Pet Bereavement Support Groups: A Guide for Mental Health Professionals

Companion animals are becoming increasingly important in society. Pets have been recognized for their vast contributions to human lives, including emotional support, social support, health benefits, and connection. However, society does not recognize the significant loss associated with losing a pet, which can contribute to bereaved pet owners feeling isolation and shame as they cope with the loss of their beloved companion. Mental health professionals must be aware of this disenfranchised grief and creatively expand their services to provide support and advocacy for bereaved pet owners. This article includes a framework for clinicians to establish a pet loss support group in their community.     

Gender Differences in Parental Coping Following their Child's Death

The impact of the deaths of 19 children from malignancy on subsequent patterns of maternal and paternal coping styles was evaluated in a retrospective study of Dutch parents. The parents had been bereaved on average for 19 months. Parental coping was measured by the Utrecht Coping List which has comparable male and female norm groups. Coping styles differed significantly between the bereaved parents and their respective norm groups, particularly for parents bereaved for 18 months or less. The impact of the loss of a child, in terms of their parents' capacity to cope with everyday problems and events, would appear to affect mothers and fathers rather differently. But fathers and mothers who had been bereaved for more than 18 months were both closer to their comparable coping style norm groups than those bereaved for less than that time.     

Parental coping with their child's death

The impact of the death of 19 children form malignancy on subsequent patterns of parental coping was evaluated in a retrospective study of 33 Dutch parents, who had been bereaved for 19 months on average. Parents who had lost older children were compared with those who had lost younger ones on the Utrecht Coping List, which has been compared with a Dutch norm group. Coping styles of the bereaved parents differed significantly from those of the norm group. These differences were associated with the poorer mental health of the bereaved group as a whole. Parents of older children coped less well than those of younger ones.     

Psychological Consequences of Pregnancy Loss and Infant Death in a Sample of Bereaved Parents

This study aimed to explore a broad range of psychological reactions to trauma in a sample of bereaved parents in order to assess whether the traumatic framework is adequate for describing the entire range of emotional reactions to infant death. A sample of bereaved parents (N = 455) who lost their child through perinatal or postnatal loss were compared to a control group of parents (N = 110) who gave birth to a healthy child. Multivariate regression analysis clearly demonstrated that bereaved parents scored significantly higher on the Depression, Anxiety, Dissociation, Sleep Disturbances, Somatization, Interpersonal Sensitivity, and Aggression subscales of the Trauma Symptom Checklist. Consistent with previous studies, the results showed that for up to 5 years postloss bereaved parents expressed elevated levels of trauma-specific and psychological outcomes, in particular interpersonal sensitivity and aggression.     

Peer Group Counselling with Bereaved Adolescents

An experiment is described which aimed to help bereaved teenagers through peer group counselling, and also to examine the related issue of how reliably we can measure the effectiveness of such counselling. This involved a systematic approach to the subjective impressions of participants, and also used objective measurement techniques. Subjects perceived the group counselling sessions to have had a high value, and certain consistent trends were revealed concerning participants' previous experience of their bereavement and concerning the medium-term effects of adolescent bereavement. Statistical analysis of the objective tests paralleled this with improvements in several areas, though the extent of the statistical significance of those improvements is debatable. Recommendations are made concerning the implications for the pastoral care of bereaved pupils in schools.     

Exploring Characteristics of Children Presenting to Counseling for Grief and Loss

To date, researchers exploring childhood bereavement have largely relied on unstandardized assessment instruments and/or have independently evaluated specific constructs rather than factoring in the dimensionality of loss. The purpose of this study was to utilize psychometrically established instruments to examine the multivariate shared relationship between characteristics of bereaved children referred for counseling--their ages, genders, ethnicities, types of loss, and life stressors—and their behavioral manifestations as well as the relationship between these characteristics and levels of parent-child relational stress. Utilizing archival clinical files, we examined these characteristics from bereaved children (N?=?98) whose parents sought counseling services from two university-based counseling clinics. Two canonical correlational analyses (CCA) were conducted to examine the following: (1) relationship between characteristics of bereaved children and their subsequent behavioral manifestations, (2) relationship between characteristics of bereaved children and levels of parent-child relational stress. Correlational findings from this study provided insight into bereaved children’s manifestations of loss and levels of parent-child relational stress as contingent upon these specific characteristics. Specifically, results indicated a strong relationship between age and bereaved children’s behavioral manifestations. This finding reinforced the importance for clinicians to understand developmental implications when working with bereaved children. Furthermore, caregivers who reported minimal overall external stressors also reported less parent-child relational interference. This finding further emphasizes the importance for caregivers to maintain utmost stability for bereaved children.     

Group Facilitation of the Grieving Process With Those Bereaved by Suicide

People bereaved by suicide receive less sympathy and support from society than do those bereaved by other causes. By using Yalom's curative factors, Parkes's stages of grief, and Worden's tasks of grief resolution, a structured group model can be constructed to facilitate movement through the grieving process of participants bereaved by suicide.     

Eternal Connection: An Exploratory Study of the Effects of Learning About Near-Death Experiences on Adult Grief

We examined the effectiveness of a near-death experience (NDE) psychoeducational group bereavement intervention in reducing distressing aspects and enhancing a growth aspect of grief among bereaved adults. Participants were 22 females and 2 males (2 African American, 3 Asian, 2 Latina/o, and 17 White non-Latina/o) ranging in age from 20 to 71, with a mean age of 35.3 years. In this experimental design, we randomly assigned 12 participants to the experimental group and 12 participants to the waitlist control group. Effect size findings based on Hogan Grief Reaction Checklist scores indicated modest to substantial benefits of the NDE learning module intervention for bereaved adults in the form of decreased panic behavior, blame and anger, and detachment and increased personal growth. Conclusions include that further research into the effectiveness of NDE-related psychoeducational programs with bereaved individuals is warranted.     

Bereavement Group Therapy in School: the role of a belief in a post‐death existence within adolescent development for the acceptance process of loss[1]

As adolescents move away from parents towards peer group support, they develop their sense of self through challenge and reaction against authority. The parent/ guardian stands as the authority, but if the rule‐imposing figure is unexpectedly taken away the progress towards a sense of self is affected. School provides a social context for normalcy, but rarely is support found for bereaved youngsters in school. Adolescents in bereavement group therapy are able to share their experiences and begin to confront their loss through discourse, and such an approach in school serves to prepare pupils for later in‐depth individual counselling to work on guilt and maladaptive behaviour. Beliefs of an after‐life existence, which move from literal to figurative motifs, serve as coping mechanisms to help guide the youth through towards an acceptance and a sense of hopefulness. A model is presented that is in‐keeping with the developmental stage of adolescence, that utilizes peers as a therapeutic resource — those who have similarly been bereaved of loved ones.

     

Support groups: A psychological or social device for suicide bereavement?

This paper examines the psychological studies of bereavement support groups as well as exploring the ways in which people talk about their participation in such groups after their family member's suicide. Rather than reflecting any universal human condition, talk about experiences is considered as a local and contextual social construction, which in this case takes place in qualitative interviews in the modernWest (Finland). The paper draws on a study of 16 interviews with bereaved parents and (adult) children, half of whom had attended a bereavement support group after their family member's suicide. The study makes a contribution to the research field of family suicide bereavement from which sociological analysis has been so far largely missing.     

Network and mutual support for parents bereaved following the violent deaths of their 12- to 28-year-old children: A longitudinal,prospective analysis

Abstract

Social support provided by bereaved parents' networks was examined in this study. Seven dimensions of support were assessed over time. Of special interest to the investigators were the types and frequency of posttreatment contacts among bereaved parents who participated in an experimental support program. The study compared those who reported high versus low social support and high versus low numbers of network confidants on selected outcome and coping variables. The authors recruited a community-based sample of 171 bereaved mothers and 90 bereaved fathers whose 12- to 28-year-old children had died by accident, suicide, or homicide 4 months previously. Parents were randomly assigned to a 12-week bereavement program or control group. It was expected that intervention group parents would report more social network in involvement and greater satisfaction with support received than control group parents. This hypothesis was only partially supported. Only 20% of the parents who participated in the bereavement program remained in contact after the experimental program ended. Finally, significant differences detected between parents who reported high and low support were minimal and not sustained over time. The number of network confidants did not significantly affect the outcomes examined. However, in general, those with more confidants reported lower symptoms. Additional studies are needed to address these complex issues.     

The Place of Mysticism in Personal Commemorative Films of Bereaved Parents

This article sheds light on the central place of mysticism in the world of Israeli parents who have lost a child in battle or in a terror attack, and demonstrates how bereaved parents, by including mystical events in their narratives, try to find order, rationale, and purpose that will enable them to move on with their lives. The data are based on a thorough qualitative analysis of 20 personal commemorative films created or commissioned by bereaved parents.     

Community responses following suicide, homicide, and other deaths: the perspective of potential comforters

To determine whether actual responses of potential comforters in the community differ according to cause of death, 83 college students participated in a structured, individual interview. They were asked demographic questions about themselves, the bereaved, and the deceased, and then about various aspects of how they, and others in the community, responded to the death. Students were grouped by their reports of the cause of death (suicide, homicide, accident, natural anticipated death, or natural unanticipated death). When the death was by suicide or homicide, others were perceived as relatively less supportive of the bereaved person. When the death was by suicide, respondents themselves tended more to blame the bereaved person. When the death was by homicide, the bereaved person was perceived as reacting relatively worse. Potential comforters were relatively more shocked when the death was by homicide or accident.     

The Emotional Reengineering of Loss: On the Grief-Anger-Social Action Continuum

This article deals with the role of bereaved parents' anger as a motivating force for political and public activism. After reviewing the place of anger in the experience of processing loss and bereavement and presenting anger as a factor that leads to public initiative, the article deals with the place that anger occupies in the bereaved sector of Israeli society. The claim is made that Israeli society has changed since its early years, when "the national management of emotions" did not allow anger to be present in the public discourse of bereaved parents, to the current era in which anger is an inseparable part of Israeli bereavement discourse. The following section of the article includes an interpretive analysis of the place of anger among the research subjects, bereaved parents who later became public and political entrepreneurs. All of the research subjects lost a son in one of three circumstances that are part of the Israeli security agenda: operational accidents, terrorist attacks, and IDF combat in Lebanon. Finally, the study attempts to answer how anger structures both public and private bereavement in Israel, shaping the bereaved parents as instant celebrities.     

The use of religion in coping with grief among bereaved Malay Muslim parents

The purpose of this study is to explore the influence of religion on bereaved parents after the death of a child. Literature had attempted to understand how religiosity may influence parental grief both in positive and negative ways. However, this area is scarcely explored in the Malaysian context. This qualitative study involved 11 bereaved parents who lost their children due to accidents (n?=?9) and homicide (n?=?2). Open-ended questions that focused on the importance, activities, and role of religion in the grieving process among Malay parents were asked. According to the thematic analysis, some of the main themes found were that the bereaved parents described religion as a beneficial mechanism in helping them to adapt with their losses through various responses that indicated the perception that religion as a guidance. However, other than the positive impact, religiosity can also lead the bereaved parents to experience negative effects of using religion as a coping strategy. The influence of culture is prevalent in the current study as the theme of mystical belief and paranormal experiences were also reported. This study provides some professional implication from the possible use of religion in intervention.     

Adaptive and Maladaptive Dependency in Bereavement: Distinguishing Prolonged and Resolved Grief Trajectories

Interpersonal dependency is typically viewed as a risk factor for prolonged grief among conjugally bereaved adults. However, emerging empirical evidence and theoretical advances suggest that one manifestation of interpersonal dependency – adaptive dependency – may serve as a protective factor in coping with loss. This study compared adaptive and maladaptive dependency across three matched groups: prolonged grievers, asymptomatically bereaved adults, and a married comparison group. Results suggest a link between adaptive dependency and asymptomatic bereavement, and between maladaptive dependency and prolonged grief.     

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。     

Exploring Maternal Grief: A Mixed-Methods Investigation of Mothers’ Responses to the Death of a Child From Cancer

This study investigated the meaning-making phenomena underlying the responses of 13 bereaved mothers to the death of a child from cancer. Using a mixed-methods research design incorporating constructivist data collection methods, we found specific characteristics, coping processes, and factors to distinguish adaptive as opposed to complicated grief responses to this type of loss. However, the findings did not distinguish the bereaved mothers themselves as “adaptive” or “complicated grievers,” as they all evidenced both types of responses to their loss within or across different datasets. Despite this finding, the mothers’ results varied in terms of the proportions of adaptive as compared to complicated grief responses to their loss, which in turn were related to features of their self-construing, change or reinforcement of their world assumptions, ongoing relationship to their child and others in their social world, and management of loss- and restoration-oriented coping. Results suggest the utility of constructivist and cognitive coping models and methods in illuminating the experience of parental bereavement.