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DEATH, DYING AND BEREAVEMENT: THE TABOO SURROUNDING THE TOPIC OF DEATH
Since about 1970 the taboo surrounding the topic of death has been partially lifted and there has been a torrent of literature on the subject of thanatology, the scientific study of death, its causes and related phenomena, such as rituals. It was not until the latter part of the present century in our society that human beings achieved their biblical allocation of three score years and ten, and in the Western world millions of people now live into their eighth and ninth decades. Many of these people will eventually die of cancer which is essentially a disease of old age. There has been increasing interest in cancer in recent times, but it is the AIDS epidemic which has brought with it the possibility of millions of untimely deaths. These two factors may account for the increased interest in thanatology which has provided an increasingly prominent focus for modern medical research in the management of death.
Inevitably, more physiotherapists are becoming involved in terminal care, especially in the public sector institutions. Physiotherapists have always had some contact with dying patients but their ability to cope is probably related more to their own personal philosophies than to any extensive education or professional training. Purtillo (1972), writing about the physiotherapist as part of the death-denying society, searched 12 years' publications of Physical Therapy and could find only two articles written on the subject, neither of which was written by a physiotherapist. There is a similar scarcity of articles in Physiotherapy. This dearth of literature indicates how the subject of terminal illness and death has been neglected by physiotherapists.
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