Wisdom at the end of life: Hospice patients’ reflections on the meaning of life and death

The processes of aging and confronting mortality are often accompanied by unique psychological challenges. From the perspective of positive psychology, such challenges can yield opportunities for growth, including increased wisdom. This qualitative study explored 15 terminally ill hospice patients’ perspectives on wisdom, the dying process, and the meaning of life using consensual qualitative research methods. Most participants cited humility as a key component of wisdom, emphasizing that “Wisdom is when we realize ‘I don’t really know much’.” Other components of wisdom included self-knowledge, rationality, experiential learning, listening to and learning from others, and sharing knowledge with others. Participants also suggested that the process of facing illness and death presents opportunities for positive growth, including changing priorities and learning to appreciate life more fully in the present moment. In considering the sources of meaning in their lives, participants emphasized relational connections, personal growth, spirituality, vocational fulfilment, and living a full life. Participants also shared their reflections on important past experiences and regrets. Lastly, participants offered advice to others based on their experiences facing illness and mortality. Implications for psychological care of the dying and future research are discussed.     

JEWISH FOREIGN POLICY: ISRAEL,WORLD JEWRY AND THE DEFENCE OF “JEWISH INTERESTS”

Is there such a thing as a “Jewish foreign policy”? This article argues that Jewish foreign policy does in fact exist. It is not Israeli foreign policy, nor is it an aggregation of American Jewish political power and interests. Jewish foreign policy is not controlled by the Israeli Prime Minister, nor is it led by the myriad of Jewish communal organizations in the United States or elsewhere. It defies the traditional ‘Israel-diaspora’ dichotomy that all too often defines Jewish political discourse. Jewish foreign policy, like other systems of foreign policy, has its own distinctive set of interests and actors. It is a complex, informal, and de-centralized system of ethno-nationalist foreign policy. This article maps out the Jewish foreign policy system. In doing so, the following questions are addressed: Who are the actors involved? What are its interests? What are the challenges and problems facing the system?