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Dying Epistemologies: An Analysis of Home Death and its Critique

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  • Michael Brown

    (Department of Geography, University of Washington, Box 353550, Seattle, WA 98195-3550, USA)

  • Travis Colton

    (Department of Architecture and Urban Planning, University of Washington, Box 355726, Seattle, WA 98195-5726, USA)

Abstract

Within the debate between medical and health geographers there are often calls for methodological and philosophical conciliation. The purpose of this paper is to detail some of the epistemological difficulties in ever achieving that aim. We do so by offering a foundational scientific analysis of home death in Washington State, and then turning to a postmedical deconstruction of that scholarship within the space of a single paper. Although the result is a reflexive self-critical paper on how we know the geography of home death, it is by no means a resolution of the debate. A key epistemological impasse is identified between the foundationalism in our quantitative analysis and our poststructural critique. This impasse leads to different and irreconcilable aims between the two halves of the paper. In our reflections we stress the need to recognize explicitly this epistemological irreconcilability in order to temper the promise of an easy solution to the debate between medical and health geography. We nevertheless suggest that scholarly, ethical, and political insights can be gained from this project.

Suggested Citation

  • Michael Brown & Travis Colton, 2001. "Dying Epistemologies: An Analysis of Home Death and its Critique," Environment and Planning A, , vol. 33(5), pages 799-821, May.
    • Handle: RePEc:sae:envira:v:33:y:2001:i:5:p:799-821
    DOI: 10.1068/a33195
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    References listed on IDEAS

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    1. D P Dixon & J P Jones III, 1998. "My Dinner with Derrida, or Spatial Analysis and Poststructuralism Do Lunch," Environment and Planning A, , vol. 30(2), pages 247-260, February.
    2. Grande, G. E. & Addington-Hall, J. M. & Todd, C. J., 1998. "Place of death and access to home care services: are certain patient groups at a disadvantage?," Social Science & Medicine, Elsevier, vol. 47(5), pages 565-579, September.
    3. Moinpour, C.M. & Polissar, L., 1989. "Factors affecting place of death of hospice and non-hospice cancer patients," American Journal of Public Health, American Public Health Association, vol. 79(11), pages 1549-1551.
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    1. Michael Brown, 2003. "Hospice and the Spatial Paradoxes of Terminal Care," Environment and Planning A, , vol. 35(5), pages 833-851, May.
    2. Collier, Aileen & Broom, Alex, 2021. "Unsettling Place(s) at the end of life," Social Science & Medicine, Elsevier, vol. 288(C).
    3. Cohen, Joachim & Bilsen, Johan & Hooft, Peter & Deboosere, Patrick & Wal, Gerrit van der & Deliens, Luc, 2006. "Dying at home or in an institution: Using death certificates to explore the factors associated with place of death," Health Policy, Elsevier, vol. 78(2-3), pages 319-329, October.

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