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Doughty travels with her interpreter, Emily (Ayato) Sato, or Sato-san, through Shibuya station. They see glass barriers keeping people from the train tracks. Sato-san says that this is to keep people from dying by suicide. Doughty explains that the Judeo-Christian view of dying by suicide, which has influenced the entire West, is that it “is a sinful, selfish act,” despite increasing research establishing its “root causes in diagnosable mental disorders and substance abuse” (155). In Japan, dying by suicide can be honorable. Doughty discusses the samurai’s cultural “self-disembowelment by sword to prevent capture by the enemy,” called seppuku (155), and World War II-era kamikaze pilots.
Doughty pre-empts any misconception that the Japanese “romanticize suicide, and that Japan has a ‘suicide culture,’” stating that it is more related to a cultural desire “not to be a burden” (156). She cites Japanese writers who say that foreigners can look at statistics but will never truly understand this from the outside.
While most of Japan’s death culture is as modernized and corporatized as that of the United States, Doughty is visiting Koukokuji Buddhist Temple, where a priest, Yajima, is rethinking cremation practices. In Japan, 99% of people are cremated, more than any other country. Yajima made the Ruriden columbarium, where 600 sets of cremated remains rest. Family members use a keypad to type the name of their deceased or swipe a card with a smart chip. Ruriden’s walls are lined with 2,000 light-up Buddhas, which all turn blue, except the Buddha under which their loved one rests, which turns white. People book their Buddha in Ruriden before death and spend time praying for others resting there. Yajima encourages people to familiarize themselves with death in this way.
Doughty and Sato-san visit Rinkai, a modern crematory, which is sleeker than any that Doughty has seen in the United States. Families watch their loved ones enter the machine, and they then attend a reception until their loved ones’ bones arrive at a bone-collecting room. The family picks their bones from the ashes and puts them into an urn, starting at the feet and ending at the hyoid. This custom is called kotsuage. Any bones that can’t fit in the urn are turned to ash, grouped with other bones, and planted under cherry trees and conifers.
The professionalization of deathcare in Japan removed the stigma of corpses as impure, while in the United States, it led to “greater fear of the body” (175). Doughty and Sato-san visit Lastel, a corpse hotel. Families can visit a sitting room, where the corpse of their loved one is called up from the refrigerated floors below, and they can spend as much time as they want with the corpse. Lastel also contains large condos, which families can rent for multi-day wakes.
Next, Doughty visits Daitokuin Ryōgou Ryoen, a high-tech grave facility. Families go to a decorated indoor gravesite. They swipe their “Sakura card,” and their loved ones’ cremated remains are fetched by an automated system and delivered to the grave. Other online sites allow mourners to electronically visit graves.
In La Paz, Bolivia, Doughty visits Doña Ely’s house, where she has a collection of ñatitas—skulls whose locations are shown to her in dreams. Doña Ely and roughly 300 other followers make offerings to them in exchange for their help. Some ñatitas are children and infants, and some are mummified heads; Doña Ely and her followers believe that they all facilitate miracles. Other women also have collections of ñatitas, which many people venerate.
This practice created tension with the Catholic Church, which refused to bless the skulls until large protests overwhelmed them. Doughty details several “belief system[s] with a history of dismissing the agency of female devotees” (195), including Catholicism and Buddhism. The ñatitas center the lives and problems of women. The continued presence of ñatitas is due to Indigenous Aymara women, called cholitas. Many professional people now have ñatitas alongside Catholic artifacts.
November 8 is the Fiesta de las Ñatitas, where people bring ñatitas not for audience consumption but to celebrate the ñatitas themselves and have them blessed with holy water. Doughty finds the Catholic Church’s resistance ironic given their history with saint’s relics. She recollects a visit to the catacombs in Fontanelle, Italy, where a “Cult of the Dead” took root around disenfranchised locals who “adopt” and care for stacks of bones in a local catacomb. Doughty’s friend Paul calls Cult of the Dead skulls and ñatitas “technology for disadvantaged people” (211).
When Doughty arrives home after her travels, she and her funeral director, Amber, care for the body of Mrs. Shepherd, who died six weeks prior. After washing her, they drive her to Joshua Tree, in the Mojave Desert, to a natural cemetery. Local natural cemeteries in Los Angeles are prohibitively expensive. Doughty and Mrs. Shepherd’s family help the cemetery employees lower her directly into the dirt.
Doughty relates a Parsi funeral practice where a body is brought to a “tower of silence,” where a flourishing vulture population eats the organic matter. However, medicines given to cows in the 1990s, consumed by vultures after the cows’ deaths, killed 99% of the vulture population. After this, bodies sit on the tower of silence, rotting. Parsi priests will not allow body disposal methods to change to burial or cremation, despite people’s interest. Doughty sees it as a flipside to how American leaders won’t allow people to explore the “vile spectacle” of being consumed by “scavenger animals” rather than being buried or cremated (223). This Parsi practice is called a “sky burial,” and it is what Doughty wants for her own body.
In Tibet, a “body breaker” strips a body of its organic matter and prepares it for scavengers. So many thanotourists (death tourists) were drawn to the spectacle that the Tibetan government banned sightseeing, photography, and video recording, with little success. Doughty wanted to go to Tibet initially, but she “could not bring [herself] to do it” because of the exploitative aspects of thanotourism (227). She also is disappointed that she’ll likely never have the option of a sky burial.
Doughty walks through the crypt below Michaelerkirche in Vienna, Austria, where the wood chips below the bodies absorb moisture, causing spontaneous mummification. When people visit, they ask if the mummies are real. To Doughty, this makes the bodies seem like a tourist attraction rather than “the very history of the city” (231), which could be said for the bodies of dead people, animals, and plants in any city on Earth.
In her travels, Doughty discovered death rituals where people felt “held” in their grieving process. She thinks that this is lacking in Westernized death culture, from hospitals to funeral homes. She advises individuals to insist on being involved with the care of their loved ones. She hopes that this involvement with death will begin to change the death culture in the West.
These final chapters introduce one successful, hyper-modern funerary practice and one surviving traditional approach, both of which are juxtaposed with an alternative funerary practice in the United States.
In Japan, Doughty visits the hyper-modern Koukokuji Buddhist Temple, Rinkai, and Lastel, which are a contrast to Ethical Engagement With Diverse Death Practices at Altima’s facility in Chapter 5. While Altima uses its technology to maintain the distance between the living and the dead, these three Tokyo-based places close this distance. In the book’s Epilogue, Doughty says that the Japanese funerary practices she witnessed try to make surviving family feel “held” in their grief.
For instance, Ruriden, the columbarium on Koukokuji’s grounds, was built as an accessible place of mourning. Yajima decided that each set of remains should be watched over by a light-up Buddha so that people wouldn’t have to “squint through names” trying to find their loved ones (159). He innovated the card-swipe system to cue the Buddhas to light up because he saw a “very old woman struggling to type a name” into the keypad (159). While the light-up Buddhas and keypad are aesthetically pleasing, they are ethical contributions made by Yajima, based on his observation of the accessibility needs of the people who use the facilities. These small technological details make it easier for people to access their dead, rather than adding layers of obfuscation, like at Altima.
Rinkai is a huge contrast to the crematory at Altima and to the American crematories that Doughty describes. At first, Rinkai seems like other facilities, where families “watch [the body] glide into the machine” and do “not watch the cremation process itself” (169). However, upstairs they practice kotsuage, where families use chopsticks to pick through ashes for recognizable bones, which are piled in an urn. Western crematories “pulverize these bones into powdery ash” so that there is nothing recognizably human about them (169). Doughty must sometimes pick through ashes to remove bones. This aesthetic move by Western crematories obfuscates the reality of death and removes anything resembling the person the bones belong to, maintaining the distance between the living and the dead. On the other hand, the Japanese process of kotsuage creates connection between the dead and their loved ones. The living recognize the realities of death and care for their loved one a final time. Westerners who have family die in Japan and engage in kotsuage report that while the practice “sounds macabre”—an idea that reflects The Western Sanitization of Death— in reality, it is “emotional” and makes them “feel calmer […] as if [they are] looking after” their loved one (171). This positive experience of Westerners who practiced kotsuage shows that there is nothing inherently superior about Western death practices and the distance they maintain between living and dead. Indeed, there are clear drawbacks to them, as they do not allow people closeness to the dead, which can give them closure.
These chapters touch on how religion affects Cultural Diversity in Death Practices. For instance, Japan has a cremation rate of 99%; in contrast, in the United States, the cremation rate in 2018 (the year after Doughty’s book was published) was 52.9% (“Annual Cremation Growth Rate.” Cremation Association of North America). This is because the “Judeo-Christian view” of matters of death translated into “the dominant Western view” (155). Medieval Christians believed that the body must stay whole for resurrection, and this view has inflected opinions about cremation to this day. In Japan, Shinto and Buddhist religious practices not only allow for cremation but also weave it into cultural practice. Spare ashes at Rinkai, for instance, are planted under cherry trees so that people’s remains morph into another living entity.
On a similar note, Doughty observes tension between popular religion and funerary practices in Bolivia, where the Catholic Church has “vocal dissenter[s]” to the veneration of ñatitas (195). Under Catholic doctrine, these are considered false idols—though Doughty notes that Catholics venerate saints and saintly relics. Thus, the ñatitas keep the skulls secretly so that they aren’t perceived as “bad Catholics.” Despite the protestations of organized religion, Catholic and Indigenous practices become melded together in daily life. Doughty’s acquaintance Andres explains that Bolivians aren’t a “‘blend’ of Catholicism and indigenous beliefs—they just got stuck together” (202). The lived experience of people engaging in various death and funerary customs is a unique and individual blend of beliefs, rather than a homogenous practice.
Doughty says that this is true to an extent even in the United States, though the funeral industry and regulations hamper this ability. Doughty lives with the knowledge that these regulations mean that she will likely never experience her preferred burial method, which is a sky burial. In regulated funeral industries like in the United States, or in cultures that “cannot shift and adapt their traditions” like the Parsis (223), she stresses that the people in charge, be it “the government, religious leaders, etc.,” decide which funerary practices are acceptable and which are “vile spectacle” (223). This choice is then imposed onto civilians. In the United States, this is slowly changing. Mrs. Shepherd’s natural burial in Joshua Tree exemplifies this slow change; Joshua Tree opened for natural burials in 2010. Some natural burial spaces have opened in Los Angeles, too, but a natural burial plot in Santa Monica, for instance, asks for a “‘green’ premium” amounting to thousands of dollars.
While the United States is beginning to explore these alternative methods, they are rare and expensive. In the commercialization of profit-driven death, Doughty notices that Americans are not “held in [their] grief” and hopes that the lessons taken from diverse death practices will begin to change this (233).
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