Therapists' views of the relative benefits and pitfalls of group work and one-to-one counselling for bereavement

Aim: To explore therapists' perceptions of the relative benefits and pitfalls of group work and individual counselling for bereaved clients. Method: Semi-structured interviews with nine experienced bereavement therapists from a range of different contexts generated data which was analysed using grounded theory methodology. Findings: Groups were perceived as having a normalising influence, helping members make new social contacts and practice social skills. Individual counselling was seen as facilitating the initial telling of the story and the expression of extreme emotion. Discussion: The findings suggest that individual counselling may be useful as a primary intervention easing ‘emotional loneliness’ caused by the death of a spouse or attachment figure. Group work may be of more benefit later in the bereavement process, facilitating an engagement with the outside world and alleviating ‘social loneliness’. Implications for practice: This suggests that bereavement services might usefully combine group and individual provision. Initial assessment could help clients clarify their needs and facilitate their choice of service. This would be more cost effective and potentially ease clients' bereavement experience.     

The concept of identification in the work of Freud, Ferenczi, and Abraham: a review and commentary

The development of the concept of identification in the work of Freud, Ferenczi, and Abraham is reviewed and analyzed from the standpoint of the development of the psychoanalytic object concept in general. Problems in the theory are seen to be related to ambiguity of the terms, ego and object, especially as reflected in the idea of introjection. The concept of identification, on the other hand, is shown to have undergone consistent evolution and expansion.     

Jonah's Crisis: Commentary on Paper by Avivah Gottlieb Zornberg

In discussing Zornberg's paper, Jonah's Flight, the author uses Zornberg's multifaceted midrashic analysis as a portal to offer an alternative reading of the Jonah text. Using Relational and British Object Relations psychoanalytic theories, the author explores Jonah's state of mind, focusing on his profound despair. Most notably she finds that his despair is indicative of traumatic disappointment stemming from the sense of not being recognized by God, experiencing an acute disconnection. Jonah is then seen as being in crisis: incapable of self-reflection, caught in a dissociated self-state, and unable to inhabit and struggle with his own feelings. The result is alienation from himself, incapacity to feel concern for others and estrangement from God. Using the spiritual writings of Rabbi Abraham Joshua Heschel, who believes that God is in search of man, the author suggests that it is the need for an intersubjective relationship with God that is at the core of this Biblical story.     

Interaction of depression and bereavement on mental health in the elderly

Three hundred ninety-three elderly adults aged 55 and older were divided into 1 of 9 subgroups in a 3 (bereavement group: survivors of spouses who died by natural death or by suicide and nonbereaved control Ss) x 3 (depression group: none, mild, and moderate-severe) design over 4 times of measurement--1 month, 6 months, 1 year, and 2.5 years after death of spouse. Significant Bereavement x Depression Group effects were obtained on Brief Symptom Inventory scores. The moderate-severe depression/suicide subgroup had the greatest psychiatric complications with bereavement. Results indicated that elderly persons with significant clinical depression at the time of a spouse's death were at significant risk for psychological complications during the bereavement process, and survivors of spouses who had committed suicide were even more at risk within the greatest depression group.     

Beyond family-friendly: The construct and measurement of singles-friendly work culture

Although research has examined work-family issues and organizational support for employees’ family responsibilities, few studies have explored the work-life issues of single employees without children. The current study examines single employees’ perceptions of how their organizations support their work-life balance in comparison to employees with families. A multi-dimensional scale is developed assessing five dimensions of singles-friendly culture: social inclusion, equal work opportunities, equal access to benefits, equal respect for nonwork life, and equal work expectations. Employees with families perceived more equity in most of these facets than did singles. Managerial and professional employees with higher incomes also perceived their organizations as more singles-friendly. Finally, social inclusion predicted organizational commitment for single employees, and this effect was mediated by perceived organizational support. In contrast, more equal work opportunities were related to lower turnover intentions among childfree singles.     

Culture at work: Family therapy and the culture concept in post-World War II America

During the 1950s and 1960s, the concept of culture had currency beyond the disciplinary boundaries of anthropology and sociology. This article takes up a clinical example of the invocation of the culture concept by examining how early family therapists such as Nathan Ackerman, Murray Bowen, and Don Jackson used culture as a category of analysis during the formative years of their new field. The culture concept played an integral role in the processes by which family therapists simultaneously defined the object of their research and treatment, the family, and built their new field. Their varied uses of culture also contained tensions and contradictions, most notably between universal and relativist views of family and psychopathology and between views of family therapy as a conservative force for maintaining the nuclear family or a progressive force for overcoming social inequality.     

Development and validation of the verbal commentary on physical appearance scale: Considering both positive and negative commentary

Two studies describe the development and validation of the Verbal Commentary on Physical Appearance Scale (VCOPAS). In Study 1, 320 undergraduate female students completed the scale and factor analyses were conducted. Study 2 included 246 undergraduate female students and a confirmatory factor analysis (CFA) replicated the initial factor structure. The final VCOPAS consists of 21 items and contains three subscales (Negative Weight and Shape, Positive Weight and Shape, and Positive General Appearance). The total scale and subscales demonstrated good internal consistency and test–retest reliability (all >.70). Significant correlations were found between VCOPAS subscales and measures of physical appearance-related feedback, body image disturbance, and self-esteem. Regression analyses indicated the utility of the Negative Weight and Shape, Positive Weight and Shape, and Positive General Appearance subscales in explaining significant variance associated with body image disturbance and self-esteem. The VCOPAS is likely to be useful in future research examining the role of appearance-related commentary in the development and maintenance of body image dissatisfaction and eating disturbance.     

When a child dies: the sociobiology of bereavement

According to modern evolutionary theory, the fitness of individuals consists of both their personal reproductive success and the reproductive success of those with whom they share genes in common. It follows that one of the most biologically costly events possible is the death of a child. This study investigated the grief intensity of bereaved parents and their immediate families using ratings made by 263 bereaved parents. Predictions were derived from sociobiological tenets relating to parental investment, paternal uncertainty, and the propagation potential of both parents and children. Consequently, it was found that mothers grieved more than fathers, healthy children were grieved for more than unhealthy children; male children were grieved for more than female children; health of child and sex of child interacted such that the pattern of grief intensity obtained was healthy male greater than healthy female = unhealthy female = unhealthy male; similar children were grieved for more than dissimilar children; maternal grandmothers grieved more than either maternal grandfathers or paternal grandmothers, who in turn grieved more than paternal grandfathers; and mothers' siblings grieved more than fathers' siblings.     

Drugs in the workplace: A commentary

The increasingly serious problem of substance abuse in the workplace is reviewed. New initiatives to deal with this major public health problem in the United States are presented. The concerns of industry regarding alcohol and drug abuse in the workplace are discussed: health and safety, accidents, absenteeism, and medical and insurance costs. Employers' rights and responsibilities in insuring a safe work environment are presented. The development of employee assistance programs sensitive to the medical, legal, and work-related issues raised by substance abuse in the workplace is reviewed. Specific suggestions for employers concerned with the drug problem in industry are comprehensively discussed.     

Philosophy and religion in the face of death and bereavement

While the ways in which people deal with dying and bereavement have been comprehensively researched, there is little which integrates psychological, emotional, philosophical, and religious perspectives. The role of religion is generally considered in terms of a simple linear relationship between presence or absence of religious belief and coping capacity. This article uses qualitative material from a small-scale study concerned with individuals' philosophical and religious frameworks to point towards multi-factor analysis. Comment is offered around the themes of theodicy; meaning; death-transcendence modes, and psychological and emotional adjustment.