Dr. Martin Weiß describes dying and grief as experiences of uncertainty, insecurity and fragility that can push patients, relatives and bereaved people to the limits of their coping abilities. Rituals can help people deal with this stress reaction.
Rituals are not limited to classic religious rites such as blessing or anointing the sick. Everyday rituals, individual spiritual rituals, therapeutic rituals and secular farewell rituals can all strengthen a person's sense of coherence: life becomes more understandable, manageable and meaningful even in the face of death.
Rituals provide structure where people feel helpless. They offer action when action is otherwise uncertain: lighting a candle, praying, blessing, keeping a familiar morning routine, saying goodbye through a letter, giving away meaningful objects or visiting important places one last time. Such acts communicate: I can still do something; I am not merely at the mercy of events.
The article explains the general functions of rituals: they provide orientation, order time, support community, interrupt ordinary routines and set reality. For example, closing the eyes of the dead, stopping the clock or praying prayers for the dead marks that the person has died and that this reality cannot be reversed.
Weiß then distinguishes several types of ritual. Everyday rituals, such as morning coffee, reading the newspaper or a dependable care routine, can become psychological anchors at the end of life. Religious rites of passage help shape the transition from life to death through separation, threshold and incorporation rituals. Individual spiritual rituals respond to today's increasingly personal and mixed forms of belief.
Therapeutic rituals from art or music therapy can open emotional expression and nonverbal communication. Secular farewell rituals may include final visits, letters, giving away beloved objects or symbolic acts of reconciliation.
The article concludes that hospices and palliative units should take ritual needs seriously, remain open to different religions and worldviews, and create spaces and resources that allow people to practice rituals that fit their own lives.

