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Bereavement
| An objective fact of the loss of a loved one who has
died.
| A change of status |
| An outcome of large-scale social phenomena
| September 11 |
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Grieving
| The process of feeling distress or sorrow.
| How you think, eat, sleep, make it through the day |
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Grief
| The emotional responses of heartbreak, anger, or relief
to the death of a loved one |
| Reactions and responses to a loss.
| These are very individual and can occur on emotional,
physical, cognitive, spiritual and behavioral levels |
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Erich Lindemann
| Three primary tasks for successfully managing grief
| letting go |
| adjusting to life without the deceased |
| forming new
relationships |
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Lindemann: Symptoms of Acute
Grief
| Feeling a tightness in the throat |
| Choking and shortness of breath |
| Feeling a painful tension |
| Muscular weakness |
| Empty feeling in abdomen |
Neuroendocrine: Chronic Stress
Theory
| Increased production of cortisol in people who have high
levels of separation anxiety |
| Young monkeys show less behavioral and physiological
stress during maternal separation if they can remain in a familiar environment. |
Personal Responses to Grief
| Rosenblatt's study of nineteenth century diaries found
that grief experiences seemed to come back in waves, even years after the death. |
Mourning Behavior
| Culturally and socially sanctioned ways that individuals
convey that they have experienced a loss. |
| In modern society there are no strict social definitions
of what is appropriate mourning behavior. |
Hmong Mourning Practices
| A guide to the spirit world |
| Music for safe passage of the soul |
| A symbolic horse to carry the body of the deceased |
In Alice Walker's To Hell with
Dying
| Mr. Sweet did all of the following:
| Come close to death several times, to be rescued by
children's kisses and tickles. |
| Instruct and delight the neighbor children. |
| Represented those whose career hopes had been blocked by
poverty and prejudice. |
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Yoruba of Western Nigeria
| Bereaved people among the are greeted regularly by every
member of the community with expressions of concern, support, and encouragement. |
Grief-work Theory
| "Accept the reality of the death in order to
liberate one's self from the strong attachment one had to the lost object." |
Freud's Griefwork Theory
| Grief is an adaptive response to loss, not just an
expression of emotional pain. |
| It is a mistake to insist that one's self or others
should quickly snap back to normal life after a loved one has died. |
| The recovery process is complicated by the survivor's
resistance to letting go of the attachment. |
Bowlby
| Explains the intensity of persistence of grief responses
on the basis of attachment theory
| connection between biological need for survival and grief |
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Parkes Grief-work
| Preoccupation with thoughts of the deceased person. |
| Repeatedly going over the loss experience in one's mind. |
| Attempting to explain the loss. |
Stroebe
| Very little scientific evidence on the grief-work
hypothesis |
| Cultural differences
| Bereaved persons in Bali are expected to be cheerful. |
| Bereaved persons in Egypt are expected to share their
pain and sorrow with others. |
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Lindemann, Worden, Rando
| All the theories firmly agree of the need to accept the
loss. |
Family Grief
| Moos found role confusion |
| Change in communication patterns |
Harvard Bereavement Study
| Differences between widows and widowers
| The men more often reported a sense of dismemberment. |
| The women found more comfort in leave-taking ceremonies
and the funeral services. |
| The men were more likely to blame themselves. |
| The women were more comfortable with direct expression of
their feelings. |
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Lindemann: Anticipatory Grief
| Woman expressed relief that her husbands long
period of suffering has ended.
| still felt pain and desolate and abandoned by protector
| not as much suffering as those suddenly transformed into
widows |
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| Men felt "like both my arms are cut off." |
Funeral Ritual
| It provides a sense of closure to the deceased's life. |
| They provide important social support for the bereaved. |
Harvard Study: Unresolved Grief
| Unexpected grief syndrome |
| Conflicted grief syndrome |
| Chronic grief syndrome |
Obsessional Review
| Thinking about the dead person and/or the circumstances
of the death over and over again. |
Shadow Grief
| Sorrow over a perinatal death. |
| Years later parents still feel anguish. |
Klass
| Inner representation of the dead child
| Often is a comforting part of the normal grief process |
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Traumatic and Stigmatized Deaths
| Traumatic those that suddenly and unexpectedly end a life
in a violent manner
| murder, suicide, war,accident, or natural disaster |
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| Stigmatized are seen as immoral, shameful, and
discrediting
| AIDS and suicides |
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Sprang and McNeil
| Stress on family members
| family members not kept in communication loop |
| forced to relive the trauma in the courtroom |
| defense attorneys attach the character of the murder
victim |
| seeing the accused killer |
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High-grief Death
| The death of a teenager in a car accident |
Bereavement Overload
| The burden of experiencing and coping with still another
loss that is added to the many that had already been experienced. |
Aiding the Grief Process
| A high level of purpose in life |
| A religious orientation emphasizing the hereafter |
| A high self-esteem |
Bereaved People
| People who are most disturbed a few weeks after the death
usually are the ones who continue to be disturbed a year later. |
| Those with a difficult time in recovering from grief were
likely to be engaging more often in using tranquilizers, smoking, and drinking. |
Grief Different in a Suicide
| Grief from suicide is more complicated and prolonged for
survivors. |
| Suicide produces a tremendous sense of anger and outrage. |
| Suicide produces strong feelings of guilt for survivors. |
Differential Mortality Rate
| Bereaved people have a higher death rate than other
people. |
| Younger adults have a relatively higher excessive
mortality rate after bereavement as compared with the elderly. |
| The single greatest cause of excessive mortality among
bereaved people is some sort of heart disease. |
| The suicide rates for bereaved people are much higher for
men than women. |
Disenfranchised Grief
| Among nurses and care-givers |
| AIDS survivors |
| Developmentally disabled people |
Phyllis Silverman: Widow-to-Widow
Program
| Grief does not have a final outcome: it is a life
transition, a human experience. |
Time for Grief
| Lois Pratt found a new trend regarding bereavement leave
in her studies of management and labor negotiations in a large number of corporations of
three days after the death of specified people.
| As a formal agreement |
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