The Wind Phone and Beyond: Ritual Tools That Help Families Grieve
How symbolic rituals support continuing bonds after death

I. The Phone That Doesn’t Ring
In a quiet coastal garden in Ōtsuchi, Japan, stands a glass booth with a disconnected rotary phone. No dial tone. Yet thousands have visited. They lift the receiver and speak to parents, children, and spouses, many lost in the 2011 tsunami.
“No matter how hard it is, hope makes life worth living. I wanted to offer something for people to connect with those they have lost.”
Itaru Sasaki, creator of the Wind Phone, in the NHK documentary
Introduction
This is not a phone call in the ordinary sense. It is ritual. In grief, ritual can give love and loss somewhere to speak.
In hospice, we guide families through death. After the final breath, many still search for a way to stay connected. Grief doesn’t follow logic. It follows presence. Symbolic tools like the Wind Phone make that presence possible.
II. A Daughter Speaks, a Son Falls Silent
This happens well beyond Japan.
A daughter whose mother died on hospice after breast cancer told me: “I still talk to her… in the backyard. I planted a tree where she used to sit so I can hear her while I garden.”
It is a common ritual. Choose a sacred spot. Carry on the conversation.
But I have also seen the opposite. A son sat across from me months after his father’s death. He had no ritual, no place to speak. “I just stopped talking,” he admitted. The silence became a wound.
III. The Science of Symbolic Grief
Bereavement work need not ask people to “move on” from the person who died. The continuing bonds model recognizes that an inner relationship may continue. Research does not show that continuing bonds are always helpful or harmful; they can bring comfort, distress, or both, depending on the person, meaning, and context (Hewson et al., 2024).
Ritual elements appear in evidence-informed grief therapies, including symbolic expression, imagined dialogue, letters, and farewell ceremonies. Most studies measured the full treatment, however, so the ritual alone cannot be credited with the improvement (Wojtkowiak et al., 2021).
Hospice must provide grief and loss counseling before and after death and tailor bereavement services to assessed needs. Symbolic practices may be offered when they fit the person and family (CMS, 42 C.F.R. § 418.64(d)).
IV. Three Tools That Let Grief Speak
Tactile Legacy Tools
Memory bears, quilts, grief stones
Anchor memory through physical presence
Support both children and adults in early bereavement
Saved objects can provide a symbolic connection. In a study of mothers after an infant’s sudden death, almost all kept such objects, but the feelings attached to them included both comfort and distress (Goldstein et al., 2020).
Ritual Communication Tools
Wind phones, empty chairs, letters to the deceased
Give form to invisible emotions
Allow grief to speak when words feel stuck
In one mixed-method study, participants often valued their informal, personal rituals more than formal remembrance events (Vale-Taylor, 2009).
Legacy-Making Practices
Video booths, recorded messages, legacy journals
Prepare memory before the loss
Integrate legacy into anticipatory grief
A simple way to remember: T.R.L. = Tactile, Ritual, Legacy. Three categories that let grief speak.
“Legacy work is not extra. It is emotional symptom control.”
Brian H. Black, D.O.
V. What Hospice Teams Can Offer
We do not need to invent rituals. We need to notice them and make space.
Ask:
“Would it help to create something to remember them?”
“Do you want a way to keep talking to them?”
Offer:
A blank journal, a scrap of clothing, or a simple recorder
A moment to write, speak, or listen
Language that invites, not instructs
Always invite, never assign. These tools only help when they fit each person’s culture, beliefs, and story.
Support (IDG Roles):
Chaplains: “Sometimes an object or ritual can make this moment sacred. Would you like to create one together?”
Social workers: “Some families keep a quilt or stone as a memory touchpoint. Would that help here?”
Nurses, NPs, PAs, and physicians: “Many people keep talking to someone who has died. If that feels right to you, it is okay.”
When we say, “We are still here,” symbolic grief tools help prove it.
VI. Let Grief Speak
You do not need signal to reach the people you have lost.
You already have a connection. It may now live in a tree by a garden, a folded quilt, or a phone that no longer rings. But they all still listen.
We do not resolve grief by explaining it. We honor it by naming the relationship that endures.
Let families speak. The dead still matter.
When we help families name rituals, we steady their tears and our own.
Grief needs a voice. Help families speak, even if it is the wind that answers.
- Ritual elements appear in evidence-informed grief therapies. They are not merely sentimental extras.
- Grief can be an ongoing relationship rather than a stage to finish.
- Hospice teams can normalize and introduce symbolic tools as part of interdisciplinary care.
- Create a grief toolbox with journaling, audio, tactile, and ritual prompts.
- Ask families before death what legacy, message, or connection they want to hold.
“What ritual or object could help this family continue a meaningful bond after death?”
- Electronic Code of Federal Regulations. (2026). 42 C.F.R. § 418.64(d), Counseling services. https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-418/subpart-C/section-418.64
- Goldstein, R. D., Petty, C. R., Morris, S. E., et al. (2020). Transitional objects of grief. Comprehensive Psychiatry, 98, 152161. https://doi.org/10.1016/j.comppsych.2020.152161
- Hewson, H., Galbraith, N., Jones, C., & Heath, G. (2024). The impact of continuing bonds following bereavement: A systematic review. Death Studies, 48(10), 1001–1014. https://doi.org/10.1080/07481187.2023.2223593
- Institute for Public Art. (n.d.). Wind Telephone. https://www.instituteforpublicart.org/case-studies/wind-telephone/
- Vale-Taylor, P. (2009). “We will remember them”: A mixed-method study to explore which post-funeral remembrance activities are most significant and important to bereaved people living with loss, and why those particular activities are chosen. Palliative Medicine, 23(6), 537–544. https://doi.org/10.1177/0269216309103803
- Wojtkowiak, J., Lind, J., & Smid, G. E. (2021). Ritual in therapy for prolonged grief: A scoping review of ritual elements in evidence-informed grief interventions. Frontiers in Psychiatry, 11, 623835. https://doi.org/10.3389/fpsyt.2020.623835
Brian H. Black, D.O., FAAFP, HMDC, is a hospice physician-educator, family physician, and editor of Hospice Synopsis. His work focuses on making hospice care clearer, more clinically useful, and more human. Through Hospice Synopsis, Dr. Black translates clinical evidence, bedside experience, and the complexities of end-of-life care into practical guidance for clinicians, patients, families, and communities.