Prolonged grief disorder symptoms in bereaved internally displaced Tiv persons in Nigeria: associations with rumination,rebirth concerns and gender

ABSTRACT

There is burgeoning research on prolonged grief disorder (PGD) among several vulnerable populations but PGD symptoms have been scarcely examined among bereaved internally displaced persons (IDPs). This study investigated the associations of rumination, rebirth concerns and gender with symptoms of PGD following conflict-related bereavement. Participants were 379 Nigerian IDPs who were of the Tiv ethnic group. They provided demographics and completed self-report measures grief and rumination, while concern about rebirth status of the deceased was assessed using a single item which requested participants to indicate whether they had any concerns about the re-incarnation of the deceased. Results showed that gender was not associated with PGD symptoms. High intrusive rumination and high deliberate rumination were associated with increased PGD symptoms in males and females. Rebirth concern was associated with high PGD symptoms in males but not in females. Findings highlight the need for socio-culturally-informed screening/intervention in the wake of conflict-related bereavement.     

The centrality of a loss and its role in emotional problems among bereaved people

In literature on posttraumatic stress-disorder (PTSD) there is growing interest in the concept “centrality of event”, referring to the degree to which the memory of a traumatic event is central to one's everyday inferences, life-story, and identity. Using self-reported data from 254 bereaved individuals, this study examined the centrality of the loss-event in emotional problems following loss. Findings showed that this centrality (a) varied as a function of kinship to the deceased but not other loss-related variables, (b) was correlated with complicated grief (CG), depression, PTSD, and with neuroticism and several cognitive-behavioural variables, and (c) remained correlated with CG but not depression and PTSD when controlling for the shared variance between these symptoms, neuroticism, and these cognitive-behavioural variables.     

When Clients Die

Abstract

The contexts of loss are as numerous as they are varied. This article reflects upon loss within the context of the helping relationship and illustrates how storytelling, journaling, and correspondence can be used to process the experience of a counselor's loss. The richness of personal accounts, interwoven and connected, provides voice and place to the experience of the deceased and their loved ones. Through such a process, the counselor is assisted toward an integrative healing intervention that can be used to work through their shattered dreams following the death of their clients.     

Stereotypical thinking as a mediating factor in the association between exposure to terror and post-traumatic stress disorder symptoms among Israeli youth

Background and Objectives: The negative impact of exposure to terror on mental health, as well as on the perceptions of each side of the conflict toward the other, is well-documented. However, the association between stereotyping, concomitant with perceived threat, and anxiety, was rarely investigated. The current study examined information processing attributes and exposure to terror as predictors of PTSD symptoms among youth at inter-group conflict, with stereotypical thinking toward a threatening out-group as a possible mediator. Design: Cross-sectional, with exposure to terror, need for cognitive structure (NCS), efficacy at fulfilling the need for closure (EFNC) and self-esteem, predicting stereotypical thinking and PTSD symptoms. Method: Ninth graders (N?=?263) from two residential areas in Israel, varying in their degree of exposure to terror, responded to a self-report questionnaire tapping the above variables. Results: Stereotypical thinking was found to mediate the association between exposure to terror and PTSD symptoms, but not the association between the NCS and EFNC interaction and PTSD symptoms. Conclusions: The findings support terror management theory, so that a negative and rigid perception makes it difficult to construct coherent world-view, thus contributing to aggregation of existential anxiety and PTSD symptoms.     

Religiosity,Afterlife Beliefs,and Bereavement Adjustment in Adulthood

SUMMARY

Research in gerontology and bereavement adjustment often fails to examine the effects of religiousness and beliefs in the afterlife on grief. It was hypothesized that religiosity and belief in life after death would play different roles for younger and older adults regarding bereavement adjustment. Sample characteristics suggested that the interaction effect between age and religiosity or age and belief in life after death on bereavement adjustment could not be tested. However, aspects of bereavement adjustment, in particular physical health and efforts to cope, were found to be influenced by age, religiosity, and cause of death. Implications and directions for future research and counseling are discussed.     

Between the idea and the reality: A study of the counselling experiences of bereaved people who sense the presence of the deceased

There have been many theories of the process of loss and bereavement, from Freud, to the present day. Early theories of bereavement described a process which, following various stages and associated tasks, ended at the relinquishment of the bond to the deceased. In more recent years theories have taken different directions, identifying how bereaved people re‐learn life, recreate biographies, and continue relationships to the deceased. Some research studies of bereavement have investigated the counsellors’ perspective, but there are very few studies of the client's experience and most studies have focussed on outcomes of counselling. This qualitative study, using semi‐structured interviews, provides an insight into the bereaved client's perspective on the content and process of their counselling experiences. Taking as its focus the client's sense of the presence of the deceased, this study aimed to identify whether or how counsellors facilitate exploration of this experience and which theories they use in client work. The main finding is that 80% of the counsellors were not perceived by participants to have worked with them satisfactorily in relation to their sense of presence of the deceased or in relation to the story of the death itself.     

An Ecological Community-Based Approach for Dealing with Traumatic Stress

Abstract

This article presents our ecological approach toward building community resilience in the aftermath of a traumatic event and its application in the case of a terror attack on a Kibbutz. It delineates the various principles guiding our framework, outlines the phases of our community intervention, describes the intervention processes, and addresses some dilemmas relevant for such interventions.     

Death as the Ultimate Castration

ABSTRACT

Psychoanalysts, beginning with Sigmund Freud, have been scanting, denying, minimizing, and obfuscating the significance of fear of death in their patients and in themselves. Starting with Freud, they have tended to interpret fear of death as a displacement from other sources of anxiety, especially from castration anxiety. Conversely, some psychoanalysts and psychotherapists have denied the presence or significance of castration anxiety in their patients and in themselves. In this communication, the prevalence and significance of each of these forms of terror are examined, individually and as to their connection with one another. Considerable clinical, child observational, and literary evidence is presented that illustrates the significance and meaning of these two sources of terror within the human psyche, as well as the relationship which they have with one another.     

Circumstances of Death and Complicated Grief: Indirect Associations Through Meaning Made of Loss

Losses by violent means and the loss of primary attachment figures may increase the likelihood of developing a chronic and severe grief response (referred to as complicated grief, or CG). Path analysis was used to examine the relationships between these risk factors and CG symptoms. College student participants filled out online questionnaires relating to their bereavement. Analyses provided support for statistical models whereby meaning made of the loss fully mediated the association between cause of death and CG symptoms and partially mediated the association between relationship to the deceased and CG symptoms. Although based on cross-sectional data, these findings provide additional support for meaning-oriented understandings of adaptation to loss.     

Acute stress disorder among civilians during a war and post-traumatic growth six years later: the impact of personal and social resources

Background and Objectives: Various studies suggest a link between stress response to a traumatic event and post-traumatic growth (PTG), but little is known about their long-term relationship. In this study, the relationship between acute stress disorder (ASD) among civilians during a war on the home front and PTG six years later was examined for the first time. Based on the conservation of resources (COR) theory, the role of personal and social resource loss and gain as moderating factors was investigated. Design and Methods: At Time 1 of the research (the Second Lebanon War in 2006), a structured questionnaire was administered to 370 civilians living within rocket range. At Time 2, 6 years later, 301 participants from Time 1 were again examined. The data analysis refers to the 301 respondents who participated at Time 2. Results: The findings indicate a significant relationship between ASD and PTG. Examination of the interaction revealed that resource gain (but not resource loss) moderates (strengthens) the relationship between the two. Conclusions: These findings are not consistent with the COR view that resource loss has a greater effect on stress responses than resource gain.     

From a terror management perspective: The efficacy of self-affirmation on organ donation-related thoughts and intentions in China

ABSTRACT

In 2015, the Chinese government officially abolished the practice of harvesting organs from executed prisoners. However, the voluntary donor registration rate among the Chinese population is approximately 2% as of January 2020. Guided by self-affirmation theory and terror management theory, the present investigation examined a number of variables that may be related to donor registration intentions and a method to mitigate death thoughts and misconceptions. An online experiment was conducted in which 352 Chinese participants were randomly assigned to either a self-affirmation (i.e., affirming values that are important to the participants) or a no-affirmation condition. Results revealed that self-affirmation lowered death thoughts among the participants, which in turn were positively related to organ donation misperceptions. Inconsistent with terror management theory, the level of death thoughts was not directly related to participants’ intentions to register as organ donors. Instead, the relationship between the two was mediated by misperceptions toward organ donation.     

Avoidance Behavior Following Terror Event Exposure: Effects of Perceived Life Threat and Jewish Religious Coping

The current research was designed to examine associations of perceived life threat (PLT) and religious coping with the development of avoidance behavior following terror event exposure. Based upon the terror management theory (TMT), we hypothesized that religious coping, through its effect on religious beliefs as a meaning system, would moderate the impact of threat, as expressed in PLT, on an individual's reaction to terror event exposure, as manifested in avoidance behavior. Participants were 591 Israeli Jewish students who were vicariously or directly exposed to a terror event in the past. We report a significant interaction between PLT and negative religious coping. PLT was positively associated with avoidance behavior but this relationship was more profound among persons who reported high negative religious coping. Secular students reported higher rates of avoidance behavior and negative religious coping and were more likely than religious students to report intrapersonal religious conflict. Our findings suggest that terror event exposure is associated with an elevated sense of threat, which is, at least in part, associated with a weakening of prior religious beliefs.     

Personal experience in professional narratives: the role of helpers' families in their work with terror victims

This article describes research on the narratives of social workers who help terror victims, focusing on the relationship between the helpers' families and their work. Qualitative analysis of three training groups of social workers who are responsible for helping in the event of terror attacks in different parts of Israel, and of three debriefing groups for social workers after terror attacks, reveals that the helpers' families play a role in the narratives constructed by the helpers. Two main themes were identified. The first centers on the interaction between work and the family, and shows that in the situation of a terror attack, the conflict between the two disappears and the family often serves as a support system for the helpers. The second theme refers to the family dimension alone, and focuses on the dichotomy between vitality and loss. The way that family life events affect helpers'professional intervention is described. The findings are discussed in light of Conservation of Resources Theory, the fight-flight response to threat, and the concept of the family as a source of safety and risk taking.     

In the Shadow of Terror

Summary

This study examined the effects of terror on world assumptions in Israeli youth. The sample comprised 2,999 adolescents aged 13-16 who were exposed to different levels of terror. Relations of objective and subjective exposure to terror, life events, ideological, religious commitment, and social support with world assumptions were assessed. Results show that personal and social resources made a more substantial contribution to the explained variance of world assumptions than exposure to terror. Implications of the associations between religious and ideological commitment and social support with world assumptions are discussed.     

In The Theater of Confusion: Mourning and Its Consequences for a Four-Year-Old Child

Abstract

Hyrck M. Inner Objects and the Christian Images of God. Int Forum Psychoanal 1997;6:41-43. Stockholm, ISSN 0803-706X.

Religion can be viewed very differently by different individuals. For some people it forms the basis of emotional safety while others regard it as the main obstacle to true humanity. One reason for this wide variance of opinion lies in the different ways that God can be perceived even within the same religious tradition. He can, for example, appear as a cosmic sadist torturing men eternally or as the vicariously suffering Christ sharing and containing the evils of mankins.

These and other images of God are analyzed by a systematic psychoanalytic instrument constructed upon the object relations theory. It describes five inner objects created by different partial drives or aspects of these drives. The inner objects are regarded as unconscious phantasies in the Kleinian sense. Five corresponding analoguous emotional images of God are abstracted from the Christian tradition.     

The Aging Of Grief: Parents' Grieving Of Israeli Soldiers

Abstract

This chapter examines long-term parental grief of soldiers within the context of the Israeli society. Parental grief is discussed along the life span, commencing at the immediate phase following the loss through the bereavement process in middle to late adulthood and its manifestations in aging. Interviews with a group of elderly bereaved parents whose sons were killed during military service give further support to previous findings regarding the notion that the passage of time has no diminishing effect on their grief nor does it relinquish their attachment to the deceased. With aging, there appears to be an increase in internalized involvement with the long-lost child, fears of fading memories, and the need to eternalize the deceased. In reviewing the past, parents reevaluate their coping with the loss and their relationship with the surviving children. The parents' preoccupation is twofold: On one hand, the strong attachment seems to continue in inner representations of the lost child, and, on the other, this preoccupation is enhanced externally owing to Israeli society's attitude toward dead soldiers. An intersection is therefore established between society and bereaved families. Grief is apparently a central theme in aging parents who are preoccupied with the “aging” of their grief rather than their own aging.     

Seizing Perfume,Propped by Paradox

An odyssey from the terror of a bout with cancer to the recognition of some of the fear, as more primordial than the fear of separation and object loss, a constitutive given of our animal bodies, essential to survival and intrinsic to our insufficiency; to the cancer experience of terror becoming spiritual technology, a booster rocket catapulting the dis-eased body into a dreaded void paradoxically full of the mysterium tremendum of life where there is no body.     

A terror management analysis of self-awareness and anxiety: The hierarchy of terror

Abstract

In this article, we apply terror management theory to the operation of self-awareness processes. According to the theory, self-esteem consists of accepting a cultural conception of reality and believing that one is living up to the standards of value inherent in that conception. The function of self-esteem is to buffer the anxiety that results from the awareness of human vulnerability and mortality that results from our capacity for self-awareness. We argue that self-awareness leads to comparisons with standards, and to behavior aimed at reducing any discrepancies that are detected, because of the potential for existential terror that self-awareness creates. Existential terror is seen as the emotional manifestation of the instinct for self-preservation. Management of this terror is conceptualized as the superordinate goal in a hierarchy of standards through which behavior is regulated. A hierarchical terror management model is proposed. This structure provides a unique analysis of the self-system and its relationship to other attitudes, values, and beliefs. The theory posits several dynamic principles that specify how self-awareness and disruptions determine the movement of conscious attention through various levels of the hierarchy. The implications of this analysis for unresolved theoretical questions about self-awareness processes, unconscius sources of motivation, and clinical problems are discussed.     

Relationships in Families after a Family Member’s Death: A Qualitative Metasynthesis

The aim of this article is to understand the bereavement of a family as a unit from multiple perspectives. Using qualitative metasynthesis, we described family members’ bereavement experiences from multiple perspectives. The most common perspectives reported were those of parents who had lost their children. No studies reported the perspectives of husbands. Every article explicitly or implicitly referred to a continued connection with the deceased and the effect of this connection on family relationships. This article addresses the importance of focusing on more than one relationship within a family, which should be investigated further in future research.     

中国丧亲个体社会支持体验的质性研究

本研究通过对28位丧亲者进行深度访谈,使用解释现象学分析法对质性数据进行分析,探索中国丧亲个体的社会支持体验。结果显示,丧亲社会支持的内容包括后事处理、情感支持、生活恢复帮助,经济与物资支持等。支持来源除家人和朋友之外,还包括同事、相同经历者,以及相关机构等。社会支持通过调节情绪、改变认知等方式促进个体对丧亲的适应。本研究结果为最新丧亲社会支持模型提供了支持,同时也反映出中国社会对丧亲人群的社会支持特色。