___M . ' Ir #5 . Wig ||H||||ll|HH||||1|ltlllltlll|||H||||||H||H||lllllllllllul 3 1293 10419 Date This is to certify that the thesis entitled Death and Youth: An Exp1oratory Study of Teacher Awareness presented by Irma Briggs-Hooker has been accepted towards fulfillment of the requirements for Ph;D. Education degree in mam Major professor May 22, 1981 0-7639 OVERDUE FINES: . . 25¢ per day per item (fl - \ 7 W2: H- '.;.“.,!, '- ‘ Mace in book return to remove \ ““'-” a , charge from circulation records ) DEATH AND YOUTH: { AN EXPLORATORY STUDY ‘ OF TEACHER AWARENESS By Irma Briggs-Hooker A DISSERTATION Submitted to Michigan State University in partial fuifiiiment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Secondary Education and Curriculum 1981 @MS 7:? / CD 1981 IRMA JANE BRIGGS-HOOKER All Rights Reserved ABSTRACT DEATH AND YOUTH: AN EXPLORATORY STUDY OF TEACHER AWARENESS By Irma Briggs-Hooker Purpose Although there has been much interest in researching medical professionals' attitudes toward death, no studies are available on the attitudes of teachers toward death despite the influential position held by teachers in young peoples' lives. Because of this void, and the importance of the supportive adult in the clarification process of conceptualizing and mourning death, it seemed most appro- priate to center upon the teacher as a helping professional in death education. StudygDesign Information was elicited by interview from twenty-six elemen- tary and secondary teachers. Every grade level was represented. These three exploratory questions served as the framework for the study: Are teachers aware of their students' experiences with death? If they are aware, do teachers use this awareness within the school community? Irma Briggs-Hooker Further, are there differences in the awareness, and the use of this awareness, between teachers of children and teachers of adolescents? Limitations of the Study Two limitations were inherent in the study. The findings of this study cannot be generalized beyond the limits of the population studied. Second, the interviews were conducted by the author her- self and the data were interpreted solely by the researcher. Discussion Teachers were aware noticeably of their students' experiences with death; their awareness was used to a limited degree in verbal interaction, curriculum planning and consultation with parents and staff. Teachers of children were more aware, and used their aware- ness considerably more, than did teachers of adolescents. Students were the initiators most often of interactions about their encounters with death. The death experiences affected the behavior of individual students as well as the learning atmosphere in the classroom. Teachers gave support often within the school community; no consultation was offered and little consultation was given to teachers. Observational skills and self-awareness were suggested as the foundation for teacher awareness. Teachers and students needed support, but it was not available for them. Recommendations for program development included: the inclu- sion of the teacher into the health care system, particularly mental Irma Briggs-Hooker health; a review and expansion of the health care support system within the school community, and an examination of pre-service and graduate programs. To Alison and Ralph who re-opened the ultimate question for me TABLE OF CONTENTS LIST OF TABLES LIST OF APPENDICES . . . . . . . . . . ACKNOWLEDGMENTS . . . . . . . . . . . . . . Chapter I. INTRODUCTION . . . . . . . . . . . . . Background . . . . . . . . . . . . II. III. The Problem . . . Significance of the Problem The Population and Setting . . . . . . . . Methodology . . . . . . . . . . . Definition of Terms . . . . . . . . . . Limitations . . . . . . . . . . . . . . Summary . . . . . . . . . . . . . . . YOUNG PERSONS AND DEATH: A REVIEW OF RELATED LITERATURE AND RESEARCH . . . . . . . Historical Development of Society's Attitudes Toward Death . . . . . . . . Attitudes of Helping Professionals Toward Death . . . . . . . . Particular Needs of Adolescents in Relationship to Death . . . Children and the Process of Conceptualizing Death . . . . . . . . . . The Supportive Adult in the Clarification Process . . . . . . Summary . . . . . . . . . . . . . METHODOLOGY . . Population and Research Setting . Methodology . . . . . . The Interview Guide The Pilot Study . I 2 : I Analysis of the Data . . . . . . Summary . . . . . . . . . Page LDmCDmNU'IU'IN N 12 Chapter IV. FINDINGS OF THE RESEARCH Teacher Awareness of Students' with Death . Use of Teacher Awareness of Students' Experiences with Death Summary . . V. SUMMARY, REFLECTIONS AND RECOMMENDATIONS Summary Reflections on the. Research Observations on the Interviews Recommendations for Program Development Recommendations for Research FOOTNOTES . BIBLIOGRAPHY . APPENDICES . . . . iv Experiences Page 91 91 116 T41 T43 T43 147 155 160 165 168 183 191 Table (II-DOOM LIST OF TABLES Interviewed Teachers by Grade and/or Subject . Student Responses to Experiences with Death Number of Students' Death Experiences . . . . Verbal Interactions Reported by Teachers . Teachers' Observations of Their Uses of Awareness for Curriculum Planning . . . . . . . Teachers' Observations of Their Uses of Awareness for Consultation . . . . . Page 78 99 lOl l20 124 136 LIST OF APPENDICES Appendix Page A. INTERVIEW GUIDE . . . . . . . . . . . . . l92 8. #l3 TEACHER'S OBSERVATIONS OF RICK . . . . . . . l98 C. #l3 TEACHER'S OBSERVATIONS ON MARK . . . . . . . 203 vi ACKNOWLEDGMENTS My special thanks go to Dr. Louise Sause, Co-chairperson, who guided me through my graduate program and the rough drafts of my disser- tation. Special thanks go also to Dr. Charles Blackman, Chairperson of my committee, who patiently guided me through the final stages of writing the thesis after Dr. Sause accepted an Australian teaching/ consultant position. Rarely does one have an opportunity to work with two such outstanding people as Dr. Sause and Dr. Blackman. My appreciation is extended to my other committee members, Betty Garlick, M.A., Dean Robert Green, and Dr. John Schweitzer, who substi- tuted for Dr. Robert Green during his sabbatical, for their personal interest and support. Karen Fisher and Jo Grandstaff executed the typing and expert attention to detail. Their skills made for a smooth finish. To my daughter, Alison and my son, Ralph, for their love, patience, endurance and encouragement in my writing, I dedicate this dissertation. vii Solomon Grundy, Born on Monday, Christened on Tuesday, Married on Wednesday, Took ill on Thursday, Worse on Friday, Died on Saturday, Buried on Sunday, And this is the end of Solomon Grundy. Anonymous childhood chant. CHAPTER ONE INTRODUCTION Background There is a growing awareness in the United States, and the United Kingdom as well, that modern persons, unlike their predecessors are unable to accept death as a part of life. Although twentieth century persons display great ability in mastery of their environ- ments, technologically and scientifically, they have been unable to unlock the mystery of the creation of life or the controlling of death. Death can be postponed and the misery of dying can be alleviated due to scientific and technological advances but as a very perceptive eleven year old Australian boy wrote: ...Death is but death. Death is like growing of people. It cannot be stopped.1 If, as the young poet said, "Death cannot be stopped," then, let us look at the manner in which death has been handled this century. When the twentieth century literature on the subject of death is reviewed, two themes appear dominant: the refusal of our society to face death honestly, and the scarcity of reliable information and systematic study on death. In l972 Robert Kastenbaum was lamenting the situation when he stated, "No topic in psychology has been more neglected through the years..."2 Interest in helping professionals' awareness of death, exists in the medical literature. Kubler-Ross, Quint, Cook, Kastenbaum, Kalist maintain that medical professionals avoid and deny death.3 However, in the literature of other helping profes- sionals the studies are very scarce and in some disciplines are non- existent. In l967 Earl Grollman discovered the lack of awareness among educational psychologists on university faculties about death as a serious subject for study by teachers.4 No studies were located on the attitudes or awareness of teachers toward death. So questions arise. Do helping professionals such as teachers reflect the society in which they work? Would this mean helping professionals who work with young people are avoiding and/or denying death? Would the avoidance of death be helpful or harmful for young peoples' development? If not avoidance, how does one handle the topic and the feelings of a child in a sensitive manner so the child gains from the encounter? And then, how does the pro- fessional handle her/his feelings? It is difficult to give guidance and support to young people if the adult's feelings are in turmoil. What type of guidance and support is necessary for young people? Has any research been done specifically with professionals who spend large amounts of time interacting with young people? So many ques- tions surface but few answers are available for helping professionals. If the educational psychologists, those helping professionals who are trained specifically in focusing on young peoples' learning and behavior in the educational setting, are not aware of the relevance of death as a serious topic for the attention of teachers, questions quickly surface centering on classroom teachers. Are classroom teachers aware of death as a relevant topic for study by their students? Do teachers have a professional need for aware- ness of this aspect of their students' lives? Are teachers know- ledgeable about the happenings concerning death in the lives of their students? What effect, if any, does death have on the lives of students and teachers within the school environment? Does experiencing death change behavior? What behavior signals the teacher for closer observation of the young person? Whether there is awareness, lack of awareness or some degree of awareness between these two extremes, one fact remains constant for the teacher and the student. Each student is spending a sig- nificant amount of time under the influence of teachers. Classroom teachers, particularly elementary teachers, often spend as much time with their students as do the parents of these youth. A teacher's opportunity for influence with young persons is awesome. Therefore, a teacher's attitude toward death, a teacher's skill in observing the effect of death on students, a teacher's decision to follow through, or not follow through on the observations and the teacher's sensitivity in executing the follow through, has the potential for great effect on young persons' lives. Surely, then, teachers' attitudes toward such a universal experience as death bear closer scrutiny. The absence of attitudinal studies centered on teachers as helping professionals in death education, causes one to ask: Are teachers aware of the experiences with death encountered by their students? If teachers are aware, do they act, or not act, upon this awareness when interacting with their students and other adults in the school community? Is this awareness used when teachers deve- lop and plan curriculum? And lastly, are there differences in awareness, and the use of awareness, among teachers of different age groups? The Problem Too little is known about teacher awareness of student death experiences, and the use of this awareness. Therefore, an explora- tory study needs to be conducted in which the following questions are explored: Are teachers aware of their students' experiences with death? If they are aware, do teachers use this awareness within the school community? Further, are there differences in the aware- ness, and the use of this awareness, between teachers of children and teachers of adolescents? In order to answer these questions a population was defined, a sample selected, and a methodology developed. Significance of the Problem If death is important in young people's learning and develop- ment, then, the integration of young persons' death experiences into their school lives becomes equally important. It follows that professionals working with young people would need similar oppor- tunities for exploring the role of death in their development. Consequently, the issue has broad implications for curriculum development in a pre-school through twelfth grade school setting as well as for the preparation of teachers in a university/college setting. If the present study reveals there is little or no awareness by teachers of the part death plays in their students' school lives, it would leave teachers unaware in other significant areas such as: understanding the behavior of their students in relationship to death, helping their students understand and learn about a universal conCept which directly affects their lives, giving necessary support for the healthy development of the young people in their classrooms and for a healthy school community. In the event teachers are aware, then the transformation of this awareness, and the manner in which it is transformed, becomes of primary importance to students and teachers. The quality of the process used by teachers in their interactions with students, their planning of curriculum and their decisions about integrating, or not integrating, death into their students' lives becomes very significant in the growth of young people. The results of the study will raise crucial questions. Will a teachers's lack of awareness in the death experiences of her/his students have consequences for her/his teaching, for the learning atmosphere in her/his classroom and building, for her/his relation- ships with her/his students and school community, for her/his students' development, and for the teacher's professional develop- ment? Where does the aware teacher receive support for herself/himself while helping students deal with death? Where can the teacher develop skills in observation, interaction, values clarification, and curriculum planning? What opportunities are available for a teacher in gaining more knowledge and understanding of herself-himself, and her/his students, in relationship to death? And finally, how do teachers with different degrees of awareness and different levels of usage of their students' death experiences co-exist and learn from each other? The Population and Setting The decision for conducting the research within the context of Michigan State University was made for two reasons. First, a university setting would provide a heterogeneous population. The teachers would have varied family backgrounds in culture, geographi- cal locations, race, religions and socio-economic status as would the children taught by these teachers. Further, the teachers in the university summer setting would be in a less pressured situation of time for self and time for reflection than a salaried teaching setting would provide. The specific university identified for the research was chosen because of characteristics which held special relevance to the research being conducted. The teachers were employed by schools which served children from varied backgrounds. Selection of teachers from a heterogeneous group of this description reduced the chance to have data from a homogeneous group of children. Finally, but not least important, is the fact that the researcher was acquainted with the setting and instructors which facilitated entry into the classes for the request of volunteers for the inter- views. —I—A%_____¥ Methodology An interview focusing upon the teachers' experiences with childrens' encounters of death within the past teaching year was the method selected for the collection of data. In choosing this method, the skills of teachers in observing young people were considered a foundation for the interviews. An interview guide was developed to provide a framework for the collection of data. Definition of Terms The terms of interest, as used in the exploratory questions, are defined as follows: student's death experience - a death, non-human or human, which the student has encountered within the past school year as reported by her/his teacher in the interview. teacher's awareness of the student's death experience - the teacher reports the death experience of a student and/or describes the student's response, if any, to the death experience in her/his observations during the interview. teacher's use of awareness - the teacher's description of her/his behavior, if any, in response to the student's behavior surrounding the death experience as reported in the interview. Limitations Certain limitations were inherent within the design of the research. The findings of this study cannot be generalized beyond the sample studied. The thirty-six teachers who were subjects for the study were graduate students attending Michigan State University. No other group was interviewed. As an exploratory study, it was not the intent of the author to make generalizations for a large popu- lation. Rather, the interest was primarily to identify issues for other exploration. Demographic information related to age, amount of teaching experience, and teaching localities of the respondents were not obtained. A balance of teachers of children (children defined as 4 - ll years) and teachers of adolescents (adolescents defined as 12 - l8 years) was obtained. Lastly, the interviews were conducted by the author herself. The author was the sole interpreter of the data as well. Summar In this chapter, the background to the present research was discussed, and the specific problem to be addressed by the research was defined: Are teachers aware of the experiences with death encountered by their students? And if so, do teachers use this awareness in their teaching and interactions with others in the school environment? Finally, are there differences in awareness, and the use of awareness, between teachers of children and teachers of adolescents? The selection of the university setting for the research was discussed and the specific university population chosen for the research was described. The methodology chosen was identified; an interview conducted by the researcher utilizing an interview guide for the gathering of data. The questions in the research were specified and then the limitations of the research were noted. 10 In the following chapter, the literature and research perti- nent to the present investigation are examined in detail. In Chapter Three, a more detailed discussion of the research setting and metho- dology is given and is followed, in Chapter Four, by the reporting of the data. A final chapter includes a summary, reflections on the research, some final observations on the interviews and the recommenda- tions for program development and research. You would know the secret of death. But how shall you find it unless you seek it in the heart of life?... If you would indeed behold the spirit of death, open your heart wide into the body of life. For life and death are one, even as the river and the sea are one. Kahlil Gibran ll CHAPTER TWO YOUNG PERSONS AND DEATH: A REVIEW OF RELATED LITERATURE AND RESEARCH Young persons learn about death."2 Certainly most author- ities in the death and dying field would agree with this statement. Consensus would not be so easily gained for other statements and questions. For instance, young people need help in learning about death. Who should help children in their learning about death? Should teachers be included in the group of helping professionals? Do teachers initiate the topic of death for discussion or do teachers avoid this subject? Is it important for children to have a basic concept of death? Do children mourn? If mourning is possible for young persons, what are the consequences if they do not mourn? Is there any relationship between the effects of death on young people and the role of the teacher? Should death and its ramifications be included as part of the curriculum? Some of these questions have been given serious attention since l940 when Sylvia Anthony confronted the taboo which had been placed on the study of death: the development of a concept of death 3,4 and the need to mourn have been studied most seriously. Other questions, only recently, have been considered, particularly those 13 queStions relating to schools, teachers and curriculum. From l959 to the present the literature on young persons and death has grown steadily but the volume has been limited. There is a scarcity of literature which relates young people, teachers, schools and death. Most of the existing material has been done in relatively recent times by professionals concerned with mental health such as psychiatrists, psychologists and ministers. In the review of the literature, attention is first given to the historical development of society's attitudes toward death. Next, consideration is focused upon the helping professionals' attitudes toward death and lastly, attention is given to the needs of young persons in relationship to death. Historical Development of Society's Attitudes Toward Death Until we know what life is, how can we know what death is? Confucius The curriculum of the public schools in the United States is interrelated with the attitudes of the society in which the school operates. Due to the importance of society's attitudes and its relationship to the school, the writer investigated society's past attitudes toward death as revealed by earlier studies. Primary emphasis was placed on the studies done by United States' citizens with the inclusion of some British studies. 14 Society's Attitudes Toward Death From l899-l959 "Death has lost its terrors," wrote Joseph Jacobs in "The Dying of Death" in 1899.5 Contrast Jacob's statement with the following quotes from authors of recent death literature: A study recently done by the National Institute of Mental Health revealed that 80 percent of children's fears were concerned with death.6 A 'psychology of death' is both premature and overdue.7 One of the most important facts is that dying nowadays is more gruesome in many ways, namely more lonely, mechan— ical, and 'dehumanized'; at times it is even difficult to determine technically when time of death has occurred.8 Surely Robert Fulton's question in l970 "Is death dying in the United States?" has different meanings completely than Jacob's title, "The Dying of Death."9 Death is the new pornography; this is a common statement by authors in the death and dying f1.‘.,]d.1o,11,12,13 What has happened during the past 75 years to bring the researchers and practitioners of today full circle since 1899? In l9l5 Sigmund Freud in his essay, "Thoughts for the Times on War and Death" wrote that death was natural and inescapable; yet the behavior of people did not reflect this attitude. "We displayed an unmistakable tendency to 'shelve' death, to eliminate it from life. We tried to hush it up: .."14 Certainly people did not speak of the death of another within hearing distance of that person. Only children ignored this limit. Freud advised people to explore their attitudes toward death since people were suppressing and distorting their feelings toward death just as with sexuality.15 15 "Go to any public library and look under 'Death: Human' in the card index, and you will be surprised to find how few books there are on the subject” noted H.L. Mencken in 1919.16 From the early 1900's avoidance of the topic of death was the prevalent attitude in society, but in l930 T.D. Eliot, an explorer in the scientific study of human's relationship with death, suggested social scientists might investigate the psychology of death further.17 From this date a growing concern can be documented. Agee's novel, A Death in the Family, published in 1938, brought the topic to the literary world in a very realistic manner.18 Thirty- four years later Edwin Shneidman states, "Agee brings out the fact that the taboo of the word death is inculcated in people from child- hood. Aunt Hannah and Mary explain the idea of death to Cathy and Rufus in the most indirect terms."19 During the 1940's the treatment of death as a topic for consideration appeared more acceptable to those people working with children than those working with adults. Bro, Baruch and Gesell/Ilg considered the subject of death important enough to include it as a 20’21’22 Bro's treatment of death is section in their books. religious in nature and Christian in particular. Nonetheless, she is open to differences and her philosophy is based on sound develop- mental principles for childrearing. You, Your Children, and War by Baruch has an entire chapter devoted to "Talk of Killing." Gesell and 119, not only have a short section on the development of the concept of death in children, but also include in each age level a L_____ 16 category entitled, 'Philosophic outlook' which covers 'Death and Life'. Interestingly enough, none of the three books mention death as a taboo topic. One of the most well known authors in the area of children's conceptualization of death, Sylvia Anthony, published her disserta- tion, "The Child's Discovery of Death" in 1940. In the introduction Professor Fluegel mentioned aversion to the topic of death: There is no corresponding literature on the psychology of death--and this in spite of the fact that psychoanalysis has shown that in many important respects our attitude toward death is similar to that toward sex. Both subjects are often unpleasant, inasmuch as they tend to arouse anxiety...; we often react to both forms of unpleasure and anxiety by the same devices of flight, repression, taboo and symbolism (we talk of 3 'departed friend' as we talk of a 'fallen' woman, ...)2 Fluegel continued then to congratulate Sylvia Anthony "on having had the courage to overcome the resistances and taboos which have hither- to surrounded this difficult and delicate subject--a courage compar- able to that of the writers who braved the corresponding sexual taboos a decade or two ago." Two years after the end of World War II a diary of a young girl who dared to live joyously in the face of death stirred the hearts of the world. Anne Frank: The Diary of a Young Girl was made into a film and a play as well.24 In l948 Evelyn Waugh described in very graphic terms the funeral customs practiced in the United 25 States. The Loved One was a well discussed novel. The next year John Gunther wrote Death Be Not Proud. This book was a poignant and 26 moving tribute to his son who died at the age of l7. So ten years after Agee's sensitive treatment of death via the novel, the literary world added three other works focused on death. Undaunted by the scientific world‘s concern over the resistance to the idea of death, Edith Hunter and Anna Wolf treated the "untouchable" topic in different ways. Hunter, in The Questioning Child and Religion (1956), devotes one chapter to "The Cycle of Life and Death." "We wish to open all possible windows on the subject of death. We do not wish to close our children off from all views ”27 except our own. Wolf wrote a pamphlet for the Child Study Association entitled, Helping Your Child to Understand Death (1958). She believes parents are unprepared for children's questions because death is no longer a part of family life.28 And Charles Wahl, in 1958, thought people used magic a great share of the time in facing death. "Firstly the word death is itself taboo, instead cumbersome and elaborate euphemisms such as 'passed on' or 'departed' are employed.” It was his opinion that a huge and extremely expensive industry existed for the sole reason of protecting us from the realities of death. Then, too, most people identify with a religious or philosophical system which guarantees our immortality. ”We flee from the reality of our even— tual death with such purpose and persistence and we employ defenses so patently magical and regressive that these would be ludicrously obvious to us if we should employ them to this degree in any other area of human conflict."29 ~—-‘_—-— ‘-—_..___ 18 Would the coming years bring less magic and more acceptance of death? The next section reviews the literature relevant to the years from 1959 to the present. Society's Attitudes Toward Death From 1959 to the Present A major work, The Meaning of Death, edited by Herman Feifel, appeared in 1959 and this book acted as a catalyst to the literature on death. If time span is considered, the articles dated from 1934 to 1958; however, most of the writings ranged in the late forties or late fifties. Certainly the interdisciplinary nature of the collection was its most striking feature. Art, English, anthropology, psychiatry, religion, philosophy, and politics were a few of the disciplines represented. Feifel identified three themes stressed by contributors: l. The outlook of the United States toward death is mainly one of "denial and avoidance." This poses ramifications for the individual and for society. 2. Our science-conscious culture tends to measure exper- ience within the bounds of space and time and possibly we are not provided "with all the necessary parameters for investigating and understanding death.” 3. More trustworthy knowledge is urgently needed; more planned, controlled study on the topic of death is a necessity.30 This same year Thelma Fraiberg in The Magic Years considered the topic of death of enough importance in child-rearing to include a discussion of it in her book.31 There are two collections of children's writings which reflect eloquently the feelings of children ”caught in World War II.“ 19 , Children of the A—Bomb, edited by Arata Osada, Past President of Hiroshima University, in 1959 is a testament of the boys and girls I of Hiroshima who experienced the A—bomb. The following quotation I is an example of a high school senior's comment: : ...Science--what in the world is this science? Such an atom bomb is undoubtedly a crystal of scientific progress. I But can it really be said that a thing which takes several l hundred thousand human lives at one time is true I scientific development.32 1 I An undated book ...I Never Saw Another Butterfly... is another powerful, heart-wrenching collection of children's drawings and 1 poems from Terezin Concentration Camp during the years 1942—1944. I Out of 15,000 children under the age of 15 who passed through ( Terezin, 100 exited alive. Eva Pickova, 12 years old, left this : poem: FEAR Today the ghetto knows a different fear, Close in its grip, Death wields an icy scythe. An evil sickness spreads a terror in its wake. The victims of its shadow weep and writhe. 9 Today a father's heartbeat tells his fright and mothers bend their heads in their hands. Now children choke and die with typhus here, A bitter tax is taken from their bands. My heart still beats inside my breast While friends depart for other worlds. Perhaps it's better - who can say? Than watching this, to die today? No, no, my God, we want to live! Not watch our numbers melt away. We want to have a better world, 33 We want to work - we must not die! L______E 20 By 1965 there were still less than 400 entries in R.A. Kalish's bibliography entitled, "Death and Bereavement," published in the Journal of Human Relations.34 a study, Death, Grief, and Mourning, in which he concluded that English society did not give support for the process of mourning. He also noted the entwinement of sex and death as so many other authors had. In 1955, I had put into words my awareness that death had superceded sex as a taboo subject and one surrounded with a morbid and furtive fascination for many people, according to the evidence of the horror comic and the 'X' film; I called my essay 'The Pornography of Death'.35 In Death and Identity Fulton's view of the research was a much more positive one that that of most other writers in 1965. He thought researchin this area had “burgeoned” in the United States since the publication of The Meaning of Death by Feifel in 1959. Although Feifel could, in truth, state six years ago that we possessed little systematic knowledge about attitudes or reactions toward death, and that not enough attention had been paid to the implications of the meaning of death in this country, the situation was now changed perceptibly. Research into grief and bereavement, studies of attitudes toward death, and recorded responses to death and dying have begun to appear in increasing plentitude in the social and medical science literature.36 Interestingly enough, in 1965 Wolfenstein and Kliman, the editors of Children and the Death of a President, made no mention of "the avoidance of death" pattern by society except as a natural part of the review of literature when Feifel and Gorer are cited. The editors did touch, however, on the fact that the death of President Kennedy had been very shocking and distressing to them. It was difficult for them not to feel uneasy pursuing the study of In 1965 Geoffrey Gorer completed 21 37 a death so close to all of them. This same year Edgar Jackson, a Protestant minister, wrote a slim but practical volume entitled Telling Your Child About Death.38 After Sylvia Anthony's dissertation, "The Child's Discovery of Death" in 1940, there was no major work relating children and death until 1967. Rabbi Earl Grollman was the editor of Explaining Death to Children; the book was a compilation of articles from various disciplines of psychology, children's literature, psychiatry, anthropology, biology, sociology and religion. Louise Ames, who wrote the introduction for the book, stated: We seem to be trying to put death and the thought of death into the background if not denying it entirely. .A significant and demanding theme which runs through the whole presentation is that if we as individuals and as a society could ourselves come to terms with death, we could do a better job in telling our children about it.39 Grollman said, ”One of the reasons why many persons reject the aged is that they remind them of death. Discussion about death is relegated to a tabooed area formerly reserved for sex and dread diseases like cancer."40 Mothers and Daughters by Edith Neisser came off the press the same year as Grollman's book. One chapter of the book was devoted to death; "What the Death of a Mother Means to Her Daughter.” She thinks this particular event is even more difficult for those involved because our society copes so poorly with death and the accompanying grief.41 Joseph Rheingold, in 1967, trod on two taboos; he wrote on death and maternal destructiveness. In The Mother, Anxiety, and 22 anth, Rheingold maintained that "The taboo of maternal destructive— ness is more fundamental and more difficult to overcome than the taboo of death.42 In 1969 Elisabeth Kubler-Ross, an experienced psychiatrist, wrote On Death and Dying; this is the book which opened the emotional dam in the area of death and dying in the United States. In the book she tells of the wall of resistance erected by the professional medical staff when she requested interviews with terminally ill patients. Some reacted with "stunned looks of disbelief” while others changed the topic of conversation suddenly. The staff made certain she never came near a dying patient. Some doctors protected patients with weak excuses such as the patients were too sick or too weak or too tired or did not want to talk. Others directly told her they would have nothing to do with the study while others said they would think about it. Nurses became angry with Kubler-Ross and walked away from her so they would not be forced to respond to her.43 As the well-known psychiatrist has said, “The more we are making advancements in science, the more we seem to fear and deny the reality of death.“44 The year 1969 was a very prolific one for literature on the topic of death. Still another book that year, Up From Grief, by Kreis touched on a more personal level. She believes that the great share of people are not prepared for death for themselves or their friends or family members.45 During the same year Austin Kutscher edited But Not to Lose: A Book of Comfort for Those Bereaved. 23 He does not mention that death is not a topic for discussion; per- haps this is because his interest in death came as a result of experiencing his wife's death. In the prologue he calls the book ”a labor of love." I still live in the same house. Many of the same birds, the wood ducks and the swan, are still in your back yard. Many of the relics that Jane and I collected in our travels are about our house. But there are no ghosts. Memories that for a time were inexpressibly sad have once again become a source of deep pleasure and satisfaction.46 Nicholas Tucker, a British developmental psychologist, wrote two articles touching on the death theme. In the 1969 article, ”Why Nursery Rhymes?" there is a section entitled 'No Taboo on Death'. “Death, so often ignored as a theme in children's litera- 47 In "Books that ture, occurs frequently in nursery rhymes.” Frighten" Tucker mentions that rhymes including death have been eliminated from anthologies while others have been rewritten. In 1970, Elizabeth Reed's Helpinnghildren with the Mystery of Death was followed one year later by Sylvia Anthony's reworking of her 1940 material; ”repeating and adding to earlier observations, relating them to later researches in kindred fields, placing the ”48’49 In the whole in the sort of setting such a subject deserves. introduction to this new book, The Discovery of Death in Childhood and After, Anthony reviews the death taboo and identifies the later 1950's as the time the taboo began to lift generally. She devotes more attention to the topic of the development of the concept of death in children and the lack of study done since her 1940 work. 24 From her perspective the taboo is lifted with Herman Feifel's book in 1959. ...the psychological problems of the profession itself in this context were treated with frankness and perspective, and the inclusion of an eminent psychologist among the contributors, by recognizing the involvement of workers in other disciplines, came like a breath of fresh air.50 In the journal Young Children in August 1972 an article, "A Matter of Life and Death” by Harlene Galen suggests practical guidelines for teachers in handling the subject of death with young children. These guidelines were a result of the discovery that a nursery school staff desired “reassurance of the validity of coping with this subject in the preschool."51 The shunning of death was discovered when photographs of the pupil's participation in ”playing dead” were consistently blurry or poorly composed as compared to the other well—composed and sharply focused photographs. Discussion with the staff revealed this was not due to chance. The teachers felt very ambivalent about including the subject of death--even "playing dead"--in the early childhood curriculum.52 And in 1972, Robert Kastenbaum was writing that the topic of death in psychology had been neglected. No topic in psychology has been more neglected through the years--yet one might contend that psychology originated in thoughts about death.... We are struck by how little our own field, psychology, has contributed to the under- standing of death in proportion to its more general contributions to human knowledge. Kastenbaum suggests in his book, The Psychology of Death, that mental health specialists are attempting to decontaminate the topic of death. He gives credit to Feifel for recognizing that "there could 25 be no really useful psychology of death until people, including his own colleagues, were willing to accept this topic as relevant and legitimate.54 Dumont and Foss in 1972 added to the lament over the scarcity of research concerning the understanding of people's attitudes toward death. "Despite the obvious importance of understanding people's attitudes toward death, empirical research in the area is not as yet very extensive. In fact, the social sciences have only recently ventured into death research."55 This book also was an attempt to bridge the "denial vs. acceptance of death argument.” Dumont and Foss thought people accepted and denied death simultaneously; there was no one view then, butviews of varying degrees of denial or acceptance. John Langone, in 1972, wrote, ...But first, one must be willing to approach the subjects of death and dying in a way that removes them from the grave, as one would approach any topic of study. Death is a noun, and it and dying are very much a part of the story of life. It behooves us to read the story in its entirety.56 The same year Robert Kavanaugh, a former priest and present counselor and university teacher, wrote about the relationship of death and pornography. Writing this book has not been easy. Friends hear you are writing, inquire avidly about the subject, then gulp and look away when you tell them. No wonder death is now known as the new pornography and Americans as the new Victorians of prudery about death. Some days I feel like the teller of bawdy jokes in a girl scout camp or convent parlor.57 LII‘ DE 26 Avery Weisman agreed with Kavanaugh that the majority of adults cannot confront death or even accept death. "Death is not real; yet it is constantly around us."58 Despite this tendency, death, as a subject for study, is becoming of more interest to the general public. A monthly magazine of national standing found half again as many respondents to a poll on death as to a poll on sex.59 Shneider reported a similar experience. Even so, the same year Milton Mayer commented in If Men Were Angels, “The paper-thin bibliography of the subject (death) is eloquent testimony to the invincibility of our ignorance."60 A medical journalist, David Hendin, reports that the bibli- ography is not so thin for the specialist. He notes that it has been only in the past few years that physicians and even theologians have had courses on death and dying available in their professional training. Even today such courses are conspicuously absent at most of the nation's medical schools.51 Yet still in 1972 Talcott Parsons, Renee Fox and Victor Lidz noted in an article, "The Gift of Life," which appeared in the book, Death in the American Experience, the concern of both medical and secular groups with the different aspects of death and dying. Parsons felt that both medical students and physicians had an increased interest in the topic; the literature was growing rapidly.62 Neale's, The Art of Dying, was one of the first attempts to go beyond a "strictly reading approach" to death education. The purposes of these exercises is to facilitate our own movement from death to life. ..., we will explore our awareness of death in the midst of life and our fear of death and life.63 27 A year later in 1973, Marya Mannes said, Many brave and eloquent men have looked death squarely in the face. 'My bags are packed,‘ said Pope John XXIII in 1965. 'I am ready to go.’ But now the open dialogue of death is far more pragmatic than poetic because machines control the time and definition of death.64 Sarah Cook, Assistant Professor of Nursing at Columbia University, added a slim book, Children and Dying, to the death literature in 1973. She noted that most of the articles and books relating children and death speak of the importance and difficulty of the subject along with the scarcity of material. She contends, however, that once the research process is underway the "articles seem endless." It is as if each author must go through a long, researching process of his own in order to arrive at some opinion about the subject. Closer perusal of the material does indicate that there is a paucity of new material on the subject, and that many 'new' articles (as this one) are a recombination and republication with editing of past work. ...The earliest evidences of work in this area do not appear until the 1930's and early l940's, and then there is an absence of material until the late 1950's and early 1960's, when an explosion of material occurs.55 When Qgestions and Answers on Death and Dyipg was published 66 This in 1974, Kubler-Ross had dropped "the avoidance of death." particular year, 1974, reputable writers added significantly to the literature on death and dying; Kubler-Ross, Aries, Grollman, Lifton, Keleman and Zeligs are a few. The tone and attitude toward death is very different for the most part. The extensive quotes give a flavor of the change, along with some sense of the consistency of their messages. 28 Aries was "convinced by his research that it was indeed the culture of the United States which has played the primordial role in changing Western attitudes toward death in the twentieth century."67 He also gives a concise review of the death and dying scene: During the last ten years in American publications an increasing number of sociologists and psychologists have been studying the conditions of death in contemporary society and especially in hospitals. (A bibliography of 340 recent works is to be found in 0.G. Brim et al., The D in Patient (New York: Russell Sage Foundation, 1970.) This bibliography makes no mention of the current conditions of funerals and mourning. They are deemed satisfactory. On the other hand, the authors have been struck by the manner of dying, by the inhumanity, the cruelty of solitary death in hospitals and in a society where the interdiction of death paralyzes and inhibits the reactions of the medical staff and family involved. ...And this para-medical literature, for which, as far as I know, there is no equivalent in Europe, is bringing death back into the dialogue from which it had been excluded. Death is once again becoming something one can talk about....68 Contrast this with Feifel in 1959 when he spoke of Western culture in quite a different tone: In the presence of death, Western culture, by and large, has tended to run, hide, and seek refuge in group norms and actuarial statistics. The individual face of death has become blurred by embarrassed incuriosity and insti- tutionalization. The shadows have begun to dwarf the substance. Concern about death has been relegated to the tabooed territory heretofore occupied by diseases like tuberculosis and cancer and the topic of sex. We have been compelled in unhealthy measure, to internalize our thoughts and feelings, fear, and even hopes concerning death.59 Lifton, a psychiatrist, refers in Living and Dying to the unavoidable pressures which society exerts on people. Historical struggles strongly influence the subjects psychologists choose for study. In our time, massive violence and absurd death have made this century one of horror for millions of people. Death has become unmanageable for our culture, and for us as individuals... 29 What is needed now, we believe, is an approach to death that is both sensitive to personal exgerience and respon- sible to broader currents of thought. 0 Keleman, Lifton and Aries sound more positive about increasing 71 concern with death and its aspects. Grollman's book in 1974, Concerning Deat , concentrates on the avoidance theme at great length. And yet, the subject of death is the most significant taboo of our society. There is a vast conspiracy involved in hushing up the new four-letter word of pornography. D-E—A-D. Death has become the forbidden topic, replacing sex as an object of repression.... Death is not only camouflaged; it is avoided. For many, the theme is an obscenity not to be discussed or even mentioned. There is a superstitious belief that if it is not talked about, it will simply disappear. Death itself will 'pass away'. It is what some social scientists call 'The dying of death'. Despite Grollman's negative view of the situation, the Journal of Clinical Child Psychology in the summer of 1974 devoted an entire issue to "Death and Children."73 Feifel, Kastenbaum, Maurer, Kubler-Ross, Lifton, and Leviton are but a few of the outstanding contributors to that particular issue. And the May-June 1975 issue of Children Today concentrated on "Child Abuse” as the central theme; since the fear of death is one of the main issues of child abuse this topic seems very relevant to the subject of death and children. Perhaps if death can be put in perspective by society, it will be easier to put life into an equal place with death and related issues such as child abuse.74 By 1976 professionals sounded more certain about their views on death. Eda LeShan, an educator, writer and family counselor 3O opened the introduction to her book with firmness on her stand about children and death. Some people may find this book shocking. There are those who believe that children should be 'protected' from talk about death and dying, that painful experiences which are not discussed will just go away and be forgotten. This is wrong. We now know that this is just a temporary masking of feelings which can be very hurtful to us all through our lives. What I have learned from many years of working with children and their families and from my own experience is that the most important part of living through a terrible experience is to understand and accept your feelings.75 Although society has avoided and denied death since the beginning of this century, the past ten years indicate a growing concern which is evidenced by an explosion of literature in the death and dying field. How will this change of attitude filter from the research arena to the individual supporting those exper- iencing death with all its ramifications? Do the attitudes of the helping professionals, who hold the responsibility for disseminating the change of attitude, differ from society in general? Attitudes of Helping Professionals Toward Death Teacher, teacher, Will I die? Yes, my child, And so will 1! Anonymous childhood chant 31 Once upon a time a patient died and went to heaven, but was not certain where he was. Puzzled, he asked a nurse who was standing nearby: "Nurse, am I dead?" The answer she gave him was: "Have you asked your doctor?" Anonymous, circa 1964. Barney Glaser and Anselm Strauss Awareness of Dying "Even for professional men and women euthanasia and death remain an almost taboo subject--just as sex was once taboo," states Dr. Florence Clothier, a former faculty person in psychiatry at 76 Harvard Medical School. Herman Feifel comments, Some colleagues and I are now engaged in scrutinizing these attitudes in students entering areas where coming to grips with dying, death and bereavement is an essential feature of their professional functioning, i.e., the ministry, medicine, nursing, and funeral directing. 7 Since it is the professional group which sets policy for our institutions, it is interesting to note that Trubo and Shneidman both mention the unhealthy state of our institutions in relationship to the topic of death and dying. Shneidman speaks of the dehumanization of our society and the urgent need to reverse our present national death-oriented course. "But in order to avert the death of our own institutions we shall, in addition to being the home of the brave and the land of the free, have to become the country of the 78 Trubo is more direct than Shneidman. "How, in fact, do humane." you convince people to confront their own dying and death when many of our major institutions--from health agencies to hospitals to religious groups--encourage us to deal so unrealistically with death."79 32 Attitudes of Medical Professionals Toward Death Seventy-five percent of all deaths will occur in crowded hospitals or homes for the aged where the goal is to improve the health of the patient.80 If a terminal illness interrupts this goal, then the objective is to keep the patient quiet and comfortable to the end. In meeting this objective most health personnel use drugs because of their limited knowledge.81 Kavanaugh states: "The plain facts of the matter are clear; staff peoples such as doctors and nurses receive no rewards for responding in a human way to dying patients."82 Elisabeth Kubler-Ross verifies by her personal experience, both in her workshops and writings, that nurses and doctors avoid death and the dying patient.83 Certainly the title of her book tells her message; On Death and Dying: What the Dying Have to Teach Doctors, Nurses, Clergy and Their Own Families. She has explained with very poignant and often dramatic observations that doctors, nurses and all other professionals in human services, as well as lay people, have much to learn about death. Most likely, nurses, as a group, have had the most exper- iences with death and dying; nonetheless, they tend to deny death and conceal it from others. Richard Kalish concludes from a study "...the nurses, although not the observer, were startled to learn "84 how much they delayed answering the ring of the dying. In Ihg_ _E§ychology of Death, Kastenbaum reports a study which he made while working with nurses in a hospital setting. 33 The nurse is likely to be a person with at least average, often above average, compassion for the ill and suffering. While some nurses, as some physicians, manage to insulate themselves from the emotional implications of their work, it is more typical for the nurse to care about what her patients are going through. Yet it is also typical for the nurse to believe that she should not 'give in' to her feelings even to the extent of '1etting them show' to others.86 In The Nurse and the Dying Patient, Jeanne Quint maintained the nurse's goals are not consistent. She is told "to keep the patient alive at all costs" but at the same time she is “to help him die in a dignified and comforted manner." There is little importance placed on conversation as an important content area for nurses' training. While the technical aspects of nursing care are given in most explicit ways, there is little specialized direction in the use of conversation in the best interest of patients.86 Kastenbaum found Quint's observations were consistent with his findings. He concluded: We arrive at a general view of the nurse as a person who must cope with the daily challenges and demands of the death situation--yet lacking the authoritative leverage of the physician, lacking relevant training from her own profession, and lacking on-the-job atmosphere that would support her in times of personal distress or in her more adventuresome and involved efforts. It is no wonder that she may lean heavily upon unexamined cultural values and attitudes. Nor should we be hasty in asking her to function within the vicinity of the terminal patient. As with the funeral director and physician, we sent the nurse forward with conflicting orders ringing in her ears. We are not sure precisely what we want her to do with death except, somehow, to keep it out of sight. In Greenberg's and Irwin's study with medical personnel, they interviewed all first year residents and all nurses between 20 and 30 at a cancer research center about their attitudes toward work and 34 88 It was common for the nurses to their attitudes toward death. respond in a psycho-social manner by withdrawal and isolation, but very often they sought relief by talking with roommates or parents via long distance. Half of the nurses servicing cancer patients left by the end of the year, whereas one-fourth of the nurses left the cardiac and psychiatric services. There were no nurses who would discuss death with the patient or deal with the patient's feelings. Questions from patients were fielded to the doctors. However, there was no discussion of the questions among the clinical personnel. Sarah Sheets Cook, a nurse and author, suggests The core of the problem of dealing with childrens' percep- tions of death and with dying children seems mainly that nurses are human beings, living in a society where death is a hateful and distressing experience and working in a profession which regards death as an enemy.89 Glaser and Strauss have a similar view: ...Nurses import into the hospital the values of our society and act accordingly...what surely can be done is to become deliberately aware of the importation so that responses to social loss will not hinder professional requirements for composure and care.90 The person who should know more about dying and death than any other is the doctor, since he spends a good share of his life with people who have death and/or pain as a companion. August Kasper does not think the medical profession supports this thesis, however. I am not impressed with either the volume or profundity of medical thought concerning death or dying people. It is as if this one certainty of life were to be avoided not only by vigorous positive thought and action, but also by giving it, as an event, no more attention than one gives to a period at the end of a moving impressive novel.9 35 Hennan Feifel interviewed 81 physicians and two control groups, one of healthy normal persons and one of seriously ill patients. He contended from the results that physicians tended to have an above-average fear of death. Further, he also found “the implication that a number of physicians utilize the medical profes— sion so the individual can secure prominent mastery over disease, to 92 A personal accident, help control personal concerns about death." illness, or threat of death before the age of five was the major reason given for these fears. Livingston and Zimet, a physician and a psychologist, studied physician's orientations toward death. The medical students studied were specializing in surgery, internal medicine, pediatrics and psychiatry. The results of the questionnaire showed those students who scored high in authoritarianism expressed little death—anxiety while death-anxiety increased as the students moved 93 Both Feifel and Gorer from the academic to the clinical setting. report that physicians think of themselves as different from patients if terminal illness is the consideration. Even though physicians want the truth, they do not feel their patients want the truth about terminal illness.94 Kubler-Ross and Feifel have told their personal experiences with physicians while researching in the field of death and dying. Both of these well-known figures in the death literature discovered invisible walls when searching for research settings and population samples. Kubler-Ross said: "Early in my work with dying patients 36 I observed the desperate need of the hospital staff to deny the d."95 existence of terminally ill patients on their war Herman Feifel reported: ...After a few more vetoes in various setups, I began to realize that what I was up against were not personal quirks, the usual administrative vicissitudes, non-acceptance of an inadequate research design, or the pique aimed at an 'outsider' coming in to ruffle smooth waters. Rather, it was a personal position, bolstered by cultural structuring that death is a dark symbol not to be stirred or touched, that it is an obscenity to be avoided.96 The most important factor in working with dying patients according to Kubler-Ross is "our own attitude and ability to face terminal illness and death." Certainly it would be impossible to face death calmly and helpfully with a patient if death is seen as a taboo topic which conjures fear. She continues: ...I am convinced, from the many patients with whom I have spoken about this matter, that those doctors who need denial themselves will find it in their patients and that those who can talk about the terminal illness will find their patients better able to face and acknowledge it. The need of denial is in direct proportion with the doctor's need for denial.9 Marya Mannes in Last Rights comments about the superiority of our medical equipment, research facilities and technical know- how. But no machine can tell them (the physicians) what to say to a dying patient and ease him truthfully but gently into death. It is this worry, this call for help in the night or day, that the '1ower echelons' in the treatment hierarchy of the critically ill are now trying to answer.98 "Over-involvement" is used as a warning often with newcomers to the medical professions. Kastenbaum, however, maintains "under- in-volvement” is at least as grave a danger. He feels many of our 37 destructive attitudes in this shunning of death stem from the failure to identify with other humans. "Death tends to level the distinctions between specialist and everybody else....”99 Have the mental health specialists accepted these ”destruc- tive attitudes?” The next section reviews the literature focusing on the mental health professional. Attitudes of Mental Health Professions Toward Death As natural as the inclusion might appear, Kastenbaum suggests "conspicuous by his absence” as an accurate description of the mental health specialist's role in our culture's death system.100 Certainly the mental health system has expanded greatly in the United States, but there has been no noticeable attention given to death and topics related to death. Even courses for these specialists have not included the topic of death in their content. A year's course in developmental psychology, or even a four year graduate program might not include the relationship between growth and death. A clinical psychologist or a psychiatrist is not apt to enter her/his profession with an adequate knowledge or a sense of involve- ment in death-related questions Kastenbaum maintains.]01 Like Kubler-Ross, Feifel suggests those in the mental health professions must resolve their own fears and concerns about death before they can be helpful and supportive with others confronting death.]02 In fact, Feifel goes much beyond the professional neces- sity for psychological comfort with death. He thinks findings suggest that a person's philosophy of life and death lie at the 38 heart of meaning, value and personality. The manner in which a person views death may be a major organizing principle in determining how we behave. "If, in truth, 'the child is father to the man,‘ .what greater challenge is there to the clinical child psychologist than that the idea of death serve as preparation for living!”103 Feifel believes our schools should be considering “death education“; his view is indicative of a new interest and a changing attitude toward relating children and death within an educational framework. Are teachers prepared for this new development? Attitudes of Professional Educators Toward Death Earl Grollman commented on the lack of awareness among university educators about death as a topic for serious consideration for teachers in 1967. The editor found the selection of an educational psychologist the most difficult of all the contributors to obtain. Numerous calls were made to university professors throughout the country. 'How do you, in the school situation, handle youngsters who have sustained a loss?' The replies were almost the same: 'Frankly, we never thought of it. I guess we leave it to the individual teacher.’ But you give instruction for all the details of academic life. You mean that there is no portion of your curriculum to teachers regarding the crisis situation of death? The resounding response: 'Yes--we have avoided the subject.I 4 39 In "Death: Handling the Subject and Affected Students in the Schools," Hella Moller believes that the deep effect on a child of the death of a parent is not often realized by school per- 105 sonnel. Most often there are not enough “professionals to detect and treat all children who could benefit." (Moller obviously is not including classroom teachers as professionals who could assess the emotional needs of children; nor is she viewing the curriculum as a possibility for exploration of expressing emotions.) The issue of Young Children in August 1972 had an article ”A Matter of Life and Death" in which Harlene Galen comments on the place of death within the life of the young child. Death is not confined to the world of the adult. It has a definite place in the world of the young child as well. The vital importance of the early childhood educator's acceptance of this fact and his associated professional role cannot be stressed too greatly. If the teacher ignores this fact he denies the child's full development of a firm foundation for lifelong sound mental health.106 No studies have been found by the writer concerning edu- cator's attitudes toward death. Some authors have written about ”death education"; criteria have been suggested for effective teachers in death education.107 Leviton in 1974 states: "The pro— liferation of death education courses with children and youth obliges us to offer several recommendations." One of the three recommendations is the training of teachers in death education. It is interesting to note that most of the suggestions directed toward teachers are not given by educators or professionals who have worked with youth. With the exception of Eileen Forman, a kindergarten teacher and Harlene Galen, a nursery school director, 40 those professionals setting criteria and recommendations are educators at the university level, interested in working with adults 108 In the or professionals in related fields such as mental health. field of religion, Earl Grollman is an exception; he shares some of his experiences in working with children. Educators are not prominent in this current and, now more widely discussed, subject of death. Educators most often are missing members of the professional groups included within the death education framework. When Kasten- baum mentions the integration of the dimension of death into educa- tional and training programs, he neglects teachers. Future psychologists, psychiatrists, sociologists and social workers should, we think, be given opportunity to consider death as it is relevant to their prospective life's work. eiélfiimél'l‘eplli'é‘é 21f?223$?faiittéie”fiii§ig.iBis'c'a”s’ In his preface Kastenbaum does include teachers in a list of pro- fessionals he hopes will read the book. Leviton, in the Journal of Clinical Child Psychology, men- tions an article that "death education is taught by sociologists, psychologists, health educators, psychiatrists, specialists in English and language studies, literature, etc.” Although the title of the article reads "Death Education for Children and Youth,” the classroom teacher, the professional person who spends the most time with children having ordinary needs, is excluded from those classified as death educators.no 41 In the Project Headstart Rainbow series there is an example of this type of exclusion from the mental health field in the #12 pamphlet, Psychologist. One section is entitled, "Utiliza- tion of Other than Professional Psychologists in a Psychological Service Program." Who are these 'other than accredited psychologists' who may make a contribution to the Head Start program? They come from various disciplines. For example, guidance counselors, speech clinicians, special education teachers, psychology majors at the master's level, child development and rehabilitation specialists all may constitute resources upon which to draw.111 The experienced classroom teacher is not included in this list. Experience with children is not a prerequisite; academic require— ments are given priority. Another illustration of the exclusion of teachers from death-related issues is evident in an article, "Why Most Physicians Don't Get Involved in Child Abuse Cases and What to do About It.” A child protection team for intervention in families embroiled in the child abuse cycle is suggested. On this team Helfer would include a community protective service worker, public health nurse, pediatric specialist, psychologist, hospital social worker, lawyer 112 Like Kastenbaum, and, occasionally a law enforcement person. Helfer has not included the teacher as a professional concerned with mental health and the protection of children. Yet the great majority of children in the United States spend more time with teachers than with any other persons other than parents. In an article, "Developmental Consideration of the Nursery School Experience,” Emma Plank speaks of the abdication by educators 42 in the area of emotional development of children within the nursery school framework. We as educators cannot abdicate this job, as we have done, for instance, with our tendency to have people from other professions rather than educators as consultants for our nursery schools. We find the social worker, the child psychiatrist, the psychologist-—all of them trying to help teachers deal with their children, but we rarely find a specially skilled educator invited as a consultant. The nursery school teacher can easily confuse her role with that of the admired clinician, forgetting that she has the unique function of creating an intricate educational environment, conducive to the growth of different children, with differing needs—~and this includes cognitive learning.113 Are teachers abdicating their role in death education? Numerous authors and investigators have addressed the avoidance and denial of death by the professionals staffing human service institutions in the United States. These investigations include the following professionals: nurses, physicians, and mental health personnel. Most authors agree that the professional's attitude toward death is the instrumental factor in their supportive ability for others when confronted with death or the topic of death. Exploration into educator's attitudes toward death are non-existent. The literature relevant to the particular needs of adolescents in relationship to death is examined in the next section. Particular Needs of Adolescents in Relationship to Death And it's 1,2,3, what are we fighting for? Don't ask me I don't give a damn Next stop is Vietnam And it's 5,6,7,8 open up the Pearly Gates Well there ain't no time to wonder why Whoopee we're all gonna die. Recorded by Pete Seeger 43 Kastenbaum and Aisenberg support their thesis that a great deal can be done to prevent premature death in The Psychology of Dggth. In speaking of developmental limits and their influence these authors state that the likelihood of being in an accident increases appreciably during the adolescent years. Two studies are cited "which show that in Massachusetts and Connecticut (during the periods studied) the youngest drivers had the highest accident ll114 rates. In 1965 there were 1,600 Americans killed and 60,000 injured in motorcycle accidents and "most of the fatalities are of 115 high school and college age." This is not unique to the United States. "One of every 12 boys who gets a motorcycle at the age of 16 is killed or seriously injured by the time he is 19" in the United Kingdom.116 Kastenbaum continues: ...several characteristics associated with adolescence and early adulthood undoubtedly tend to predispose this group to accidents. These include inexperience, poor judgment, the need to rebel against authority and to test limits, the desire to prove one's masculinity and competence--frequently by risk-taking, and general emotional, and possibly physical, immaturity. If we add to these the likelihood that young people will use defective and unreliable equipment and vehicles7 then the accident statistics are easier to under— stand. Thus, developmental level sets limits not only on physical strength, size, stamina, ability to conceptualize, and experience but it also indirectly influences opportunities and ability to interact with others, and to be allowed to function without supervision in potentially dangerous situations. In short, it is a major, sometimes rather arbitrary, determinant of when a society will germit the individual to be exposed to certain dangers.H 44 But the attitude of society toward recklessness is not one of discouragement; rather it is encouraged. Here is a father of a dead football player talking: I think you'd make a mistake banning football.... I think these boys are entitled to play. I played for nine years, and I couldn't tell my son not to and make it stick. It isn't up to you to cushion the shocks. These kids can take it. My boy did, and I'm proud of him. Don't blame foot- ball. These things, I think, are predestined. There's no shame in dying. It's how you die. If you die like a man, there's nothing wrong with that....11 Two basic attitudes are reflected in this man's statement Kastenbaum suggested. These are: (l) accidental death is unavoid- able or predestined; (2) risking death, even unnecessarily, is honorable since it shows masculinity. Kastenbaum and Aisenberg state: "If it isn't up to the adults to protect the young, then who is it up to. Reckless attitudes are helped by adults in our society."120 Farnsworth, in the preface to Shneider's Death and the College Student, speaks of adults from a different perspective. If I were to simplify a very complex problem in a construc- tive way, based on my experience over nearly four decades of working with young people, I would say that the most important force or influence preventing a distraught young person (or anyone else) from trying to end his own life is a warm, trusting, dependable relationship with someone who cares deeply for his welfare and who can get across to him that this concern is genuine.121 Sometimes the college psychiatrist or counselor becomes the trusted adult for some students. If for some reason this type of a relationship can not be formed within the established framework, then a person, such as a teacher, a boy or girl friend must be the trusted listener. There- fore, Shneider believes each community needs a group of persons 'who are aware of the depth, variety, power, and subtlety of self-destructive wishes and preoccupations and 45 who are willing to save a life by responding when such a crisis becomes apparent. Pastors, physicians, psychologists, psychiatrists in many instances. In any case, such individ- uals can do much to refer troubled gersons to whatever more highly trained help is available.12 Let us return to the adolescent who is seeking the meaning of life and death. Edgar Jackson remarks: It is at this point that the insights of Viktor Frankl may have special relevance. He would urge that persons seek first an adequate meaning for life, and then all of the other things will be added unto them. It would seem essential then, that the teaching of children and young people would be aimed at their need to find adequate meaning for their own lives at the time they are obliged to live them. ...For it is only by the process of enlightened confrontation that the deep anxiety about life and death can be resolved and the maturing individual can achieve the self—understanding and the self-realization that it is competent to face all there is of life, even its mark of mortality.123 As the young person is forming his/her purposes and making decisions it must dawn on him/her that all hopes, expectations, ambitions require time for fruition. As a result, it becomes a very difficult task to weave the concept of death into the fabric of life. Many youth give much thought to this topic of death. "...The adolescent's understanding of death will be shaped by his own life experiences. 'Attitude' or 'viewpoint' is just as signifi— 124 He even cant as basic mental ability” maintains Kastenbaum. suggests the manner in which a person united the thought of death with his personality when a youth could have long range consequences for mastery of problems in his/her later life. In "Understanding the Teenager's Response to Death,” Edgar Jackson proposes that approaching death in an unrealistic fashion can be a danger to young people since this period of their lives 46 faces them with such important tasks. There are three major decisions: (1) to lay the foundations for a philosophy of life; (2) the task of sexual adjustment leading to the choice of a life partner; (3) choosing a vocation. Jackson maintains "It can be shown that the person's attitude toward death may in many cases be a significant factor in determining behavior in relation to these major choices."125 Avery Weisman states "In short, to be responsible, man must 126 believe in his own death." Yet our society constantly denies death so young people would find the developing of this responsi- bility very difficult. Stanley Keleman relates an encounter with death which happened in his adolescent years. I recall a friend of mine dying when we were both 17. He died of cancer. I remember how the gang would all gather together and make mass marches on the hospital ward, as though our energy and determination would effect his cure. I remember the enforced visiting hours, and the stupid behavioral straight they put my friend in and that we put ourselves in. Everybody knew he was dying. But they forced him to eat hospital food, when all he wanted was a hot pastrami sandwich, which we sneaked to him. I remember him sneaking smokes too, because they weren't permitted. Dying for him was the same rebellion against the prison of help— lessness that was around him from his childhood on. I remember then that Ed had lost his father two years before his own dying—-a man he was deeply attached to. He never mourned his father. He just became delinquent, dropped out of school and haunted pool rooms. Nobody made the connection. Ed's way of dying, congealing and shrinking, with his unspoken resentments at feeling fatherless, manifested as brave stoicism. And he died. I remember all of us-—his friends, his brother, his mother--brave1y living the pretense of his getting well. I remember the jokes we made to cheer him up. The brave, smiley stuff, then we would all agonize outside his room. 47 We shared the terrors of his fate but couldn't express our fears. I have often wondered if my friend died thinking we really didn't care or couldn't feel. Even as I tell this story I begin to feel sad at not sharing his fear with him and my fear with him. Maybe I am finally ending something that has remained unended for 25 years. We cared Ed. We cared but we were scared. We missed you. We were frightened and angry. For me, there is still an empty space.12 Shoor and Speed support Keleman's memory of the cause of delinquency in his friend. In a child or adolescent, the impact of a loved one's death may result in a normal mourning process with resolution, or an immediate pathological reaction, a delayed reaction leading to psychiatric problems as an adult or delinquent behavior. Surprisingly enough to many people, delinquency may be a masking of the mourning process.128 Acting out behavior has been related often by authorities to anti-social attitudes. These delinquent adolescents have been labeled as "children who hate" and their behavior has been blamed on hostility. However, after Shoor and Speed gave psychiatric con- sultation to 14 adolescents from the ages of 14 to 17, they decided hostility was not the reason for this behavior. The actions of the young people had been so harsh as to bring in the legal system upon them. A death of an immediate member of the family had preceded the behavior, either immediate or delayed. Previously these young people had fit within the normal expectations of their families and com— munities. These adolescents could not express their grief after the death in a manner acceptable to society so that anti-social behavior resulted.129 Two of the consultations done by Shoor and Speed had bearing on the research at hand. Martin and his mother were extremely close. 48 She was dying of cancer but Martin became ”callous” to her suffering. As he said, "I couldn't cry.” Martin's behavior disintegrated; he began to fail in school and burgularies of the houses in the neighbor— hood began. Since he could not "cry” about his loss, he acted out the tears instead. After Martin was helped to verbalize his sense of loss and gain affection from other sources, his school work improved and the delinquent behavior receded.130 The second consultation concerned Jeannie who had been shielded from the facts when her father died. This overprotection created anxiety and confusion for her. Jeannie had been happy and well behaved as a young child. After her father's death she started lying, stealing and running away and this continued from the age of 7 until 15. Now she started extreme sexual misconduct until her mother brought her in to Juvenile Probation because she was ”beyond control." Eventually Jeannie was helped to see the relationship between her father's death and her delinquent behavior.]3] Fulton writes: It is the conclusion of Geoffrey Gorer, an English research anthropologist, that certain expressions of adolescent van- dalism may be a function of the refusal or the inability of some youths to mourn. In a study of recently bereaved individuals he found that in contemporary Britain there was both an individual repudiation and a social denial of grief and mourning-—a repudiation and denial which left the survivor grievously alone and ill-equipped to cope with the myriad of personal and social difficulties that attendant upon a death.1 2 A number of children and adolescents who had lost a parent came to Wolfenstein for help within a year of the death. She reported that ”sad feelings were curtailed; there was little 49 weeping. Immersion in the activities of everyday life continued..." However, as time went on the analysts realized the children and adolescents were "denying the finality of the loss." These young people still held the expectation at a conscious level that their dead parents would return. When these young people became aware that the parent would not return, they reacted with panic and anger. A 15 year old girl named Ruth remarked a few months after the death of her mother, "If my mother were really dead, I would be all alone.... I would be terribly scared." Sometimes Ruth would be distraught with “frus- tration, rage and yearning; she would roll the sheets and blankets into the shape of a human body and hug them."133 After the death of President Kennedy the essays written by adolescents about their feelings about the assassination for the study done by Wolfenstein were strong, emotionally expressive documents. Without them I would have underestimated the intensity of emotional reaction of children in this age range. At the same time they presented a challenging paradox. In our experience, children of this age tend to show strong inhibitions of affect when someone in their own family has died. Yet they could feel and express outspoken grief for the death of the President.134 Jackson, in his article "Understanding the Teenager's Response,” states the following: The teenager, filled with a new sense of the creative power of life and the wonder of the future, shows his interest in the subject by a quest for the spiritual, psychological, and personal meanings of death. He is busily engaged in welding his philosophy of life and needs to have a place into which death will fit. The teenager who is most apt to need special help is the one who cannot talk about death 50 when it occurs. He is probably indicating that he cannot cope with the idea, and his philosophy of life is not big enough to find a place for it. The small amount of information on adolescents' needs in relationship to death revealed an agreement by the authors on the importance of the adolescent's attitude toward death. The major needs of adolescents were two—fold; a trusted adult relationship and a philosophy of life large enough to encompass death. An adolescent's attitude toward death affects his mastery of problems in later life, his behavior in relation to major developmental tasks for this period of his life, and the manner of the mourning process and its constructiveness or destructiveness in relationship to the major developmental tasks. Would the needs of younger children in relationship to death have any similarity to the needs of adolescents? The literature relevant to this question is examined in the next section. Children and the Process of Conceptualizing Death Patrice and Heidi began a conversation about babies, as apparently Patrice's Mom just had a baby. Mike informed the children that he knew where babies came from. Of course, all the people who had accused him of copying their coloring (previous interchange concerning the assignment had occurred), said, 'Sure you do,‘ very sar- castically. He proceeded to explain that babies come out of people's stomachs when they die. I was quite surprised at this but the girls he was speaking to just asked him how he knew for sure. He told them that his grandfather takes care of dead people and that his grandfather and mother had six babies. Noneof the young ladies disputed the point so the topic died there.1 6 Observation by an undergraduate student in Education 412 Growth and Development of Children 51 The observation cited above is an excellent example of the confusion six year olds experienced while struggling with the con- cepts of death and birth. Certainly the children opened many avenues of search as well as questions. Is this a conversation one would expect from six year olds in a classroom for children with ordinary needs? What is the purpose of this conversation? Is observation of this conversation worthy of scrutiny? Is the concept of death developmental in nature with children? What does the teacher do with this information? Is sexuality or death part of the curriculum? As discussed previously, death and sexuality are often linked; death has replaced sexuality as the taboo topic in our society today. According to Sylvia Anthony, Parents today are mostly well prepared to answer their children's questions about birth and sex, but may be troubled when they have to deal with questions about death. The facts and the thought may be distressing to themselves. They may repress thought on the subject. Freud's biographer, Dr. Ernest Jones, suggests that Freud himself did $0.137 Tallmer, Formanek and Tallmer have views similar to Anthony. I'In many ways, the status of death as a subject for discussion by children may be likened to attitudes toward sexuality pre-Freud, i.e. sexual ideation emerged full grown from an adolescent's head."138 According to Kastenbaum, judicious selection and even cen- sorship have been used in order to keep death and sex themes from fairy tales. Kastenbaum suggests that the Victorian image of child- hood innocence may have hidden actual sexual abuse of children and disturbing suicidal behavior on the part of young children in 52 139 Victorian times. He also speculates that the lack of recognition concerning sexuality and mortality as it relates to children might be a way parents reduce pressure from the ”moving-up generation.”140 As early as 1927 Susan Isaacs, a British children's psy- chologist, pondered the evasion of the sexuality and death themes with children. It was assumed the botanical approach was a lead-in to sex education. Isaacs questioned this: Are the sexual processes in plants assumed to throw light upon human sexual physiology?... Do we favour the study of plants just because it is more remote from the facts of human sexual relations, and we are afraid to make more than a half—concession to our conviction of the child's need for knowledge and understanding.141 She then suggests children are far more interested in animals than plants. Although children have been encouraged in the care of animals, it has not been considered desirable that he should take any interest in (a) the facts of internal structure and physiology—-particularly if this involves any reference to the processes of digestion, excretion, re roduction, etc., in humans; and (b) the facts of death. 42 Kastenbaum identifies developmental level "as an important influence upon the child's emotional orientation to death.” After a person realizes death cannot be escaped, she/he will feel differently toward death compared to the time when it was thought of as an inconvenience easily outwitted.143 Ongoing research has provided evidence that the guiding force of awareness of death is active at all age levels, Feifel tells us. Only recently has it been discovered that children have fear of or concern with, death. ”...mounting evidence suggests that the 53 primary existence of death is available to the child as early as two or three years of age."144 And as humans develop there are qualitative changes in the meanings of death.145 As a result of the developmental cycle of maturation the significance of death is very different at differing ages of 3, 30 and 60. These qualitative changes as a child develops often bring confusion. The next section examines the misunderstandings which may occur during the growth of a child's concept of death. Children's Confusions and Misunderstandings Let us return to the observation of the child cited at the beginning of this section. From an adult perspective, the child appears extremely confused in his thinking about sexuality and mor- tality. Connor and Doerring, however, maintain Children's understandings are often constructed out of their own unique combinations of partial information, single dimensioned perceptions, and undifferentiated feelings. For them fantasies are real and certainly the ones a child creates about death may have exceedingly disruptive effects on his personality.145 Evelyn Pitcher in Children Tell Stories reports that the themes of aggression, hurt or misfortune, or death, resulting from the analysis of the stories in their study were expressed in the "context of apparently stronger affects than any of the other."147 She also thinks the vulnerability of young children to fears in the early years such as fears of falling or the loss of a parent or home or personal parts must face the child with many mystifying events. 54 His relative lack of experience, only tentative ability to distinguish between fact and fantasy, and uncertain appre- hension of time sequences tend to make every experience potentially destructive. It is difficult for the child to perceive an experience as a single passing incident in a life full of incidents; he is more likely to view an exper- ience as one beyond which there is nothing else. (In this study Death and Aggression as themes were difficult to separate since often aggression had been used previous to the death.) Anthony explains the conceptualization process in the following manner: The child's conceptual scheme is built up on subjective interpretations of objects in terms of familiar things and functions, plus queries. In this process social com- munication as well as independent sensory perception plays a part. It was found, however, that the maturity of children's concepts of death was related more closely to mental than to chronological age, irrespective of the distinctive content of what they had been told. Social teaching independent of experience was swallowed whole, as it were, undigested. Children would believe that a worm or rabbit after burial would go up into the sky and be no longer bodily present in the ground.149 Piaget states, “Arising from the relations between personal activity and the external world, at first (causality) partakes of efficacy mixed with phenomenalism but later...is incorporated into a "150 system of pure relations. "The relationship between the death concept, reasoning, and the concept of cause is of critical importance throughout life, and central to our theme," comments Anthony.15] When young, the child confuses time and being in his mental thought processes. If the child is faced with questions or statements about happenings when he/she was not a being, confusion may result. The child might deny the fact clearly or possibly he/she might become 152 entangled in contradicting statements. "We must avoid the danger 55 of supposing that irrational thinking of this kind occurs in the child but not in the adult, or that irrational ideas of similar con- tent have similar origin or function in child and adult” ....reports Anthony.153 Anthony states, The intelligent adolescent's concept of death refers to mortality as physically ascertainable. In the child's earliest conception, physical observations of this kind play only a small part. They are the keystone rather than the foundation of the final structure.... Their (young children) concepts of death and of life are often erroneous and always incomplete.154 Unfortunately, many adults assume children are small adults who need education. However, most teachers and parents realize that the mental processes used by children are not as developed as those of adults. In fact, children are not capable of assimilating the experiences of others. A child under the age of six or seven may not be able to implement "cognitive reciprocity" as it is termed by Piaget. In other words, the child does not benefit from learning outside the realm of his own experience. Koocher concludes, ”In talking about death, therefore, such children will naturally react in the light of their own experiences and of what they have been told by adults or have seen in the media."155 Anthony writes, "The concept (death) remains a source of emotion and autonomic arousal, perhaps of anxiety, of mockery, of defiant bravado, perhaps a stimulus to a perpetual search for answers. Concepts of death and cause tend to remain closely tangled.”156 56 How does the young person bring clarity to the confusion and misunderstandings? The next section examines the literature relevant to this question. Children's Clarification of the Concept of Death One of the needs of children who experience death is guidance in understanding the events so they can accept the fact of death at 157 their developmental level. Koocher, a psychologist at The Children's Hospital Medical Center in Boston, along with a faculty person at Harvard University Medical School, believes "most children show a desire to I-master' death in some sense by learning about it and knowing, as much as is possible, what happens to make things die_..158 Frances Wickes, a contemporary of Susan Isaacs, in The Inner World of Childhood, speaks of mastery in quite a different manner; her mastery has more feeling in it. ...There is a constant interplay of the forces of retreat and advance. As soon as life demands a greater degree of consciousness there comes the temptation to retreat, the desire not to accept the new understanding which must of necessity bring with it a great responsibility. Even very little children feel this urge. Sometimes they voice this desire to remain unconscious so clearly that certain ones will try to go to bed when they feel that they are asked to do something too hard (as expression of the desire for sleep and forgetting the pull of death). Death desires are strong even in children, though usually they are masked even to the one who feels their urge. Nevertheless we all have this desire to remain unconscious of the suffer- ing and evil in the world about us, of which it is easier to remain ignorant; unconscious of the changing demands of society which would force upon us the consideration of new problems; unconscious of the things which would necessitate new adjustments of personal relationships; and most of all 57 unconscious of the undercurrents of our own psychology. of the inferior thing in ourselves which, raised to conscious- ness, would necessitate a new valuation of ourselves and a new conception of our responsibility. Unconsciousness of all these things relieves us of the burden of growth; but even as the urge of death is toward unconsciousness the urge of life is toward a fuller consciousness. Whenever we accept this dynamic urge of life there is a rebirth of the spirit.159 Clarification throggh fantasy created by_the child.--An illustration involving the mastery of death at a very practical level in the life of a child was illustrated through the use of children's '60 The children were seven years old. A fanciful child stories. said, "I am going to pretend I am a little dog who went with his master for a walk in the forest and got lost in a snowstorm." All the children were delighted to join in the tale but the stories they told were very different. One child's story ended, ”It was dark; very, very dark. It was cold; very, very cold. I was lost; very, very lost. There was nothing I could do about it, so I just lay down in the snow and died." Now the other story was quite different. I felt cold white feathers falling on my nose and it was fun and I chased them farther and farther into the forest and it got dark and I couldn't find my master and I was lost. So I crawled into a hollow log to wait for morning. But it was all worthwhile, for that night another little dog crawled into the other end of the log and next morning we had eight puppies. Clarification through dreams.--Wickes reported then remembering a dream told by the child who "just lay down in the snow and died." l—Nr—r"’€¢* «"1“, ' ,_ ,_ 7‘ .- , 58 I came home from school but the door was locked, and all the blinds were down tight, and I knocked but no one came and I knew Mother had gone away forever and forever, and there was no place to go, and there was nothing I could do about it. Then I woke up in the dark and there was the dream staring at me. As it happened a divorce was pending in this child's family. The child did not know this but evidently the emotional level of the family was empty of love. Subconsciously her nature "flowed into this dark sea of no return." She "just lay down and died." (See Krantzler, Creative Divorce.)]6] Wickes continued, I saw how this attitude permeated every experience. Even the smallest schoolroom task could defeat her. At the first challenge in realtionship, in lessons, even in her games with the other children, she 'just lay down and died'; that is, she completely repudiated the idea that she, her own small self, could do anything about it. She was constantly defeated by her own sense of inadequacy and her terror of life itself. This sense of doom was the deepest undercurrent of her nature. The first prerequisite was that someone should believe in her potentialities and love her as she was, without waiting for the transforming touch that should make her possibilities into actualities. 52 Clarification through literature.-—Children, unlike adults, do not inhibit their expression of thoughts about death; often these thoughts are developed in fantasy according to Freud. This observa- tion has been confirmed by subsequent research in Switzerland, 163 This does not mean necessarily England, Hungary and America. that the child's behavior is normally free from anxiety. Since this anxiety can be promoted or obstructed, the question which frequently arises for debate is the advisability of telling children the traditional fairy tales. _-- ~ , ~ -. mflmh_e‘-u-q ., - , 59 Fairy tales treat the topic of death frequently but this does not make them unsuitable for children since death enters into children's fantasies often. However, the adult who offers this type of literature for the child's enjoyment is promoting ”a sadistic disposition" in the child according to Anthony. Anthony also believes this approach could increase anxiety in children who on surface observation might appear to accept or reject the fairy tale.164 When a child can read herself/himself, then the person can be given the freedom to select or reject his/her reading material. The adult might need to be alert to the child's reactions. The general view, however, that folk tales are appropriate material for young imaginations is based on sound psychology in Anthony's estimation. The employment of simple symbols which the child is capable of understanding lends a positive value to folk tales. Ultimately, however, the defense of folk tales in the nursery is not that they excite to the learning of or pleasure in scientific fact, that that they communicate ways of thinking, symbols, concepts and attitudes that enrich and humanize life. This is done by handling the whole natural range of human activity with cultural singleness and simplicity. 55 Clarification through animals--care of, observation of and dissection of --In the 1930's, Susan Isaac maintained that opinion was rigid regarding the fields of fact which adults would allow the young child to become interested in within the study of animals. If children ten years or older were given information about physiology, textbooks or diagrams were used. Older children, however, were not 6O given the opportunity for direct investigation by dissecting the bodies of dead animals; such a method of accumulating knowledge was completely out of the question for young children. So strong is this widely held attitude that it is difficult to get many people even to consider the possible wisdom of the opposite course-~they are too disturbed by the mere suggestion to be able to give it any attention. Perhaps they fear that to '1ook inside' dead bodies will either shock and frighten the children, or will encourage them to cruelty with living animals. But when one assures them from one's own experience that the majority of little children are not shocked nor frightened, nor made cruel by these ways of study, the solid wall of prejudice does not melt away, and one is in the end left with the suspicion that the real attitude is 'Well, if they're pgt shocked or frightened, they ought to be!'155 Anthony states that the child's reaction to the killing of animals may be very profound and long-lasting; it may determine 167 behavior through life. Isaacs suggests the moral field of adult behaviors with animals presents more confusion, contradictions and inconsistencies than any other.168 Clarification through questioning and discussion.--Citations from Wickes in the section concerning clarification through fantasy have given some insight into the manner in which a child's cognitive style or language can reveal his/her attitude toward life. Koocher has an excellent case study of a five year old boy who misinterprets adult comments pertaining to death. The child began throwing temper tantrums before bed. Koocher uses this example in order to show the "harm that can result from not talking about death with children."169 Koocher found children very willing to discuss their thoughts about death with sensitive adults. 61 The Supportive Adult in the Clarification Process There is too much to say, too many directions because attitudes toward death color all of our thinking and doing things, ways of coping with trouble, ways of enjoying ourselves. I could start with almost any subject-- discipline, toilet training, jealousy, learning to count, fighting, shyness, eating fussiness, why we take them to the zoo, and develop the idea of how this is related to the child's conception of life and death. Adah Maurer "Intimations of Mortality" From the Journal of Child Psychology Summer, 1974 Knowledge About Children's Intelléctual Development Which Clarifies the Con- ceptualization Process Although the following authors have not worked in the field of death awareness, their findings have bearing on the topic of the development of concepts because of their research into the intellect- ual development of children. Wann, Dorn, and Liddle in Fostering Intellectual Development in Young Children, "learned a number of things about children's understanding and interpretationcfi’their physical and social environment and what we (they) can do to help 170 Their learnings them clarify and extend their understandings." are as follows: 1. Children are collectors of information. Not only did the children observed have a wide range of information, but the extent and depth of the information 62 was considered significant. The children also received much satisfaction in possessing the information and in using it. The interests were global and even universal in scope. Death was one of the topics mentioned by children. 2. Young children employ the essential elements of the process of concept formation. The children continually sought information on a given topic; then they "tried to relate and test one bit of information against another. They were associating ideas, attempting to discover cause and effect relation- ships, classifying and generalizing about those things which they see, hear, and feel in their environment." 3. Teachers can enrich experiences for children by studying children as we did. The authors wanted a balance of intellectual, social, emotional, and physical development in young children. However, they felt children at this age needed more intellectual challenges but there were few indicators which gave guidance. 4. "The process of concept formation observed in many of the children suggests that we might consider knowledge as keys to the facts or information which should be taught." Since children are so interested in fitting together isolated phenomena, bits of information, and the actions of people, this approach might be a worthy one to use. The four major points of learning from the study of Wann, Dorn, and Liddle listed above most certainly clarify to some extent the confusions within the observation at the beginning of this section on the process of conceptualizing death. If this study, which was not related to death, is helpful, could other studies illuminate the development of concepts in children? Is there a need for studying children in relationship to death or is there an abundance of this type of study? What does the past reveal? 63 Anthony found in 1940 that school-age children thought readily of the subject of death. Not only did it appear in their play but it arose in their fantasies as well. If grief or fear, loss or separation was suggested, the response of death was evi- dent.]71 Previously in 1937 Schilder and Wechsler had done a study, "The Attitude of Children Toward Death,” and they had concluded that a study in depth, with children directly involved, was greatly needed. Anthony's study confirmed Schilder and Wechsler's work.172 The next clinical study by Nagy in 1948 was done with Hungarian children, four to ten years of age. Again her data reaffirmed the work of Schilder, Wechsler and Anthony. The subject of death was very important to even the youngest child observed.173 For the next 20 years, no one studied the subject more deeply nor did anyone do a critical review. Rochlin then did a study in which he tried to show that, not only is death a matter of deep concern to the very young child, but also that his thoughts of dying are commonplace. They serve as important determinants in his emotional develop- ment. I shall show, moreover, that his behavior is influ- enced by such thoughts, which are decisive in respect to some of his lifelong beliefs.”4 In The Psychology of Death, Kastenbaum suggests observation "175 He of the "young child's mental operations for their own sake. believes that objective and patient research might reveal that the first important doubt to engage the mind of the child wou1d be the problem of death; and this might be the first spark to the continu- ation of his mental development. "How can we have ignored this 64 176 possibility so long?" Anthony has said, "Our present proposition is that stages in the conceptualization of death may initiate stages of intellectual growth.177 In another article dealing with this same theme, Kastenbaum speaks of the direction of thought we might take toward the child's conception of death. There is the possibility of contrasting adult opinions of death with the child's opinions. ”But we might also observe the child's changing orientation toward death as a phenomenon deserving study and respect in its own right, not merely as a stepping-stone toward some ideal concept."178 It appears the child has the desire, and the need to master death: does it follow then that there is a need for adults who are interested in studying the child in relationship to death? Tallmer, Formanek and Tallmer state, Although there is presently an increased interest in the topic of death, evidenced, for example, by the launching of a Foundation of Thanatology in New York City, there is correspondingly a puzzling dearth of information concerning this subject in relation to children. ...The development of conscious and unconscious thoughts about death, immortality and the process of dying are t0pics which merit scientific investigation. Despite this need, however, an implicit embargo does exist and may be measured by both the lack of pertinent research and the slighting of empirical evidence that does surface. We have made the topic a non-topic. For example, Anthony's book, The Child's Discovery of Death, has had practically no heuristic significance whatsoever, although it was published in 1940, a period of generalized world conflict and violent, widespread death.1 9 Many writers, then, think the need for adults to study children in relationship to death is evident. Some of these writers speak more specifically to the method of studying children. Anthony 65 suggests, "Knowledge, gained by controlled observation and record, of the way the idea of death and the emotion arising from it develops in childhood may help the adult to guide the child along a path which later has some hard going for every human being."180 Does the process of the conceptualization of death inter- relate with the intellectual growth of the child? Anthony proposes that "stages in the conceptualization of death may initiate stages 181 of intellectual growth." Possibly she is suggesting obstacles to growth when she discussed the relationship between old age and con- ceptualization. Children see the dead as one group and those who die as a separate group. Often those who die are old since old age is given often as a leadup to death. Then, when the child affirms death for himself, thinks of himself growing older and then dying, he may decide children do not die. Right then, he may not wish to grow up.182 Another relevant idea presented by Anthony was the follow- ing: In studying records made in childhood of children now grown up, it has seemed to me that their early interest in the discovery of death may have had some connection with their major interests in later life. And it would seem that such special interest may lead either to avoidance or approach in respect of activities emotionally associated with the idea of death.... So it is suggested that the way death is represented in the early thinking of the child may influence the direction of his major interests through life.183 A separate stage in intellectual growth, Anthony maintains, is indicated when one can face the thought of her/his own death. 66 It was suggested by Piaget some 40 years ago that the child's encounter with the idea of death plays a special part in intellectual development. The idea of death, he wrote, sets the child's curiosity in motion because if, for him at an early age, every cause is coupled with a motive, then death calls for a special explanation....184 In The Language and Thought of the Child, Piaget commented that things seem well ordered until the child becomes conscious of the difference between life and death.185 "The concept of death and the concept of time seem to be continuously interactive; there is no two-way traffic. It has been said that through the realization of death man is enabled to per— 186 ceive time, states Anthony. When the child could define the word dead logically and physiologically, the development of the child's concept of death seemed to have reached maturity. However, for the adult and adolescent this definition stage is only the beginning of the meaning of death. The idea develops continually. The concepts of time and cause along with the concept of man is linked together in some complicated manner that philosophers and physicists are challenged to unravel the ideas. Anthony continues that young children in our own culture differ between themselves in their concepts of life and death.187 In a more universal vein, Anthony states Children spontaneously interpret in various ways the objective sources of phenomena, whereas a culture develops an interpretation relatively consistently. Children do not echo concepts from distant cultures. They offer, in every culture and every generation a variety of potential founda- tions for religion, philosophy and myth, relatively inde- pendent of the selection made by their own society.188 67 The child's process for conceptualizing death, and sorting out the confusion, is lengthy and complex. Many diverse methods can be, and are used by children depending on his/her developmental level and individual interest, skills and abilities. A few selected methods used by a child in clarifying the concept of death are fantasy, dreams, literature, care of animals, questions and dis- cussion. Many authorities, who have studied death and youth agree on the need for more studies focused on children and their relation- ship to death. In the section that follows, the role of the supportive adult in assisting youth with death is examined. The Role of the Supportive Adult in the Clarification Process Connor thinks the conceptual understanding of death is an educational task which should not be neglected, for children at the age of two or three are beginning to realize that there are some things beyond human control and they need help in accommodating themselves to this awareness. He continues, Death is a difficult concept for adults to accept, and a great degree of this difficulty may be attributed to the adults' own lack of resolution of feelings about death and other separations, thus hampering their 189 attempts to be of assistance and comfort to children. Gartley and Bernasconi find that facing the thought of death is "an easier task for children than it is for most adults.”190 In an article, "Childhood: The Kingdom Where Creatures Die," Kastenbaum begins with two facts: ”(1) Most children have a variety of death-related thoughts and experiences that are central li—i - , “23313- :! ' ,,,_.- A A, , . V 2", 68 to their personality development; (2) Most adults speak and act as though children were oblivious to death.“191 This incongruity leads to prejudices of adults toward content areas for children and then to the thoughts and experiences concerning death which the children have. Let us look toward the children first. Sylvia Anthony reports in The Discovery of Death in Child- hood and After, about Professor David Katz's views of the relationship of death and children in 1936: We have tried as far as possible to keep away from the children any conception of death, especially in connection with human beings. Of what use would it have been to dis- turb them with thoughts about death, which must necessarily be extremely mysterious and terrible to them, if they hear of it and yet have no consolation of any kind to support them....19 In 1974 Kastembaum believed the denial of death with children is still with us because of the model society presents. Then, too, Kastenbaum continues, denying death to children protects adults at certain vulnerable points. If a parent has an inmortal child, it is one way of keeping the child-self alive. By assuming children are not related to death through their own thoughts or experiences it helps the parent think he can survive in her ”own flesh and blook...." The parent who has not come to terms with his or her own death-related anxieties may feel at a loss in responding maturely to the child's experiences.... Often enough, a conversation that begins with the parent's expressed con- cern about 'managing' the child's death experiences shifts into a deeply felt exploration of the parent's own unre- solved problems that have been exacerbated by the current episode. They assume that adults actually have the power to tell children about mortality or to keep them shrouded in blissful ignorance. 69 Anthony is even stronger in her message. When adults attempt to keep from the child such facts as his personal experience would otherwise present to him, he may suspect deception, and develop anxieties in con— sequence more morbid and persistent than those which the perception of the reality would have aroused.194 There are three different observations in Anthony's records where the children deny a fact relating to death and the mothers assist the child's denial.195 There are three reasons Anthony gives for the parent's unwillingness in many cases to deny reality for the child: (1) the desire to satisfy his own conscience; (2) the desire to do so particularly in relation to the child, as the child's model; and (3) the fundamental wish to maintain a code for social communication corresponding to pragmatic reality and natural law, or in other words, to teach the child by example to tell the truth about matters of serious concern.196 The concepts of death held by children tend to mirror those of their society. Children learn from all that is occurring around them, not only from what is purposefully taught.197 There seemed to be so strong a tendency to encourage regressive impulses in the contact between adults and child on the subject of death that communication fre- quently confuses rather than clarifies the child's conception.198 Gartley and Bernasconi agree that parents usually protect children from death because of their own inability to face death.199 Rochlin, Director of Child Psychiatry Services at the Massachusetts Mental Health Center, comments: It is the conventional view that the child does not know about death. This seems to be as true of culturally archaic peoples as of modern society. Death as a subject for dis- cussion is commonly treated by adults as if it were a I ,, , .::.s.:::.":_‘_; H- -,-_ , A-.. _, , 7O prohibited issue where children are concerned. Children may play death games endlessly so long as no one takes that play seriously. When taken as a matter for sober consideration, evasiveness is clearly evident on the part of both the adult and of the child. Adults themselves are reluctant to acknowledge, as we have noted, the inevitable fate which awaits us all, and hence are the least likely source of information. Moreover, there are often concerted efforts to deny the child an awareness of death. The inevitable discovery of death then becomes a private indi- vidual experience of great magnitude. What such a discovery means is not conveyed to young children either as a body of dogma or as a natural phenomenon, nor is what to do about it once the revelation occurs. The attempted solution to the problems the discovery raises is universal in the sense that children everywhere seem to find remarkably similar solutions.200 Three basic roots to this conspiracy of silence in discussing death with children are suggested by Koocher. (l) The adult's own emotional entanglement with the topic might keep him from facing death. (2) She/he might not know where to begin in the discussion or how to sort the important points from the unimportant. (3) An emotional crisis might precipitate a situation before the adult is prepared.201 Kastenbaum refers to a study that concluded it would appear that the socially desirable attitude toward death attitudes is that one should be able to face death with equanimity and perspective but if one cannot bring this off wi h a flourish, it is better to avoid the topic altogether. ”One of the many problems in dealing with children and death or with the dying child is the tendency of adults to equate their perceptions of death with the child's perceptions," asserts Sarah Cook, a nurse and writer.203 71 When Susan Isaacs deals with the avoidance of death and sexuality themes with children in relationship to animals, she suggests certain conditions for ”active, continuous and cumulative interest in animal and plant life.” The following quotation gives the conditions: A. That we free ourselves from prejudices and inadequate thinking, as to l) The order in which plant and animal life should be dealt with; and (2) The fields of fact which are acceptable to the little child, and educationally valuable. B. That we follow the child's actual direction of interest, day-to—day questionings, and provide the situations and material which will answer his questions, and stimulate his interest still further. If this quotation of Isaacs was amended to include human life, these suggestions might stand today as a firm base for the supportive adult interested in helping children with death education. Some background knowledge about the concept of death which Kastenbaum gives prove helpful for the supportive adult. The information also is helpful in analyzing the data.205 1. The concept of death is always relative. 2. The concept of death is exceedingly complex. 3. Concepts of death change. 4. The developmental I'goal" of death concepts is obscure, ambiguous, or still being evolved. 5. Death concepts are influenced by the situational context. 6. Death concepts are related to behavior. 72 Kastenbaum examines the idea of death as part of a child's intellectual development. When a child speaks three words, "I will die,” it sounds simple. "However, the concepts implied by this statement are not within the reach of the young child's mind.”206 ”I will die" is a simple statement a young child could verbalize. Yet the person who makes that simple statement must have mastered many complicated concepts to truly understand it. Kastenbaum lists the eight concepts which are involved. 1. I_am an individual with a life of my own, a personal existence. 2. I belong to a class of beings one of whose attributes is mortality. 3. Using the intellectual process of logical deduction, I must arrive at the conclusion that my personal death is a certainty. 4. There are many possible causes of my death, and these causes might operate in many different combinations; although I might evade or escape one particular cause, I cannot evade all causes. 5. My death will occur in the future. By future, I mean a time-to-live that has not yet elapsed. 6. But I do not know when in the future my death will occur. The event is certain; the timing is uncertain. 7. Death is a final event. My life ceases. This means that I will never again experience, think, or act, at least as a human being on this earth. 8. Accordingly, death is the ultimate separation of myself from the world. Even this incomplete analysis indicates that the statement "I will die” requires self-awareness, logical thought operations, conceptions of probability, necessity, and causation, of personal 73 and physical time, of finality on the part of the speaker. The available evidence strongly suggests that the young child lacks almost all the mental operations required to form the separate concepts which are integrated into the recognition of personal mortality.207 Isaac's solution to the confusing dilemma faced by children when they observe the contradictions in the area of adults' attitudes and actions in the field of pets, animals and the eating of meat might be equally applicable to the supportive adult's role in the observation which started this section on the conceptualiza- tion of death in children. The solution for the educator must lie rather in a more balanced and positive attitude to the various psycho- logical tendencies and external necessities which lie behind these confusions and contradictions. Is it possible to arrive at a reasonably consistent set of standards for the demands we make on children, one that will be both more honest and more intelligible to them, and more easily maintained against real necessity? One, moreover, that will yield a more satisfactory psycho- logical solution for their own internal conflicts?208 Many writers in addressing children's conceptual under- standing of death have made suggestions concerning the role of adults, including teachers, in the guidance of children in this important developmental and educational task. The focus of the present research will turn now to the examination of the supportive adult's role, the teacher, with youth and the school community. 74 Summary The attitudes of society toward death were examined, and the literature centering on the attitudes of helping professionals toward death was reviewed. The relationship between children and the conceptualization of death was examined, and the particular needs of adolescents were reviewed. The role of the supportive adult in the clarification process was examined. In the chapter that follows, the methodology for the research is discussed. DEATH Who set that endless silence Of her breath? Death is but death. Death is like growing of people It cannot be stopped. Miracles: Poems by children of the English-speaking world. Collected by Richard Lewis UNESCO 75 CHAPTER III METHODOLOGY The population and research setting along with the methodo- logy used in the research are presented in this chapter. In addition, the interview guide, pilot study and plan for analysis of the data are discussed. Population and Research Setting The research was conducted at Michigan State University during a summer session. Thirty-six volunteers participated in the research; ten educators for the pilot study, thirteen teachers of children (elementary, defined as preschool through fifth grade) and thirteen teachers of pre-adolescents and adolescents (secon- dary, defined as sixth through twelfth grade) for the study itself. The volunteers were chosen from three graduate classes in the College of Education. These classes were scheduled during the first five weeks of the summer session. All interviewees were experienced teachers. Every grade level was represented from preschool through twelfth grade. In the elementary group of teachers representation covered preschool through fifth grade. The secondary group of teachers included middle school and high school teachers from sixth 76 77 grade through twelfth grade. The thirteen secondary teachers represented the following specialities: math and science, sixth grade with football coaching, reading, math, vocational education, English, art, generalists (in middle school) and English with basketball coaching. (See Table l.) The researcher requested entry from the professors into the classes from which the volunteers were solicited. The professors introduced the researcher to the class so the nature of the research could be explained briefly. In recruiting the volunteers the following remarks were addressed to the university classes: I would like interviews with a total of thirty-six teachers, ten for a pilot study and twenty-six for the study itself. This research will focus on the cognitive/affective develop- ment of young people. If any of you would share some of your past year's teaching experiences in this area with me, I would like an hour, or possibly two, of your time. A sign-up sheet is being passed through the group for those teachers willing to participate in the study. School support staff, such as school psychologist, counselor, or social worker, would be welcome also. A minimum of one year of professional employment within an educational framework which served young people with a wide range of needs is expected. After the pilot study was completed, the request for volunteers was narrowed to teachers who had taught children within the normal range of needs for a minimum of one year. Since the pro- fessors had offered the research as a legitimate class option during their class meeting time, the enlistment of participants, the scheduling and the interviewing was arranged easily. TABLE l.--Interviewed Teachers by Grade and/or Subject. .‘ - ‘—__— ‘y_-“v'_- ...- 78 Elementary Teachers Secondary Teachers ELEMENTARY SCHOOL Edge Preschool Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade Total Number of Teachers Number 1 13 MIDDLE SCHOOL Grade/Subject Sixth Math/science team Sixth grade/football Seventh Reading Math Eighth Ninth English (7th-9th) HIGH SCHOOL Vocational Education Electronics (9th-12th) Home Economics (lOth-12th) English English/basketball (lOth-12th) English (lOth-12th) Art (lOth-12th) Total Number of Teachers Total 13 79 Methodology The methodology selected for the research was the interview. All the interviews were completed by the researcher over a period of four weeks. An informal setting conducive to a one-to-one relationship and open communication was used. An outdoor area was used when the weather permitted. The purpose of the interviews was the gathering of observa- tions of young persons in their classrooms and school buildings during the previous teaching year. The observations were recorded on interview guide forms. (These forms were used in the analysis of the data. The Interview Guide Prior to the pilot study it was decided that taping the interview might prove threatening to some volunteers. Extensive notetaking also Was discarded due to the possible threat involved and the impossibility of maintaining eye contact while writing notes. An interview guide was developed for a recording tool; this guide would require a minimum of effort on the interviewer's part. A limited number of well-planned, open-ended questions would set the framework for the interview. This method allowed for a flow of information during the interview which would be an educational process for both parties. (See Appendix A.) The development ofiflmainterview guide was the beginning framework for the analysis of the data. The guide was used during the interview so that the data were organized into categories when 80 the interview was completed. The information recorded on the inter- view guides was taken from the teachers' observations of their students' reactions and their own reactions to their students' death experiences during the past school year. The exploratory questions of this study were used in developing the format of the interview guide: Are teachers aware of their students' experiences with death? If they are aware, do teachers use this awareness within the school community? The third question stated in the problem was addressed in the grouping of the sample into elementary and secondary teacher: Are there differences in the awareness, and the use of this awareness, between teachers of children and teachers of adolescents? In order to aid in organizing the data at the end of the interview the broad areas of awareness and the use of awareness . were outlined in more detail. The range of student experiences with death was more defined by listing the types of deaths which a student might experience. Fourteen types of death were listed in the guide. A few examples of the death categories are: pet, stranger, parent, adult on the school staff, and child in the classroom. A teacher could use a student's experience with death in interaction with people within the school community, in curriculum planning and/or in consultation with parents and staff. The interaction was subdivided further into interaction with students and adults. Then, the various groupings of people, with which a 81 student or teacher could interact, were established. A few of the groups are: with you (the teacher), with other adults, or with children. A chart was developed by combining the types of death and the many categories of interaction. The interviewer could record the material by checking the chart during the interview or imme- diately following the interview. The interaction between the teacher and other adults in the school community was one focus in the interview guide; more speci- fically, consultation requested, offered, and given. Another focus was the teacher's use of curriculum planning concerning the student's death experience. Class-planned activities following the death were recorded, such as sympathy notes, along with teacher planned lessons and activities, such as the careful selection of children's literature centering on death. Very brief notes were written occasionally during the interview, but the recording of information was done with a minimum of notation. Immediately upon completion of the interview, the researcher reviewed the material so it could be recorded in a more comprehensive manner if required. With the use of this method primary importance could be placed on the quality of interaction between the interviewer and interviewee. The time was structured so that the interviewee could use this time for reflection and integration of his/her observations of the students' responses to their encounters with death. E ,, VJiK‘rfic‘:, ‘ , '., 'E, 82 The Pilot Study The purpose of the pilot study was to field test the pro- cedures and interview guide by which the researcher would collect the data required for the study. Several questions related to this objective were addressed: (1) Would a time period of one hour be sufficient for the interview? Or should the interview be extended if more time was needed? (2) Would the planned method for record— ing the data be functional during the interview? (3) Would the interview guide prove usable? (4) Would the sample need more narrow definition? The pilot interviews were completed during one week. Several procedures used in the pilot study were tested and adopted. The one hour time allottment proved sufficient in most interviews. There were occasions when the interviewee suddenly recalled an experience after the interview had terminated. Often it happened when the setting had changed. The researcher made the decision to allow extended time. Often important personal data were given during the extended time such as: "I had a child die two years ago." (The teacher was speaking of her own child and not a student). One hour was allotted for each interview. An extension of one hour was permitted. The method, which had been planned for recording the information during the interview, worked very well during the pilot interviews. The recording was done easily with checks and a minimum of writing. However, the immediate notation of more complex 7' -- - -n -u._.... --" 83 information demanded the scheduling of thirty minutes to an hour between each interview. The pilot study illuminated minor gaps in the structure of the interview guide. For instance, in three categories the researcher allowed for experiences within the class but not within the school building. The death of a plant and other non-human living things were mentioned by teachers during the pilot interviews so the plant category was added to the interview guide. During the study the interviewer was more attentive to the teachers' observa- tions of non-human living things such as insects, frogs, and birds as a results of the pilot interviews. The framework proved very functional except for minor adjustments. It became evident during the pilot study that limitations on the categories of teachers would be necessary. First, the deci- sion was made to interview only public school teachers. Public school teachers had a system for consultant services which parochial, private or daycare centers did not. Secondly, only the teachers who taught children with a normal range of needs were interviewed. One of the special education teachers interviewed during the pilot study worked with non-verbal children so the information pointed to the gap in communication with certain children about their specific death experiences. The pilot group of elementary teachers was weighted heavily with preschool teachers. Thus, from those who volunteered,teachers were chosen to obtain a balanced representation. The thirteen elementary teachers were distributed evenly among grade levels. r‘h 84 The percentage of humanities teachers in the pilot group of secon- dary teachers was high so the researcher sought math and science teachers to add balance in the secondary group. Grade levels were distributed evenly in the secondary group of teachers also. Analysis of the Data Definition of Terms It is important to understand the terminology used through- out the study. The terms of interest, as used in the present study, are defined as follows: teacher of children (elementary teacher) — a teacher who interacts with children, four years through eleven years old, in an assigned grade and classroom for the major portion of the school day in an elementary school. teacher of adolescents (secondary teacher) - a teacher who interacts with adolescents, twelve years through eighteen years old, in an assigned grade or subject within a middle school, junior high school, or high school for a limited portion of the day (such as one or two hours). teacher's observation - the teacher's description, using her/his observational skills, of the student's experience with death and the student's behavior in response to that death as reported in the interview. It is important for the reader to understand that a teacher's observation could focus on an individual's response to a death experience, a small group of students' responses,or'a large group 85 of students' responses(class)ufithin the classroom or within the school setting, such as on the playground, in the halls, in the gym, or in the library. A teacher's observation of students can, and does, take place in any area of the school or grounds. student's death experience - a death, non-human or human, which the student has encountered within the past school year as reported by his/her teacher in the interview. teacher's awareness of the student's death experience - the teacher reports the death experience of a student and/or describes the student's response, if any, to the death experience in her/his observations during the interview. teacher's use of awareness - the teacher's description of her/his behavior, if any, in response to the student's behavior surrounding the death experience as reported in the interview. non-verbal regponse - a student's behavior in response to the death experience which includes all behavior, except verbal behavior, as identified by the teacher in the interview. Non- verbal responses are divided further into emotional and action responses. verbal response - a student's response to the death experi- ence which employs language in oral, written, or signing form as described by the teacher in the interview. combination non-verbal and verbal response - a student's behavior in response to the death experience which includes a verbal response and one, or both types of non-verbal responses, emotional and action. 86 class-plannedcurriculmp- follow-through behaviors on the student's experiences with death initiated by the student's or teacher's awareness, which include interaction, planning, and some form of response to the death experience by the student(s) and teacher, such as sending notes to the family, attending the funeral, or burying the dead fish, as described by the teacher in his/her interview. teacher-planned curriculum regponse - a student's response to an activity, lesson, or unit which has been initiated and planned by the teacher using her/his awareness and observations of the student's awareness and response to the death experience, as described in the teacher's interview. consultation by teachers with parents and staff - the action(s) requested, offered and given by a teacher(s) with other adults within the school community as a result of the teacher's (teachers') awareness, and in response to, the student's death experience described in the teacher's interview. Data Analysis In analyzing the data the researcher was confronted imme- diately by the issue of providing quantitative information to the exclusion of qualitative information. The quantitative information was the simpler avenue, but this type of analysis presented no view of the differences in quality in the following areas of interest: 1. The different levels of teachers' awareness which ranged from no awareness to high awareness. 87 2. The quality and depth of the teachers' uses of their awareness in their interactions with students and school community. 3. The various levels of curriculum planning used by the teachers in following through on their awareness. (Planning ranged from simple to complex use of awareness. Sometimes the teacher's awareness was not used due to a value judgment about her role as a teacher.) 4. The quality and depth of young people's responses to their experiences with death. These responses were non- verbal and verbal. The verbal responses ranged from simple to complex. The non-verbal responses were emotional in nature sometimes and at other times the responses in- volved action. Combinations of verbal and non-verbal responses were reported, such as verbal, emotional and action responses. In short, there would be little depth to the study if only quanti— tative aspects were analyzed. The numbers of death experiences in each of the fourteen categories were tallied from the interview guides as one criterion for teachers' awareness. In some instances, the teachers remembered a death, but no response by the students. A majority of the teachers' reports, however, included a student's response along with a death experience. The data on the teachers' observations were presented in a format where quantitative and qualitative aspects were both 88 available for the reader's perusal. For each exploratory question the data were divided into two groups: the elementary students' responses and the secondary students' responses. Each teacher's individual observations were identified by the number assigned her interview guide. Elementary teachers were assigned numbers one through thirteen and secondary teachers were given the numbers fourteen through twenty-six. The teachers' observations of their students' responses to death experiences were used as indicators of teachers' awareness, and the use of awareness by the teachers, with one exception, the category of consultation use. The data for consultation uses were gathered by using the teachers' perceptions of help requested, offered and given. The students' responses and teachers' self- observations were grouped into elementary and secondary divisions in the presentation of the data so the differences, if any, between elementary and secondary teachers in their awareness, and use of this awareness, could be examined. The students' responses as observed by their teachers were divided into four categories: non-verbal, verbal, combination of verbal and non-verbal, and unknown. The numbers of student responses reported by teachers for each category were sub-totaled and then totaled. The students' responses relevant to the teachers' use of their awareness were analyzed along four dimensions: interaction in the school community, class-planned curriculum, teacher—planned 89 curriculum, and consultation with other adults in the school community. Two categories of interaction were identified: interaction initiated by students and interaction initiated by teachers. The numbers of interactions within each category were gathered from the interview guides. The interview guides were examined also for each student response to class-planned or teacher—planned curriculum. Each student response was listed under the proper curriculum category and under the student's teacher assigned interview guide. Totals for the number of student responses, the number of responses to each type of curriculum planning, and the number of elementary and secondary student responses were easily available for review. The teachers' observations regarding consultation use of their awareness were grouped into three types: consultation requested by teachers, consultation offered to teachers, and con— sultation given by teachers. Elementary and secondary groupings of the teachers' observations were used within each consultation category. The data were taken from the interview guides. Summar In this chapter, the population, research setting, method- ology, interview guide, pilot study and the plan for the analysis of the data were described. In the following chapter, the results of the study are discussed. "Over a number of years K. Kollwitz worked on a monument for her younger son who was killed in October 1914. His death became for her a sort of personal obligation. ...she noted in her diary: 'There's a drawing made, a mother letting her dead son slide into her arms. I could do a hundred similar drawings but still can't seem to come any closer to him. I'm still searching for him as if it were in the very work itself that I had to find him.'” from Catalogue to an exhibition of the works of K. Kollwitz, London, 1967. 90 CHAPTER IV FINDINGS OF THE RESEARCH In this chapter the findings of the research relevant to each question are presented and discussed. Where necessary, additional discussion of the methodology used in analyzing the data is included. Teacher Awareness of Students' Experiences with Death Are teachers aware of their students' experiences with death? In response to this question relevant data were organized by dividing the students' responses to their death experiences, as reported by their teachers, into non-human and human deaths. Each student response represents one death experience. The students' responses are grouped further into four broad categories: non-verbal, verbal, combinations of verbal and non-verbal, and unknown. In this format the quantity, quality and depth of the students' responses are available for review. The differences between teachers of children and teachers of adolescents in their awareness of their students' death experiences will be addressed in the presentation of the data. 91 Student 92 Responses to Non-human Death Experiences Non-verbal responses reported by teachers #12 #13 #14 #15 Elementary teacher At recess a girl's frog was run over by a boy in another class. The frog died immediately and then the owner became very upset. She cried so hard that other chil- dren comforted her. Elementary teacher The class hamster died in December. Rick became very sad. He withdrew from class participation and often he appeared to be daydreaming. Elementary_teacher During November Rick's behavior changed; he withdrew. There was no apparent reason. One writing assignment was remembered. The children were told, "Pretend you are a turkey. How would you feel about Thanksgiving? Write about it." Rick was adamant in his refusal to do the assignment. Usually he was very cooperative. Finally, he was told, "Write about any topic you would like." However, he did not start the assignment. In a few days the discovery was made about the death of Rick's dog. The teacher thought the death of his dog caused the change in his behavior. Rick ordinarily was very conscientious and cooperative. Secondary teacher A plant tended by the students for months died suddenly. Emotions of anger, sadness and disappointment were shown by students during the day. The class atmosphere was affected for a couple of days. There were four non-verbal student responses reported by the teachers. Elementary teachers reported three responses and secondary teachers reported one response. The non-verbal responses often were a combination of emotion and action by the students. The behavior of the students experiencing the death changed. Sometimes this 93 change of behavior was obvious, such as tears, and sometimes the change was more subtle, such as withdrawing from participation in class activities. Verbal Responses Reported by Teachers #8 Elementary teacher During "show and tell" a child stated, "My cat was run over." #8 Elementary teacher ”One of the fish died. He's floating," stated a child. The teacher disposed of the fish after the class left. #9 Elementary teacher One of the children brought a couple of frogs to school. They died from over-exposure to the sun after being placed on the window ledge. The teacher said, "Do you want to take them home?" The child answered, "No, throw them out." #12 Elementary teacher One of the children in this class wrote a letter to her teacher telling about the death of the class hamster. #12 Elementary teacher Upon entry into the classroom, the teacher said to a child, "How is your bird?" "He's dead," replied the child. The interviewed teachers observed five verbal responses of their students in reaction to the deaths of their pets. Elementary teachers accounted for five verbal responses and secondary teachers reported none. The verbal reactions were short and simple. In three of the observations the child initiated the topic of death and in two responses the teacher initiated a question which opened the verbal exchange to the topic of the death experience. 94 Combinations of Non-verbal and Verbal Responses Reported by Teachers #2 #3 #3 #3 #8 #9 #9 Elementary teacher Observation by the teacher revealed this child was day- dreaming. His mother called and told the teacher about the child being extremely upset. He felt guilty over the death of his bird which had died from overhandling by the boy and his friends. The daydreaming continued for a couple of weeks. He said over and over, "It was my fault." Elementary teacher The teacher noticed this child was very angry so she talked with him about his anger. It was written in his journal that his father had shot his puppy because the dog had chewed a slipper. Elementary teacher This group planned many funerals during classtime. The children wrote poems, songs, and eulogies which they used during the funerals at recess. The funerals were held for dead birds, bees, ants, and mice. Elementary teacher A child said to the teacher, "Let's use the fish for fertilizer." He buried the fish. Elementary teacher During sharing time a child was very aggressive with the other children. When the teacher explored his aggres- siveness, the child said angrily, "My father got mad at my dog and shot it." Elementary teacher A child told the class, "We buried a dead bird in our yard." Another child confirmed it, "Yah, I saw him do it." Elementaryxteacher A fish was floating in the water. Child: "There's a dead fish in here. What shall we do with it?" . Teacher: "What do you think we should do with it?" Child: "Put it outside." The child did take the fish outside when he was given permission. 95 #10 Elementary teacher #11 #12 #13 #15 The mother rat had a litter, but she was eating one baby a day on a regular basis. Each day the pre-school children raced off the bus with a great excitement so they could count the babies. This exchange between children took place after a few days of counting and losing baby rats: Child: "My mother doesn't eat me." Classmate: "No, we're people." Elementary teacher "A fish died," the teacher told her class. A child answered, "Oh, flush it down the toilet." So the fish was flushed down the toilet. Elementary teacher A child started telling the group about his dog dying and he started crying. Other children then began talking about their own experiences concerning death. The teacher said, "I was afraid. I didn't know how to handle it. I thought we'd get in too deep." Elementary teacher Rick's cat died in January. Rick was sick for three weeks and he was very depressed. Rick came back to school in the first part of February. Then, he was sick for two weeks again. The social worker visited Rick at home. On one of her visits with Rick he asked, "I wonder if I'll die?" (See Appendix 8.) Secondary teacher While a class hamster was being checked by the animal control person, the animal bit the official. The hamster was flung to the ground. The children were very upset. "Get him out of here, Ms. Jackson. He'll kill our ham- ster." The students were very angry and visibly upset with the inspector for his careless behavior with their class pet. The inspector took the injured hamster with him to the health office. Each day a couple of students from the class checked with the principal about the hamster's condition. Finally the principal came to the class and said, "The hamster ran away from animal control." Actually the principal did not know about the hamster's fate. _ i." 96 #15 Secondary teacher The boa constrictor ate the rat during the class. Some students were "horrified." Some youngsters were very upset and excited. There was much talk about this event and the class atmosphere became rather chaotic. Finally, after much informal conversation, a discussion evolved centering on survival and the life and death cycle. #17 Secondary teacher A vocational education teacher was walking through the halls when he observed a girl in his class crying by her locker. He stopped and talked with her. She was upset because someone had put a dead parakeet in her locker. She said, "The person who did this was mean." Interviewed teachers observed fourteen student responses which combined non-verbal and verbal reactions. Three responses were identified by secondary teachers and eleven responses were reported by elementary teachers. The behavior of the student, or students, had some effect on the class in thirteen observations. Sometimes the effect was indirect, such as the child who was absent inter- mittently due to the personal stress from his many death experiences. Other times classmates were on the receiving end of stirred emotions caused by the death experience, such as the child who was hitting his classmateS/crying over her frog. Teacher initiation or guidance into further exploration occurred in two observations. In the other twelve responses the child was allowed completion of his action, but the teacher did not encourage the child or expand on the action or topic. In one instance the children developed the opportunity for conversation about their death experiences because the teacher was afraid. She 97 evidently did not feel comfortable in guiding the discussion, so did nothing. Pets accounted for thirteen of the death experiences in this category. The two angry children had experienced violence against their pet by a parent. Cooperation and complex planning took place with the children who dealt with the impersonal death of bees, ants and birds. Unknown Responses Reported by Teachers Because of the manner in which one elementary teacher responded to the death experience, the children's responses were unknown. #4 Elementary teacher The teacher discovered a dead snake. She yelled and ran from the room. She told four teachers about it later. She could not remember the children's reactions to the incident. Two death experiences followed science experiments, but the students' responses were unknown. #18 Secondary teacher A science experiment was set up with guppies. One half of the guppies were placed in a well balanced environ- ment while the other half of the guppies were placed in a stagnant environment. As planned, the guppies in the stagnant water died. #18 Secondary teacher Another experiment involved crickets which died. The teacher could not remember any discussion about the dead crickets or the planning of the death experience. 98 Teachers reported eight non-human death experiences for which there were no reported student responses to the death experi- ences; elementary teacher cited five deaths with no student responses and secondary teachers identified three death experiences with no student responses. Awareness of Non-human Death Elementary teachers reported twenty-four non-human deaths; eight elementary teacher were represented with nineteen student responses to the death experiences and five unknown student responses. There were seven non-human death experiences identified by secondary teachers. Two of the secondary teachers cited four student responses with three unknown responses (see Table 2). Eleven teachers reported no non-human deaths while fifteen teachers reported a minimum of one non-human death. In the elem- entary group eleven teachers reported one, or more, non-human deaths and four teachers in this secondary group recorded one, or more,non—human deaths. The young persons' responses to these non-human deaths ranged from highly emotional reactions, such as throwing objects across the room in anger, to responses which produced non—emotion action, such as burying the dead pet with no display of emotion. Student responses included a variety of pets such as dogs, frogs, birds, hamsters, cat, rat, and pig. From the interviews of twenty-six teachers the following data were gathered: four non-verbal student responses, five verbal 99 .mcwmsocu Fecowmw>wo use gamma mo xuommpeo m_ mm n «N 4 use _macm>1:oz we cowpec_naoo m e o m Fencm> m _ F m Peacm>ucoz mbcmuzpm mucmuzpm mucmuzpm mpcmuzum xyeucoomm ageucmsmpm ageccoumm agepcmsum gamma ness: spams amassicoz mmcoammm mo max» .gpmmo cues mmocmwcmaxm op mmmcoammm pcmuzpm--.m ubm Low 4 No xcomwpou .mgmgummh ma umpcoqma mcowpuocmch ancm>ui.v mpmcoc .x—puncm>v ucoqmmc .m Aapponcu> .puccmemcv upaop mmopu .N Amoco—pm .coppuocumpuv opoop upo>~ ._ ~«N sup: pawn so» awn 30: .upwgu x5 vouowupcw m.-- uppgu pazup>pucw .u asocm open: .5 nsocm pposm .u eoceppeo eoepo eppz .m oppooo coepo epp: .N so» epp: .p "copmmaumpv ”pep opopppop oppeo pep ope eoe: eppz-- oucopcoaxo mpsp co eopmmsumpu vopopppep uppzu o magi- uoucopcmaxu u__=u a magi- Dying child in school Dying child in class Death of parent of child in school Death of parent of child in class Death of sibling of child in school Death of sibling of child in class school Death of child in Death of child in class Death of adult on school staff Death of close relative or friend of family Death of a neighbor Death of a stranger Death of a pet Death of a plant ”mucoumopouo Lo emcuppgu app: o—oc Focopmmueoca Lao» up New» poogum pmoa esp mcpcao uonw 3m~>mmpz~ H< x~azumm< 194 Nvoacppcou .m Nuomopu .N Nemepo>o uNnop mgp we: .p chppooe weep“ o po opoop opep opopppep so» opo-- Nopeoeoo opp epp: ooeopcooxo o.o__eo opep moooopo so» opo-- n.6pu .omcac .xgopocuom .coppcanv Npoccomeoa —oo;um eogpo eppz poem—coaxo m.uppgu pep mmaumpu so» upuii naogm «.023 .m asoem ppoEm .N uppzu op Logged» .p Non: no» upu NLqusaLm pug: .upaop «pep co :o—mmaumpu eupp>cp no» u... asp spp: «ago—gonxo co copmmaompu ope—ppcp so» upuii e v v. 1 t1! :1 f 3.1 r r. f f 0 O n n n 1m .M W... 9m os 9m 9s i i o m... .m. m m. .mpeooaopooo ..o n n mm MN mm mu d d tfi N... 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What consultation help were you offered by the consultants so you could be more effective in helping the student (or students) integrate the death experience? What consultation help have you given to help other adults in the school community integrate their death experiences? APPENDIX B 198 APPENDIX B #13 TEACHER'S OBSERVATIONS OF RICK Rick was ten years old and in the fourth grade. In September Rick was shy and withdrawn. The goal set for him during the fall was to "bring Rick out of his shell." Great improvement was made during the first month of school. During November Rick's behavior changed; he withdrew again. There was no apparent reason. One writing assignment was remembered. The children were told, "Pretend you are a turkey. How would you feel about Thanksgiving? Write about it.“ Rick was adamant in his refusal to do the assignment. Finally, he was told, "Write about any topic you would like." However, he did not finish the assign- ment. In a few days the discovery was made about the death of Rick's dog. His mother reported, “Rick has been very upset about his dog." During the Thanksgiving vacation an aunt who lived with Rick's family died. Now Rick's behavior changed even more. He became very withdrawn. "1 was afraid to open up a discussion about death. He was so depressed." When Rick's mother was called, she said, "Oh, I hoped it wouldn't affect his school work. He is having trouble at home, too." Since Rick was a very conscientious child, he became tense over his schoolwork. He became depressed when he found his work 199 200 unfinished. When he did not understand his work immediately, he became very "blue." Often he daydreamed. Since he appeared to need time for daydreaming, he was allowed some time without accountability. The class hamster died in December. Rick was sad about this event. One day Rick was deprived of recess because his work was not finished. A talk was needed. "You're having a hard time, aren't you, Rick?" And I put my arm around him. Rick broke into sobbing and he sobbed for a long time. I said, “You have enough to think about. Don't worry about your work. If you have a question, ask me. You want to be smart, don't you? You are smart. Remember the good work you did in math and spelling last week?" Rick's cat died in January. Now Rick was sick for three weeks. Rick came back to school in the first part of February, but he was "very low.‘ Then, he was sick for two weeks again. The social worker visited Rick at home. On one of the social worker's visits Rick asked, "I wonder if I'll die?" According to the social worker, Rick's father put too much pressure on him. Rick's uncle had a Ph.D. and he taught in a univer- sity. Although Rick's dad was a very successful businessman, he regretted the lack of a degree. Now he was "making sure Rick did not make the same mistake." A benefit basketball game was held as a fund-raiser for a sixth grader who had Hodgkins' disease. The funds were used for the hospital bills. Rick's class discussed this project and its ramifications after the handbill was delivered. The children asked 201 questions about the disease. "Is it fatal?" A long discussion period developed from the questions. Although the children learned the disease was fatal in time, the hope of medication and arrest was discussed too. Rick loved competing and playing baseball at recess. He returned from the playground in a very dirty state. The dirt was unbelievable and he was sent to the bathroom often for washing. It was as if Rick came alive on the ballfield. The neighbor teacher had had many of the children in the class for third grade the previous year. Rick was one of her former students. One day she was teaching and the next day she was dead. Comprehension of this event was difficult for me, the staff and the class. For Rick it was one more death blow. Rick did not finish one written story during the entire year. His achievement scores dropped during the school year; probably this was because of the many deaths. Rick was less depressed by the end of the year. As the end of the year approached, Rick was in touch with his work, his friends, his teacher and himself. Bad news came through the secretary. Rick's mother had terminal cancer. Now Rick was given more "leeway." It was suggested at the parent-teacher conference that Rick's mother seek help for Rick from his minister. If his tension could be relieved, his spirits might rise. "1 was very concerned about Rick's ability to assimilate the news of his mother's approaching death." Since he was going to middle school, some continuity for Rick and the next teacher seemed 202 desirable. A long commentary was written and put in his folder. (A suggestion was made to #13 Teacher about personal follow-up with the middle school teacher. She was very interested in this idea.) "One thing Rick has going for him is interested parents. His father is very interested. Thank heavens!" These were the parting words in the interview. APPENDIX C 203 APPENDIX C #3 TEACHER'S OBSERVATIONS ON MARK Mark was nine years old and in the third grade. During September Mark was rebellious and violent. Between the violent outbursts he acted numb. He would do no work. There was no par- ticipation by him in any activity. Journal entries were written each day but Mark never wrote a line. He retreated from the group by disappearing under his desk; then, he would kick his desk and "send it flying.” He threw chalk across the room; sometimes erasers and books joined the missile barrage. If it was close at hand, Mark threw it. ”It was as though Mark was saying, 'Pay attention to me.'“ Because Mark could not be reached by talking with him or through any assignments, a phone call to his parents seemed appro- priate and necessary. One week after school opened, the call was made. Hopefully Mark's parents might have a reason for his unusual behavior. However, his mother had no new information. "Nothing unusual was happening at home." The violent behavior continued in the school. Toward the end of September, Mark's parents were called again. The situation was desperate. This call revealed very important information. Mark had been in the hospital for a hernia operation in August. While in the hospital, Mark had been in a ward 204 205 with seriously ill people. Mark's mother told about her husband's terminal illness of cancer. She was caring for him at home since the hospital was not in their financial reach. The family had no major medical insurance. Mark's father had been an active, vigorous man, but now was "a shell of his former self." He was in great pain. Mark's behavior was destructive to himself, destructive to others and destructive to the learning atmosphere in the classroom. The children avoided him now because they had been hurt by him. They were afraid of Mark. He did hit without discrimination and for no apparent reason. Help was requested from the principal. The principal's response to the request was "discipline should be handled in the room." In desperation help was requested again two weeks later. "Every time a tough decision comes up you can't pass the buck" was the principal's comment. Help was never requested again. Mark was failing academically and his behavior indicated emotional anguish. With the new information from his mother Mark was told, "Don't worry about your school work. You have enough to worry about right now. Do the work if you feel like doing it. If you don't, leave it." A letter was written to the social worker for the Intermediate School District requesting a visitation and observation of Mark. Meanwhile, "a teacher in another building and a non-school friend helped me by listening." 206 The speech therapist in the same building taught Mark's brother, Verne. He was violent in speech class. In desperation the speech therapist compared notes with me. At my invitation she came into my classroom for observation of Mark. She wanted ideas for working with Verne. She could not reach Verne either. Verne was in the classroom next door to Mark and Teacher #3. He spent a great amount of time in the hall so the conflict between Verne and his teacher was obvious. Teacher #3 approached Verne's teacher but she was not open for discussion about the children's behavior and their situation. "In fact, she was punitive in her attitude toward Verne." These teachers never communicated about the boys during the school year. In the middle of October, Mark communicated with his teacher for the first time when he drew a picture of a big black rock on top of a very small stick figure. The violence continued. One day he tore a teacher's manUal in half. The only reasonable thought was planning for the violence. The class was asked for the sharing of ideas revolving around aggressive toys. A Bozo clown was used for punching, pounding and pushing. A wasketbasket and beanbags were introduced as a substitute for the throwing of chalk, erasers and pencils. When hammer, nails, saws and wood were set up as an activity, Mark would pound nails for long periods of time. Sometimes he pounded dozens of nails into the wood so the surface showed all metal and no wood. Both sides of the wood were used if it was thick enough. The class and Mark destroyed three Bozos that school year. 207 Soon after the drawing of the rock picture, Mark stated aloud for the first time, "There is a man dying in my house." Mark appeared in a vacuum for long stretches of time; then, he would explode. These explosive times would be the "throwing periods.“ One day he threw himself on the floor and kicked and shouted. "I hate school. I hate you, I hate trees. I hate walls. I hate everything." Mark would lie under the table in the room with hands folded. A classmate might ask, "What are you doing?“ Mark would reply, "Playing dead.‘l Another day he wrote in his journal, "I wish the world would die." In the middle of November, Mark identified the dying man as his father. "You know my father is going to die," he said. Mark's family was falling apart. His teenage brothers were involved in drugs. Mark and his brother, Verne, had been caught setting fires. Mark's mother wanted help but she did not know where to get it. Often she came to school and talked about her loss of control in the family. She was sinking beneath the weight of her responsibility. "I felt sorry for her and talked with her when I could. I investigated mental health agencies for her and suggested one for family counseling." Since tension was high in the room often, music was used for relaxation purposes. Mark was very sensitive to music; he interpreted well verbally but never moved any part of his body with the rhythm. "It sounds like someone is being punished. Maybe he 208 is dying." When the children were invited to move with the music, ‘ Mark did not participate. The only noticeable movement was a blinking of his eyes; sometimes he blinked in rhythm. During the fall the children held a few funerals at recess time, but Mark did not participate. The children sang songs, read eulogies, and chanted. They buried dead mice, birds, ants, and bees. Their funeral planning was extensive. Stones were piled on the graves as tombstones. Milk cartons were used for coffins. "It almost became humorous because they buried everything.“ In November, Mark's brother, Verne, still was sitting in the hall much of the day. During one week he broke the glass in the classroom door four different times after slamming it on the way to the hall. The custodian replaced it each time. Suddenly Verne spent time in the principal's office rather than the hall. While in the office he sat and did nothing. Verne continued his violent behavior. He continued sitting in the office. Many teachers in the lounge talked about Mark and Verne in a very punitive manner. Their family was criticized constantly. No one offered sympathy or help. "One day I could listen no longer. I shouted, 'I think you are all inhumane. I don't see how you can be so inhuman.‘ Then, I stormed through the door and slammed it on the way out--as hard as I could. I didn't communicate with anyone after that except for the speech therapist." In December, the Intermediate School District social worker arrived. It was her first year as a social worker so she did not 209 have much help to offer. Her parting words were "I'm very interested in this, so let me know if you find out anything.“ Before his father's death in December, Mark drew a coffin with a man in it. "This man is dying at my house," he said. (He used this sentence often.) "He doesn't look like anyone I know," Mark continued. Mark's father died toward the end of December. Due to the experiences the children had been allowed to live together, every child participated in the funeral in some way. They attended the funeral or visited the family or visited the funeral parlor. After his father's death, Mark drew a skeleton figure in a coffin. He stated, "My dad looked better dead than alive." Later in January Mark drew a boy sitting on a brown rock. By the rock was a bud or little piece of grass. When I asked for the drawing, Mark insisted, "I can draw a better one for you." His new picture was dominated by a hill with three or four flowers in a bouquet near a blanket on which sat a boy. Mark said, "My family is having a picnic." Another child in the class responded, “It looks like you are having a picnic in the cemetery." Mark retorted, "Where else could I have a picnic with my Dad?" Another day Verne opened the double doors to both entrances of the library which was in the center of the school. Then, he went out of the building, mounted bicycles with Mark, and they rode through the building, library and out the front door. The librarian trailed after him yelling, "You can't do that in here." 210 During February, Mark exploded at recess. "My father is dead. He's dead, he's dead, he's dead!” he screamed. Before his father's death and after his father's death, Mark needed much time alone. He was quieter after the death, but he would go under the table still. He would sit quietly for long periods. One unusual statement was "He didn't perspire (expire?). He's dead--died--no more life." Mark's mother continued a relationship with me throughout the year. She always talked about her family's troubles and there were lots of troubles. Finally one of the teenage sons scheduled an appointment with a county mental health agency. Mark wrote some poetry. A haiku poem mentioned "baby bouncing on father's knee." As Mark became more well adjusted in living with his class- mates, the children shared more about their own experiences with death. Sometimes the sharing was sad. "My puppy chewed my father's slippers and he took my puppy out and shot him." "My cat had kittens but my father put them in a bag and they aren't kittens anymore." Other times it was more joyous. "My grandma died but I remember the fun we had baking cookies." In the spring a self-awareness unit was planned. It was a suggested unit for third grade, but I chose it because of Mark's unique experiences. The involvement of the other children in his experience was an added reason. The group drew pictures of their families for the unit. Mark said as he showed his picture to the 211 group, "You all know my dad died but this is my mother, brother Sid, Art and brother Verne." One particular day in April, Mark burst out of the door at recess time. He ran to a bush and shouted, "Here are two buds." Then he ran to a tree and hugged it. "Oh, here are two more." He continued running from tree to tree enthusiastically greeting spring. This was the day Mark accepted his father's death and life for him- self again, in my opinion. Until the end of the year Mark required periods of aloneness. He was very sensitive to the outdoors. Often during recess he would lie on the grass and look at the sky the entire recess time. In May, it was Mark's turn for decorating the class bulletin board. After some class discussion he chose the theme of Smile. He used paper cuts and much fantasy. When he was asked if he needed helpers, he replied, "Three or four kids want to help me." They did help him and the bulletin board turned out well. Later in May he said, "I have this problem. Can I talk with you?" He gave me a picture of a frog with a big grin. "I guess teachers aren't so bad.‘I At the end of the school year Mark was on grade level. His brother was not. His brother was not in a healthy mental state, either. Verne's teacher said, "You got the more mature one. I got the violent one." Mark's mother commented on the marked differences between the growth of the boys during the year. She also thought Mark had helped the family grow. MICHIGAN 312 1441111le