Cicely Saunders and Total Pain

Holism, Narrative and Silence at the End of Life
Offers the first full-length study of Cicely Saunders' idea of ‘total pain’, providing a fresh perspective on the ambiguous place of narrative in healthcare
Introduced in 1964, Cicely Saunders’ term ‘total pain’ has come to epitomise the holistic ethos of hospice and palliative care. It communicates how a dying person’s pain can be a whole overwhelming experience, not only physical but also psychological, social and spiritual. ‘Total pain’ clearly summarises Saunders’ whole-person, multidisciplinary outlook but is it a phenomenon, an intervention framework, a care approach – or something else? This book disregards the idea that Saunders’ phrase has one coherent meaning and instead explores the multiple interpretations now current in contemporary professional discourse. Using close reading of Saunders’ extensive publications, as well as archival evidence and Saunders’ own personal library, it situates the current usage of ‘total pain’ in wider histories of clinical holism, questions its similarity to later ideas of narrative medicine, and explores how it might express the ambiguities of bearing witness to pain and vulnerability when someone is dying.

UK Delivery:

• Free delivery on all orders of £10 or more.
• £1.49 delivery fee on orders below £10.
• UK orders are shipped via Royal Mail 2nd Class.

International Delivery:

• Flat rate delivery charges vary by country.

Dispatch and Delivery Times:

• All orders are shipped from our warehouse in Northampton, UK within 48 hours of receipt during working hours.
• UK mainland orders typically arrive within 3-5 working days via Royal Mail 2nd Class.
• International estimated delivery times:
• Europe & Channel Islands: 7 to 10 working days
• USA: 7 to 15 working days
• Rest of the World: 9 to 21 working days

View our full delivery infomation here.