Bereaved Parents' Perspectives on Informal Social Support: “What Worked for You?”

This study identified and explored the informal social supports that bereaved parents found helpful following the death of their primary school-aged child. Ten participants were interviewed using a semistructured interview schedule. Data were transcribed and analyzed using content and thematic analysis. Results indicate the existence of novel informal supports that enrich contemporary literature. Nine common characteristics of helpful support emerged from the analysis; the specifics of each depended on congruence with parents' unique framework of meaning. Parents also identified five ways to strengthen informal social support. Implications for health promotion research and practice in parental bereavement are discussed.     

Pet Loss and Human Emotion: Romanian Students' Reflections on Pet Loss

Thirty-five graduate and undergraduate students, owners of dogs and cats, were asked to respond in writing to a several questions regarding their relationship with their pet. In this retrospective analysis, we discuss aspects that describe the pet-owner relationship, including attachment and the role played by the pet in the owner's life (e.g., emotional support, the pet being seen as a family member). Most of the participants felt that their pet's loss caused great pain; some considered that even if they had suffered greatly, the death of their pet was not felt more intensely and severely than the death of any other family member or a friend.     

Effects of an experimental social stressor on resources loss,negative affect,and coping strategies

This experimental study, grounded in Hobfoll's conservation of resources (COR) theory, assessed the effects of manipulating a social stressor on loss of psychological resources, negative affect, and coping strategies. Israeli student volunteers were randomly allocated to one of two conditions: (1) social stressor (n = 66) and (2.) nonstressor (n = 59). The social stressor, aimed at reducing participant's personal resources, was experimentally induced via the Trier Social Stress Test protocol. The protocol consisted of a mock job interview administered under evaluative conditions, followed by performing a difficult arithmetic calculation task. The nonstressor condition involved a neutral interaction with an experimenter, followed by performing a relatively easy mental calculation task. Consistent with our hypotheses, the social stressor, compared to the nonstressor condition, resulted in statistically significant lower mean levels of psychological resources, higher levels of negative affect, and increased emotion-oriented and avoidance-oriented coping. Furthermore, under the social stressor condition, compared with the nonstressor condition, negative affect was more strongly related to loss of psychological resources and various coping strategies. Overall, the data provide experimental support for key tenets of COR theory     

Les vicissitudes du préjudice d’agrément

The fate of the loss of amenity has always been related to the right of recourse of the third-party payers against the person in charge of the damage. The loss of amenity has been recognized by Law of the 27 December 1973. It was at that time that it was excluded from the recourse of the third-party payers. It was not the case of the physiological injuries which had always been submitted to the recourse of the third-party payers. At first, these injuries had included the disorders in the conditions of existence. But in 2005, the Dintilhac nomenclature adopted a restrictive conception of the loss of amenity. This damage is now defined as the impossibility to practice regularly a specific activity of sport or leisure. In addition, the Law of 21 December 2006 imposed on third-party payers to exercise their action only on pecuniary damage. The physiological injuries were therefore excluded from this action. The strict definition of loss of amenity is both adopted in Civil Law and Social law. But in these two areas, the analysis of the judicial practice reveals that it is undermined the right for the full repair of the victims under their loss of amenity. Accordingly, the question of the opportunity to widen once more the definition of the loss of amenity arises today.     

An inquiry into the emotional impact of sight loss and the counselling experiences and needs of blind and partially sighted people

Background: The link between sight loss and depression is well documented. The UK Vision Strategy seeks to bring the emotional impact of sight loss into public awareness and improve access to emotional support for visually impaired people. However, dedicated counselling services for visually impaired people remain scarce, and research into the effectiveness of psychological interventions is predominantly anecdotal rather than evidence based. Aim: To explore the emotional impact of sight loss in four core areas (mood, self concept, social connectedness and loss), and to explore the counselling experiences and needs of blind and partially sighted adults. Method: Data were collected using the mental health and social functioning sub-scales of the National Eye Institute Visual Functioning Questionnaire-25 and semi-structured interviews transcribed and analysed using grounded theory. Results: Participants with a serious eye condition shared a common transition from sight to blindness, starting with diagnosis, coping with deterioration of sight, experiencing loss in different areas of life, experiencing changed perceptions of self in relation to society, experiencing others in a changed way and experiencing rehabilitation. A theoretical model describing the transition from sight to blindness is proposed. Participants reported negative perceptions of counselling and a lack of counselling opportunities in relation to their sight loss. Implications: The implications for policy and practice are discussed, particularly the need for counselling after diagnosis of visual impairment and the specific challenges facing those who deliver counselling to blind and partially sighted clients.     

Loss: the ultimate philosophical problem

This paper draws on Jan Zwicky’s claim in Lyric Philosophy that loss is the ultimate philosophical problem and Wittgenstein’s attitude to philosophy in his Culture and Value that: ‘philosophy ought really to be written only as a poetic composition’. This paper will enter the difficult territory of loss using poetry and reflections to engage loss as a spiritual challenge and perhaps one of the major forces shaping cultural ways. Death inescapably brings loss into life for those who remain after a death but loss has many other forms and is a persistent experience in living that touches every stage of the life journey. It is a philosophical problem rooted in common human experience from childhood on that has been addressed in a multitude of forms, conceptualizations, rituals, belief systems and religions. As a method, poetry is a way of inquiry that allows one to enter experience and meet the intensity of events, particularly loss. In her essay ‘Entering the Bird Cage: Poetry and Perceptibility’, Jane Hirschfield says that poetry allows us ‘to understand the world beyond the narrow self’ and to do so ‘it is necessary to be available to the unknown’ and loss moves experience into the unknown.     

Effects of hearing and vision impairments on the Montreal Cognitive Assessment

Many standardized measures of cognition include items that must be seen or heard. Nevertheless, it is not uncommon to overlook the possible effects of sensory impairment(s) on test scores. In the current study, we investigated whether sensory impairments could affect performance on a widely used screening tool, the Montreal Cognitive Assessment (MoCA). Three hundred and one older adults (mean age = 71 years) completed the MoCA and also hearing and vision tests. Half of the participants had normal hearing and vision, 38% impaired hearing, 5% impaired vision, and 7% had dual-sensory impairment. More participants with normal sensory acuity passed the MoCA compared to those with sensory loss, even after modifying scores to adjust for sensory factors. The results suggest that cognitive abilities may be underestimated if sensory problems are not considered and that people with sensory loss are at greater risk of cognitive decline.     

Internal state of emergency – working with an international student suffering from trauma in a student counselling service

In this paper I look at the suicidal state of mind of an international student who comes from a country at war and has been traumatized by a violent event. The student is tortured by an internal dilemma surrounding unbearable feelings of guilt and shame that arise when she leaves her home country to study abroad. Her dilemma or survivor guilt triggers an internal contract with herself, whereby she is internally persecuted when she makes an attachment to the university and her course. I suggest that an individual in this state of mind, suffering from post-traumatic stress, has regressed to a primary state of unintegration where the self is at the mercy of psychotic anxieties and the student is at risk of suicide. It is suggested that a safety net made up of the student services and the wider health service can provide a symbolic or mental space and containment for the student's state of mind until she can function as a student.     

Student essay competition prize winner a study of the breaking and remaking of affectional bonds

Abstract

This essay was originally presented as the author's final clinical essay for the Advanced Diploma in Psychodynamic Counselling run by the WPF (North) in conjunction with the Tuke Centre, York. It is a reflection on a year's counselling undertaken with a young man struggling with angry and violent impulses which threatened to wreck his relationship with his partner and their children. The work draws on psychoanalytic and attachment theories and examines the process involving client and counsellor as two men working together on issues of loss, relationship and intimacy.     

Nostalgia and lost identity

Nostalgia for the Soviet Union is a major social phenomenon in Russia today due to the irrevocable losses of the recent past in which Soviet citizens involuntarily became immigrants in their own country. With reference to discussions of nostalgia in philosophical and psychoanalytic literature, I suggest that nostalgia may represent either a defensive regression to the past or a progressive striving for wholeness through re‐connecting with what has been lost in the service of a greater integration. I compare this with the processes of adaptation seen in immigrants and provide a clinical illustration of a young man coming to terms with loss and change in the post‐Soviet era. When nostalgia is recognized as a legitimate emotional experience it may facilitate mourning and enable the integration of the past with the present and the development of a new identity.