Running head: TALKING TO YOUNG CHILDREN ABOUT DEATH i Talking to Young Children About Death: An Investigation of Parent-Child Conversations Sarah-Jane Renaud Department of Educational and Counselling Psychology McGill University, Montreal PhD in School/Applied Child Psychology August 2013 A thesis submitted to McGill University in partial fulfillment of the requirements of the degree of Doctor of Philosophy in School/Applied Child Psychology Sarah-Jane Renaud 2013 Running head: TALKING TO YOUNG CHILDREN ABOUT DEATH ii Abstract Parent-child conversations have remained on the periphery of studies investigating children’s developmental understanding of death and the circumstances under which death is first discussed with children have not yet been documented in the literature. The current program of research sought to investigate the content of parent-child conversations about death and the impact of such discussions. This dissertation is comprised of three manuscripts that collectively contribute to the literature by documenting young children’s early experiences with death, exploring the role of parental beliefs and attitudes in parental explanations of death, and evaluating children’s feelings and understanding of death after such conversations. The first manuscript reports on parental use of religious and biological explanations of death. Parents (n = 130) of children 1- to 7-years of age completed an online questionnaire. The types of explanations of death provided by parents were examined in relation to parental religiosity, afterlife beliefs, death anxiety, and perceptions of children’s physical and emotional reactions to the conversations. The most frequent types of explanations provided to children were religious-spiritual. Parental beliefs in afterlife and death anxiety were able to accurately predict whether parents provided a religious-spiritual explanation. The majority of parents perceived no physical and emotional reactions in their children, however, there was a positive correlation between the biological explanation of the irreversibility of death and perceptions of children’s generalized anxiety. The second manuscript provides information on children’s earliest conversations about death and parental satisfaction with such conversations. Parents (n = 140) of children 2- to 7-years responded to an online survey regarding their children’s Running head: TALKING TO YOUNG CHILDREN ABOUT DEATH iii experiences with death and the circumstances, conversations, and explanations related to these experiences. The majority of parent-child conversations about death were first initiated when children were between 3- and 3.5-years of age and conversations were most likely initiated by parents. A subset of parents (n = 88) provided narratives of the explanations of death that they gave their child. Satisfaction was higher in those parents who provided explanations of a continued existence after death compared to those who discussed the absence of a future physical relationship after death. The final manuscript reports on children (n = 48) 3- to 8-years that came to the lab and had a conversation about death with their parents. Children also completed measures of fearfulness and death understanding. Children’s understanding of the cessation of bodily functions at death was predicted by discussions of the physical causes of death. Understanding of the irreversibility of death was also related to the content of discussions, as those parents who addressed a continued existence had children with lower understanding scores compared to those who discussed the causality of death. Higher levels of understanding death were correlated with higher levels of fear. Previous researchers who have reported that children’s fear of death decreases as their biological understanding of death increases have recommended that death be discussed in biological terms with children. The current research introduces a new alternative, that a religious-spiritual conceptualization of death may act as a buffer to children’s fear of death and danger. Taken together, findings from these three studies provide empirical support to enhance the developmental literature on children’s understanding of death, as well as contribute a new line of inquiry to the field that includes young children’s religious-spiritual conceptualizations of death and parent- child conversations. Running head: TALKING TO YOUNG CHILDREN ABOUT DEATH iv Résumé Les conversations entre les parents et leurs enfants au sujet de leur compréhension de la mort sont restées a la périphérie des études de recherches, ainsi que les circonstances dans lesquelles ces conversations existent qui n’a pas été explorer. Ce programme de recherche à comme objectif principale d’explorer le contenue des conversations entres des parents et leurs enfants au sujet de la mort, ainsi que d’explorer l’impacte de ces discussions. Cette dissertation et compris de trois manuscrits qui ensemble contribue a la littérature par une documentation des expériences vécus par des jeunes enfants auprès de la mort, une exploration du rôle des croyances et attitudes parentales dans les explications offerte aux enfants, et un évaluation des émotions et compréhension de la mort auprès des enfant suite au conversations avec leur parents a ce sujet. Le premier manuscrit décrit l’utilisation parentale d’explications religieuses ou biologique de la mort. Les parents (n = 130) d’enfants âgées entre 1 a 7 ans on remplis un formulaire en ligne. Les types d’explications pour la mort offertes par les parents on été examinée ainsi que la relation entre les perceptions parentales des réactions affectifs et physiques de leur enfant, leur croyances religieuses, leur croyances en vie après la mort, et l’anxiété parentales au sujet de la mort. L’explication parentale la plus fréquente offerte aux enfants était religieux- spirituel. Les croyances parentales dans la vie après la mort ainsi que l’anxiété des parents au sujet de la mort a démontré une relation positive avec les explications religieux-spirituel. La majorité des parents n’ont pas perçu une réaction physique ou affectif chez leurs enfants, par contre, une relation positive a été démontrée entre une explication biologique que la mort est irréversible et les perceptions parentales de l’anxiété générale chez un enfant. Le deuxième manuscrit décrit les premières Running head: TALKING TO YOUNG CHILDREN ABOUT DEATH v conversations au sujet de la mort ainsi que la satisfaction parentale. Les parents (n = 140) d’enfants âgées entres 2 a 7 ans on répondu a un formulaire en ligne au sujet des expériences de leurs enfants auprès de la mort, les circonstances, ainsi que les conversations et les explications offertes reliées a ces expériences. La majorité des conversations entres les parents et leurs enfants étaient initiées quand l’enfant était entre 3 et 3.5 ans, et la plupart des conversations était initiées par les parents. Une minorité des parents (n = 88) on offerte des récits exactes de leurs explications au sujet de la mort. La satisfaction parentale était plus hautes chez les parents qui on offerte des explications d’une existence continué après la mort, en comparaison avec les parents qui on discuter l’absence d’une existence physique après la mort. Le troisième et finale manuscrit décrit les enfants (n = 48) âgées entre 3 a 8 ans qui sont venue au laboratoire et qui on eu une conversation avec leur parents au sujet de la mort. Les enfants on aussi compléter des mesures de leurs compréhensions de la mort et leurs peurs. La compréhension des enfants au sujet des cessations des fonctions corporel à la mort était prédite par des discussions des causes physiques de la mort. Une compréhension de la irréversibilité de la mort était reliée au contenue des discussions parentales, car les parents qui on adressée une existence continue avait des enfants avec des niveau de compréhension plus basse en comparaison avec ceux qui on discuter la causalité de la mort. Une compréhension plus élevée de la mort était reliée à un niveau de peur plus élevée. Autres chercheurs qui on décrit que la peur de la mort chez les enfants réduisent avec une augmentation de leur compréhension des causes biologiques de la mort on recommander que la mort soit discutées au niveau biologiques. Ce programme de recherche introduit une nouvelle alternative, que une conceptualisation religieux-spirituel de la mort peut possiblement Running head: TALKING TO YOUNG CHILDREN ABOUT DEATH vi réduire la peur au sujet de la mort et danger chez les enfants. Ensemble, les résultats de ces trois études offre des données empiriques pour améliorer la littérature développementale au sujet de la compréhension de la mort chez les enfants, ainsi que contribue une nouvelle ligne de recherche a ce domaine qui inclut les conceptualisations religieux-spirituel chez les enfants et le conversations entres parents et enfants. Running head: TALKING TO YOUNG CHILDREN ABOUT DEATH vii Acknowledgments This doctoral journey would not have been possible without the many people who supported me throughout my time at McGill University. First and foremost, I extend my sincere thanks to my doctoral supervisor, Dr. Victoria Talwar. From the first day we met you have offered kindness and support, while maintaining high expectations and consideration for my goals and values. I would also like to acknowledge my committee members for supporting me through the dissertation process. Thank you Dr. Michael Schleifer for your excitement and dedication to the project, as well as your availability and feedback on the writing of each of these manuscripts. Thank you Dr. Jeffrey Derevensky for your feedback and advice both during the proposal stage of this research program and into the final stages leading to submission. This final draft was helped along by your thorough review. I would also like to thank my co-author and lab mate Paraskevi Engarhos for your dedication to recruitment and collection of the data. My sincere appreciation goes to all of my lab mates and colleagues who have become great friends through the challenges of the dissertation process. To my great friends and lab mates Cindy Nuselovici, Mina Popliger, and Sarah Yachison, thank you for your continued support and interest in my progress. To Kelsey Moore, Christine Saykaly, and Shanna Williams, you have become some of my closest friends through some of the most challenging times. Thank you for the late night writing sessions, edits, and support in the completion of my dissertation. Finally, thank you to my dearest friend Elizabeth Roberts. Your energy has been contagious and admirable. Your dedication to Running head: TALKING TO YOUNG CHILDREN ABOUT DEATH viii your research and our profession is outstanding. You have been a mentor and cheerleader throughout our seven years of graduate work. Thank you. I am delighted to thank all of my friends and family from across Ontario and Quebec. To my Windsor friends, Sarah T, Steph, and Jesse, your awe and celebration throughout every stage of the doctoral journey has been amazing. To my Montreal family, John and Deidre, you have given me a home away from home and provided the guidance and support that I needed whenever I needed it. Thank you. To Marika, I am so pleased to call you family, thank you for all of the last minute edits. To my Grandma, Pépé, and Nana. I am honored to be your granddaughter and tell you all that I am finished my PhD! Your support and lessons throughout the years helped shape me into the dedicated student that I am. To my parents and sister, the three of you have always been my rock. Mom and Dad, you have shown me the way and taught me the lessons of dedication and hard work. Thank you for being my greatest supporters and being proud of every single one of my achievements. It is your enthusiasm and confidence that helped me pursue and complete a PhD. Finally, to my partner Sean. You have been there every day since I started this journey, even as far back as deciding to submit an application to McGill. You have shown such patience and unwavering support. I love you and I am so excited to start our new journey. I would like to dedicate this work in part to all of the amazing children and adolescents I have worked with over the years. Your enthusiastic and honest quest for answers, as well as the bravery you displayed during difficult times of illness, inspired Running head: TALKING TO YOUNG CHILDREN ABOUT DEATH ix these studies. I would also like to thank all of the parents and children who volunteered their time to this program of study. Without you it would not have been possible. Finally, I would like to dedicate this dissertation to my mother, Sandra Renaud RN BScn. You have set such an amazing example of the importance of each individual we meet in our professional lives. You are truly dedicated to your work and your patients and that is one of the greatest values you have shared with me. Your sacrifice and commitment to my achievements and happiness…there are no words. Thank you. Running head: TALKING TO YOUNG CHILDREN ABOUT DEATH x Contributions of Authors The studies reported in this dissertation are co-authored, although I am the primary author on each of the three manuscripts. All manuscripts are co-authored by Paraskevi Engarhos, Dr. Michael Schleifer and Dr. Victoria Talwar. As primary author, I conceptualized each of these studies (including the design of the parent questionnaire, selection of instruments, research questions, and data analyses), as well as wrote the current dissertation in its entirety. My doctoral supervisor, Dr. Talwar, has served in an advisory capacity during the conceptualization of these studies, formulation of the research questions, and writing of manuscripts. Dr. Schleifer was involved in the development of the larger research project that encompasses all three studies. Finally, Paraskevi Engarhos was involved in the development of the project and the data collection for all studies. This work was supported by the Social Sciences and Humanities Research Council of Canada over the course of three years.
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