Psychology Clinical Psychology

Grief, Bereavement, and Mental Health

Description

This cluster of papers focuses on the psychological impact of bereavement and grief, particularly on complicated grief, prolonged grief disorder, and traumatic grief. It explores the prevalence, predictors, treatment, and long-term effects of complicated grief, as well as the resilience and mental health outcomes of individuals experiencing bereavement. The cluster also delves into the unique challenges of suicide bereavement and parental loss.

Keywords

Complicated Grief; Bereavement; Prolonged Grief Disorder; Mental Health; Traumatic Grief; Psychological Impact; Treatment; Resilience; Suicide Bereavement; Parental Loss

Debunking the notion that an invariant sequence of stages of grief occurs among all who experience the death of a loved one, this groundbreaking volume clearly demonstrates that highly individual … Debunking the notion that an invariant sequence of stages of grief occurs among all who experience the death of a loved one, this groundbreaking volume clearly demonstrates that highly individual processes of meaning-making are at the heart of grief dynamics. Leading the reader through earlier conceptions of grief and mourning in which successful grieving is viewed as withdrawal of psychic energy from the deceased, the healthy role of continued symbolic bonds is stressed as well as appreciation of life-enhancing growth as one integrates the lessons of loss. A prominent theme in the volume is that symptoms in the bereaved have meaning-making significance, and that meaning reconstruction in response to loss is the central process in grieving. More scientifically oriented readers will find comprehensive discussions of research programmes supporting these tenets, particularly those linking grief with responses to loss involved in trauma. Practitioners will find clinically informed models and ample case descriptions to bridge concepts with the lived world of real people suffering real losses. All should find new paradigms for approaching loss and reconstruction of meaning in a respectful, revealing way that has significance both personally and professionally.
*Professor of Epidemiology (Sociology), Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill, N. C. † Professor of Epidemiology and Chairman, Department of Epidemiology, School of … *Professor of Epidemiology (Sociology), Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill, N. C. † Professor of Epidemiology and Chairman, Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill, N. C. ‡ Assistant Professor of Sociology, Department of Sociology, University of Massachusetts, Boston, Mass.
Conducted a cross-validational study on the Impact of Event Scale (IES), a self-report instrument assessing the essential characteristics associated with stress disorders. 35 bereaved outpatients completed the IES before entering … Conducted a cross-validational study on the Impact of Event Scale (IES), a self-report instrument assessing the essential characteristics associated with stress disorders. 35 bereaved outpatients completed the IES before entering time-limited dynamic psychotherapy and at 4 and 12 mo following termination. A further 28 Ss, not participating in therapy, completed the measure at similar intervals. Results confirm the scale's relevance, internal consistency, and sensitivity. In addition, data are interpreted as consistent with a clinically derived theoretical model of the pattern of response to serious life events. As predicted by the theory, the syndromatic group showed greater intensity of intrusive and avoidance states; the relevant salience of reported experience was similar across groups; and the syndromatic group before intervention was characterized by an absence of a movement toward completion of processing the meaning of the event. (11 ref) (PsycINFO Database Record (c) 2012 APA, all rights reserved)
1. Living with Death. 2. Bidding for Immortality. 3. The Selfish Species. 4. Modernity, or Deconstructing Mortality. 5. Postmodernity, or Deconstructing Immortality. Postscript: To Die For... or Death and Morality. … 1. Living with Death. 2. Bidding for Immortality. 3. The Selfish Species. 4. Modernity, or Deconstructing Mortality. 5. Postmodernity, or Deconstructing Immortality. Postscript: To Die For... or Death and Morality. About This Book. References.
A rich and full exploration of the myriad of instances where a mourner is deprived of the catharsis shared grief brings. Provides numerous interventions designed to help patients recognize and … A rich and full exploration of the myriad of instances where a mourner is deprived of the catharsis shared grief brings. Provides numerous interventions designed to help patients recognize and explore their loss, and find meaningful and appropriate ways to resolve their grief.
There are shortcomings in traditional theorizing about effective ways of coping with bereavement, most notably, with respect to the so-called "grief work hypothesis." Criticisms include imprecise definition, failure to represent … There are shortcomings in traditional theorizing about effective ways of coping with bereavement, most notably, with respect to the so-called "grief work hypothesis." Criticisms include imprecise definition, failure to represent dynamic processing that is characteristic of grieving, lack of empirical evidence and validation across cultures and historical periods, and a limited focus on intrapersonal processes and on health outcomes. Therefore, a revised model of coping with bereavement, the dual process model, is proposed. This model identifies two types of stressors, loss- and restoration-oriented, and a dynamic, regulatory coping process of oscillation, whereby the grieving individual at times confronts, at other times avoids, the different tasks of grieving. This model proposes that adaptive coping is composed of confrontation--avoidance of loss and restoration stressors. It also argues the need for dosage of grieving, that is, the need to take respite from dealing with either of these stressors, as an integral part of adaptive coping. Empirical research to support this conceptualization is discussed, and the model's relevance to the examination of complicated grief, analysis of subgroup phenomena, as well as interpersonal coping processes, is described.
Bereavement is a severe stressor that typically incites painful and debilitating symptoms of acute grief that commonly progresses to restoration of a satisfactory, if changed, life. Normally, grief does not … Bereavement is a severe stressor that typically incites painful and debilitating symptoms of acute grief that commonly progresses to restoration of a satisfactory, if changed, life. Normally, grief does not need clinical intervention. However, sometimes acute grief can gain a foothold and become a chronic debilitating condition called complicated grief. Moreover, the stress caused by bereavement, like other stressors, can increase the likelihood of onset or worsening of other physical or mental disorders. Hence, some bereaved people need to be diagnosed and treated. A clinician evaluating a bereaved person is at risk for both over-and under-diagnosis, either pathologizing a normal condition or neglecting to treat an impairing disorder. The authors of DSM IV focused primarily on the problem of over-diagnosis, and omitted complicated grief because of insufficient evidence. We revisit bereavement considerations in light of new research findings. This article focuses primarily on a discussion of possible inclusion of a new diagnosis and dimensional assessment of complicated grief. We also discuss modifications in the bereavement V code and refinement of bereavement exclusions in major depression and other disorders.
Feelings that life is not worth living and thoughts of suicide are common in psychiatric patients, particularly in depressives (Beck, 1967). Very little information is available, however, regarding the occurrence … Feelings that life is not worth living and thoughts of suicide are common in psychiatric patients, particularly in depressives (Beck, 1967). Very little information is available, however, regarding the occurrence of suicidal feelings in the general population. In contrast, the epidemiology of completed suicide has received extensive study (Dublin, 1963), and there have been some epidemiological studies of attempted suicide (Shneidman and Farberow, 1961; Mintz, 1964; Parkin and Stengel, 1965). However, this information cannot automatically be generalized to suicidal feelings. It has been emphasized in recent years that suicidal phenomena are diverse, and that completed suicide, suicidal attempts, and suicidal feelings should not be equated (Stengel and Cook, 1958; Neuringer, 1962).
In a survey of a random sample of the general population recent life events, collected and rated for long-term contextual threat according to the methods of Brown & Harris (1978), … In a survey of a random sample of the general population recent life events, collected and rated for long-term contextual threat according to the methods of Brown & Harris (1978), were also recorded where possible on an inventory of life event categories (Tennant & Andrews, 1977). Of the 82.5% of all events collected which were covered by the inventory, 12 of the 67 event categories accounted for 77% of life events with an aetiologicaly significant rating of marked or moderate long-term threat. Where practical and economic constraints oblige research workers to choose the inventory method, a brief list of event categories, such as the List of Threatening Experiences, is recommended in preference to much longer lists.
Bereavement is a universal experience, and its association with excess morbidity and mortality is well established. Nevertheless, grief becomes a serious health concern for a relative few. For such individuals, … Bereavement is a universal experience, and its association with excess morbidity and mortality is well established. Nevertheless, grief becomes a serious health concern for a relative few. For such individuals, intense grief persists, is distressing and disabling, and may meet criteria as a distinct mental disorder. At present, grief is not recognized as a mental disorder in the DSM-IV or ICD-10. The goal of this study was to determine the psychometric validity of criteria for prolonged grief disorder (PGD) to enhance the detection and potential treatment of bereaved individuals at heightened risk of persistent distress and dysfunction.
Complicated grief is a debilitating disorder associated with important negative health consequences, but the results of existing treatments for it have been disappointing.To compare the efficacy of a novel approach, … Complicated grief is a debilitating disorder associated with important negative health consequences, but the results of existing treatments for it have been disappointing.To compare the efficacy of a novel approach, complicated grief treatment, with a standard psychotherapy (interpersonal psychotherapy).Two-cell, prospective, randomized controlled clinical trial, stratified by manner of death of loved one and treatment site.A university-based psychiatric research clinic as well as a satellite clinic in a low-income African American community between April 2001 and April 2004.A total of 83 women and 12 men aged 18 to 85 years recruited through professional referral, self-referral, and media announcements who met criteria for complicated grief.Participants were randomly assigned to receive interpersonal psychotherapy (n = 46) or complicated grief treatment (n = 49); both were administered in 16 sessions during an average interval of 19 weeks per participant.Treatment response, defined either as independent evaluator-rated Clinical Global Improvement score of 1 or 2 or as time to a 20-point or better improvement in the self-reported Inventory of Complicated Grief.Both treatments produced improvement in complicated grief symptoms. The response rate was greater for complicated grief treatment (51%) than for interpersonal psychotherapy (28%; P = .02) and time to response was faster for complicated grief treatment (P = .02). The number needed to treat was 4.3.Complicated grief treatment is an improved treatment over interpersonal psychotherapy, showing higher response rates and faster time to response.
Acknowledgments Contributors Preface PART ONE: Examining the Dominant Model Chapter 1 Introduction: What's the Problem?, Phyllis R. Silverman and Dennis Klass PART TWO: Setting the Stage Chapter 2 Broken Hearts … Acknowledgments Contributors Preface PART ONE: Examining the Dominant Model Chapter 1 Introduction: What's the Problem?, Phyllis R. Silverman and Dennis Klass PART TWO: Setting the Stage Chapter 2 Broken Hearts or Broken Bonds?, Margaret Stroebe, Mary Gergen, Kenneth Gergen and Wolfgang Stroebe Chapter 3 Grief That Does Not End, Paul C. Rosenblatt Chapter 4 Grief in an Eastern Culture: Japanese Ancestor Worship,Dennis Klass PART THREE: Bereaved Child Chapter 5 Children's Construction of Their Dead Parents, Phyllis R. Silverman and Steven L. Nickman Chapter 6 Bereaved Children's Changing Relationships with the Deceased, Claude L. Normand, Phyllis R. Silverman and Steven L. Nickman Chapter 7 Remembering a Parent Who Has Died: A Developmental Perspective, Betty C. Buchsbaum Chapter 8 Relationship and Heritage: Manifestations of Ongoing Attachment Following Father Death, Kirsten Tyson-Rawson PART FOUR: Spousal Bereavement Chapter 9 Widowhood and Husband Sanctification, Helena Znaniecka Lopata Chapter 10 Remarriage of Widowed Persons: A Triadic Relationship, Miriam S. Moss and Sidney Z. Moss Chapter 11 Memories of the Death and Life of a Spouse: The Role of Images and Sense of Presence in Grief, Roberta Dew Conant PART FIVE: Parental Bereavement Chapter 12 The Deceased Child in the Psychic and Social Worlds of Bereaved Parents During the Resolution of Grief, Dennis Klass Chapter 13 The Wounded Family: Bereaved Parents and the Impact of Adult Child Loss, Simon Shimshon Rubin PART SIX: Bereaved Siblings Chapter 14 Basic Constructs of a Theory of Adolescent Sibling Bereavement, Nancy Hogan and Lydia DeSantis PART SEVEN: Adoptee Losses Chapter 15 Retroactive Loss in Adopted Persons, Steven Nickman Chapter 16 Grief and the Birth Origin Fantasies of Adopted Women, Susan Miller-Havens PART EIGHT: Meanings and Implications Chapter 17 Grief and the Role of the Inner Representation of the Deceased, Samuel J. Marwit and Dennis Klass Chapter 18 Attachment and the Reactions of Bereaved College Students: A Longitudinal Study, David E. Balk Chapter 19 Dilemmas in Identification for the Post-Nazi Generation: My Good Father Was a Bad Man?, Lora Heims Tessman PART NINE: Conclusion Chapter 20 Concluding Thoughts, Phyllis R. Silverman and Steven L. Nickman Index
The Dual Process Model of Coping with Bereavement (DPM; Stroebe & Schut, 1999) is described in this article. The rationale is given as to why this model was deemed necessary … The Dual Process Model of Coping with Bereavement (DPM; Stroebe & Schut, 1999) is described in this article. The rationale is given as to why this model was deemed necessary and how it was designed to overcome limitations of earlier models of adaptive coping with loss. Although building on earlier theoretical formulations, it contrasts with other models along a number of dimensions which are outlined. In addition to describing the basic parameters of the DPM, theoretical and empirical developments that have taken place since the original publication of the model are summarized. Guidelines for future research are given focusing on principles that should be followed to put the model to stringent empirical test.
Drawing from theory and clinical lore, we consider how individuals are assumed to cope following irrevocable loss. Several assumptions are reviewed reflecting beliefs concerning the grieving process. Specifically, we examine … Drawing from theory and clinical lore, we consider how individuals are assumed to cope following irrevocable loss. Several assumptions are reviewed reflecting beliefs concerning the grieving process. Specifically, we examine the expectation that depression is inevitable following loss; that distress is necessary, and failure to experience it is indicative of pathology; that it is necessary to "work through" or process a loss; and that recovery and resolution are to be expected following loss. Although limited research has examined these assumptions systematically, available empirical work fails to support and in some cases contradicts them. Implications of our analysis for theoretical development and research are explored. Finally, we maintain that mistaken assumptions held about the process of coping with loss fail to acknowledge the variability that exists in response to loss, and may lead others to respond to those who have endured loss in ways that are unhelpful.
Journal Article PSYCHOSOCIAL ASSETS, LIFE CRISIS AND THE PROGNOSIS OF PREGNANCY Get access KATHERINE B. NUCKOLLS, KATHERINE B. NUCKOLLS 3 3Reprint requests to Dr. Nuckolls at present address: School of … Journal Article PSYCHOSOCIAL ASSETS, LIFE CRISIS AND THE PROGNOSIS OF PREGNANCY Get access KATHERINE B. NUCKOLLS, KATHERINE B. NUCKOLLS 3 3Reprint requests to Dr. Nuckolls at present address: School of Nursing, Yale University, 333 Cedar St., New Haven, Conn. 06510. Search for other works by this author on: Oxford Academic PubMed Google Scholar JOHN CASSEL, JOHN CASSEL Search for other works by this author on: Oxford Academic PubMed Google Scholar BERTON H. KAPLAN BERTON H. KAPLAN Search for other works by this author on: Oxford Academic PubMed Google Scholar American Journal of Epidemiology, Volume 95, Issue 5, May 1972, Pages 431–441, https://doi.org/10.1093/oxfordjournals.aje.a121410 Published: 01 May 1972 Article history Received: 22 November 1971 Published: 01 May 1972
Aris traces Western man's attitudes toward mortality from the early medieval conception of death as the familiar collective destiny of the human race to the modern tendency, so pronounced in … Aris traces Western man's attitudes toward mortality from the early medieval conception of death as the familiar collective destiny of the human race to the modern tendency, so pronounced in industrial societies, to hide death as if it were an embarrassing family secret. -- Newsweek
• This article reviews the evidence for differing rates of depression between the sexes in the United States and elsewhere during the last 40 years, and then critically analyzes the … • This article reviews the evidence for differing rates of depression between the sexes in the United States and elsewhere during the last 40 years, and then critically analyzes the various explanations offered. These explanations include the possibility that the trends are spurious because of artifacts produced by methods of reporting symptoms, or that they are real because of biological susceptibility (possibly genetic or female endocrine), psychosocial factors such as social discrimination, or female-learned helplessness.
This study sought to determine whether a set of symptoms interpreted as complicated grief could be identified and distinguished from bereavement-related depression and whether the presence of complicated grief would … This study sought to determine whether a set of symptoms interpreted as complicated grief could be identified and distinguished from bereavement-related depression and whether the presence of complicated grief would predict enduring functional impairments.Data were derived from a study group of 82 recently widowed elderly individuals recruited for an investigation of physiological changes in bereaved persons. Baseline data were collected 3-6 months after the deaths of the subjects' spouses, and follow-up data were collected from 56 of the subjects 18 months after the baseline assessments. Candidate items for assessing complicated grief came from a variety of scales used to evaluate emotional functioning (e.g., the Hamilton Depression Rating Scale, the Brief Symptom Inventory). The outcome variables measured were global functioning, medical illness burden, sleep, mood, self-esteem, and anxiety.A principal-components analysis conducted on intake data (N = 82) revealed a complicated grief factor and a bereavement-depression factor. Seven symptoms constituted complicated grief: searching, yearning, preoccupation with thoughts of the deceased, crying, disbelief regarding the death, feeling stunned by the death, and lack of acceptance of the death. Baseline complicated grief scores were significantly associated with impairments in global functioning, mood, sleep, and self-esteem in the 56 subjects available for follow-up.The symptoms of complicated grief may be distinct from depressive symptoms and appear to be associated with enduring functional impairments. The symptoms of complicated grief, therefore, appear to define a unique disorder deserving of specialized treatment.
Background:The Religious Orders Study and Rush Memory and Aging Project are both ongoing longitudinal clinical-pathologic cohort studies of aging and Alzheimer's disease (AD). Objectives:To summarize progress over the past five … Background:The Religious Orders Study and Rush Memory and Aging Project are both ongoing longitudinal clinical-pathologic cohort studies of aging and Alzheimer's disease (AD). Objectives:To summarize progress over the past five years and its implications for understanding neurodegenerative diseases . Methods:Participants in both studies are older adults who enroll without dementia and agree to detailed longitudinal clinical evaluations and organ donation. The last review summarized findings through the end of 2011. Here we summarize progress and study findings over the past five years and discuss new directions for how these studies can inform on aging and AD in the future. Results:We summarize 1) findings on the relation of neurobiology to clinical AD; 2) neurobiologic pathways linking risk factors to clinical AD; 3) non-cognitive AD phenotypes including motor function and decision making; 4) the development of a novel drug discovery platform. Conclusion:Complexity at multiple levels needs to be understood and overcome to develop effective treatments and preventions for cognitive decline and AD dementia.
New research continues to challenge our assumptions about the fundamental nature and course of grief: its roots in our biology, our emotions, and our social interactions. The of Bereavement Research … New research continues to challenge our assumptions about the fundamental nature and course of grief: its roots in our biology, our emotions, and our social interactions. The of Bereavement Research provides a broad view of diverse contemporary approaches to bereavement, examining both normal adaptation and complicated manifestations of grief. In this volume, leading interdisciplinary scholars focus on three important themes in bereavement research: consequences, coping and care. In exploring the consequences of bereavement, authors examine developmental factors that influence grief both for the individual and the family at different phases of the life cycle. In exploring coping, they describe exciting new empirical studies about how people can and do cope with grief, without professional intervention. People do not grieve alone, so chapters on coping present new ways to understand grief at an interpersonal level as well. Until recently, intervention for the bereaved has not been scientifically guided and has become the subject of challenging differences of opinion and approach. Chapters in the care section of the volume critically examine interventions to date and provide guidance for assessment and more empirically guided treatment strategies. The Handbook provides an up-to-date comprehensive review of scientific knowledge about bereavement in an authoritative yet accessible way that should be useful reading for researchers, practitioners and health care professionals in the 21st century.

Impotence

1993-07-07
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Frozen sadness - what we have when we cannot really know what we have lost. This is what Pauline Boss illuminates, and helps to ease. It could be a loved … Frozen sadness - what we have when we cannot really know what we have lost. This is what Pauline Boss illuminates, and helps to ease. It could be a loved one still alive yet lost to a person: a soldier son missing in action, or a constantly travelling spouse. In another kind of ambiguous loss, the loved one may be physically present but beyond a person's reach - such as someone with Alzheimer's disease.
It is a classical anthropological paradox that symbols of rebirth and fertility are frequently found in funerary rituals throughout the world. The original essays collected here re-examine this phenomenon through … It is a classical anthropological paradox that symbols of rebirth and fertility are frequently found in funerary rituals throughout the world. The original essays collected here re-examine this phenomenon through insights from China, India, New Guinea, Latin America, and Africa. The contributors, each a specialist in one of these areas, have worked in close collaboration to produce a genuinely innovative theoretical approach to the study of the symbolism surrounding death, an outline of which is provided in an important introduction by the editors. The major concern of the volume is the way in which funerary rituals dramatically transform the image of life as a dialectic flux involving exchange and transaction, marriage and procreation, into an image of a still, transcendental order in which oppositions such as those between self and other, wife-giver and wife-taker, Brahmin and untouchable, birth and therefore death have been abolished. This transformation often involves a general devaluation of biology, and, particularly, of sexuality, which is contrasted with a more spiritual and controlled source of life. The role of women, who are frequently associated with biological processes, mourning and death pollution, is often predominant in funerary rituals, and in examining this book makes a further contribution to the understanding of the symbolism of gender. The death rituals and the symbolism of rebirth are also analysed in the context of the political processes of the different societies considered, and it is argued that social order and political organisation may be legitimated through an exploitation of the emotions and biology.
Euthanasia and physician-assisted suicide have become prominent medical and social issues. This study investigated the prevalence of the desire for death in terminally ill patients, the stability of this desire … Euthanasia and physician-assisted suicide have become prominent medical and social issues. This study investigated the prevalence of the desire for death in terminally ill patients, the stability of this desire over time, and its association with psychiatric disorders.Two hundred terminally ill inpatients were given semistructured interviews that assessed their desire for death and evaluated them for major and minor depressive episodes according to the Research Diagnostic Criteria. Each patient also completed a short form of the Beck Depression Inventory and provided ratings of pain and social support. When possible, patients who expressed a desire for death received a follow-up interview after a 2-week interval.Although occasional wishes that death would come soon were common (reported by 44.5% of the patients), only 17 (8.5%) of these individuals acknowledged a serious and pervasive desire to die. The desire for death was correlated with ratings of pain and low family support but most significantly with measures of depression. The prevalence of diagnosed depressive syndromes was 58.8% among patients with a desire to die and 7.7% among patients without such a desire. Follow-up interviews were conducted with six patients; in four cases, the desire to die had decreased during the 2-week interval.The desire for death in terminally ill patients is closely associated with clinical depression--a potentially treatable condition--and can also decrease over time. Informed debate about euthanasia should recognize the importance of psychiatric considerations, as well as the inherent transience of many patients' expressed desire to die.
Abstract Background The eleventh revision of the International Classification of Diseases (ICD-11) introduces Prolonged Grief Disorder (PGD) as a new diagnostic category. This paper summarizes methodological approaches and prevalence estimates … Abstract Background The eleventh revision of the International Classification of Diseases (ICD-11) introduces Prolonged Grief Disorder (PGD) as a new diagnostic category. This paper summarizes methodological approaches and prevalence estimates of studies on PGD in ICD-11. Methods This review follows the JBI Manual of Evidence Synthesis and PRISMA-ScR guidelines. We searched MEDLINE, Embase, Web of Science, and PsycINFO (2011–2024), along with grey literature sources (Web of Science, Science.gov, NDLTD Global ETD Search). Included studies were cross-sectional or longitudinal, evaluating PGD prevalence using ICD-11 criteria. Two reviewers (KN, SK) independently screened studies, with a third (SG) resolving disagreements. Methodological quality was not assessed. Data extraction covered bibliographic details, study period, location, sample characteristics, diagnostic tools, algorithms, and prevalence. Results Of 124 screened records, 35 studies were included in a qualitative synthesis. Seven main study categories emerged, primarily bereaved adults and representative national samples. Of 46 study samples, 24 were from Europe, followed by North America ( n = 10) and Asia ( n = 5), with none from South America. The PG-13 was the most commonly used tool, often omitting and raising ICD-11 PGD criteria simultaneously. ICD-11 PGD prevalence ranged from 1.5 to 15.3% in bereaved adults and 9.9–11.4% in national samples. Conclusions Findings reveal heterogeneous study populations but limited geographic diversity. Standardized PGD assessments aligned with ICD-11 criteria, using tools specifically designed for ICD-11, along with detailed sample reporting, are needed to improve study comparability and consistency of prevalence. Important gaps by geographical and demographic groups remain.
The purpose of the present article is to describe and demonstrate the principles of multi-module and short-term intervention for traumatic bereavement. This intervention program is based on the Two-Track Model … The purpose of the present article is to describe and demonstrate the principles of multi-module and short-term intervention for traumatic bereavement. This intervention program is based on the Two-Track Model of Loss and Bereavement (TTMB), a model that provides a multidimensional framework for assessing and formulating interventions following interpersonal loss. Following a brief introduction to the topic of traumatic loss and bereavement and its relevance, we proceed to consider the TTMB succinctly. This is followed by its application in a multi-module approach to intervention which illustrates the potential for a variety of clinical approaches to be utilized. The intervention approaches included - the psychodynamic, cognitive-behavioral, and strategic - demonstrate how the therapists' personal orientations are conceptualized as modules for structuring treatment. These modules can be combined depending on the needs of the client, the goals of the treatment and the orientation of the therapist. Subsequently, three stages of the intervention and their main themes are described: (a) assessment, establishment of the therapeutic alliance, and determination of shared goals; (b) a mixed "modular" intervention adapted to the foci of treatment; and (c) preparation for termination and separation. Following this, the article turns to a case vignette and the subsequent intervention to illustrate the application of the principles of the multi-module intervention paradigm described herein.
While family caregiving can be a rewarding experience, caregivers can be predisposed to greater post-loss psychological distress. This study examined the effect of positive experiences of caregiving on post-loss depressive … While family caregiving can be a rewarding experience, caregivers can be predisposed to greater post-loss psychological distress. This study examined the effect of positive experiences of caregiving on post-loss depressive symptoms and prolonged grief symptoms among bereaved caregivers of older adults. It also tested for the moderating effect of positive experiences of caregiving on the relationship of pre-loss depressive symptoms with both post-loss outcomes. Data were collected from 42 caregivers interviewed before and after the death of the older care recipients, using measures for depressive symptoms, prolonged grief disorder (post-loss), and positive experiences of caregiving (pre-loss). Multivariable linear regression indicated that more positive experiences of caregiving were associated with higher post-loss depressive symptoms and prolonged grief symptoms. More positive experiences of caregiving also strengthened the detrimental association of pre-loss depressive symptoms with prolonged grief symptoms. Caregivers with more positive experiences of caregiving may be vulnerable to elevated post-loss psychological distress. Healthcare providers and social workers should not assume that caregivers with positive experiences are coping well with bereavement and ensure that they receive adequate mental health support.
This qualitative phenomenological study aimed to explore the mourning rituals and meaning-making processes of women who experienced perinatal loss, focusing on how cultural, emotional, and social contexts shape their experiences. … This qualitative phenomenological study aimed to explore the mourning rituals and meaning-making processes of women who experienced perinatal loss, focusing on how cultural, emotional, and social contexts shape their experiences. Conducted between January-March 2025, the study involved eight women who were interviewed shortly after delivery and again via online platforms after the 42nd postpartum day. Data were collected using a semi-structured interview form and analyzed through content analysis. Three main themes emerged: "Perception of Loss Experience", "Cultural, Religious and Personal Rituals in the Mourning Process" and "Coping Resources and Support Mechanisms". Participants described engaging in traditional rituals such as condolences, prayers, and grave visits, as well as personal rituals like keeping items belonging to their babies. These rituals served as emotional anchors in their grieving process. The findings highlight the critical role of cultural, religious, and personal elements in shaping how women understand and cope with perinatal loss, underlining their importance in emotional healing.
Objective Giving birth is a significant, life-transforming event that leaves lifelong memories. Although it is commonly seen as a beautiful and empowering experience, it can nevertheless also be traumatic and … Objective Giving birth is a significant, life-transforming event that leaves lifelong memories. Although it is commonly seen as a beautiful and empowering experience, it can nevertheless also be traumatic and cause long-term psychological problems. Birth trauma, which arises from experiences during labour and birth, is gaining wider attention as a potential clinical issue. Our study aimed to categorize and describe qualitative data from women seeking assistance at a psychological birth trauma clinic. Methods The study focused on analysing qualitative data from a psychological birth trauma clinic to understand women's perspectives and experiences. Thematic analysis was used for its flexibility and reliability. Out of 121 cases, 43 were excluded, resulting in 78 women included in the study. Results This study identified three main themes: personal failure, failure of others, and threat to life; along with several sub-themes. These themes and sub-themes reflected the perspectives and experiences of the women in the study regarding their birth trauma experiences. Conclusion This study emphasises the need for proactive measures to address childbirth trauma effectively, and advocates for Trauma Informed Care which promotes woman-centred practises to improve quality of care and health service delivery.
Context: Following the enactment of laws permitting assisted suicide (AS) in Switzerland in 1942, there has been a gradual shift in societal perceptions of this practice from opposition to acceptance. … Context: Following the enactment of laws permitting assisted suicide (AS) in Switzerland in 1942, there has been a gradual shift in societal perceptions of this practice from opposition to acceptance. This transformation involves the changing dynamics between palliative care and assisted dying. Objective: The main research question seeks to address how these changes affect families and professionals involved in the process of assisted suicide in Switzerland. This analysis examines demographic shifts, including age and religiosity, as well as the experiences of families and professionals involved in the process, which shape perspectives on AS. Method: Primary data were collected and analyzed along with secondary data. Primary data included 3 formal interviews and 2 informal interviews. Secondary data included a critical analysis of systematic reviews and original journal articles. Results: Palliative care and assisted suicide have reached a stage of mutual respect marked by collaborative efforts across professional fields and growing social acceptance. Demographic, experience-related, and religious ideological factors may continue to shape individual perspectives on AS, but religiosity is no longer as powerful as it was in the past. Palliative care physicians have adopted a more neutral stance toward AS, in contrast to past opposition. Family members are increasingly willing to discuss their experiences with AS and convey appreciation for organizations that facilitate AS. Conclusion: The change in public attitude and perception regarding assisted suicide has contributed to more positive experiences among both families and professionals engaged in AS practices. Recognition and advocacy from families and healthcare professionals have also progressively influenced public opinion, fostering a more accepting perspective toward AS in Switzerland.
Since the late 1960s, there has been substantial research on Holocaust survivors' descendants (children and grandchildren) regarding intergenerational transmission of the survivors' trauma. This research has had complex results that … Since the late 1960s, there has been substantial research on Holocaust survivors' descendants (children and grandchildren) regarding intergenerational transmission of the survivors' trauma. This research has had complex results that show the need for further examination under stressful conditions. The current research seeks to determine whether the terror attack on Israel on October 7, 2023, had a disproportionate effect on the well-being of grandchildren of Holocaust survivors (GHS). Participants were 299 Jewish-Israeli adults, 44.6% of whom were GHS and 54.4% of whom had no Holocaust family background (non-GHS). Participants completed self-report questionnaires in two phases. First, they completed the Mental Health Continuum Short Form. Then they were asked to listen to a certain Israeli song that had become a prayer and hope for the hostages coming back home and to fill out the Positive and Negative Affect Schedule. The GHS participants reported lower psychological and social well-being and lower positive affect during exposure to the song than non-GHS participants. The current findings suggest that the Holocaust trauma experienced by survivors might transfer to their grandchildren, especially when the grandchildren are challenged by life-threatening situations that are reminiscent of their grandparents' Holocaust trauma and that might activate that trauma. Hence, appropriate health policy decisions need to be made regarding better psychological support for grandchildren of Holocaust survivors during perceived and actual collective life-threatening events. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
Background: A strong social safety net may play a key role in protecting people from developing prolonged grief disorder (PGD) after a traumatic loss. This has mainly been investigated cross-sectionally, … Background: A strong social safety net may play a key role in protecting people from developing prolonged grief disorder (PGD) after a traumatic loss. This has mainly been investigated cross-sectionally, whereby people usually report on their social life and PGD reactions during the past month. However, retrospectively recalling experiences is prone to recall bias.Objective: As such, we investigated the associations between pleasantness of social interactions and PGD reactions in traumatically bereaved people using Ecological Momentary Assessment (EMA).Methods: People whose loved one died due to homicide, suicide, or accident at least 12 months earlier (N = 36, 78% women, Mage = 56, 47% met PGD criteria) received smartphone-based surveys five times per day for two weeks. Surveys included questions about PGD intensity (e.g. 'In the past 3 hours, did you yearn for your loved one?' 0 = not at all, 6 = extremely) and their quality of social life (e.g. 'In the past 3 hours, how did you find being with others?' 0 = very unpleasant, 6 = very pleasant). Linear mixed models were used.Results: Based on 2520 measurement occasions, we found that when a person enjoyed their social life more than usual, they grieved less (B = -0.141, SE = 0.020, p < .001). However, whether a person's social life was more or less pleasant than their peers was not related to their PGD levels.Conclusions: This EMA study highlights the importance of accounting for individual variability in grief reactions after loss and highlights the potential utility of strengthening one's social safety net as a way to reduce the burden of PGD.
The experiences and meanings assigned to pregnancy loss are deeply influenced and shaped by the socio-cultural context of affected women. However, very limited studies have examined the influence of cultural … The experiences and meanings assigned to pregnancy loss are deeply influenced and shaped by the socio-cultural context of affected women. However, very limited studies have examined the influence of cultural norms and beliefs on how Black women make sense of pregnancy loss from a Canadian context. This study explored ways cultural norms and beliefs influenced Black Canadian women's journey after pregnancy loss. An exploratory qualitative design was used as part of a larger study exploring the experiences of Black Canadian women following a pregnancy loss. We used purposive and snowball sampling to recruit 32 Black Canadian women with lived experiences of pregnancy loss. Semi-structured interviews were conducted, and thematic analysis was used to organize the data into meaningful themes. Five themes shedding light on the experiences of Black Canadian women were identified: (i) living with the stigma, (ii) grappling with the silence, (iii) enduring the shame, (iv) dealing with the stereotype, and (v) calling for awareness. These experiences impeded emotional healing, access to community support, and reintegration into family and community. Participants also called for greater awareness to address the cultural myths and misconceptions surrounding pregnancy loss. The findings underscore the need to create a culturally sensitive awareness campaign to foster greater understanding about the causes of pregnancy loss, reduce the stigma associated with the experience, and facilitate open dialogue. Such actions will contribute to normalizing the experiences of pregnancy loss and increase access to community and social support.
Abstract Digital “resurrection” of the dead has become more of a reality in the last few years due to the rapid advancement of machine learning and large language models. So-called … Abstract Digital “resurrection” of the dead has become more of a reality in the last few years due to the rapid advancement of machine learning and large language models. So-called “interactive personality constructs of the dead” (IPCDs) are AI either trained on decedents’ “digital remains” (e.g. emails, texts, and social media content) after the fact or intentionally developed in cooperation with future decedents pre-mortem to simulate the way they would have interacted with others via some combination of text, video, and audio modalities. While some literature on IPCDs speculates about beneficial uses of this technology, much of it raises the alarm about its possible dangers. For example, some scholars wonder if a tool like this could be used to help people navigate grief, but many also worry it might make grieving worse. Beyond the realm of mere grieving, two significant concerns about IPCDs found in the literature involve the potential for commercial abuses and disrespectful treatment of the dead. The latter will be the focus of the present paper. More specifically, I want to talk about the problem of replacement, which suggests that, to a greater degree than older technologies aimed primarily at aiding remembrance of deceased loved ones, IPCDs seem to make possible, or even likely, an ethically troubling replacement of the deceased in people’s lives. Whether or not this is true has become a matter of recent debate, and this paper argues replacement is indeed a danger that should be taken seriously when developing and using this new technology.
Partner loss is considered one of the most stressful events in a person's life. Complicating this for young widows with children is the distress of witnessing the grief of their … Partner loss is considered one of the most stressful events in a person's life. Complicating this for young widows with children is the distress of witnessing the grief of their children. Widows must navigate managing their and their children's grief. This existential phenomenological study seeks to understand the experience of young widows in the parenting of their children after the death of their partner. Qualitative findings from 19 women indicated three themes: a) Widowed parents wrestled with an agonizing dilemma-how to deliver the dreaded news of their partner's death to their children; b) widows realized the weight of their grief and loss had impacted their capacity to parent c) widowed mothers navigated the complex and often conflicting dynamics of parenting children who were profoundly changed by loss. These findings highlight the need for further study, education, and support for families impacted by the death of a parent and partner.
This paper studies the effect of early loss of a parent on adolescents intimate relationships, and in particular, the character Davi Vishwakumar from the series Never Have I Ever. After … This paper studies the effect of early loss of a parent on adolescents intimate relationships, and in particular, the character Davi Vishwakumar from the series Never Have I Ever. After Davis father dies abrubtly, she suffers from emotional difficulties to the point of unresolved grief, which is manifest in her working of male figures, such as Ben and Paxton. During her impulsive closeness, she tends to want immediate emotional bonds as a mechanism to deal with her internal distress. Through the use of attachment theory and general emotional development during adolescence, this analysis examines how Davi's unhappy experiences of being raised influenced how she approaches relationships by maintaining them, which stress emotional fulfillment instead of stability. The paper additionally discusses the impact of her cultural backdrop and family dynamics on her behaviors and relational proclivities. For the most part, this research shows how early loss can detrimentally impact adolescent identity and emotional regulation, and that this can only be overcome through healthier coping mechanisms when forming close relationships
Hermeneutics is an important philosophical mode of inquiry where discipline-specific theories and methodologies provide important windows of understanding of human experiences. The author in this article discusses the embedded truths … Hermeneutics is an important philosophical mode of inquiry where discipline-specific theories and methodologies provide important windows of understanding of human experiences. The author in this article discusses the embedded truths of ethics found in the formal inquiry where human living quality phenomena are highlighted. The valuable insights and the importance to the future of the discipline of nursing focus on ideas for suggested further study.
Abstract Mobile health applications (apps) are increasingly used to reduce mental health problems. However, few effective apps are available for bereaved adults. Recently, a randomized controlled trial demonstrated the short‐term … Abstract Mobile health applications (apps) are increasingly used to reduce mental health problems. However, few effective apps are available for bereaved adults. Recently, a randomized controlled trial demonstrated the short‐term beneficial effects of access to the My Grief app in mitigating symptoms of prolonged grief and posttraumatic stress in bereaved parents. The present study examined the long‐term outcomes of app access and their predictors in a longitudinal survey of participants who had access to the My Grief app. We assessed symptoms of prolonged grief (PG‐13), posttraumatic stress (PCL‐5), and depressive symptoms (PHQ‐9) at 3‐, 6‐, and 12‐month follow‐up assessments. Potential predictors of symptom change included baseline symptom levels, sociodemographic and loss‐related variables, rumination (UGRS), negative grief‐related cognitions (GCQ‐SF), avoidance processes (DAAPGQ), and self‐reported app use reported at each follow‐up. Significant small‐to‐moderate reductions in prolonged grief, posttraumatic stress, and depressive symptoms were observed in people with app access at most follow‐ups, ds = 0.26–0.66. For each symptom type, more severe baseline symptoms significantly predicted larger symptom reductions, B s = 0.37–0.55. Lower baseline negative grief‐related cognitions significantly predicted larger 3‐month prolonged grief, B = −0.15, and posttraumatic stress symptom reductions, B = −0.23. Lower baseline anxious avoidance significantly predicted larger 3‐month depressive symptom reductions, B = −0.23. Self‐reported app use did not significantly predict symptom changes. Participants with access to the My Grief app experienced decreased symptom levels over a 1‐year period. Specific cognitive behavioral processes (avoidance, negative cognitions) appear to be implicated in the short‐term effects of app access.
Grieving following a sudden and unexpected death of loved one's present significant challenges for their families. It may serve as a “vulnerability factor,” raising the risk of serious mental illness. … Grieving following a sudden and unexpected death of loved one's present significant challenges for their families. It may serve as a “vulnerability factor,” raising the risk of serious mental illness. The current groundbreaking study's objective was to develop and test the effectiveness of a psychosocial intervention for enhancing the mental well-being and to determine its practicality acceptability among the women in bereaved’ families. This study employed a quasi-experimental design with intervention and control groups. The participants were bereaved’ families (females) living in Malir, Karachi. To fulfill the aims, the study adopted a three-phase strategy. First, the psychosocial intervention module was developed, with the assistance of professionals. Second, 80 women from bereaved families were recruited but, finally, 62 completed the intervention, 31 in each group. The psychosocial intervention comprises six modules, with the acronym “BE HAPPY.” The intervention was delivered over six sessions of 90 min while the control group was given only a booklet. The participants’ mental health was assessed using the Warwick Edinburg Mental Well-being Scale and the Satisfaction with Life Scale at the time of baseline (T1), after 6 weeks (T2), and after 8 weeks (T3). The independent sample t-test and two-way repeated measure analysis of variance were used to measure the difference between the groups. The study intervention significantly improved the mental well-being and life satisfaction score (p &lt; 0.001), with an effect size of 0.46 and 0.61. Hence, it should be provided as a supportive measure package to all bereaved families to preserve their mental health.
This retrospective study examined the relationship between social acknowledgment and post-traumatic growth (PTG) among bereaved adult sons and daughters of security forces personnel, focusing on the mediating roles of complicated … This retrospective study examined the relationship between social acknowledgment and post-traumatic growth (PTG) among bereaved adult sons and daughters of security forces personnel, focusing on the mediating roles of complicated grief (CG) and continuing bonds (CBs). The sample consists of 455 Israeli bereaved adult offspring, who lost a parent during childhood (mean age at loss: 7 years; mean time since loss: 45 years). Findings indicate that social acknowledgment is negatively associated with CG and positively associated with PTG. While CG is positively linked to CBs, it did not significantly predict PTG. The results reveal a serial mediation where social acknowledgment reduces CG, which in turn lowers CBs, ultimately reducing PTG (opposing signs of the direct effect of social acknowledgment on PTG). These findings highlight the complex grief processes among security forces-bereaved adult offspring and the importance of societal recognition in helping them navigate the impact of their loss to growth.
Background: Prolonged Grief Disorder (PGD) is a new disorder. A structured clinical interview for ICD-11 and DSM-5-TR PGD is a necessary tool in diagnosing PGD needed as PGD is implemented … Background: Prolonged Grief Disorder (PGD) is a new disorder. A structured clinical interview for ICD-11 and DSM-5-TR PGD is a necessary tool in diagnosing PGD needed as PGD is implemented as a mental disorder in health services across the world.Objective: This study developed and validated The Aarhus PGD Interview (A-PGDi) to provide clinicians with free access to a valid method to diagnose PGD in alignment with recent diagnostic requirements in ICD-11 and DSM-5-TR and to training materials.Method: The A-PGDi was developed in close collaboration between scientists, clinicians, and bereaved individuals. First, all PGD-symptoms underwent two rounds of item-formulations by clinicians and researchers. Then, a first version of the A-PGDi was tested in a group of bereaved adults with PGD symptoms, who were interviewed about the A-PGDi. The A-PGDi was refined according to their responses, piloted in 13 bereaved adults and further refined to its final version. The validity of A-PGDi was then tested with clinical interviews for PGD, PTSD, depression, and anxiety performed by carefully trained clinical interviewers in a sample of 124 bereaved adults (mean age 47 years (range 19-83 years); 85% female).Results: Benchmarked against a self-report measure of PGD and moderate to substantial inter-diagnostic agreement between ICD-11 and DSM-5-TR diagnoses the A-PGDi had sufficient content validity. Significant relations between PGD-diagnosis and other mental disorders estimated with clinical interviews and self-report scales and moderate to substantial inter-diagnostic and test-retest agreement indicated sufficient criterion validity and reliability.Limitations: small non-probability sample with PGD symptoms; self-identified for participation; mostly female.Conclusions: The results indicate that A-PGDi with some limitations is a valid structured clinical interview for diagnosing both ICD-11 and DSM-5-TR PGD that is relevant to administer in mental health settings to ensure correct diagnostics and the most helpful treatment plan for people with PGD.
Respectful Maternity Care (RMC) is crucial for promoting maternal health and safeguarding women’s rights during childbirth. Nursing students as future healthcare providers must have adequate knowledge and positive attitudes towards … Respectful Maternity Care (RMC) is crucial for promoting maternal health and safeguarding women’s rights during childbirth. Nursing students as future healthcare providers must have adequate knowledge and positive attitudes towards RMC. The study objective was to assess the effectiveness of a structured teaching programme on knowledge and attitude regarding Respectful Maternity Care among nursing students. A quantitative pre-experimental one-group pre-test post-test design was used. Fifty nursing students from Amity College of Nursing, Gurgaon, Haryana were selected by purposive sampling. Data was collected using a structured knowledge questionnaire and Likert scale for attitude. Intervention comprised a structured teaching programme on RMC. Pre-test and post-test scores were analyzed using descriptive statistics, paired t-test, and correlation. The study revealed that Post-intervention, 98% of nursing students demonstrated moderately adequate knowledge and positive attitude regarding RMC. Mean knowledge and attitude scores increased significantly (p &lt; 0.001). However, correlation between knowledge and attitude was minimal and statistically insignificant. The structured teaching programme effectively enhanced nursing students’ knowledge and attitude on Respectful Maternity Care independently. Targeted educational strategies addressing both knowledge and attitude are recommended.
Mariko Shirai , Akane Kato | American Journal of Hospice and Palliative Medicine®
Several studies have elucidated the process following bereavement. However, the conditions that indicate the state of healed sadness, a typical emotion associated with bereavement, remain unclear. As death cannot be … Several studies have elucidated the process following bereavement. However, the conditions that indicate the state of healed sadness, a typical emotion associated with bereavement, remain unclear. As death cannot be avoided, clarifying the state of healed sadness associated with it is a significant social issue. This systematic review examined experiences of sadness through bereavement and clarified what it means for such sadness to heal. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a literature search was performed using six databases: CINAHL, Cochrane, MEDLINE, PsycINFO, PubMed, and Web of Science. Three studies were identified and twenty-three descriptions representing the state of healed sadness were extracted, which were further divided into seven categories. Further research is needed to comprehensively examine whether these categories genuinely represent the state of healed sadness or whether other descriptions should also be considered.
Objective As the global population ages and traditional family support structures decline, mental health issues—particularly anxiety—among widowed older adults have become increasingly prevalent. Studies have shown a positive correlation between … Objective As the global population ages and traditional family support structures decline, mental health issues—particularly anxiety—among widowed older adults have become increasingly prevalent. Studies have shown a positive correlation between ageism and anxiety disorders in older bereaved individuals, but the underlying mechanism by which ageism affects anxiety in this population has not yet been clarified. This study aimed to examine whether loneliness mediates the relationship between age discrimination and anxiety disorders, and whether cognitive functioning moderates this mediation. Methods A random sampling approach was used to select 406 older adults who have lost their spouse from Shenyang, China. The Generalized Anxiety Scale (GAD-7), Perceived Age Discrimination Scale (PAD), UCLA Loneliness Scale (UCLA-LS), and Alzheimer’s Disease 8-Item Screening Instrument (AD-8) were used to assess the status of anxiety, ageism, loneliness, and cognitive functioning, respectively. Moderated mediation models were analyzed by SPSS PROCESS version 4.0 software. Results Age discrimination had a significant direct effect on anxiety in widowed individuals in later life. Loneliness partially mediated the effect of age discrimination knowledge on anxiety. In addition, the second half of the path of the indirect effect was moderated by cognitive functioning. The indirect effect of loneliness on anxiety was enhanced when cognitive functioning was poor. Conclusion Loneliness enhances the positive association between ageism and anxiety in widowed older adults, in which cognitive functioning plays a moderating role. These findings suggest the need for targeted psychosocial interventions that prioritize cognitive health and social engagement to reduce anxiety among bereaved older adults.
Artikkeli käsittelee evakkokuvauksia Hanneriina Moisseisen Kannas-sarjakuvassa (2016) ja Rosa Liksomin Väylä-romaanissa (2021). Kannaksessa lähdetään evakkoon Karjalasta ja Väylässä Tornionjokilaaksosta. Teosten tapahtumat sijoittuvat vuoteen 1944, jolloin Suomi hävisi jatkosodan Neuvostoliittoa vastaan … Artikkeli käsittelee evakkokuvauksia Hanneriina Moisseisen Kannas-sarjakuvassa (2016) ja Rosa Liksomin Väylä-romaanissa (2021). Kannaksessa lähdetään evakkoon Karjalasta ja Väylässä Tornionjokilaaksosta. Teosten tapahtumat sijoittuvat vuoteen 1944, jolloin Suomi hävisi jatkosodan Neuvostoliittoa vastaan ja aloitti sen jälkeen Lapin sodan saksalaisia aseveljiään vastaan. Artikkelin analyysi keskittyy teosten kuvauksiin ihmisten ja lehmien välisistä suhteista ja ei-inhimillisistä elollisista kuten metsistä, loisista ja sienistä. Tarkoituksena on selvittää, minkälaista kulttuurista muistia Kannas ja Väylä luovat ihmisten ja ei-inhimillisten olentojen suhteista kertoessaan evakkoudesta. Teoreettinen viitekehys yhdistää kulttuurista muistitutkimusta posthumanismin ja ihmistieteellisen eläintutkimuksen näkökulmiin. Tavoitteena on avata kirjallisuustieteellistä kulttuurisen muistin tutkimusta ihmisen ylittäviin näkökulmiin ja ei-inhimillisiin eläimiin. Keskeisiä käsitteitä ovat kumppanuuslajit ja ihmisen ylittävä näkökulma. Lehmät ovat Kannaksessa ja Väylässä keskeisessä roolissa. Ne esitetään yksilöinä, joilla on omat nimet, luonteet ja kohtalot. Ne ovat toimijoita ja tuntevia olentoja. Artikkelin mukaan ihmiset ja lehmät esitetään teoksissa kumppanuuslajeina Donna Harawayn tarkoittamassa mielessä. Myös muu ei-inhimillinen luonto on teoksissa paljon esillä. Artikkelissa kiinnitetään huomiota varsinkin kuvauksiin sodassa tuhoutuneita metsistä, ihmisten loisista ja psykoaktiivisista sienistä. Kannas ja Väylä ovat nykyaikaista evakkokirjallisuutta, jonka tekijät eivät itse kuulu evakon kokeneeseen sukupolveen. Teosten nykyaikainen näkökulma menneisyyteen näkyy erityisesti siinä, miten ei-inhimillinen luonto nousee aikaisempaa enemmän etualalle. Tämä kertoo ekokriisin aiheuttamasta tarpeesta arvioida maapallolle tuhoisaksi osoittautuneen ihmisen paikkaa maailmassa kriittisesti uudelleen.
The world literature data characterizing the problem of stillbirth are summarized and systematized in this article. We studied scientific publications of the first half of the 20th century discussing issues … The world literature data characterizing the problem of stillbirth are summarized and systematized in this article. We studied scientific publications of the first half of the 20th century discussing issues that are still relevant today: the feasibility of creating a unified system for consideration of the stillbirth criteria, the importance of managing pregnant women in the antenatal period, the need for comprehensive training of doctors in order to prevent stillbirth. Attention has been focused on the features of performing forensic and coroner’s autopsies of fetuses and deceased newborns. The current state of the problem of stillbirth has been considered. The importance of using theoretical knowledge in the field of obstetrics and gynecology, pathological anatomy for the purposes of forensic medical practice has been noted.
Awu Isaac Oben | Journal of Family Social Work
This theoretical review aims to provide an overview of the cognitive-experiential theory and its understanding of the psychological processes of loss and grief due to the death of a significant … This theoretical review aims to provide an overview of the cognitive-experiential theory and its understanding of the psychological processes of loss and grief due to the death of a significant other and their complications. The review presents the main components of the theory, i.e. the three conceptual systems and their characteristics, and then describes their significance for understanding how the processes of coping with bereavement and grief occur. The significance of the theory and the subsequent empirical research in this direction is marked.
El presente artículo examina los rituales funerarios en América Latina en el contexto de las víctimas de homicidio durante conflictos armados, enfatizando que el duelo es una experiencia personal con … El presente artículo examina los rituales funerarios en América Latina en el contexto de las víctimas de homicidio durante conflictos armados, enfatizando que el duelo es una experiencia personal con un componente emocional fuertemente influido por creencias sociales y religiosas. Con el objetivo de explorar e interpretar cómo las personas asumen el duelo en estas circunstancias, los autores emplean un enfoque cualitativo de revisión teórica narrativa, recopilando literatura científica reciente (2020-2025) con términos clave relacionados al duelo, homicidio, conflicto armado y rituales funerarios. Los resultados sugieren que los rituales fúnebres son fundamentales para integrar la pérdida en la narrativa de vida individual y colectiva, reconstruir el tejido social y preservar la memoria histórica. Se documenta que, ante la muerte violenta, las comunidades desarrollan prácticas simbólicas (altares, exhumaciones, ceremonias públicas) que permiten resignificar la ausencia y fomentar la reparación psicosocial. En contraste, la imposibilidad de realizar estas ceremonias debido a la violencia extrema está asociada con duelos complejos y efectos negativos sobre la salud mental de los sobrevivientes. La revisión destaca además que muchas tradiciones combinan elementos ancestrales y contemporáneos para fortalecer la identidad colectiva y la resiliencia ante la violencia. Por ejemplo, en numerosos países latinoamericanos los familiares llevan a cabo velatorios previos al entierro, introducen objetos personales en el ataúd y ejecutan un último gesto simbólico de despedida al momento de sepultar. En conclusión, el estudio plantea que los ritos funerarios tras muertes violentas no sólo son simbólicos, sino que proveen recursos psicológicos esenciales para procesar el duelo, de manera que su ausencia demanda estrategias de acompañamiento psicosocial basadas en la cultura. En esta línea, se sugiere profundizar en la investigación sobre las consecuencias de la carencia de rituales y promover intervenciones que incorporen prácticas culturales en la atención a las víctimas.
The COVID-19 pandemic has resulted in countless losses around the world, profoundly affecting the lives of many people, especially those who faced the death of family members, bringing several negative … The COVID-19 pandemic has resulted in countless losses around the world, profoundly affecting the lives of many people, especially those who faced the death of family members, bringing several negative repercussions to these families and constraining the experience of grief. This study aimed to understand the experience of loss and grief among bereaved individuals who lost family members during the COVID-19 pandemic. This qualitative study was guided by Charmaz's constructivist grounded theory as a methodological framework. The study adhered to the Criteria for REporting Qualitative research (COREQ) checklist. Data collection took place between May and November 2023 through telephone interviews that were audio-recorded and later transcribed in full. The purposive sample consisted of 21 bereaved family members who had lost their loved ones during the COVID-19 pandemic. Participants were mainly female (n = 16) with a mean age of 55.5 (SD = 16.2). The loss of their family members occurred 12 to 24 months before data collection. The following central phenomenon was identified through the analytical process: "Family experience of loss and grief: between the unspoken goodbye and post-loss adjustment". This was anchored in the following three categories: (1) Anguish and fear of the unknown; (2) Death by COVID-19-communication of death and lack of goodbyes; and (3) (Re)construction of meaning-support networks and the grieving process. Our findings recommend that policymakers allocate additional resources to grief support services to better prepare for future pandemic events. Furthermore, it is necessary to invest in the implementation of relevant training programs for healthcare professionals, with a family centered approach.
The article highlights the importance of the 2024 Report produced by the Health and Social Care Committee following an inquiry of assisted suicide/assisted dying. It notes the important role of … The article highlights the importance of the 2024 Report produced by the Health and Social Care Committee following an inquiry of assisted suicide/assisted dying. It notes the important role of the legislature, especially considering the work that is done in Parliaments across the United Kingdom at this moment but also for the judiciary if and when the opportunity arises again to review the human rights compatibility of assisted suicide/assisted dying.
Background: Gratitude in the context of parental grief is a relatively underexplored area that warrants attention due to its potential impact on the grieving process and personal growth following a … Background: Gratitude in the context of parental grief is a relatively underexplored area that warrants attention due to its potential impact on the grieving process and personal growth following a traumatic loss.Objective: This qualitative study aims to explore the role of gratitude within the traumatic context of parental bereavement, examining the types and processes of gratitude experienced by bereaved parents.Method: The research employed thematic analysis based on a conceptual model of gratitude to investigate the experiences of grieving parents. It identified various manifestations of gratitude, both explicit and implicit, throughout the grieving process.Results: Findings reveal that gratitude plays a complex role in the experience of parental bereavement. Participants reported experiencing interpersonal, transcendental, and adversity-related gratitude. Key processes identified include recognition of gifts, attribution to agents, and valuing experiences. Factors that facilitate or hinder gratitude were also explored.Conclusions: This study contributes to the limited literature on gratitude in parental bereavement and provides valuable insights for developing supportive interventions. It highlights the potential of gratitude as a coping mechanism and a pathway for personal growth in the face of profound traumatic loss, offering a nuanced understanding of its role in the grieving process.
This study explores the embodiment of Elisabeth Kübler-Ross’s five stages of grief denial, anger, bargaining, depression, and acceptance—through the philosophical insights of Morrie Schwartz as depicted in Mitch Albom’s Tuesdays … This study explores the embodiment of Elisabeth Kübler-Ross’s five stages of grief denial, anger, bargaining, depression, and acceptance—through the philosophical insights of Morrie Schwartz as depicted in Mitch Albom’s Tuesdays with Morrie. Emphasizing the transformative power of Morrie’s reflections on mortality, the research reveals an unconventional approach to grieving that centers on acceptance, compassion, and introspection. Departing from the conventional portrayal of grief as a tumultuous emotional journey, Morrie’s perspective reframes terminal illness as an opportunity for profound emotional clarity and growth. Utilizing a qualitative literary analysis, the study investigates the extent to which Morrie’s emotional trajectory aligns with or diverges from Kübler-Ross’s framework. The analysis finds that Morrie’s experience of grief unfolds in a fluid, contemplative fashion, offering a nuanced understanding of how inner wisdom can mitigate the psychological burden of impending death.
M. Ikhwan , M. Agus Wahyudi , Sumardi Efendi +3 more | Al-Ahkam Jurnal Ilmu Syari’ah dan Hukum
This article examines the lived experiences of Acehnese women who initiate divorce (khulu’), focusing on the socio-religious, cultural, and legal dimensions that shape their decisions. This study employed a qualitative … This article examines the lived experiences of Acehnese women who initiate divorce (khulu’), focusing on the socio-religious, cultural, and legal dimensions that shape their decisions. This study employed a qualitative method with a phenomenological approach. The study captures the voices of women from various socio-economic backgrounds through in-depth interviews, aiming to explore their motivations, internal conflicts, and post-divorce realities. Findings indicate that marital dissatisfaction, domestic violence, infidelity, economic independence, and growing awareness of women’s rights are key drivers for seeking divorce. Despite strong religious and cultural norms that often frame divorce as morally undesirable, these women navigate complex legal pluralism and social stigma with remarkable agency. The study underscores how intersecting factors, such as patriarchal interpretations of syarī‘ah, customary values, and legal constraints, impact women’s decision-making processes. Ultimately, the article contributes to the discourse on gender justice, Islamic family law reform, and women's empowerment in Muslim-majority contexts. Policy implications include the urgency of expanding legal aid services, gender-sensitive judicial practices, and community education to uphold women’s rights and dignity in the realm of Islamic marital law.
Abstract Purpose Approximately 2,000 people die each year in the hospital due to accidental or inflicted traumatic injuries in the Netherlands. This has major emotional and socioeconomic consequences. Bereavement support … Abstract Purpose Approximately 2,000 people die each year in the hospital due to accidental or inflicted traumatic injuries in the Netherlands. This has major emotional and socioeconomic consequences. Bereavement support is offered to prevent complicated grief, however, recommendations on adequate aftercare by the hospital are lacking. Methods Patients with fatal traumatic injuries admitted to the Northwest Clinics, Alkmaar, or Amsterdam University Medical Center, VUMC, between January 1st 2021, and January 1st 2023, were assessed for eligibility (Injury Severity Score ≥ 16, in-hospital mortality). Their relatives were contacted, and a questionnaire was administered to evaluate their experiences with the aftercare provided by the hospital. In addition, a scoping review was performed to report on recommendations to improve aftercare. Results A total of 1,131 articles were identified for the scoping review, of which 10 were selected for analysis (four questionnaires and six interview-based studies). The implementation of grief services by skilled professionals is recommended. The most frequently reported time between death and contact was 4–6 weeks, with contact conducted via telephone. During the study period, 110 patients met the inclusion criteria for the questionnaire. The median age of the deceased was 70 years (SD 20); 58% were male, with a median Injury Severity Score of 26 (range 16–75). Bereavement support was offered to 50% of the relatives, requested by 34%, and absent or lacking for 24%. Conclusion Aftercare following traum-related in-hospital deaths remains inconsistent. Both the questionnaire and scoping review recommend structured aftercare. Aftercare, by telephone or face-to-face, conducted by a trained professional four weeks after the death, is suggested to favorably influence the course of bereavement or lead to timely referral for grief counseling.
Esse trabalho teve como objetivo: discutir a importância da atuação da equipe multiprofissional na comunicação do diagnóstico de morte encefálica aos familiares. Através de uma revisão integrativa realizada nas bases … Esse trabalho teve como objetivo: discutir a importância da atuação da equipe multiprofissional na comunicação do diagnóstico de morte encefálica aos familiares. Através de uma revisão integrativa realizada nas bases de dados: Scientific Eletronic Library Online (SciELO), Google Acadêmico e Biblioteca Virtual em Saúde (BVS), com ajuda dos descritores: “morte encefálica, equipe multiprofissional, comunicação, equipe de assistência ao paciente e relações profissional-família”, indo ao encontro de 115 literaturas. Além disso, adicionaram-se critérios de inclusão: textos completos, publicados em português, inglês, espanhol e publicados nos últimos 10 anos que abordassem a temática. Foram excluídos os estudos que estavam contra os de inclusão, teses, monografias e duplicados.Foram incluídos: 15 artigos. A atuação conjunta de médicos, enfermeiros e assistentes sociais é essencial para uma comunicação sensível e respeitosa diante do diagnóstico de morte encefálica. Este trabalho reforça a importância da educação permanente e da humanização na comunicação da morte encefálica, transformando dor em solidariedade.
| University of Notre Dame Press eBooks
| University of Notre Dame Press eBooks
| University of Notre Dame Press eBooks
Bu çalışma evli genç yetişkinlerde aileden algılanan sosyal desteğin evlilikte affediciliğe olan etkisini 18-40 yaş arasında 637 evli genç yetişkin örnekleminde incelemiştir. Evlilikte affedicilik “Evlilikte Suçu Affetme Ölçeği”, partnerlerince affedildiğini … Bu çalışma evli genç yetişkinlerde aileden algılanan sosyal desteğin evlilikte affediciliğe olan etkisini 18-40 yaş arasında 637 evli genç yetişkin örnekleminde incelemiştir. Evlilikte affedicilik “Evlilikte Suçu Affetme Ölçeği”, partnerlerince affedildiğini hissetme düzeyi “Özel Eş Partner Affediciliği Ölçeği” ile aileden algılanan sosyal destek ise “Aileden Algılanan Sosyal Destek Ölçeği” ile ölçülmüştür. Bunlara ek olarak Kişisel Bilgi Formu” ile de demografik değişkenlerin etkisinin ölçülmesi amaçlanmıştır. Araştırmanın demografik sonuçlarına göre aileden algılanan sosyal destek açısından gençler yaşlılardan, ikinci evliliğini sürdürenler ilk evliliğini sürdürenlerden, sosyoekonomik düzeyi düşük olanlar yüksek olanlardan, çok çocuğu olanlar az çocuğu olanlardan daha fazla ailelerinden destek almaktadırlar. Affedicilik açısından sonuçlara bakıldığında çeşitli faktörlere (çocuk sayısı, evlilik sayısı, yaş) göre genç evli yetişkinlerin dargınlık seviyelerinde değişim görülse bile bağışlama puanları değişmemektedir. Aileler çoğunlukla genç yetişkinleri affetmeye yönlendirmektedirler ancak bu katılımcılar tarafından çoğunlukla sosyal destek verme olarak algılanmamıştır. Burada cinsiyet bağlamında kadınların erkeklerden affedici davranma konusunda daha fazla desteklendiği görülmüştür. Evliliklerle ilgili problemlerin baba ile neredeyse hiç paylaşılmadığı ve eş dışında yapılan paylaşımların eşe olan dargınlığı arttırdığı bulunmuştur. Ölçekler bağlamında araştırmanın en önemli sonuçları; aileden algılanan sosyal destek artıkça hem bağışlamanın hem dargınlığın artması ve affedildiğini hissedenlerin dargınlık, bağışlama ve algılanan sosyal desteğinin azalmasıdır.