Demystifying death: The necessarily expansive role of the end-of-life doula

dc.contributor.authorDow, Bethany
dc.date.accessioned2026-06-16T21:39:14Z
dc.date.available2026-06-16T21:39:14Z
dc.date.issued2026
dc.description.abstractThis thesis explores the multifaceted role of the contemporary End-of-Life-Doula (EOLD). The increased medicalization of death in the past 100 years has led to an increased need for emotional, mental, spiritual and educational support in end-of-life-care, a gap filled by EOLDs throughout the last decade. Interviews conducted with three EOLDs from the Vancouver Island region confirmed the necessity of this work in supporting people and communities ethically while also emphasizing the need for flexibility in role enactment to fulfill this work. EOLD services span from bedside vigiling to educational roles based in increasing community death literacy and end-of-care planning, yet all facets of care can be understood as being ethically driven by the upholding of individual and community values. The current structure of this work produces a moral economy of exchange between the doulas and their communities, with feminist constructions of care substantiating the work of doulas collectively. While some EOLDs seek a standardization of the role in hopes of decreasing ambiguity and increasing legitimacy of their work, many others argue that this standardization risks a loss in the role’s necessary diversity in practice. This thesis seeks to explain how this loss of diversity poses a threat to the moral economy of death, as the legal boundaries of the practice would inevitably disconnect the ethical basis from this extensive role.
dc.description.scholarlevelUndergraduate
dc.identifier.urihttps://hdl.handle.net/1828/23992
dc.language.isoen
dc.subjectend-of-life doula
dc.subjectdeath literacy
dc.subjectcommunity
dc.subjectmoral economy
dc.subjectgendered care
dc.subjectstandardization
dc.subject.departmentDepartment of Anthropology
dc.titleDemystifying death: The necessarily expansive role of the end-of-life doula
dc.typeHonours thesis

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