Skip to main content
Log in

Personhood and communication at the end of life

  • Original Article
  • Published:
Journal of Medicine and the Person

Abstract

Drawing on over 300 h of fieldwork with one hospice team, this essay explores issues of personhood at the end of life, by focusing on one patient’s experience. This essay uses a narrative approach and exams the role of communication in enabling or constraining a dying person’s dignity, autonomy, and beliefs. In addition to describing the use of narrative methods in social science and medicine, this manuscript defines personhood, and explains the link between communication and personhood. The analysis of the narrative illustrates the ways healthcare workers can communicate to support a person’s sense of self until he or she dies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. All names of individuals and organizations were changed to protect their confidentiality and anonymity.

  2. Many thanks to Dr. Lori Roscoe for this observation.

References

  1. Pulchalski C (2006) A time for listening and caring: spirituality and the care of the chronically ill and dying. Oxford University Press, Oxford

    Google Scholar 

  2. Ellingson LL (2005) Communicating in the clinic: negotiating frontstage and backstage teamwork. Hampton Press, Cresskill

    Google Scholar 

  3. Balducci L, Ferrario MM (2012) Different editor, same mission. J Med Pers 10:3–4. doi:10.1007/s12682-012-0114-1

    Article  Google Scholar 

  4. Bochner AP (2001) Narrative virtues. Qual Inq 7:131–157. doi:10.1177/107780040100700201

    Article  Google Scholar 

  5. Fisher WR (1987) Human communication as narration: toward a philosophy of reason, value, and action. University of South Carolina, Columbia

    Google Scholar 

  6. White H (1981) The values of narrativity in the representation of reality. In: Mitchell WJT (ed) On narrative. University of Chicago Press, Chicago, pp 5–27

    Google Scholar 

  7. Balducci L (2008) And a time to die. J Med Pers 6:99–103

    Google Scholar 

  8. Charon R (2006) Narrative medicine: honoring the stories of illness. Oxford University Press, Oxford

    Google Scholar 

  9. Ellingson LL (2003) Interdisciplinary health care teamwork in the clinical backstage. J Appl Commun Res 31:93–117. doi:10.1080/0090988032000064579

    Article  Google Scholar 

  10. Ellis CS (1995) Speaking of dying: an ethnography short story. Symb Interact 18:73–81. doi:10.1525/si.1995.18.1.73

    Article  Google Scholar 

  11. Groopman J (2007) How doctors think. Houghton Mifflin, New York

    Google Scholar 

  12. Lieblich A, Tuval-Mashiach R, Zilber T (1998) Narrative research: reading, analysis, and interpretation, vol 47. Sage, Thousand Oaks

    Google Scholar 

  13. Riessman CK (1993) Narrative analysis. Sage, Newbury Park

    Google Scholar 

  14. Evnine SJ (2008) Epistemic dimensions of personhood. Oxford University Press, Oxford

    Book  Google Scholar 

  15. Eisenberg EM (2001) Building a mystery: toward a new theory of communication and identity. J Commun 51:534–552. doi:10.1111/j.14602466.2001.tb02895.x

    Article  Google Scholar 

  16. Craig RT (1999) Communication theory as a field. Commun Theor 9:119–161. doi:10.1111/j.1468-2885.1999.tb00355.x

    Google Scholar 

Download references

Acknowledgments

The author would like to thank Sonny, his family, and the staff of the Sunflower team at Coastal Hospice for supporting the project from which this manuscript is based. I learned so much about living and dying from each of you. I would also like to thank Lori Roscoe, Jill Munyan, and Lodovico Balducci for their encouragement and insights during the writing of this narrative. Finally, I would like to thank the University of South Florida’s Center for Hospice, Palliative Care and End-of-life Studies for their financial support.

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jillian A. Tullis.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tullis, J.A. Personhood and communication at the end of life. J Med Pers 10, 103–113 (2012). https://doi.org/10.1007/s12682-012-0131-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12682-012-0131-0

Keywords

Navigation