Wk # 9: March 1 to March 8 – Main post under Assignment by Wed, March 4 at 11:59 PM EST).

Students are required to post a minimum of three times per week (1 main post answering the question 100% before Wednesday at 11:59 PM EST and 2 peer responses by Sunday at 11:59 PM EST). The three posts in each individual discussion must be on separate days (same day postings / replies will not be accepted).

Chapter 12 – Personal Loss

Question(s): Be prepared to discuss 2 questions

Discuss what is complicated grieving. Mention at least 3 clues for identifying complicated grief reaction.APA FORMAT. 

Chapter Twelve: Personal

Loss

:

Bereavement

and

Grief

Terms Critical to Understanding Loss

Bereavement

Uncomplicated bereavement

Grief

Complicated grief/prolonged grief

Traumatic grief

Disenfranchised grief

Loss

Primary loss

Secondary loss

Ambiguous loss

Mourning

Dynamics of Bereavement
Cultural Dynamics
Culture
3 patterns of response:
Death accepting
Death defying
Death denying
Sociocultural Mores
Spirituality and Religion

Conceptual Approaches to Bereavement
Stage/Phase Models
Kubler-Ross’s Stages
Bowlby’s Attachment Theory
Schneider’s Growth Model
Counterpart to Traditional Models
Dual Process Model
Loss orientation
Restoration orientation
Adaptive Model
Intuitive grieving Instrumental grieving

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

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

Types of Loss Cont.
Bereavement in Childhood
Toddlers
Primary school age
Middle school age
Intervention and treatment
Bereavement in Adolescence
Value of connectedness
Intervention and treatment
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

Types of Loss Cont.
HIV/AIDS
Job Loss
Separation and Divorce
Death of a Pet
Complicated Grief
Traumatic grief

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

Fitting Technique to Style of Grief
The Dual Process Model
The griever sometimes confronts and sometimes avoids the stressors of both orientations
Adaptive Model
Affective
Behavioral
Cognitive
Spiritual

Fitting Technique to Style of Grief Cont.
Cognitive-Behavioral Approaches
Most commonly used therapies for those who suffer from complicated grief
Narrative Therapy
Reconstructs the relationship with the deceased rather than abandoning it
Attachment Theory and Therapy
One of the oldest theories that deals with grief and loss
“Coherent narrative”

Case Examples for Dealing with Loss
Sudden Death of a Spouse
Stuart
Traumatic Death of a Child
Helen and Brad
Bereavement in Childhood
Makeena
Separation and Divorce
Nancy

Case Examples for Dealing with Loss Cont.
Death of a Pet
The Thompsons
Bereavement in Elderly People
Lenore
Bereavement in an HIV-Infected Client
Clint
Complicated Grief: Death of a Mother
Ann Marie

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