Grief counseling Flashcards
What is the purpose and value of the funeral?
- It provides ceremonies that give expression to feelings
- It provides a framework for support
- Encourages the expression of feelings
- The funeral provides values to live by
What are the 7 phases of the helping process?
Phase 1: family and FD enter into a helping relationship
Phase 2: building of a helping relationship
Phase 3: exploration and assisting the family, understand alternatives
Phase 4: consolidation and planning
Phase 5: implementation and action
Phase 6: conclusions of the funeral process
Phase 7: post funeral follow up
Emotion or group of emotions that someone goes through at the time of loss
Grief
When the internal comes out; outward expression of loss
Mourning
Event of separation or loss that results in the experience of grief. Bereave actually means “torn away”
Bereavement
Psych counseling given by clergy members to help congregation members in times of problem or stress
Pastoral psych
Who wrote “The Many faces of Grief”
Edgar Jackson
What was the first pastoral psych book?
Understanding Grief
What are the four categories of loss?
- Loss of a significant person
-death, distance, divorce - Loss of part of self
-physical, mental, spiritual - External object
-theft, natural disaster - Developmental loss
-adult child move out, class of 2020
Affectional ties a person or animal forms between themselves and another. A time that binds them together in space and endures over time
Attachment
Tendency in humans/ animals to make strong affectional bonds fulfills the needs of safety and security
Attachment theory
Came up with attachment theory by studying WWII survival children
John Bowlby
What are the four fundamental attachment principals
- Forms early in life
- Directed to a few people
- Once a connection is formed in endures
- Not an exclusive human characteristic
What are the 5 stages of death and dying (grief?) and who came up with them?
Elizabeth Kubler-Ross
1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
Who developed grief work
-studied coconut grove fire (492 people died)
Erich Lindemann
Process of loosening the attachment for what was lost and looking to reinvest it
Grief work
What are the 5 grief syndromes?
- Somatic distress (bodily distress, nausea, panic attacks)
- Preoccupation with the deceased
- Emotion of guilt
- Hostile reactions
- The inability to function as one had before the loss
*6. Developing traits of the deceased
What are Worden’s four categories of normal grief
- Feelings
- Physical sensations
- Cognition
- Behaviors
What are examples of feelings in Worden’s four categories?
-Sadness
-Anger (anger outwards is blame, anger inward is depression)
-Guilt
-Anxiety
-Loneliness (elderly loosing their spouse is #1 feeling of loneliness)
-Fatigue
-Helplessness
-Shock
-Yearning
-Emancipation
-Relief
-Numbness
What are examples of physical sensations in Worden’s four categories?
-Hollowness in the stomach
-Tightness in chest/ throat (may hypervenitalte)
-Oversensitive to noise
-Sense of depersonalization
-Shortness of breath (anxiety)
-Weakness in muscle, actual decrease in blood flow
-Lack of energy
-Dry mouth
What are examples of cognition in Worden’s four categories?
-Disbelief
-Confusion
-Preoccupation
-Sense of presense
-Hallucinations
What are examples of behaviors in Worden’s four categories?
-Sleep disturbances
-apetite disturbances
-absentminded behaviors
-Treasuring deceased’s objects (linking objects)
-Visiting places or carrying object that reminds of deceased
Mood or emotional state marked by feelings of low self worth
-inability to enjoy life
-affects ability to feel happiness
Depression
What’s the criteria for diagnosing depression?
At least two weeks of symptoms
-Decreased interest in activity or interest level
-Mood and/or people taking notice of mood
-Change in eating or weight
-Change in sleeping habits
-Fatigue
-Trouble concentrating
-Repeat thoughts of death
-Loss of self worth/ esteem
How is depression treated?
-Medication
-talk based therapy
Fear of death
Thanatophobia