Sandra Arnold
Most of us experience the death of a parent or grandparent and the loss of the past it brings. The death of an elderly family member, however, does not threaten the family’s reason to exist, and its future hopes and dreams remain. The death of a child, however, brings with it the death of part of the parents, and the psychological death of the family. In bereavement literature there is agreement that the death of a child is almost beyond the parents’ endurance. The parent-child bond is arguably the strongest bond there is. The concept of the child as an integral part of the parent’s self is logical in that the survival of the child depends on altruistic parenting. If mother and baby did not become strongly attached the baby would die. The purpose of attachment, therefore, is the survival of the species. Thus, parenthood is deeply challenged by the death of a child.




It has been a challenging few weeks, a time when I have been caught between competing professional and emotional obligations – conducting my mother-in-law’s funeral on the one hand, and grieving her death on the other. Funerals should be familiar territory for me. As a Presbyterian minister for over a decade, during which time I also had a period as a Hospice Chaplain, I conducted hundreds of funerals, reflecting and writing extensively on that aspect of my ministry.
In 2002 my youngest daughter, Rebecca, died of a rare appendix cancer at the age of 23. For a whole year afterwards I couldn’t say her name and the word ‘died’ in the same breath. Though I am a writer, I lost not only the capacity to articulate my feelings, but also the capacity to write. I stopped dreaming. It hurt to breathe. It hurt to be inside my skin. The silence of my own home, the beauty of my garden, the breath of my animals, the quiet paddocks and the river walks provided no refuge. They were all empty spaces that reverberated with Rebecca’s absence. This new territory was so bleached of colour, so arid and alien, so lacking in anything recognisable that I had no language to negotiate my way through it. And I could form no response to comments such as “Gosh, you’re coping so well.”


When I started my career shift from Hospital Medicine to Palliative Medicine in 2004, my mother asked me “Why in the world do you want to work with people who are going to die? That is so depressing.” My answer then and my answer now is the same. “I am a doctor, I already work with people who are dying—and I know it can be done better.”