Final ch 17 grief Flashcards
actual loss
death of loved one / relationship theft deterioration destruction natural disaster hair loss during chemotherapy can be identified by others
perceived
identified only by the person experiencing it internal woman with a sexually transmitted infection may perceive loss of her purity
physical loss
injuries organ removal loss of function limb amputation hysterectomy paralysis
psychological loss
internal sexuality control fairness meaning trust Loss of youth limbs body disfigurement, body functions can negatively impact one’s perception of self The effect is loss of hope, faith, or dreams.
external losses
are actual losses of objects that sentimental or monetary value jewelry home
environmental loss
a change in the familiar even if the change is perceived as positive moving to a new home getting a new job going to college
loss of a significant relationship
actual loss of spouses, siblings, family members significant others through death, divorce, or separation
grief
physical physiological & spiritual response to loss
mourning
action associated with grief
beravement
mourning & adjustment time following loss
Although each person may express grief differently
some aspects of grief are shared by almost everyone.
George Engel
Three Stages 1) shock and disbelief 2) developing awareness of loos 3) restitution and recovery Uncomplicated grief is universal, has a clear onset and a predictable course (with modifications), and does not require treatment.
John Bowlby
Phases of Grief 1) Shock and Numbness 2) Yearning and searching 3) disorganization & despair 4) reorganization This attachment theory describes the reaction to strong emotional bonds that have been developed. The individual must work through each process to avoid complicated grief. Grief is a mature way of dealing with loss of attachment.
Theresa Rando 6R’s
six tasks (6Rs) associated with grieving: (1) Recognizing the loss (2) Reacting to the separation (3) Recollecting memories of the deceased (4) Relinquishing the old attachment (5) Readjusting to the new environment (6) Reinvesting self
Theresa Rando Processes of Grieving
1) Avoidance (shock disbelief avoidance) 2) Confrontation (facing loss, emotional and upsetting time) 3) Accommodation (feeling better, live with loss, resume activities)
William Worden
Four Tasks of Grieving 1) Accepting reality of loss / Realizing that the loved one (or object) is gone. 2) Working through the pain and grief / Feelings and emotions that surface are intense and can change rapidly. 3) Adjusting to the environment in which the deceased is missing 4) Emotionally relocating the deceased and moving on with life / investing emotional energy
Kubler-Ross
Five stages of grieving 1) denial 2) anger 3) bargaining 4) depression 5) acceptance
Stroebe & Schut
Dual Process Model 1) loss-oriented response 2) restoration-oriented response
Klass, Silverman, & Nickman
Continuing Bond Model Bereavement, or grief, is never fully resolved. The focus should be on finding new ways to relate to the deceased. The griever maintains a continuing bond with the deceased. The meaning of the loss is negotiated and renegotiated over time.
Robert Neimeyer
Meaning-Making Model of Grief/Bereavement. Grieving is a process of meaning reconstruction. The best predictor of a positive adaptation to loss is the ability to find meaning in the loss. The unsuccessful struggle to find meaning can result in complicated forms of grief.
uncomplicated grief
normal grief natural response to the loss of a person or object Some emotions will always be present, but the intensity will change.
complicated grief
prolonged acute grief characterized by intensity of emotions and length of time The person’s responses are maladaptive, dysfunctional, unusually prolonged, or overwhelming
chronic grief
type of complicated grief begins as normal grief but continues long term, with little resolution of feelings and inability to rejoin normal life.
masked grief
type of complicated grief occurs when the person is grieving but expressing the grief through other types of behavior
displayed grief
type of complicated grief is grief that is put off until a later time
Disenfranchised Grief
experienced in connection with a loss that is not socially supported or acknowledged by the usual rites or ceremonies bereaved person lacks the familial or communal support that is helpful in grieving
Anticipatory Grief
experienced before a loss occurs A potential negative outcome of anticipatory grief is that the survivor may detach from the person too early in the dying process, leaving the person without emotional support during that period
