Grief

Question 1

Stages of grief

Answer 1

Denial-anger-bargaining-depression-acceptance

Question 2

Delayed grief

Answer 2

Avoidance of painful symptoms within 2 weeks of loss

Question 3

Chronic grief

Answer 3

Absence of expected grief symptoms at any stageContinued significant grief related symptoms 6 months after loss

Question 4

Grief and depression

Answer 4

Features useful for distinguishing normal grief from major depression include:-

Generalised guilt (rather than guilt specifically related to actions taken around the time of death.
Thoughts of death (except in relation to the deceased)
Feeling worthless
Psychomotor retardation
Prolonged functional impairment
Hallucinations (except in relation to the deceased)

Question 5

Institutional neurosis

Answer 5

The term ‘institutional neurosis’ was coined by Barton in 1960.

He refered to institutionalisation as a disease characterised by the following:

apathy
lack of initiative
loss of interest in all but the mundane
submissiveness to authority and sometimes no expression of feelings of resentment at harsh or unfair orders
lack of interest in the future and an apparent inability to make practical plans for it
a deterioration in personal habits, toilet, and standards generally
a loss of individuality
resigned acceptance that things will go on as they are unchangingly, inevitably and indefinitely