Category Archives: Life & Death

GRIEFINK – HOW MEMORIAL TATTOOS EASE PAIN OF LOSS

So pleased to have Susan Salluce as a guest on DyingWords. Susan is a thanatologist, or grief counsellor, and author of the best selling novel Out Of Breath. 

A4 PoemAfter a loss, individuals can find comfort in creative expressions of grief: creating a memory stone for the garden or yard; planting a tree in memory of the deceased; incorporating ashes into a piece of jewellery; writing poetry, and song.

In the past decade, another creative expression of grief has grown exponentially: Memorial Tattoos

A13 911Tattoo artists in the United States observe that a large majority of those coming in for tattoos are doing so to honor the death of a loved one, a pet, the end of a relationship, to honor a fallen soldier, or commemorate a tragedy, such as the loss of lives in the terror attack on the World Trade Center.

As a grief specialist, I have long been at dis-ease with grief theories that stress stages, closure, and the need to “move forward” after a loss. As someone who has witnessed and shared in a great deal of loss, I’m drawn to theories that understand grief as a change, not end, in a relationship, and that recognize an enduring connection with our loved ones who have died.

As I held this belief and observed a number of powerful memorial tattoos in friends and clients, it got me thinking.

A11 Grief TearWhat if the boom of memorial tattoos is an outward expression of an inner process—a language of grief—that gives voice to loss, continued connection, and the undying attachment to those in our life who have died?

This language allows people to tell their grief stories, share the enduring bond that continues well after death, and offer comfort to the living.

After combing through professional papers and articles online about memorial tattoos, I felt inspired to write Griefink, a non-fiction book about the inner experience and outer expression to grief through tattoo.

A14 FamiliesThrough social media, friends, support groups, and professionals in the field of psychology, I put out the word about this project last spring. With my wonderful photographer, Matt Molinari, we interviewed and photographed over thirty individuals.

They invited us into their homes, their lives, and into their deepest pain. The loss of a child from leukemia; a son’s suicide; a young woman who had a heart attack; a surfer who drowned are just a few of the stories expressed through memorial tattoo and shared in Griefink.

A9 TattooWith no expectations, I listened to each individual and learned more about grief, continued connection, and the relationship with lost loved ones than any book had taught me. Each person offered emotional, and often, beautiful descriptions of loss. They outlined the decision to get the memorial tattoo, how they found a tattoo artist, the way in which the tattoo was designed, and the process afterward. They confirmed that their tattoos leave the door open for people to ask about their loss; that the ink invites conversation, bringing the deceased into the living world.

Although all of these individuals feel a part of my life because of their vulnerability and transparency, a few left me breathless. One such story is Mia and Cade. Siblings only two years apart, Mia was a second mother to her brother Cade, who had autistic tendencies and received special education.

A2 - Prints“We went everywhere together. Cade taught you to not judge. He was an awesome, bright, and happy kid who taught you to love life,” Cade’s sister, Mia, said. “He loved to give people high fives and hugs.” Cade experienced a seizure in March of 2014. An MRI revealed a tumor in his skull. In an attempt to remove the tumor, Cade died.

Both Mia and her father, Chris, received a memorial tattoo of Cade’s handprint—Mia’s on her back, and Chris’s on the top of his hand—with Cade’s signature underneath.

Mia shared, “A lot of my friends remember that Cade would ask for a high five when he saw them, so when friends see me now, they high five his hand on my back. That feels good. Knowing I have his handprint with me wherever I go, I know Cade will always be with me.”

A1 HandprintsGriefink shows that grief reactions, which are etched in each tattoo, become the foundation for one’s loss narrative. Through tattoo, our bonds with those we have lost are strengthened through the permanency of ink. Additionally, the language of memorial tattoo blows apart the belief that there’s a time limit to mourning, thereby alleviating the notion that one must “get over” his or her loss. Through the tattoo, the invitation is open to continue talking about our loved one, the meaning that he or she had in our life, and how this individual continues to impact us.

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A3 Susan SalluceSusan Salluce holds many things dear: family, friends, the beach, writing, and helping the bereaved. As a thanatologist, or grief specialist, she looks for stories that have many of those common elements. Her transition from being a therapist to a writer began with the question, “What would you attempt to do if you knew you could not fail?” Susan quickly answered, “I’d write a book.”

A16Susan is the author of Out of Breath, a psychological suspense novel about child loss, addiction, recovery, and the surf culture. It’s available on all e-readers and from Amazon at http://www.amazon.ca/Out-Breath-Susan-Salluce-ebook/dp/B005KV26MY

Griefink is her second book, and will be released in fall of 2015. In addition, Susan will have a Griefink blog devoted to memorial tattoos in the spring of 2015.

If you have a memorial tattoo and you would like to share your story, images of the tattoo, and how this has impacted your grief, please email Susan at susansalluce@yahoo.com

Visit Susan’s website  www.susansalluce.com

Follower her on Twitter @SSalluce

CAPITAL PUNISHMENT – IS IT JUSTICE OR MURDER?

aa1aState execution of convicted criminals is a hotly-debated, life-and-death social issue. The subject of capital punishment pushes more emotional buttons than practical ones.

There’s a host of heated arguments to back up each camp’s position.

aa3The Pros put forward justice, retribution, deterrence, cost-saving, and closure to victims as reasons to carry out the death penalty. The Cons defer to moral, religious, legal, unfair application, and danger of mistake as grounds not to kill condemned prisoners.

So who’s right?

Both, if you listen to the emotional pleas.

But set aside all the teeth-gnashing and hair-tearing and look at the practical benefits of having death penalty legislation.

aa4It goes without saying that punishment must fit the crime and execution must be reserved for the most despicable of criminals such as child-rapists, serial-killers, and mass-murderers. Some jurisdictions retain the right to execute lesser felons like mutineers, traitors, and spies, however it’s sensible that only exceptionally dangerous people, for whom there’s no chance of rehabilitation, or that their crimes are so horrific that there’s no other just punishment, be executed. Serial killer Theodore (Ted) Bundy is a prime example as well as the terrorists behind the 911 bombings.

There are only two unshakable reasons for the state having and enforcing the power to execute a convicted murderer.

First, it’s an indisputable fact that execution guarantees that person will never re-offend.

aa5Yes, the counter argument suggests that locking an inmate up for life with no possibility of parole achieves the same end, but it’s not the same thing. There are many cases where a dangerous criminal has escaped or found a legal means to roam free and kill again.Once a killer is dead, that’s the end of their threat to society. Period.

There’s a second practical application of death penalty legislation that few people in the general public think about, but which police officers and prosecutors know to be valid.

aa6Capital punishment is an effective, persuasive tool in forcing caught killers to co-operate with authorities. Plea-bargains are done with accused murderers where the death penalty is waived in exchange for information. This leads to solving other homicides, recovering bodies, giving closure to victimized families, and studying the minds of these monsters in order to understand and prevent future miscreants. The save-his-life deal with Seattle’s Green River Killer, Gary Ridgeway, paid off big.

There’ll never be unanimous support for and against capital punishment, let alone on the method on how it should be carried out.

Moral. Practical. Economic. Vengeance. Justice. Retribution. Deterrence. Cost-saving. Closure. Moral, Religious. Legal. Unfair application. Danger of Mistake.

Lethal injection. Firing squad. Noose. Gas chamber. Electric chair. Beheading, stoning, and burning at the stake.

What are your thoughts? Is capital punishment justice or murder? And is there a humane method in carrying it out?

I’m dying to hear your words.

MARIJUANA: DRIVING HIGH

Sabra Botch-Jones, M.S., M.A., D-ABFT-FT, is a forensic toxicologist at Boston University School of Medicine/fTox Consulting, LLC. With the move towards decriminalization of marijuana across North America comes the issue of legal DUI tolerances with cannabis impairment. Sabra wrote this accredited, scientific article specifically for DyingWords. Thanks, Sabra!

Introduction

AA1ASeveral States have moved into a new era with the legalization of medical and/or recreational use of marijuana. With this shift we must stop and ask the question of “are we ready”?

With the year 2014 behind us, we have 24 states with legislation allowing the use of marijuana for certain medical conditions and two states (Colorado and Washington) having passed laws allowing its use recreationally. This is a historical shift for a substance that has had a world-wide presence since 28th century B.C.

AA2Safety-sensitive functions such as operating a motor vehicle require our full attention and distracted or impaired operation can be catastrophic. Driving under the influence of an impairing substance, including legal recreational (i.e alcohol) and prescription drugs, puts our lives and those around us at risk.

Therefore, let us explore the risk posed by driving “high” and what research is telling us.

What We Know

AA3A multitude of studies exist on cannabis intoxication and its effect on the skills needed to drive safely. With this magnitude of information, the answer to our previous question “are we ready” should be yes, but is it?

We know that drug use, alone or in combination with alcohol, increases our risk of being involved in a motor vehicle accident; however, the level(s) (if any) of tetrahydrocannabinol (THC) used to determine impairment is the subject of debate.

Research shows inter-individual variation in impairment, with some individuals being dangerously impaired at very low levels. Conversely, there are individuals who showing no appreciable cognitive effects test well above the suggested levels.1-7

AA4This variability makes passing legislation based on compound levels extremely difficult and may lead to erroneous perceptions that driving while high is not dangerous.

Complex tasks such as driving require attentiveness, accurate perception of speed and timing as well as altertness.1-6 These are all areas that THC can negatively effect.1-6

In a placebo-controlled cross-over study investigating the acute effects of smoking high-potency cannabis joints on psychomotor skills related to driving, researchers found that subjects still reported experiencing a “high” or “feelings of intoxication” well past peak levels, with measured concentrations dropping below the legal level 5 ng/mL set by some states.1

AA6It is challenging to correlate what this level means to actual impairment due to the fact that THC levels in the blood peak quickly following inhalation and decline rapidly based on pharmacokinetics.6 Adding to the complexity of analytical interpretation of THC in the blood is time, with subjective effects felt as soon as after 1 to 2 inhalations.8

Researchers have also shown that significant impairment of tracking skills (used as an indication of accurate motor control) accompanies marijuana use.1 Ultimately these authors concluded “that smoking cannabis significantly decreases psychomotor skills and globally alters the activity of the main brain networks involved in cognition even at low concentrations of THC in the blood.”1

AA7In addition to these skills, attention alone, divided attention, visual functions, and reaction time are all areas impaired when an individual drives “high”.1-3 The impairment of each of these skills differs depending on the dose and potency of the drug. Therefore the effects of marijuana and the detrimental consequence on a particular skill varies depending on the particular function being employed.

What Should We Do?

AA8AEstablishing levels of THC in which a jurisdiction considers an individual impaired is challenging. Some countries have established a zero-tolerance approach to compensate for individual-to-individual impairment. In the United States, we have created similar laws for certain drugs to account for lack of scientific knowledge and/or user variability and this may be an approach to consider.

Regardless of what approach is taken, as with all drugs (recreational or prescription) ultimately it is the individual that must be responsible for their actions.

Refrain from operating a motor vehicle when impaired and be aware that negative effects can continue well past the feeling of being “high”. 

References:
  1. Battistella, Giovanni et al. “Weed or Wheel! fMRI, Behavioural, and Toxicological Investigations of How Cannabis Smoking Affects Skills Necessary for Driving.” Ed. Lin Lu. PLoS ONE 8.1 (2013): e52545. PMC. Web. 5 Jan. 2015.
  2. Walsh, J. Michael et al. “Drugs and Driving”. Traffic Injury Prevention. Vol. 5, Iss. 3, 2004
  3. Sewell, R. Andrew, James Poling, and Mehmet Sofuoglu. “THE EFFECT OF CANNABIS COMPARED WITH ALCOHOL ON DRIVING.” The American journal on addictions / American Academy of Psychiatrists in Alcoholism and Addictions 18.3 (2009): 185–193. PMC. Web. 5 Jan. 2015
  4. Moskowitz H. Marihuana and driving. Accid Anal Prev. 1985;17:323– 345.
  5. Hall W. The Health and Psychological Consequences of Cannabis Use. Canberra: Australian Government Publication Service; 1994.
  6. Kurzthaler I, Hummer M, Miller C, et al. Effect of cannabis use on cognitive functions and driving ability. J Clin Psychiatry. 1999;60:395– 399.
  7. Liguori A, Gatto CP, Robinson JH. Effects of marijuana on equilibrium, psychomotor performance, and simulated driving. Behav Pharmacol. 1998;9:599–609.
  8. Berghaus G, Scheer N, Schmidt P. Effects of Cannabis on Psychomotor Skills and Driving Performance-A Metaanalysis of Experimental Studies. Schafer Library of Drug Policy. Accessed Jan. 08, 2015
    http://druglibrary.org/schaffer/misc/driving/s16p2.htm

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AA9Sabra Botch-Jones, M.S., M.A., D-ABFT-FT of Boston University School of Medicine/fTox Consulting, LLC, is a Forensic Toxicologist and full-time faculty member at Boston University’s Biomedical Forensic Sciences graduate program. She teaches courses in Drug Chemistry, Forensic Toxicology and Instrumental Analysis in Forensic Laboratories.

She began her career with the Federal Aviation Administration’s Bioaeronautical Sciences Research Laboratory at the Civil Aerospace Medical Institute and was a Senior Forensic Toxicologist/Quality Manager at the Tarrant County Medical Examiner’s Office.

AA9ASabra is board certified as a Diplomate by the American Board of Forensic Toxicology. She earned her Master of Science degrees in Drug Chemistry and Forensic Toxicology from the University of Florida as well as undergraduate and graduate degrees in Criminal Justice from the University of Central Oklahoma. She conducts research in the areas of forensic toxicology, analytical chemistry, as well as epidemiological studies on drug use.

AA9BSabra has authored and co-authored 14 scientific articles. She is active in a number of professional organizations including the National Safety Council’s Alcohol, Drugs and Impairment Division (Executive Board), Society of Forensic Toxicologists, Southwestern Association of Toxicologists, Association for Women in Science (Writer-AWIS Magazine), and the American Academy of Forensic Sciences.

Sabra was recently selected to be a member of the toxicology subcommittee of the Organization for Scientific Area Committees.

Her Boston University Faculty Link is: http://www.bumc.bu.edu/gms/biomedforensic/faculty-and-staff/faculty/sabra-r-botch-jones-instructor/

fTox Consulting link is: http://ftoxconsulting.com

fTox Consulting Facebook link is: www.facebook.com/FtoxConsult

Sabra’s Twitter Handle is: @sabraruvera