Adaptation to Loss: The Many Faces of Grief
Hadley Rhodes
Denver School of Nursing Abstract
The life transition of death and dying is inevitably one with which we will all be faced; we will all experience the death of people we hold close throughout our lifetime. This paper will explore the different processes of grief including the bereavement, mourning, and sorrow individuals go through after losing someone to death. Bereavement is a period of adaptation following a life changing loss. This period encompasses mourning, which includes behaviors and rituals following a death, and the wide range of emotions that go with it. Sorrow is the state of ongoing sadness not overcome in the grieving process; though not pathological, persistent
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There are also many factors that influence these events and emotions such as personality, culture, religion, relationships, and the way in which the deceased passed away (Buglass, 2010, 44). Buglass (2010) refers to Stroebe and Schut’s “flexible” model of grief and explains that a person handling loss will experience lifestyle changes as a result of that loss. This is due to the dual manner of moving between grieving, and trying to come to terms with loss. This theory looks at grieving as a process that happens in everyday life. Other theorists, such as Freud, view grieving as a “solitary process” where mourners withdraw from the world around them and gradually deal with the loss they’ve suffered.
Bereavement
While bereavement is an external process by which one externally or publicly grieves, mourning is the grieving that happens internally. “Stroebe defined bereavement as a state of loss, triggering a reaction that manifests in a set of behaviors known as mourning,” (Buglass, 2010, 44). There are stages that one goes through when grieving, this is how they emotionally heal after their loss. Theorists like Lindemann claim that there are five phases that are normal to go through in grieving: somatic disturbance, preoccupation with the deceased, guilt, hostility or anger, and difficulty with everyday tasks. Kubler-Ross identified the commonly recognized and accepted stages of grief
For some bereavement is an unpredictable and traumatic experience, the loss of a loved one may evoke in the individual you support, behaviours and emotions you have not seen
Later, Prigerson et al. (1999) researched disordered grief and found a number of differences as related to anxiety and depression. Both Horowitz and Prigerson’s studies found similarities in that participants had prolonged longing for the deceased, extreme impairing thoughts about the deceased, extreme denial of the death and avoidance ( Boelen & Prigerson, 2007).
The Two-Track Model of Bereavement is a model that states loss is conceptualized along two axes. Track I pertains to the biopsychosocial functioning in the event of a loss and Track II pertains to the bereaved’s continued emotional attachment and relationship to whoever is deceased. The effect of Track I is seen through the bereaved’s functioning, including their anxiety, their self-esteem and self-worth, and their depressive affect and cognitions. Noting the ability of one to invest in life tasks after experiencing a loss indicates how they are responding to the loss of the deceased. This Track is seen as an expression similar to one of trauma, or crisis. Track II holds that the bereaved has difficulty physically separating from the deceased. This can be seen in emotional, interpersonal, or cognitive ways. It is shown through imagery and memories that the bereaved experiences surrounding the deceased, whether positive or negative, as well as the emotional distance from them. These pictures in the bereaved’s head explain both the cognitive and emotional view of the person who has died (Rubin, 1999).
2014, pp.510). It is important to note, as Castle and Phillips (2003, pp.42) illustrates, that grief should not be seen as having solely elements of suffering and pain, however it can also be considered a reminder of an ongoing relationship to the deceased, which may include those qualities of comfort and connection toward those who have passed. In terms of grief, Lee et al. (2010, pp. 507) discusses that the most common grief response among Western grievers were bargaining, followed by acceptance, depression, anger, denial, and isolation. Furthermore, Neimeyer, Klass and Dennis (2014, pp.485) shows that in contrast to Western conceptions of bereavement which views grieving as seeking meaning through personal and familial transitions, other cultures, relate grief toward broader community and cultural spheres. Putting this into consideration, Balk (2006, pp.87) places emphasis on the diversity of our world and thus, there is also a great diversity of views, attitudes and behaviours regarding death and grief. Therefore, using examples of grief reactions and expressions within certain populations in Asia, will facilitate diverse and culturally understanding perspectives of grief which can be further
Loss affects people in various ways, but especially when it is the loss of someone they are in close relations to, whether it is a loved one, relative or good friend. Going through the physical, mental, emotional and even spiritual impacts that come with the events of a death can really influence the life of the person dealing with the loss. Understanding how people grieve after experience a traumatic event such as death and dying was the main influence for Elizabeth Kübler-Ross’ study which developed into the model we are familiar with now: Kübler-Ross 5 Stages of Grief (Sotelo, Livingood, Sanden, & Webb, 2015). Death, dying and grief are things that every person will face one way or another, and how people react and live on
Grief is the act following the loss of a loved one. While grief and bereavement are normal occurrences, the grief process is a social construct of how someone should behave. The acceptable ways that people grieve change because of this construct. For a time it was not acceptable to grieve; today, however, it is seen as a necessary way to move on from death (Scheid, 2011).The grief process has been described as a multistage event, with each stage lasting for a suggested amount of time to be considered “normal” and reach resolution. The beginning stage of grief is the immediate shock, disbelief, and denial lasting from hours to weeks (Wambach, 1985). The middle stage is the acute mourning phase that can include somatic and emotional turmoil. This stage includes acknowledging the event and processing it on various levels, both mentally and physically. The final stage is a period of
“According to Dr. Elisabeth Kubler-Ross, there are five stages of grief.” (The Grieving Process, page 4) The first stage, defined by Dr. Kubler-Ross, is denial. The person experiencing the loss cannot accept that their loved one is gone and its acceptance is initially, too hard to deal with. The second stage is anger. The person experiencing grief is angry at their emotions and can also be angry with the person that left them. Bargaining, the third stage, is a form of justification. Excuses are made to answer why the situation occurred and provides a temporary sense of hope. The fourth stage is depression and occurs when the reality of the situation occurs. The person is gone and there is nothing that can be done to change the situation. Depression is a naturally occurring stage and at the conclusion of this stage, the person can finally experience acceptance, which is the fifth
The stages of mourning and grief are universal and are experienced by people from all walks of life. Mourning occurs in response to an individual’s own terminal illness or to the death of a valued being, human or animal. There are five stages of normal grief that were first proposed by Elisabeth Kübler-Ross in her 1969 book “On Death and Dying.”
Behavioral Impacts of Bereavement. Lindemann reported that acute grief produces a ´´loss of patterns of conduct´´ (1944, p. 44) routines are shot. Agitated restlessness is common; that is, the person just can´t keep still for even a short period of time. Crying is common. Some persons take up dangerous behaviors such as drinking excessively, smoking, or promiscuously engaging in sex. Scanning crowds to find the person who has died is common on the first few months following a death. Turning to religious practices such as praying or reading Scriptures offers comfort to some. For grievers whose faith the death has undermined, religious practices repel
Loss is a phenomenon that is experienced by all. Death is experienced by family members as a unique and elevated form of loss which is modulated by potent stages of grief. Inevitably, everyone will lose someone with whom they had a personal relationship and emotional connection and thus experience an aftermath that can generally be described as grief. Although bereavement, which is defined as a state of sorrow over the death or departure of a loved one, is a universal experience it varies widely across gender, age, and circumstance (definitions.net, 2015). Indeed the formalities and phases associated with bereavement have been recounted and theorized in literature for years. These philosophies are quite diverse but
Grief is a journey unique to each individual that is structured through culture, religious beliefs, personality, age, gender and ethnicity among other things, it may be experienced as a inevitability or a devastation (Smit, 2015). It is defined as the normal and natural response to a loss in all of its totality, thus referring to physical, spiritual, emotional, cognitive and social experiences of the loss (Smit, 2015). The most commonly used model of grief is the Elizabeth Kubler-Ross or 5 stage model, this model expects that everyone grieving would go through denial, anger, bargaining, depression and acceptance in said order (Smit, 2015). However, individuals may
Over the second half of this semester, we have learned many different concepts and phases regarding the death of a loved one. Overall, we learned and recognized the difference between funeral rites and body disposition, the five stages of bereavement and how different survivors may respond to the death of a loved one, the different options of support groups available for families, how to support the bereaved and what death might be like in the future, etc. Everyone is different, every culture is different and every religion is different, so it is important to learn the psychology surrounding these areas when regarding the death of a loved one. Throughout this paper, I will be outlining some major topics we have learned thus far in the semester
Bereavement is a chronic, multifaceted psychological process of readjustment to a severe loss that is distinctly different from depression, or having a major depressive episode, although it may outwardly appear to be similar to it in many cases. Grief and mourning are both said to accompany grief with the former being defined as an internal feeling or an emotional and physical process, while the latter is defined as ritualistic acts that one engages in during bereavement in order to socially display their grief. Although bereavement is not depression, the newest edition of the DSM recognizes that bereavement can become complicated or maladaptive, as well as be coupled with depression, in which case it would
Bereavement an an unexpected life event in someone’s life however we all expect to lose someone close in our lives. Now unfortunately with that it comes with feeling lonely,confused,anxious and sad.Diffrent people deal with grief diffenlty depending on who you have lost and how you lost them. There are so many unanswered questions about bereavement, however its important to remember that bereavement doesn’t come with a rule book nor a time limit in which it needs to be comIn this booklet I will explain how to different individuals share both similarities and differences involving grief. Person A is my history teacher and SLT Mr key. Sir is currently in his early 30s living in Lincolnshire.hes currently married and has 2 children meaning that
The process of grieving “describe the reaction to the death of a love one” as a sequence of phases and conditions that all must go through all the conditions in a set order (Bjorklund, 2015, p. 345).