Adolescents' reactions to the death of a peer

In recent years, more attention has been given to the fact that grieving is a process, especially in the work of Elizabeth Kubler-Ross. The literature has focused on many aspects of bereavement, including how the process may be different at different ages. Much of the research on adolescents has focused on reactions to the suicide of a peer. The purpose of this study was to explore adolescent reactions to the death of a peer by means other than suicide. Semistructured interviews were conducted with ten college students about their experience of losing a friend in high school. Results indicated that even after a few years, the adolescents were still struggling through the grieving process. Implications for future research and suggestions for practitioners faced with similar crises are offered.     

Use of Bibliotherapy in the Treatment of Grief and Loss: A Guide to Current Counseling Practices

Grief is a complex and dynamic process influencing individuals of all ages. This article provides an overview of historical and contemporary constructs of grief counseling. Bibliotherapy, a creative counseling tool, is presented as an appropriate intervention when counseling grieving clients. Guidelines for using bibliotherapy with grieving clients are considered.     

Counseling for Personal Loss

This article presents both a conceptual model of and strategies for counseling on issues of personal loss. Grieving occurs even when losses are not caused by death, and problems appear when grieving is not allowed to proceed naturally. Counseling should aim to identify the need for and to facilitate the process of grieving so that clients are not overwhelmed by the experience. Specific suggestions offer conceptualizations and clinical approaches to help clients cope with a variety of loss problems.     

The Myth of Closure

Therapies for grief and loss have traditionally focused on the work of grieving. The goal was to reach an endpoint, now popularly called closure. There are, however, many people who, through no fault of their own, find a loss so unclear that there can be no end to grief. They have not failed in the work of grieving, but rather have suffered ambiguous loss, a type of loss that is inherently open ended. Instead of closure, the therapeutic goal is to help people find meaning despite the lack of definitive information and finality. Hope lies in increasing a family's tolerance for ambiguity, but first, professionals must increase their own comfort with unanswered questions. In this article, the authors, one a poet, the other a family therapist and theorist, offer a unique blending of theory, reflection, and poetry to experientially deepen the process of self‐reflection about a kind of loss that defies closure.     

The Effectiveness of Mindfulness Training on the Grieving Process and Emotional Well-Being of Chronic Pain Patients

Losses in relationships, work, and other areas of life often accompany the physical discomfort of chronic pain. Often the depth and intensity of the grief associated with chronic pain are overlooked or possibly misdiagnosed and treated as depression. We used an 8-week mindfulness meditation program to determine its effectiveness in addressing the grieving process among 39 patients diagnosed with chronic pain. Eighteen patients volunteered to be in a comparison group. The study was conducted in a regional hospital's pain clinic and patients completed the Response to Loss Scale (measuring grief), the Beck Depression Inventory, and the State Trait Anxiety Inventory. Results indicated that the treatment group advanced significantly more quickly through the initial stages of grieving than the comparison group. In addition, the treatment group demonstrated significant reductions in depression and state anxiety, but no significant differences emerged when comparing groups on the final stages of grieving or trait anxiety.     

The Invisible Griever

Many people are equipped, through crisis intervention strategies and plans, to handle the immediate ramifications of a death within a particular school or community system. However, after the crisis has passed the question generally surfaces as to how one can help the children who have been greatly impacted by the death and are in the midst of the grieving process. The grieving child has often been invisible to adult caregivers like counselors, teachers, and school psychologist. The means of helping a child who has experienced a death in his family can be greatly enhanced by the developmcnt of grief support groups. Through the use of support groups children can learn to share their feelings, discover that they are not alone, and move through the grieve process.     

Researching Grief: Cultural,Relational, and Individual Possibilities

This review of the author’s writings on grief focuses on cross-cultural research, research with 19th-century diaries, and qualitative interview studies of couples and families. The cross-cultural studies show that there are strong cultural differences in how people grieve. The diary data show that some people cycle into and out of intense grieving, even for years after a death, and the cycling is governed partly by what they do to control emotions and what they encounter that reminds them of their loss. The interview studies make clear that grieving is, for many people, relational, so looking only at individual grieving we miss much of the relational dynamics that are central to the experience of grieving for many people.     

Partially testing a process model for understanding victim responses to an anticipated worksite closure

This study partially tested a recent process model for understanding victim responses to worksite/function closure (W/FC) proposed by Blau [Blau, G. (2006). A process model for understanding victim responses to worksite/function closure. Human Resource Management Review, 16, 12-28], in a pharmaceutical manufacturing site. Central to the model are the Kubler-Ross [Kubler-Ross, E. (1969). On death and dying. New York: Macmillan] grieving stages, which have not been formally measured and applied to downsizing research. Following Blau (2006), individual grieving stages were successfully measured and clustered into more general grieving categories, i.e., negative (denial, anger, bargaining depression) and positive (exploration, acceptance). Across four waves of data 53 respondents constituted the complete data sample. The Time 1 personal factors had minimal impact on any type of response. However, Time 1 situational factors did have an impact, paced by higher perceived contract violation leading to greater strain, work incivility, organizational deviance, and intent to sue employer, and lower transactional obligations and employer endorsement. Earlier Time 2 grieving stages were used as individual antecedents in regression analyses to explain Time 3 (N = 77) victim responses (general strain, work incivility, interpersonal deviance, organizational deviance, transactional obligations, relational obligations) and also Time 4 (N = 53) prior to closure responses (intent to sue employer, employer endorsement). Within negative grieving, results indicated that greater anger was the most influential grieving stage, since it led to greater strain, work incivility, organizational deviance, and intent to sue, as well as lower transactional obligations and lower endorsement. Within positive grieving acceptance was the most influential, since it led to lower strain, lower work incivility, lower organizational deviance, and lower intent to sue. Study limitations and future research issues are discussed.     

Mental ghosts and the process of grief

Abstract

Grieving the death of a loved one is an experience that many people will face at least once in their lifetime, but the lack of widely accepted guidelines as to what constitutes “normal” grieving results in mourning being a common experience with little universality. Memories may keep the deceased alive in the minds of the survivor and may even interfere with the formation of new relationships. This article considers the process of grieving the loss of a spouse and some of the individual factors, such as age, sex, and personal beliefs, that may account for variability in grief experiences. While several modeh detailing the grief process are discussed, the inappropriateness of establishing expectations for the nature and duration of grief is argued for.     

Partially testing a process model for understanding victim responses to an anticipated worksite closure

This study partially tested a recent process model for understanding victim responses to worksite/function closure (W/FC) proposed by Blau [Blau, G. (2006). A process model for understanding victim responses to worksite/function closure. Human Resource Management Review, 16, 12–28], in a pharmaceutical manufacturing site. Central to the model are the Kubler-Ross [Kubler-Ross, E. (1969). On death and dying. New York: Macmillan] grieving stages, which have not been formally measured and applied to downsizing research. Following Blau (2006), individual grieving stages were successfully measured and clustered into more general grieving categories, i.e., negative (denial, anger, bargaining depression) and positive (exploration, acceptance). Across four waves of data 53 respondents constituted the complete data sample. The Time 1 personal factors had minimal impact on any type of response. However, Time 1 situational factors did have an impact, paced by higher perceived contract violation leading to greater strain, work incivility, organizational deviance, and intent to sue employer, and lower transactional obligations and employer endorsement. Earlier Time 2 grieving stages were used as individual antecedents in regression analyses to explain Time 3 (N = 77) victim responses (general strain, work incivility, interpersonal deviance, organizational deviance, transactional obligations, relational obligations) and also Time 4 (N = 53) prior to closure responses (intent to sue employer, employer endorsement). Within negative grieving, results indicated that greater anger was the most influential grieving stage, since it led to greater strain, work incivility, organizational deviance, and intent to sue, as well as lower transactional obligations and lower endorsement. Within positive grieving acceptance was the most influential, since it led to lower strain, lower work incivility, lower organizational deviance, and lower intent to sue. Study limitations and future research issues are discussed.     

Teacher Perspectives on Grief Among Children with Intellectual Disabilities

The death of a parent can have a profound impact on a child. However, little is known about how children with intellectual disabilities demonstrate grief or how teachers respond to student grief. Constructivist grounded theory methods were used to analyze data collected from five special education teachers of elementary students with intellectual disabilities. Categories related to grieving, loss, support, coping, and emotion were found. Teachers reported a range of grieving behaviors displayed by children with intellectual disabilities in the classroom and used various strategies to provide support. Grief in surviving caregivers and assistance from other school personnel were also described. The need for additional training of teachers and counselors about grief in children with intellectual disabilities is highlighted.     

Disordered Communication and Grieving in Deaf Member Families

When a deaf child is born to hearing parents, a grieving process is initiated in the parents. Unresolved grieving over their child's deafness often makes it difficult for hearing parents to accept the importance of signing, thus increasing the child's problems — further source of grief for these parents. Clinical illustrations are provided of (1) the reciprocal relationship between disruption of the mourning process and disturbance of communication between family members, and (2) the transmission of the dysfunctional relationship between hearing parents and deaf children to the subsequent relationship between the deaf children, when they reach adulthood, and their hearing children.     

The impact of death on the family system

The impact of death on the family system creates a structural void that requires homeostatic adjustments. This paper describes bereavement adjustments in the family system. The author proposes that a family member may be stuck in one of the phases of grieving, which contributes to the homeostatic utilization of one or more of these adjustments. These homeostatic adjustments provide a matrix for abortive grief which may have transgenerational consequences. The author further proposes two stages of grieving in addition to those given by Bowlby (1979, pp. 82–83) and Parkes (1972); that of transformation and actualization. The family system or family-community system may hinder or help the bereaved family grieve, or make the homeostatic adjustment. Judeo-Christian values and rituals are described as relevant to this process.     

LOSING SAMMY: A CATALYST FOR EXITING AN ABUSIVE RELATIONSHIP

Abstract

Miscarriage is a relatively prevalent occurrence in our society. The reported incidence of this event indicates that 20% of all women experience a miscarriage. Women who have miscarried report friends and family responding in ways that seem to try to reduce the impact and importance of the event. This leaves the grieving woman with a sense of little support or understanding of what she had just experienced. Furthermore, the experiences reported by women who have had a miscarriage are quite different from those reported by other individuals who have experienced other types of loss such as a spouse, partner, parent, or friend. Women who have miscarried report a lack of recognition that they have experienced a loss. Little is known about how society views miscarriage or why individuals respond in such an apparently unsupportive manner to a woman who has had a miscarriage. The present work sought to determine whether miscarriage is an unrecognized loss and to assess the meaning of miscarriage to others. Although the results indicate miscarriage is viewed as a loss, it is a loss with minimal grounded or valuative meaning for others, which suggests that the cultural norm of silence surrounding early pregnancy and miscarriage should be lifted     

Human lmmunodeficiency Virus Infection and the Gay Community: Counseling and Clinical Issues

The gay community has been and continues to be disproportionately affected by the acquired immune deficiency syndrome (AIDS) and the human immunodeficiency virus (HIV) infection. Need for risk-reduction education, mental health service provision, and assistance in grieving the ongoing loss of loved ones continues to exist among members of the gay community. Clinicians who work with gay clients should be aware of the critical issues confronting gay men who are at risk for infection, those who may already be infected with HIV, and their loved ones. This article highlights critical issues in introducing prevention in therapy and counseling, in supporting asymptomatic seropositive gay men and gay men with AIDS-related complex (ARC) and AIDS in their attempts to cope, and in assisting in the grieving process for those who have lost loved ones to AIDS-related illnesses.     

Observing a client's grieving process: bringing logical positivism into qualitative grief counselling research

This positional paper originates from our need as researcher/practitioners to establish a meaningful epistemological framework for research into bereaved people's journey through loss and grief over time. We describe how the field of grief research has a long and established biological basis, in keeping with a positivist epistemology. However, there has been a diminution of the influence of logical positivism in twenty-first-century counselling research. We argue that in grief counselling research, naturalistic observation of the grieving process within a logical positivist paradigm, remains a valid and valuable construct. We posit an observational protocol for the grief counselling process which minimises the intrusion of research method into the therapeutic process. We offer this as a means of conducting qualitative research within a bereavement counselling service. Further, we suggest that the development of an observational protocol for a client's grieving process has potential implications for developing good practice in grief work.     

Family Bereavement and Cultural Diversity: A Social Developmental Perspective

This article offers an integrative, interdisciplinary model of bereavement as a family developmental process that unfolds in cultural context. A critique of cultural assumptions highlights the culture-bound nature of prevailing North American practices, which view grief as an isolated individual experience and emphasize detachment from the dead as a way to promote recovery. Death and grief precipitate two kinds of family change, both guided by culture yet uniquely experienced and interpreted by individual families: 1) recreating the family without a key family member; but capable of coping with both existing and new tasks; and 2) incorporating the death into an ongoing but irrevocably altered family life-cycle developmental process. In supporting family change after a death, family therapists need to collaborate with grieving families in examining the goodness of fit between their unique circumstances and the bereavement expectations of their community and culture. Four case examples are presented, two of which will apply this social developmental model to emphasize transformations of attachment to the deceased — rather than detachment — that will support the ongoing family development of grieving families.     

Religious aspects of bereavement

The purpose of this study was to learn more about the role of religious beliefs and practices in bereavement. Subjects were 312 adults each bereaved approximately one year. They were interviewed at the rate of about 50 per year over a 6 year period. Conclusions include: a) The opportunity to say goodbye to the deceased was significantly related to positive coping and outlook; (b) 47% of our subjects reported contact with the deceased following the death but such contact was not related to coping or outlook; c) grieving people are much more likely to turn to women than men for help; d) 77% said their religious beliefs were of considerable help in their grief.     

Exploring antecedents of individual grieving stages during an anticipated worksite closure

A grieving stages framework based on Kubler‐Ross (1969) was successfully operationalized and applied to an anticipated worksite closure for 53 complete data employees across four times in a pharmaceutical manufacturing facility. As predicted, the means for denial, bargaining, and depression significantly decreased, while exploration increased. However, anger and acceptance remained stable over time. Grieving stages were used as individual outcomes at Times 2 (N=89), 3 (N=77), and 4 (N=53) in regression analyses to test additional study hypotheses. Perceived contract violation had the strongest influence on grieving stages. Perceived job alternatives became more important for exploration and acceptance of leaving at Time 4. Being the primary income source, having lower core self‐evaluation, and stronger community ties were generally linked to greater employee depression about leaving the company across times. Additional applications for the suggested grieving stages measure are needed in future job loss research.