Background
Swiss-born psychiatrist Elisabeth Kübler-Ross interviewed about 200 dying patients at the University of Chicago hospitals and published On Death and Dying (1969), urging clinicians to listen to patients' feelings about death.
The five stages
- Denial: "This can't be happening" - a temporary buffer against shock.
- Anger: "Why me?" - often aimed at family or staff.
- Bargaining: trying to strike a deal for more time.
- Depression: deep sadness as the loss becomes real.
- Acceptance: a calmer readiness for what is coming.
Use and criticism
The model shaped the hospice movement and palliative-care training. Empirical studies, however, find that stages often do not appear in order or at all, and critics warn against treating them as a required path. Kübler-Ross later said the stages are not linear.
References
- Kübler-Ross, E. (1969). On Death and Dying. Macmillan.
- Kübler-Ross, E., & Kessler, D. (2005). On Grief and Grieving. Scribner.
- Maciejewski, P. K., Zhang, B., Block, S. D., & Prigerson, H. G. (2007). An empirical examination of the stage theory of grief. JAMA, 297(7), 716-723.