New Proofs

With the End in Mind by Kathryn Mannix

August 14, 2017

What colour is cancer? Why do some people appear to have made miraculous recoveries? How can you tell when someone is in the final hours of their life? How can we ensure our most vulnerable are treated with the dignity they deserve?


In this unprecedented memoir, a palliative medicine pioneer explores the biggest taboo in our society and only certainty we all share: death. Kathryn Mannix immortalizes the thousands of men and women she has seen off. These unforgettable stories send an urgent message to the living, answering all our questions about the end-of-life process with touching honesty and humanity.

Drawing on four decades of experience studying and practicing palliative care, Mannix shows us what happens when people are approaching the end of their lives: how they cope; how they live; what matters most; how dying evolves; what a deathbed is like; how families react.

Kathryn Mannix’s stories, although drawn from her clinical practice, are those of our friends, our family, our partners. We learn about the body language of death through a young mother who raves the night away before falling into a forever-slumber. Its psychology, too, is illustrated, as with the endearing story of Sanjeev, an elderly man admitted to the hospital who is convinced he is on a night train to Delhi, where he will meet his parents in the morning. A husband asks the doctor not to tell his wife of the fatality of her condition – the wife later confesses to having kept her husband in the dark about the finality of her illness to preserve him. These meditations tells us everything about the dying and their loved ones.

With the End in Mind is a book for all of us: the grieving and bereaved, ill, and healthy. It is also an insight into palliation as a mixture of teamwork with clinical detective work to find the origins of patients’ symptoms in order offer the best possible living conditions towards the end. Mannix argues that with planning, honesty and information death doesn’t have to be either painful or terrifying. With at-times funny, poignant and always wise storytelling about how people die, Mannix has written a book of immense power and importance.


Published 28th December 2017 | Hardback | 9780008210885 | RRP £16.99

If you’re a bookseller in the UK or Ireland and you’d like an advance reading copy of With the End in Mind, please send your request, along with your name and bookshop address, to Ammara at independentthinking@harpercollins.co.uk.

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