There is an implied though not plainly expressed expectation in our culture that the parent will die before the child. The orderliness of the universe seems to be undermined when this expectation is unmet. The unnaturalness is not determined by the age of the child, but by the fact that the child dies out of turn with the parent. The death of a child is considered a greater loss in our culture because the child has not had the opportunity to live a full life compared to the adult or the elderly. The emotional and spiritual needs of dying children vary greatly with age and intellectual ability.