Thing is, things were so much at an awful point and nothing could be dealt with...they were paralysed...I have seen this so often, and it makes me want to scream and DO something! Well, in real life when I have been working with people, I often could (don't work with dying folk much now.)
The doctor tried, but had no real tools nor, I guess, legitimacy, in attempting to move things along. He began, with the comment re unfinished business, but took it nowhere.
And I don't know that it would have taken all that much...just some empathic reflection and the floodgates may have opened.
But how awful! As well as the things that Rob listed above, this poor woman was still at such an angry and terrified state that she was blaming her chidren...it's a bit subtle, but she says it and then backs away, when she talks about it having started in her womb, but she's still glad she had them...
I don't think anyone is attacking the mother...I am certainly not, and I get her very well indeed...it just hurts to see that there is no help in letting her express all these terrified and angry feelings and for this family to come together.