Patients with a life-threatening illness can be confronted with various types of loneliness, one of which is existential loneliness (EL). Since the experience of EL is extremely disruptive, the issue of EL is relevant for the practice of end-of-life care. Still, the literature on EL has generated little discussion and empirical substantiation and has never been systematically reviewed. In order to systematically review the literature, we (1) identified the existential loneliness literature; (2) established an organising framework for the review; (3) (...) conducted a conceptual analysis of existential loneliness; and (4) discussed its relevance for end-of-life care. We found that the EL concept is profoundly unclear. Distinguishing between three dimensions of EL—as a condition, as an experience, and as a process of inner growth—leads to some conceptual clarification. Analysis of these dimensions on the basis of their respective key notions—everpresent, feeling, defence; death, awareness, difficult communication; and inner growth, giving meaning, authenticity—further clarifies the concept. Although none of the key notions are unambiguous, they may function as a starting point for the development of care strategies on EL at the end of life. (shrink)

Patients with a life-threatening illness can be confronted with various types of loneliness, one of which is existential loneliness (EL). Since the experience of EL is extremely disruptive, the issue of EL is relevant for the practice of end-of-life care. Still, the literature on EL has generated little discussion and empirical substantiation and has never been systematically reviewed. In order to systematically review the literature, we (1) identified the existential loneliness literature; (2) established an organising framework for the review; (3) (...) conducted a conceptual analysis of existential loneliness; and (4) discussed its relevance for end-of-life care. We found that the EL concept is profoundly unclear. Distinguishing between three dimensions of EL—as a condition, as an experience, and as a process of inner growth—leads to some conceptual clarification. Analysis of these dimensions on the basis of their respective key notions—everpresent, feeling, defence; death, awareness, difficult communication; and inner growth, giving meaning, authenticity—further clarifies the concept. Although none of the key notions are unambiguous, they may function as a starting point for the development of care strategies on EL at the end of life. (shrink)

Ernest Becker’s work addresses the implications that arise from being aware of our own mortality. Like Sartre, Becker recognises that human beings have the potential to transcend and look beyond their immediate situation, but his work also confronts the darker aspects of human existence that arise from our self-awareness. The aim of the paper is to provide an overview of Becker’s work and to show the potential of Becker’s theory of evil to inform a number of contemporary debates in the (...) social sciences. Although Becker’s work directly examines why human beings can act so inhumanly towards one another, his theory is not altogether pessimistic. The paper concludes by arguing that Becker’s theory intended to create new possibilities for living in more creative and humane world. (shrink)

This paper explores the meaning of dreamless sleep. First, I consider four reasons why we commonly pass over sleep's ontological significance. Second, I compare and contrast death and sleep to show how each is oriented to questions regarding the possibilities of "being-a-whole." In the third and final part, I explore the meaning and implications of "being-toward-sleep," arguing that human existence emerges atop naturally anonymous corporeality (i.e. living being). In sum, I try to show that we can recover an authentic — (...) if somewhat ambiguous — sense of "being-a-whole" only by recognizing the ontological significance of dreamless sleep. (shrink)