Thanatology notes : 2nd year BAMS

Table of Contents

Introduction:

Thanatology, derived from the Greek words “thanatos” (death) and “logos” (study). It encompasses a broad interdisciplinary field focused on the study of death, dying, and changes after death.

It delves into the psychological, social, cultural, medical, and spiritual aspects of mortality, aiming to understand the impact of death on individuals and communities.

In this blog post we have explained about Thanatology, its medicolegal implications, stages of death, apparent death and much more!

Free PDF notes!

Thanatology is described in 19th point of NCISM Syllabus of Agada Tantra

Thanatology

What is death?

It is permanent and irreversible cessation of functions of the tripods of life namely,

  1. Nervous System.
  2. Circulatory System.
  3. Respiratory System.

Historical Perspective:

To understand the present landscape, we must first journey back in time to explore how ancient civilizations conceptualized death and dying.

From the elaborate burial rituals of ancient Egypt to the philosophical reflections of Greek and Roman thinkers, the history is rich and diverse.

Early philosophers such as Plato contemplated the nature of death, while religious beliefs shaped cultural attitudes and practices surrounding mortality.

Over time, the Enlightenment era ushered in scientific inquiry and empirical observations, laying the groundwork for modern thanatology.

Medicolegal implications of Thanatology:

  1. Declaration of death.
  2. Certifications of death.
  3. Disposal of the body.
  4. Organ Transplantation.
  5. Presumption of death.

Stages of Death:

Death is said to be occurring in 2 stages, they are;

  1. Somatic/Systemic/Clinical.
  2. Molecular/Cellular.

Somatic Death:

  • It is characterized by complete loss of sensibility and ability to move.
  • Somatic death correspondswith physical stoppage of functions of heart, Lung and brain.
  • However individual cells may not die and respond to chemical, thermal or electrical stimuli.
  • Eg: Pupils may contract on application of myotic drug. 

Molecular death:

  • Molecular death means the death of individual cells of different tissues or organs.
  • In absence of circulation and respiration different cells die their molecular death at different times after somatic death depending on the motabolic activity and availability of oxygen.
  1. Heart – 15 mins
  2. Kidney – 30 mins
  3. Liver – 40 mins
  4. Muscles – 3 hrs
  5. Blood – 6 hrs
  6. Cornea – 6 to 8 hrs

Apparent Death:

Apparent death, also known as thanatopsis or apparent death syndrome, is a phenomenon where individuals exhibit characteristics resembling death, such as absence of vital signs and responsiveness, yet later recover.

This condition can occur due to various factors, including extreme cold, oxygen deprivation, severe trauma, or certain medical conditions.

Throughout history, cases of apparent death have sparked fear and superstition, leading to practices such as premature burials and elaborate precautions to ensure the deceased’s true passing.

However, advancements in medical science and technology have allowed for more accurate diagnosis and prevention of apparent death incidents.

Thanatopsis in thanatology

Changes after Death:

The study of changes after death encompasses various physical, psychological, and social transformations that occur following the cessation of life.

Physically, the body undergoes a series of changes known as postmortem changes, including rigor mortis, livor mortis, and decomposition.

Psychologically, bereavement and grief are significant areas of study, highlighting the emotional impact of death on individuals and communities.

Socially, death triggers a range of rituals, customs, and practices across cultures, reflecting diverse beliefs and attitudes towards mortality.

 

Professional Development:

For those passionate about thanatology, various career paths offer opportunities to make a meaningful difference in the lives of others.

Grief counselors, hospice workers, palliative care specialists, and medical ethicists are among the professionals dedicated to supporting individuals and families facing death and bereavement.

Training programs, certifications, and ongoing professional development opportunities empower individuals to deepen their expertise and expand their impact in the field of thanatology.

Conclusion:

Thanatology serves as a beacon of understanding in the face of life’s greatest certainty: death.

As we continue to navigate the complexities of mortality in an ever-changing world, the study of thanatology reminds us of the importance of empathy, compassion, and reverence for life, shaping not only how we face death but also how we live.

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