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What the Dead Know

What the Dead Know

Learning About Life as a New York City Death Investigator
by Barbara Butcher 2023 288 pages
4.15
4k+ ratings
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Key Takeaways

1. Death investigation: A window into human nature and society

"Dead men do tell tales. You just have to listen."

Unique insights. Death investigators gain a unique perspective on human nature, society, and the fragility of life. Through their work, they uncover stories that would otherwise remain hidden, from tragic accidents to heinous crimes.

Scientific approach. The job requires a meticulous, scientific approach to gather and interpret evidence. Investigators must pay attention to subtle details, from the position of a body to the presence of specific chemicals, to piece together the circumstances of a death.

Societal impact. Death investigation serves a crucial role in society, providing closure for families, assisting law enforcement, and contributing to public health and safety initiatives. The work of medical examiners and their teams often leads to improvements in areas such as product safety, workplace regulations, and crime prevention.

2. The challenges and emotional toll of working with the dead

"If you try to turn off one set of emotions, they all turn off."

Emotional burden. Constant exposure to death and tragedy can take a significant emotional toll on investigators. Many struggle with compassion fatigue, detachment, and difficulty maintaining personal relationships.

Coping mechanisms. Professionals in this field develop various coping mechanisms to deal with the emotional strain:

  • Dark humor
  • Focusing on the scientific aspects of the job
  • Seeking support from colleagues who understand the unique challenges
  • Engaging in activities that affirm life and beauty outside of work

Balancing act. The job requires a delicate balance between maintaining professional objectivity and preserving one's humanity. While detachment can be a protective mechanism, it can also lead to burnout and loss of empathy if taken to extremes.

3. Suicide: A complex and deeply personal act

"It's murder, Barbara. Murder of the self, and that's tragic. Imagine being in so much pain that you have to end your life, destroy your own little world, to escape that hurt."

Multifaceted issue. Suicide is a complex phenomenon influenced by various factors, including mental health, personal circumstances, and societal pressures. Investigators often grapple with understanding the motivations behind these acts.

Impact on survivors. Suicide leaves a profound impact on family, friends, and communities. Investigators must navigate the delicate task of gathering information while being sensitive to the grief and shock of those left behind.

Prevention and understanding. Studying suicide cases can provide valuable insights for prevention efforts:

  • Identifying common risk factors and warning signs
  • Understanding the effectiveness of intervention strategies
  • Challenging societal stigmas surrounding mental health and suicide

4. The impact of mass tragedies on individuals and communities

"We will do whatever it takes, for as long as it takes, to identify every victim of this tragedy."

Overwhelming scale. Mass tragedies, such as the 9/11 attacks, present unique challenges due to their scale and complexity. The sheer number of victims and the extensive damage can overwhelm existing systems and procedures.

Community response. These events often bring out both the best and worst in human nature:

  • Incredible acts of heroism and selflessness
  • Outpourings of support and solidarity
  • Instances of opportunism or insensitivity

Long-term effects. The impact of mass tragedies extends far beyond the immediate aftermath:

  • Lasting psychological trauma for survivors and first responders
  • Changes in societal attitudes and policies
  • Ongoing efforts to memorialize and learn from the event

5. The importance of scientific rigor and ethical conduct in forensics

"You can never go wrong if you do the right thing."

Commitment to accuracy. Forensic work demands unwavering commitment to scientific rigor and ethical conduct. Mistakes or misconduct can have severe consequences, including wrongful convictions or failure to achieve justice for victims.

Evolving field. Forensic science is constantly evolving, with new technologies and methodologies emerging. Professionals must stay current with the latest developments and be willing to challenge existing assumptions.

Ethical considerations. Forensic investigators face numerous ethical dilemmas:

  • Balancing the needs of law enforcement with respect for the deceased and their families
  • Maintaining objectivity in emotionally charged situations
  • Ensuring privacy and dignity for victims while fulfilling professional obligations

6. Adapting to unexpected circumstances and finding meaning in difficult work

"Barbara, life goes on. People eat, they fight, they love, they fuck. It just goes on. It's okay to have a party. It's okay to live."

Resilience. Working in death investigation requires a high degree of resilience and adaptability. Professionals must learn to function effectively in unpredictable and often chaotic circumstances.

Finding purpose. Despite the challenging nature of the work, many investigators find deep meaning and purpose in their roles:

  • Providing answers and closure for grieving families
  • Contributing to justice and public safety
  • Advancing scientific understanding of death and human biology

Personal growth. The unique experiences and perspectives gained through this work can lead to profound personal growth and self-discovery. Many investigators develop a deeper appreciation for life and a more nuanced understanding of human nature.

7. The delicate balance between professional detachment and human empathy

"Don't flinch. Don't think. Don't feel."

Professional distance. Maintaining a degree of emotional distance is crucial for effectively performing the job and protecting one's mental health. However, complete detachment can lead to burnout and loss of empathy.

Compassionate approach. The most effective investigators find ways to balance professional objectivity with genuine compassion:

  • Treating the deceased and their families with respect and dignity
  • Recognizing the emotional impact of their work on themselves and others
  • Allowing themselves to feel and process emotions in appropriate ways

Support systems. Developing strong support systems is essential for maintaining this balance:

  • Peer support groups within the profession
  • Mental health resources and counseling
  • Personal relationships and activities outside of work

Last updated:

Review Summary

4.15 out of 5
Average of 4k+ ratings from Goodreads and Amazon.

What the Dead Know offers a gripping account of Barbara Butcher's experiences as a NYC death investigator. Readers praise her raw honesty, dark humor, and compelling storytelling. The book provides fascinating insights into forensic science and the emotional toll of the job. Many found it riveting and educational, appreciating Butcher's candid discussion of personal struggles. While some wanted more case details or less personal content, most reviewers highly recommend it for true crime fans and those interested in forensics. The 9/11 chapter is particularly impactful.

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About the Author

Barbara Butcher is a former death investigator for the New York City Office of Chief Medical Examiner. She was the second woman hired for this role in Manhattan and the first to last more than three months. Butcher overcame personal struggles with alcoholism and mental health issues to build a successful career spanning about two decades. Her work included investigating various deaths and participating in the identification of 9/11 victims. Butcher's experiences led her to become a speaker, professor, and consultant, as well as providing insights for mystery writers. Her memoir reflects her no-nonsense attitude, dark humor, and deep compassion for the deceased and their families.

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