The Nell Dialogues (PDF)

Nell M. came to her therapist with an unusual problem. She was disappointed that her metastatic breast cancer was not progressing as predicted. She had hoped breast cancer would lead to death, preventing her from witnessing her spouse's mental deterioration from Alzheimer's disease. This is how Nell's story began. As Nell became increasingly aware of her death on the near horizon, the therapy sessions with the author were recorded and transcribed.

The Nell Dialogues: Conversation in Mortal Time consists of twelve of Nell's illness narratives that explore the challenges of managing the physical and emotional demands of cancer, relationship issues with family and health care professionals, and disturbing, anxiety provoking thoughts as well as the mourning that accompanies the end of life. These dialogues trace Nell's acceptance of, and struggle with, the practical obstacles to achieving a good death. They also offer a window on the world of patients and their caregivers facing a life-threatening illness together. A commentary by the author accompanies each dialogue, giving the reader insights on the therapist's thinking during the counselling sessions and offering context and lessons learned from them.

Nell's vibrant voice is a beacon throughout the narratives, sometimes sad, yet always hopeful for a good death. Her ability to navigate the difficult territory of mortal time and dying informs the reader about how death might be approached with grace and dignity.