Dying and bereavement Flashcards
In what ways does culture affect death definitions?
Variation in definition and in rituals surrounding death as well as bereavement
- Life force leaves the body during sleep or illness, or reaching a certain age
- Malaysian, term, mate; extremely sick, the very old and the dead, toa refers to all living people
What are the 3 medical definitions of death?
Clinical death
- No heartbeat or respiration
- Can change
Whole-brain
- Coma with no known cause
- All brainstem reflexes permanently stopped
- Completely dead
- Breathing stopped
Persistent vegetative state
- No cortical functions
What are some age-related differences in how adults feel about dying?
Young adults
- Feeling cheated
- Hopes and dreams are gone
Middle Adults
- Starting to confront it, how has life been
- Increased awareness, often when in contact with death
Older adults
- Often more accepting of death, not as scared of it
Kubler-Ross’ Stage Theory
- How do we deal with our own upcoming death, as well as loss
- Feelings of; denial, anger, bargaining(higher power), depression and acceptance
Why is Kubler-Ross’ Stage Theory not considered a proper stage theory?
- The stages can overlap with each other
- Doesn’t happen in a specific order, some stages might get skipped
- Individual variation
What is the Contextual Theory?
- Focuses on issues and tasks that people face with dying
- No right way of coping, but some are maladaptive
- Consists of 4 dimensions of issues, from the person’s dying point of view
Bodily needs
Psychological security - retain autonomy
Interpersonal Attachment - alert others
Spiritual Energy and Hope(finding it) - Holistic point of view and focus on individual differences
What is death anxiety and how does it manifest?
- Anxiety or fear over dying, death and what happens after death
- Indirect behaviour
- 3 dimensions (public, private and non-conscious)
How painful will it be
Humiliation or rejection
Punishment after death
Being destroyed
Body malfunction
Terror Management Theory
Focuses on why people engage in behaviors to achieve psychological states based on your concerns about mortality
- Motivation to do what you want
What does experts recommend in order to reduce death anxiety?
- To not let it overcome our daily routines
- Use it as motivation to live with no regrets
- Death education
- Participating in experiential workshops
What are important tasks for those who are either terminally ill or knowing they will die soon?
- End Of Life Issues; after death body disposition, memorial services and assets
- How to live their last time on earth
- Bringing closure to relationships
Anticipatory socialization - Disengage before dying - Still maintaining psychological control, no loss of autonomy
- Making a final scenario; what is important to me
- Living will; states my wishes with medical and end of life services
- Take control over their last time on earth and how to be handled after death
Bereavement
A state or condition which is caused by loss through death
Grief
The negative emotions that comes from loss
- Hurt, anger, frustration, guilt, scared, sadness
Mourning
- Its a form of expression of grief, its manifestation
- Different across cultures
What are the steps that describes the process of grieving?
- Its an active coping respons
1. Acknowledgement of the reality of loss
2. You have to work through its emotional chaos
3. Adjusting the environment where the deceased is no longer present
4. Starting to loosing the ties to the deceased one - Individual process, it can take up to several years
What are some common grief reactions?
- Coping, affect, change, narrative, relationships
- Intense feelings of sadness, denial or anger
- Anniversary grief
- Grief peaks within its first 6 months, may never go away