Arnold and Lloyd’s article on ‘‘transcendence experiences’’ of terminally ill persons in hospice care was an intriguing read. The piece provided a helpful description of methodological issues and procedural processes undertaken. It seemed a qualitative study was employed involving unstructured interviews for data collection and a ‘‘prototypical multimodal perceptual analysis strategy integrating both audio and text processing and coding of stimuli data.’’ Again, the methodology section was informative. Concerning the results or findings from the study, 4 ‘‘submetaphors’’ (or emergent categories) were delineated, ineffability, mundane, perceptual shifts, and peace and contentment. (The ‘‘parent’’ or overarching metaphor was asserted as end-of-life transcendence experiences.) For each metaphorical category, direct quotes from study participants were provided as textual evidence. Now, it is at this juncture in the article that particular thoughts arose, which compelled me to pen this Letter to the Editor. To be clear, what follows is not a polemic or contention but rather a proposal to broaden the discussion regarding the issue portrayed and presented by Arnold and Lloyd. So, toward a more multidisciplinary perspective, it is important to note that extant examples of similar types of ineffability (of subjective experiences or internal mentation related to loss issues) can be easily seen in thanatological (grief and bereavement) literature. Case in point, Bennett and Bennett’s qualitative study of older adult widows’ grief experiences evinced numerous examples of metaphorical language related to loss and inner/subjective experiences: in a complete fog; on automatic pilot; like a zombie; there’s always this great hole inside that hurts. Furthermore, a well-known text in hospice circles (Final Gifts) demonstrates multiple accounts of end-of-life circumstances, where imagery and figurative expressions are presented by both dying and aggrieved persons. Clearly, by virtue of metaphorical allusions, ineffability is established. Indeed, personal grief can be most difficult to immediately describe (without analogies or metaphors), and so the idea of ineffability and leaning toward metaphorical descriptions in the loss and grief literature is resolutely commonplace. And, given the intimate and cognate bonds between grief, anticipatory grief, and end of life, it is deemed helpful if a broader literature review was provided toward better contextualizing the findings culled by Arnold and Lloyd. Next, concerning the category of Mundane, traumatology and existential counseling literature can broaden the discussion. For instance, according to the postulated concept of posttraumatic growth, it is already recognized that some persons who experience this type of loss response ‘‘mention newfound appreciation for rather ordinary, everyday living.’’ Moreover, regarding the categories of perceptual shifts and peace and contentment, these are also previously demonstrated in the varying literature bases including adult learning, psychology, and clinical counseling, to name a few. Examples and commentary of perceptual shifts from the literature include
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