Final ch 17 grief

Question 1

actual loss

Answer 1

death of loved one / relationship theft deterioration destruction natural disaster hair loss during chemotherapy can be identified by others

Question 2

perceived

Answer 2

identified only by the person experiencing it internal woman with a sexually transmitted infection may perceive loss of her purity

Question 3

physical loss

Answer 3

injuries organ removal loss of function limb amputation hysterectomy paralysis

Question 4

psychological loss

Answer 4

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.

Question 5

external losses

Answer 5

are actual losses of objects that sentimental or monetary value jewelry home

Question 6

environmental loss

Answer 6

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

Question 7

loss of a significant relationship

Answer 7

actual loss of spouses, siblings, family members significant others through death, divorce, or separation

Question 8

grief

Answer 8

physical physiological & spiritual response to loss

Question 9

mourning

Answer 9

action associated with grief

Question 10

beravement

Answer 10

mourning & adjustment time following loss

Question 11

Although each person may express grief differently

Answer 11

some aspects of grief are shared by almost everyone.

Question 12

George Engel

Answer 12

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.

Question 13

John Bowlby

Answer 13

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.

Question 14

Theresa Rando 6R’s

Answer 14

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

Question 15

Theresa Rando Processes of Grieving

Answer 15

1) Avoidance (shock disbelief avoidance) 2) Confrontation (facing loss, emotional and upsetting time) 3) Accommodation (feeling better, live with loss, resume activities)

Question 16

William Worden

Answer 16

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

Question 17

Kubler-Ross

Answer 17

Five stages of grieving 1) denial 2) anger 3) bargaining 4) depression 5) acceptance

Question 18

Stroebe & Schut

Answer 18

Dual Process Model 1) loss-oriented response 2) restoration-oriented response

Question 19

Klass, Silverman, & Nickman

Answer 19

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.

Question 20

Robert Neimeyer

Answer 20

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.

Question 21

uncomplicated grief

Answer 21

normal grief natural response to the loss of a person or object Some emotions will always be present, but the intensity will change.

Question 22

complicated grief

Answer 22

prolonged acute grief characterized by intensity of emotions and length of time The person’s responses are maladaptive, dysfunctional, unusually prolonged, or overwhelming

Question 23

chronic grief

Answer 23

type of complicated grief begins as normal grief but continues long term, with little resolution of feelings and inability to rejoin normal life.

Question 24

masked grief

Answer 24

type of complicated grief occurs when the person is grieving but expressing the grief through other types of behavior

Question 25

displayed grief

Answer 25

type of complicated grief is grief that is put off until a later time

Question 26

Disenfranchised Grief

Answer 26

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

Question 27

Anticipatory Grief

Answer 27

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