Bereavement and Religion Online: Stillbirth,Neonatal Loss,and Parental Religiosity

Stillbirth and neonatal death often trigger immense and long‐lasting grief in parents. These life‐altering losses both call upon and call into question parents’ religious beliefs and practices. This qualitative research examines the impact of stillbirth and neonatal death on parental religiosity, broadly conceived to include personal spirituality and any religious affiliation, including atheism. It examines religion online, a nontraditional but important social context for grief, especially regarding statistically rare tragedies such as stillbirth and neonatal death. Content analysis of postings on a hub website for “babyloss” parents yields four major themes: religious disorientation, religious reorientation, changed relationships with others, and a quest for meaning.     

Parental grief following the death of an infant—a follow-up over one year

The course of parental bereavement during the first year following an infant's death was investigated. Also, the differences in mothers' and fathers' reactions, the differences according to the mothers' occupational role, and the similarities in couples' reactions were studied. From a total sample of 59 families, 13 families answered their questionnaires at all three time points (1, 6 and 13 months), 22 families responded at two time points, and 37 families responded at some point following the loss. Measures relating to anxiety, depression, bodily discomfort, general well being and impact of event were used at the three time points. The results showed that grief, as measured by the different inventories, decreased over time. The decrease was most evident from 6 to 13 months, and most prominent in women. A considerable number of the parents were still actively dealing with the loss all through the first year of bereavement. In most couples the mother reported most distress. Mothers were significantly more depressed than fathers at all time points, and mothers also had significantly higher anxiety and lower general health at 1 and 13 months, and intrusive scores of 1 and 6 months. Women at home evidenced more grief at all three time points than women employed outside the home. A high or low score in one spouse was more strongly correlated with a similar score in the other at 1 and 13 months, than at 6 months. The implications for counselling of parents, with special emphasis on the employment situation of the mother, is emphasized.     

Social support after the loss of an infant child: A long-term perspective

The article presents findings from a survey among 251 parents whose infant child had died. For most of the parents, the loss occurred several years ago. The survey assessed the amounts of instrumental, emotional and informational support received by these parents from various sources in connection with the death. The findings revealed that different sources provided different kinds of support. There was only one significant difference between bereaved males and females with regard to amount of support: females received more emotional support from their friends than males did. Furthermore, large amounts of support received by one spouse was associated with a similar level of support received by the other spouse. Social support in connection with the death was to some extent related to long-term psychological adaptation. Particularly support from neighbours and professionals was consistently associated with psychological adaptation. In general, however, the findings with regard to long-term effects of social support were ambiguous.     

Parental perception and interpretation of infant emotions: psychological and physiological processes

To study parental experience and perception of infant emotional expressions parents' responses to infant pictures depicting positive, neutral and negative emotions were assessed on the level of affective judgments (perceived and experienced valence and arousal), of mimic responses (facial muscle activity) and of the eyelid reflex (using the startle paradigm). In general, while parents were able to appropriately perceive infant emotions and were clearly affected by them, they exhibited a bias for positive interpretation. This was obvious from their subjective evaluations which, e.g. were more positive for experienced than for perceived valence, as well as from their mimic responses indicating positive responses in general. In addition, infant pictures including the negative ones lead to an inhibition of the startle reflex, indicating a positive evaluation of infant emotions on the sub‐cortical level. These effects were most prominent when parents were faced with pictures of their own infants as compared to unfamiliar ones. The way parents process information about infant emotions may facilitate appropriate responsiveness to infants' needs. Copyright © 2005 John Wiley & Sons, Ltd.     

Sensing the presence of the deceased: A narrative review

Researchers have reported that bereaved people often continue to sense the presence of the deceased. A particular collection of such experiences can be identified as instilling a perception that the deceased person is in some manner present in the company of the bereaved person. The aim of the current review was to synthesise the results on this topic to provide a comprehensive over-view for practitioners working with bereaved people who report these experiences. The studies were reviewed in terms of the nature of the experiences described, the provision of explanatory models to understand the significance of these experiences, describing any culturally specific aspects of these experiences, discussion of the personal impact of having the experiences, and for recommendations of how people who have these experiences can be supported.     

Parental satisfaction in child abuse and neglect: A review of standardized measures

Low levels of parental satisfaction have been implicated in parents' utilization of harsh disciplining strategies and perpetration of child abuse and neglect. Although measures of parental satisfaction have been present for more than 3 decades, the employment of these instruments in child maltreatment populations has been limited, perhaps due to a lack of empirical evaluation. This paper reviews extant studies that demonstrate the need to examine the relationship between parental satisfaction and child maltreatment, and provides a critical examination of existing measures of parental satisfaction, including their psychometric support and application to child maltreatment. Recommendations are offered regarding the utility of these measures in child maltreatment.     

Mapping grief: A study in practice using a quantitative and qualitative approach to exploring and addressing the range of responses to loss

The Adult Attitude to Grief (AAG) scale was devised for an earlier study (Machin, 2001) to test the validity of a concept of loss, which proposed that grief reactions fall broadly into three categories — ‘overwhelmed’, ‘balanced’ and ‘controlled’. There was statistical support for the proposed differences but the AAG scale, more importantly, provided insight into the diverse reactions taking place in individual bereaved respondents. This paper describes a second study undertaken to examine the clinical usefulness of the AAG scale with clients receiving help within the Psychological Services Operating Unit of the North Staffordshire Combined Healthcare (NHS) Trust. The scale has been used both in its original form with bereaved clients and in a modified form with clients having distress symptoms associated with other losses, such as relationship breakdown or the onset of chronic illness. The use of the AAG scale in this clinical setting suggests that, both as an assessment tool and as a cue for therapeutic dialogue, it provides a promising way of mapping the general and particular characteristics of response to loss in individual clients. Consideration is also given to varying therapeutic approaches needed to help clients regain the equilibrium disturbed by their grief.     

Maternal and paternal infant representations: A comparison between parents of term and preterm infants

Objective

Research on parental attachment representations after preterm birth is limited and inconclusive. The present study is the first in which maternal and paternal attachment representations after term, moderately and very preterm birth are compared. In addition, special attention was directed toward disrupted attachment representations.

Method

Mothers and fathers of term infants (≥37 weeks of gestational age, n = 71), moderately preterm infants (≥32–37 weeks of gestational age, n = 62) and very preterm infants (<32 weeks of gestational age, n = 56) participated in the present study. Attachment representations (balanced, disengaged, distorted) about their infants were evaluated with the Working Model of the Child Interview (WMCI). To asses disrupted representations the coding of the WMCI was extended with the disrupted scale (WMCI-D).

Results

The three main classifications of attachment representations were not affected by preterm birth. In addition, there were no gender differences in the rate of balanced representations. In case of non-balanced representations however, maternal representations were more often distorted, whereas fathers showed more often disengaged representations. Results further revealed that maternal disrupted attachment representations were marked by role/boundary confusion or disorientation, whereas paternal disrupted attachment representations were characterized by withdrawal.

Conclusion

Given the gender differences it is essential to tailor interventions according to the attachment representations of the parent, in order to be able to alter their non-balanced and/or disrupted attachment representations.     

Alternatives to the fixed-set model: A review of appraisal models of emotion

Over several decades, appraisal theory has emerged as a prominent theoretical framework explaining the elicitation and differentiation of emotions, and has stimulated a great deal of theorising and empirical research. Despite the large amount of research in this area, there are many aspects of appraisal theory and research that remain unclear or problematic. In this review, we identify a common assumption of many appraisal theories—the fixed appraisal set—and argue that this assumption, combined with a lack of explicit theorising about the predicted relationship between appraisals and emotions, leads to a lack of clarity in both appraisal models and the empirical testing of those models. We recommend that appraisal theorists move in a direction already taken by a small number of theorists, and adopt the starting assumption of a variable appraisal set. We further suggest that theories of concepts and categorisation may inform theorising about appraisal–emotion relationships.     

Participant loss due to "fussiness" in infant visual paradigms: a review of the last 20 years

One hundred and one published articles that used visual habituation or violation-of-expectation techniques with infants of 12 months or younger were surveyed. Information was compiled on the number of infants who failed to complete experimental procedures due to "fussiness" or other factors. Also noted for each experiment was whether or not infants as a group demonstrated differential responding to the test display. On average 13.7% (range 0-62%) of infants failed to complete these visual procedures as a result of fussiness. There was no correlation between experimental outcome and infant attrition due to fussiness or to any other factor. We thus found no evidence to suggest that differential exclusion rates systematically influence experimental outcomes. However, we urge researchers to provide operational definitions of "fussiness."     

Fear of snakes and facial reactions: A case of rapid emotional responding

The aim of the present study was to explore how rapid emotional responses are manifested as facial electromyographic (EMG) reactions when people with explicit fear of snakes are exposed to their fear relevant stimuli. Fifty-six subjects, high or low in fear of snakes, were exposed to pictures of snakes and flowers while facial EMG activity from the corrugator supercilii and the zygomatic major muscle regions was recorded. Measures of autonomic activity and ratings of the stimuli were also collected. Pictures of snakes evoked a rapid corrugator supercilii muscle reaction which was larger in the High fear group as early as 500ms after stimulus onset. The High fear group also rated snakes as more unpleasant and displayed larger skin conductance responses (SCRs) and increased heart rate (HR) when exposed to snakes. Pictures of flowers tended to evoke increased zygomatic major muscle activity which did not differ among the groups. The present results demonstrate that the facial EMG technique is sensitive enough to detect rapidly evoked negative emotional reactions. The results support the hypothesis that people high in fear of snakes are disposed to react very rapidly with a negative emotional response to their fear relevant stimuli.     

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.

A Phonological Existential Analysis to the Book of Job

This current article “A Phonological Existential Analysis to the Book of Job” explores the various ways that Job’s friends attempted to help him deal with his grief. Dr. Johnson is able to identify the various stages of grief that Job goes through and correlate each stage and the response from the friends in current psychological terms. It becomes clear that various practices of modern psychotherapy can be seen in each response from Job’s friends. It is reasonable to conclude that the responses from Job’s friends were part of the therapeutic process that moved Job to a state of rationality and wholeness. While the article approaches the Book of Job from a psychotherapeutic standpoint, it does not distract for the spiritual teachings found in the document. Fred Johnson is licensed as a counseling psychologist and is certified as a school psychologist. Dr. Johnson has worked many over 15 years as a private practicing family therapist and behavior specialist. Dr. Johnson completed his doctorate in counseling psychologist at the University of Louisville and attended Southern Baptist Theological Seminary obtaining a degree in pastoral psychology. He currently owns Educational Resource Services, a company that is dedicated to providing seminars in classroom behavior management throughout the United States and Canada. Dr. Johnson has published two books, Effective Discipline for the Difficult Child and From Chaos to Control: Managing Disruptive Classroom Behavior. He has also published several research studies, including ones dealing with the role of the ministers and a pastoral approach to divorce.     

Healing from the loss of a loved one to suicide

Healing from the Loss of a Loved One to Suicide is a personal journey to creatively process emotions and memories associated with losing my brother in 2012. This auto-ethnography is a patchwork that flows from present to past events in unforeseeable directions. The process of writing transported me back to the moment. I found out about my brother’s death up to present day. It engages the topics of depression, guilt, blame and trauma that survivor’s feel and offers an approach to finding inner peace.     

Posttraumatic growth following pregnancy termination for fetal abnormality: the predictive role of coping strategies and perinatal grief

Background: Research about termination for fetal abnormality (TFA) suggests that it is a traumatic event with potential negative psychological consequences. However, evidence also indicates that following traumatic events individuals may experience growth. Although TFA’s negative psychological outcomes are well documented, little is known of the potential for growth following this event. Therefore, the study’s objectives were to measure posttraumatic growth (PTG) post-TFA, examine the relationship between PTG, perinatal grief and coping, and determine the predictors of PTG.

Design: An online, retrospective survey was conducted with 161 women.

Methods: Eligible participants were women over 18 who had undergone TFA. Participants were recruited from a support organisation. They completed the Brief COPE, Short Perinatal Grief Scale and Posttraumatic Growth Inventory. Data were analysed using regression analyses.

Results: Moderate levels of PTG were observed for “relating to others,” “personal strengths” and “appreciation of life.” “Positive reframing” was a significant predictor of PTG. Despite using mainly “adaptive” coping strategies, women’s grief levels were high.

Conclusions: “Adaptive” coping strategies such as, “positive reframing” are relevant to TFA. They may act as protective factors against distress and as foundations for growth, implicating that interventions such as Cognitive Behavioural Therapy, which aim to reframe women’s experience, may be beneficial.     

Parental negotiations of the moral terrain of risk in relation to young people with intellectual disabilities

This paper draws upon parental accounts from a study of the process of transition for a cohort of 28 young people with relatively severe intellectual disabilities who left special schools in 2004 and 2005 in two adjacent English localities. This paper examines how parents negotiate these boundaries and position themselves in relation to risk. A primary concern identified by parents during this transition period focuses on the risk of harm facing these vulnerable young people (whether through accidents or through sexual, emotional, physical or financial abuse) as they move into the adult world. These concerns are juxtaposed with discourses that increasingly promote the possibilities for people with intellectual disabilities to express and follow their own wishes and aspirations. For example, the policy agenda in England and Wales actively endorses the start of adult life as a time of opportunity for young people and promotes the values of independence and choice. In accounting for the management of risk in the young people's lives, we conclude that parents navigate complex boundaries between being seen to be over‐protective and ‘letting go’; between trusting others to act in the young adults' best interests and allowing these young people the autonomy to negotiate risk. Copyright © 2008 John Wiley & Sons, Ltd.     

Working with parents to counteract bullying: A randomized controlled trial of an intervention to improve parent-school cooperation

This study examined the effectiveness of an intervention aimed at improving parent-school cooperation in counteracting bullying. Using a randomized controlled trial, data of teachers, parents of non-victimized children, and children themselves were collected at 13 intervention and 14 control schools (grades 3–6, N at post-assessment: teachers = 83, parents = 153, children = 2,510) at two time points (time lag about 6 months). Results showed positive effects of the intervention for some aspects of the primary outcomes: parents’ and teachers’ attitudes and efforts, whereas no effects were found of teachers’ or parents’ competences in counteracting bullying. No intervention effects were found for secondary outcomes: children's self-reported bullying, victimization, well-being, and self-esteem. The findings indicate that, due to the intervention, teachers and parents were more aligned and able to cooperate, even within the short time of the intervention: one school year. This is the first essential step to systematically addressing parents’ role in tackling bullying; future research is needed to examine the long-term effects of parent and school interventions in enhancing the effectiveness of anti-bullying programs.     

The role of psychologists in requests to hasten death: A literature and legislation review and an agenda for future research

The opportunity for patients to request support to die is legalised in several countries and is associated with the development of a social and political debate that has taken place in recent years. We believe that psychologists can contribute to this debate. Here, we conducted a literature and legislation review with the aim of understanding arguments regarding the roles of the psychologist in hastening death. A systematic review of the peer-review literature in this field was carried out. The legislation of each country with hasten death practices was analysed to understand if psychologists are included in the protocols of hasten death practices. Despite a lack of literature, we found competence assessment, communication, psychological counselling, research and training and public policy to be the possible roles of psychologists in requests to hasten death. Based on the review, an agenda for future research is developed. We highlight the importance of psychology, raising its profile in the study of the various forms of death hastening requests.     

From child pornography offending to child sexual abuse: A review of child pornography offender characteristics and risks for cross-over

In this review, concrete directions are provided for individual risk assessment, treatment planning, and future research on child pornography offending. First, based on reviewing offender characteristics, including demographics, socio-affective difficulties, cognitive distortions and psychosexual issues, it is concluded that despite individual differences, many child pornography offenders have psychological difficulties in multiple areas of functioning. Based on earlier child pornography offender typologies, it is proposed that risk factors of individual offenders can be viewed along the lines of two continua: (1) features related to criminal behavior, and (2) sexual deviance/fantasy. These continua not only give insight into psychological differences between offender types, but also allow for variation in the severity of psychological difficulties within offender types and therefore may enhance individual risk assessment and treatment planning. Moreover, risk factors for cross-over are discussed, including individual characteristics, factors related to engagement with the internet, and the offline environment. Future research should focus on the integration of risk domains within particular offending types. Specifically, research is needed on non-offending pedophiles in order to gain more insight into the relationship between pedophilia and child pornography offending in general.     

Surviving the early loss of a mother: daughters speak,by Anne Tracey

The purpose of this study is to empirically evaluate a coping response that is thought to be unique among older Catholics–suffering in silence. Two hypotheses are examined. The first predicts that older Catholics will be more likely than older Protestants to suffer in silence when ongoing economic difficulty is encountered. The second hypothesis specifies that the potentially deleterious effects of financial problems on depressive symptoms will be offset for older adults who prefer to suffer in silence. Data from an ongoing nationwide survey of older people in the United States provide support for both hypotheses.