The New York Open Center, Art of Dying
3 Conference, NY, NY March 24-27, 2000
Conference Program
See a review of the conference
here
Friday, March 24
Plenary Addresses
Ira Byock, MD Dying Well: Reclaiming the End of Life
As we move away from cultural denial of dying and death we can catch inspiring
and convincing glimpses of light as we consider new models anc projects in
hospice and palliative care.
Robert Dunlop, MD Spiritual Care of the Dying
How does a hospice doctor come to understand the personhood of the dying
individual?
Saturday, March 25th
Timothy Quill, MD Death with Dignity
Dr. Quill advocates that incurable patients, at the point when life has lost
meaning for them, must be allowed to be active participants in the process
of facing death.
Deepak Chopra, MD Embracing the Eternal
It is especially helpful for those who work with death and dying to feel
a connection to an infinite, eternal dimension of existence, both for their
own equilibrium and for the tranquillity this awareness can communicate to
patients.
Ram Dass
Varanasi West— Environments to Die In
In India people aspire to die not in a hospital but in Varanasi, the "City
of Death", a setting which focuses them on the spiritual dimensions the experience.
How do we create more appropriate environments to die in the West?
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Therese Schroeder-Sheker I Die Awake: The Luminous Wound
With voice and harp, image and word, Therese Schroeder-Sheker will speak
about the possibilities of a blessed death, the palliative medical field
of music thanatology, and the work of the Chalice of Repose Project
Workshops
Deepak Chopra, MD
Death, Dying & Transcendental Experience
By understanding the reality of transcendental experience, we can look at
space-time events of birth and death in the context of eternity and learn
to overcome the fear of death. This experiential workshop will examine the
meaning of death through the eyes of Vedic rishis and will draw upon insights
from the Katha Upanishads and Buddhist teachings. We will explore higher
realms of consciousness and the nature of subtle and causal bodies as we
explore the role of karma and how it influences various lifetimes
Kyabje Geiek Rinpoche
Tibetan Buddhism's Understanding of the Death Transition
Death is a part of the continuum of life, and something which we all experience;
but often our unconscious fear of death can cause us to shy away from uncomfortable
thoughts of our own mortality and from loved ones who need our support. In
this workshop, Kyabje Geiek Rinpoche, will draw upon Tibetan Buddhism's deep
and technical understanding of the death transition to introduce us to a
repertoire of strategies to help us face and even utilize the death process,
while increasing our ability to sustain and value our lives.
Richard W. Boerstler, PhD & Hulen Kornfeld, RN, MA
Harmonizing the Transition: Co-meditation for the Ill, the Dying, & Their
Caregivers
Co-meditation is an ancient yet timeless holistic technique for giving comfort
and clarity to the dying, based on a practice used byTibetan monks, adapted
for today's needs. Through simple connections between the recipient's breathing
and hearing, the assistant provides a caring, nurturing presence. Adapted
for the individual recipient's situation and beliefs, comeditation can be
used by anyone wishing to assist, regardless of whether or not either person
has meditation experience.
Alexandra Kennedy, MA
Losing A Parent
Most people will have to deal with the loss of a parent. Few are prepared
to. However, the loss. if grieved fully, can generate profound healing am
unprecedented change. This workshop explores the psychological impac of this
major life passage and offers participants methods for grieving without feeling
overwhelmed, for resolving unfinished business with a parent, and for working
with disruptive changes in the family. Note: The workshop is designed for
those dealing with the death of a parent and for mental health professionals,
lay counselors and hospice workers seeking new perspectives and tools in
working with clients.
Gerald F. Karnow, MD
The Dying Journey in an Anthroposophical Community
In this workshop. Dr. Karnow will share with us his experiences working with
the dying elderly at Fellowship Community, an intergenerational facility that
has spent 30 years providing long-term care for the aged, using Anthroposophy
as its spiritual basis. Dr. Karnow will examine how the Community deals with
important areas of the dying process: the social context, the moment of passing
over, the family and children, the physician, soul/spiritual care and bodily
care, the period after death of celebration before cremation or burial, and
the ceremony with the ashes.
Russell Mdntyre,ThD
Ethical & Legal Issues in Death & Dying
This workshop will explore many of the ethical and legal issues
surrounding the topic of death and dying in contemporary America. Topics
to be included: euthanasia, medically assisted dying/suicide; refusal
of life-prolonging medical treatment; the "LivingWill", in "No-code orders";
and care of the dying in hospices. Participants will be encouraged to enter
into dialogue and share lessons from personal experience.
Paul Brenner, MA
Responding to the Diverse Experience of Dying
Many of the assumptions and much of the conceptual formulation
we have about care and grieving for the dying has come through the dominant
American culture in which we live. This workshop will examine these
assumptions, their strengths and weaknesses, and explore the rich diversityof
the human experience of dying, loss and grief, especially as this applies
to the provision of care.
Leslie Blackhall, MD Palliative Medicine:
Improving End-of-Life Care
Physicians, nurses and other healthcare professionals are often poorly prepared
by their training to care for dying patients, and yet most of them will have
to spend much time in the care of such patients. If we wish to improve end-of-life
care we must expand and improve education in the medical, ethical and spiritual
aspects of palliative medicine. What should we be teaching? What are the
goals of palliative care education? This interactive workshop, geared to
those involved in palliative care education and those wishing to develop
programs at their institutions, will explore these questions and more.
Kenneth Kramer, PhD
Dying Before Dying: Eastern Traditions
This workshop focuses on spiritual approaches to dying in Eastern Religious
Traditions. We will examine comparative religious perspectives on death and
afterlife in sacred texts and as embodied by Hindu, Zen, and Taoist masters.
Workshop participants will be invited to develop personal strategies to enter
dialogically into the living-dying process.
Therese Schroeder-Sheker
Contemplative Musicianship & the Care of the Dying
Combining data, experience, and inspiration from 26 years of clinical work,
this session will center on the spirituality of palliative medical clinical
work. This focus will be five-fold: the interior work of conscious death
preparation for care givers and those living with life-threatening illnesses,
an introduction to the work of music-thanatology, the principles of prescriptive
music, the Western Christian practice of monastic medicine, and the notion
of contemplative musicianship.Therese will work with voice and harp throughout
the session.
Maggie Callanan, RN, CRNH
Addressing Boundary Issues in Hospice Care
Hospice staff can often be of great help to the families they serve because
they are not directly emotionally involved in the situations they face. But
sometimes they unconsciously try to meet their own needs to be needed, liked
and affirmed and this can lead to violations of appropriate boundaries, harmful
to all involved. No matter how long one works in the hospice environment,
such issues will arise. It is impossible not to be drawn to some families
and patients. Join Maggie Callanan, a hospice nurse since 1980 and Hospice
Clinician of the Year in 1995, to explore how to maintain healthy boundaries
in your professional life and how to address boundary issues in the hospice
setting.
Anne McCracken & Mary Semel
A Broken Heart Still Beats: Losing a Child
These days parents do not expect to outlive their children. When they do,
it is not comforting to be nudged towards "closure," as if their grief is
something to be "gotten over." The workshop leaders, both mothers who have
themselves lost children, discovered that comfort does seem to come from
recognizing that many others before us have felt this very pain, struggled
with the same questions, and given up the lives they too had anticipated.
Excerpts from the work of some of these bereaved parents — including Mark
Twain, Isabel Allende, Rabindranath Tagore, and Robert Frost — will be read
to prompt discussion on such issues as spouses grieving the same loss differently,
survivor's guilt, and the legacy of loss.
Mark Nepo
The Expressive Journey of Healing: Staying Real & Staying Well
Mark Nepo is a poet and cancer survivor, who has come to understand that
the qualities of honesty, compassion, and expression required to face death
and to survive illness are the very same qualities required in order to live
our ordinary days, and that the act of expression, both written and verbal,
can help us stay alive and be the life-blood of our mental, emotional, and
spiritual health. In this
workshop, we will focus together on the extraordinary healing power ' writing
and authentic self-expression can bring to bear on our inner and outer lives,
and on the steps we can take to unleash our creativity. Please bring a journal.
Janice Harris Lord, MSSW
No Time for Goodbyes: Coping with Sorrow, Anger & Injustice After a Tragic
Loss
Janice Harris Lord, who has worked in the victims' rights movement since
1976, served as National Director of Victim Services for Mothers Against
Drunk Driving for 15 years and was awarded the US Presidential Award for
Excellence in Victim Services. In this workshop she will describe her approach
to counseling trauma survivors who have lost loved ones. She will show how
traditional grief counseling can be harmful to those with post-traumatic
stress, discuss the spiritual issues that confront survivors and present
several examples of effective group therapeutic models, including a homicide
survivors support group.
Robert Dunlop, MD
The Nature of Suffering
Robert Dunlop is an experienced hospice doctor who will examine the nature
of the intense physical, emotional and spiritual suffering of many dying
patients and the optimal stance of the caregiver. If we can avoid a style
of caring that makes patients feel dependent, we have a better chance of
helping them find a sense of intrinsic worth, of "control" over their own
dying process, and of meaning.
Alexandra Kennedy, MA
After Loss
When a loved one dies, many people are filled with regret for all that wasn't
said or expressed, but death need not cut us off from those we love. Through
discussion, and experiential exercises and stories, this workshop will demonstrate
how a relationship with a deceased loved one continues to unfold within,
offering mostly untapped opportunities for healing, resolution and even guidance.
This workshop will present a method of communication that utilizes the imagination
to resolve old hurts and resentments, express love and feel more at peace
with deceased loved ones. This workshop will also be helpful for those who
are experiencing a breakdown in communication with a living family member
or friend.
Leslie Blackhall, MD
Cultural Diversity & the "Good Death"
What is a "good death"? As those of us working in the fields of hospice and
palliative medicine work with increasingly diverse patient populations, we
encounter people whose answer to this question may be very different from
our own. Such people need to be listened to carefully. In this workshop, participants
will hear what people from different ethnic backgrounds have to say about
care at the end of life and learn something of their values, beliefs and
stories. In this way, we will examine the challenges and opportunities that
cultural diversity brings to our practices.
Kenneth Kramer, PhD Dying Before Dying
Western Religious Traditions
This workshop focuses on spiritual approaches and religious perspectives on
death and afterlife in sacred texts and as embodied by Hasidic, Monastic,
and Sufi mystics.
Saturday Evening 8pm
Alice Walker
This evening we are honored to present Pulitzer Prize winning author Alice
Walker, f, one of America's greatest living writers, as she discusses her
exploration of indigenous and ancient cultures' attitudes toward death, dying
and the afteflife,and reads from her latest novel,
By the Light of My Father's Smile.
Sunday, March 26 Plenary Addresses
Fred Epstein, MD
The Gift of Time: Lessons from Dying Children
Dr. Epstein shares lessons learned from dying children who, by giving all
they can to live life to the fullest against all odds, teach us how to treasure
life.
John O'Donohue, PhD
Death: The Horizon in the Well
Until we engage with the mystery of our death, we renege on life. Death is
the secret companion that accompanies every life. Right beside you now is
the shadow of your death. To creatively transfigure your own death is to
heal the root of fear and come into a new rhythm of living everything.
John O'Donohue, PhD
The Privilege of Being Present at the Death of Another
Death is the most amazing event in a person's life. It is a time when you
desperately need the company of friends. When a friend knows how to be creatively
present at a death, it is an incredible gift to the one who is leaving. In
post-modern culture too many people die alone. We need to rediscover the
sacredness of the act of dying— at this threshold so many worlds meet. It
is a huge privilege to be there. It alters the way you feel your life afterwards.
It could be the best thing you ever do for someone. In this workshop, we
will explore different ways of being present there and sketch an ideal style
of being present based on the needs of the departing one.
Roshi Joan Halifax, PhD
Being with Dying Contemplations on Death & Dying
In this workshop we will learn a series of practices drawn from the Buddhist
tradition that have been adapted to Western culture and are accessible to
people of differing cultural and religious backgrounds. We will seek to explore
the meaning of death in the experience of our own lives and to develop an
approach to death that is kind, open and dignified. In being with dying,
it is possible that we can see death and know life in terms of compassion
and awakening. In gently caring for the dying, we can more peacefully and
wisely care for the living and for life itself. This workshop is for caregivers,
people with life-threatening illness and all those wishing to learn about
being with dying.
Sirncha Paull Raphael, PhD
The Afterlife Journey of the Soul in Jewish Mysticism: Implications for Hospice
& Bereavement Work
Does Judaism believe in life after death? Unequivocally, the answer is yes!
Unfortunately, in the modern world both Jews and non-Jews are alltoo-often
unaware of traditional Jewish wisdom on the afterlife journey of the soul.
This workshop with Sirncha Raphael, psychotherapist, death awareness educator
and author of Jewish Views of the Afterlife .investigates Judaism's teachings
on life after death, particularly within the mystical traditions of Kabbalah
and Hasidism. By synthesizing the ancient wisdom of Jewish mysticism with
contemporary transpersonal psychology we shall present practical guidelines
for counseling the dying and bereaved, and their families.
2
Norman Davidson
Rudolf Steiner's Modem Investigations into the Death Experience
Austrian philosopher, educator, and spiritual teacher Rudolf Steiner (1861-1925)
made a distinction between speculation and direct experience in relation
to the phenomenon of death. In this workshop, we will examine both Steiner's
spiritual and scientific insights on death. Particular attention will be
paid to the soul's unveiled confrontation with the inner aspects of the life
just lived, its impulse to balance that life with another to follow, and
the intermediate journey through the planetary spheres between death and
rebirth.
Ira Byock, MD
Beyond Symptom Management: Human Development at the End of Life
How do we move beyond the mere treatment of symptoms at the end of life to
a real awareness of the nature of human pain and suffering? Dr. Byock will
describe success stories from his work that offer us windows into the potential
for much improved end-of-life experiences. He will suggest a model that encompasses
opportunity within terminal illness and the positive experience of certain
patients. He will also consider the landmarks for family development at times
of dying and death.
Richard Boerstler, PhD & Hulen Kornfeld, RN, MA
Harmonizing the Transition: Co-meditation for the III, the Dying, & Their
Caregivers.
Co-meditation is an ancient yet timeless holistic technique for giving comfort
and clarity to the dying, based on a practice used by Tibetan monks, adapted
for today's needs. Through simple connections between the recipient's breathing
and hearing, the assistant provides a caring, nurturing presence. Adapted
for the individual recipient's situation and beliefs, co-meditation can be
used by anyone wishing to assist, regardless of whether or not either person
has meditation experience.
Peter Selwyn, MD, MPH
Surviving the Fall: Lessons from the AIDS Epidemic
The AIDS epidemic in the United States has undergone a profound transformation
in a few short years in which a uniformly and rapidly fatal illness has in
some ways been changed into a chronic disease. However, the benefits of new
therapies are not universal, nor permanent, and there are many people living
with HIV who may not be able to access or tolerate the new treatments. As
a result, the issues of end-oflife and palliative care for HIV/AIDS have
become increasingly complex and challenging. In this workshop, Dr. Seiwyn
will lead case-based discussions interspersed with readings from his book
on the personal journey of an AIDS doctor.
Janice Harris Lord, MSSW
The Complexities of Suicide How to Respond
Suicide shares some similarities with other forms of sudden, violent death.
A significantly painful aspect, however, is that it was the victim's choice.
To surviving family and friends, this realization leads to the question,
"What did I do or not do that caused this person to feel that life was so
unbearable that suicide was seen as the only way out?" Furthermore, suicide
is frequently associated with other self-harming behaviors such as substance
abuse, sexual impulsiveness, self-mutilatiol and eating disorders. This workshop
will address the uniqueness of suicide, how to assist survivors, and how
to screen for depression and suicidality among survivors.
Robert Thurman, PhD
Conquering Fear Through Natural Liberation
More than any other tradition, Tibetan Buddhism has devoted enormous attention
to the spiritual journey of the dying process. Robert Thurman will draw from
the Tibetan Book of the Dead\.o discuss what our own culture can adapt from
the Tibetan approach to dying.
Panel on Palliative Care with Peter Seiwyn, MD, Paul Brenner, MA, Maggie
Callanan,RN,CRNH
What are the key issues facing those working in palliative care today? How
can we bring about a harmonious interface of hospital and hospice? These
three leading professionals in this field will address these questions and
dialogue with the group about the critical changes taking place in this world.
Closing Panel 4-5:15pm
The Future of Death & Dying
We live at a time of enormous transition in attitudes to death and in the
practice of care for the dying. Where is this leading in the new century?
How do we train the next generation of caregivers? Robert Thurman, PhD, moderator
Dr. Robert Dunlop Dr. Ira Byock Dr. Leslie Blackhall Roshi Joan Halifax,
PhD Therese Schroeder-Sheker
Monday, March 27 Post-Conference Institutes
10-5pm
Robert Thurman, PhD & Marianne Williamson
Methods for Living & Dying
In this unique session, Robert Thurman and Marianne Williamson will compare
howTibetan Buddhism and the Course in Miracles approach dying. Both the Buddha
and the Jesus of the "course" help us to learn to live in a loving and compassionate
way. Join us for a presentation and dialogue as we examine the ways in which
these methods might work best for practitioners and how they might reinforce
each other.
Roshi Joan Halifax, PhD
Being with Dying Contemplative Care of Dying People
We are currently facing profoundly challenging questions about the efficacy
of our healthcare system and, most particularly, the care of the dying. Death
in America still exemplifies a firm denial of the transient nature of life
and an aversion to and often morbid fear of pain and decay, and the conviction
that death always involves suffering. Exploring how we can help make the
experience of dying be more gentle, peaceful, and conscious can have far-reaching
consequences on how we live and our fundamental values and world view. This
workshop will explore the three interconnected aspects of contemplative care
of the dying: contemplative view and practice, community development, and
self care. There will be experiential exercises and meditation practices
throughout the day.