Grief Counseling: An Investigation of Counselors' Training,Experience, and Competencies

Grief is prevalent in counseling, but little is known about the current status of counselors’ preparation and competencies to provide effective care. This exploratory study surveyed counselors (N= 369) on grief training, personal and professional experiences with grief, and grief counseling competence. Multiple regression analyses found training and experience were statistically significant predictors of competence. The strong relationship between variables suggests these concepts may be understood as synonymous. Implications for training, practice, and research are discussed.     

Grief Ministry as Homecoming: Framing Death from a Korean-American Perspective

Using the personal experience of a “homecoming” funerary journey from the U.S. to Korea, the author probes the cultural construction of familial bonds between the living and the dead in Korean and biblical (Genesis) funeral narratives. This article highlights the cultural differences between American and Korean funeral traditions — that is, (1) dying at a hospital vs. dying at home, (2) embalming vs. sup/yom (washing/binding of the corpse), (3) metal casket vs. wooden coffin, (4) committal vs. banhon (returning of the spirit) – to explore the religious and practical implications of the multicultural grieving process for pastoral care and grief ministry in which death is conceived as returning to the familial, cultural, and spiritual homes.

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.     

The Underlying Structure of Grief: A Taxometric Investigation of Prolonged and Normal Reactions to Loss

Recent studies have supported the distinctiveness of complicated and prolonged forms of grief as a cluster of symptoms that is separate from other psychiatric disorders. The distinction between prolonged and normal reactions to loss remains unclear, however, with some believing that prolonged grief represents a qualitatively distinct clinical entity and others conceptualizing it as the extreme end of a continuum. Thus, in this study a taxometric methodology was used to examine the underlying structure of grief. Participants included 1,069 bereaved individuals who had lost a first-degree relative. Each participant completed the Dutch version of the Inventory of Complicated Grief–Revised, which was used to create indicators of prolonged grief. The mean above and mean below a cut (MAMBAC) and maximum eigenvalue (MAXEIG) tests supported a dimensional conceptualization, indicating that pathological reactions might be best defined by the severity of grief symptoms rather than the presence or absence of specific symptoms.

Goodbye,Daddy: An Autoethnographic Journey Through the Grief and Mourning Process

The purpose of this article is to present an autoethonographic study in how I experienced and communicated parts of the mourning process when my father died at the age of 73. The article highlights the stages of grief experienced during the first year. Autoethnographic means are used chronologically to explore how the loss of a family member impacts the stages of grief that are present and how they overlap. In particular, I highlight the events that carried meaning or provided an outlet to express one of the stages of grief. It is hoped that this article can be used to understand why grieving is not an overnight process, but rather is drawn out through the highs and lows of remembering a loved one.     

Psychometric Properties of the Grief Cognitions Questionnaire (GCQ)

Cognitive behavioral conceptualizations of complicated grief propose that negative cognitions play a core role in the development and persistence of emotional problems after bereavement, because they generate negative emotions and cause mourners to engage in counterproductive attempts to avoid the implications and the pain of the loss. To facilitate the assessment of potentially problematic cognitions after bereavement, the Grief Cognitions Questionnaire (GCQ) has been developed—a 38-item questionnaire representing 9 categories of cognitions. Building on a previous study that supported the reliability and validity of the GCQ, the current study further examined its psychometric properties, with data of 531 bereaved individuals who completed research questionnaires online through the Internet. Confirmatory factor analyses supported the nine-factor structure with 9 interrelated factors. The reliability and convergent and discriminative validity were found to be adequate. Altogether the GCQ seems to be a useful tool for the assessment of negative thinking after bereavement in research and clinical practice.     

The Traumatic Grief Inventory Self-Report Version (TGI-SR): Introduction and Preliminary Psychometric Evaluation

Persistent Complex Bereavement Disorder (PCBD) is a disorder of grief newly included in the “Emerging Measures and Models” section of the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013 American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. [Google Scholar]). Prolonged Grief Disorder (PGD) is a disorder with similar symptoms, likely to be included in the forthcoming 11th edition of the International Classification of Diseases (ICD-11; World Health Organization, 1992 World Health Organization. (1992). International classification of diseases and related health problems (10th revision). Geneva, Switzerland: World Health Organization. [Google Scholar]). We developed the Traumatic Grief Inventory Self-Report version (TGI-SR), an 18-item measure, for the assessment of symptoms of PCBD and PGD in clinical and research settings. This study was an initial attempt to evaluate psychometric properties of the TGI-SR. To this end, the measure was administered to 327 patients of a mental health institute specialized in the treatment of psychopathology associated with loss and trauma. We found evidence that items of the TGI-SR (all 18 items, as well as the selection of 17 items representing PCBD criteria, and 11 items representing PGD criteria) loaded on one dimension. The TGI-SR demonstrated strong internal consistency. Elevated scores on the TGI-SR were significantly correlated with elevated scores on indices of psychopathology and lower quality of life, attesting to the concurrent validity. Receiver operation characteristic (ROC) analyses of the TGI-SR total score against provisional diagnoses of PCBD and PGD yielded a high area under the curve index suggesting that the TGI-SR total score can be used as an indicator for probable diagnoses of both PCBD and PGD. Results of this study provide initial evidence that PCBD and PGD symptoms may be readily and reliably measured using the TGI-SR.     

Complicated Grief in Canada: Exploring the Client and Professional Landscape

Complicated grief (CG) is one of the central themes in bereavement research and advanced clinical practice today. Using a mixed-methods approach, we wanted to learn (a) what tools Canadian practitioners used to identify or diagnose CG and (b) what interventions or strategies they used to address CG. Sixty-three professionals responded to our survey. There were no straightforward answers to these questions: the state-of-the art of CG in Canada is, in fact, complicated. Practitioners used a wide assortment of tools and strategies with no consensus on any one approach or tool. Building a Canadian CG community of practice was recommended.     

Overcoming Obstacles: Exploring the Use of Adventure Based Counseling in Youth Grief Camps

Bereavement can be confusing and complex for children and adolescents. Supporting youth in their grief may require interventions from helping professionals. Grief camps provide a supported environment designed to address the developmental needs of grieving children and adolescents. Adventure Based Counseling (ABC) provides structure and guidance for ropes course experiences and a theoretical basis for camps. This article explores how ABC on the ropes course addresses the unique needs of children and adolescents within the context of grief camps. An example plan provides guidance to camps hoping to incorporate the ABC framework into programming.     

ADHD and Grief: Diagnosis and Differentiation at One Federally Qualified Health Center

Family physicians provide medical care including diagnosis for children experiencing loss and grief. The cognitive impact of loss includes poor attention and concentration, suggestive of attention deficit hyperactivity disorder (ADHD). Our study examined this phenomenon in a community health center (CHC) utilizing physicians’ surveys and a medical record audit of 378 children diagnosed with ADHD during a three-year period. Results identified ambiguous loss and trauma resulting from family instability, absent parent, domestic violence, abuse, and foster care, often unrecognized by physicians as producing grief accompanied by attention and concentration problems. Findings suggest exploration of repeated ambiguous losses in children with ADHD.     

The Freedom of a Teenager: Vocation and Service Learning as the Future of Youth Ministry

Abstract : This article asserts the value of service learning as integral to youth ministry's future. However, service learning often lacks an appropriate philosophical foundation and an effectual process. Therefore, we offer Luther's doctrine of vocation as a framework for engaging youth in service experiences, which in return becomes a concrete way to experience the doctrine of vocation and, more importantly, the freedom of a Christian. Framed and interpreted through a vocational lens, service experiences aid youth in recognizing the urgency of a life of faith,     

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.     

Author Response to Reviews of Grief: Contemporary Theory and the Practice of Ministry

The purpose of this article is to respond to three reviews in Pastoral Psychology of the author’s text, Grief: Contemporary Theory and the Practice of Ministry (Kelley 2010). This article considers in particular the grief born of injustice, the need for pastoral caregivers to cultivate skills and sensitivities for grief ministry in multicultural and multireligious settings, and the centrality for many of a secure relationship with the Divine as a primary source of hope after loss.     

Pastoral Theological Reflection on Grief: Contemporary Theory and the Practice of Ministry by Melissa Kelley

This article highlights four of Melissa Kelley’s contributions in her book Grief: Contemporary Theory and Practice. The author identifies these as: 1) Kelley’s capacity to distill and synthesize the most important areas of contemporary grief theory; 2) her work on attachment theory and its relationship to people’s ways of coping with grief; 3) the focus on the research of Bonanno et al. (Journal of Gerontology Series B: Psychological Sciences and Social Sciences 60:67–73, 2005) and showing us who is most vulnerable and in need of pastoral care during grief; 4) her emphasis on meaning making as the core of the grieving process. The article also lifts up questions concerning communal practices for grieving loss born of injustice and the need for prevention and fostering coping mechanisms so that the worst effects of grief might be mitigated.     

Grace and Imagination: From Fear to Freedom

Creative use of our imagination is essential if we are to live a vibrant life. Although our use of imagination is often blocked by various fears, D. W. Winnicott's insights into play, aggression, and the use of transitional objects open up paths towards greater freedom. The sacred texts, symbols, and liturgies of our religious traditions can then become the toys which engage us in profound and re-creating soul play. Through grace and the evocative examples of our teachers, we can find ways to use our imagination more freely to deepen our spiritual life and psychological wholeness.     

The Phenomenology of Bereavement, Grief, and Mourning

Loss, understood as a process of bereavement, grief, and mourning, most immediately affects our bodily experience in our world, known in the phenomenological tradition as our lived world. Unlike Cartesian conceptions of the body as a self-contained entity, encapsulated within the skin, our bodying forth, as articulated in the discourse of Merleau-Ponty, and more recently Drew Leder, entails various manifestations of lived experience. These reflections on miscarriage loss, understood through the notions of Merleau-Ponty's chiasmic structure of flesh, and Drew Leder's recessive, ecstatic, and dys-appearing body, provides the possibility for a phenomenology of lived loss.     

Grace, Doubt, and Evil: The Constructive Task Of Reformation Theology

The Lutheran vocation is to be a friend of grace; and since the 16th century Lutheran systematic theology has built upon a foundation of grace. Two apparent barriers to grace need addressing. First, doubt in the form of agnosticism and atheism provides a metaphysical argument against God's existence. Second, evil and suffering provide a moral argument against God's existence. From a Lutheran point of view the question of God's graciousness takes precedence over God's existence.     

From Civic Engagement to Circles of Grace: Mid‐Range Reflection on Teaching for Global Citizenship

The course “Empowering Youth for Global Citizenship” seeks to equip students to teach global citizenship by engaging them in practices of ascetic withdrawal from consumer habits and active engagement in the public sphere. These goals underlie the design of the assignments, but should have also shaped the relationship between the assignments themselves. This article addresses the issue of course design in the service of empowering students for engagement in the public sphere by reflecting upon the course assignments, with emphasis on a project that worked well, and the implications this has for its relationship to the other course assignments, including one that missed the mark. The exploration of this misalignment between the learning goals and actual outcomes of the different assignments brings to light the unique role of learning communities of accountability and acceptance in deepening the impact of assignments aimed at personal transformation, as well as the rich dynamic that can come from coordinating course assignments to bring “head, heart, and hands” together.     

The Church's Vocation in Society through the Ministry of the Laity in the Languages of Their Daily Lives

Abstract : The vocation of the priesthood of all believers is rooted in the forgiveness of sins. We are freed for ministry. Grounded biblically and by the creeds, when we begin by using the images and vocabulary of daily life we can meet people where they are in their particular human problems, responding with the good news people can then really hear, empowering them for diverse ministries in a world in need.