The Sociology Video Project


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Title: The way we die: Listening to the terminally ill

Rating: 2.6 out of 4

Reference: Director & producer, Jonathan Mednick.
Wookstock, ON: Canadian Learning Co., 1995.
25 minutes
Call number: video 4457

Abstract: Through interviews with doctors, patients, and family members, and through filmed interactions between medical personnel and their terminally ill patients, this video addresses a pervasive problem in healthcare today: the excessive and restrictive focus on treating diseases, not people. It makes a case that physicians and nurses must be trained to treat the whole patient, and encourages health care professionals to work with their patients to devise treatment plans in accordance with their needs, values, and wishes.


Library of Congress subjects:
Terminal care
Medical personnel and patient
Physician and patient
Health counseling
Death
Medical technology--Decision-making
Life and death, Power over--Decision-making


Sociology subjects:
Aging & gerontology
The body
Ethnographic methods
Health & medicine
Science & technology

Reviews and Numerical Ratings

3 This slow-paced video emphasizes the different experiences or meanings of health & quality of life for individuals who are dying as well as their families, as well as raising questions about societal discomfort with death & illness. The strong emotional pull of the video still manages to avoid completely objectifying the subjects of the video and offers students a chance to consider questions in the context of real relationships & the sadness that comes with them, rather than the abstractness of a textbook. The implications of traditional medical models of educating doctors are examined reflexively in contrast to a practice of medicine which is centered around an ethic of empathy for patients. Although the focus is on four patients, it retains a somewhat doctor-centered view of the organization of health care practices. For lectures on phenomenology; social organization of health & dying. Patti Phillips

1 Appropriate for a psychology or nursing ethics course. When viewing this video, I felt it had no sense of purpose and was irrelevant for a sociology class. The content was very dull and the video itself very time-consuming. Even though students across the curriculum can relate to the topic, they will not find the video rich in educational purpose - therefore, it is not suitable for a lecture or tutorial discussion. It lacks clarity, facts, data, sociological theories, and terms. For 1st & 2nd year students. Minh Hoang (undergraduate)

3 Close encounters with dying lives, through a seemingly obtrusive lens, is a difficult story to ignore. The viewer is deeply engaged and affected, at the same time as feeling guilty about the voyeuristic format. Raises the issue of our inability to understand and empathise with situations we know nothing about, shows how those who assume expert status become accountable in these situations. Three stories provide varying perspectives of those who struggle to live, those who live to die peacefully, those who look after or work amongst the dying, and those who want to change the way this work is done. Ellen Chang

3 At what cost do we prolong people’s lives? Somehow, with advancement in medicine, doctors & even family members feel they have an obligation to the patient and/or a right as physicians to apply all the necessary or available means of prolonging live. Some fundamental issues have been raised here: what does the patient want? How would the patient like to be treated? What should the physician’s & family’s responses be? It’s worth mentioning is that all the home caregivers were females, which begs the questions: what kinds of support systems are available to these caregivers, who are predominantly females? This would be a good choice for the curriculum especially in Sociology of Health courses or in courses on work & industry. A good idea would also be to juxtapose this video with the way that other cultures deal with dying in order to allay some of the fear surrounding death & dying. Jennifer Lewis-Phillips (undergraduate)

3 Emotionally intense, parts are so painful to watch that discussion immediately after the video could seem insensitive. Avoids the spectacular. Offers a not-quite sociological critique from within the medical profession of iatrogenic illness & calls for empathic treatment. Shows how both patients & their families are affected. Lecture topics: iatrogenic illness, bioethics, phenomenology of death/dying/pain. Kathy Bischoping & Riley Olstead


 

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