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Grief > Grief Notes 2 > Flashcards

Grief Notes 2 Flashcards

1
Q

Any grief extending over a long period of time without resolution is known as

A
  • Abnormal
  • Complicated
  • Unresolved
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2
Q

Types of complicated or abnormal or unresolved grief:

A
  1. Complicated (Chronic, Unresolved) grief
  2. Delayed grief
  3. Exaggerated grief
  4. Masked grief
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3
Q

Those suffering from chronic grief exhibit reactions that are excessive and extended in duration. The grief appears to never be resolved or come to a satisfactory conclusion.

A

Complicated (Chronic, Unresolved) grief

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4
Q

Suppressed and inhibited and postponed responses to a loss are characteristics of delayed grief.

A

Delayed Grief:

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5
Q

Person appears to be “overacting” to the death when they are suffering from exaggerated grief.

A

Exaggerated Grief

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6
Q

Someone suffering from masked grief experiences difficulty from symptoms and/or behaviors and make no connections to the loss of the loved one. Once discovered and discussed, improvement usually follows.

A

Masked Grief

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7
Q

Differences between Masked and Exaggerated Grief

  1. Exaggerated grief: the patient KNOWS the symptoms began around time of the death and are the results of the death experiences.
A

Differences between Masked and Exaggerated Grief

  1. Masked grief: the patient DOES NOT associate the symptoms they are experiencing with a death. Once the connection is made, usually there is improvement.
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8
Q

FACTORS THAT MAY COMPLICATE GRIEF

A
  1. Relational
  2. Circumstantial
  3. Historical
  4. Personality
  5. Social
  6. Concurrent Stresses
  7. Communication
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9
Q

Nature of the attachment: strength and security of the attachment, ambivalence in the relationship, conflicts with the deceased, dependent relationships

A

Relational

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10
Q

Mode of death: Natural (long or short duration), accidental, suicide, homicide

A

Circumstantial

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11
Q

Were there previous complicated grief reactions?

This is especially important when there were incidents of earlier death events.

A

Historical

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12
Q

Personality variables: age and gender of the survivor, person’s coping style, attachment style, cognitive style, self-esteem and person’s beliefs and values

A

Personality

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13
Q

Lacking a social support network contributes to complicated grief, especially if the death occurs as a result of a “socially unspeakable” cause.
Social variables: support availability, support satisfaction, social role involvements, religious resources and ethnic expectations

A

Social

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14
Q

What else is going on in the life of the person experiencing complicated grief?
Divorce?
Loss of job?
Problems with children?

A

Concurrent Stresses

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15
Q

Lack of communication certainly complicates grief. Families are stressed when communication is poor or non-existent with and/or about the deceased.

A

Communication

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16
Q

What does the funeral director do?

A
  1. The funeral director needs to be aware of these factors and how they may affect the grieving person.
  2. The funeral director must recognize these grief reactions may require a referral and the intervention of a certified grief counselor/therapist.
  3. Aftercare resource information can provide information about locally available certified personnel.
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17
Q

SPECIAL TYPES OF LOSSES:

A

SUICIDE
SUICIDAL GESTURE
SUICIDAL IDEATION

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18
Q

– a deliberate act of self destruction

A

SUICIDE

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19
Q

– unsuccessful suicide attempt

A

SUICIDAL GESTURE

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20
Q
  • thoughts about committing suicide
A

SUICIDAL IDEATION

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21
Q

studied thousands of cases of suicide to demonstrate his theory that a person commits suicide because of the influence of society. His theory on suicide includes four (4) types.

A

EMILE DURKHEIM

22
Q

4 TYPES OF SUICIDE (EMILE DURKHEIM)

A
  1. ANOMIC SUICIDE
  2. FATALISTIC SUICIDE
  3. ALTRUISTIC SUICIDE
  4. EGOISTIC SUICIDE
23
Q

when a person commits suicide during times of adverse conditions such as war or financial hardship, when rules of society don’t apply

A

ANOMIC SUICIDE

24
Q

because one feels over-regulated or over-controlled. They feel there is no other way out

A

FATALISTIC SUICIDE

25
Q

due to a high sense of group involvement or out of a sense of duty for a cause (suicide bombers)

A

ALTRUISTIC SUICIDE

26
Q

due to feelings of being a loner or feelings that one does not fit into society

A

EGOISTIC SUICIDE

27
Q

Term derived from the Greek words for “well/good” and “death”

A

EUTHANASIA

28
Q

– withholding of life sustaining drugs or treatment, such as kidney dialysis, from a patient who is terminally ill

A

PASSIVE EUTHANASIA

29
Q

– taking active measures, such as Dr. Kevorkian did, to end the life of a terminally ill patient

A

ACTIVE EUTHANASIA

30
Q

– historically an inn for travelers especially one kept by a religious order; also used to indicate a concept designed to treat patients with a life limiting condition, palliative case, keeping the patient comfortable versus curative case

A

HOSPICE

31
Q

CHILDREN AND GRIEF / CHILDREN AND DEATH (GROLLMAN??)

A CHILD UNDERSTANDING OF DEATH

A
  1. BIRTH – 3 YEARS – no comprehension
  2. 3 – 5 YEARS – unable to understand the finality of death; death is like sleep or like taking a long journey
  3. 5 – 9 YEARS – may understand that death is final but may not accept it as something that happens to everyone, often personify death
  4. 9+ YEARS – understands that death is final
32
Q 
EXPLAINING DEATH TO CHILDREN (BE SPECIFIC!):
WHAT NOT TO SAY:
•	Make believe stories
•	Something you wouldn’t believe
•	Mother has gone on a long journey
•	God took dad away
•	Presents are in heaven
•	Grandma is dead cause she was sick
•	To dies is to sleep
A

EXPLAINING DEATH TO CHILDREN (BE SPECIFIC!):

  • Share your own religious convictions
  • Speak in concrete terms rather than philosophical ones
  • Grant permission to cry or express feelings
  • Acknowledge when you do not know the answer
33
Q

CHILDREN ND FUNERALS:
The funeral is an important occasion in the life of the family. A child should have the same right as other members of the family to attend the funeral, offer his or her last respects and express love and devotion. Not only is it correct to permit a child to attend a funeral, but approximately the age of seven, a child should be encouraged to attend

A

GRIEF AND FAMILY SYSTEMS (WORDEN)

  1. Functional position or role the deceased played in the family?
  2. Emotional integration of the family
  3. How families facilitate or hinder emotional expression
34
Q

– the individual’s ability to adjust to the psychological and emotional changes brought on by a stressful event such as the death of a significant other

A

ADAPTATION

35
Q

– the feelings and their expression

A

AFFECT

36
Q

– a state of tension, typically characterized by rapid heartbeat, shortness of breath and other similar ramifications of arousal of the autonomic nervous system; and emotion characterized by a vague fear or premonition that something undesirable is going to happen

A

ANXIETY

37
Q

– grief extending over a long period of time without resolution

A

COMPLICATED GRIEF

38
Q

– a learned emotional response to death-related phenomenon which is characterized by extreme apprehension

A

DEATH ANXIETY

39
Q

– inhibited, suppressed or postponed response to a loss

A

DELAYED GRIEF REACTION

40
Q

– feelings such as happiness, anger or grief, created by brain patterns accompanied by bodily changes

A

EMOTIONS

41
Q

– strong emotion marked by such reactions as alarm, dread and disquieting

A

FEAR

42
Q

– the state of being prevented from attaining a purpose; thwarted; the blocking of the satisfaction of a perceived need by some kind of obstacle.

A

FRUSTRATION

43
Q

– historically an inn for travelers, especially one kept by a religious order; also used to indicate a concept designed to treat patients with a life-limiting condition

A

HOSPICE

44
Q

– occur when persons experience symptoms and behaviors which cause them difficulty but they do not see or recognize the fact that these are related to the loss

A

MASKED GRIEF

45
Q

– a strong emotion characterized by sudden and extreme fear

A

PANIC

46
Q

– a defense mechanism used in grief to return to more familiar and often more primitive modes of coping

A

REGRESSION

47
Q

– preoccupied and intense thoughts about the deceased

A

SEARCHING

48
Q

– the sudden and unexpected death of an apparently healthy7 infant, which remains unexplained after a complete autopsy and a review of the circumstances around the death

A

SUDDEN INFANT DEATH SYNDROME (S.I.D.S.)

49
Q

– a deliberate act of self destruction

A

SUICIDE

50
Q

– a conscious postponement of addressing anxieties and concerns

A

SUPPRESSION

Grief (7 decks)

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