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Spiritual Transitions at the End of Life

2025· article· en· W4417451272 on OpenAlexvenueno aff
Rachel Cummings

Bibliographic record

VenueAnthropologica · 2025
Typearticle
Languageen
FieldMedicine
TopicPalliative Care and End-of-Life Issues
Canadian institutionsnot available
FundersWellcome Trust
KeywordsLiminalityConversationEthnographyBiopsychosocial modelPalliative careSubject (documents)CompassionMetaphysicsDelirium

Abstract

fetched live from OpenAlex

This article considers the liminality of dying through the lens of “deathbed experiences”: reports of events occurring towards the end of life subject to multiple, potentially conflicting explanations, both medical and transcendent. Examples include a dying person reporting conversation with a deceased relative or reaching towards something unseen. While deeply meaningful and metaphysically significant to some, others explain them in material terms: as opioid toxicity, delirium or similar. These differing explanations bring an ontological liminality into the clinical realm. Based on ethnographic research within a UK hospice and 42 interviews with palliative care staff, this piece puts deathbed experiences in conversation with anthropology’s “ontological turn.” It compares the responses of clinicians to those of ethnographers confronting ontological difference. Drawing specifically on the methodological strain within this literature, it argues for care in such moments to be informed by “recursivity.” The article considers the consequences of this recursive form of care more broadly with reference to the biopsychosocial model. It ends with a discussion of how to do research about recursive care in a suitably recursive way.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.280
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.107
GPT teacher head0.436
Teacher spread0.329 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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