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DEATH IN THE MODERN WORLD Tony Walter Sara Miller McCune founded SAGE Publishing in 1965 to support the dissemination of usable knowledge and educate a global community. SAGE publishes more than 1000 journals and over 800 new books each year, spanning a wide range of subject areas. Our growing selection of library products includes archives, data, case studies and video. SAGE remains majority owned by our founder and after her lifetime will become owned by a charitable trust that secures the company’s continued independence. Los Angeles | London | New Delhi | Singapore | Washington DC | Melbourne DEATH IN THE MODERN WORLD Tony Walter SAGE Publications Ltd © Tony Walter 2020 1 Oliver’s Yard 55 City Road First published 2020 London EC1Y 1SP SAGE Publications Inc. 2455 Teller Road Thousand Oaks, California 91320 SAGE Publications India Pvt Ltd B 1/I 1 Mohan Cooperative Industrial Area Apart from any fair dealing for the purposes of Mathura Road research or private study, or criticism or review, as New Delhi 110 044 permitted under the Copyright, Designs and Patents Act, 1988, this publication may be reproduced, stored SAGE Publications Asia-Pacific Pte Ltd or transmitted in any form, or by any means, only with 3 Church Street the prior permission in writing of the publishers, or in #10-04 Samsung Hub the case of reprographic reproduction, in accordance Singapore 049483 with the terms of licences issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. Editor: Natalie Aguilera Library of Congress Control Number: 2019949071 Assistant editor: Eve Williams Production editor: Katherine Haw British Library Cataloguing in Publication data Copyeditor: Solveig Gardner Servian Proofreader: Rebecca Storr A catalogue record for this book is available from Indexer: Cathryn Pritchard the British Library Marketing manager: George Kimble Cover design: Francis Kenney Typeset by: C&M Digitals (P) Ltd, Chennai, India Printed in the UK ISBN 978-1-5264-0293-6 ISBN 978-1-5264-0294-3 (pbk) At SAGE we take sustainability seriously. Most of our products are printed in the UK using responsibly sourced papers and boards. When we print overseas we ensure sustainable papers are used as measured by the PREPS grading system. We undertake an annual audit to monitor our sustainability. CONTENTS About the author vi Acknowledgements vii Introduction: Death’s Jigsaw viii PART I MODERNITY 1 1 Longevity 3 2 Medicine 21 3 Commodification 39 4 Communication 58 5 Death denial? 76 PART II RISK 85 6 Security and insecurity 89 7 The physical world 104 PART III CULTURE 121 8 Individual and group 125 9 Family 141 10 Religion 158 PART IV NATION 179 11 Modernizing the nation 183 12 War 200 13 Policy and politics 219 PART V GLOBALIZATION 235 14 Global flows 237 15 Death’s futures 258 References 268 Index 290 ABOUT THE AUTHOR Tony Walter is Emeritus Professor of Death Studies at the University of Bath, UK. His research into death and society has included end-of-life care, social networks and care, funeral practice, bereavement, spiritualism, belief in reincar- nation, the idea that the dead become angels, mass media and social media, pil- grimage, and the use of human remains in exhibitions. He has lectured around the world, and has also trained clergy and funeral celebrants. His 17 books include Funerals (1990), Pilgrimage in Popular Culture (1993), The Revival of Death (1994), The Eclipse of Eternity (1996), On Bereavement (1999), and What Death Means Now (2017). Before 1994, he was freelance, writing books and articles on religion, landscape, social security reform, and basic income. ACKNOWLEDGEMENTS It would be impossible to acknowledge everyone who over thirty years has in one way or another influenced this book. Of course, none of them are respon- sible for the result. Among the many who have stimulated and extended my sociological imagina- tion, I am particularly indebted to David Clark, Grace Davie, Christie Davies, François Gauthier, Allan Kellehear, Linda Woodhead, Michael Young, and Shahaduz Zaman. I have also greatly benefitted from belonging to the University of Bath’s Centre for Death and Society, not least its mind-stretching seminars and conferences and its academic visitors from around the world. The University library’s extensive holdings and ever helpful staff have also been invaluable. Further afield, I have been sustained by regular meetings with kindred scholars in Alba Iulia (Romania), Dumfries (Scotland), Nijmegen (the Netherlands), Sigtuna (Sweden), Zurich and Fribourg (Switzerland); and I have valued feedback on public lectures given in Denmark, Germany, Romania, Japan and New Zealand where I outlined the framework which eventually became this book. Many international students and kind hosts around the world have opened my eyes to how others ‘do death’, including Kumiko Hori and Hiroshi Yamazaki (Japan), See Mieng Tan (Singapore), Ruth McManus (New Zealand), Kingston Kajese and Jenny Hunt (Zimbabwe), and Renske Visser (the Netherlands). Practitioners in several countries have taken time to show me around their hos- pice, funeral parlour, crematorium, temple, or shrine. Friends and colleagues with no specialist knowledge have gone out of their way to help in one way or another; Maya van Trier (Belgium), Jan Otto Andersson (Finland), Bruce and Val Ayres-Wearne (Australia), Stephen Nickless, and Peter Cressey (UK) are just a few who come to mind. Thank you also to my Sociology students for permission to quote from their class memos. And so to the book itself. Thank you to Joanna Wojtkowiak who back in 2009 suggested I write the book. SAGE’s nine – yes nine – anonymous reviewers offered constructive comments on the original proposal, many of which I have incorporated, and the following have given helpful feedback on various chapters: Candi Cann, Chao Fang, Cynthia Goh, John Harris, Ida Marie Høeg, Christoph Jedan, Annika Jonsson, Anne Kjaersgaard, Rebekah Lee, and Nina Parish. Finally, my sincere thanks to Mandy Robertson for providing a place and the time in which to write. If I have forgotten anyone, please accept my apologies. And if the book has got anything wrong, which – given its breadth – is entirely possible, the responsibility is mine alone. INTRODUCTION: DEATH’S JIGSAW Death comes to all humans, but how death is managed, symbolized and experi- enced varies widely, not only between individuals but also between groups. What . then shapes how a society manages death, dying and bereavement today? Are all modern countries similar? How important are culture, the physical environment, national histories, national laws and institutions, and globalization? This is the first book to look at how all these different factors shape death and dying in the modern world – in other words, the first book to attempt to complete the entire jigsaw. Many writers contrast death in the modern world with previous eras. There is a heroic narrative of modern medicine and sanitation banishing infectious disease and radically increasing human longevity. And there is another narrative of increased psycho-social risk, as medicalization and professionalization detach dying and bereaved people from the community and religion that are nostalgically supposed to have supported them in past times. I do not peddle either narrative. I argue that what is distinctive about modern dying and grieving, and there is much that is distinctive, interacts with culture, environment, economic (in)security, and national history and institutions to create considerable variety. Thirty years ago, as I was writing the book that comprised my first venture into this field (Walter, 1990), I felt my writing was slipping and sliding around. One paragraph was certainly true of England, but probably not Scotland or Northern Ireland; the next paragraph might be true of all English speaking societies; the next of all advanced industrial societies throughout the world; the next of northern western European countries but not of Eastern Europe, Mediterranean Europe or the USA, and certainly not of Japan or China; and so on, and so on. But it was not an academic book for which precision was essential, so I carried on writing regardless. The unresolved issue of national differences in death practices has intrigued me ever since. When in the mid-1990s I began to teach the sociology of death at bachelors and then masters level and looked around for suitable textbooks, I found that most of them – especially those written by authors from powerful countries like the USA or once powerful countries like the UK – mix up modernity and their own national culture and institutions.1 Worse still, I got the impression these authors did not even know they were mixing things up. Bryan Turner (1990: 343) has observed this in other areas of sociology: ‘Since its formal inception in the first half of the nineteenth century, sociology has been, generally implicitly, located in a tension or contradiction between a science of particular nation-states and a science of global or universal processes.’ Since comparing one group (such as a nation) and sub-group (such as men and women, or social INTRODUCTION: DEATH’S JIGSAW ix classes) with another is the essence of sociological analysis, these death-related textbooks were not going to help my students understand whether various deathways were due to modernity, to national histories, to culture, to power relationships, or to what. So the present book is particularly concerned to identify national differences – even at a time when some consider the nation state to be withering in the face of globalization and transnational institutions. So much depends on time and place – on when and where you were born. There are about 56 million deaths a year across the world, and most of these are in ‘developing’ societies (Clark et al., 2017). In terms of place, this book focuses on the minority of global deaths that occur in ‘developed’ countries – which is not to say that the rest of the world never appears in the periphery of my lens. In terms of time, my focus is the present day – how the present is shaped by the past, and how economy, society, history, geography, and culture interact in complex ways to shape people’s experiences of dying and grief. People’s economic position is central to my analysis, which draws more on the concept of economic insecurity (Inglehart, 1981; Standing, 2011) than on traditional concepts of social class. Examples come from many countries, though (reflecting my own reading, travels and contacts) not equally. I write more, for example, about the USA and the UK than any other countries; more about China than India, Japan than Korea, the Netherlands than France, Denmark than Norway, Serbia than Bulgaria. Unlike many books on death and society, this one does not have chapters devoted to dying, to funerals, to burial and cremation, or to bereavement. Instead, each chapter discusses a key factor (such as money, communication technologies, economic in/security, risk, the family, religion, war) that shapes the organization and experience of dying and loss; I then invite you the reader to work out how each factor operates in your own country or society, and so to understand how your own society manages death. My aim is not to tell you about your own society but to provide sociological tools to help you understand it – each chapter ends with a question or questions inviting you to do just this. Please note that the book’s division of chapters into social factors rather than aspects of death means that some substantive topics – such as hospice, compas- sionate community, funerals, or grief – appear in more than one chapter. I hope you will find this an interesting journey. You may have heard of the Mexican Day of the Dead, or of Irish wakes, or you may know that euthanasia is permitted in certain countries. But apart from a few such practices, many people who are very aware of national differences in, say, cuisine may be totally unaware of the very many differences, big and little, in how modern nations handle death and dying. I don’t believe this is because people don’t want to think about death. I have taught health care and other practitioners who are passionate about their work with the dying and bereaved, yet whose eyes pop out of their heads when fellow students from elsewhere describe their country’s deathways.

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