Some people fight death because they struggle with the loss of control it represents, preferring to actively manage their dying process.
The Struggle for Control
The fear of losing control is a primary driver in why some individuals actively resist death. This resistance stems from the anxiety of becoming dependent, being placed in undesirable situations, or being separated from loved ones.
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Loss of autonomy: The process of dying can involve a gradual loss of physical and mental abilities. This loss of self-governance is distressing for some, leading them to strive to maintain control over how their final moments unfold. As the reference states: "Some people cannot tolerate losing control, so they want to take control of dying."
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Unwanted circumstances: Being confined to a hospital bed or an assisted-living facility, far from their homes and familiar surroundings, can be deeply unsettling. Individuals may feel a strong need to manage their environment, even in death.
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Social isolation: Isolation from loved ones is a significant concern for those facing death. It is important to remain connected to family and friends and to feel part of a life that they have spent years building.
Taking Charge of Dying
The desire to fight death often manifests as a desire to have a say in the process. Instead of passively succumbing, some people actively seek ways to influence their end-of-life experience.
How People Attempt to Control Their Dying Process:
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Advance directives: Creating living wills and healthcare proxies allows individuals to dictate the medical treatments they do or do not want.
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Choosing location: Opting for home hospice care allows individuals to remain in a familiar environment surrounded by their loved ones.
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Palliative care: Working with medical professionals to manage pain and discomfort, aiming for a peaceful transition.
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Planning rituals: Some individuals might plan out their funeral service in detail or write letters to their loved ones. This type of preparation may help them to feel more in control.
Understanding the Motivation
The actions taken are not about denying death itself, but rather managing its impact on the person's autonomy, dignity, and relationships.
| Reason to Fight Death | Description |
|---|---|
| Loss of Control | Inability to dictate the circumstances of one's death |
| Undesirable Circumstances | Being in a place one doesn't want to be during the end-of-life process |
| Isolation | Not being connected with important people in their life |
| Desire for Self-Determination | Wanting to play an active role in the end-of-life process |
