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CHAPTER TWELVE: PERSONAL LOSS: BEREAVEMENT AND GRIEF

CHAPTER TWELVE: PERSONAL LOSS: BEREAVEMENT AND GRIEF. Terms Critical to Understanding Loss. Bereavement (sorrow) Uncomplicated bereavement Grief (mental anguish) Complicated grief/prolonged grief Traumatic grief Disenfranchised grief (a loss that one is unable to share) Loss

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CHAPTER TWELVE: PERSONAL LOSS: BEREAVEMENT AND GRIEF

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  1. CHAPTER TWELVE: PERSONAL LOSS: BEREAVEMENT AND GRIEF

  2. Terms Critical to Understanding Loss • Bereavement (sorrow) • Uncomplicated bereavement • Grief (mental anguish) • Complicated grief/prolonged grief • Traumatic grief • Disenfranchised grief (a loss that one is unable to share) • Loss • Primary loss (death) • Secondary loss (resulting from the death) • Ambiguous loss (physically or psychologically missing) • Mourning (social or cultural state or condition expressing grief)

  3. Dynamics of Bereavement • Cultural Dynamics • Culture • 3 patterns of response: • Death accepting • Death defying (dreading/avoiding) • Death denying • Sociocultural Mores • Spirituality and Religion

  4. Conceptual Approaches to Bereavement • Stage/Phase Models • Kubler-Ross’s Stages (denial, anger, bargaining, depression, and acceptance)

  5. Assessment Tools • Texas Revised Inventory of Grief (TRIG) • Current Grief • Past Disruption • Grief Experience Inventory (GEI) • Nine clinical scales • Hogan Grief Reaction Checklist (HGRC) • Can discriminate variability in the grieving process as a function of cause of death and time elapsed since death • Inventory of Complicated Grief (ICG) • Targets symptoms of grief that are distinct from bereavement-related depression and anxiety, and predicts long-term functional impairments

  6. Types of Loss • Death of a Spouse • One of the most emotionally stressful and disruptive events in life • More widows than widowers • Loss Due to Caregiving • Death of a Child • Perhaps the ultimate loss for a person to endure regardless of the age of the child

  7. Types of Loss Cont. • Bereavement in Childhood (age related) • Bereavement in Adolescence • Value of connectedness • Bereavement in the Elderly • Present more somatic problems than psychological problems • No indication that the intensity of grief varies significantly with age • Grief among older people may be more prolonged than among younger people • Tend to be lonelier and to have far longer periods of loneliness than younger people

  8. Types of Loss Cont. • HIV/AIDS (anticipatory, complex, page 430) • Job Loss • Separation and Divorce • Death of a Pet • Complicated Grief • Traumatic grief

  9. Being There for Grievers • Empathic Presence • Gentle Conversation • Providing Available Space • Eliciting Trust

  10. The Crisis Worker's Own Grief • Emotional investment in the client • Bereavement overload • Countertransference • Emotional replenishment • Facing one’s own mortality • Sense of power • Tendency to rescue

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