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Cited by 109Palliative Care and End-of-Life IssuesOptimism, Hope, and Well-beingPalliative and Oncologic Care

The DOI matches its Crossref record; 108 of the 109 references it cites were found in a registry or an index.

Hope and Hopelessness at the End of Life

Sullivan, Mark D.·2003·The American Journal of Geriatric Psychiatry
DOI 10.1097/00019442-200307000-00002
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Abstract

Efforts to improve end-of-life care have been hindered by widespread delays in discussing and initiating this care. The dynamics of hope and hopelessness may be crucial in these delays. The author reviews recent literature concerning hope and hopelessness at the end of life. Modern dying is more prolonged and more shaped by human choice than ever before. Therefore, hope and hopelessness play a more active role in the dying process. Hopelessness is not a simple product of prognosis, but is shaped by state and trait psychological factors. Hope at the end of life can come in various forms: for cure, for survival, for comfort, for dignity, for intimacy, or for salvation. Hopelessness at the end of life is therefore not simply the absence of hope, but attachment to a form of hope that is lost. The concept of anticipatory grief may help us interpret hope and hopelessness at the end of life. Improving end-of-life care will require looking beyond prognosis and preferences to understand the dynamics of hope and hopelessness. To be successful at diversifying hope at the end of life, we must foster the trusting interpersonal environment where this is possible.

Overview

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Crossref · 10.1097/00019442-200307000-00002

Cites

108 of 108 references verified0 citation errors · 0 not checkable

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Citations

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Research works printed but not linked: 3

  1. Rosenberg, 1996, Births and Deaths United States, 1995. Monthly Vital Statistics Report, Preliminary Data from the Centers for Disease Control and Prevention, National Center for Health Statistics, 45
  2. Lynn, 2000, Learning to care for people with chronic illness facing the end of life, JAMA, 284, 2508, 10.1001/jama.284.19.2508 · DOI
  3. Foreman, 1996, 70% would pick hospice, poll finds, Boston Globe

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Metadata

Authors
Sullivan, M. D.
Affiliations
University of Washington (US)
Corresponding author
Sullivan, Mark D.
ORCID
Sullivan, Mark D.
Venue
The American Journal of Geriatric Psychiatry
Publisher
Elsevier BV
Published
2003-07
Volume
11
Issue
4
Pages
393-405
ISSN
1064-7481 (ISSN-L)
DOI
10.1097/00019442-200307000-00002
OpenAlex
W2140759036
Cited by
109
References
109
Citations by year
2026: 6 · 2025: 4 · 2024: 6 · 2023: 5 · 2022: 2 · 2021: 3 · 2019: 3 · 2018: 4 · 2017: 2 · 2016: 6 · 2015: 8 · 2014: 6 · 2013: 7 · 2012: 5
FWCI
4.07
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • American Journal of Geriatric Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Funders
  • National Institutes of Health (5k01mh001351-05)
  • National Institute of Mental Health (K01 MH1351)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
Keywords
hope, hopelessness, end-of-life care, dying, anticipatory grief, prognosis, psychological factors, trust, interpersonal relationships, palliative care
MeSH terms
Aged, Chronic Disease, Death, Major Depressive Disorder, Depressive Disorder, Major, Hospitalization, Humans, Interpersonal Relations, Professional-Patient Relations, Psychology, Quality of Life, Religion, Social Environment, Suicide, Critical Illness

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