Tag: Death And Dying

Posted on

The surprising benefits of contemplating your death

Now is the perfect time to face your fear of mortality. Here’s how.

By Sigal Samuel

Nikki Mirghafori has a fantastically unusual career. After getting a PhD in computer science, she’s spent three decades as an artificial intelligence researcher and scientific advisor to tech startups in Silicon Valley. She’s also spent a bunch of time in Myanmar, training with a Buddhist meditation master in the Theravada tradition. Now she teaches Buddhist meditation internationally, alongside her work as a scientist.

One of Mirghafori’s specialties is maranasati, which means mindfulness of death. Mortality might seem like a scary thing to contemplate — in fact, maybe you’re tempted to stop reading this right now — but that’s exactly why I’d say you should keep reading. Death is something we really don’t like to think or talk about, especially in the West. Yet our fear of mortality is what’s driving so much of our anxiety, especially during this pandemic.

Maybe it’s the prospect of your own mortality that scares you. Or maybe you’re like me, and thinking about the mortality of the people you love is really what’s hard to wrestle with.

Either way, I think now is actually a great time to face that fear, to get on intimate terms with it, so that we can learn how to reduce the suffering it brings into our lives.

I recently spoke with Mirghafori for Future Perfect’s limited-series podcast The Way Through, which is all about mining the world’s rich philosophical and spiritual traditions for guidance that can help us through these challenging times.

In our conversation, Mirghafori outlined the benefits of contemplating our mortality. She then walked me through some specific practices for developing mindfulness of death and working through the fear that can come up around that. Some of them are simple, like reciting a few key sentences each morning, and some of them are more … shall we say… intense.

I think they’re all fascinating ways that Buddhists have generated over the centuries to come to terms with the prospect of death rather than trying to escape it.

You can hear our full conversation in the podcast here. A partial transcript, edited for length and clarity, follows.

Sigal Samuel

You’ve worked in Silicon Valley and you still live near there, so I’m sure you’ve encountered the desire in certain tech circles to live forever. There are biohackers who are taking dozens of supplements every day. Some are getting young blood transfusions, trying to put young people’s blood in their veins to live longer. Some are having their bodies or brains preserved in liquid nitrogen, doing cryopreservation so they can be brought back to life one day. What is your feeling about all these efforts?

Nikki Mirghafori

It’s the quest for immortality and the denial of death. Part of it is natural. Human beings have done this for as long as we have been conscious of the fact that we are mortal.

A person who really put this well was Ernest Becker, the author of the seminal book The Denial of Death. I’d like to offer this quote from him:

This is the paradox. A human is out of nature and hopelessly in it. We are dual. Up in the stars and yet housed in a heart-pumping, breath-gasping body that once belonged to a fish and still carries the gill marks to prove it. A human is literally split in two. We have an awareness of our own splendid uniqueness in that we stick out of nature with a towering majesty, and yet we go back into the ground a few feet in order to blindly and dumbly rot and disappear forever. It is a terrifying dilemma to be in and to have to live with.

There is a whole field of research in psychology called terror management theory, which started from the work of Ernest Becker. This theory says that there’s a basic psychological conflict that arises from having, on the one hand, a self-preservation instinct, and on the other hand, that realization that death is inevitable.

This psychological conflict produces terror. And how human beings manage this terror is either by embracing cultural beliefs or symbolic systems as ways to counter this biological reality, or doing these various things — cryogenics, trying to find elixirs of life, taking lots of supplements or whatnot.

It’s nothing new. The ancient Egyptians almost 4,000 years ago, and ancient Chinese almost 2,000 years ago, both believed that death-defying technology was right around the corner. The zeitgeist is not so different. We think we are more advanced, but it comes from the same fear, same denial of death.

Sigal Samuel

It seems like in the West, we really have a bad case of that denial. I think we rarely talk about death or are willing to face up to the reality that we’re going to die. We seem to be wanting to always distract ourselves from it.

You are a Buddhist practitioner and you have a practice that is very much the opposite of that, which is mindfulness of death, or maranasati. You’ve done trainings and led retreats around this subject. But some people might say this is too morbid and depressing to think about. So before we actually delve into the mindfulness of death practices, could you entice us by telling us a few of the benefits of doing them?

Nikki Mirghafori

First and foremost, what I found for many people, myself included, is that facing the fact that I am not going to live forever really aligns my life with my values.

Most people suffer what’s called the misalignment problem, which is that we don’t quite live according to our values. There was a study that really highlighted this, by a team of scientists, including Nobel Prize winner Daniel Kahneman. They surveyed a group of women and compared how much satisfaction they derived from their daily activities. Among voluntary activities, you’d probably expect that people’s choices would roughly correlate to their satisfaction. You’re choosing to do it, so you’d think that you actually enjoy it.

Guess what? That wasn’t the case. The women reported deriving more satisfaction from prayer, worship, and meditation than from watching television. But the average respondent spent more than five times as long watching television than engaging in spiritual activities that they actually said they enjoyed more.

This is a misalignment problem. There’s a way we want to spend our time, but we don’t do that because we don’t have the sense that time is short, time is precious. And the way to systematically raise the sense of urgency — Buddhism calls it samvega, spiritual urgency — is to bring the scarcity of time front and center in one’s consciousness: I am going to die. This show is not going to go on forever. This is a party on death row.

Sigal Samuel

So the approach here is to bring to the forefront of our consciousness how precious our time is, by impressing upon our minds how scarce it is. And that helps align our life with our values.

Are there other benefits to practicing mindfulness of death?

Nikki Mirghafori

The second benefit is to live without fear of death for our own sake. That way, we don’t engage in typical escape activities. And it frees up a lot of psychic energy. We have more peace, more ease in our lives.

The third benefit is to live without fear of death for the sake of our loved ones. We can support others in their dying process. Usually the challenge of supporting a loved one is that we have a sense of grief for losing them, but a lot of that grief is actually that it’s bringing up fear of our own mortality. So if we have made peace with our own mortality, we can be fully present and support them in their process, which can be a huge gift.

My mom passed away two years ago. And for me, having done all of these practices, I could be with her by her deathbed, holding her hand and supporting her so that she could have a peaceful transition. She didn’t have to take care of me so much and console me. She could be at peace and take delight in this mysterious process that we just don’t know what it’s like. It might be beautiful, might be graceful. We don’t know — there might be nothing; there might be something.

Sigal Samuel

Now I feel sufficiently enticed to learn about the actual practices of mindfulness of death. Let’s start with one that seems simple: the Five Daily Reflections, sometimes called the Five Remembrances, that are often recited in Buddhist circles. Would you mind reciting those?

Nikki Mirghafori

Happy to. These are the Five Daily Reflections that the Buddha suggested people recite every day.

Just like everyone, I am of the nature to age. I have not gone beyond aging.

Just like everyone, I am of the nature to sicken. I have not gone beyond sickness.

Just like everyone, I am subjected to the results of my own actions. I am not free from these karmic effects.

Just like everyone, I am of the nature to die. I have not gone beyond dying.

Just like everyone, all that is mine, beloved and pleasing, will change, will become otherwise, will become separated from me.

Allow whatever arises to come up. It’s okay. These contemplations can bring a lot up. So just be with them as much as possible.

Sigal Samuel

I’ve done these reflections before, but every time I do them, I notice that some are much harder for me to absorb than others. The fourth one — I’m of the nature to die — does not terrify me. Maybe that’s weird, but that’s not the one that really scares me. The one that I find impossibly hard is the fifth one. Everyone that I love and everything that I love is of the nature to change and be separated from me.

It’s really the death or the separation from the people I love that I find much harder to face than the death of myself. Because if I’m going to die, you know, then I’ll be gone. There won’t be any me to miss things.

Nikki Mirghafori

Yes. So appreciate and make space for the one that really touches you.

Also I would say that with the fourth one, making peace with our own death, I’ve done the practice and sometimes I’m like yeah, sure, whatever. And then I’ve really stayed with it, and thought, “This could be my last breath.” When the practice really takes hold and becomes alight with fire, it’s like, “Oh, my God, I am going to die!” It really hits home.

Sigal Samuel

Just to clarify, this is a separate mindfulness of death practice, where you contemplate with every breath, “This could be my last inhale. This could be my last exhale.”

Nikki Mirghafori

Yes. And to bring the historical context into it: This particular teaching is what’s called maranasati. Marana is death in Pali, the language of the Buddha. Sati is mindfulness. The mindfulness of death sutra, that’s where the Buddha taught it, and it’s actually quite a lovely teaching.

The Buddha comes and asks the monks, “How are you practicing mindfulness of death?” And one of them says, “Well, I think I could die in a fortnight, in a couple weeks.” Another one of them says, “Well, I think I could die in 24 hours.” Or “Well, I could die at the end of this meal.” Or “Well, I could die at the end of this bite of food I’m eating.” And another one says, “Well, I could die at the end of this very breath.”

And the Buddha says, “Those of you who said, two weeks, 24 hours, whatever — you are practicing heedlessly. Those who said right at this breath, you are practicing heedfully, correctly. That is the practice.”

There are ways to really bring the sense of immediacy and urgency to all this. It’s not out of the question that there could be an aneurysm or that a meteor could just hit the Earth in this moment. Use visualizations; be creative.

Sigal Samuel

Another thing I find really helpful is remembering the idea of impermanence. Which, of course, is the theme of our whole conversation — that our whole life is impermanent — and that’s a very central Buddhist teaching. But also any emotion that I’m feeling is impermanent. So if I’m feeling an intense surge of fear as I do a practice, that’s impermanent, too.

Nikki Mirghafori

Yeah, I love that. When I teach impermanence, there are little impermanences that come and go, and then there is the big impermanence, which is your life! I’m chuckling because this is a case where impermanence is on your side. Impermanence is just a rule of how things run in this world. It’s impersonal. It’s just the way things are. But in our perspective, it’s either working for us or against us.

Sigal Samuel

Can you tell me about another kind of contemplation — the “corpse contemplation” or “charnel ground contemplation”? Charnel grounds are these places where, after people have died, their bodies are left to decay above ground, to rot in the open air. And Buddhist monks would go and observe them up close, right?

Nikki Mirghafori

Many monks do that, especially in Asia. In order to become more intimate with a sense of mortality, the practice is to go to the charnel ground and to actually see a corpse. And the contemplation is: My body, this alive body, is just like this body that is decaying. It’s in different stages of being a body, of decomposing.

A specific practice in the Buddhist canon is to contemplate a corpse in different stages of decay. This particular practice requires a sense of stability of mind. Do the other ones first. I only teach it on a retreat when there’s a container of safety, holding people and supporting them through it.

Sigal Samuel

I definitely have not yet worked myself up to doing corpse contemplation by looking at images of actual human corpses. But when I go for a walk, whenever I see a dead bird or squirrel or mouse that’s been run over in the road, I actually pause and take a minute to look at it. I’m trying to ease my way into this practice.

Nikki Mirghafori

Brilliant. Similarly, another informal practice I wanted to share is having a memento mori. Like a little skull, or those bracelets that are all skulls. I just drew on a little Post-It a skull and bones, and posted it on my computer monitor, so I would remember: Life is short. I’m going to die.

I’ve had various memento moris on my desk throughout the years, and I invite people to have them. They don’t have to be sophisticated. On a piece of paper, just write out, “Life is short” or “You are going to die” or “Traveler, tread lightly.” Whatever works for you to keep death in your perspective. And I think it’s good to switch memento moris around so that your mind doesn’t get used to seeing the same thing all the time.

Sigal Samuel

I’m glad you brought this up because I was going to say the corpse contemplation reminds me a lot of that memento mori tradition, which is a centuries-long tradition in Christianity. So many different religious traditions have emphasized the importance of meditating on our death and have devised ways like the memento mori to try to keep forcing the ego to recognize its looming demise.

Nikki Mirghafori

Yes. And I know that for me, I feel most alive and I feel happiest and I feel most connected with myself, when I’m aware of my death. If it happens for a day or two that it’s not in the forefront for whatever reason, I’m not as bright, as sharp, as alive. So I just love bringing it back. It enlivens me. It supports me to live more fully and hopefully die with more delight and joy and curiosity.

Sigal Samuel

I’m wondering if you can help me with something else. I mentioned earlier that I’m not really scared of my own death so much, but I am scared of the death of the people I love. And especially during the pandemic, I think that’s causing a lot of anxiety for me and probably a lot of others. We’re scared about the potential death of our grandparents, our parents, our friends. Is there a way to free ourselves of the overwhelming fear of their death?

Grief is a natural part of the process. However, it is complicated by our own seen and unseen fear of death. So I invite you to actually work with the practice of making peace with your own death. That’s what’s underlying it. Even if you think you’re not afraid of your own death, you probably are.

When people are really at peace with their own passing, there is a different perspective. There’s a different way of being with the fear or sadness of losing others. There is still a pain of loss, but it shifts.

Complete Article ↪HERE↩!

Posted on

Dying in Your Mother’s Arms

A palliative care doctor on finding a “good death” for children in the worst situations.

A palliative care doctor on finding a “good death” for children in the worst situations.

by John Beder

If losing a child to an illness is one of the worst things that can happen to a family, Dr. Nadia Tremonti has made it her mission to make it better.

It’s not easy. But as a pediatric palliative care physician, she works to ensure that terminally ill children receive quality end-of-life care. Palliative care is sometimes misunderstood to shorten life expectancy, but it’s a method that increases quality of life, improves symptom burden and decreases medical costs. We follow Dr. Tremonti in the short documentary above as she works to make death less medical and more human. In the process she asks a critical question: When a child is terminally ill, how can we make the end of life a better one?

Complete Article ↪HERE↩!

Posted on

‘Spiritfarer,’ a game about the afterlife, seeks to ease the terror of death

“Spiritfarer”

By Elise Favis

“Goodbye, my friend,” said a deer named Gwen, holding me close in a final embrace as we sailed into the blood red waters of the River Styx. Despite the intense color of the sea, and the intensity of the moment, I felt calm. Flower petals drifted on the surface of the water, and white, lush trees swayed in a tranquil way. Gwen disappeared into thin air.

“Spiritfarer,” a game releasing later this year (on several platforms including Switch, PlayStation 4, Xbox One, PC and Stadia), is about guiding spirits to the afterlife. It hopes to make the subject of death comfortable, even cozy, by focusing on relationships and care in people’s last moments while guiding them to the other side. After playing for an hour, I came away feeling hopeful and uplifted, even after experiencing its somber themes.

You play as Stella (or Daffodil, her accompanying cat, if you’re player-two via local or online co-op), a young girl who becomes a new spirit guide to the dead after Charon, inspired by the ferryman of Hades in Greek mythology, retires from that same position. You sail a fantastical world, gathering spirits and convincing them to board your ship. You help them through their problems and encourage them to accept their fates. For creative director Nicolas Guérin, building a death-positive game was cathartic; a way to cope with his own mortality as well as the passing of loved ones.

“I’m terrified of dying,” Guérin told The Washington Post in a recent interview. “I’m terrified of leaving my daughter behind me. I’m terrified of losing my friends and my family.”

His whole team drew inspiration from their experiences with losing someone. The characters in the game are each inspired by grandparents, uncles and friends who died. They’re not “carbon copies,” Guérin said, but composite characters; a mix of traits, personalities, feelings and anecdotes derived from connections they’ve had with deceased loved ones.

Guérin and his colleagues at indie studio Thunder Lotus Games had “no idea at first” if they could pull off themes of death positivity in a management sim, saying he “lucked out” with how it all came together. He said it was important to combine normal, mundane tasks with the “extraordinarily, terribly gruesome moment we face when we know we’re going to die.”

In “Spiritfarer,” your ship evolves over time as you build different structures on top of one another like eclectic towers. Some of these are temporary homes for the spirits you gather, and others are stations for cooking, harvesting, gardening and more. Each character wrestles with something. A lion couple, for example, struggles to find happiness together when one of them is unfaithful. Others, like Stanley, a talking and walking mushroom with childlike traits, just wants to be cared for, so I made him his favorite meal: french fries. Some just want to be hugged. You spend time on and off the ship, completing quests for these spirits and finding out more about Stella along the way, too.

It isn’t just through mechanics that “Spiritfarer” achieves a sense of serenity. The game has a calming atmosphere, with a striking art style inspired by Japanese painter Hiroshi Yoshida and from whimsical Hayao Miyazaki films like “My Neighbor Totoro.” This world about death is bright and colorful, rather than dark and morbid.

Having spent 15 years in the games industry, much of that time at Ubisoft working on franchises like “Assassin’s Creed,” Guérin wanted to explore death in a way that forces the player to think about it outside the bounds of a game. Instead of a fail state mechanic, death in “Spiritfarer” is the key to progress. Every time a character dies, they leave behind a room filled with beautiful, overgrown flowers. It’s a symbol of heritage, Guérin explained.

“You need to actually gather some of these flowers that are used as a token to pay a shark, to build upgrades on the ship,” Guérin said. “And those upgrades will allow you to go across specific barriers like ice or rocks.”

Guérin’s brother is the chief of staff for a geriatric ward in southern France. During early development for the game, Guérin spent a significant amount of time “documenting and understanding” what people think and feel during their final moments by meeting patients in hospice and end-of-life care facilities. As he visited the terminally ill, he noticed their drive to experience human connection or enjoy a peaceful moment. He wanted to convey this in “Spiritfarer,” rather than have characters give grand speeches or make sweeping life changes as they faced death.

“They just want to still wake up in the morning, brew themselves some coffee and spend time with their family, relatives and friends. And that’s it,” he said.

Complete Article ↪HERE↩!

Posted on

How to Say Goodbye When Someone is Dying

By Dr. Lynn Webster

Once, a patient with chronic pain due to an immunodeficiency made an appointment with me to say goodbye. For years, he had received intravenous therapies for his infections, but they had all stopped working. His other doctors had already told him that nothing more could be done, and he had little time left to live. He came to let me know that he appreciated what we had done for him.

It was a surreal moment. The young man wasn’t in agony, and he seemed to be at peace with the inevitability of his death. However, I was caught unprepared. Since I wasn’t sure how to respond, I simply acknowledged his words with a “thank you.” We shook hands and he departed. That was the last time I saw him.

Last week, a colleague of mine sent out an email to a small number of his professional associates. He told us that he is very ill. Clearly, his implicit message was that he might never see us again. 

As I reflected on his message, I felt unprepared again. I wondered how I should respond. How would I say goodbye? Should I even broach the topic? This might be my only chance to let him know that I’d always considered him a mentor. But would he become despondent if I appeared to eulogize him? Would it be hurtful to express my sadness that we might never speak again?

I certainly didn’t want to add to his suffering. Perhaps I should ignore the gravity of his illness and focus on how I hoped he would recover soon.

But that would be dishonest. He is a physician, too, and always modeled treating his patients with empathy and compassion This was the part of his character that I felt most drawn to. He is a doctor who healed as much by listening to his patients than by any other therapy.

Asking the Right Questions

I decided to tell my friend what an important role model he has been for me, but I also had a question for him. Having treated many terminally ill patients, I have learned that most people who are dying have hopes for themselves, as well as the loved ones they are leaving behind. Therefore, I asked my physician friend whether he had any hopes he wanted to share with me. He told me he had two wishes.

“As I have been reflecting upon my personal and professional life, my first hope is that my presence really made a positive difference in people’s lives. That would be my legacy. The outpouring of affection, goodwill and positive comments that I have received from ex-patients, friends, family and colleagues has made it clear that I have succeeded in that,” he said.

My friend also expressed his hope for a change in our political situation. He mentioned the anger, frustration and hopelessness he feels watching American society fall into two warring ideological camps. His hope is that the young people of today will lead us into a better future.

Opportunities for Closure

COVID-19 has forced me to think about the reality that death can catch any of us by surprise.

As I write this, we are in the midst of a pandemic that has infected more than 17 million people and taken more than 680,000 lives worldwide. Many of the COVID-19 victims died alone and didn’t get a chance to say goodbye to their loved ones.

Even in ordinary times, most of us don’t get to say goodbye. We often deny the reality of death as life draws to a close. “You’ll feel better soon,” we say, either to make ourselves feel better or to avoid the topic. Even when we are allowed to be at the bedside of someone who is dying, we often lack the courage to convey our true feelings. Honesty can be too painful during those moments.

I remember saying goodbye to my dying father. Lying with him on his bed in his home, I asked my father if he was afraid. Many of us refrain from expressing grief at moments like that, because we worry that we might make the dying person feel worse. But I could not keep from crying.

In The Four Things That Matter Most, author Ira Byock, MD, identifies the messages he considers most important to communicate to loved ones near the end of life: “Please forgive me. I forgive you. Thank you. I love you.” Expressing these sentiments can help create a sense of mutual peace and completion.

Saying goodbye does not wish death on anyone. It acknowledges the richness of the relationship that has been. That is what I felt when I told my dad I loved him, which at the time was my way of saying goodbye. It is also how I felt when I brought closure to the relationship with my friend who emailed me.

Congressman John Lewis, the noted civil rights leader, expressed hope for the future in a New York Times op-ed published shortly after his July 17th death. He said, “Though I am gone, I urge you to answer the highest calling of your heart and stand up for what you truly believe.”

Perhaps we should consider following Lewis’s example. By daring to acknowledge what is happening and to say goodbye, we are bravely addressing the highest calling of our hearts. We also have the opportunity to honor all those who touched us and made us who we are.

Complete Article ↪HERE↩!

Posted on

Sacred Crossings

– Reclaiming the Lost Art of Death Midwifery and Healing Ritual of the Home Funeral

Death Midwifery returns death to its sacred place in the beauty, mystery and celebration of life. A Sacred Crossings Death Midwife shepherds individuals toward a conscious dying experience; guides loved ones in after-death care of the body; and empowers families to reclaim the healing ritual of a vigil and funeral at home. They offer compassionate support to individuals and their families from terminal diagnosis to final disposition.

“As a culture, we deny the natural process of aging and death,” remarked Olivia Bareham, founder of Sacred Crossings. “Learning how to die consciously with grace and acceptance is the greatest gift we can give ourselves and those we love.”

Many people are unaware that they have the legal right to care for their dead at home before burial or cremation. Sacred Crossings offers education and guidance to families who wish to create meaningful funerals at home. We teach them the ancient ritual of bathing, anointing and dressing the body, laying the body in honor for a 3-day vigil and decorating the cremation casket. Inter-faith ministerial services include near-death prayer/meditation vigils, grief support and funeral celebrant services.

Sacred Crossings founder Olivia Bareham is a death midwife, home funeral guide, ordained inter-faith minister and funeral celebrant. She is a member of the National Home Funeral Alliance http://www.homefuneralalliance.org and serves on the board of the Center for Conscious Creativity. Sacred Crossings is owned and operated by certified death midwives.

About Sacred Crossings:
Sacred Crossings is changing the culture of death and dying – through death education and an alternative funeral home. We offer an environmentally friendly option to traditional funeral industry practices and the opportunity for families to have a vigil and funeral at home. The Sacred Crossings Institute offers workshops and classes in conscious dying, home funerals, end-of-life planning, and a certificate program in The Art of Death Midwifery. The Sacred Crossings Funeral Home, owned and operated by certified death midwives, offers a full range of services including home funerals, cremation, conventional burial, green burial and full-body deep sea burial. For more information, contact Annemarie Osborne, publicist at 949.237.2906 or by email annemarieosborne7@gmail.com or Olivia Bareham at 310.968.2763 or olivia@sacredcrossings.com or visit http://www.sacredcrossings.com.

Posted on

Psilocybin approved for end-of-life care as momentum builds for psychedelic therapy

Four Canadians will soon become the first in the country to legally consume psilocybin since it was made illegal in 1974

By Samuel Riches

In early June, Thomas Hartle, a 52-year-old father of four from Saskatoon, who has been living with terminal cancer since 2016, sent a private video message to Patty Hajdu, Canada’s Minister of Health.

“People like myself are facing very real, very concrete, mental health issues,” he says in the video, which he shared with the National Post. “These are mental health issues and anxieties and depression that we feel could be addressed as easily as the stroke of a pen for you.”

Hartle was referring to an application he had sent to the minister weeks earlier for a Section 56 exemption to the Canadian Drugs and Substances Act. The exemption would allow Hartle to pursue psilocybin therapy for end-of-life distress. Psilocybin is a psychedelic drug derived from magic mushrooms.

This year, Hartle and at least three other Canadians  applied for the exemption. Earlier this week, more than 100 days after the first application was sent, they received good news. The exemptions were granted, meaning the four Canadians will soon become the first in the country to legally consume psilocybin since it was made illegal in 1974.

“Today is a good day,” Hartle said earlier this week.

Hartle completed his application with the assistance of TheraPsil, a B.C.-based, non-profit coalition of doctors and health-care professionals, policymakers, lawyers, researchers and advocates. Spencer Hawkswell, executive director of TheraPsil, says the need for psychedelic therapy is growing.

More On This Topic

“More individuals reach out every week, and I think many more across Canada would want to explore this option if they were aware of it,” Hawkswell previously told the Post.

“With so many Canadians diagnosed with terminal illnesses each year, and many choosing MAiD (medical assistance in dying), we hope to be another option for the patients who are experiencing end-of-life distress and want to try something like psilocybin,” Hawkswell says.

Hartle says that traditional anti-anxiety medications come with a range of unpleasant side effects and do not address the existential anxiety that he is feeling as he wrestles with the reality that he will be leaving his family behind. He believes psilocybin could help ease that pain and there’s no shortage of research to support his position.

A 2016 study from John Hopkins University demonstrated that psilocybin therapy led to significant and sustained decreases in depression and anxiety in patients with life-threatening cancer, in addition to improved quality of life and a renewed sense of optimism. Six months later, those changes persisted. About 80 per cent of participants continued to show substantial decreases in depression and anxiety.

Psilocybin-assisted psychotherapy is more than “just a trip,” Hawkswell explains. It begins with multiple preparatory sessions between the patient and therapist before the mushroom is consumed. The potential for breakthroughs comes in the moments of extreme anxiety, he says, as patients confront their negative emotions.

If we can do this the right way, and go through official channels, it will pave the way so other people can follow

“This is often where some of the most important psychotherapeutic work happens as patients let go of long-held negative beliefs.” The therapy concludes with multiple post-integration sessions, where the patient and therapist work through the experience.

“If we can do this the right way, and go through official channels, it will pave the way so other people can follow in my footsteps,” Hartle says. “I am hoping that, eventually, people like the Minister and Canadians in general, will see that people are benefiting from this, and it is not the harmful, non-beneficial substance that it has been portrayed as.”

Hawkswell says they’ve had a difficult time engaging the government in this discussion. In 2017, the organization’s founder, Dr. Bruce Tobin, applied for an exemption to treat dying Canadians with medically-supervised, psilocybin-assisted psychotherapy. After three years of limited communication with Health Canada, the application was denied.

Hawkswell hypothesizes that the original application was rejected because it was for a class of dying patients, not an individual. Since that ruling, they pivoted their strategy to focus on individual exemptions and, this week, the work finally paid off.

“We would like to extend our incredible gratitude to the Honorable Minister of Health, Patty Hajdu, and to our government,” Tobin said earlier this week. “Although it has taken a long time we are impressed with their willingness to listen to patients who have not been heard and to shift focus and policy to accommodate their interests and protect their needs.”Momentum for psychedelic therapy has been building across North America for the last several years.

In 2017, the U.S. Federal Drug Administration gave MDMA a breakthrough therapy designation for post-traumatic stress disorder. In 2018, they gave the same designation to psilocybin for treatment-resistant depression. In March of last year, the FDA approved a new antidepressant for the first time in decades, a nasal spray that mimics the effects of ketamine.

In March, Mind Medicine Inc., which received financial backing from Kevin O’Leary and Bruce Linton, began trading on Toronto’s NEO Exchange. The company’s first drug, 18-MC, is a derivative of ibogaine, a naturally occurring psychedelic from the root and bark of Iboga, a rainforest shrub that grows across West Africa. Ibogaine has shown promise in treating some of the world’s most destructive and damaging addictions: heroin, alcohol, methamphetamine and opioids.

Later this month, Paul Manly, the Green Party’s MP for Nanaimo-Ladysmith, will present a petition, initiated by the Canadian Psychedelic Association, that calls for the decriminalization of psychedelic plants and fungi. The petition has been signed by nearly 11,000 Canadians.

“There is a rapidly growing body of evidence that medicinal plants containing psychoactive ingredients can provide therapeutic benefits,” Manly previously told the Post. “They have been safely used to treat people suffering from addictions, common mental health issues such as depression and anxiety, as well as for end-of-life care.”For Hartle, and other Canadians living with a terminal diagnosis, this week’s decision is a welcomed one, and potentially, the beginning of a much larger movement. The legalization of cannabis, after all, can be traced back to a Section 56 exemption.

“This is the positive result that is possible when good people show genuine compassion,” Hartle says. “I’m so grateful that I can move forward with the next step of healing.”

Complete Article ↪HERE↩!

Posted on

I visited a ‘green cemetery’ in California,

and it made me question everything about American funerals

By Isabella Jibilian

  • A small network of cemeteries across the country are looking to shake up American burial practices and make them eco-friendly by offering “green burials.”
  • Green burial rejects cremation, embalming, and concrete-lined graves to reduce the carbon footprint of death.
  • A national survey found that over half of respondents were interested in exploring green funeral options because of potential environmental and cost-saving benefits.

Cindy Barath is the steward of a 32-acre property in the hills of Mill Valley, California, and all the bodies that come with it.

She spends her days planning ceremonies, receiving the bereaved, and caring for the dead. She’s honest at dinner parties about her job, and when people are surprised to hear that she personally dresses the corpses, she tells them, “Well, they don’t dress themselves.”

I met Cindy Barath on a cool October morning. I was a graduate student hoping to write an article about rocketing property prices putting pressure on the cost of a grave. My tentative headline was: “The cost of living is rising. Is the cost of dying, too?”

I arrived at Fernwood Cemetery looking for a story about real estate. But I found something different, and in my opinion, more interesting: a small movement looking to shake up American burial practices and make them environmentally friendly.

In a traditional American burial, a body is embalmed, then placed in a coffin and laid to rest in a concrete-lined grave. The custom is resource intensive. Each year, it uses 4.3 million gallons of embalming fluid, 20 million board feet of hardwood, and 1.6 million tons of concrete, according to the Green Burial Council.

The “green burial” movement looks to change that.

Barath offered me a tour of the property via her shiny black golf cart. We hop in and she hits the gas. We whip by eucalyptus trees, wood-chip trails, and the mounds of fresh graves.

Barath is not the funeral director I imagined. She has a warm, folksy demeanor, and wears her auburn hair in short curls that are closely cropped to her head. Her wardrobe reminds me of my high school home economics teacher — long, warm sweaters and a chunky gemstone necklace.

We pull up to a spot overlooking the hills, which are patched with light and shadow by the misty clouds overhead. It’s quiet, but if you listen closely, you can hear the distant chatter of recess from an elementary school a few miles away. “Sure beats the office,” said Barath with a chuckle, dismounting from the driver’s seat.

Green burials are generally defined by what they don’t do. They don’t cremate, which burns through gallons of fuel to turn the body to ash. They don’t embalm, which pumps formaldehyde into the body to preserve it. And they don’t line a grave with concrete, which slows decomposition.

But from there, the details vary. Customers can choose biodegradable containers that range from a pine box to a hand-sewn silk shroud. Some cemeteries offer flat stone markers, others record grave locations with a GPS tracking system. Fernwood even offers a mushroom suit, a shroud of fungal spores that aid in decomposition and detoxification.

Beyond Fernwood Cemetery, options abound for the late nature-lover. A Canadian design firm created an urn called “ROOTS,” made from coffee grounds and lime that will germinate a tree. A company called Better Place Forests is conserving hundreds of acres of land in California and Arizona where families can reserve a memorial tree to spread ashes. And an organization called Eternal Reefs can inturn your cremated ash into a concrete “reef ball” that restores ocean habitats.

A new name for an old practice

Although green burial is marketed as an eco-friendly choice, its customs existed long before the environmental movement. A simple burial without the frills of chemicals and concrete is ancient. Green burial is, essentially, a new word for an old practice.

Take Jewish burial traditions, for example.

“Jewish burial traditions and customs have been green for the last 3,000 years,” said Glenn Easton, executive Funeral Director at The Garden of Remembrance Memorial Park in Maryland. “In Israel, they don’t use caskets. They don’t embalm. They don’t use concrete liners. They use a shroud and put people in the ground.”

Easton says his Orthodox Jewish customers are especially green, since they prioritize letting a body decompose quickly. They even have a workaround called “butterdishing” for cemeteries that require concrete liners: they line the sides and top of the grave, and leave the bottom open to the earth.

Green burial isn’t too different from the way we bury the indigent, either. At potter’s fields across the country, governments bury those who are too poor to afford funeral services, or bodies that are unclaimed, in simple graves without coffins, concrete, or chemicals. The only difference: rather than a shroud or pine box, they are often buried in plastic body bags.

Unlike coffee-ground urns and “reefballs,” green burial is old technology. But while it doesn’t contribute much in terms of innovation, it does spark an important conversation. Green burial prompts us to ask why our rituals of death default to using formaldehyde and concrete.

In America, embalming can be traced back to the Civil War. The soldiers who died fighting on the battlefields of North Carolina needed to have their bodies transported back north to be buried. Preservation became a necessity.

Meanwhile, concrete liners can be traced to America’s obsession with the perfect lawn. Funeral directors say that they are useful for landscaping: they prevent the ground above a grave from sinking or collapsing. Many cemeteries require the concrete. It keeps things smooth for their industrial mowers.

The difference is apparent at Fernwood’s Green Cemetery. Rather than neat rows of gravestones and uniformly-trimmed fescue, the cemetery’s green burial sections are dotted with native grasses and shrubs. In parts, the landscape is steeply sloped. A lawnmower would have a tough time.

Changing times

The movement is still in its early days. There are at least 287 cemeteries in the US and Canada that offer green burial services, according to New Hampshire Funeral Resources. And at some of those cemeteries, like Wooster Cemetery in Connecticut, traditional burials vastly outnumber their green counterparts.

The cadre is small, but Ed Bixby, president of the Green Burial Council, which certifies green cemeteries, is hopeful. A national survey found that over half of respondents were interested in exploring green funeral options because of potential environmental and cost-saving benefits.

And Bixby says that end-of-life customs are more changeable than they seem.

Take cremation, for example. In 1975, only 6% of Americans chose cremation, according to the Cremation Association of North America. Traditional burial with embalming was standard.

Funeral directors considered cremation to be no more than “a flash in the pan,” said Bixby.

But it wasn’t. Cremation was a fraction of the price of traditional burial, and it was adopted widely.

Today, cremation is king. More than half of all Americans choose cremation, according to the National Funeral Directors Association. It surpassed traditional burial as the most popular end-of-life solution back in 2015.

Direct cremation, which forgoes a viewing or other ceremony, can cost as little as $750. But since green burial is less expensive than traditional burial, Bixby believes it could gain traction as the “official third option.”

Traditional burials, with a vault, cost a median of $9,135 in 2019, according to the National Funeral Directors Association. By forgoing embalming ($750), a cement vault ($1495), and opting for a simple shroud or pine box over a wood casket ($3,000), or metal burial casket ($2,500), those choosing green burial can save thousands.

Still, Glenn Easton emphasizes that at his cemetery, “green burials are not influenced or determined by financial decisions.” Instead, “they’re a philosophical preference.”

And Cindy Barath says that the simplicity of a green burial service, and emphasis its emphasis on nature, helps the bereaved. “I try to cut through all the red tape and make it easy and simple. Just help them make this transition. I know if they come in crying and come out laughing, something has taken place.”

Complete Article ↪HERE↩!