Exam 3 (funeral Service Psychology And Counseling Chapters 4 & 7)

Question 1

Bowlby’s attachment theory states

Answer 1

• humans have an instinctive need to form strong attachments to others
• attachments come from a need for security and safety
• situations that in danger the bond of attachment give rise to emotional reactions
• The greater the potential loss the more intense the reaction

Question 2

Eric Lindemann describes “grief syndrome” where the bereaved exhibit behaviors of

Answer 2

• somatic or bodily distress
• preoccupation with the image of the deceased
• guilt relating to the deceased in the circumstances of the death
• hostile reactions
• The inability to function as one had before the death

Question 3

Grief syndrome

Answer 3

A set of symptoms associated with loss

Question 4

Lindemann also coined the phrase “grief work” which he described as

Answer 4

• emancipation from bondage to the deceased
• readjustment to the environment in which the deceased is missing
• formation of new relationships

Question 5

Lindemann defines grief as work because he feels that….

Answer 5

“coping with grief is an experience that is physically, emotionally, and psychologically draining.”

Question 6

Grief work

Answer 6

A process occurring with loss, and loosening the attachment to the dead or reinvesting in the living

Question 7

Bowlby’s theory of attachment describes attachment behavior as

Answer 7

Any behavior people develop and maintain that enables them to be close to another individual

Question 8

Kubler-Ross’s five stages in the process of dying

Answer 8

• denial
• anger
• bargaining
• depression
• acceptance

Question 9

William Wordon’s 4 tasks of mourning

Answer 9

• accept the reality of the loss
• experience the pain of grief and express emotions associated with it
• adjust to the environment in which the deceased is missing
• withdraw emotional energy and reinvest it in another relationship

Question 10

Grief counseling

Answer 10

Helping people facilitate grief to a healthy completion of the tasks of grieving within a reasonable time frame

Question 11

Grief therapy

Answer 11

Specialized techniques which are used to help people with complicated grief reactions

Question 12

According to Sigmund Freud, a major task of grieving is to withdraw the libido that was invested in the deceased. this causes such symptoms as

Answer 12

• dejection
• loss of interest in the outside world
• loss of the capacity to love
• self reproach

Question 13

Complicated grief

Answer 13

Abnormal grief response that is more intense than normal grief, yet different than clinical depression

Question 14

Each year in the United States approximately _____________people die each leaving behind on average five grieving survivors

Answer 14

2.5 million

Question 15

Complicated grief is also known as

Answer 15

Pathologic, chronic, delayed, masked or exaggerated grief

Question 16

Chronic grief

Answer 16

A reaction that is prolonged, excessive in duration, and never comes to a satisfactory conclusion

Question 17

Delayed grief

Answer 17

Also known as inhibited, suppressed, or postponed grief. A reaction that does not occur in a normal timeframe but occurs at a later time

Question 18

Masked grief

Answer 18

Occurs when a person experiences symptoms and behavior which causes them difficulty but they do not recognize the fact that these are related to the loss

Question 19

Exaggerated grief

Answer 19

When the reactions to the loss are excessive and disabling

Question 20

Disenfranchised grief

Answer 20

Introduced by Kenneth Doka. Describes a loss that society believes does not deserve mourning. The loss is not openly acknowledged, socially sanctioned, or publicly shared

Question 21

Doka describes four types of death that lead to disenfranchisement

Answer 21

• relationship to the deceased is not socially recognized (homosexual relationships)
• loss is not acknowledged by others as being a genuine loss (abortions)
• The grievers are unrecognized
• death is not socially sanctioned

Question 22

Factors that may complicate grief

Answer 22

– Relationship factors such as ambivalence
–Circumstantial factors such as uncertainty and multiple losses
– Personality factors such as inability to tolerate extreme emotional issues
– Historical factors such as previous complicated grief reactions

Question 23

Left untreated experts say complicated grief can lead to

Answer 23

Depression, suicide, drug or alcohol abuse, or heart disease

Question 24

Between ___-___% of all mourners will have their grief turn into complicated grief

Answer 24

15-20

Question 25

The American Cancer Society describes complicated grief symptoms that may appear in individuals as follows..

Answer 25

• difficulty speaking of the deceased
• constantly bring up themes of death
• ongoing sleep problems
• sudden radical changes in lifestyle
• exhibit self destructive behavior
• continued disbelief of the death
• inability to accept the death

Question 26

In the new complicated grief therapy, patients are urged to..

Answer 26

• retell the story of the death
• produce audio recording of their story and listen to it repeatedly
• imagined conversation with the person they have lost
• resume activities that satisfy them