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active euthanasia
administration of an outside agent, such as a lethal amount of a drug, to cause death
advance directive
legal document that specifies what a person’s wishes are in the event they are unable to express them at some point in the future
assisted suicide
(also, medical aid in dying [MAID]) procedure in which a doctor knowingly prescribes a dose of medication knowing the patient intends to use it to end their life
bereavement
experience of the death of a loved one
biological death
permanent state of death in which vital organs have stopped working and cannot be resuscitated
blunting
coping style associated with avoiding information, particularly bad news
brain death
death that occurs when the brain has permanently stopped working
cardiopulmonary death
death that occurs when heartbeat and breathing have stopped and cannot be restarted through cardiopulmonary resuscitation (CPR) or other means
clinical death
potentially temporary state of death in which a person’s vital organs have stopped working but could be resuscitated
complicated grief
form of grief that lasts longer than is typical and is also associated with long-term adjustment problems; described as “prolonged grief disorder” in the DSM-V-TR
death anxiety
person’s concern about what awaits them after death
do not hospitalize (DNH)
legal document stating that a person does not want to be hospitalized (and therefore receive unwanted medical treatment) in the event of serious illness
do not intubate (DNI)
legal document stating that a person does not want breathing tubes inserted into their nose or mouth in the event they stop breathing
do not resuscitate (DNR)
legal document stating that if a person’s heart stops beating or breathing stops, they do not want CPR or other measures taken to revive them
dual-process model
model of grieving consisting of two stages: loss orientation and restoration orientation; developed by Stroebe and Schut
durable power of attorney for health care
legal document authorizing a specific person to make health-care decisions for someone else
dying trajectory
pathway to death that varies on dimensions such as the nature and rate of decline
euthanasia
act of ending life in a painless manner to relieve pain and suffering
excess mortality
number of deaths above what would typically occur in a given time period
executor
person in charge of filing relevant paperwork and fulfilling the conditions in someone’s will
grief
internal, emotional reaction to loss
health-care proxy
person legally authorized to make health-care decisions for someone, or a legal document that gives a person that authority
home care
medical services provided in the patient’s residence
hospice care
type of care provided if a person’s condition is uncurable or treatment would be too stressful; includes managing physical symptoms, including pain, as well as addressing the spiritual and emotional needs of the patient and their loved ones
intestate
circumstance of dying without a will
Kübler-Ross’s themes of grief
cognitive, emotional, and behavioral reactions to our own impending death, encompassing denial, anger, bargaining, depression, and acceptance
legacy activities
activities in which a person creates an artifact that represents their life and for which they want to be remembered, such as a photo album, scrapbook, cookbook, or letters written to loved ones
life review
thoughtful examination of our own life, often focused on integrating both positive and negative memories into a coherent whole
life satisfaction
contentment with our current circumstances
living will
legal document specifying a person’s wishes regarding life-sustaining medical treatment in the event they are unable to express these wishes when treatment is needed
loss orientation
reaction to loss in which the bereaved person addresses the emotional aspects of the loss by accepting the situation and sharing grief with others
middle knowledge
intermediate step of grieving in which a person knows a loss is coming or has occurred but has not fully accepted the reality of it
monitoring
coping style characterized by the seeking out of information
mourning
outward, behavioral manifestation of grief
outgroup bias
negative feelings about people we feel are different than us
palliative care
type of medical care that manages symptoms and relieves pain but does not try to cure the underlying medical condition
passive euthanasia
withdrawal or withholding of potentially life-sustaining treatment
probate court
type of legal court that handles matters related to wills and guardianships
quality of life
person’s perception of how good their life is in the context of their values, goals, and cultural norms
rationing of care
practice of limiting the use of health-care resources for patients who have little or no chance of recovery
reminiscence
recollection and sharing of memories and stories, typically pleasant ones
restoration orientation
reaction to loss in which the bereaved person copes with the changes brought about by a loved one’s death, including changes to or the addition of relationships and roles
social death
exclusion from social interactions and considerations; when a person is viewed as not being part of society
terror management theory
theory that when our sense of self is threatened, we try to preserve it by becoming more committed to cultural values and showing more outgroup bias
thanatologist
researcher who studies the biological, psychological, and/or social aspects of death
will
legal document containing instructions for what to do with a person’s assets, property, and dependents after death
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