A Kinetic Sculpture Intervention for Individuals Grieving the Deaths of Family Members

This article presents a creative intervention called kinetic sculpture for loss adaptation in grief counseling. This intervention is supported by professional literature regarding Bowenian family systems and creativity in counseling. The deaths of family members may generate much uncertainty for clients regarding functioning of their family systems. Kinetic sculpture allows clients to create visual examples of family equilibrium before, in the midst of, and after the deaths of family members. Insight gained from engaging in this intervention can aid clients in making aspirational plans for their own adaptations to loss. In this article, we present step-by-step instructions for creating the kinetic sculpture, make recommendations for process questions to accompany the intervention, and apply the kinetic sculpture in a case example.     

Development and Validation of an Instrument for the Assessment of Dependency Among Bereaved Persons

Dependency among bereaved individuals has been hypothesized to be an important predictor of severe and enduring grief reactions. However, although there are a number of instruments that assess interpersonal dependency as a personality trait or style, no scales are available to assess bereavement-related dependency. Data from 170 widowed participants in a community-based longitudinal investigation, who had been bereaved for an average of 10.8 months, were used to investigate the reliability and validity of the Bereavement Dependency Scale (BDS), an instrument that was developed to assess dependency on the deceased among bereaved persons. Results indicated that the BDS demonstrated acceptable internal reliability and satisfactory convergent, discriminant, and construct validity. The BDS may be a clinically useful predictor of enduring and complicated grief reactions, major depressive disorder, and suicidality among recently bereaved individuals.     

Impaired autobiographical memory in complicated grief

This study investigated the relationship between autobiographical memory and goals in complicated grief (CG). Twenty-four individuals with CG and 21 bereaved individuals without CG completed an autobiographical memory task and a personal goals task. CG participants were more likely to recall memories related to their loss, particularly in response to negative cues. There was a positive relationship between the proportion of loss-related memories recalled and the proportion of grief-related goals held by individuals after controlling for symptom level. Individuals with CG also showed impaired retrieval of specific autobiographical memories in response to both positive and negative cues. These results suggest that CG is characterised by impaired and biased retrieval of specific autobiographical memories. These patterns are consistent with propositions stemming from the self-memory models of autobiographical memory.     

South Asian American Daughter–Father Relationships in the Aftermath of Maternal Loss

ABSTRACT

In this transcendental phenomenological study, we interviewed five South Asian American daughter–father dyads regarding their experiences of coping and resiliency in the aftermath of maternal/spousal loss. Mothers play a crucial role in immigrant families as they serve not only as caregivers, but also as the main people who facilitate the transmission of culture. An untimely death of mothers in immigrant families can lead to confusion of roles within the family subsystems. Three main themes emerged for daughters from the interviews: (a) re-grieving, (b) coping/resiliency, and (c) daughter’s relationship with father following maternal loss. Three themes also emerged from the interviews with the fathers: (a) lack of traditional sources of familial support, (b) coping/resiliency, and (c) relationship with daughter following spousal loss. We utilized dyadic analysis to examine the dynamics of the daughter–father relationship. Overall, in the aftermath of maternal loss, the families experienced significant reorganization in its structure and reassignment of roles. For many of the daughters, cultural norms of patriarchy and traditional gender roles explained their pattern of assuming more responsibility in the household after the death of their mothers. Findings also showed how the intersection of gender, culture, and immigration status contributed to the process of complicated grief following maternal loss and the struggles experienced with reorganization of familial roles, rules, and expectations for South Asian American daughters and their fathers. Results from this study have implications for future research and clinical practice.     

From Mourning to Action: African American Women's Grief,Pain, and Activism

The Movement for Black Lives has brought particular attention to the experience of grief in the lives of African American mothers and its use in their advocacy for social reform. Grief-inspired activism is historically significant in the African American community. By highlighting the historical connections between Mamie Bradley Till and present-day African American mothers’ grief over their deceased children, we will discuss the role of grief and mourning in the lives of African American mothers and the way in which their grief is pivotal in shaping their involvement in social justice movements. Furthermore, we will provide suggestions on how to promote social activism among African American mothers.     

Intimacy and Complicated Grief among Chinese Elders Having Lost their Spouses: Mediating Role of Meaning Making

This study aims to investigate the mediating role of meaning making in the relationship between intimacy and complicated grief among bereaved elders. A sample of 352 bereaved elders in rural China participated in the study. Both the linear and quadratic effects of meaning making illustrated a model that mediated the effect of intimacy on complicated grief. Essentially, findings revealed that only high levels of meaning making predicted low levels of complicated grief. This study thereby supplements existing research about meaning-making theory.     

Divergent and Convergent Validation of the Complicated Grief Prototype Narrative

Although there is a prototype narrative for complicated grief (CG), there are neither divergent nor convergent validity studies of its clinical value. We evaluated the CG prototype narrative using a sociodemographic questionnaire and the Clinical Interview for Complicated Grief Diagnosis. We first conducted a convergent validation analysis followed by a divergent validation analysis. Results showed that participants with CG identified significantly more with the complicated grief prototype narrative than participants without CG.     

Loss and human resilience

In this article we argue that humans are more resilient in the face of loss than has been previously believed. We begin by showing that historically the bereavement literature has tended to pathologize what are otherwise normal and natural reactions to loss. We then introduce a characterization of resilience during bereavement as the ability to maintain continuity in identity from pre- to postloss. We review various types of evidence consistent with this proposal, with a particular emphasis on the relationship between resilience and continuity in social identity. We then explore four possible mechanisms by which resilient individuals achieve identity continuity. We also attempt to extend the resilience-as-continuity link to the recent literature on continued bonds with the deceased and explore how this link manifests across different cultures. Finally, we review some implications of these formulations for psychotherapy with bereaved individuals.     

Parental reactions to the loss of an infant child: A review

This article examines methodological problems, and describes and evaluates commonly explored variables regarding research on the effect of an infant's death on the family. The components of parents' and siblings' grief reactions, and the similarities and differences in parental grief are reviewed. The research shows marked differences between mothers' and fathers' reactions--the grief reactions in mothers being stronger and more prolonged. Different explanations for this are put forward. The effect of different types of loss as well as the effect of the child's life span before death are also reviewed and discussed. Further knowledge is needed to single out the influence of these factors' on the families' reactions. It is concluded that the death of an infant makes the family prone to develop short-term and/or long-term problems in their adaptation to the loss. An integrated effort by health professionals is needed to develop systematic ways of helping families to cope with the death of a child.     

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.