2003 volume 35(5) pages 833 – 851
doi:10.1068/a35121

Cite as:
Brown M, 2003, "Hospice and the spatial paradoxes of terminal care" Environment and Planning A 35(5) 833 – 851

Download citation data in RIS format

Hospice and the spatial paradoxes of terminal care

Michael Brown

Received 26 April 2002; in revised form 27 August 2002

Abstract. The purpose of my paper is to offer an understanding of home hospice from a perspective of political geography. Informed by critical political theories of care, and recent work on the geographies of public and private spheres, I explore one set of consequences of the spatial shift towards home death in metropolitan Seattle, Washington. Terminal hospice care done in the home creates an especially paradoxical home space. By blurring public - private boundaries, hospice care produces a political geography of home interpretable through four spatial paradoxes: a normative paradox of home being a good and bad place to die, a territorial paradox of control itself changing the home, a constitutive paradox between heart and welfare politics, and a relational paradox between autonomy and dependency. The implications for political and health geography, as well as political theory and hospice work itself are discussed as a consequence of recognizing these spatial paradoxes.

Restricted material:

PDF Full-text PDF size: 162 Kb

HTML References  48 references, 4 with DOI links (Crossref)

Your computer (IP address: 54.82.116.210) has not been recognised as being on a network authorised to view the full text or references of this article. This content is part of our deep back archive. If you are a member of a university library that has a subscription to the journal, please contact your serials librarian (subscriptions information).