silva
(2021, 28) writes, is then “in large part the product of collective subjectivity.”
16
For Hungarian-Canadian physician Gabor Maté (2022), authenticity and
emotions and needs) and attachment (emotional bonds formed between individuals and
others, e.g., a child bonded to their caregivers) are related and form a basis for
emotional well-being: Attachment is a human need (see also Bowlby 1969; Ainsworth
1973; Meehan and Hawks 2013). Succumbing to societal and cultural expectations,
humans sacrifice authenticity for attachment throughout the lifespan (Maté 2022).
Becoming authentic is a process that brings one closer to being true to one's
values, beliefs, actions, and choices (Jung 1993; Kierkegaard [1849] 2004; Maté 2022).
Necessary to this process is recognizing how one’s relationships shape oneself. One
authenticity moves us to staying with the trouble and impacts how we care for others
care.
care. My interviewee Leo (she/they) talks about how people in the US are trained to
perceive death as an emergency, and follows societal expectations of death care like a
check-list to be quickly accomplished. Such haste neglects their own need of those who
remain alive to negotiate this new normal, this new relationship between themselves
I think one of the biggest things is I work really hard to try to get people to
understand that death isn't an emergency. US American culture has raised us all,
17
especially since the Civil War, to think that death is an emergency, but if you
really think about it, death is not an emergency, [...] it cannot get worse at this
point. But people are worried about having a dead body in their home like it is a
crime. No one is going to think you murdered your grandpa, who had cancer.
Like if you want to shave him so that he looks nice and make sure that he's
wearing his favorite cardigan or you wanna brush his hair and you didn't
immediately call the Funeral Home, none of that's a crime, but I bet that it felt
really good for you to get to care for him. I think that matters so much. [...] It's
been my experience, you know, when I tell people you're allowed to take the
time, you know, sometimes they've called me back to say thank you for saying
that. (09/21/2023)
Leo, acknowledging the subjective experience of death and dying, emphasizes in
her more authentic approach to death care a need to perform a more personal and
The study of how individuals perceive and make meaning of their lived
experiences through their bodies and senses and their intersubjective worldly
in space and time towards objects, towards different objects in different ways (Ahmed
2006). As we orient ourselves, our bodies create social worlds. Orientation is not always
the lack of orientation (Ahmed 2006, 5-6). Philospher Edward Casey (1987, 151) argues
that the primary purpose of orienting is to acquaint oneself with the surroundings. Casey
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Feminist writer, and intersectional scholar Sara Ahmed's (2006) metaphor for
social orientation and “patterned movements” (Casey 1987, 151) is the image of staying
on a line: It is comfortable for people to stay on a line. Insofar some objects are near-by
it, though other objects are out of reach. We follow lines (as patterns of thoughts and
motion) and also lines direct us, and this is how we anchor and recognize ourselves in
space and time (Ahmed 2006, 16). Lines are, then, performative (Ahmed 2006, 16).
the significance of orientation and disorientation as they relate to the underlying power
dynamics that influence experience. Ahmed (2006) argues that not everyone has the
same experiences of how bodies occupy space and are recognized or not recognized,
height, which can be challenging for people in a wheelchair to reach. Even the mere
motion.
Interactions “in, and by, and through the body” are subject to influences such as
our identities as perceived by ourselves and others, the power relations that ensue, and
a host of other social variables (Casey 1987, 147). Those norms, conventions, and
considering how DCW navigate complex experiences of death, dying, and grief.
19
Death Attitudes in the US
Responses to death and dying are “deeply rooted in culture” (Danely 2018, 132)
and are occasions for negotiating social identities. Cultural norms, values, traditions,
and belief systems influence how individuals understand and interpret death, dying, and
associated rituals and practices. Culture shapes and is shaped by the ways people
Cultural responses to death are part of broader social norms, and influence how
individuals interact, support each other, and navigate death-related grief in society.
Cultural responses to death include not only how we express death-related grief but
also the roles we perform and the expectations we have surrounding mourning rituals
and the support provided by the community (Danely 2018, 132). Understanding those
dynamics is crucial for appreciating the diversity of human responses to death across
2020; Incorvaia 2023). Such concerns have led to death movements, such as the Death
Positive Movement and the Green Burial Movement. Within Washington State, a state
20
composting), it is difficult to say that one normative attitude or set of attitudes exists
and dying. Life course theory (Elder 1994; Giele and Elder 1998) describes how
status, education, access to healthcare) shape their development over time. The life
course theory relates to death and dying in that it considers all of the above and leads to
an analysis of inequalities and injustices in how people die and approach death.
of the high points of some death movements and attitudes in the US that will provoke
thought about contemporary discourse on death and dying and is at least partially
reflective of the diverse range of movements and attitudes found in the research focus
The 1860s saw the advent of embalming. Before the 1860s, death care was
often a hands-on job for the community. Families and communities cooperated in caring
During the Civil War (1861-1865), a large number of soldiers died far away from
their homes. By draining all bodily fluids and replacing them with preservative fluids, the
embalmers were able to slow down natural decomposition, thus providing extra time for
the transportation of bodies back to their hometowns and loved ones. This procedure
allowed families to see their dead loved ones prior to burial despite long distances; in
21
some cases, it also allowed extended displays of the body, as in the case of Abraham
Urbanization, and the commercialization of funerary services brought about a need for
more formal and specialized death services. The community-based approach to death
care became less practical, and embalming demanded people with specific training.
The National Funeral Directors Association (NFDA) was founded in 1882, marking a
education). Men took over death care, and so it was that women, who had formerly
performed preparation of the body at home, were now excluded from that domestic
ritual in favor of public male “professionals” (Laderman 1996; Mitford 1998). It bears
noting that only two of the Death Care Workers I interviewed for this thesis identified as
male.
Death Education
Thanatology, the study of death and dying, started in the 1900s and included
contributions from diverse fields such as anthropology, medicine, and philosophy. The
term derives from the Greek word Thanatos, meaning “death,” and the Greek suffix
-logia, meaning “the study of.” The study of Thanatology includes funeral practices,
(1993, 75) defined thanatology as “the study of life with death left in.” Kastenbaum
(1977) introduced the concept of death systems. Death systems as the complex webs
22
death within a societal setting, are SF. A death system encompasses people, places,
Fear of death
Though humans often strive for meaning in life by realizing their mortality, denial
for others is a defense mechanism. Psychoanalyst Sigmund Freud (1899) argued that
conscious desires and unconscious fears, including the instinctive fear of death.
Anthropologist Ernest Becker (1973) argued that the fear of death is a universal
phenomenon experienced by humans. Becker (1973) advocated that fear of death is the
primary unconscious motivator for human activities and behavior, and sociocultural
factors (e.g., religious beliefs, death rituals, and the portrayal of death in media and
mechanism, and people repress their fear of mortality to alleviate anxiety and existential
angst. “In the modern West [...] we are conditioned not only to deny death but to view it
as a failure. [...] If we think of dying people as a separate group, we can imagine that we
are not dying. We can pretend that it isn’t happening to us” (Robbins 2007, 203-204). In
the modern West, including the US, we draw a distinction between the living and dying,
Immortality
23
only believe they may be able to extend life and rejuvenate the body, but even to
overcome biological death. They aspire to the creation of hybrid bodies which might not
include only prosthetic limbs and organs (for a kind of physical immortality), but also the
The “RAADfest 2023” (Revolution Against Aging and Death) was an event that
Anthropologist Jennifer Huberman (2022) argues that pursuing immortality has become
an industry led by and for the elite. And so raises questions about access and equity.
Tech billionaires like Elon Musk, Google cofounder Sergey Brin, and founder of PayPal,
Peter Thiel, are reported to support and invest in technologies and research to
overcome human mortality (Huberman 2022). Thiel has already paid for being
cryogenized. Cryogenics is the procedure of freezing bodies after death with the
intention of thawing them in the future when technologies for achieving immortality are
believed to be possible. The term "cryopolitics," coined by Kowal and Radin (2015),
that transcend the physical body. Concepts like life as an energy process, the soul,
reincarnation, and an afterlife are central to these beliefs, which suggest a continuation
attended the 2016 Afterlife Awareness Conference and wrote about After-Death
Communications and reciprocal relations between the dead and the living in North
24
deceased loved ones (see also Derrida 1994; Danely 2018; Allison 2021).
Anthropologist Lisa Stevenson (2014, 3) uses the expression “life beside itself” to
explore states of existence beyond the immediate physical realm among Canadian Inuit.
trauma, injustice, and inequalities) that persist in the present. These “ghosts,” then, elicit
collective memory. In this thesis, the “environmental ghosts” of the sixth wave of mass
extinction and environmental destruction are haunting us. Their disruption of our
In 2022, a trending hashtag on the social media platform Instagram was: “When I
die, I might as well come back as one of these.” It is a playful expression of the idea of
reincarnation or life beyond death, as users share their imaginative thoughts on what
The home funeral movement has historical roots in the mid 19th century. The
domestication of death care allowed the living to maintain a spiritual connection with the
dead and dying (Jackson 1977). With the rise of the professional funeral industry and
modern medicine, home funerals became less common. Historian Phillippe Ariès called
this change in attitudes a “reversal of death” (Aries 1974, 536), which shifts the focus
from death itself to the management of illness, from the home to the hospital. Ariès
suggests (1974) that this created a more silent approach towards death. Writer Jessica
25
Mitford (1963) critiques the commercialization and disenchantment of The American
Way of Death.
America.
Death, then, is the measurable cessation of neurological functions (Lock 2001). There is
selfhood. Away from a biological definition, people argued for a concept of death that
considers what it is that constitutes a person and the cessation of that person's
Home funerals, also called “family- and community-led deathcare,” have returned
since the late 20th century. Home funerals can include washing and bathing the dead
body to honor it. The home funeral movement has an online presence, with How-to
guides about “DIY Coffins,” body care and preservation after death, natural burials, and
Depending on the state, there are different laws and restrictions in place. For
practices like natural organic reduction (“human composting”), home funerals (“DIY
26
funerals”), alkaline hydrolysis (“water cremation”), and biodegradable coffin burials
(made of wool or seagrass)4. Alternatively, forest burial and burial at sea can be but are
not limited to being eco-friendly. These practices and the interest in them are increasing
in the United States. According to the National Funeral Directors Association (NFDA)
report, more than 60% of the US Americans showed interest in green burials for various
reasons, including their positive environmental benefits and being more affordable than
traditional burials (NFDA 2023). In 2021 the number was at 55.7% (NFDA 2023).
Cremation has become the most prominent choice. In 2010, only 40% of the US
population opted for cremation and 53% chose burial, in 2023 the projected cremation
rate is at 60.5 and the projected burial rate is 34.5% (NFDA 2023).
For example, we did not anticipate that during the COVID-19 pandemic, counties would
cremations (Humayun and Maxouris 11 Jan. 2021). To dispose of the dead bodies, US
states strongly relied on cremation. It was a trade-off between the public health crisis of
Death Awareness
The 1970s marked a significant period of private and public discourses on death
and dying. The death awareness movement aimed to change or at least alter how death
and dying are understood and talked about (Lofland, Troyer, and Francis 2019, 57-59).
4
Artist and designer Jae Rhim Lee's (2011) presented in a TED Talk a “mushroom death suit” for
supporting human composting and neutralizing toxins as part of the process of decomposting.
Unfortunately, I was not able to find recent updates about Rhim Lee’s (2011) “Infinity Burial Project,” and
her start-up’s website “www.coeio.com” was inactive in November 2023.
27
It also contemplated the “meaning of death and dying” (Lofland, Troyer, and Francis
2019, 68). Influential and educational thinkers who contributed to this death movement
are Lyn Lofland (The Craft of Dying 1978), Elisabeth Kübler-Ross (On Death and Dying
The “Natural Death Act” (70.122 RCW) allows adult people to make their own
choices in end-of-life care (such as the right to withhold life sustaining treatment, a
“Death with Dignity Act” allows adult people that are terminally ill to opt for
medical aid in dying (MAiD). Physicians are not required to describe life-ending
medication, however. Oregon was the first state to legalize “Death with Dignity” in 1994.
sedation), is a medical intervention at the end of life that can put the dying person into a
attitudes and practices related to death and dying, and views death as part of a natural
life cycle. Death positivity encourages and explores alternative body disposition
practices and ways to memorialize the dead, such as eco-friendly burials and NOR
(Doughty 2017).
28
The Death Positivity Movement utilizes a strong online presence to resist
prevailing norms, empower individuals to take control over end-of-life choices, and
educate them by providing access to alternative death care. This includes TED talks,
how-to-guides for supporting legislation, or community- and family-led death care, and
making price lists transparent. The Death Positivity Movement acknowledges each
The movement promotes open conversations about mortality and advocates for
improved and diverse end-of-life care and decision-making (Lofland, Troyer and Francis
2019). In alignment with the Death Positive Movement, Death Cafes serve as
communal spaces where people come together to talk openly and mutually educate
emphatic, and emotional support to a dying person and to the friends and family that are
part of the process, before, during, and after a death. EOL doula trainings align with
features of the Death Positive Movement: Death as a natural and non-medical event,
prioritizing person-centered care, and the potential for growth when one faces mortality
(Incorvia 2023). EOL doulas can create a larger system of connectedness. Medical
workers are fundamentally engaged in the management of life, while EOL Doulas stay
with dying people and their caregivers, families, and friends. EOL doulas offer various
practices of care such as the use of essential oils, meditation, sound therapy, and
active-listening conversations.
29
CHAPTER THREE: METHODS FOR APPROACHING DEATH AND
DYING
In the US, the Federal Trade Commission enforces the Funeral Rule. This rule,
which went into effect in April 1984, is a regulation that aims to protect the rights of
transparent price lists). However, each state is responsible for creating regulations to
govern the funeral industry and how dead bodies are cared for in that state. Washington
(WA) offers some of the most innovative and progressive dying and body disposition
Before death one has several choices: Washington State in 1979 enacted the
“Natural Death Act”, excluding physician-assisted dying. The Washington “Death with
Dignity Act,” legalizing medical aid in dying (MAiD was formerly called
physician-assisted dying or suicide) for terminally ill adults, passed in November 2008,
and went into effect in March 2009. For those who do not oppose MAiD, it privileges the
dying (those who are physically able to take the medicine on their own and after the
expensive medicine is paid for) with a choice for ending life at their own pace.
After a person has died, home funerals are allowed in Washington State, but a
becomes irrelevant once a dead body is broken down into a different form, which is the
Washington State law allows for the following dispositions of the body, which I
30
Conservation burials
areas) have the least lasting impact on the environment, while they also save land for
buried without a coffin or with an alternative coffin (such as made out of willow or
volunteers to work parties to participate in digging graves (Figure 1) for future deaths. It
took me and two other volunteers, two days, multiple tools, and one dog (for moral
support and play) to finish digging one grave that measures 7 feet x 3.5 feet, the optimal
Figure 1: The tools (such as shovels, a digging bar, and a branch cutter) used to dig a
grave. The picture captures the result, after one day, of grave-digging.
31
At the end of day two, after we finished digging the grave, I lay down in it. It
offered a beautiful view (Figure 2) and I enjoyed the numbing sound effect of the
only allow for the use of biodegradable material for burial to minimize environmental
impact, and hybrid burial grounds, which allow for (but do not require) burial without a
vault.
32
Natural organic reduction (NOR)
indoors, above ground in a vessel and with technological intervention. The purpose of
NOR is not to displace conservation burials, but to provide the alternative of composting
in densely populated urban areas with limited burial spaces (Bennett and Davies 2015)
and as Katrina Spade said, an “alternative for cremation” (Let's Visit the Human
Composting Facility! October 15, 2023). NOR is “inspired by natural burials and home
funerals” (Let's Visit the Human Composting Facility! October 15, 2023), to give families
opportunities to be actively involved in the ceremonial care for the dead. Compared to
Average costs run between $4,950 (without ceremony) up to $7,000. CO2 emissions
per person are (as of now) indeterminate (Campbell and Webster 2023).
Alkaline hydrolysis
to fire cremation. In a stainless steel reduction vessel, water, and chemicals like
temperature of 131 Fahrenheit, dissolve the dead body, into what is called a
hydrolysate. Just like in the process of flame cremation, the remaining bones are
recovered, crushed, and added to the hydrolysate. The average cost is $3,500 (NFDA
33
2023). The process emits up to 200 lbs CO2 emissions per person (Campbell and
Webster 2023).
Flame cremation
For flame cremation, high heat in a cremation oven (usually between 1400 to
2100 Fahrenheit) reduces a body into ashes and bone fragments. The remaining bones
are recovered and mechanically crushed by a cremulator and added to the ashes. Up to
250 lbs of CO2 is emitted per person (Campbell and Webster 2023). “Cremation in an
open-air funeral pyre produces less CO2,” but is not allowed in WA (Fournier 2018,
35-36).
columbarium. Human ashes can be detrimental to trees and plants. The effectiveness
or environmental impact of using ashes by adding them to a tree pod (in 2016 the
designers Francesco D’Angelo and Adriano Del Ferro, introduced their concept of tree
pods known as “Capsula Mundi” (Capsula Mundi. Life never stops. August 12, 2023)) to
grow a memorial tree still needs to be validated by scientific studies. Human ashes can
also be turned into a jewel, or art (ashes used in a cover to create memorial pottery or in
tattoo ink to create memorial tattoo), or a “reef ball.” For the latter, the ashes are mixed
with specialized almost pH-neutral concrete (and loved ones can participate in this
process and personalize it) forming a bell shape with holes in it. This “reef ball” will then
be placed under water, “preserving, protecting and enhancing the marine environment
for future generations” (About Reef Balls September 18, 2023), allowing fish and
34
WA has one of the highest cremation rates in the US at 78.6%. In 2015 the
cremation rate was 76.4% (NFDA 2023). The National Funeral Directors Association
(NFDA) predicts that WA will have cremation rates of 80% or higher by 2035 (NFDA
2023). The average cost is between direct cremation (when the body arrives at the
ceremony) at $ 6,971.
The number of cremations continue to rise overall in the US, from 60.5% in 2023,
to a projected 81.4% by 2045 (NFDA 2023). According to the NFDA (2023), the world's
leading and largest funeral service association, the following factors drive the rise in
the trend. Today there are fewer religious objections to cremation than previously. For a
variety of reasons more people are interested in a scattering of ashes in places that
Even though flame cremation is not considered a green death practice (because
(Fournier 2018). As the interviewee Annette (she/her) said: “Cremation feels green to
me. I'm not using much space and that's a thing” (09/18/2023).
For a traditional burial a body can be embalmed or not. Burials can be in-ground
(Coutts et. al 2018, 131), resulting in the continuous need for more land for cemeteries.
35
Embalming fluids, other chemicals, and many manufactured caskets have a negative
effect on the environment (Coutts et. al 2018). The average cost of a funeral with a
Whole-Body donations
The Uniform Anatomical Gift Act (UAGA), established in 1968, allows for organ
and tissue donation designation in the US. People can also donate their whole body to
science tobe used for research and medical education. There are various ways to keep
a body from deteriorating. One is the use of formaldehyde as a hard fixative, which
makes the body less lifelike (stiff and unrealistic) but also allows for a longer storage
time (Wyatt, Bagian, and Balta 2023). Another one is the use of a soft embalming
technique, which makes the body lifelike but allows only for a body storage of 6 months
People consider donating their body for multiple reasons. Altruism is one, the
desire to help science and science education. Saving money is another reason. The
Willed Body Program at WSU will cover the “routine costs associated with body
donation” such as embalming and cremation after the body has been dissected, the
return of the ashes to loved ones or the optional burial of ashes at the Willed Body
Program community gravesite in the Palouse (Willed Body Program September 18,
2023). Other reasons are the possibility for prearrangement to lighten the burden of
decision-making after a person's death, and the influence of others who also signed up
36
Interviews, and participant observation
I collected my data during the Summer and Fall of 2023 in Washington State
Workers (DCW) located in Washington State online via Zoom, Teams, or in person. The
in-person interviews took place one-on-one in a cafe in Pullman Downtown (near the
questions, with two questions requiring a three-word response. The questions were
organized with broader inquiries about jobs, beliefs, and the COVID-19 pandemic
impact at the beginning. More personal questions about experiences of death and dying
were placed intentionally later in the interview.The interviews lasted from one and a half
hours to two hours. Eleven interviewees identified as female or non-binary, and two
interviewees as male. I participated in one funeral home tour that turned into an
unstructured walking interview. To create a safe and open environment, I invited the
On Zoom and in person, there were special moments of humility and gratitude for
me. I felt a great privilege to make deep connections with people, now no longer
strangers, who were so open and generous with their vulnerability, feelings, and
insights.
37
In addition to interviews, I did 70 hours of participant observation. I participated in
various death-related activities and events in Seattle, Auburn, and the Palouse area,
events such as Death Cafes, support groups, sound therapy, grave digging on a
conservation burial ground, natural organic reduction sites and woodlands exploration,
In this thesis, I look into how DCW (re)orient to their experiences of loss and
grief, and how their sensory experiences help them to make sense of death, dying, and
I use the method of string figures (SF) to illustrate the interwoven nature of death
social injustices.
and human worlds threads new lines (Ahmed 2006) to which we (re)orient ourselves.
Telling stories that matter broadens our imaginations. We can make new worlds wherein
we become responsible-with many and adapt to new ways of approaching death, dying,
and grief.
38
in the US. I described how touch, taste, sound, smell, and vision increased my
objects and garments that “hold the DNA” (Alexander 2015), “memories to be
cherished” (Morrison 1999, 36), and “one's experience of the world” (Flaherty and
Throop 2018, 171) actually connected me to the dead, for me a relationship that, like
ghostly poetics, will interrupt the ordinary, and remind me of a continuous bond that
death-related activities. I collected data by taking notes about what I saw, smelled,
and sensory elements provided by funeral homes to offer support to individuals in their
grief.
how DCW describe and construct their experiences through their senses (Desjarlais
2003). It was interesting that during Zoom-interviews (given the physical distance),
interviewees invited me into the more intimate space of their homes from the very first
emphasized by anthropologist Sarah Pink (2015, 85), “situate themselves and their
a sensory experience we gain deeper insight into the emotional, embodied, relational,
39
experiences anthropologists gain knowledge about practices of memorialization (how
people remember and connect with their dead), and what cultural factors (including
40
CHAPTER FOUR: STORIES OF DEATH AND DYING IN WASHINGTON
STATE
Co-poiesis, a term used by social scientists, is the act of creating and making
together-with. In this section I employ the term co-poiesis to work with the ideas of
anthropologist Robert Desjarlais (2018, 255). Co-poiesis aligns with Haraway’s (2008,
process of reorientation.
Death is woven into the fabric of human existence. The “fraught process of
death” (Straight 2006, 107) requires care-ful commitment and ongoing attention of the
living. Anthropologist Robert Hertz (1960) argues that death is a social event: The
afterlife begins with the separation of the soul from the physical body. Hertz (1960)
identifies three central entities involved in the death process: the soul, the corpse, and
the mourners. According to Hertz (1960, 193), the care for the corpse by the mourners
is crucial for the “salvation of the soul.” Hertz suggests a connection and responsibility
between rituals performed by the living and the well-being of the soul. To expand upon
Hertz's definition here, I would propose adding the DCW to the death process. This as a
recognition of the role they play in the transition between dying and after death
Physical death is not always connected with a traveling soul. For interviewee
Lola (she/her), a trained End-of-Life Doula, the dead move between “dwelling spaces of
the living and the dead” (Straight 2006, 106). Lola says,
41
I do feel like the spirit lingers for a little while, and then it moves on most of the
time it moves on to a space where it's kind of like getting its bearings and
wherever it is, and then once that next shift kind of happens, then it can kind of
come back around. So when people get visitations from past loved ones, I feel
like there is kind of a lot of activity, right, right at the beginning, once the person
has passed over and then there may be a space where they don't sense that
person. And then after a while they are able to sense that person again. [...] A
few times what I've experienced with very newly dead bodies is I can still see
them breathing out of the corner of my eye. I've noticed this multiple times.It's
almost like their spirit is still there. So it's like with ghosts who hold on, like
wander the same path. In theory, it's like the body is so used to breathing that
you still see that rise and fall of like the spirit breathing or I don't know how to
describe it. But that's something that I've experienced is seeing the dead body
breathe. It's almost like their spirit is still there. It's like with ghosts held on, like
wandering the same path… [...] The spirit is breathing… or I don't know how to
describe it… but that's something that I've experienced is seeing the dead body
breathe... but it's not the body breathing… [...] After death, the physical body will
go back into the Earth and the spirit will go wherever it goes. (09/24/2023)
Even though there is a separation between the spaces of the living and dead,
Lola suggests that, for the deceased, this division is not rigid, and so the dead can exist
and move around in both spaces. She recognizes that the spirit of the dead continues to
have a presence in the world of the living and that the bonds with the spirit of the dead
will change over time. Lola has a sensory awareness of the spirit breathing. It is not
physical breathing but a sensory perception that transcends the five senses. Lola
implies an interconnectedness with the dead beyond physical boundaries. Death, then,
is not the end of a person’s existence, allowing the spirit to remain and wander. As Lola
perceives it, this fact can comfort and offer a connection to the living and offer the
possibility of continuing bonds between the living and dead (co-poiesis). When
describing her experience of the spirit breathing, Lola struggled to find words, this left
her description somewhat vague. Perhaps this lack of vocabulary for describing a
42
Lola’s notion that the presence of the dead persists brings to light another
question: Do the dead have a form of agency that is enacted through their body?
Agency does not end with death and is intricately linked to the physical dead body. The
ritualistic engagement of the living with the dead’s person “soul” (Hertz 1960) implies a
mutuality of agency. Anthropologist Desjarlais (2018) describes how the Hyolmo people
of Nepal, through ritual and the collective participation of the living, separate the
deceased's identity from the physical realm, and guide the spirit to the next realm before
its rebirth. The deceased rely on the living to dissolve the self of the dead (Desjarlais
2018, 255).
describes the concept of “untying” of individuals after death from their mortal
relationships. Agency is relational, and death and dying, as co-poiesis (Desjarlais 2018),
ANNETTE’S FATHER
In the Catholic Church, [...] they have an open casket. I remember, because my
dad was a carpenter, we snuck a couple of carpenter's pencils, and we stuck
them in his pocket because the casket was open. It was just so lovely. I just love
this. No one said: “Hey, now, when Dad dies, we're all going to do this.” Well, you
don't know what you're going to do.
But I remember I touched him. I touched his hand and I went, It was just so
interesting. It was just in the moment. It was cold, and it was hard. I thought, Oh,
that's right. Because see, in the world that I am in, I touch you before you've
been involved. I had forgotten that that's what it was going to be like. [...] But I'd
forgotten it was going to be that way, and it was just that second of “Oh, all right.
Yes, that's how it is.” So helpful to know that, right?
43
Yeah, but it was so fun, all these impromptu things, just knowing what to do for
my dad. [...] Little things, always little things. (09/18/2023)
reflections are an example of co-poiesis. Annette noticed that her embalmed father did
not feel the same when she touched him. She experienced a perceptible change from
the warmth and softness of her father’s hands to cold and hard. Annette recognized the
physical reality of the dead body and the absence of how her father felt when he was
alive. This sensory encounter (through touch) marked a profound moment of realization
Another strong example of a co-poietic practice is when Annette and her family
snuck carpenter pencils into her dead father’s suit during the open-casket ceremony. By
providing pencils for the father to carry, the family expressed their shared subjective
tactile interaction with the dead body created a sensory connection with the deceased,
dissolved the boundary between the living and the dead, and suggested that the dead
father could be attentive to this gesture of love and care. Annette’s actions reflect the
belief that actions performed after death can be significant for the dead, and thereby
The family’s placing the pencils is a form of becoming-with the dead, and
between the family, the dead, and the individuals. Through this authentic collective
experience during the open-casket ceremony the grieving family created a sense of
group identity and belonging among each other - an embodiment of what anthropologist
Victor Turner (1969) called “communitas.” These shared connections help grievers to
44
reconfigure their identities in the face of loss and contribute to processes of
Interviewee Luisa (she/her) said, “First of all, I am scared of drowning.” For her,
this fear excluded alkaline hydrolysis (“water cremation”) as an option for her body
Put me in the ground. I'm a natural man. We come out of the earth, and the earth
eats us when we die. That's the natural way. I thought about donating my body to
science, but I'm a little too superstitious for that. […] I'm afraid it might hurt when
[they cut open my body]. (08/18/2023)
Henry’s response reveals a distinct co-poietic relationship with nature. He rejects
a dominant Western epistemology that divides culture from nature. Instead of lying in a
traditional lined sealed coffin, he prefers to be put into the ground in an eco-friendly way.
Interviewee Mona (she/her) wants to avoid the restrictive feeling of a bra when
I really don't want anybody to put a bra on me when I die! [...] My friend and I joke
about things often because we teach a class on taking care of people when
they're dying, and so we often tell each other things, like, “Don't you put a bra on
me when I die.” Those are important details just to make sure. [...] No bra,
please. No, I don't need that. (09/19/2023)
In death Mona wants to let go of the societal convention that prescribes covered
When asked about her greatest worry about death, interviewee Hannah (she/her) said,
I'm a little bit overweight, and I don't want to be considered like one of the
chubbies when people are moving me around [after death]. I'm just a big girl, you
know? So the thought of somebody handling my body and me being super
vulnerable and floppy and squishy [shaking her head in disgust]. That is why I
want [name of a woman] to take care of me. I trust her with my whole being.
(09/26/2023)
45
Hannah feels vulnerable and believes she should, to quote Ahmed (2006, 60)
and values are as valid for her in death as they are in life.
Leo said, “You only call the Funeral Home when you're ready, [when you were]
able to put your mom's favorite lipstick on her and straighten her hair up so she wouldn't
The DCW’s stories point not only to imagined sensations of a fear of being
wrongly declared dead (Pernick 1988; Lock 2001) but also to the psychology of fear of
pain and vulnerability in the US (Asmundson et. al 2004; Harjunen 2017). However,
these stories also support the idea of death as a co-poiesis. Death does not entirely
sever the relationship between the living and the dead. The stories suggest that the
And so it is that relational agency shapes the mourners' care for the dead. The
dead rely on the mourner to put on the deceased’s “favorite lipstick” and “straighten
their hair” so the dead “don’t have to be embarrassed” (Leo 9/21/2023). The living act
on behalf of the dead. Simultaneously, the living show love and kindness by caring for
the dead.
The DCW's stories suggest that there is no simple Cartesian dualism5 and that
life and death are not separate from each other but are intertwined (Stevenson 2014;
5
The philosophical concept of Cartesian dualism posits that the mind and body are separate.
46
The sensory can impact co-poiesis. Mona, in accord with her Bahá'ís faith,
emphasized the importance of a rapid burial within 24 hours after her death:
buried in a casket no matter her location at the time of her death. If she dies on a
journey away from her home, she accepts the distance from her family, children, and
friends. On the one hand, loved ones possibly will not have a close sensory connection
(e.g., lack of touch and in-person vision) with her dead body. At the same time, being
buried in accord with her religious beliefs is for her and her loved ones a meaningful
co-poietic event.
My uncle died during COVID and it has been surprising how much grief I'm still
dealing with on that one. I feel like the grief for my uncle is still so constant that I
haven't been able to deal with the timeline very well. It's all kind of a mishmash. I
still have dreams about him pretty much every night and I forget all the time that
he died because I wasn't part of the process at all.
One of the reasons that people are so passionate about open caskets and
viewings and things like that is that seeing and touching really helps you process
that someone is gone.
And we didn't get to do any of that stuff with him. And so it feels like a very
abstract concept, that it happened, even though I intellectually know that it
happened, like my subconscious isn't there yet.
I've seen by myself how COVID has really changed what grief looks like. We
normally have these things where we gather. And it really gets to sink in that
these losses have happened and it feels so weird to not be able to remember
that someone died. (9/21/2023)
Leo tells us about the disruption of her traditional grief process as a result of not
being present at her uncle's death or by not participating in funeral rituals. How Leo
47
relates to her uncle and her disbelief in his death has left him neither dead nor alive in
some way.
captured during the COVID-19 pandemic in France. D’Agata shows humans’, reduced
Figure 3: Lockdown and physical distancing during the COVID-19 pandemic in 2020
Paris, France, “Lockdown” © Antoine d’Agata / Magnum Photos.
ashes arrived at Leo’s home, she initiated a co-poietic process by introducing friends,
who came to visit her, to her uncle(‘s ashes). Leo makes coffee for the friends and her
uncle, as a way to remember him, who “loved coffee.” Having the physical ashes helps
48
Leo to acknowledge her uncle’s death, but also allows for his ongoing ghostly presence.
His death became less abstract, and their connection more co-poietic. She has his urn
uncle. She proudly presented this artwork to me, kept in sight from her work desk. As
Leo said, she hopes that the constant visual reminders of her uncle will support her in
the process, that “grief might feel different over time” (9/21/2023).
other), then anthropologists can explore how sensory experiences shape grief, and how
we internalize (see also Briggs 1970; Hollan 1988) shape individuals' experiences and
perceptions of death, dying, and end-of-life care. How death is talked about, rituals
surrounding death, and cultural expectations related to mourning can all contribute to
2003, 7). Identities include “one’s self experience, and affective, historical, and bodily
relationships” (Ewing 2002, 95). Social agreements bring about identities (Mageo 2022),
which drive our understanding of how a DCW and a person (receiving care) should be.
Ideologies (systems of belief) shape laws, education, media, societal norms and
expectations. Power structures serve ideologies. People can be “hailed” into an identity
49
(Althusser 1971, 247). By way of interpellations, people internalize certain norms, social
agreements, and identities which influence their perceptions and actions. Butler (1997)
individuals (Butler 1997). Despite the potential injury, imposed identities can be resisted
Here I apply the concept of injurious interpellations and the potential for
LEO
On Zoom, I met with Leo (she/they), a Death Care Worker from Seattle. She
advocates for Death Education. When I asked her about the accessibility of Death Care,
she responded:
50
really provocative. It can be really tough to get people to consider [going slow]
because they've always been raised to think that death is an emergency. But
yeah, if you really think about it, it’s not. It can be such a game changer for the
process of your grief, or if you get to show your kindness or to do little things that
show love to people [if you stay with the dead body longer]. [...] Or just feeling
like you had a chance to say your own goodbye or say a prayer or, you know, call
the rest of your family over. So they can all say goodbye before the body leaves.
It's very meaningful. (9/21/2023)
I asked Leo what message she would like to share with others about death and dying,
Death is normal and healthy. We expend a lot of energy and resources trying to
avoid it and to not talk about it and to not think about it, and that sort of shame is
very internalized, and I think that's a lot of harm if we could admit to ourselves
that maybe we want to see a gross thing, or maybe we think something is very
beautiful or meaningful and maybe someone else might think it's dark or gross.
People worry really a lot about being perceived as morbid or weird, but I think
there are curiosities by and large, are very healthy, and just part of being a
person is being curious about things.
I think that if people felt that they were safer and expressing those curiosities and
those anxieties, I just think they'd feel a lot better. [...] I think maybe I'm the weird
one. Like when I was a kid and acting out the way that I think grief is supposed to
be. But I think that people are doing the same thing all the time, and they just
don't know that they're doing it. So I think that that awareness would be just a
real game changer. But you know, it's hard. It's not an easy solution. If it was, I
would have already done it and retired. I wish more people didn't feel so much
shame about that. People whisper to me all the time “This is So weird. It's so
bad. It's so gross this thing I want to know.” And they'll just say the most normal
thing, and you're just like, how long have you been worried about that?
(9/21/2023)
The societal script calls upon the DCW to perceive death as an urgency. The DCW act
because they desire social acceptance and fear shame or judgment and therefore
51
Individuals act with awareness of certain constraints while being unaware of
prohibits people from spending more time with their dead. DCW subordinate (Butler
1997) their authentic responses to deathcare to their alignment with societal norms. As
Leo points out, the internalization of shame motivates this subordination. DCW, then,
enact predetermined roles (covering the basic need to stay attached to others) rather
authentic self and a person’s need for attachment to social approval. Such impositions
1997). Leo re-signifies by explaining to her grievers to not immediately call after a death
and encourages them to prioritize their own authentic responses. Leo, by saying that
caring for the dead is a meaningful process, supports the emotional well-being of the
mourners. This can empower the DCW to act in a (more) authentic way.
LOLA
Lola talked about the hands-on death care for her grandmother:
My most important loss was probably my grandmother. [...]. I flew over right after
she died, and I did work with the funeral director a little bit to help, like, put
makeup on her and dress her. And really got involved because that was the time
that I was already a [End-of-life Doula] and wanted to be more involved in the
hands-on care of my grandmother's body. [...] And I tend to her in a really loving
way because she was somebody who I loved my entire life. (09/24/2023)
I asked her if others of her family or friends of her grandmother also had that kind of
participation. Lola said:
A little bit.. because seeing me do it gave them that unspoken permission, and
sometimes that's all that is needed because people aren't sure what they are
52
allowed to do or what is appropriate. But when I first arrived, my mother also had
flown in, and we asked to see her body. And she had been embalmed, but she
hadn't been, like, fully prepared yet. And so we got to spend time with her. And
that's when I asked for a small envelope and scissors, and I braided some of her
beautiful silver hair. And I was with my mother and my aunt. And they're like, we
want to do that, too. And my aunt, I think, said “I wanted to do that, but I wasn't
sure if it was OK.” I'm just like: “Of course, it's OK.” So we all together with my
mother and my aunt, were able to take a piece of her hair. They were very
supportive and it was comforting to them to see that I could be really hands-on
with her. We're not just putting her care in the hands of strangers. We can really
be there and present and hands-on. (09/24/2023)
Lola's actions served as a model for her aunt and mother. Lola’s mother and aunt
felt unsure about how to participate in death care. Lola’s sharing an “unspoken
hands-on death care by providing a visual example of braiding her grandmother’s hair
and touching the deceased. Instead of leaving care just to the professionals, all three
actively participated in caring for the dead beloved and acted in authentic ways. Lola
braided her grandmother's hair and kept it as an attachment with her grandmother.
When her aunt and mother followed her in doing the same, they created a collective
sense of grief, support, and authentic attachment to each other (communitas). The
tactile engagement with the grandmother created an intimate sensory memory fostering
a deeper connection with the dead, her family, and Lola herself.
One of the first things I'll do when someone calls me and I need to go to see
them. I'll bring tea and I'll pick some herbs from my garden and make a quick
little bundle, usually with some rosemary, mugwood, and lavender. A little thing.
So one of the first things I do is I hand them a little herb bundle and that already
is just like nonverbal comfort. They'll kind of like start playing with it and smelling
it. So they have that aromatherapy that's just unspoken while we're talking.
(09/24/2023)
By means of fragrant herbs Lola provides aromatic comfort to the grievers. This sensory
experience can have a calming effect in grief, fostering a more relaxed atmosphere
53
between the grieving individual and Lola. This incorporation of sensory elements, offers
comfort beyond verbal communication and enhances the holistic well-being of the
griever.
A MOTHER
Interviewee Luisa handed me a printed-out story from a mother who was not sure if she
would be strong enough to wash the body of her deceased child, but a
Through care by touch, the washing became a last authentic gesture of love toward her
son’s body. By connecting with her son in that tactile way she fostered her own
What I learned when I was 14, was that a lot of us grieve by doing. We need an
outlet. We need to be busy. Our hands need to be busy. For those of us who
have a loved one that we are next to kin, we are responsible. There is nothing
that feels better than to wash that person's hair for the last time and bathe their
bodies, stroke their hands. It's indescribable. The idea of sending my parents off
to have somebody else touch their beautiful body was beyond me. I couldn't do it.
I think more people who realize they're not helpless, realize that they can
contribute and be part of this. I think that we're going to see a real evolution. We
are seeing a big evolution in death care, and this is really critically important. [...]
It matters. The more people who read about it and see it and read the stories, the
better.
Sharon emphasizes the profound, “indescribable,” and co-poietic experience of death
care. She encourages others, through sharing stories and advocacy, to actively,
54
ANNETTE AND HER MOTHER
“If you get an inkling, follow your inkling,” Annette (09/18/2023) told me. Being a
native speaker of German, I had never heard the word inkling before. She described an
illustrate her concept of an inkling, I tell the story of Annette's dying mother here.
At some point, [my mother couldn’t] really talk. She was confused in her mind, of
course, and so that was all okay. I said: Well, I need to do something. I wrote her
a note every day. I'm not struck with lightning. I don't call home every day. This
isn't me. But I thought, Duh. I wrote something every day to her. I wrote a card to
her for probably 35 days. No matter what time I finally got home [...] I would just
say what I was doing or whatever. My sister, Sam, unbeknownst to me, was in
her bedroom. She was putting [the notes] on the wall so [my mother] could see
across the room that this is... Because I couldn't call. I mean, she couldn't hear
me. She couldn't speak. [My sister] would read them to her. I know... I said: Do
this. I just did it. It just made sense at the moment. Then, my sister gave them
back to me after she died. [...] It's such a little piece of history. Again, we just
know if we just... If you get an inkling, follow your inkling. Don't question it. Just
whatever it is. If it's an inkling, you should probably be doing it. [...] You have to
roll. I mean, life is just like death is in any moment. It's not convenient. It's not
what you think it's going to be. You just enter into what you get. (09/18/2023)
gave her the notes back. The notes memorialize her mother, a “little piece of history,” as
death into her ongoing life story while also, in an authentic way, made for an attachment
beyond death.
55
The uncertainty of death and dying create unfamiliar worlds. By reclaiming our
authenticity in attachment to the dead and living we can make unfamiliar worlds again
more familiar. This changes us and enables us to make new meanings and new
connections with ourselves and others, to adopt new practices of death care: Leo telling
her customers not to rush their death care, Lola cutting a piece of hair, Annette writing
notes, and a mother washing the body of her dead son. All DCWs advised in various
ways to trust your intuition - your authentic self - “those moments when you want to but
Death and dying bring uncertainty, but, as Stevenson (2014, 2) points out,
(09/18/2023) said: “You just have to enter into whatever you get.” To care for the dying
and dead can mean to dwell in uncertainty as a way to become-with each other. In the
face of uncertainty, connecting with one’s authentic self and that of the dying or dead
of care, connection, making new stories, and “reenchanting” death care practices (Lee
2003).
However, in following the SF of death care, it is crucial to stay with the trouble
Queerness
56
(like laws and legal rights that regulate who takes care of a dead body), particularly
gender and race, with sexual orientation being a question of both how and with whom
we inhabit our life spaces. For Ahmed (2006, 91-92) the "straight line6” is an orientation
behavior limits the capacity for seeing and reaching toward alternate sexual orientations
The failure to tend towards this sexual ideal can create disorientation and affects
how one lives in the world (2006, 91). Disorientation from those “straight lines” can be
uncomfortable, but according to Ahmed, also holds the potential for questioning present
worlds and for finding new meanings through a “new angle” (2006, 162). Disorientation
reveals the arbitrariness of accepted norms (2006, 87), and deviating from a norm
Lola advocates for advanced care directives within LGBTQI+ communities and
offers legal support to ensure chosen family members have rights over an individual's
I think that it is really helpful for your psyche around it and really helpful for those
around you [to prepare for death and dying]. One thing they do is really advocate
for advanced care directives for people. Not only does it help your loved ones to
know what your markers are like when you would want to pull the plug, so to
speak, if there was a sudden accident, and what you would and would not do in
that liminal space, when you can't speak for yourself and what your method of
disposition is, and most importantly, who you want to be able to make those
decisions for you and who you want to be able to have custody of your body
when you die. I exist in a realm of a lot of subcultures, a lot of… like the LGBTQ
community and communities who are maybe othered by religious families and
don't have an association with them. There have been people who I've seen in
6
Ahmed uses the metaphor of the “straight line” representing the straightness of heterosexuality:
“Compulsory heterosexuality operates as a straightening device, which rereads signs of queer desire as
deviations from the straight line” (Ahmed 2006: 23)
57
my extended community who have died suddenly, and then all of a sudden the
estranged mother or father takes their body, and maybe dead names them,
misgenders them, and gives them a funeral that was not true to who they were. I
help people with the paperwork so that they can decide what chosen family they
want to have those legal rights over their body when they die and so that they
can be properly honored on death. [...] I do a lot of free and sliding-scale work for
advocacy, like for the LGBTQ [and non-binary] community. I will do free
Advanced Care directive workshops to make sure that their chosen family can
have legal rights over them. I'm also a notary public, so I can notarize and make
their paperwork legal right there. (09/24/2023)
The example highlights inequities and fears faced by queer individuals when it
comes to end-of-life care: The fear of estranged family members taking control,
misnaming or misgendering the deceased, and not honoring their true identity. Othering,
and legal support, Lola re-orientates marginalizing norms by ensuring that LGBTQI+
identities are respected in death. Chosen families become recognized, thereby opening
up possibilities for different ways of being and relating in the world, challenging and
questioning established norms, and allowing for giving agency and recognition to queer
argues “help us better recognize relationality when they highlight how all possibilities for
action are constituted through complex relationships with others. They contribute to an
inclusive approach to the death and dying of queer individuals and communities.
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Racism
People with marginalized racial identities can become disoriented. As Leo states,
There are issues that are so big that not one person can fix them, like racism.
You know, a lot of people think, “Oh, when you're dead, racism doesn't impact
you.” And it's just like NO. If you're a person of color and you've lived your whole
life dealing with racism in all kinds of different ways, you know, you likely live a
shorter life because of a condition called weathering. The constant social
pressure, anxiety, and fear that you live with as your normal actually shortens
your lifespan and the likelihood that your family has fewer assets to be able to
use to pay for your care. Or that you can find a Funeral Home that is familiar with
your traditions. One thing is when you go to a Mortuary school, and you learn
how to embalm bodies, you learn it on white bodies. So you don't learn how to
care for the hair of black people. And if you're a funeral director and you've never
styled a black person's hair, you never learn. And so you don't know how to do it
when the person that has died is black. And so, how do you make them look just
as beautiful as someone else if you don't know the unique things that their body
needs?
I have a colleague [...], and she teaches classes to help funeral directors learn
how to care for the hair of black bodies. Because just no one ever taught you to
be like: “Wait a minute, you guys?” (sarcastically). [...] You know, imagining living
a shorter life, making it harder for your family to afford to care for you, finding a
place that can do it while and then maybe at your funeral at your open casket,
like you have really terrible hair. [...] The person clearly didn't know what you
were doing. And so you don't even look good, [...] these things, they really do
persist. And that's very discouraging. Race is a big factor, and it's really tied up in
socioeconomics and can be very limiting. A lot of times, they can make people
compromise on the type of care that they want because they don't know they're
allowed to fight for it. [...]
There's a really clear power differential between being a customer and being a
funeral director, and I always explain it to people like when you go to the doctor
and when you go in, you expect the doctor to be the expert. And so if they say
this is the thing, this is what's wrong with you, and this is what you need to do.
You're gonna do it, or you're not gonna do it. You're not gonna tell them because
you don't want them to be mad at you, or you don't want them to think you
question them or like you're supposed to respect them because they're powerful.
Many doctors don't like it when you question them or ask for more information.
You're just supposed to respect that power. We see that a lot in funeral homes
where even if the funeral director has very good intentions and wants to be
supportive and deferential, the family knows that the funeral director is the
powerful one. And so they might not push back on things that are important.
They might not ask questions. They might not disagree because they think, “Ohh,
the funeral director is the expert, and I'm supposed to do what they say.” And that
really hurts a lot of families, you know, even if the funeral director wants to give
them everything they want, they just might not know to ask.
59
And so the family doesn't want to be the one to argue because they think that
they have to respect that power differential. And it's really hard to teach people
that this person works for you. You know, like if you don't like them, you fire them.
You just go somewhere else. There are so many funeral homes, you just go
wherever you want, like you can fire your doctor. You know. People don't know
that you can do that because they're raised to respect that power. And so I think
that hurts a lot of families. And it's more likely to affect people who, throughout
their entire lives, have been subject to that power differential, especially if you
know that the funeral director is like an old white man. That's like peak power.
(9/21/2023)
Coming to terms with staying with the trouble, Leo addresses differences in
agency in death and dying and access to quality end-of-life care. Denials of agency may
include neglecting the wishes expressed by the deceased, disregarding their cultural or
religious practices, lack of cultural competence in the funeral industry by “not knowing
how to prepare black hair,” dismissing multiple marginalized identities (like race7,
disability, gender, access to information, and culturally insensitive barriers) and power
differentials between funeral directors and customers (see also Zengin 2019). Dying is
directly related to factors of economic standing, physical and mental health, access to
Interviewee Leo said, “People call death a great equalizer, and it's very much
not.” Social barriers impede people’s chances of dying the way they want to.
experience a death that aligns with their wishes and values, and as sociologists David
Field, Jenny Hockey and Neil Small (1997, 1) said, “worldly inequalities are in no way
leveled at the time of death but persist, permeating every aspect of death and dying.” As
Leo summarized it: “Ageism, racism, bigotry, misogyny, and all of the isms are still a
7
When talking about race within this academic research, I am referring to the social conception of the
term in US discourse.
60
Leo highlights how people relate to authority figures in death care, by
compromising on “the type of care wished for.” Leo explains how it is necessary not to
passively perceive one’s role in this care relationship, but to realize, reclaim, and act on
response-able care for oneself and the person cared for. People re-orient when they
authority and privilege, and so make choices that align with their values and ideals.
These enacted priorities, then, can lead to new spaces for more open communication
and can make possible and reinforce orientations towards equality and inclusivity in
funeral home owners, embalmers, and funeral directors) examine systemic inequities in
death care, and that they actively engage in and listen to conversations about race and
racism. They should train for cultural competency and anti-racism (for example by
learning how to professionally style black hair). Death care needs to provide supportive
and inclusive environments, to “reorientate our relation” to death and dying (Ahmed
2006, 155).
as race, gender, disability, and class, which shape people's lived experiences and
create power relations. Sociologist and gerontologist Miranda Corpora (2022, 3) argues
relationships, and cultural competency, and points to individual unique challenges and
61
needs. Corpora (2022) writes about Lana, a single black woman in rural South Carolina
without children. Lana experienced a stroke during her visit to her neighbor's place. That
stroke left her unable to speak. Lana was denied her wish to die at home, as only her
neighbor was able to validate that information. Corpora (2022, 1), citing intersectionality
theory, relates this to the “privilege of a good death.” Lana’s social identity as a single
black woman living in a rural area without anyone advocating for her resulted in such
Acting on and in the world is a form of privilege inscribed on the body (Ahmed
2006). Individuals with multiple marginalized identities (like Lana) face unique
describes the body as a “stopping device,” she points toward lived experiences and
When people share their experiences of disorientation they can help others
Intentional re-orientation
Disorientation in the face of mortality can be overwhelming. One can feel stuck or
suprised. One wonders how to act. Even DCW may compartmentalize (to cultivate a
detached view from) their own mortality to avoid this. Disorientation can limit as well as
more attentive, more reflective, we look within and examine our life. We come to
8
Ahmed’s work is inspired by Frantz Fanon’s work “Black Skin, White Masks” (1986).
62
appreciate life “with death left in” (Kastenbaum 1993). This transforms and empowers
a class at WSU called “Death and Dying.” At the beginning of the semester we
measured our level of death-anxiety using a survey. We measured our level again at the
ending of the semester. For some students, their level of death-anxiety decreased, while
All of my interviewees had different opinions about how to face death and dying,
but all in all, they encouraged facing it. For Henry (08/18/2023), preparing for a good
death meant “try to get more conscious.” Interviewee Karmen (she/her) supports this
A bad death is one that you deny, that you're in denial of, and that you want
everyone around you to be in denial of as well. And so you don't have the
courage to face it. And then you leave a lot of things. And this is provided that the
person has time, right? [...] Just the denial of your own death doesn't leave you a
lot of time or energy to settle things for yourself and for other people if you have
that opportunity. (10/30/2022)
A denial of death prevents individuals from settling important matters. Mona
emphasizes the importance of actively preparing for death, while one can:
Oh, I think we should all prepare. I think it should be a part of active life, is to
prepare for your own death so that other people don't have to do it afterwards or
in the middle of your death and trying to figure out what you want and what you
didn't want then I think it should be talked about. I think it should be put in place
while you have a sound mind. And surprisingly, a lot of hospice patients have
made those arrangements. Yeah. They've got either a will in place or some sort
of document saying what to do. It may not be official, but it's handwritten, and,
you know, it's their wishes, I guess. And for a lot of people that don't, we use the
five wishes notebook, and it just kind of gives them basic step by step different
scenarios and what they would want to happen if they were to encounter that I
don't have anything written. We talk about it openly at my house, but I don't even
have anything written. We have talked about doing that. We just never have..
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Because it makes it real. Yeah, it definitely makes it real. Putting it on paper.. you
can't go back once it's written9. (09/08/2023)
Mona’s response is especially interesting, as she points out that she has not
prepared everything for death and dying. But her partner knows what to do when it
comes to Mona’s death. One could wonder if Mona worries about hastening one’s death
by filling out the papers. Or, if her death-adversity is a defense mechanism, keeping her
own death abstract and less concrete than written words do.
Judith believes that preparing for dying fosters independence, aims to eliminate
passivity, and empowers people to make choices for themselves: “Personal autonomy
and patient advocacy really kind of shift the healthcare narrative away from the
Our life course moves towards a future that always includes death. To
understand Ahmeds (2006) idea of directions is to see how life follows certain lines as
opposed to other lines. How one faces death and dying depends on the individual.
People have unique needs for how they want their end of life to look. But for all of the
interviewees, this conversation about death and dying, this connection with others was
helpful for decisions about what is valuable in life and death (Wong et. al 2018), and for
DCW (e.g., EOL doulas; animals; people that have been with dying) provide
companionship, emotional support and can help the dying and the living in states of
disorientation and re-orientation. Card games and other activities like Death Cafes can
9
When I attended a death cafe, one end-of-life doula explained that when she helps individuals write out
their advanced directives, she takes the opportunity to renew her advanced directive.
64
Lori LoCicero and Lisa Pahl created the “Death Deck - A Lively Game of
Deck” (launched in 2023) (for families, caregivers, and healthcare providers). Those are
two card games specifically created to start a conversation about death, dying, and
end-of-life decisions. The games contain questions and scenarios related to various
personal reflections on one's own mortality. Through play, individuals or groups can
explore and share thoughts, feelings, and perspectives around death. Participants are
encouraged to share their genuine experiences. People can enrich their connection with
motivator to live in the moment with gratitude. In other words, death can serve as a
Alternative online events are sound therapy, educational classes, “Host a death
dinner,” the “Conversation Starter,” “Before I Die” Festivals, support groups, and Death
Cafes. Death Cafes are virtual or in-person spaces to talk about death and dying. In a
way expressive of “love of life and respect for death” (subtitle of a Death Cafe name).
Some of the Death Cafes I visited were set up by End-of-Life Doulas. People come
together to discuss death, dying, and related topics in an informal gathering. I attended
virtual Death Cafes in the US regularly. I am amazed by the variety of topics discussed
(e.g., the “epidemic of loneliness,” what are end-of-life doulas, the fear of death, and the
Death Cafes aim to create a comfortable and open space for individuals to
engage in conversations about mortality, and end-of-life experiences. They are in these
65
ways a community that fosters relations, active participation, and exchanges of
information to explore feelings, perspectives, and fears around death and dying.
The death of a loved one “makes it hard to stay on course” (Ahmed 2006, 19), or
as Leo said:
What makes somebody's death so hard, and what makes the initial grieving
process complicated, is not just the fact that you have lost this human but you
have lost the future with them, and you have lost all your dreams and plans with
them. (9/21/2023)
Inherent in some experiences of death and dying is a hint at a new angle or the
provision of a new point of view. Though disorientation can be integral to the process of
preparing for death and dying, this feeling when shared with others can lead to the
Although death and dying are often discussed from a human-centered view
worlds, undoing what humans are used to doing. A case in point is natural organic
reduction (NOR), the process of transforming a deceased person into fertile soil above
ground in a vessel with slight mechanical intervention, also called human composting or
terramation. NOR is an alternative, eco-friendly burial option for dense urban areas,
66
Haraway uses string figures (SF) to tell stories about how entities (e.g., plants,
bacteria, machines, humans) become entangled and connected. In the process of NOR,
environment are string figures. All string figures are engaged and entangled in a
2014). The string figures weave stories across species that stay with the trouble of
In 2019, Washington State (WA) was the first in the US to legalize NOR. Katrina
Spade (founder of the funeral home Recompose) is the pioneer of NOR. In 2014, Spade
worked on urban death ideas and NOR as part of her master’s thesis. Now, NOR has
During my research, I visited two funeral homes that offer NOR, one, Return
Home, in the industrial area of Auburn and the other, Recompose, in Seattle. Both
funeral homes offer online and in-person tours through their facilities for anyone
interested and wanting to understand NOR better: from funeral home directors, to
religious groups, to families. For additional information, both facilities are on social
Both NOR facilities are only accessible by car. Recompose can be reached by
bus (which is what I did), but pedestrians have to walk on busy streets without a
sidewalk and cross a loud highway. Zoning regulations, including emission control,
place crematories in industrial parks. Legally, they are in the same category as
crematories, even though they do not have a smokestack and generate less
carbon-intensive emissions. The zoning regulations fail to take into account this
67
innovation that NOR represents. The increasing legalization of NOR could pave the way
for future changes in laws and regulations that would fit NOR funeral homes into less
industrial areas.
WA also has several green burial grounds (like White Eagle Memorial Preserve),
cemeteries that allow for natural burials with compostable coffins and without
embalming, a coffin, or a headstone. Green burial grounds have limited space and are
often near urban areas. Proximity can be a decisive factor in the disposition of human
At this time, I don't feel like there are enough green burial grounds in the area or
nearby. So it would be very far for my body to be transported and for someone to
visit where I am. So, I think that I would like to do natural organic reduction,
which is the composting. [...] I think that I would like to be trimmed to soil and
scattered in my favorite forest. (09/24/2023)
I was able to schedule a tour of Return Home. The funeral home is located in an
industrial area next to a UPS facility, garbage disposal, and audible rail traffic. A parking
lot and a little bench with a parasol are in front of the gray Return Home building. See
Figure 4.
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Figure 4: Return Home building.
A man in a light blue-white Hawaiian shirt drank his coffee while on the phone. In
the background, two men dressed all in black are emptying a blue container, with the
help of a forklift, full of soil into the back of a Uhaul truck. One man starts covering up
the soil with a tarp. It is a hot day, and both men have their water bottles within reach
and close to the soil. Pulling down a door behind them, the two guys leave with the
Uhaul truck, followed by a smaller green Return Home car. As I learn later, this was
A friend and I are the only people visiting Return Home that day for a scheduled
tour. Return Home involves a team of seven people. On the company website, the
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facility is referred to as “the first large scale” NOR facility. It cares for 74 NOR primary
and secondary vessels (used to turn human remains into soil) in the main room. For the
There is a stark contrast between the industrial outside of the funeral home and
the nature-inspired imagery on the walls inside. I am allowed to take pictures in the
main room. When we enter the main floor, big green sliding doors with printed trees lit
Figure 5: Sliding doors at Return Home with gray vessels (on the left).
The air system is as loud as sitting next to a fan, but staff can turn it off for
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NOR does not come with a manual. Each facility is unique in its composting
making compost from human remains and making compost from animals. Micah
Truman, founder of Return Home, became part of the NOR movement in 2018. Truman
by using fecal matter from other animals and, in return, renders fertile soil.
The question is, if one can compost animals, how can one compost people?
People decide who and what is (made) killable10 (Haraway 2008, 80-82) by showing
more reverence and respect towards a human body than a farm animal. Humans decide
that some lives are killable (removing moral obstacles to make them not grievable), and
some are not killable. When talking about lives, I mean microorganisms (viruses,
bacteria); plants; animals; ecosystems; and other humans. Tourguide Stacey (he/him)
summed up a human idea of killability: “We love the people that we love, and that's
usually going to be more so than Ziggy the piggy that you're going to be butchering in a
couple of months anyways.” Voicing an even more sensitive view, interviewee Nora
(she/her) pointed out that material from an earlier Return Home composting experiment
on pigs in British Columbia is now used on the plants inside the Return Home building,
For two and a half years, Return Home had to redo the technology behind
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Microbes-technology-human entanglement
Microbes achieve NOR, while humans and machines act as allies in the effort.
(the men in the black shirts from the opening story) drive the forklift to rotate the
composting vessels.
Return Home uses two different vessels: primary and secondary vessels. A dead
body stays in a primary vessel for four to six weeks. During this time, Return Home
offers laying ceremonies and a space for people to visit and perform their rituals. See
Figure 6.
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Figure 6: Picture of the inside of a primary vessel after a laying ceremony.
We step into one big room with lofty green trees printed on sliding screens that
extend from high ceiling to a floor that obscures the 74 primary vessels, as Stacey
pointed out, to make it less Costco-esque. The screens allow mourners to visit just their
vessel instead of all 74. There is one smaller demonstration vessel (Figure 7, see
73
Figure 7: Demonstration vessel with artificial flowers, and chairs for the living.
The full-size primary vessels measure eight feet by three and a half feet by three
Employees place a mixture of three organics, alfalfa, straw, and sawdust, and
place it at the bottom of the vessel. Then, they take an individual, bathed and dressed in
a compostable gown, and place the person on top of the layer of organics. When the
family comes in to see their person, spend time with them, or put things inside of the
vessel, there is an opportunity for them to place the remaining organics over the body.
For the next four to six weeks, a computer system, closely observed by staff,
monitors the temperature, airflow, and moisture content inside the vessel. After about
four to six weeks, the temperature and the energy inside the vessel begin to drop. This
drop means the microbes have less energy to break down and consume the body. At
that point, most of the body has broken down into soil. Employees remove the vessel
and place it on an external rotator that will gently rotate it (with the least frequency
needed) to redistribute the energy inside. Nora said: “It kind of opens up like a praying
Mantis's arms, and then it closes over the top and the sides, and then it just rotates it
slowly just like that.” The vessel will be stacked up again for a couple more days. The
temperature will then spike again to about 150-160 degrees Fahrenheit. When the
processing, to remove anything inorganic and to break down any remaining bones. To
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do the screening process, one must have a license, for which the training is the same
Human bodies are full of installed devices - pacemakers, hip implants, spinal
rods, screws, staples. Metals and plastics do not break down; staff removes them from
the NOR process. An employee goes through the soil and picks out everything
inorganic. State law says the compost must be wholly uniform and without identifiable
bones. Any remaining bones are mechanically broken down by a cremulator and
reintroduced into the soil to give the microbes access to the porous, spongy interior of
the bone.
After external screening, the soil goes into a smaller secondary vessel, which
looks like a large blue rain barrel. The smaller secondary vessel allows Return Home to
have more space for gatherings. Stacey mentioned a Southern Baptist service for 200
people at Return Home. The soil sits and cures for the last four weeks before it is ready
for distribution.
particular regulations and laws for testing compost. NOR funeral homes are required to
test 20 final product samples to a third party laboratory. After this is completed, 25% of
the total monthly output of NOR, must be tested, until 60 final samples are reached (80
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Figure 8: Schema of initial testing requirements for NOR.
Return Home is required to test soil if a family requests it or to fulfill the state's
requirements. Inspectors look for bacteria like E. coli and Salmonella. Return Home has
tested compost at different times during the NOR process. When the compost has
dried, there is little risk of pathogens. It is entirely nutrient-dense and ready to be placed
on living organisms. The only exceptions are certain diseases: Prion-related diseases
(e.g., Creutzfeldt Jakob Disease), Ebola, and active tuberculosis, pathogens that would
76
survive the process and live in the compost11. Heavy metals, including mercury, arsenic,
and lead, are also assayed. Such testing, done by a third party, is a large expenditure
The end result of the NOR process is about 250 pounds of soil, about one cubic
Figure 9: Soil of one human in burlap bags (in the front), with smaller burlap bags (in the
back).
11
There is a potential concern that in the process of NOR infectious diseases are released or survive the
process, but the topic “has not been well studied” yet (O’Keeffe 2023).
77
The staff places the soil into biodegradable burlap bags. If a person puts the bag
directly into the ground, the degrading burlap will break down. The burlap allows the soil
to continue to live and breathe. However, soil zip tied into plastic bags will suffocate,
Each bag of soil comes with an instruction on how to handle it (Figure 10).
The bags vary in size depending on how much soil family members and friends
want. They might go out to their properties, to favorite locations where they had a picnic,
might use the soil, as Stacey mentioned, to plant trees in their backyard, or 1500 trees
over a salmon creek, or memorial gardens, or scattered at Mount Rainier. Families and
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friends can donate extra soil to a Return Home woodland property (Figure 10), about
Figure 11: Woodland area with two people walking along an asphalt path.
other death care options. Additional costs can be $500 for a laying-in ceremony and
$800 for a ceremony at the home of the dead (including body preparation and cool
pads).
As one enters the building, one sees a little map on a wall that shows all the
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Figure 12: Map of places, marked with a pin, that Return Home has served.
About 70% of their customers come to Return Home to spend time with their
loved ones, bathe and dress them, place them into the vessel, have ceremonies,
decorate the vessel, and place items of remembrance inside the vessel. There is much
more family involvement in the NOR process in the Seattle area than anything the
funeral directors from Return Home have seen in almost 50 years of the more traditional
funeral business. Stacey, talking about his experience in the funeral business, explained
that cremation is connected to fewer services, fewer visitations, and less family
involvement. It is a quick process: the cremation gets done, the ashes are returned, and
off the people go with little room for ceremony. Being in the greater Seattle area, the
Return Home team expected that they would be subject to that same approach: families
80
come, give Return Home their loved ones, and two to two and a half months later the
loved one is returned to the family and friends as soil. That was the expectation, but it
Return Home had to make many changes for their customers to create an
environment that was a lot more comfortable for them. It was gratifying to Return Home
that attempts at humanization engaged grievers who thereby felt closer to their loved
ones. For example, when we enter Return Home, our tour guide offers coffee, water,
soda, and snacks. It does not feel like a funeral home. Nature images hang on the
walls. There are some decorative plants and a big wooden table in the middle of the
arrival room. The impression for those walking through before entering the main floor
Only the NOR operators, the people who handle the direct production of the soil,
dress in black, and wear seasonal uniforms. In their more casual dress, the rest of the
staff depart from the stock image of a funeral director dressed in formal black and, as
Stacey intimated, kind of creepy-looking. Stacey, in his Hawaiian shirt, looked ready to
go to Hawaii. In his view, families do not always want the clean-cut, business look.
On the main floor are pictures on the wall, which show Micah (the founder) in
representative costumes of the states that have legalized NOR. For example, Micah
dressed up as the Statue of Liberty when New York legalized NOR or Elvis when
Nevada legalized NOR. Two other pictures show people placing things into a vessel
with their loved ones. Another shows a family-style reception, with brought-in food and
catering, at Return Home. Around the corner is a forest mural with a riverbed and
lavender flowers.
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Next to the gray show vessel stand chairs in different colors and designs. In the
vessel is one white compostable gown with a little note and plastic flowers placed in it.
an employee. Stacey mentioned one family from Indiana tie-dyed the gown for their
person.
Return Home invites people to decorate the vessel of their deceased person with
letters, photographs, seahawks, flags, and crystals. When people come by to visit the
vessel after the placement of the body, they pull up a chair (crack open a beer or a
coffee), see their loved one's vessel - which they decorated - and know which one it is.
Stacey pointed out people might come by as little as once or twice during the process or
82
as much as four or five times weekly. Return Home organizes events for the grieving,
Our tour guide explains that sound plays an important role. Stacey expounds that
if you work every day with dead bodies that lie and disappear in a metallic utilitarian
vessel, you can become too detached from the reality of a dead individual and fail to
pay due respect and attention. A gong (Figure 14) and a drum (Figure 15), forms of
ghostly engagements (Langford 2016), are intentional, dramatic reminders. The staff
interrupts their routine by tapping the gong and saying the dead person's name to
consciously remind themselves of the individual behind the dead body, thereby
81). In a hesitant way I ask to hit the gong. As I say Jeannette's name, I feel immersed
in the vibrations of the gong. It is a beautiful moment. The sound of the gong cancels
out all the other noises, redirecting attention to the now, Jeannette’s name, and her
The mourners can also use the gong and a drum or a combination of both.
Stacey explains the drum is a gift from a native family. The creator of the drum pointed
out that everything was perfect for a funeral at Return Home, but the gong (for him, a
rather Eastern concept) was not in keeping with the traditions of his culture and living
cosmology (see Stoller 1984 for more on living cosmology). He donated the drum to
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Figure 14: Gong at Return Home.
On the rawhide, the natural and coincidental light shading in the distinct image of
a large butterfly (Figure 15) is this artifact's most startling and peculiar feature. (For me,
it calls to mind the concept of Jungian synchronicity.) The drum hangs on a wall with a
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Figure 15: Gifted painted drum at Return Home.
mushrooms, and plants. The murals (Figure 16) create an interesting, humanizing
85
Figure 16: Murals at Recompose building.
86
To describe the aesthetics of Recompose, I use secondary data such as the
mortician Caitlin Doughty, and demonstration photos from the Recompose website.
Behind the wooden counter in the broad check-in lobby looms a green moss wall (Our
Recompose has two different ceremony rooms: a “formal gathering room” and a
“cedar room.” In the bigger formal room, is a “threshold vessel.” During a laying-in
ceremony, the shrouded body lies on what they call a cradle, a device for smoothly
placing the body in the vessel, “representing a moment of transition” (Our Location
October 15, 2023). Incorporating sound, the favorite playlist of the deceased can be
played during such a ceremony (Let's Visit the Human Composting Facility! October 15,
2023).
The “threshold vessel” enters the “greenhouse” (a euphemism for the industrial
back area of the facility) through a heavy round door. In the greenhouse, the body
enters a bee hive construction (made of white steel vessels) that looks like something
Visit the Human Composting Facility! October 15, 2023). To lessen the fear of being
alive when claimed dead, Spade (Let's Visit the Human Composting Facility! October
15, 2023) says, for one, a person could signal from inside of the metal vessel to be let
out, and also, being encased by “woodchips, alfalfa, straw, and fresh air” provides
warmth. The process of NOR will only start if the person is dead (Let's Visit the Human
87
The cedar room is a smaller room. As seen on a picture on the Recompose
website, a prop of a shrouded body lies on a table. The room is for people who want a
more intimate or hands-on experience with their persons and provides tools for washing
or shrouding a person. There are brushes to comb a person's hair and oils for
anointment.
Portland. As Elliot Rasnick (Let's Visit the Human Composting Facility! October 15,
2023), founder of a non-profit restoration project at Bell Mountain, says, becoming soil
“you’re not a tree, you’re a forest” - a way of making new kin. Sometimes, Doughty
(Let's Visit the Human Composting Facility! October 15, 2023) says, by the time the staff
take out the soil, “mushrooms have grown from it,” a case in point for the resilience and
and is comparable to other death care options (Our pricing October 15, 2023).
Additional costs can be: $350 per hour for the gathering room, charged by the half hour
after the first hour, and providing space for 25 people in-person (and unlimited online)
(Our pricing October 15, 2023). The price is $200 per hour for the cedar room, charged
by the half hour after the first hour, providing space for five people in-person (Our
A comparison
Both facilities are similar in using natural imagery (e.g., green pictures of nature
on the wall, the moss wall) to create a striking contrast with the industrial surroundings.
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Recompose and Return Home strive to address the different sensibilities of religions
and cultures. From my understanding, both NOR processes are almost the same. Both
funeral homes are transparent in pricing, but Return Home offers a veteran discount
and free NOR for children under 17 years. Last year, as a mission statement, Return
Home offered free NOR for people who took their own lives. Lola compared
“Recompose to a boutique, whereas Return Home is more rustic.” The vessels of both
facilities performed the same function but were quite different in appearance. While the
tone of our guide at Return Home was gentle but frank, the Recompose language was
Return Home has one big room for all the vessels, which makes it easy for
visitors to navigate and orient themselves in this new environment. I found comfort in
knowing that all the dead bodies were in this room together, and that I was not the only
one who had lost a loved one. I was allowed to stand close to the staked burlap bags
(Figure 9) “that hold the DNA” (Alexander 2015) of dead strangers turned into soil. This
physical proximity, the simplicity of one big room, and the comfortable presence of all
the other vessels (partially hidden between the tree-covered sliding doors), restored in
see-through green plexiglas for viewing the vessels in the greenhouse. The plexiglas is
a unique and visually engaging experience, but at the same time it creates a barrier or
The dead, while in separate vessels, are also connected with each other through
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Both facilities cater to different preferences and sensual experiences in the
grieving process.
More-than-human communities
interact with the dead body, use it as a resource, and break it down (Haraway and
Goodeve 2019, 339). They live to do this, or as environmental journalist Mark Harris
(2007, 36) put it: “No matter how it’s sealed inside a coffin, a corpse, even an embalmed
symmetrical participation (Haraway 2008, 262), as all are integral to the process of
NOR. The SF of death care is beyond the human realm. Agency, then, is contextual, a
example of NOR challenges the idea of a bounded, fixed, and isolated self through
(Kirksey 2014, 149) by returning fertile soil to nature12 and taking action through
regeneration.
12
The soil is so rich in nutrients that the return of it to the ecosystems requires a structured and carefully
planned approach - to minimize harmful disruptions and maximize beneficial effects for sensitive
ecosystems.
90
collectively-producing systems that do not have self-defined spatial or temporal
boundaries. Information and control are distributed among components. The
systems are evolutionary and have the potential for surprising change (Dempster
1998, 31).
NOR does not have rigid spatial or temporal boundaries. NOR (between
machines, microorganisms, and more) is an collective ongoing and flexible process that
sympoetic solution for urban places. When I asked the interviewee Oceana (they/them)
about their legacy, they said they wanted to leave nothing behind, so they wanted to be
composted. The NOR process changes how people memorialize their dead. The
interviewee Lola described a plant planted in human soil as a “living urn.” NOR shows
people possibilities for after death, and for their taking the present seriously in order to
act responsibly. By cultivating care across time, NOR practices bring environmental
ghosts and the attention they call to ecological crises to the present and future.
NOR also faces skepticism in areas where it may be less familiar. For example,
interviewee Annette imagined shared graves and was unaware that loved ones were
entitled to the composted soil. Continuing education and promoting awareness about
these practices will make the public more aware of options that are often not
considered.
Elliot Rasnick (Let's Visit the Human Composting Facility! October 15, 2023)
points out how the acronym of NOR emphasizes the idea that a person becomes soil
that is “neither distinctly human nor inhuman. This idea raises objections to NOR based
on religious faith. One prominent example comes from the Catholic church, where NOR
distinguishably left of the body to be placed in a casket or an urn and laid to rest in a
sacred place” (Conference of Catholic Bishops 2023, 11). The bishop’s remarks
91
highlight a tension between Catholic beliefs, that views the intact corporeal as sacred,
important to note that this statement does not reflect all Catholic church members
beliefs.
NOR stays with the trouble. In its process of addressing mutual relations and
damaged planet, and a re-negotiation with nature. The ability of a mushroom to grow in
a dark NOR vessel, and the process of NOR itself, celebrate the regenerative power of
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CHAPTER FIVE: CONCLUSION
In this thesis, I looked into how DCW drew from their own experiences to
(re)orient themselves in their encounters with loss and grief. Specifically, I examined
understanding of death, dying, and ongoing cultural construction of self, identity, and
meaning.
Findings
I was able to show how death and dying are highly relational experiences. We
are far more entangled than it seems - we are interdependent critters. The concepts of
(Ozawa-de Silva 2021), co-poiesis (Desjarlais 2018) and sympoiesis (Dempster 1998)
are practices of re-orientation (Ahmed 2006). Coming from different researchers, these
concepts emphasize the relational nature of self contributing to re-orientation in the face
of death, dying, and grief. How we become-with affects the nature of how we embody
grief. Furthermore, intentional re-orientation can help us not only to prepare for the
the trouble) and to act in such a way as to promote the health of the planet.
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Finding b - Heuristics of SF (for response-ability and staying with the trouble)
How we die, shows how we understand the world, or as interviewee Mona put it:
“the way we die often is similar to how we lived” (09/26/2023). An SF point of view
fosters responsible and sustainable relationships in living, dying and death. In the face
with the trouble with SF invokes the appearance of environmental ghosts through
stories and practices that disturb and confront. By staying with the trouble we challenge
Thus we re-orient ourselves to reclaim our authentic response to death, dying, and
end-of-life choices.
encounters with death and dying. When we touch, feel, smell, see, our dead loved one,
or drink a coffee in their presence, then our attention becomes an authentic expression
of our love. Creating sensory-rich experiences in death care (and in a way becoming
we relate to and learn about the world and ourselves through our senses. This
94
such a way that we can more response-ably and fully empathize with marginalized lives
and experiences.
Limitations
In the historical overview of death, dying, and end-of-life choices I only summarily
section would benefit from a more comprehensive approach to explore the complex
topic of death and dying in the US, and its diverse communities and death practices.
I only scratched the surface of death practices in Washington State and given the
scope and deadlines of a master’s thesis, I had to focus on my key findings. For
example, I participated in “grave digging” and learned about hand-woven “soul boats”
(to transport a dead body or to bury the dead in) at a conservation burial ground at
White Eagle Memorial Preserve, a valuable experience. This organized work party (that
is how they call it at the Ranch) was too close to the deadline of this thesis to
incorporate it.
Future directions
deaths in the US-Mexico borderlands, and artist and anthropologist Karolina Żyniewicz
art projects in the exhibition “Membranes Out of Order” (2022)): For one, I want to
create a board game about death and dying, hoping by this device to provide a
95
conversational space and to assist individuals in (re)orienting themselves around dying,
death and dying in the US. I want to explore the co-poietic alternative states of
consciousness (such as dreams and visions) and further focus on the sensory, such as
96
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