A Death and Dying Class Benefits Life and Living: Evidence From a Nonrandomized Controlled Study

Abstract

Humanistic theorists have long emphasized the importance and benefits of death awareness (Yalom, 1980) yet the literature on death education has focused on fear and anxiety. In the present study, 150 undergraduate students taking either a class on death and dying or a comparison class completed a pre and post-questionnaire on attitudes (negative and positive), values (intrinsic and extrinsic) and eudaimonic wellbeing (meaning in life and vitality). Results revealed that compared to their peers in another class, students studying death and dying significantly increased in death acceptance, intrinsic values, meaning in life, and vitality. Furthermore, increases in intrinsic values mediated the relationship between participation in death and dying education and meaning in life. Results are discussed in light of experiential learning, posttraumatic growth, and terror management.

Keywords

death acceptance death and dying attitudes death anxiety death education intrinsic values meaning in life self-determination theory well-being

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References

Arndt

Solomon

Kasser

Sheldon

K. M.

(2004). The urge to splurge: A terror management account of materialism and consumer behavior. Journal of Consumer Psychology, 14, 198–212.

Becker

(1973). The denial of death. Free Press.

Bostic

T. J.

Rubio

D. M.

Hood

(2000). A validation of the Subjective Vitality Scale using structural equation modeling. Social Indicators Research, 52(3), 313–324.

Buckle

J. L.

(2013). University students’ perspectives on a psychology of death and dying course: Exploring motivation to enroll, goals, and impact. Death Studies, 37(9), 866–882.

Cozzolino

P. J.

Staples

A. D.

Meyers

L. S.

Samboceti

(2004). Greed, death, and values: From terror management to transcendence management theory. Personality and Social Psychology Bulletin, 30(3), 278–292.

Dadfar

Lester

Bahrami

(2016). Death anxiety, reliability, validity, and factorial structure of the Farsi Form of the Arabic Scale of Death Anxiety in Iranian old-aged persons. Journal of Aging Research, 2016(52), 1–7.

de la Herrán Gascón

Herrero

P. R.

González

J. J. C.

Aboitiz

R. J.

(2021). Do adolescents want death to be included in their education? Social Psychology of Education, 24, 857–876.

Doughty

E. A.

Hoskins

W. J.

(2011). Death education: An internationally relevant approach to grief counseling. Journal for International Counselor Education, 3, 25–38.

Durlak

J. A.

Riesenberg

L. A.

(1991). The impact of death education. Death Studies, 15(1), 39–58.

10.

Feifel

(Ed.). (1977). New meanings of death. McGraw-Hill.

11.

Frankl

(1959). Man’s search for meaning. Hodder & Stoughton.

12.

Grouzet

F. M. E.

Kasser

Ahuvia

Dols

J. M. F.

Kim

Lau

Ryan

R. M.

Saunders

Schmuck

Sheldon

K. M.

(2005). The structure of goal contents across 15 cultures. Journal of Personality and Social Psychology, 89(5), 800–816.

13.

Gurdogan

E. P.

Kınıcı

Aksoy

(2019). The relationship between death anxiety and attitudes toward the care of dying patient in nursing students. Psychology, Health & Medicine, 24(7), 843–852.

14.

Harrawood

L. K.

Doughty

E. A.

Wilde

(2011). Death education and attitudes of counselors-in-training toward death: An exploratory study. Counseling and Values, 56(1), 83–95.

15.

Hasha

Kalich

(2019). The Birdhouse Project as experiential learning tool for college students and beyond. Illness, Crisis & Loss, 27(3), 172–189.

16.

Hayasaki

(2014, March 6). Why college students are dying to get into “death classes.” The Wall Street Journal. https://www.wsj.com/articles/SB10001424052702304104504579377160102817476

17.

Hayes

A. F.

(2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). Guilford Press.

18.

Hope

N. H.

Holding

A. C.

Verner-Filion

Sheldon

K. M.

Koestner

(2019). The path from intrinsic aspirations to subjective well-being is mediated by changes in basic psychological need satisfaction and autonomous motivation: A large prospective test. Motivation and Emotion, 43, 232–241.

19.

Kasser

(2002). The high price of materialism. MIT Press.

20.

Kasser

(2016). Materialistic values and goals. Annual Review of Psychology, 67, 489–514.

21.

Kasser

Ryan

R. M.

(1996). Further examining the American dream: Differential correlates of intrinsic and extrinsic goals. Personality and Social Psychology Bulletin, 22(3), 280–287.

22.

Kasser

Sheldon

K. M.

(2000). Of wealth and death: Materialism, mortality salience, and consumption behavior. Psychological Science, 11(4), 348–251.

23.

Kim

S. H.

(2015). A meta analysis of effectiveness of death education. Korean Journal of Hospice and Palliative Care, 18(3), 196–207.

24.

Kirchberg

T. M.

Neimeyer

R. A.

James

R. K.

(1998). Beginning counselors’ death concerns and empathic responses to client situations involving death and grief. Death Studies, 22(2), 99–120.

25.

Knight

K. H.

Elfenbein

M. H.

(1993). Relationship of death education to the anxiety, fear, and meaning associated with death. Death Studies, 17(5), 411–425.

26.

Kolb

A. Y.

Kolb

D. A.

(2017). Experiential learning theory as a guide for experiential educators in higher education. Experiential Learning & Teaching in Higher Education, 1(1), 7–44.

27.

Lekes

Gingras

Philippe

F. L.

Koestner

Fang

(2010). Parental autonomy-support, intrinsic life goals, and well-being among adolescents in China and North America. Journal of Youth and Adolescence, 39(8), 858–869.

28.

Lekes

Hope

N. H.

Gouveia

Koestner

Philippe

F. L.

(2012). Influencing value priorities and increasing well-being: The effects of reflecting on intrinsic values. The Journal of Positive Psychology, 7(3), 249–261.

29.

Lykins

E. L. B.

Segerstrom

S. C.

Averill

A. J.

Evans

D. R.

Kemeny

M. E.

(2007). Goal shifts following reminders of mortality: Reconciling posttraumatic growth and terror management theory. Personality and Social Psychology Bulletin, 33(8), 1088–1099.

30.

MacDougall

E. E.

Farreras

I. G.

(2016). The Multidimensional Orientation Toward Dying and Death Inventory (MODDI-F): Factorial validity and reliability in a U.S. sample. Journal of Pain and Symptom Management, 51(6), 1062–1069.

31.

Maglio

C. J.

Robinson

S. E.

(1993, August 22). The effects of death education on death anxiety: A meta-analysis [Conference session]. APA 1993 Convention, Toronto, Ontario, Canada. https://files.eric.ed.gov/fulltext/ED370016.pdf

32.

McClatchey

I. S.

King

(2015). The impact of death education on fear of death and death anxiety among human services students. OMEGA—Journal of Death and Dying, 71(4), 343–361.

33.

Menzies

Zuccala

Sharpe

Dar-Nimrod

(2018). The effects of psychosocial interventions on death anxiety: A meta-analysis and systematic review of randomised controlled trials. Journal of Anxiety Disorders, 59, 64–73.

34.

Noppe

I. C.

(2004). Death education and the scholarship of teaching: A meta-educational experience. The Forum, 30(1), 1–4.

35.

Perry

(2020). Couch fiction: A graphic tale of psychotherapy. Penguin Random House.

36.

Pipher

(2019). Women rowing north: Navigating life’s currents and flourishing as we age. Bloomsbury.

37.

Prentice

Kasser

Sheldon

K. M.

(2017). Openness to experience predicts intrinsic value shifts after deliberating one’s own death. Death Studies, 42(2), 205–215.

38.

Quackenbush

S. W.

Maybury

K. K.

Lekes

(2021). The stream of life: Rethinking public education at a public liberal arts college. In Britt

(Ed.), Teaching matters: Essays by Faculty of the University of Maine at Farmington (Vol. 3, pp. 99–108). University of Maine.

39.

Rogalla-Hafley

K. B.

(2018, September 24). Exploring personal death anxiety: Increasing counselor competence for grief and loss. Global Engagement and Transformation, 3(1). https://scholarworks.iu.edu/journals/index.php/joget/article/view/25656

40.

Ryan

R. M.

Deci

E. L.

(2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52(1), 141–166.

41.

Ryan

R. M.

Deci

E. L.

(2017). Goal contents theory: Aspirations, life goals, and their varied consequences. In Ryan

R. M.

Deci

E. L.

(Eds.), Self-determination theory: Basic psychological needs in motivation, development, and wellness (pp. 272–292). Guildford Press.

42.

Ryan

R. M.

Frederick

(1997). On energy, personality, and health: Subjective vitality as a dynamic reflection of well-being. Journal of Personality, 65(3), 529–565.

43.

Spitzenstätter

Schnell

(2020). Effects of mortality awareness on attitudes toward dying and death and meaning in life—A randomized controlled trial. Death Studies. Advance online publication. https://doi.org/10.1080/07481187.2020.1808737

44.

Steger

M. F.

Frazier

Oishi

Kaler

(2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80–93.

45.

Tedeschi

R. G.

Calhoun

L. G.

(2004). Target article: “Posttraumatic growth: Conceptual foundation and empirical evidence.” Psychological Inquiry, 15(1), 1–18.

46.

Testoni

Iacona

Corso

Pompele

Dal Corso

Orkibi

Wieser

M. A.

(2021). Psychology students’ perceptions of COVID-19 in a death education course. Frontiers in Public Health, 9, Article 625756.

47.

Testoni

Iacona

Fusina

Floriani

Crippa

Maccarini

Zamperini

(2018). “Before I die I want to . . .”: An experience of death education among university students of social service and psychology. Health Psychology Open, 5(2), 2055102918809759.

48.

Testoni

Ronconi

Cupt

I. N.

Nodari

Bormolini

Ghinassi

Messeri

Cordioli

Zamperini

(2020). The effect of death education on fear of death amongst Italian adolescents: A nonrandomized controlled study. Death Studies, 44(3), 179–188.

49.

Vail

K. E.

III Horner

D. E.

Waggoner

Conti

J. P.

(2019). Pushing up daisies: Goal orientations, death awareness, and satisfaction with life. Journal of Experimental Social Psychology, 85, Article 103891. https://doi.org/10.1016/j.jesp.2019.103891

50.

Vail

K. E.

III Juhl

Arndt

Vess

Routledge

Rutjens

B. T.

(2012). When death is good for life: Considering the positive trajectories of terror management. Personality and Social Psychology Review, 16(4), 303–329.

51.

Wass

(2004). A perspective on the current state of death education. Death Studies, 28(4), 289–308.

52.

Wittkowski

(2001). The construction of the Multidimensional Orientation Toward Dying and Death Inventory (MODDI-F). Death Studies, 25, 479–495.

53.

Wong

W. Y.

(2009). The growth of death awareness through death education among university students in Hong Kong. OMEGA—Journal of Death and Dying, 59(2), 113–128.

54.

Yalom

I. D.

(1980). Existential psychotherapy. Basic Books.