About 30 percent of hospice patients report a visitation by someone who is not there, a phenomenon known in end-of-life care as a deathbed vision. These visions can be of dead friends or family members and occur on average three days before death. Strikingly, individuals from wildly diverse geographic regions and religionsfrom New York to Japan to Moldova to Papua New Guineareport similar visions. Appearances of our dead during serious illness, crises, or bereavement are as old as the historical record. But in recent years, we have tended to explain them in either the fantastical terms of the supernatural or the reductive terms of neuroscience.

This book is about how, when, and why our dead visit us. Allan Kelleheara medical sociologist and expert on death, dying, and palliative carehas gathered data and conducted studies on these experiences across cultures. He also draws on the long-neglected work of early anthropologists who developed cultural explanations about why the dead visit. Deathbed visions conform to the rituals that underpin basic social relations and expectationscustoms of greeting, support, exchange, gift-giving, and vigilsbecause the dead must communicate with us in a social language that we recognize. Kellehear emphasizes the personal consequences for those who encounter these visions, revealing their significance for how the dying person makes meaning of their experiences. Providing vital understanding of a widespread yet mysterious phenomenon, Visitors at the End of Life offers insights for palliative care professionals, researchers, and the bereaved.