132
) 4"5914 NATIONAL ORGANIZATION FOR VICTIM Working with Grieving Children After Violent Death: A Guidebook for Crillle Victilll Assistance Professionals Marlene A.Young, Ph.D., J.D. Executive Director National Organization for Victim Assistance Prepared August, 1996 Under Cooperative Agreement Number 95-VF-GX-KOOI, for Office for Victims of Crime ove Blank Pages Removed If you have issues viewing or accessing this file contact us at NCJRS.gov.

Working with Grieving Children After Violent Death: …Working with Grieving Children After Violent Death: A Guidebook for Crime Victim Assistance Professionals Jim was twelve years

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• ~

~

) 4"5

914

NA

TIO

NA

L O

RG

AN

IZA

TIO

N F

OR

VIC

TIM

ASSISTANC~

Wor

kin

g w

ith

Gri

evin

g C

hild

ren

Aft

er V

iole

nt D

eath

:

A G

uid

eboo

k fo

r C

rill

le V

icti

lll

Ass

ista

nce

Pro

fess

iona

ls

Mar

lene

A.Y

oung

, Ph.

D.,

J.D

. E

xecu

tive

Dire

ctor

N

atio

nal O

rgan

izat

ion

for V

ictim

Ass

ista

nce

Prep

ared

Aug

ust,

1996

U

nder

Coo

pera

tive

Agr

eem

ent

Num

ber 9

5-V

F-G

X-K

OO

I, fo

r

Offi

ce fo

r Vic

tims o

f Crim

e

ove

-

Advo

cRtta

g/or

tbeF

,ur -;;

;;-:=

====

====

====

====

= Tf

fiIlII

Iftt 0

/ CrIm

e Vl

ct/n

u

Uni

ted

Sta

tes

Dep

artm

ent

of J

usti

ce

Off

ice

of J

usti

ce P

rogr

ams

Off

ice

for

Vic

tims

of C

rim

e

NC

J 16

5814

Blank Pages Removed

If you have issues viewing or accessing this file contact us at NCJRS.gov.

Ack

now

led

gmen

ts

The

aut

hor i

s gra

tefu

l for

the

sign

ific

ant c

ontr

ibut

ions

to th

is p

ublic

atio

n m

ade

by o

ur a

dvis

ors:

R

ober

t Pyn

oos,

Ph.

D.,

ofth

e U

nive

rsity

of C

ali f

omi a

at L

os A

ngel

es, a

nd K

aren

Tho

ben,

Ed.

D.,

ofth

e Pr

ince

Geo

rges

Cou

nty

Publ

ic S

choo

l Sys

tem

in s

ubur

ban

Mar

ylan

d. W

e ap

prec

iate

the

crea

tive

ef

fort

s of

Hr P

rodu

ctio

ns, W

ashi

ngto

n, D

.C.,

prod

ucer

s of

the

vide

o th

at a

ccom

pani

es th

is G

uide

book

. Sp

ecia

l tha

nks

to C

OPS

Kid

s, a

nat

iona

l org

aniz

atio

n w

hich

sup

port

s ch

ildre

n o

f sla

in la

w e

nfor

cem

ent

offi

cers

, for

allo

win

g N

OV

A to

"pi

lot t

est"

man

y of

the

activ

ities

in th

is G

uide

book

at t

heir

ann

ual

mee

ting

in M

ay o

f 199

6 at

the

FBI T

rain

ing

Aca

dem

y in

Qua

ntic

o, V

A.

Als

o co

ntri

butin

g m

any

usef

ul s

ugge

stio

ns to

the

final

dra

ft w

ere

Mar

ti Sp

eigh

ts, D

irec

tor o

f the

Sp

ecia

l Pro

ject

s D

ivis

ion

at O

VC

, and

Dua

ne R

agan

, PhD

., a

Pro

gram

Spe

cial

ist i

n th

at D

ivis

ion.

N

OV

A, o

f cou

rse,

ass

umes

full

resp

onsi

bilit

y fo

r the

Gui

de a

nd th

e ac

com

pany

ing

vide

o, a

nd a

ny

opin

ions

exp

ress

ed h

erei

n ar

e no

t nec

essa

rily

thos

e of

OV

C.

Our

than

ks to

all

ofth

e in

divi

dual

s an

d to

the

man

y pr

ogra

ms

who

resp

onde

d to

our

requ

est f

or

info

rmat

ion

abou

t ser

vice

s ava

ilabl

e th

roug

hout

the

Uni

ted

Stat

es fo

r gri

evin

g ch

ildre

n. M

any

peop

le

took

the

time

to s

end

us e

xtre

mel

y us

eful

wri

tten

mat

eria

l and

man

y al

so s

pent

tim

e w

ith u

s on

the

phon

e to

mak

e su

re w

e ha

d th

e in

form

atio

n w

e ne

eded

. T

heir

ent

husi

asm

for t

he p

roje

ct w

as in

spir

atio

nal.

Abo

ut t

he O

rgan

izat

ions

N

atio

nal

Org

aniz

atio

n fo

r V

icti

m A

ssis

tanc

e T

he N

atio

nal O

rgan

izat

ion

for V

ictim

Ass

ista

nce

is a

pri

vate

, non

-pro

fit m

embe

rshi

p or

gani

zatio

n o

f vi

ctim

and

witn

ess a

ssis

tanc

e pr

actit

ione

rs, v

ictim

serv

ice

prog

ram

s, c

rim

inal

just

ice

prof

essi

onal

s,

rese

arch

ers,

form

er v

ictim

s, h

ealth

and

men

tal h

ealth

pro

fess

iona

ls, c

lerg

y m

embe

rs, a

nd o

ther

s com

mit­

ted

to th

e re

cogn

ition

and

impl

emen

tatio

n o

f vic

tim ri

ghts

. N

OV

A's

activ

ities

are

gui

ded

by fo

ur p

ur­

pose

s: n

atio

nal a

dvoc

acy,

pro

vidi

ng d

irec

t cri

sis

serv

ices

to v

ictim

s, s

ervi

ng a

s an

edu

catio

nal r

esou

rce

to v

ictim

ass

ista

nce

and

allie

d pr

ofes

iona

ls, a

nd p

rom

otin

g be

tter c

omm

unic

atio

n am

ong

its m

embe

rshi

p.

For

info

rmat

ion

abou

t NO

VA

or o

ther

NO

VA

pub

licat

ions

, con

tact

: N

atio

nal O

rgan

izat

ion

for V

ictim

Ass

ista

nce

1757

Par

k R

oad,

N.W

. (2

02)

232-

6682

no

va@

dige

x.ne

t W

ashi

ngto

n, D

.C.

2001

0

(202

) 46

2-22

55 f

ax

http

://w

ww

.acc

ess.

dige

x.ne

tJ.-n

ova

Off

ice

for

Vic

tim

s o

f Cri

me

The

Off

ice

for V

ictim

s o

f Cri

me

was

est

ablis

hed

by th

e V

ictim

s o

f Cri

me

Act

(VO

CA

) to

serv

e as

th

e Fe

dera

l gov

ernm

ent's

chi

ef ad

voca

te fo

r Am

eric

a's c

rim

e vi

ctim

s. O

VC

adm

inis

ters

man

y fo

rmul

a an

d di

scre

tiona

ry g

rant

s fo

r pro

gram

s des

igne

d to

ben

efit

vict

ims,

pro

vide

s tra

inin

g fo

r div

erse

pro

fes­

sion

als w

ho w

ork

with

cri

me

vict

ims,

and

dev

elop

s pr

ojec

ts to

enh

ance

vic

tims'

rig

hts

and

serv

ices

. It

s m

issi

on is

to p

rovi

de v

ictim

s w

ith ju

stic

e an

d he

alin

g. T

o ob

tain

add

ition

al c

opie

s o

f thi

s G

uide

book

or

for m

ore

info

rmat

ion

abou

t OV

C, c

onta

ct:

Off

ice

for V

ictim

s of C

rime

Off

ice

of J

ustic

e Pr

ogra

ms

U.S

. Dep

artm

ent o

fJus

tice

63

3 In

dian

a A

venu

e, N

.W.

Was

hing

ton,

D.C

. 20

531

(202

) 51

4-64

44

(202

) 61

4-63

83 f

ax

(800

) 627

-687

2 O

ffic

e fo

r Vic

tims

of C

rim

e R

esou

rce

Cen

ter

Thi

s pr

ojec

t was

sup

port

ed b

y C

oope

rati

ve A

gree

men

t Num

ber 9

5-V

F-G

X-K

OO

I aw

arde

d by

the

Off

ice

for

Vic

tim

s o

f C

rim

e, O

ffic

e o

f Jus

tice

Pro

gram

s, U

.S.

Dep

artm

ent o

f Jus

tice

. T

he A

ssis

tant

Att

orne

y G

ener

al, O

ffic

e o

f Jus

tice

P

rogr

ams,

coo

rdin

ates

the

acti

viti

es o

f the

fol

low

ing

prog

ram

off

ices

and

bur

eaus

: B

urea

u o

f Jus

tice

Ass

ista

nce,

B

urea

u o

f Jus

tice

Sta

tist

ics,

Nat

iona

l In

stit

ute

of J

usti

ce, O

ffic

e o

f Juv

enil

e Ju

stic

e D

elin

quen

cy a

nd P

reve

ntio

n, a

nd

the

Off

ice

for

Vic

tim

s o

f Cri

me.

Poi

nts

of v

iew

in t

his

docu

men

t are

thos

e o

f the

aut

hor

and

do n

ot n

eces

sari

ly

repr

esen

t the

off

icia

l po

siti

on o

r pol

icie

s o

f the

U. S

. D

epar

tmen

t of J

usti

ce.

2

'. • ~\

Wor

king

wit

h G

riev

ing

Chi

ldre

n A

fter

Vio

lent

Dea

th:

A G

uide

book

for

Cri

me

Vic

tim

Ass

ista

nce

Pro

fess

iona

ls

Tab

le o

f Con

tent

s

I.

Intr

oduc

tion

...

....

...

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 9

II.

Bac

kg

rou

nd

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

11

III

Pre

para

tion

of t

he C

areg

iver

..

....

....

....

....

....

....

....

....

....

. 13

A

. G

rief

an

d L

oss

....

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

13

B.

Tra

um

a an

d V

iole

nce

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 15

C

. A

lpha

bet o

f Pos

itive

Car

egiv

er A

ttri

bute

s an

d S

kill

s fo

r W

orki

ng W

ith

Gri

evin

g C

hil

dre

n.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 17

IV

. T

he G

riev

ing

Chi

ld .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

..

21

A.

Dev

elop

men

t Sta

ges

Aff

ect t

he T

raum

a an

d G

rief

Rea

ctio

ns o

f Chi

ldre

n ..

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

21

B.

Chi

ldho

od D

evel

opm

enta

l S

tage

s ..

....

....

....

. . .

. . .

. . .

. . .

. . .

. 22

1.

In

fant

s an

d T

oddl

ers

(0-2

) ..

....

....

....

....

....

....

....

. 22

2.

P

re-S

choo

l(2-

6) ..

....

....

....

....

....

....

....

....

....

22

3.

S

choo

l-A

ge (

6-10

) ..

....

....

....

....

....

....

....

....

..

23

4.

Ear

ly A

dole

scen

ce (

10-1

3 G

irls

, 12

-15

Boy

s). ..

....

....

....

..

24

5.

Ado

lesc

ence

(13

-18)

..

....

....

....

....

....

....

....

....

. 25

C

. C

hild

ren'

s R

eact

ions

to T

raum

a at

Any

Dev

elop

men

t Sta

ge

are

Aff

ecte

d by

the

Im

pact

of "

Par

ent L

oss"

. . .

. . .

. . .

. . .

. . .

. . .

. . .

26

1.

A

ctua

l L

oss

ofP

aren

t(s)

...

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

26

2.

P

erce

ived

Los

s of

Par

ent(

s) ..

....

....

....

....

....

....

....

26

3.

A

ctua

l or P

erce

ived

Par

ent L

oss

Can

be

Mor

e T

raum

atic

Tha

n th

e T

raum

a E

vent

Its

elf

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 26

D

. C

hild

and

Adu

lt G

rief

Rea

ctio

ns a

re E

xace

rbat

ed

by V

iole

nt T

raum

atic

Los

s. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 27

1.

In

tens

ity

of E

mot

ion

Incr

ease

s . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

27

2.

D

urat

ion

of G

rief

May

be

Ext

ende

d fo

r Y

ears

. . .

. . .

. . .

. . .

. . .

. . .

27

E

. T

rau

ma

and

Gri

ef P

atte

rns

of C

hild

ren

are

Sim

ilar

to

Adu

lts

But

are

Man

ifes

ted

Dif

fere

ntly

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

27

I.

L

engt

h o

f Gri

evin

g, A

long

With

Act

s ofM

oum

ing

and

Rem

embr

ance

, Ext

end

Thr

ough

out t

he

Dev

elop

men

tal

Sta

ges

...

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

..

27

2.

Gri

evin

g is

Int

erru

pted

by

Cur

rent

Nee

ds o

r E

vent

s. .

. . .

. . .

. . .

. ..

28

3.

Chi

ldre

n's C

omm

unic

atio

n St

yles

Dif

fer f

rom

the

Com

mun

icat

ion

Sty

les

of A

dult

s. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

..

28

4.

Som

e A

dults

Hav

e Sp

iritu

al B

elie

fs T

hat H

elp

The

m to

Cop

e W

ith

Tra

uma

and

Gri

ef.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

..

28

F.

Tra

umat

ic G

rief

Rea

ctio

ns .

....

.. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 28

1.

L

oss

and

Dea

th .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

28

2.

D

enia

l ..

....

....

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 29

3.

L

osse

s C

ause

d by

Dea

th a

re C

oncr

etel

y Id

enti

fied

in

a C

hild

's L

i fe; E

xpla

natio

ns A

bout

Dea

th a

nd

Los

s ar

e O

ften

Int

erpr

eted

Lit

eral

ly.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 29

3

Tab

le o

f Con

tent

s (C

ontin

ued)

4.

Tra

uma

Rea

ctio

ns a

re R

elat

ed to

Gri

ef R

eact

ions

..

....

....

....

30

a.

P

rote

st o

r Ang

er O

ver

the

Los

s or

Dea

th

....

....

....

. 30

b.

S

orro

w a

nd S

adne

ss A

bout

the

Los

s or

Dea

th

....

....

. 30

c.

G

uilt

or

Sel

f-B

lam

e ..

....

....

....

....

....

....

....

31

5.

C

hild

ren

Face

Add

ition

al R

isks

Whi

ch In

crea

se

the

Tra

umat

ic G

rief

Rea

ctio

n . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 31

V

. In

terv

enti

ons

for

Gri

evin

g C

hild

ren

...

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 33

A

. C

areg

iver

Com

mun

icat

ion

....

....

....

....

....

....

....

....

...

33

B.

Goa

ls o

f Ass

ista

nce

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

..

33

I. E

stab

lish

Saf

ety

and

Sec

urit

y. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 33

2.

A

llow

Chi

ldre

n to

Tel

l Wha

t Hap

pene

d an

d to

Tal

k A

bout

Dea

th.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

34

3.

Pred

ict W

hat W

ill H

appe

n an

d Pr

epar

e C

hild

ren

for

the

Futu

re .

....

....

....

....

....

....

....

....

. 34

C

. M

etho

ds o

f Int

erve

ntio

n ..

....

....

....

....

....

....

....

....

...

35

1.

Ora

l S

tory

tell

ing

....

....

....

....

....

....

....

....

....

..

35

2.

Gui

ded

Free

Pla

y ..

....

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

35

3.

Sti

mul

atin

g D

iscu

ssio

n ..

....

....

....

....

....

....

....

....

35

4.

C

reat

ive

Wri

ting

....

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

36

5.

Cre

ativ

e A

rt .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

36

6.

Dra

mat

ic E

nact

men

ts.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

36

7.

Mu

sic.

. . .

. ..

. ..

..

. ..

. . .

. . .

. . .

. . .

. ..

. ..

. ..

. . .

. . .

. . .

..

37

8.

Pray

er, R

epet

itiv

e M

edit

atio

ns, a

nd C

hant

s. .

. . .

. . .

. . .

. . .

. . .

. ..

37

D.

Sam

ple

Que

stio

ns, E

xerc

ises

and

Act

ivit

ies

Use

ful

in W

orki

ng W

ith

Ch

ild

ren

.. .

. . .

. . .

. . .

. . .

. . .

.. .

. . .

.. .

. . .

. . .

. . ..

37

1.

Fin

ding

Out

the

Chi

ld's

Ver

sion

of W

hat H

appe

ned.

. . .

. . .

. . .

. . .

. 39

2.

E

xplo

ring

the

Dif

fere

nce

Bet

wee

n L

ife

and

Dea

th .

.. .

. . .

. . .

. . .

..

40

3.

Exp

lori

ng W

hat H

appe

ns to

a P

erso

n A

fter

He

Die

s. .

. . .

. . .

. . .

..

41

4.

Exp

lori

ng W

hy a

Sud

den

Dea

th h

as O

ccur

red

....

.. .

. . .

. . .

. . .

. 42

5.

Id

enti

fyin

g T

raum

a or

Gri

ef R

eact

ions

..

....

....

....

....

....

. 43

6.

C

opin

g W

ith T

raum

a or

Gri

ef R

eact

ions

...

....

....

.. .

. . .

. . .

..

44

7.

Mem

oria

ls a

nd R

emem

bran

ce .

...

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . ..

45

E.

Su

pp

ort

Gro

up

Act

ivit

ies

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 49

1.

A

ges

2-6

(Six

Ses

sion

s) .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

50

2.

Age

s 7-

11 (

Six

Sess

ions

) . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 63

3.

A

ges

12-1

8 (S

ix S

essi

ons)

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

..

77

F.

Th

e N

eed

for

Pro

fess

iona

l Hel

p W

ith

Gri

evin

g C

hil

dre

n.

. . .

. . .

. . .

..

93

VI.

P

roto

cols

for

Wor

king

Wit

h G

riev

ing

Ch

ild

ren

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

95

A.

Bac

kgro

und

Con

side

rati

ons.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 95

B

. D

efin

itio

ns.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

96

C.

Vic

tim

Ass

ista

nce

Pro

fess

iona

l's R

espo

nsib

ilit

ies

. . .

. . .

. . .

. . .

. . .

..

97

D.

Pro

toco

lfo

r W

orki

ng W

ith

Chi

ldre

n 0

-6

....

....

....

...

. . .

. . .

. ..

101

E.

Pro

toco

l for

Wor

king

Wit

h C

hild

ren

7-11

..

....

....

....

....

....

..

105

F.

Pro

toco

lfo

r W

orki

ng W

ith

Chi

ldre

n 12

-18

....

.. .

. . .

. . .

. . .

. . .

. . .

. 10

9

4

Tab

le o

f Con

tent

s (C

ontin

ued)

App

endi

x I:

App

endi

x II

:

App

endi

x II

I:

App

endi

x IV

:

App

endi

x V

:

App

endi

x V

I:

App

endi

x V

II:

App

endi

x V

III:

Tra

um

a an

d G

rief

..

....

....

....

....

....

....

....

....

...

113

Dir

ge W

itho

ut M

usic

. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

115

Wor

kshe

et:

Fea

rs A

bout

Dea

th.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . ..

117

Wor

kshe

et:

Fea

r A

ctio

n P

lan

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 11

9

(Exc

erpt

) A

nger

: T

he M

isun

ders

tood

Em

otio

n ..

....

....

....

121

Wor

kshe

et:

Ang

er ...

....

....

....

....

....

....

....

....

.. 1

25

Wor

kshe

et:

Ang

er A

ctio

n P

lan

....

....

....

....

....

....

...

127

(Exc

erpt

) G

ivin

g So

rrow

Wor

ds .

....

....

....

....

....

....

.. 1

29

Bib

liog

rapy

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 14

1

Chi

ldre

n's

Boo

ks A

bout

Dea

th ...

....

....

....

....

....

....

....

....

....

....

...

153

For

m f

or E

valu

atin

g G

uide

book

...

....

....

....

....

....

....

....

....

....

....

.. 15

5

5

Wor

king

wit

h G

riev

ing

Chi

ldre

n A

fter

Vio

len

t D

eath

:

A G

uid

eboo

k fo

r C

rim

e V

icti

m A

ssis

tan

ce P

rofe

ssio

nal

s

Jim

was

tw

elve

yea

rs o

ld a

nd T

erry

was

nin

e w

hen

thei

r si

ngle

-par

ent

mot

her

was

sho

t an

d ki

lled

on

the

way

hom

efro

m w

ork.

Shel

ley

was

eig

ht y

ears

old

and

Bob

by w

as t

wo

whe

n th

eir

mot

her

was

sho

t an

d ki

lled

by

thei

r fat

her

b€!fo

re h

e ki

lled

him

self

.

Van

essa

was

four

teen

whe

n sh

e w

as s

tabb

ed a

nd

kill

ed b

y an

old

er te

enag

e bo

y in

her

sch

ool y

ard.

H

erfr

iend

s w

ere

witn

esse

s.

Ken

ny w

as s

ix w

hen

his

olde

r br

othe

r M

ason

was

ki

lled

alo

ng w

ith t

hree

oth

er k

ids

in a

dru

nk d

rivi

ng c

rash

.

Tim

e st

oppe

d fo

r th

em a

ll w

hen

viol

ent d

eath

tor

e th

eir

youn

g liv

es a

part

in a

pai

n th

at w

ill l

ive

fore

ver.

7

I. In

trod

ucti

on

Jim

, Ten

y, S

helle

y, B

obby

, Van

essa

and

Ken

ny a

re r

epre

sent

ativ

e of

the

hund

reds

of t

hous

ands

o

f chi

ldre

n w

ho e

xper

ienc

e tr

aum

atic

dea

th e

ach

year

. It

is e

stim

ated

that

as

man

y as

twen

ty p

erce

nt o

f to

day'

s ch

ildre

n w

ill h

ave

surv

ived

the

deat

h o

f a p

aren

t by

the

end

of h

igh

scho

ol; e

leve

n ch

ildre

n a

day

are

kille

d by

gun

s in

acc

iden

ts, s

uici

des,

and

mur

ders

; an

aver

age

offo

ur st

uden

ts a

yea

r die

in a

sch

ool

syst

em o

f6,0

00 st

uden

ts; a

nd th

at a

chi

ld b

y th

e ag

e o

f 14

will

hav

e w

itnes

sed

18,0

00 d

eath

s-m

ost

ly

viol

ent m

urde

rs o

n te

levi

sion

. (L

inda

Gol

dman

, Lif

e an

d L

oss:

A G

uide

to G

riev

ing

Chi

ldre

n, 1

994)

T

hese

figu

res

do n

ot b

egin

to a

ccou

nt fo

r the

add

ition

al d

eath

s o

f fri

ends

or l

oved

one

s ca

used

by

drun

k dr

ivin

g cr

ashe

s or

vio

lent

dea

ths

witn

esse

d in

the

stre

ets

of o

ur c

ities

.

Vic

tim a

ssis

tanc

e pr

ofes

sion

als d

eal w

ith c

rim

e, v

iole

nce

and

trau

ma

rout

inel

y as

par

t oft

heir

ev

eryd

ay w

ork.

Man

y re

spon

d to

cri

sis

calls

at t

he s

cene

s o

f cri

me

and

mos

t hav

e ca

se lo

ads

in th

e cr

imin

al ju

stic

e sy

stem

. T

rain

ing

and

educ

atio

n is

cri

tical

in o

rder

to p

rovi

de th

em w

ith th

e kn

owle

dge

and

skill

s th

ey n

eed

in o

rder

to p

rovi

de q

ualit

y se

rvic

e. I

t is a

lso

impo

rtan

t for

thei

r ow

n m

enta

l hea

lth

as th

ey c

onfr

ont t

he p

ain

and

angu

ish

caus

ed b

y cr

ime.

Perh

aps

som

e o

f the

mos

t dif

ficu

lt ca

ses

for v

ictim

ass

ista

nce

prof

essi

onal

s are

thos

e in

whi

ch

they

pro

vide

ass

ista

nce

to c

hild

ren

and

adol

esce

nts.

Cri

me

seem

s pa

rtic

ular

ly c

ruel

whe

n it

is p

erpe

­tr

ated

on

the

youn

g. T

he d

evas

tatio

n le

ft in

its

wak

e af

ter t

he m

urde

r of a

frie

nd, f

amily

mem

ber o

r ac

quai

ntan

ce o

f chi

ldre

n ca

n la

st a

life

time.

Vic

tim a

ssis

tanc

e pr

ofes

sion

als

are

not e

xpec

ted

to p

rovi

de

ther

apy

or lo

ng-t

erm

gri

ef co

unse

ling

for c

hild

ren

who

hav

e su

rviv

ed tr

aum

atic

dea

th, b

ut so

me

help

w

ith d

eath

not

ific

atio

n an

d m

any

prov

ide

guid

ance

and

com

fort

as c

hild

ren

talk

abo

ut th

eir r

eact

ions

, be

gin

the

mou

rnin

g pr

oces

s and

dev

elop

way

s of r

emem

beri

ng th

eir l

oved

one

s.

Thi

s gui

debo

ok is

not

a tr

aini

ng m

anua

l.

• It

is d

esig

ned

to s

erve

as

a qu

ick r~ference

for v

ictim

ass

ista

nce

prof

essi

onal

s in

thei

r wor

k w

ith c

hild

ren,

par

ents

, sch

ool t

each

ers

and

coun

selo

rs, c

lerg

y m

embe

rs a

nd o

ther

s as

they

add

ress

the

need

s of g

riev

ing

child

ren.

• It

sum

mar

izes

the

stat

e o

f kno

wle

dge

ongr

ieJ a

nd tr

aum

a re

acti

ons o

j chi

ldre

n, s

ugge

sts

met

hods

and

act

iviti

es fo

r int

erve

ntio

n an

d su

ppor

tive

coun

selin

g, a

nd p

rese

nts

sam

ple

age-

spec

ific

su

ppor

t gro

up c

urri

cula

.

• It

out

line

s a s

ampl

e pr

otoc

ol fo

r vic

tim a

ssis

tanc

e pr

ogra

ms

and

othe

rs w

ho w

ork

with

ch

ildre

n to

use

to e

stab

lish

guid

elin

es fo

r res

pond

ing

dire

ctly

to g

riev

ing

child

ren.

• It

incl

udes

abi

blio

grap

hyof

furt

her

reso

urce

s fo

r vic

tim a

ssis

tanc

e pr

ofes

sion

als

and

thei

r al

lies a

s w

ell a

s a

bibl

iogr

aphy

of u

sefu

l rea

ding

s fo

r chi

ldre

n.

The

term

"ca

regi

ver"

is u

sed

thro

ugho

ut th

is g

uide

book

to d

enot

e a

pers

on p

rovi

ding

sup

port

to

the

chil

d, b

ecau

se w

hile

vic

tim

ass

ista

nce

prQ

fess

iona

ls a

re it

s pr

imar

y au

dien

ce,

its

mes

sage

is

desi

gned

Jor

thos

e w

ho w

ork

in c

oope

rati

on w

ith

them

as

wel

l.

9

II.

Bac

kgro

und

"Nob

ody

is b

orn

with

a g

enet

ic d

iath

esis

to

psyc

hic

trau

ma.

If

you

sc

are

a ch

ild

badl

y en

ough

, he

wil

l be

tra

um

ati

zed

-pla

in a

nd

si

mpl

e.

But

if yo

u co

mbi

ne t

he t

raum

a w

ith a

dea

th o

r a

new

di

sabi

lity

, th

en y

ou w

ill s

ee d

epre

ssio

n, p

aran

orm

al th

inki

ng,

an

d/

or c

hara

cter

cha

nge

-co

unt o

n it.

"-

Len

ore

Ter

r

Dea

th is

a d

iffi

cult

con

cept

to u

nder

stan

d an

d ac

cept

for a

dults

and

chi

ldre

n al

ike.

The

end

of

life

can

be c

once

ptua

lized

in m

any

way

s, b

ut th

e pe

rman

ency

ofl

oss

and

the

dyin

g pr

oces

s ca

nnot

be

expl

aine

d un

til it

is e

xper

ienc

ed.

Whe

n a

natu

ral d

eath

occ

urs

at th

e en

d o

f a lo

ng li

fe, i

t may

be

ex­

pect

ed a

nd p

repa

ratio

ns m

ade

to a

djus

t to

the

ultim

ate

loss

. G

rief

over

the

dece

ased

may

be

pain

ful

and

prol

onge

d, b

ut th

ere

has

been

tim

e be

fore

dea

th to

con

side

r its

con

sequ

ence

s fo

r tho

se w

ho

cont

inue

to li

ve.

Whe

n de

ath

is s

udde

n an

d co

mpl

icat

ed b

y tr

aum

a, th

ere

is n

o tim

e to

ada

pt to

the

shoc

k an

d pa

in o

f sep

arat

ion

and

final

ity.

Sorr

ow m

ay b

e a

fund

amen

tal e

xper

ienc

e bu

t the

exp

erie

nce

of e

xtra

ordi

nary

cri

sis m

ay b

e eq

ually

ove

rwhe

lmin

g. T

he in

abili

ty to

mak

e se

nse

out o

f the

dea

th, t

o un

ders

tand

why

it h

appe

ned,

and

to c

ompr

ehen

d ho

w it

has

inte

rrup

ted

1 ife

can

frus

trat

e, a

nger

and

dr

ive

surv

ivor

s to

des

pair

.

Chi

ldre

n ar

e pa

rtic

ular

ly su

scep

tible

to th

e im

pact

of t

raum

atic

dea

th fo

r sev

eral

reas

ons.

Chi

l­dr

en d

o no

t den

y tr

aum

a; ra

ther

, the

y te

nd to

rec

ord

its fu

ll ho

rror

and

impa

ct.

Tra

uma

is te

rror

izin

g to

th

em, r

ende

ring

them

hel

ples

s an

d un

prot

ecte

d. D

eath

is u

nfam

iliar

. T

heir

cop

ing

skill

s ar

e of

ten

unde

rdev

elop

ed.

The

y ar

e st

ill in

the

proc

ess

of d

evel

opin

g th

eir o

wn

pers

onal

ities

and

iden

titie

s. T

hey

ofte

n do

not

hav

e sp

iritu

al re

sour

ces

on w

hich

to re

ly.

Adu

lt ca

regi

vers

are

cri

tical

in h

elpi

ng c

hild

ren

thro

ugh

the

trau

ma

of vi

olen

t dea

th a

s w

ell a

s th

e gr

ievi

ng p

roce

ss.

Yet

, man

y ad

ults

are

unp

repa

red

for v

iole

nt d

eath

them

selv

es.

Adu

lt ca

regi

vers

mus

t co

nsid

er th

eir o

wn

reac

tions

to d

eath

and

trau

ma

care

fully

bef

ore

wor

king

with

gri

evin

g ch

ildre

n.

Aft

er c

areg

iver

s co

nsid

er th

eir o

wn

reac

tions

, the

y sh

ould

lear

n as

muc

h as

they

can

abo

ut th

e re

actio

ns o

f chi

ldre

n, a

nd e

xplo

re re

sour

ces

and

tech

niqu

es to

pro

vide

ass

ista

nce

to th

e gr

ievi

ng c

hild

.

11

III.

Pre

par

atio

n o

f the

Car

egiv

er

Thi

s se

ctio

n is

not

des

igne

d as

a p

rim

er o

n gr

ief a

nd tr

aum

a re

actio

ns.

It is

exp

ecte

d th

at

care

give

rs w

ho a

re w

orki

ng w

ith c

hild

ren

will

hav

e ba

sic

educ

atio

n an

d tr

aini

ng o

n gr

ief a

nd tr

aum

a is

sues

. R

athe

r, th

e se

ctio

n is

incl

uded

in th

is g

uide

book

to a

ssis

t car

egiv

ers

in c

larif

Yin

g th

eir o

wn

resp

onse

s to

gri

ef an

d tr

aum

a.

A.

Gri

ef a

nd L

oss

Mos

t adu

lts h

ave

lived

thro

ugh

the

deat

h o

f som

eone

they

kno

w.

The

y re

aliz

e th

e sh

ock

of r

ecog

nitio

n th

at th

ey w

ill n

ever

see

that

per

son

agai

n an

d of

ten

have

end

ured

dis

turb

ing

thou

ghts

con

cern

ing

the

dyin

g pr

oces

s. B

ut m

any

cons

ciou

sly

put a

side

thei

r sor

row

in o

rder

to "

go o

n"

with

life

and

to m

aint

ain

ever

yday

func

tioni

ng.

As a

resu

lt, m

any

adul

ts c

arry

with

them

the

pain

of

unre

solv

ed g

rief

. Su

ch g

rief

may

eru

pt u

nexp

ecte

dly

whe

n an

indi

vidu

al is

exp

osed

to s

ituat

ions

that

re

min

d hi

m o

r her

oft

he d

eath

and

the

loss

. E

ven

whe

n in

divi

dual

s ha

ve m

ade

an e

ffor

t to

conf

ront

pas

t de

aths

and

act

ivel

y m

ourn

thei

r los

ses,

pot

ent m

emor

ies

may

be

resu

rrec

ted

whe

n th

ey e

ncou

nter

oth

er

deat

hs.

It is

bot

h un

real

istic

and

und

esir

able

to tr

y to

ext

ingu

ish

such

mem

orie

s an

d th

eir c

onse

quen

ces.

T

he w

isdo

m o

f Dei

tric

h B

onho

effe

r is c

ompe

lling

on

this

po

int-

"Not

hing

can

mak

e u

pfo

r th

e ab

senc

e o

f som

eone

who

m w

e lo

ve,

and

it w

ould

be

wro

ng to

try

to

fin

d a

sub

stit

ute;

we

mus

t si

mpl

y ho

ld o

ut a

nd s

ee it

thro

ugh.

Th

at s

ound

s ve

ry h

ard

atfi

rst,

bu

t at t

he s

ame

time

it is

a g

reat

con

sola

tion

. fo

r th

e ga

p, a

s lo

ng

as i

t rem

ains

unf

illed

, pre

serv

es th

e bo

nds

betw

een

us.

It is

non

­se

nse

to s

ay th

at G

odfi

ll th

e ga

p; h

e do

es n

otf

ill i

t, bu

t on

the

cont

rary

, he

kee

ps i

t em

pty

and

so h

elps

us

to k

eep

aliv

e ou

r fo

rmer

com

mun

ion

with

eac

h ot

hel~

eve

n at

the

cos

t of p

ain.

"

Car

egiv

ers

shou

ld ta

ke th

e tim

e an

d ef

fort

to e

xplo

re th

eir o

wn

loss

es a

nd th

e co

nseq

uent

gri

ef

in o

rder

to b

e ab

le to

con

trol

pos

sibl

e in

trus

ive

reco

llect

ions

whi

ch m

ay in

terf

ere

with

thei

r abi

lity

to b

e he

lpfu

l to

thos

e th

ey a

re tr

ying

to h

elp

in th

e pr

esen

t. To

faci

litat

e th

is e

xplo

ratio

n, th

e fo

llow

ing

proc

ess

may

be

usef

ul.

The

pro

cess

can

be

used

with

car

egiv

ers

in tr

aini

ng a

s a

grou

p or

by

indi

vidu

al

care

give

rs in

pri

vate

. C

areg

iver

s sh

ould

try

to p

ut th

eir t

houg

hts

or m

emor

ies

into

ver

bal o

r wri

tten

resp

onse

s be

caus

e it

help

s gi

ve c

oncr

ete

fonn

to th

eir e

mot

ions

and

reac

tions

.

I.

Rem

embe

r at l

east

one

of t

he m

ost s

igni

fica

nt d

eath

s in

you

r lif

etim

e. [

It is

use

ful f

or

care

give

rs to

iden

tifY

all

sign

ific

ant d

eath

s th

ey h

ave

surv

ived

, ift

hey

rem

embe

r mor

e th

an o

ne.]

With

ea

ch d

eath

, try

to: a.

Rem

embe

r whe

re y

ou w

ere

whe

n yo

u w

ere

notif

ied

ofth

e de

ath.

Des

crib

e th

e pl

ace.

b.

Rem

embe

r how

you

wer

e to

ld o

r how

you

lear

ned

of t

he d

eath

. D

escr

ibe

the

wor

ds y

ou r

ead

or h

eard

.

13

c.

Rem

embe

r rea

ctio

ns y

ou h

ad w

hen

you

lear

ned

of t

he d

eath

. D

escr

ibe

thos

e re

acti

ons.

d.

Rem

embe

r wha

t you

and

oth

ers

did

in th

e fi

rst t

wen

ty-f

our h

ours

aft

er y

ou le

arne

d o

f the

dea

th.

Try

to d

evel

op a

chr

onol

ogy

of w

hat h

appe

ned.

Des

crib

e an

y pa

rtic

ular

ly p

ower

ful

mem

orie

s an

d th

e im

pact

oft

hose

eve

nts.

e.

Rem

embe

r wha

t you

did

fro

m th

e ti

me

of n

otif

icat

ion

unti

l the

fun

eral

, bur

ial o

r m

emor

ial s

ervi

ce.

Try

to d

evel

op a

chr

onol

ogy

of w

hat h

appe

ned.

Des

crib

e an

y pa

rtic

ular

ly p

ower

ful

mem

orie

s an

d th

e im

pact

oft

hose

eve

nts.

f R

emem

ber w

hat h

as h

appe

ned

sinc

e th

e de

ath

and

how

that

dea

th a

ffec

ts y

our l

ife

toda

y.

2.

As

you

thin

k o

r tal

k ab

out y

our m

emor

ies,

ask

you

rsel

fhow

thos

e m

emor

ies

rela

te to

w

hat i

s kn

own

as a

com

mon

pat

tern

of g

rief

.

a.

Den

ial-

Did

you

or o

ther

s fi

nd t

he d

eath

har

d to

bel

ieve

or a

ccep

t?

b.

Con

fusi

on a

nd P

rote

st-

Did

you

or o

ther

s be

com

e an

gry

abou

t the

dea

th o

r try

to

arg

ue a

bout

its

real

ity?

Did

you

or o

ther

s be

com

e an

gry

wit

h w

hat h

appe

ned

afte

r the

dea

th?

Did

yo

u o

r oth

ers

feel

ang

er a

t you

rsel

ves

beca

use

of h

ow o

r why

the

pers

on d

ied,

or b

ecau

se o

f gui

lt o

r re

lief

at th

e pe

rson

's d

eath

?

c.

Des

pa

ir-W

as

ther

e a

tim

e w

hen

you

or o

ther

s w

ere

so s

ad th

at li

fe d

idn

't s

eem

w

orth

livi

ng?

d.

Det

ach

men

t-W

as

it d

iffi

cult

to fi

nd e

nerg

y to

do

thin

gs o

r to

beco

me

emot

iona

lly

invo

lved

wit

h ot

her p

eopl

e or

cur

rent

eve

nts

in y

our l

ife?

e.

Inte

grat

ion

or R

eso

luti

on

-Do

you

rem

embe

r a ti

me

whe

n yo

u re

aliz

ed th

at y

ou

coul

d ac

know

ledg

e w

hat h

appe

ned

and

knew

that

you

wer

e go

ing

to g

o o

n w

ith

life

? D

id y

ou m

ake

chan

ges

in y

our a

ttit

udes

, val

ues,

goa

ls, b

ehav

iors

, or l

ifes

tyle

bec

ause

oft

he

pers

on's

dea

th?

3.

Des

crib

e w

ays

you

mou

rned

for t

he d

ecea

sed.

4.

Iden

tifY

thou

ghts

, rea

ctio

ns, o

r fee

ling

s ab

out t

he d

eath

that

bot

her y

ou n

ow.

a.

Are

ther

e re

gret

s th

at y

ou h

ave

abou

t how

the

pers

on d

ied?

b.

Are

ther

e re

gret

s th

at y

ou h

ave

abou

t you

r rel

atio

nshi

p w

ith

the

pers

on a

t the

tim

e of

deat

h?

c.

Did

the

deat

h he

lp to

aff

inn

or ra

ise

ques

tion

s ab

out b

elie

fs y

ou h

ad a

bout

life

and

de

ath

befo

re th

e pe

rson

die

d?

5.

Des

crib

e ho

w th

e de

ath

of t

hat p

erso

n af

fect

s yo

u to

day.

14

toda

y.

a.

Poss

ible

neg

ativ

e eff

ects

.

• Anx

iety

abo

ut y

our o

wn

deat

h or

the

deat

hs o

flov

ed o

nes.

• Fea

r for

or o

ver-

prot

ectiv

enes

s o

f you

r chi

ldre

n.

• Nig

htm

ares

, tho

ught

s or

day

drea

ms

of d

eath

.

• A se

nse

that

you

or o

ther

s w

ill d

ie s

oon.

• Avo

idan

ce o

f dea

th-r

elat

ed th

ough

ts, i

mag

es o

r ritu

als.

• With

draw

al fr

om r

elat

ions

hips

with

oth

ers.

b. P

ossi

ble

posi

tive

effe

cts.

• A re

new

ed s

ense

oft

he m

eani

ng o

flif

e an

d its

con

tinui

ty.

• Inc

reas

ed e

njoy

men

t of e

very

day

life

and

expe

rien

ce.

• A se

nse

of c

onne

ctio

n w

ith th

e de

ceas

ed p

erso

n.

• Com

forti

ng m

emor

ies.

• Inc

reas

ed d

esir

e to

bec

ome

invo

lved

with

oth

ers.

6.

Des

crib

e yo

ur u

nder

stan

ding

of d

eath

-yo

ur b

elie

fs, c

once

rns

or fe

ars.

7.

Des

crib

e ho

w y

ou h

ave

plan

ned

for y

our o

wn

deat

h.

8.

Des

crib

e ho

w y

our e

xper

ienc

e o

f dea

th a

ffec

ts th

e w

ay y

ou li

ve y

our e

very

day

life

B. T

raum

a an

d V

iole

nce

"Tra

umat

ic e

vent

s ar

e ex

trao

rdin

ary,

not

bec

ause

the

y oc

cur

rare

ly,

but r

athe

r be

caus

e th

ey o

verw

helm

the

ord

inar

y hu

man

ad

apta

tion

s to

l([

e. "

-J

ud

ith

Hem

lan

Whi

le m

ost a

dults

hav

e ex

perie

nced

dea

th in

thei

r life

times

, man

y bu

t not

all

adul

ts h

ave

expe

rien

ced

a vi

olen

t, tra

umat

ic e

vent

or s

erie

s of e

vent

s. V

iole

nt tr

aum

a ru

ptur

es a

n in

divi

dual

's ps

ychi

c eq

uilib

rium

and

soc

ial e

nviro

nmen

t. It

frac

ture

s ev

eryd

ay e

xist

ence

and

leav

es th

e in

divi

dual

in a

st

ate

of ch

aos

and

fear

. It

requ

ires

indi

vidu

als

to g

o be

yond

thei

r nor

mal

res

ourc

es to

rega

in a

sens

e o

f or

der a

nd e

quili

briu

m a

nd to

rest

ore

valu

e an

d m

eani

ng to

thei

r liv

es.

15

Car

egiv

ers w

ho h

ave

expe

rien

ced

trau

ma

may

hav

e so

ught

hel

p or

foun

d in

tern

al re

sour

ces

that

ga

ve th

em th

e st

reng

th to

reco

nstr

uct t

heir

sens

es o

f saf

ety,

aut

onom

y, tr

ust,

self

-est

eem

, and

abi

lity

to

esta

blis

h re

latio

nshi

ps w

ith o

ther

s. C

areg

iver

s who

hav

e no

t exp

erie

nced

trau

ma

may

yet

hav

e th

eir

lives

test

ed.

In e

ither

case

, bef

ore

care

give

rs b

egin

to h

elp

trau

ma

surv

ivor

s, it

is im

port

ant t

o re

view

th

eir u

nder

stan

ding

of t

he im

pact

of t

raum

a an

d th

e pr

oces

ses

of r

ecov

ery.

For

thos

e ca

regi

vers

who

ha

ve e

xper

ienc

ed tr

aum

a, it

is a

lso

criti

cal t

o id

entif

Y v

estig

es o

fthe

trau

mat

ic e

xper

ienc

e th

at m

ay

inte

rfer

e w

ith th

eir a

bilit

y to

pro

vide

car

e or

non

-jud

gmen

tal s

uppo

rt to

vic

tims.

The

follo

win

g ex

erci

se c

an b

e he

lpfu

l in

unde

rsta

ndin

g an

d id

entif

Yin

g tra

uma

issu

es w

hich

may

co

ncer

n th

e ca

regi

ver.

As

indi

cate

d ab

ove,

the

exer

cise

can

be

used

with

car

egiv

ers

in tr

aini

ng a

s a

grou

p or

by

indi

vidu

al c

areg

iver

s in

pri

vate

. C

areg

iver

s sh

ould

try

to p

ut th

eir t

houg

hts

or m

emor

ies

into

ve

rbal

or w

ritte

n re

spon

ses

beca

use

it he

lps

give

con

cret

e fo

rm to

thei

r em

otio

ns a

nd r

eact

ions

.

1. R

emem

ber a

vio

lent

eve

nt th

at w

as tr

aum

atic

for y

ou o

r som

eone

you

love

d. A

s yo

u re

mem

ber,

try

to: a.

D

escr

ibe

whe

re y

ou w

ere,

who

you

wer

e w

ith, a

nd w

hat y

ou r

emem

ber s

eein

g,

hear

ing,

sm

ellin

g, to

uchi

ng, o

r doi

ng in

you

r im

med

iate

reac

tion

to th

e tra

uma.

b.

Des

crib

e wha

t hap

pene

d im

med

iate

ly fo

llow

ing

the

traum

atic

eve

nt a

nd y

our

reac

tions

and

thou

ghts

.

c.

Dev

elop

a c

hron

olog

y of

wha

t hap

pene

d an

d de

scri

be a

ny p

artic

ular

ly p

ower

ful

mem

orie

s and

the

impa

ct o

f tho

se e

vent

s.

d.

Des

crib

e w

hat h

as h

appe

ned

sinc

e th

e tr

aum

a an

d ho

w th

ose

even

ts h

ave

affe

cted

yo

ur li

fe to

day.

2.

As

you

thin

k or

talk

abo

ut y

our m

emor

ies,

ask

your

self

how

thos

e m

emor

ies

rela

te to

w

hat i

s kn

own

as a

com

mon

pat

tern

oft

raum

a re

actio

ns.

a.

Shoc

k an

d disbeli~

f-D

id y

ou im

med

iate

ly u

nder

stan

d w

hat h

ad h

appe

ned?

Did

yo

ur s

ense

oft

ime

chan

ge; e

.g.,

did

thin

gs s

eem

to h

appe

n sl

owly

or v

ery

quic

kly?

b.

A n

ger-

Wer

e yo

u an

gry

at w

hat h

appe

ned,

who

did

it, p

eopl

e w

ho c

ame

to h

elp

you,

or o

ther

s? c.

F

ear-

Wer

e yo

u fr

ight

ened

? D

id y

ou fe

ar fo

r you

r lif

e or

the

lives

of o

ther

s?

Was

ther

e a

part

icul

ar p

oint

in ti

me

whe

n yo

u w

ere

mos

t fea

rful

? W

as th

ere

a pa

rtic

ular

poi

nt in

tim

e w

hen

you

belie

ved

you

wer

e sa

fe a

gain

?

d.

Con

fusi

on o

rfru

stra

tion

-D

id y

ou b

ecom

e co

nfus

ed a

bout

wha

t to

do?

Was

th

ere

a pe

riod

oft

ime

that

wen

t by

whe

n yo

u di

dn't

know

wha

t had

hap

pene

d, h

ow it

had

hap

pene

d or

w

hy it

had

hap

pene

d?

16

e.

Gui

lt or

self-

blam

e -

Was

ther

e ev

er a

tim

e w

hen

you

thou

ght t

hat s

omet

hing

you

ha

d do

ne o

r had

n't d

one

had

cont

ribu

ted

to th

e tr

aum

atic

eve

nt?

Did

you

eve

r wor

ry th

at y

ou h

ad

surv

ived

or b

een

less

inju

red

than

som

eone

els

e?

£ S

ha

me-D

id y

ou e

ver t

hink

that

som

ehow

the

even

t mad

e yo

u a

bad

or u

ndes

ir­

able

per

son?

Did

you

eve

r thi

nk th

at so

meo

ne e

lse

wou

ld th

ink

less

of y

ou fo

r bei

ng tr

aum

atiz

ed?

g.

Gri

ef-

Wer

e yo

u ve

ry s

ad a

bout

wha

t hap

pene

d?

Wer

e yo

u un

happ

y an

d so

rrow

ful b

ecau

se o

f wha

t you

lost

?

3.

Des

crib

eway

s th

at h

elpe

d yo

u ge

t thr

ough

eve

ryda

y lif

e.

4.

Des

crib

e th

ings

you

did

or t

houg

hts

you

had

that

hel

ped

you

to b

egin

to h

elp

othe

rs

agam

.

5.

Jden

t(1Y

thou

ghts

, rea

ctio

ns, o

r fee

lings

abo

ut th

e tr

aum

a th

at b

othe

r you

now

.

a.

Are

ther

e si

tuat

ions

that

you

avo

id o

r abo

ut w

hich

you

hav

e an

xiet

y be

caus

e th

ey

rem

ind

you

of t

he tr

aum

a?

b.

Are

ther

e pe

ople

who

m y

ou a

void

or a

bout

who

m y

ou h

ave

anxi

ety

beca

use

they

re

min

d yo

u o

f the

trau

ma?

c.

Are

ther

e tim

es w

hen

the

mem

orie

s of

the

even

t are

par

ticul

arly

dif

ficu

lt to

live

with

?

6.

Des

crib

e ho

w th

e tr

aum

a af

fect

s yo

u to

day.

7.

Des

crib

e ho

w th

e tr

aum

a af

fect

s yo

ur v

iew

of t

he fu

ture

.

C.

Alp

habe

t o

f Pos

itiv

e C

areg

iver

Att

ribu

tes

for

Wor

king

Wit

h G

riev

ing

Chi

ldre

n

The

follo

win

g lis

t of c

areg

iver

attr

ibut

es a

nd s

kills

is p

rese

nted

alp

habe

tical

ly to

hel

p ca

regi

vers

re

mem

ber c

ritic

al e

lem

ents

of s

uppo

rtive

cou

nsel

ing

for c

hild

ren.

• A

-A

dvoc

acy

-

• B

-B

elie

f-

The

will

ingn

ess

to a

dvoc

ate

on b

ehal

f oft

he b

est i

nter

est o

f the

ch

ildre

n th

roug

hout

thei

r tra

uma

and

grie

f.

The

will

ingn

ess

to b

elie

ve w

hat c

hild

ren

say

and

thin

k.

• C

-C

omm

unic

atio

n -T

he sk

ills t

o co

mm

unic

ate

with

chi

ldre

n th

roug

h ex

pres

sive

and

ve

rbal

tech

niqu

es in

lang

uage

app

ropr

iate

to th

eir a

ges.

• D

-D

esir

e-T

he d

esire

to le

arn

from

the

child

ren

and

thei

r exp

erie

nces

and

pe

rcep

tions

.

17

• E

-E

mpa

thy

-

• F

-F

eedb

ack

-

• G

-G

uida

nce

-

• H

-H

ones

ty -

• I

-Im

agin

atio

n -

• J

-Ju

dgm

ent -

• K

-K

now

ledg

e -

• L

-L

augh

ter-

• M

-M

emor

y-

The

abi

lity

to re

cogn

ize

and

sym

path

ize

with

feel

ings

of

child

ren.

The

abi

lity

resp

ond

to c

hild

ren

with

val

idat

ing

reas

sura

nce.

The

abi

lity

to g

uide

chi

ldre

n as

they

cla

rifY

thei

r tho

ught

s an

d co

ncer

ns.

The

com

mitm

ent t

o an

swer

the

ques

tions

of c

hi ld

ren

as

hone

stly

and

fact

ually

as

poss

ible

and

nev

er to

mak

e pr

omis

es th

at c

an't

be k

ept.

The

abi

lity

to jo

in in

the

fant

asy

and

play

of c

hild

ren.

The

abi

lity

to m

ake

good

com

mon

sen

se d

ecis

ions

and

to

judi

ciou

sly

solv

e pr

oble

ms t

hat c

hild

ren

may

face

.

The

det

erm

inat

ion

to s

eek

new

kno

wle

dge

and

info

rmat

ion

abou

t chi

ldho

od tr

aum

a an

d gr

ief.

The

cap

acity

to e

xpre

ss a

sen

se o

f hum

or a

nd jo

in in

the

laug

hter

of c

hild

ren.

The

abi

lity

to r

emem

ber o

ne's

ow

n ch

ildho

od, t

raum

as, a

nd

grie

fs in

ord

er to

bet

ter u

nder

stan

d th

e re

actio

ns o

f chi

ldre

n.

• N

-N

on-j

udgm

enta

l-T

he a

bilit

y to

put

bia

ses,

pre

judi

ces,

and

per

sona

l val

ues

asid

e in

ord

er to

sup

port

chi

ldre

n an

d th

eir f

amili

es.

• 0

-O

rgan

izat

ion

-

• P

-Pa

tienc

e -

• Q

-Q

uiet

-

• R

-R

elia

ble

-

• S

-S

ecur

e-

• T

-T

houg

htfu

l-

The

abi

lity

to p

rovi

de c

hild

ren

with

org

aniz

ed ro

utin

es a

nd

stru

ctur

es to

hel

p th

em s

tabi

lize

thei

r wor

ld.

The

cap

acity

to b

e pa

tient

as c

hild

ren

tend

to g

riev

e sp

orad

ical

ly.

The

will

ingn

ess

to u

se s

ilenc

e as

a m

etho

d o

f com

mun

icat

ion

and

to li

sten

qui

etly

and

atte

ntiv

ely.

The

com

mitm

ent t

o be

ing

on ti

me

and

true

to y

our w

ord

to h

elp

child

ren

rebu

ild th

eir a

bilit

y to

trus

t.

To

have

sel

f-es

teem

and

a p

erso

nal s

ense

of s

ecur

ity in

ord

er to

co

nvey

safe

ty a

nd s

ecur

ity to

chi

ldre

n.

The

will

ingn

ess

to th

ink

thro

ugh

new

situ

atio

ns a

nd p

robl

ems

with

a c

hild

-cen

tere

d ph

iloso

phy.

18

• U

-U

nder

stan

ding

-

• V

-V

alue

s-

• W

-W

atch

ful-

·x-

xxx-

• y

-Y

outh

ful-

• Z

-Z

est-

The

cap

acity

to lo

ok a

t thi

ngs

and

unde

rsta

nd th

em b

oth

in a

br

oad

cont

ext a

s w

ell a

s in

the

narr

ow p

ersp

ectiv

e o

f the

m

omen

t.

A c

lear

kno

wle

dge

of o

ne's

ow

n pu

rpos

e in

life

and

the

cons

eque

nt v

alue

s be

hind

one

's w

ork.

The

abi

lity

to b

e at

tent

ive

to th

e ne

eds

and

reac

tions

of

child

ren.

The

abi

lity

to k

now

whe

n ch

ildre

n ne

ed p

hysi

cal c

omfo

rt (h

ugs

and

kiss

es) a

nd b

eing

com

fort

able

with

reac

hing

out

to c

hild

ren

phys

ical

ly (a

nd k

now

ing

prop

er b

ound

arie

s in

pro

vidi

ng p

hysi

cal

com

fort)

.

The

mai

nten

ance

of y

outh

ful a

ttitu

des a

nd b

ehav

iors

in re

spon

se

to s

ugge

stio

ns a

nd th

ough

ts o

f chi

ldre

n.

A c

apac

ity

for

expe

rien

cing

the

zest

ofH

fe w

ith

its

joys

an

d

sorr

ows

and

mos

t of a

ll it

s ho

pe!

19

IV. T

he

Gri

evin

g C

hil

d

Tra

uma

over

whe

lms

a pe

rson

's se

nse

of c

ontr

ol, c

onne

ctio

n an

d m

eani

ng in

life

. It

caus

es a

n in

divi

dual

to e

xper

ienc

e fe

ar, h

elpl

essn

ess

and

isol

atio

n. F

or th

is re

ason

, any

dea

th m

ay b

e tr

aum

atic

for

a ch

ild.

The

dea

th o

f an

elde

rly

gran

dfat

her w

ho w

as th

e so

urce

of n

urtu

ring

, car

egiv

ing,

and

pro

tect

ion

may

be

a tr

aum

atic

eve

nt a

nd so

urce

of g

rief

for a

gra

ndch

ild w

hile

it m

ay b

e an

exp

ecte

d m

omen

t of

sorr

ow in

the

chil

d's

pare

nt's

life

. V

iole

nt d

eath

is e

xper

ienc

ed a

s a d

oubl

e tr

aum

a. T

here

is th

e tr

aum

a o

f dea

th a

nd th

ere

is th

e vi

olen

t tra

uma

that

cau

sed

the

deat

h.

Thi

s se

ctio

n ex

plor

es th

e ty

pica

l dev

elop

men

tal s

tage

s o

f chi

ldre

n an

d th

eir r

eact

ions

to tr

aum

a,

and

conc

lude

s w

ith a

look

at h

ow tr

aum

a re

actio

ns a

re r

elat

ed to

gri

ef re

actio

ns.

A. D

evel

opm

ent S

tage

s A

ffec

t the

Tra

uma

and

Gri

ef

Rea

ctio

ns

of C

hild

ren

Rea

ctio

ns te

nd to

mir

ror g

row

th s

tage

s an

d fo

cus

on th

e le

vel a

nd n

atur

e o

f the

pri

mar

y ne

eds

at th

e tim

e o

f the

trau

ma

as w

ell a

s th

e ab

ility

to a

bsor

b in

form

atio

n an

d re

mem

ber.

Chi

ldre

n ne

ed to

pro

cess

thei

r tra

umas

and

gri

efth

roug

h ea

ch d

evel

opm

enta

l sta

ge.

Ifth

e tr

aum

a an

d gr

ief

inhi

bit,

dela

y, o

r cau

se a

chi

ld to

"sk

ip"

a de

velo

pmen

tal s

tage

, the

re w

ill b

e a

need

to g

o ba

ck a

nd

revi

sit t

hat s

tage

in li

ght o

f the

trau

mat

ic g

rief.

Chi

ldre

n al

so p

roce

ss th

eir g

rief

mor

e sl

owly

than

adu

lts.

Thi

s m

ay b

e du

e to

sev

eral

asp

ects

re

latin

g to

thei

r rea

ctio

ns to

dea

th.

Chi

ldre

n do

not

fully

gra

sp th

e pe

rman

ence

of d

eath

. C

hild

ren

are

unab

le to

sus

tain

con

scio

us s

adne

ss fo

r lon

g pe

riod

s oft

ime.

Chi

ldre

n do

not

usu

ally

den

y th

e tr

aum

a o

f de

ath

but t

hey

may

den

y th

e re

ality

oft

he d

eath

. Fu

rther

, the

y do

not

hav

e an

alte

rnat

ive

real

ity th

at

assu

res

them

oft

he p

ossi

bilit

y o

f fin

ding

new

rela

tions

hips

to re

ly u

pon.

Chi

ldre

n m

ay b

ecom

e "s

tuck

" in

one

pha

se o

f the

mou

rnin

g pr

oces

s fo

r mon

ths

or y

ears

at a

tim

e.

Den

ial o

f dea

th's

per

man

ence

may

resu

lt in

dre

ams,

day

drea

ms

and

nigh

tmar

es o

fthe

de­

ceas

ed, w

aitin

g fo

r the

dec

ease

d's

retu

rn, v

isio

ns o

f reu

nifi

catio

n w

ith th

e de

ceas

ed, b

elie

fin

rein

carn

a­tio

ns a

nd p

aran

orm

al b

ehav

iors

(eve

nts t

hat c

anno

t be

expl

aine

d ra

tiona

lly o

r log

ical

ly).

Ang

er a

nd

prot

est a

t dea

th is

oft

en d

ispl

aced

on

pare

nts,

pee

rs, o

r adu

lts in

aut

hori

ty.

Pare

nts

who

hav

e "f

aile

d to

pro

tect

" ch

ildre

n or

are

per

ceiv

ed to

hav

e be

en n

eglig

ent i

n th

eir d

utie

s m

ay b

e th

e ta

rget

s fo

r rag

e. T

hey

may

als

o be

com

e th

e fo

cus

of a

nger

whe

n th

ey fa

il to

exh

ibit

open

gri

efbe

caus

e ch

ildre

n so

met

imes

thin

k th

at s

uch

failu

re m

eans

that

the

pare

nts

didn

't ca

re a

bout

the

deat

h. C

hild

ren

ofte

n m

anif

est t

heir

ang

er a

t sch

ool o

r in

the

neig

hbor

hood

bec

ause

par

ents

see

m to

o bu

sy to

take

no

tice.

Des

pair

may

be

man

ifes

ted

thro

ugh

extr

aord

inar

y se

lf-b

lam

e an

d bT

Uilt b

y ch

ildre

n ov

er th

e de

ath.

Som

ethi

ng th

ey d

id c

ause

d so

meo

ne e

lse

to d

ie-e

ven

ifth

e su

ppos

ed c

ause

is r

oote

d in

ev

eryd

ay b

ehav

iors

or c

hild

hood

thou

ghts

. D

espa

ir c

an a

lso

be a

con

sequ

ence

of e

mot

iona

l num

bing

su

ch th

at th

e ch

ild s

ees

no re

ason

to li

ve w

hen

life

has

no jo

y or

mea

ning

.

21

Eve

ntua

l res

olut

ion

of g

rief

in c

hild

ren

is o

ften

impe

ded

beca

use

they

do

not k

now

how

to th

ink

abou

t or p

lan

for a

futu

re.

The

y do

not

kno

w h

ow to

dev

elop

new

rel

atio

nshi

ps a

nd e

stab

lish

conn

ec­

tions

with

oth

ers.

B. C

hil

dh

ood

Dev

elop

men

tal S

tage

s

1. I

nfan

ts a

nd T

oddl

ers

(Age

s 0-

2)

• In

fant

s ha

ve li

mite

d ve

rbal

cap

acity

to e

xpre

ss th

eir n

eeds

or e

mot

ions

. H

owev

er,

they

exh

ibit

sign

ific

ant p

hysi

cal d

istr

ess

if da

ily n

eeds

are

not

met

. T

hey

also

reta

in p

hysi

cal m

emor

ies o

f tr

aum

atic

eve

nts

even

thou

gh th

ey m

ay n

ever

be

able

to a

rtic

ulat

e th

ese

mem

orie

s or

retr

ieve

cle

ar

imag

es o

fthe

eve

nts.

A p

hysi

cal m

emor

y (o

r "im

prin

t") o

ccur

s w

hen

the

body

reca

lls s

enso

ry p

erce

p­tio

ns o

ftra

umat

ic e

vent

s. M

uch

late

r, un

expl

aine

d ph

ysic

al p

ains

can

occ

ur th

at a

re r

elat

ed to

thes

e ph

ysic

al m

emor

ies.

• In

fant

s in

itial

ly e

xper

ienc

e th

eir m

othe

rs a

s ex

tens

ions

oft

hem

selv

es w

ith n

o cl

ear

dist

inct

ion

betw

een

self

and

othe

r. A

s th

ey g

row

old

er, t

hey

may

bec

ome

mor

e aw

are

of d

iffe

rent

iatio

n bu

t the

y st

ill s

ee th

eir p

rim

ary

care

take

rs a

s ex

istin

g so

lely

to m

eet t

heir

nee

ds.

• In

fant

s la

ck a

sens

e o

f obj

ect p

erm

anen

ce u

ntil

arou

nd o

ne y

ear o

f age

. W

hen

peop

le le

ave

the

imm

edia

te p

rese

nce

of i

nfan

ts, i

nfan

ts fe

ar th

at th

ey a

re g

one

fore

ver.

As

infa

nts g

row

to

two

year

s ol

d th

ey b

egin

to e

xplo

re th

eir o

wn

inde

pend

ence

and

aut

onom

y. H

owev

er, t

hey

need

co

nsta

nt re

assu

ranc

e th

at th

eir a

dult

care

give

rs w

ill b

e av

aila

ble

whe

n ne

eded

.

• D

eath

of a

par

ent i

s exp

erie

nced

as

a cr

itica

l los

s an

d le

aves

an

infa

nt fe

arfu

l and

an

xiou

s. I

t may

als

o be

exp

erie

nced

as

abse

nce

-th

e de

ath

is d

efin

ed n

ot b

y th

e ex

iste

nce

of a

par

ent

who

is n

ow g

one

but b

y th

e no

nexi

sten

ce o

f a p

aren

t who

sho

uld

be th

ere.

Dea

ths o

f sig

nifi

cant

oth

ers

may

als

o be

exp

erie

nced

as

loss

ifth

e ch

ild re

tain

s a

sens

ory

or e

mot

iona

l mem

ory

of t

hat p

erso

n's

pres

ence

. If

the

infa

nt o

r tod

dler

is e

xpos

ed to

the

trau

mat

ic e

vent

that

cau

sed

deat

h, th

e ex

posu

re m

ay

leav

e th

e ch

ild n

umb

and

mut

ed.

It m

ay im

pede

the

initi

al g

row

th o

f aut

onom

y an

d in

depe

nden

t fun

c­tio

ning

.

• T

he c

hild

will

hav

e lit

tle c

onsc

ious

und

erst

andi

ng o

fthe

loss

or t

raum

a, b

ut a

s th

e ch

ild g

row

s ol

der m

ay p

ut w

ords

to th

e ev

ent a

s th

ey s

eek

to u

nder

stan

d th

eir i

mpr

essi

ons.

2. P

re-S

choo

l (A

ges

2 to

6)

• C

hild

ren

usua

lly b

ecom

e ve

rbal

bet

wee

n tw

o an

d fo

ur.

Pres

choo

l chi

ldre

n of

ten

talk

wel

l. T

hey

can

tell

abou

t wha

t the

y ea

t and

toys

they

pla

y w

ith, b

ut d

o no

t und

erst

and

less

tang

ible

co

ncep

ts.

Dea

th m

ay b

e th

ough

t of a

s a

diff

eren

t sta

te b

ut n

ot p

erm

anen

t. C

hild

ren

ofte

n be

lieve

in a

nd

expe

rien

ce v

isita

tions

from

the

dead

per

son

thro

ugh

ghos

ts, s

piri

ts o

r rei

ncar

natio

ns.

• T

hey

may

not

be

able

to d

iscu

ss e

vent

s or

inci

dent

s in

term

s o

f tim

e an

d sp

ace,

be

caus

e th

eir u

nder

stan

ding

of t

hose

con

cept

s ar

e re

late

d on

ly to

con

cret

e or

per

sona

l con

cern

s. I

f ch

ildre

n ar

e as

ked

whe

n so

met

hing

hap

pene

d -

in te

rms

of a

mon

th, d

ay, o

r yea

r, th

ey m

ay n

ot b

e ab

le

22

to a

nsw

er.

But

ifth

ey a

re a

sked

whe

ther

an

even

t hap

pene

d be

fore

or a

fter

thei

r bir

thda

ys, s

peci

fic

holid

ays,

the

begi

nnin

g o

f sch

ool o

r oth

er si

gnif

ican

t eve

nts,

they

are

like

ly to

pro

vide

a re

ason

able

re

spon

se.

• T

he fo

cus

for c

hild

ren

ofth

is a

ge is

on

thei

r im

med

iate

life

. N

ones

sent

ial d

etai

ls, f

or

them

, are

oft

en fo

rgot

ten

or p

erha

ps in

tegr

ated

with

thei

r ow

n pe

rcep

tion

of i

mpo

rtan

t eve

nts.

• C

hild

ren

at th

is a

ge a

re a

ctiv

ely

enga

ged

in d

isco

veri

ng a

larg

er w

orld

than

the

hom

e or

the

imm

edia

te fa

mily

. T

his

role

of d

isco

vere

r is

need

ed to

ach

ieve

gre

ater

inde

petid

ence

in p

hysi

cal

abili

ties a

nd re

latio

nshi

ps, b

ut it

is q

uite

cha

lleng

ing.

Chi

ldre

n m

ust l

earn

that

they

can

trus

t the

ir e

nvir

on­

men

t and

thei

r rel

atio

nshi

ps to

sta

y so

mew

hat s

tabl

e if

they

are

goin

g to

ven

ture

into

new

wor

lds.

T

raum

a an

d lo

ss in

terf

ere

with

the

deve

lopm

ent o

f an

unde

rsta

ndin

g of

trus

t and

sec

urity

.

• T

he m

ost c

omm

on c

omm

unic

atio

n de

vice

for t

he p

resc

hool

chi

ld is

pla

y. P

layi

ng

rem

ains

a k

ey fo

rm o

f com

mun

icat

ion

for o

lder

chi

ldre

n as

wel

l. It

is a

nont

hrea

teni

ng la

ngua

ge w

hich

ca

n m

ask

dire

ct c

onfr

onta

tion

with

non

thre

aten

ing

issu

es.

But

whi

le p

layi

ng is

an

impo

rtan

t mod

e o

f co

mm

unic

atio

n fo

r all

child

ren,

it is

ext

raor

dina

rily

impo

rtan

t in

pre-

scho

oler

s. T

heir,

verb

al a

bilit

y ca

n be

goo

d, b

ut th

eir s

ecur

ity re

mai

ns m

ore

inta

ct th

roug

h "a

ctin

g-ou

t" th

an th

roug

h la

ngua

ge.

• Fa

ntas

y is

an

inte

gral

par

t of p

lay.

It s

erve

s a

usef

ul p

urpo

se in

pro

vidi

ng c

hild

ren

with

an

outle

t for

thei

r fea

rs, h

opes

and

dre

ams.

Fan

tasy

invo

lves

mag

ical

thin

king

and

viv

id im

agin

ings

bu

t suc

h th

ough

ts a

re g

roun

ded

in o

bser

ved

real

ity.

Lac

k o

f con

cept

ual d

evel

opm

ent m

eans

that

you

ng

child

ren

can'

t ext

rapo

late

wel

l fro

m c

oncr

ete

to a

bstr

act t

houg

ht.

Hen

ce, m

any

ofth

eir f

anta

sies

invo

lve

mim

icry

, ant

hrop

omor

phis

ms,

and

var

iatio

ns o

n pe

rcei

ved

real

ity.

• T

hey

may

als

o be

lieve

that

wha

t the

y th

ink

abou

t som

ethi

ng c

an c

ause

it to

hap

pen.

Su

ch e

goce

ntri

c th

ough

ts m

ay c

ause

you

ng c

hild

ren

to b

elie

ve th

at s

omet

hing

they

did

or s

aid

caus

ed

the

deat

h o

f a lo

ve o

ne.

Chi

ldre

n m

ay u

se m

agic

al th

inki

ng to

con

stru

ct a

ltern

ativ

e re

aliti

es w

hen

the

wor

ld a

roun

d th

em is

pai

nful

. M

ost c

an d

istin

guis

h co

ncre

te fa

ct fr

om f

anta

sy b

ut m

ay h

ave

mor

e di

ffic

ulty

und

erst

andi

ng re

al v

ersu

s im

agin

ary

caus

es fo

r eve

nt.

In to

day'

s w

orld

, som

etim

es th

ey m

ay

beco

me

conf

used

with

wha

t is "

real

" on

tele

visi

on a

nd w

hat i

s re

al li

fe.

3. S

choo

l-A

ge C

hild

ren

(Age

s 6-

10)

• Sc

hool

-age

is m

arke

d by

rapi

d co

gniti

ve a

nd c

ompe

tenc

y de

velo

pmen

t. C

hild

ren

tend

to b

e ab

le to

form

ulat

e an

d ar

ticul

ate

conc

epts

, as

wel

l as

unde

rsta

nd m

ultid

imen

sion

al id

eas,

eve

n th

ough

they

may

not

be

able

to in

depe

nden

tly id

entif

Y s

uch

dim

ensi

ons.

For

exa

mpl

e, th

ey u

sual

ly h

ave

been

exp

osed

to d

eath

and

hav

e th

ough

ts a

bout

it, b

ut m

ay s

till t

hink

of i

t as

reve

rsib

le.

Dea

th m

ay b

e ex

tern

aliz

ed in

con

cret

e fe

ars

and

imag

es o

f mon

ster

s, s

cary

ani

mal

s or p

eopl

e, o

r ani

mat

ed in

anim

ate

obje

cts.

The

ir th

ough

ts a

lso

may

be

shap

ed b

y m

ispe

rcep

tions

and

myt

hs o

verh

eard

from

oth

ers

or

seen

in th

e m

edia

. • C

hild

ren

beco

me

less

ego

cent

ric

and

deve

lop

an a

bilit

y to

see

thin

gs fr

om a

noth

er

pers

on's

per

spec

tive.

How

ever

, thi

s ab

ility

may

incr

ease

con

flic

ted

feel

ings

abo

ut a

noth

er p

erso

n's

deat

h. T

he d

eath

of a

sib

ling

may

cau

se a

chi

ld to

fear

his

or h

er o

wn

mor

talit

y, fe

el b

ad b

ecau

se th

e si

blin

g is

gone

, fee

l ang

ry w

ith p

aren

ts fo

r the

ir p

reoc

cupa

tion

with

gri

evin

g to

the

excl

usio

n of

the

surv

ivin

g ch

ild, o

r fee

l gui

lty a

bout

wis

hing

the

sibl

ing

dead

at s

ome

time.

.,>

23

• Sc

hool

-age

chi

ldre

n re

late

muc

h be

tter t

o tim

e an

d sp

ace.

In

par

t thi

s oc

curs

be

caus

e th

ey b

egin

to d

evel

op re

latio

nshi

ps w

ith o

ther

peo

ple

and

thin

gs o

utsi

de o

fthe

ir o

wn

hom

e.

The

fact

that

they

mus

t be

at s

choo

l at c

erta

in ti

mes

and

day

s gi

ves

them

a m

ore

prec

ise

fram

e o

f re

fere

nce.

Wee

kday

s no

w b

ecom

e di

stin

guis

habl

e fr

om w

eeke

nds.

• C

hild

ren

beco

me

incr

easi

ngly

abl

e to

sus

tain

em

otio

nal a

ffec

t but

may

find

it d

iffic

ult

to to

lera

te th

e pa

in o

f gri

effo

r any

leng

th o

ftim

e. A

dults

may

vie

w c

hild

ren'

s nat

ural

nee

d to

spo

radi

­ca

lly d

ista

nce

them

selv

es fr

om s

adne

ss a

s an

abs

ence

of g

rief

Chi

ldre

n ra

rely

for

get t

heir

sorr

ow b

ut

visi

t and

revi

sit i

n sh

ort,

inte

nse

peri

ods

of t

ime

punc

tuat

ed b

y a

dete

rmin

atio

n to

dis

trac

t the

mse

lves

w

ith o

ther

thin

gs. •

As

child

ren

grow

old

er th

ey o

ften

bec

ome

mor

e co

nsci

ous

of r

ight

and

wro

ng.

Thi

ngs

seem

to b

e bl

ack

or w

hite

. T

here

is li

ttle

room

in th

eir t

houg

hts

for t

he g

rays

. If

they

thin

k th

at

they

did

som

ethi

ng w

rong

, gui

lt m

ay b

e ov

erw

helm

ing.

I ft

hey

thin

k th

at o

ther

s ha

ve d

one

som

ethi

ng

wro

ng, a

nger

and

bla

me

char

acte

rize

thei

r atti

tude

s to

war

d th

ose

pers

ons.

• Pl

ay is

an

impo

rtan

t par

t of c

omm

unic

atio

n fo

r sch

ool-

age

child

ren;

how

ever

, the

y ne

ed to

be

able

to e

xpla

in th

e pu

rpos

e of

thei

r pla

yas

they

bec

ome

mor

e ve

rbal

. Sc

hool

-age

chi

ldre

n of

ten

crea

te "

savi

or"

endi

ngs

whe

n th

ey re

tell

stor

ies

of t

raum

a in

an

effo

rt to

ree

stab

lish

a se

nse

of

safe

ty a

nd m

aste

ry o

ver a

n ev

ent.

As

they

gro

w o

lder

, the

y m

ay b

ecom

e m

ore

inte

rest

ed in

gam

es o

r pl

ay th

at is

gov

erne

d by

rule

s an

d co

nven

tions

. T

his

is a

par

t oft

heir

dev

elop

men

tal e

ffor

ts to

inte

rnal

ize

cont

rol a

nd b

ecom

e in

crea

sing

ly in

depe

nden

t fro

m a

dults

.

4. E

arly

Ado

lesc

ence

(10

-13

for

girl

s, 1

2-15

for

boy

s)

• T

his

stag

e o

f dev

elop

men

t may

wel

l be

one

ofth

e m

ost a

wkw

ard

and

diff

icul

t for

m

ost c

hild

ren.

The

abr

uptn

ess o

f phy

sica

l cha

nge

alon

g w

ith th

e re

late

d em

otio

nal u

phea

vals

that

ac

com

pany

incr

easi

ng n

eeds

for

inde

pend

ence

and

gre

ater

feel

ings

of i

nsec

urity

are

maj

or so

urce

s o

f st

ress

to c

hild

ren.

Mor

e ch

ildre

n in

this

age

gro

up ta

lk a

bout

str

ess-

rela

ted

sym

ptom

s: n

ause

a, h

ead­

ache

s, s

leep

dis

turb

ance

s, fr

eque

nt c

ryin

g sp

ells

, and

so

on.

• Pr

eado

lesc

ence

and

ado

lesc

ence

bri

ngs

with

it a

sol

id c

once

pt o

f dea

th. B

ut su

dden

de

ath

may

und

erm

ine

an e

mer

ging

sens

e o

f aut

onom

y at

the

sam

e tim

e as

it m

ay p

rope

l chi

ldre

n in

to

earl

y ad

ulth

ood.

Dea

th is

not

equ

ated

with

imag

inar

y m

onst

ers

or in

carn

atio

ns b

ut ra

ther

is p

erce

ived

as

a bi

olog

ical

pro

cess

. Fe

ars

abou

t dea

th m

ay f

ocus

on

the

dyin

g pr

oces

s an

d th

e co

nseq

uenc

es o

fthe

de

ath

for t

he li

ving

.

• T

he e

mot

iona

l rol

ler-

coas

ter t

hat a

chi

ld d

eals

with

at t

his

age

is m

anif

este

d in

wid

e m

ood

swin

gs.

The

ir o

wn

iden

tity

is n

ot c

lear

ly e

stab

lishe

d an

d th

eir s

elf-

este

em is

sha

ky.

Bra

vado

and

ag

gres

sive

beh

avio

rs m

ay b

e us

ed to

dis

guis

e th

eir v

ulne

rabi

litie

s.

• In

ear

ly a

dole

scen

ce, c

hild

ren

beco

me

mor

e pr

eocc

upie

d w

ith p

eer r

elat

ions

hips

an

d be

gin

to d

istr

ust a

dult

inte

rpre

tatio

ns o

fthe

wor

ld.

• T

here

is a

tend

ency

to in

vest

em

otio

nal i

nten

sity

in a

ll ph

ases

oft

heir

live

s. E

vent

s ar

e of

ten

perc

eive

d sy

mbo

lical

ly.

Incr

ease

d ab

ilitie

s to

und

erst

and

abst

ract

ions

may

resu

lt in

intr

ospe

c­tiv

e se

arch

es fo

r the

mea

ning

ofl

ife

and

deat

h.

24

• •

• Id

eals

and

com

mitm

ents

are

vie

wed

as

a sa

cred

trus

t. B

etra

yal o

f pro

mis

es, v

ows,

or

rela

tions

hips

is ra

rely

tole

rate

d ev

en w

hen

bein

g fa

ithfu

l to

them

may

be

hann

ful t

o th

e ch

ildre

n w

ho

hold

them

.

• W

ords

mea

n a

grea

t dea

l to

the

prea

dole

scen

t and

the

adol

esce

nt c

hild

. St

orie

s,

play

s, p

oetr

y, a

nd m

usic

lyri

cs o

ften

ser

ve a

s a

basi

s fo

r ex

pre

ssio

n-b

oth

thos

e w

ritte

n by

oth

ers

and

thos

e cr

eate

d by

the

child

.

5. A

dole

scen

ce (

13-1

8)

• N

orm

ally

, ado

lesc

ence

tend

s to

incr

ease

the

emot

iona

l uph

eava

l of p

read

oles

cenc

e.

Thi

s adj

ustm

ent p

erio

d se

ems

desi

gned

bio

logi

cally

to h

elp

us m

ove

to a

dulth

ood;

how

ever

, the

wor

ld is

so

com

plex

that

suc

h gr

owth

stil

l may

see

m to

com

e to

o fa

st.

Chi

ldre

n of

ten

wan

t ind

epen

denc

e bu

t in

real

ity a

re u

nabl

e to

wor

k w

ithin

suc

h in

depe

nden

ce a

nd h

ence

may

sim

ulta

neou

sly

wan

t mor

e gu

idan

ce

and

stru

ctur

e in

thei

r liv

es.

Thi

s m

ay b

e pa

rtic

ular

ly tr

ue i

f the

chi

ld h

as b

een

abus

ed a

nd fe

els

out o

f co

ntro

l.

• T

heir

beh

avio

r ten

ds to

see

m in

cons

iste

nt.

Ado

lesc

ents

oft

en lo

ve a

nd h

ate

the

sam

e pe

rson

at t

he s

ame

mom

ent.

Ang

er m

ay m

anif

est i

tsel

f as

rage

, and

sor

row

may

bec

ome

suic

idal

. A

s a

coro

llary

to th

eir n

eed

for

inde

pend

ence

they

oft

en h

ave

a gr

eat n

eed

for p

riva

cy a

nd h

ence

be

com

e ve

ry s

ecre

tive.

Con

fide

nces

may

be

offe

red

spor

adic

ally

and

may

be

pepp

ered

with

unt

ruth

ful­

ness

whe

n sh

ared

with

adu

lts.

• T

he im

med

iacy

of d

eath

whe

n it

affe

cts

teen

ager

s is

in s

tark

con

tras

t to

thei

r des

ire

to s

ee d

eath

as

a pa

rt o

f a fa

r dis

tant

futu

re.

Som

etim

es th

eir a

ctiv

ities

cen

ter a

roun

d pr

ovin

g th

em­

selv

es m

ore

pow

erfu

l tha

n de

ath.

Inv

olve

men

t in

risk

-tak

ing

activ

ities

may

be

exac

erba

ted

by th

e lo

ss

of r

isk-

inhi

bitio

ns d

ue to

trau

mat

izat

ion.

• T

hey

ofte

n ex

pres

s th

emse

lves

by

actin

g ou

t and

thro

ugh

expe

rim

entin

g w

ith n

ew

beha

vior

s. V

iole

nce

may

be

used

as

an e

xpre

ssio

n o

f man

hood

by

som

e yo

ung

mal

es.

Subs

tanc

e us

e an

d vi

olat

ion

ofth

e la

w m

ay b

e pe

rcei

ved

as a

stat

emen

t aga

inst

adu

lt st

anda

rds

or a

s ad

mis

sion

to th

e ad

ult w

orld

.

• M

ost a

dole

scen

ts a

re c

reat

ive

and

ener

getic

and

wan

t con

trol

ove

r how

thos

e en

ergi

es a

re c

hann

eled

. T

hey

are

likel

y to

que

stio

n ad

ult a

utho

rity

and

dec

isio

n-m

akin

g in

whi

ch th

ey

are

not a

ctiv

e pa

rtic

ipan

ts.

• T

heir

cre

ativ

ity in

crea

sing

ly is

man

ifes

ted

thro

ugh

thec

reat

ion

of t

heir

ow

n sy

mbo

ls,

activ

ities

and

wor

ds to

exp

ress

them

selv

es.

Slan

g, fa

shio

n fa

ds, d

ance

fads

and

alte

rnat

ive

mus

ic s

tyle

s ar

e al

l exa

mpl

es o

fthi

s ne

ed fo

r cre

ativ

e ex

pres

sion

.

25

C. C

hil

dre

n's

Rea

ctio

ns t

o T

raum

a at

An

y D

evel

opm

ent

Stag

e ar

e A

ffec

ted

by

the

Imp

act

of "

Par

ent L

oss"

1. A

ctu

al L

oss

ofP

aren

t(s)

A v

iole

nt, t

raum

atic

eve

nt m

ay c

ause

the

deat

h o

f a p

aren

t. C

hild

ren

then

mus

t cop

e w

ith th

e sh

ocko

fthe

eve

nt b

ut a

lso

with

the

sudd

en lo

ss o

f one

of t

he m

ost i

mpo

rtan

t peo

ple

in th

e w

orld

to th

em.

Pare

nts

are

norm

ally

the

sour

ce o

f nur

turi

ng, c

are,

and

sta

bilit

y. T

hey

are

the

focu

s o

f a

chil

d's

sens

e o

f sec

urity

and

pro

tect

thei

r chi

ldre

n fr

om h

arm

. If

a pa

rent

sud

denl

y di

es, t

he c

hild

is le

ft

feel

ing

scar

ed a

nd v

ulne

rabl

e. I

nfan

ts a

nd to

ddle

rs m

ay o

nly

rem

embe

r fle

etin

g im

ages

or f

eelin

gs

asso

ciat

ed w

ith th

e pa

rent

, but

they

may

exp

erie

nce

the

abse

nce

of a

fath

er o

r mot

her a

s a

loss

thro

ugh

adul

thoo

d. S

ome

olde

r chi

ldre

n m

ay re

gres

s to

infa

nt b

ehav

iors

in a

n ef

fort

to r

ecap

ture

the

time

whe

n th

ey fe

lt sa

fe.

How

ever

, man

y ol

der c

hild

ren

seem

to a

ccel

erat

e th

eir m

atur

atio

n pr

oces

s, ta

king

on

adul

t rol

es a

nd b

ehav

iors

.

Som

etim

es tr

aum

atic

eve

nts

sepa

rate

par

ents

from

thei

r chi

ldre

n or

cau

se th

em to

aba

ndon

a

child

. If

child

ren

can'

t und

erst

and

why

or h

ow th

e se

para

tion

occu

rred

, the

loss

of a

par

ent u

nder

suc

h ci

rcum

stan

ces

harm

s chi

ldre

n's a

bilit

ies

to tr

ust o

ther

s, a

nd a

lso

thei

r sel

f-es

teem

.

If a

pare

nt is

the

caus

e of

the

trau

ma,

thro

ugh

acci

dent

al o

r cri

min

al b

ehav

ior,

the

loss

of t

he

pare

nt m

ay b

e co

mpl

icat

ed b

y fe

elin

gs o

f alie

natio

n, b

etra

yal,

and

even

hat

e. R

age

may

bec

ome

a do

min

ant r

eact

ion

tow

ard

the

pare

nt a

s w

ell a

s ot

hers

that

the

child

vie

ws

as c

onsp

irat

ors

with

the

pare

nt.

Chi

ldre

n m

ay b

lam

e th

emse

lves

for t

heir

par

ent's

act

ions

and

car

ry a

bur

den

of g

uilt

into

ad

ulth

ood.

2. P

erce

ived

Los

s o

f Par

ent(

s)

Chi

ldre

n te

nd to

look

to s

igni

fica

nt a

dult

figur

es in

thei

r liv

es fo

r rea

ssur

ance

abo

ut th

eir

own

reac

tions

and

to le

arn

how

to g

riev

e. P

aren

ts a

nd te

ache

rs a

re n

atur

al m

odel

s o

f beh

avio

r. H

ow­

ever

, oft

en p

aren

ts a

nd o

ther

sig

nifi

cant

adu

lts in

a c

hild

's li

fe a

re u

nava

ilabl

e to

the

child

aft

er a

trau

­m

atic

eve

nt b

ecau

se p

aren

ts a

re s

o in

volv

ed w

ith o

ther

con

cern

s. T

hey

may

als

o be

per

ceiv

ed to

be

unav

aila

ble

beca

use

they

don

't un

ders

tand

chi

ldre

n's

reac

tions

, avo

id o

r den

y th

at s

uch

reac

tions

are

of

ten

inte

nse

and

com

plex

, or s

impl

y do

n't o

bser

ve th

e re

actio

ns.

Pare

nt lo

ss m

ay b

e ex

peri

ence

d w

hen

pare

nts

beco

me

cons

umed

with

thei

r ow

n lo

sses

or

reac

tions

to a

trau

ma.

It i

s of

ten

diff

icul

t to

cope

with

the

impa

ct o

f vio

lenc

e an

d to

off

er c

omfo

rt to

ch

ildre

n at

the

sam

e tim

e. S

ome

pare

nts m

ay e

ven

fall

into

beh

avio

rs in

whi

ch th

ey a

ssum

e a

child

like

role

whi

le th

eir c

hild

ren

take

on

adul

t rol

es in

thei

r rel

atio

nshi

ps.

3. A

ctu

al o

r P

erce

ived

Par

ent

Los

s C

an b

e M

ore

Tra

umat

ic T

han

the

Tra

uma

Eve

nt I

tsel

f

Pare

nt lo

ss c

an a

ffec

t how

chi

ldre

n la

ter c

ope

with

adu

lthoo

d. S

ince

chi

ldre

n te

nd to

m

odel

thei

r ow

n be

havi

ors

on p

aren

t beh

avio

rs, p

aren

t los

s m

ay h

ave

an im

pact

on

a ch

ild'

s ow

n

26

pare

ntin

g sk

ills.

It m

ay h

ave

an im

pact

on

how

the

child

dea

ls w

ith o

ther

adv

ersi

ties

and

how

chi

ldre

n co

pe w

ith tr

aum

a w

hen

they

are

adu

lts.

D. C

hil

d a

nd A

du

lt G

rief

Rea

ctio

ns a

re E

xace

rbat

ed

by V

iole

nt T

raum

atic

Los

s

1. I

nte

nsi

ty o

f Em

otio

n In

crea

ses

Sinc

e m

ost g

rief

reac

tions

are

sim

ilar t

o tr

aum

a re

actio

ns, t

raum

a an

d gr

ief h

ave

a m

ultip

lier e

ffec

t on

emot

iona

l res

pons

es.

Ang

er a

t the

trau

mat

ic e

vent

or t

he p

erpe

trat

ors

ofth

e ev

ent

are

mad

e m

ore

com

plex

by

grie

ving

pro

test

ove

r los

s. F

ear o

r ter

ror a

bout

the

vuln

erab

ility

of o

ne's

ow

n lif

e is

com

plic

ated

by

the

real

kno

wle

dge

ofth

e de

ath

of o

ther

s. C

onfu

sion

abo

ut w

hat h

appe

ned,

ho

w it

hap

pene

d, o

r why

it h

appe

ned,

mir

rors

con

fusi

on a

bout

the

mea

ning

ofl

ife

and

the

mea

ning

of

deat

h. T

here

is a

lso

grie

f ove

r the

trau

ma,

com

poun

ded

by th

e gr

ief o

ver t

he c

onse

quen

t dea

th.

2. D

ura

tion

of G

rief

May

be

Ext

end

ed f

or Y

ears

Gri

evin

g re

actio

ns fo

llow

ing

expe

cted

dea

th m

ay la

st fo

r a y

ear o

r tw

o. G

rief

spas

ms

-w

hen

peop

le a

re r

emin

ded

ofth

e de

ath

of s

omeo

ne w

hom

they

love

d -

ofte

n ar

e fe

lt fo

r a Ii

fetim

e.

Gri

evin

g re

actio

ns fo

llow

ing

an u

nexp

ecte

d de

ath

may

be

unre

solv

ed fo

r fiv

e or

ten

year

s.

The

trau

ma

of t

he lo

ss m

ust b

e de

alt w

ith b

efor

e no

rmal

gri

evin

g m

ay b

egin

. T

his

mea

ns a

n in

divi

dual

end

ures

the

cris

is re

actio

n o

f sho

ck, d

isbe

lief,

ange

r, fe

ar, f

rust

ratio

n, s

ham

e, g

uilt

or g

rief

in re

spon

se to

the

trau

ma

and

may

suf

fer l

ong-

term

str

ess

reac

tions

due

to th

e im

pact

oft

he tr

aum

a. O

ften

, in

the

proc

ess

of

copi

ng w

ith th

e tr

aum

a, p

eopl

e ha

ve li

ttle

abili

ty to

face

the

fina

lity

and

impa

ct o

f dea

th.

The

ir a

bilit

ies

may

be

impe

ded

beca

use

trau

ma

issu

es a

re f

orce

d to

be

reex

peri

ence

d re

peat

edly

bec

ause

of i

nvol

ve­

men

t in

the

crim

inal

just

ice

syst

em, c

ivil

litig

atio

n, o

r ref

lect

ions

by

the

med

ia.

Gri

ef m

ay a

lso

be c

onfu

s­in

g be

caus

e of

the

exte

nt o

flos

ses.

Som

eone

love

d ha

s di

ed, b

ut th

e tr

aum

atic

eve

nt m

ay a

lso

have

ca

used

the

surv

ivor

to s

uffe

r a lo

ss o

f fai

th o

r tru

st in

the

wor

ld, a

loss

of i

nnoc

ence

or b

elie

fin

cert

ain

valu

es, a

loss

oft

heir

ow

n se

nse

of i

dent

ity o

r pur

pose

, a lo

ss o

f mea

ning

ofl

ife.

Eac

h o

f the

se lo

sses

ne

ed to

mou

rned

and

mar

ked

by c

onsc

ious

rem

embr

ance

of w

hat e

xist

ed a

nd n

ow is

gon

e. T

his

grie

ving

pro

cess

is s

epar

ate

and

diff

eren

t fro

m th

e gr

ief t

hat w

ill b

e ex

peri

ence

d as

one

real

izes

the

full

impa

ct o

fthe

loss

of a

love

d on

e.

E. T

raum

a an

d G

rief

Pat

tern

s o

f Chi

ldre

n ar

e S

imil

ar

to A

du

lts

Bu

t Are

Man

ifes

ted

Dif

fere

ntly

1. L

engt

h o

f Gri

evin

g, A

lon

g W

ith

Act

s o

f Mou

rnin

g an

d R

emem

bra

nce

, Ext

end

Th

rou

ghou

t th

e D

evel

opm

enta

l Sta

ges

As

child

ren

mat

ure,

they

sho

uld

repr

oces

s th

e im

pact

oft

he tr

aum

a an

d lo

ss in

the

cont

ext o

f the

ir d

evel

opm

ent.

The

loss

of a

fath

er fo

r a y

oung

todd

ler m

ay b

e gr

ieve

d ov

er in

term

s o

f

27

the

loss

of a

lovi

ng c

aret

aker

. T

he lo

ss o

f tha

t fat

her f

or th

e sc

hool

-age

chi

ld m

ust b

e gr

ieve

d ov

er in

te

rms

of t

he a

bsen

ce o

f a te

ache

r, an

aut

hori

ty fi

gure

, as

wel

l as

how

the

fath

er w

ould

hav

e be

en p

er­

ceiv

ed b

y ne

w fr

iend

s an

d pe

ers.

The

loss

of t

he f

athe

r for

the

prea

dole

scen

t may

take

on

new

mea

ning

in

the

abse

nce

of a

mod

el fo

r sex

role

s or

in th

e co

nstr

uctio

n o

f the

chi

ld's

gro

win

g se

nse

of i

dent

ity.

The

loss

oft

he fa

ther

for t

he a

dole

scen

t can

aff

ect h

is o

r her

und

erst

andi

ng o

f sta

bilit

y an

d th

e gr

owth

of

inde

pend

ence

. A

you

ng a

dult

may

gri

eve

over

the

loss

of t

he fa

ther

in te

rms

of a

lovi

ng c

ompa

nion

and

so

urce

of f

riend

ship

. T

he m

eani

ng o

fthe

trau

mat

ic e

vent

may

cha

nge

as w

ell t

hrou

gh d

evel

opm

ent.

Mem

orie

s o

f a su

dden

trau

ma

are

repr

oces

sed

in a

ctiv

ities

and

atti

tude

s.

2. G

riev

ing

is I

nter

rupt

ed b

y C

urr

ent N

eed

s or

Eve

nts

Chi

ldre

n m

ust t

ake

time

out f

rom

gri

evin

g to

mee

t new

cha

lleng

es in

life

, cop

e w

ith

ongo

ing

chan

ges,

est

ablis

h ne

w re

latio

nshi

ps, p

artic

ipat

e in

sch

ool a

nd to

pla

y.

3. C

hil

dre

n's

Com

mu

nic

atio

n S

tyle

s D

iffe

r fr

om

the

Com

mu

nic

atio

n S

tyle

s o

f Adu

lts

Chi

ldre

n en

gage

in a

ctiv

ities

to d

eal w

ith tr

aum

a an

d gr

ief.

With

you

ng c

hild

ren,

thes

e ac

tiviti

es in

volv

e sp

onta

neou

s pla

y, u

sual

ly w

ith o

bjec

ts o

r oth

er c

hild

ren

who

are

read

ily a

vaila

ble.

O

lder

chi

ldre

n an

d ad

oles

cent

s al

so e

ngag

e in

act

iviti

es to

exp

ress

thei

r rea

ctio

ns.

The

se a

ctiv

ities

may

in

clud

e sp

orts

, dra

ma,

dan

ce o

r son

g. T

raum

a or

gri

ef-r

elat

ed a

ctiv

ities

may

be

spor

adic

and

repe

titiv

e.

4. S

ome

Adu

lts

Hav

e Sp

irit

ual B

elie

fs T

hat

Hel

p

Th

em to

Cop

e W

ith

Tra

uma

and

Gri

ef

Chi

ldre

n ha

ve n

ot fu

lly d

evel

oped

suc

h be

liefs

, and

trau

ma

or g

rief

intr

ude

upon

thei

r co

ncep

tions

ofl

ife

and

deat

h.

F. T

raum

atic

Gri

ef R

eact

ions

1. L

oss

and

Dea

th

The

exp

erie

nces

and

con

cept

s of

loss

and

dea

th a

re c

lose

ly in

tert

win

ed.

Dea

th is

oft

en

expr

esse

d as

the

loss

ofl

ife.

Som

eone

who

has

die

d ha

s be

en "

lost

" to

his

or h

er s

urvi

vors

. T

he e

nd o

f re

latio

nshi

ps o

r cer

tain

tim

es in

life

are

oft

en ta

lked

abo

ut th

roug

h de

ath

imag

ery:

div

orce

may

be

expe

rien

ced

as th

e de

ath

of a

mar

riag

e; m

emor

ies

ofth

e pa

st m

ay b

e th

ough

t of a

s ol

d, f

aded

or d

ead.

G

rief

reac

tions

are

nor

mal

whe

n an

ythi

ng h

as b

een

lost

. W

hen

som

eone

or s

omet

hing

is g

one

fore

ver,

the

grie

f may

see

m o

verp

ower

ing.

The

con

cept

of d

eath

for c

hild

ren

may

be

mor

e di

ffic

ult t

o un

der­

stan

d w

hen

ther

e is

no

tang

ible

or p

hysi

cal e

vide

nce

of f

inal

ity.

It is

als

o di

ffic

ult f

or c

hild

ren

to c

ompr

e­he

nd o

r acc

ept t

he p

erm

anen

ce o

f dea

th.

28

2. D

enia

l

Adu

lts

ofte

n re

act t

o no

tifi

cati

on o

f tra

umat

ic d

eath

wit

h de

nial

. T

hey

can

't b

elie

ve th

at

som

eone

they

love

is d

ead

or t

hat t

hey

died

due

to v

iole

nce

or t

raum

a. D

enia

l occ

urs

beca

use

the

deat

h do

es n

ot fi

t int

o th

e ad

ult's

per

spec

tive

of n

orm

al e

very

day

life.

Tra

uma

may

not

be

extr

aord

inar

viol

ence

and

dea

th h

appe

n ro

utin

ely

in to

day'

s w

orld

-b

ut

trau

mat

ic d

eath

in a

par

ticu

lar i

ndiv

idua

l's

life

is e

xtra

ordi

nary

to th

at p

erso

n.

Chi

ldre

n la

ck th

e ab

ilit

y to

den

y tr

aum

a an

d de

ath

beca

use

they

do

n't

hav

e a

full

y fo

rmed

pe

rspe

ctiv

e o

f nor

mal

life

. T

hey

live

in a

tem

pora

l wor

ld th

at is

the

pres

ent.

Wha

t occ

urs

toda

y is

re

alit

y ev

en if

it is

an

awfu

l rea

lity.

Ift

hey

have

had

littl

e ex

peri

ence

wit

h lo

ss o

r dea

th, t

hey

have

litt

le

expe

rien

ce in

dea

ling

wit

h th

e em

otio

ns th

at a

ccom

pany

loss

or d

eath

. T

hey

do

n't

den

y it,

but

they

may

be

una

ble

to s

usta

in th

e sa

dnes

s o

r the

fea

rs t

hat t

hey

face

.

Fan

tasy

may

be

used

to c

ope

wit

h th

ose

reac

tion

s an

d to

esc

ape

from

thei

r int

ensi

ty.

Imag

inar

y o

r mag

ical

thin

king

is a

key

sou

rce

of e

mot

iona

l and

men

tal p

roce

ssin

g. C

hild

ren

tend

to r

epla

y th

e tr

aum

a o

r dea

th th

roug

h da

ydre

ams

as w

ell a

s ni

ghtd

ream

s. T

hey

may

not

be

as li

kely

to e

xper

ienc

e in

trus

ive

thou

ghts

or f

lash

back

s ab

out t

he e

vent

as

adul

ts.

Rat

her,

they

let t

heir

min

ds w

ande

r int

o th

ough

ts o

fth

e ev

ents

and

imag

ine

way

s to

rest

ore

the

past

or t

o tr

y to

rec

reat

e re

lati

onsh

ips

that

mig

ht

no

w e

xist

but

for t

he e

vent

. S

omet

imes

fant

asie

s ar

e sc

arie

r tha

n re

ality

. Im

ages

of a

lov

ed o

ne b

urie

d al

ive

in a

cof

fin,

con

fusi

on o

ver t

he s

tate

of s

leep

wit

h de

ath,

con

cern

ove

r whe

re th

e lo

ved

one

is n

ow

are

exam

ples

of s

ourc

es o

f sca

ry fa

ntas

ies.

On

the

othe

r han

d, y

oung

er c

hild

ren

may

cre

ate

imag

inar

y pl

aym

ates

or s

ubst

itut

e pa

rent

figu

res

in t

heir

dre

ams

to h

elp

cope

wit

h th

eir l

onel

ines

s. O

lder

chi

ldre

n m

ay id

eali

ze m

emor

ies

oft

he

pers

on w

ho h

as d

ied.

Oft

en d

ream

s an

d fa

ntas

ies

focu

s on

pos

sibl

e re

unio

ns. S

ome

chil

dren

may

exp

erie

nce

"vis

itat

ions

" by

gho

sts

or sp

irit

s o

fth

e de

ad.

Oth

ers

may

de

velo

p a

beli

efin

rei

ncar

nati

on o

fth

e de

ceas

ed.

Som

etim

es fa

ntas

y is

use

d to

exp

lore

alt

erna

tive

rol

es

that

they

mig

ht h

ave

play

ed in

res

pond

ing

to th

e tr

aum

a o

r in

prev

enti

ng a

dea

th.

Fan

tasy

may

als

o be

us

ed to

imag

ine

diff

eren

t end

ings

to th

e tr

aum

atic

eve

nt th

at c

ould

hav

e ha

ppen

ed a

nd w

ould

hav

e ha

d m

ore

posi

tive

con

sequ

ence

s.

3. L

osse

s C

ause

d b

y D

eath

are

Con

cret

ely

Iden

tifi

ed

in a

Ch

ild

's L

ife;

Exp

lana

tion

s A

bou

t Dea

th a

nd

Los

s ar

e O

ften

Int

erpr

eted

Lit

eral

ly

Som

eone

has

die

d. I

f a c

hild

see

s th

e pe

rson

who

is d

ead,

they

not

ice

the

abse

nce

of

acti

vity

. H

owev

er, t

he d

iffe

renc

e be

twee

n li

fe a

nd d

eath

may

not

be

othe

rwis

e ob

viou

s. T

heir

con

cern

ab

out t

he p

hysi

cal a

spec

t of d

eath

may

be

man

ifes

ted

thro

ugh

ques

tion

s ab

out h

ow s

omeo

ne e

ats,

br

eath

es, o

r goe

s to

the

bath

room

whe

n s/

he is

dea

d. S

ince

they

do

n't

com

preh

end

deat

h's

perm

a­ne

nce,

they

may

wor

ry a

bout

wha

t wil

l hap

pen

to th

e pe

rson

whe

n th

ey li

ve a

gain

. C

areg

iver

s ne

ed to

be

ale

rt to

beh

avio

rs o

r cas

ual c

omm

ents

that

mig

ht in

dica

te c

hild

ren

have

uns

poke

n qu

esti

ons.

Sim

ple,

st

raig

htfo

rwar

d an

swer

s o

r ack

now

ledg

men

ts th

at th

e ca

regi

ver h

as s

imil

ar q

uest

ions

is h

elpf

ul to

ch

ildre

n. Bec

ause

chi

ldre

n's

pers

pect

ives

are

tied

to c

oncr

ete,

fact

ual o

bser

vati

ons,

it is

par

ticu

larl

y im

port

ant t

o in

volv

e th

em in

act

ivit

ies

that

ack

now

ledg

e th

e m

ourn

ing

proc

ess

and

prov

ide

them

wit

h

29

ritu

als ~n

d sy

mbo

ls th

at h

elp

to m

emor

iali

ze w

hat h

as h

appe

ned.

Chi

ldre

n so

met

imes

thin

k th

at a

dult

s d

on

't c

are

wha

t hap

pene

d to

the

dece

ased

bec

ause

adu

lts

do n

ot in

volv

e th

e ch

ildr

en in

fune

ral a

rran

ge­

men

ts o

r mem

oria

ls a

nd m

ay b

e un

com

fort

able

wit

h de

mon

stra

ting

thei

r ow

n gr

ief i

n fr

ont o

f chi

ldre

n.

Chi

ldre

n of

ten

rese

nt w

hat t

hey

perc

eive

as

atte

mpt

s to

rep

lace

love

d on

es o

r to

forg

et th

em.

Whe

n th

e de

ceas

ed's

clo

thes

or p

rope

rty

are

rem

oved

qui

ckly

, chi

ldre

n m

ay s

ee th

at a

s a

betr

ayal

of t

he d

ecea

sed.

As

chil

dren

bec

ome

mor

e aw

are

of t

he fa

ct th

at th

e de

ceas

ed w

ill n

ot re

turn

to th

eir l

ife,

they

als

o be

com

e m

ore

awar

e o

fth

e co

nseq

uenc

es o

f the

dea

th.

The

y m

iss

the

beha

vior

of t

he d

ecease

habi

ts, r

outi

nes,

act

ivit

ies

that

they

had

lear

ned

to e

xpec

t in

thei

r liv

es.

The

y m

ay m

iss

phys

ical

rem

inde

rs

of t

he d

ecea

sed,

par

ticu

larl

y if

adul

ts h

ave

rem

oved

clo

thes

, per

sona

l pro

pert

y, o

r pho

togr

aphs

from

the

chil

d's

hom

e o

r sch

ool.

The

y al

so m

iss

the

dece

ased

whe

n th

ey a

re n

ot a

par

t of t

heir

life

. If

a ch

ild'

s fa

ther

has

die

d, d

inne

r tim

e m

ay b

e pa

rtic

ular

ly tr

aum

atic

bec

ause

the

fath

er d

oesn

't si

t in

his

usua

l pla

ce.

Chi

ldre

n m

ay lo

ng fo

r opp

ortu

niti

es to

dis

cuss

ong

oing

life

eve

nts

wit

h a

pers

on w

ho

has

die

d bu

t who

se

rved

as

an a

dvis

or o

r cou

nsel

or fo

r chi

ldre

n du

ring

thei

r lif

e.

Los

s m

ay a

lso

be

mar

ked

by in

crea

sed

expe

ctat

ions

in a

chi

ld's

life

, suc

h as

rol

e ch

ange

s o

r the

ne

ed to

bec

ome

mor

e m

atur

e. S

omet

imes

thes

e ex

pect

atio

ns a

re d

rive

n by

chi

ldre

n's

own

inte

rpre

tati

on

oft

he

deat

h an

d th

eir n

eed

to a

ct o

r beh

ave

diff

eren

tly

in o

rder

to b

ecom

e sa

fer o

r to

subs

titu

te th

eir o

wn

life

for

the

one

that

has

bee

n lo

st.

Som

etim

es th

e ex

pect

atio

ns a

re d

efin

ed b

y fa

mil

y o

r soc

ial c

onne

c­ti

ons.

A g

riev

ing

mot

her m

ay tu

m to

her

son

aft

er th

e de

ath

of h

er h

usba

nd a

nd w

ant h

im to

ass

ume

the

role

oft

he

"man

in th

e fa

mily

."

4. T

raum

a R

eact

ions

are

Rel

ated

to

Gri

ef R

eact

ions

Tra

umat

ic d

eath

com

poun

ds g

rief

but r

eact

ions

to th

e tr

aum

a of

ten

take

pre

cede

nce

over

gr

ief.

T

here

is s

hock

and

dis

beli

ef ab

out t

he n

atur

e o

fth

e tr

aum

atic

eve

nt.

Em

otio

nal r

eact

ions

suc

h as

an

ger,

fear

, fru

stra

tion

, gui

lt, s

ham

e an

d gr

ief o

ver t

he tr

aum

atic

eve

nt p

rolo

ng e

ffor

ts to

beg

in li

fe a

gain

. G

rief

may

be

post

pone

d ov

er a

nd o

ver a

gain

, but

it is

als

o a

part

of t

he tr

aum

atic

rea

ctio

n. W

hile

ther

e ar

e co

mm

on e

lem

ents

of g

rief-

just

as

ther

e ar

e co

mm

ent e

lem

ents

oft

rau

ma

reac

tio

ns-

ever

y c

hild

is

dif

fere

nt.

Som

e re

acti

ons

may

be

illu

stra

ted

in th

e fo

llow

ing.

a. P

rote

st o

r A

nger

Ove

r th

e L

oss

or D

eath

Ang

er m

ay b

e di

rect

ed a

t the

per

son

wh

o d

ied

-Ho

w c

ould

he

do t

his

to m

e? H

ow

coul

d he

leav

e m

e? I

t may

be

dire

cted

at p

aren

ts o

r adu

lt c

aret

aker

s w

ho f

aile

d to

pro

tect

them

selv

es

or

the

chil

d. I

t may

be

addr

esse

d to

Go

d o

r th

e su

pem

atu

ral-

Why

did

he

have

to d

ie a

nd

som

eone

el

se is

sti

ll a

live

? S

omet

imes

it is

dir

ecte

d in

tern

ally

by

chil

dren

them

selv

es a

s th

ey w

orry

abo

ut w

hat

they

mig

ht h

ave

done

to c

ause

the

deat

h.

b. S

orro

w a

nd S

adne

ss A

bout

the

Los

s or

Dea

th

Chi

ldre

n ne

ed to

kno

w th

at c

ryin

g is

a n

orm

al w

ay to

exp

ress

sad

ness

. T

hey

need

to

know

that

feel

ing

leth

argi

c o

r uni

nter

este

d in

thin

gs a

roun

d th

em is

als

o a

sign

of t

heir

gri

ef.

Som

e ch

ildr

en m

isbe

have

or w

ithd

raw

from

ord

inar

y ac

tivi

ties

. It

is o

ften

impo

rtan

t to

reas

sure

chi

ldre

n th

at it

is

oka

y to

laug

h an

d pl

ay, a

nd th

at it

do

esn

't m

ean

they

did

n't l

ove

the

pers

on w

ho

die

d.

30

c. G

uilt

or

Self

-bla

me

Chi

ldre

n of

ten

belie

ve th

at th

eir t

houg

hts

or fe

elin

gs c

an c

ause

thin

gs to

hap

pen.

If

they

wis

h th

at s

omeo

ne w

as d

ead

and

then

that

per

son

dies

, the

y m

ay fe

el t

heir

thou

ghts

mad

e de

ath

happ

en.

The

y m

ay fe

el th

at i

f the

y ha

d be

en b

ette

r peo

ple,

God

wou

ldn'

t hav

e le

t thi

s ha

ppen

to th

em.

The

y m

ay h

ave

deep

regr

ets

and

guilt

ove

r tim

es w

hen

they

wer

e an

gry

or b

ehav

ed b

adly

tow

ards

the

dece

ased

.

5. C

hild

ren

Fac

e A

ddit

iona

l Ris

ks W

hich

Inc

reas

e th

e T

raum

atic

Gri

ef R

eact

ion

The

y m

ay e

xper

ienc

e ch

ange

s in

the

prim

ary

adul

t or a

dults

who

are

res

pons

ible

for

thei

r car

etak

ing.

The

y m

ay b

e fo

rced

to r

eloc

ate

thei

r hom

e or

to a

ttend

a d

iffe

rent

sch

ool b

ecau

se o

f th

e im

pact

oft

he tr

aum

a.

Som

etim

es th

ey a

re s

ent a

way

to h

omes

of r

elat

ives

or f

rien

ds f

or a

tem

po­

rary

tim

e to

giv

e pa

rent

s or

sign

ific

ant a

dults

a c

hanc

e to

org

aniz

e th

eir l

ives

. E

xclu

ding

chi

ldre

n fr

om

tran

sitio

n ac

tiviti

es a

nd e

vent

s ad

ds to

thei

r sen

se o

f aba

ndon

men

t and

isol

atio

n. P

artic

ular

act

iviti

es

whi

ch c

hild

ren

had

enjo

yed

befo

re th

e tr

aum

a m

ay n

ow c

ease

bec

ause

the

pers

on w

ho d

ied

was

the

one

resp

onsi

ble

for p

rom

otin

g th

ose

activ

ities

or i

nvol

ving

the

child

ren

in th

ose

activ

ities

.

31

V.

Inte

rven

tion

s fo

r G

riev

ing

Chi

ldre

n

A. C

areg

iver

Com

mu

nic

atio

n

Initi

al e

ffor

ts a

t int

erve

ntio

n sh

ould

focu

s on

com

mun

icat

ion

tech

niqu

es th

at a

re a

ge-a

ppro

­pr

iate

. C

hild

ren

shou

ld b

e en

cour

aged

to e

xpre

ss th

emse

lves

in p

lay,

art

wor

k, m

usic

, dan

ce o

r dra

ma.

V

erba

l com

mun

icat

ion

thro

ugh

whi

ch c

hild

ren

expl

ain

thei

r act

iviti

es sh

ould

als

o be

sou

ght.

• A

ttent

ion

shou

ld b

e pa

id to

hel

ping

chi

ldre

n de

velo

p a

narr

ativ

e or

a st

ory

of t

he tr

au­

mat

ic d

eath

. K

ey c

ompo

nent

s o

f suc

h a

stor

y in

cl u

de p

laci

ng th

e de

ath

in th

e co

ntex

t of t

ime,

spa

ce,

unde

rsta

ndin

g cl

earl

y w

hat t

hey

obse

rved

and

cla

rifY

ing

any

part

icul

arm

ispe

rcep

tions

, and

ass

istin

g ch

ildre

n as

they

see

k to

find

a m

eani

ng o

r pur

pose

in w

hat h

appe

ned.

• C

areg

iver

s sh

ould

rem

embe

r tha

t chi

ldre

n ne

ed to

take

the

lead

in d

efin

ing

the

para

eter

s o

f dis

cuss

ion

or e

xpre

ssio

n. A

chi

ld's

ques

tions

sho

uld

be a

nsw

ered

fact

ually

and

sim

ply

whe

n po

ssib

le.

Car

egiv

ers

shou

ld li

sten

car

eful

ly to

que

stio

ns s

o th

at th

ey d

on't

mak

e as

sum

ptio

ns a

bout

w

hat t

he c

hild

kno

ws

or w

hat h

e w

ants

to k

now

. O

ften

care

give

rs fa

ll in

to th

e tr

ap o

f pro

vidi

ng to

o m

uch

info

rmat

ion

in re

spon

se to

a q

uest

ion.

• B

ehav

iors

sho

uld

be n

on-j

udgm

enta

l with

rega

rd to

the

trau

mat

ic e

vent

, the

trau

mat

ic

grie

f rea

ctio

n, a

nd th

e ch

ild's

age

-rel

ated

beh

avio

rs.

B. G

oals

of A

ssis

tanc

e

1. E

stab

lish

Saf

ety

and

Secu

rity

<:)..

Res

pond

to a

nd p

rovi

de o

ppor

tuni

ties

for c

hild

ren

to re

ceiv

e po

sitiv

e hu

man

ph

ysic

al c

onta

ct to

reaf

firm

nee

ds fo

r sen

sory

com

fort

and

car

e.

b.

Hel

p ch

ildre

n ge

t eno

ugh

slee

p. T

his m

ay in

volv

e re

spon

ding

to a

chi

ld's

con

cern

ab

out t

he s

afet

y o

f his

bed

room

or h

ome,

ens

urin

g th

at s

omeo

ne is

read

ily a

vaila

ble

to p

rovi

de a

ssur

­an

ce a

fter

nig

htm

ares

or s

leep

dis

turb

ance

s, o

r pro

vidi

ng a

soot

hing

and

cal

min

g en

viro

nmen

t bef

ore

bedt

ime.

c.

Hel

p ch

ildre

n de

velo

p pr

otec

tive

plan

s of

actio

n if

anot

her t

raum

atic

eve

nt w

ere

to

occu

r. T

his

may

incl

ude

educ

atin

g th

em o

n w

hat t

hey

mig

ht d

o if

som

ethi

ng h

appe

ned

agai

n an

d pr

ovid

­in

g th

em o

ppor

tuni

ties

to p

ract

ice

thei

r tra

uma

resp

onse

.

d.

Prov

ide

them

with

phy

sica

l sym

bols

of n

urtu

ring,

love

or r

emem

bran

ce.

Ted

dy

bear

s or

stuf

fed

anim

als

are

ofte

n a

sour

ce o

f gre

at c

omfo

rt to

chi

ldre

n o

f all

ages

. R

eest

ablis

hing

ro

utin

es a

nd h

abitu

al a

ctiv

ities

giv

es c

hild

ren

reas

sura

nce

that

life

has

retu

rned

to a

kin

d o

f ord

er.

Ritu

als

such

as

pray

ers,

a re

gula

r "m

emor

y tim

e", o

r spe

cial

cer

emon

ies

may

als

o be

a so

urce

of s

ecur

ity.

33

2. A

llow

Chi

ldre

n to

Tel

l Wh

at H

app

ened

and

to

Tal

k A

bou

t Dea

th

a.

Enc

oura

ge th

em to

tell

or d

evel

op s

torie

s th

at h

elp

them

exp

lore

inte

nse

reac

tions

su

ch a

s an

ger o

r fea

r.

b.

Ens

ure

that

chi

ldre

n un

ders

tand

dif

fere

nces

bet

wee

n lif

e an

d de

ath.

c.

Rea

ssur

e th

em th

at s

adne

ss a

nd g

rief

are

a ne

cess

ary

part

of s

urvi

ving

the

deat

h o

f so

meo

ne th

ey lo

ved.

Hel

p th

em to

des

crib

e an

d un

ders

tand

reac

tions

to tr

aum

a an

d re

actio

ns to

the

deat

h.

d.

Tal

k w

ith th

em a

bout

wha

t the

y ob

serv

ed in

the

reac

tions

of p

aren

ts, p

eers

, or o

ther

si

gnifi

cant

adul

ts.

3. P

red

ict

Wh

at W

ill H

app

en a

nd P

rep

are

Ch

ild

ren

for

th

e F

utu

re

a.

Enc

oura

ge th

e re

esta

blis

hmen

t of c

omfo

rting

rout

ines

.

b.

Edu

cate

chi

ldre

n ab

out t

raum

a, d

eath

, and

loss

.

c.

Hel

p th

em d

evel

op re

ason

s fo

r liv

ing.

d.

Hel

p th

em ta

ke ti

me

to th

ink

abou

t the

ir fu

ture

.

e.

Supp

ort a

dult

care

give

rs in

thei

r eff

orts

to re

act a

ppro

pria

tely

.

f W

ork

to h

elp

child

ren

solv

e pr

oble

ms t

hey

face

bec

ause

of t

he tr

aum

a.

• A

ddre

ss w

hat c

an a

nd c

an't

be d

one.

• H

elp

miti

gate

oth

er c

hang

es in

thei

r liv

es.

• A

ddre

ss e

stra

ngem

ent f

rom

pee

rs.

• H

elp

child

ren

fram

e th

eir l

oss

in th

e co

ntex

t of a

ll o

f the

ir re

latio

nshi

ps

and

thei

r life

as

a w

hole

.

• H

elp

child

ren

focu

s on

the

futu

re.

g.

Giv

e co

ncre

te a

id a

nd fa

ctua

l inf

orm

atio

n.

34

c. M

etho

ds o

f Int

erve

ntio

n

Muc

h o

f wha

t car

egiv

ers

do w

hen

inte

rven

ing

is to

try

to h

elp

chil

dren

tell

the

stor

y o

f wh

at

happ

ened

and

how

they

feel

abo

ut it

. T

he fo

llow

ing

met

hods

can

hel

p ch

ildr

en fe

el c

omfo

rtab

le te

llin

g ab

out t

heir

thou

ghts

, em

otio

ns a

nd c

once

rns.

1. O

ral

Stor

ytel

ling

Car

egiv

ers

enco

urag

e ch

ildr

en to

tell

a sh

ort s

tory

abo

ut th

e tr

aum

atic

dea

th, t

he p

erso

n w

ho

die

d or

abo

ut th

emse

lves

. C

areg

iver

s ca

n su

gges

t the

fol

low

ing

type

s o

f int

rodu

ctor

y se

nten

ces

or

phra

ses:

• "O

nce

upon

a ti

me

ther

e w

as a

litt

le g

irl n

amed

Mar

y w

ho

was

ver

y,

very

sad

bec

ause

... ";

• "A

few

day

s ag

o I w

oke

up a

nd it

was

bri

ght a

nd s

unny

and

I w

as

very

hap

py, b

ut th

en ...

";

• "I

'd li

ke to

tell

you

a st

ory

abou

t my

mot

her w

ho

was

kil

led

in a

n au

tom

obil

e cr

ash.

"

With

you

nger

chi

ldre

n, c

areg

iver

s m

ay n

eed

to m

odel

tell

ing

a sh

ort s

tory

. It

may

be

usef

ul f

or

care

give

rs to

con

side

r tel

ling

a s

tory

abo

ut th

eir o

wn

life

whe

n so

meo

ne th

ey lo

ved

died

. W

hile

this

te

chni

que

is n

ot u

sual

ly s

ugge

sted

for u

se w

ith

adul

ts, c

hild

ren

are

ofte

n ex

ceed

ingl

y cu

riou

s ab

out a

dult

s w

ho

hav

e su

ffer

ed tr

aum

as s

imil

ar to

thei

r ow

n.

2. G

uide

d F

ree

Pla

y

Tra

umat

ized

chi

ldre

n w

ill o

ften

aut

omat

ical

ly u

se to

ys to

ree

nact

thei

r tra

uma

and

thei

r co

ncer

ns.

If ca

regi

vers

hav

e a

rang

e o

fto

ys

avai

labl

e in

a s

peci

al b

ox, s

helf

, or a

bag

, chi

ldre

n ca

n p

ick

and

cho

ose

thei

r fav

orit

e m

od

e o

f exp

ress

ion.

You

ng c

hild

ren

wil

l run

to th

e to

ys o

r im

med

iate

ly a

sk

wh

at is

in t

he b

ag s

o th

ey c

an s

tart

to p

lay

as s

oon

as p

ossi

ble.

Car

egiv

ers

can

obse

rve

chil

dren

beg

in

to p

lay

wit

hout

pro

mpt

ing

whi

le d

oing

pre

para

tory

thin

gs s

uch

as p

utti

ng o

ut re

fres

hmen

ts, o

r han

ging

up

coat

s. T

hey

can

join

the

chil

dren

wit

h ne

utra

l que

stio

ns s

uch

as, "

Tha

t loo

ks in

tere

stin

g. W

hat a

re y

ou

pl

ayin

g?"

Toy

s th

at a

re o

ften

hel

pful

sto

ry te

ller

s ar

e: b

uild

ing

bloc

ks, c

ars,

truc

ks, a

irpl

anes

, hum

an

figu

res,

dol

ls, s

tuff

ed a

nim

als,

sim

ple

puzz

les

of p

eopl

e or

peo

ple'

s fa

ces.

3. S

tim

ulat

ing

Dis

cuss

ion

For

chi

ldre

n w

ho a

re a

rtic

ulat

e an

d ve

rbal

, dis

cuss

ions

can

hav

e a

heal

ing

effe

ct s

imil

ar

to th

at e

xper

ienc

ed b

y m

any

adul

ts w

ho "

talk

out

" th

eir c

once

rns

and

reac

tion

s. C

areg

iver

s ca

n he

lp

chil

dren

beg

in to

dis

cuss

the

trau

mat

ic d

eath

by

show

ing

phot

ogra

phs

oft

he

dece

ased

, sho

win

g a

vide

o st

ory

abo

ut d

eath

and

trau

ma,

rea

ding

a s

hort

sto

ry, p

oem

or p

arab

le re

lati

ng to

dea

th a

nd tr

aum

a, o

r pr

esen

ting

a n

ews

stor

y o

r med

ia a

rtic

le a

bout

the

even

t for

cri

tiqu

e.

35

The

vid

eota

pe th

at a

ccom

pani

es th

is g

uide

book

is d

esig

ned

to s

timul

ate

disc

ussi

on a

bout

ch

ildr

en's

reac

tions

, but

oth

er v

ideo

s co

uld

be u

sed

as w

ell.

4. C

reat

ive

Wri

ting

Scho

ol a

ge c

hild

ren

and

adol

esce

nts

ofte

n fin

d it

help

ful t

o w

rite

abo

ut w

hat c

once

rns

them

. O

utle

ts fo

r cre

ativ

e w

ritin

g in

clud

e jo

urna

ls, l

ette

rs to

love

d on

es, p

rose

, poe

try,

art

icle

s, o

r m

emor

y bo

oks.

Car

egiv

ers

can

help

sug

gest

title

s fo

r pag

es in

mem

ory

book

s th

at m

ay h

elp

child

ren

expr

ess

pote

nt fe

elin

gs.

Som

e id

eas

are:

• "M

ary'

s N

ame"

[the

chi

ld sp

ells

Mar

y ve

rtic

ally

dow

n th

e pa

ge a

nd a

ttach

es

a w

ord

to e

ach

lette

r tha

t ref

lect

s w

hat M

ary

mea

nt to

the

child

].

1

• "T

he th

ing

I lov

ed m

ost a

bout

Mar

y is

... "

• "M

y sa

ddes

t mem

ory

of M

ary

is .. .

'''

• "M

y ha

ppie

st m

emor

y o

f Mar

y is

... "

• "M

y fu

nnie

st m

emor

y o

f Mar

y is

... "

• "M

ary'

s fa

vori

te h

obby

, col

or, b

ird,

mus

ic, f

ood,

spo

rt w

as ...

"

• "I

f you

had

bee

n ab

le to

say

goo

d by

e to

Mar

y, w

hat w

ould

you

hav

e sa

id?"

5. C

reat

ive

Art

Chi

ldre

n lo

ve to

dra

w, p

aint

, pla

y w

ith c

lay,

and

do

craf

ts.

All

can

serv

e as

use

ful m

edia

fo

r exp

ress

ing

the

mes

sage

of g

rief

and

trau

ma.

Fin

ger p

aint

ing

and

wor

king

with

cla

y ar

e bo

th m

essy

ar

ts b

ut c

an b

e pa

rtic

ular

ly h

elpf

ul b

ecau

se th

ey s

eem

to o

ffer

chi

ldre

n a

mor

e in

tera

ctiv

e, v

isce

ral s

ense

o

f exp

ress

ion.

Cla

y is

oft

en s

ooth

ing

to th

e to

uch

alth

ough

som

e ch

ildre

n lik

e to

pou

nd o

r sta

b it

in

ange

r. O

ne im

agin

ativ

e ca

regi

ver o

ffer

ed c

hild

ren

the

oppo

rtun

ity to

fin

ger p

aint

sho

wer

sta

lls in

the

scho

ol lo

cker

room

s. T

hey

had

plen

ty o

f roo

m a

nd th

e fi

nish

ed p

rodu

ct c

ould

be

was

hed

away

eas

ily.

The

neg

ativ

e si

de o

f usi

ng im

perm

anen

t art

is th

at s

ome

child

ren

wan

t to

keep

thei

r cre

atio

ns b

ecau

se

the

expr

essi

on o

fthe

ir fe

elin

gs is

so

mea

ning

ful t

o th

em.

Whe

n w

orki

ng w

ith g

roup

s, c

areg

iver

s mig

ht

sugg

est t

hat t

he g

roup

cre

ate

a co

mm

unity

mur

al.

6. D

ram

atic

Ena

ctm

ents

Mos

t chi

ldre

n lik

e to

pla

y-ac

t, pa

rtic

ular

ly i

f pro

ps, c

ostu

me

or m

akeu

p ar

e av

aila

ble

to

enab

le th

em to

bec

ome

tota

lly in

volv

ed in

bei

ng a

noth

er p

erso

n. P

uppe

ts c

an a

lso

be u

sed.

You

ng

child

ren

may

sim

ply

use

the

oppo

rtun

ity to

reen

act f

uner

als

or p

ortio

ns o

f the

trau

ma

stor

ies.

Old

er

child

ren

and

adol

esce

nts

may

wan

t to

crea

te th

eir o

wn

"min

i" p

lays

. A

dole

scen

ts m

ay a

lso

find

play

ing

part

s or r

eadi

ng s

crip

ts fr

om c

lass

ic a

nd m

odem

trag

edie

s he

lpfu

l in

expr

essi

ng th

eir c

once

rns

over

de

ath.

36

7. M

usi

c

Lis

teni

ng to

, pla

ying

or s

ingi

ng m

usic

can

be

a w

onde

rful

rel

ease

for c

hild

ren.

It p

ro­

vide

s a

reco

nnec

tion

to th

e se

nse

of r

hyth

m a

s w

ell a

s th

e fa

ct th

at c

erta

in m

usic

al in

stru

men

ts m

ay e

cho

soun

ds o

f gri

ef re

actio

ns: a

nger

mig

ht b

e ex

pres

sed

thro

ugh

the

soun

d o

f dru

ms

or a

bla

ring

trum

pet;

reed

and

str

ing

inst

rum

ents

mig

ht re

min

d ch

ildre

n o

f wee

ping

or f

eelin

gs o

flon

elin

ess;

dru

m ro

lls a

nd

cym

bals

may

refl

ect t

ensi

ons,

anx

ietie

s an

d fe

ars;

har

ps, f

lute

s, a

nd p

icco

los

ofte

n so

und

like

spir

its

talk

ing,

and

so

forth

. D

eath

-rel

ated

lyri

cs a

re f

ound

in m

usic

as

dive

rse

as c

ount

ry-w

este

rn, r

ap, o

pera

, or

hym

ns.

8. P

raye

r, R

epet

itiv

e M

edit

atio

ns, a

nd C

han

ts

The

pow

er o

f pra

yers

for m

any

child

ren

rest

s in

the

affi

rmat

ion

of s

piri

tual

bel

iefs

, but

al

so in

ass

ocia

ted

rela

xatio

n re

spon

ses

trig

gere

d by

the

repe

titio

n of

fam

ilia

r and

com

fort

ing

wor

ds.

The

y ad

d an

air

of s

olem

nity

and

gra

vity

to ri

tual

s an

d m

emor

ial a

ctiv

ities

.

D. S

ampl

e Q

uest

ion

s, E

xerc

ises

and

Act

ivit

ies

Use

ful

in W

orki

ng W

ith

Chi

ldre

n

The

follo

win

g qu

estio

ns, e

xerc

ises

and

act

iviti

es h

ave

been

use

d w

ith in

divi

dual

chi

ldre

n an

d w

ith g

roup

s o

f chi

ldre

n w

ho a

re g

riev

ing

afte

r vio

lent

dea

th.

The

y dr

aw u

pon

the

met

hods

ofi

nter

ven­

tion

desc

ribe

d ab

ove

and

illus

trat

e ho

w th

ese

inte

rven

tions

can

be

used

to a

ddre

ss c

omm

on c

once

rns

chil

dren

may

hav

e. T

o th

e ex

tent

pos

sibl

e, c

hild

ren

shou

ld b

e al

low

ed to

cho

ose

exer

cise

s an

d ac

tiviti

es

they

wan

t to

do o

r to

sugg

est a

ltern

ativ

es.

It is

use

ful f

or c

areg

iver

s w

ho w

ork

with

gri

evin

g ch

ildre

n to

ke

ep to

ys, a

rt s

uppl

ies

and

light

refr

eshm

ents

read

ily a

vaila

ble.

If c

areg

iver

s are

res

pond

ing

imm

edia

tely

af

ter a

vio

lent

dea

th, t

hey

shou

ld ta

ke p

aper

and

col

ored

mar

kers

or c

rayo

ns w

ith th

em to

use

in ta

lkin

g to

sur

vivi

ng c

hild

ren.

Mos

t chi

ldre

n ta

lk m

ore

read

ily w

hen

thei

r han

ds a

re b

usy.

Whe

n w

atch

ing

a vi

deot

ape

or li

sten

ing

to a

stor

y, m

any

child

ren

also

wan

t to

have

som

ethi

ng to

do

with

thei

r han

ds.

Whi

le c

areg

iver

s w

ant t

o lis

ten

to c

hild

ren'

s st

orie

s an

d as

sist

them

to u

nder

stan

d th

at s

omeo

ne th

ey

love

d di

ed in

the

imm

edia

te a

fter

mat

h o

f vio

lent

dea

th, m

ost q

uest

ions

and

act

iviti

es w

ill b

e ad

dres

sed

or

used

in th

e da

ys o

r wee

ks fo

llow

ing

viol

ent d

eath

.

37

1. F

indi

ng O

ut th

e C

hild

's V

ersi

on o

f Wha

t H

appe

ned

Und

erly

ing

Que

stio

ns:

How

did

[pe

rson

(s) n

ame(

s)]

die?

Wha

t hap

pene

d w

hen

s/he

die

d?

Act

ivit

ies

that

Hel

p A

ddre

ss t

he Q

uest

ions

:

• D

raw

ing

or p

aint

ing

imag

es o

f wha

t ha

ppen

ed.

Hin

t:

If ch

ildre

n ar

e re

luct

ant t

o be

gin

draw

ing

or p

aint

ing,

car

egiv

ers

may

beg

in to

dra

w

and

enco

urag

e th

e ch

ildre

n to

add

to th

eir d

raw

ings

. U

sefu

l sta

rtin

g po

ints

incl

ude

draw

ing

a fa

ce o

r a

pers

on, a

hou

se, o

r the

wea

ther

for t

he d

ay.

Hin

t:

Chi

ldre

n sh

ould

be

enco

urag

ed to

des

crib

e th

eir d

raw

ings

as

they

tell

wha

t hap

­pe

ned.

Oft

en, c

hild

ren

will

add

wri

tten

wor

ds to

thei

r dra

win

gs th

at h

elp

them

to a

rtic

ulat

e th

eir f

ears

.

• G

uide

d fr

ee p

lay:

in

wor

king

wit

h gr

ievi

ng c

hild

ren

who

hav

e su

rviv

ed o

r w

it­ne

ssed

vio

lent

dea

th,

toys

tha

t giv

e th

em a

n op

port

unit

y to

pla

y or

act

ou

t the

eve

nt m

ay

be

help

ful.

Hin

t:

Toy

s m

ight

incl

ude

child

and

adu

lt fig

ures

, pol

icem

en, f

irem

en, d

octo

rs, a

mbu

lanc

es,

fire

truc

ks, c

ars,

bui

ldin

gs, p

ets.

Hin

t:

Car

egiv

ers

shou

ld a

sk th

e ch

ildre

n ho

w th

ey m

ight

pla

y w

ith th

em.

Oft

en c

hild

ren

have

car

egiv

ers

play

the

"bad

guy

" or

som

eone

with

who

m th

ey a

re u

pset

so th

ey c

an e

xpre

ss th

eir

dist

ress

at a

real

per

son.

Hin

t:

Chi

ldre

n of

ten

have

an

acut

e m

emor

y o

f the

trau

mat

ic e

vent

and

can

repl

ay v

ivid

ly

the

mos

t fri

ghte

ning

par

t oft

hat e

vent

. It

may

invo

lve

loud

sou

nds,

ang

ry re

spon

ses,

or s

pora

dic

activ

ity.

Car

egiv

ers

shou

ld b

e pr

epar

ed to

cop

e w

ith s

uch

reac

tions

and

pro

vide

imm

edia

te n

urtu

ring

to

child

ren

to h

elp

them

feel

saf

e ag

ain.

• D

ram

atic

ree

nact

men

ts:

olde

r ch

ildr

en m

ay

wan

t to

deve

lop

a pl

ay to

des

crib

e w

hat

happ

ened

, par

ticu

larl

y in

the

wee

ks o

r m

onth

s fo

llow

ing

the

deat

h.

Hin

t:

With

old

er c

hild

ren,

car

egiv

ers

shou

ld b

e pr

epar

ed to

cla

rify

any

mis

conc

eptio

ns th

e ch

ildre

n m

ay h

ave

abou

t wha

t hap

pene

d w

hen

the

viol

ent d

eath

was

a su

icid

e, h

omic

ide

or a

n ac

cide

nt.

Hin

t:

Dra

mat

ic re

enac

tmen

ts m

ay b

e tr

aum

atic

eve

nts

for c

hild

ren

and

care

give

rs s

houl

d be

pre

pare

d to

pro

vide

cri

sis

assi

stan

ce i

f the

dra

ma

is o

verw

helm

ing.

39

2.

Exp

lori

ng t

he D

iffe

renc

e B

etw

een

Lif

e an

d D

eath

Und

erly

ing

Que

stio

n: H

ow d

o y

ou k

now

that

som

eone

or s

omet

hing

is d

ead?

Act

ivit

ies

that

Hel

p A

ddre

ss th

e Q

uest

ion:

• T

ouch

ing

a de

ad p

erso

n o

r a

nim

al m

ay

help

chi

ldre

n co

mpa

re b

ody

war

mth

an

d

iden

tifY

a d

iffe

renc

e in

th

e fe

el o

f th

e sk

in o

f som

eone

livi

ng.

• L

iste

nin

g fo

r th

e he

artb

eat o

f a d

ead

pers

on o

r a

nim

al m

ay

help

chi

ldre

n to

com

­p

are

th

e he

artb

eat o

f so

meo

ne

livi

ng.

Hin

t: L

ooki

ng a

t wha

t hap

pens

whe

n ey

egla

sses

or a

mir

ror a

re p

lace

d cl

ose

to th

e m

outh

o

f a d

ead

pers

on o

r ani

mal

and

com

pare

the

resu

lts

to w

hat h

appe

ns w

hen

the

sam

e th

ings

are

pla

ced

clos

e to

som

eone

livi

ng.

Bre

ath

cont

ains

moi

stur

e th

at w

ill c

ause

a f

og w

hen

it co

mes

into

con

tact

wit

h a

cool

pan

e o

f gla

ss.

Hin

t: S

ome

chil

dren

nev

er h

ave

the

oppo

rtun

ity

to s

ee th

e de

ad b

ody

of a

lov

ed o

ne o

r ac

quai

ntan

ce b

ecau

se th

ey a

re n

ot p

enni

tted

to a

tten

d th

e w

ake

or g

o to

the

fune

ral

hom

e o

r fun

eral

se

rvic

e. H

owev

er, i

t is

not u

ncom

mon

for c

hild

ren

to s

ee a

dea

d an

imal

, eit

her a

pet

or a

n an

imal

who

ha

s di

ed o

utsi

de (

baby

bir

ds th

at h

ave

fall

en o

ut o

ftre

es, f

or e

xam

ple)

.

Hin

t: I

t may

be

extr

emel

y di

ffic

ult f

or th

e pa

rent

or o

ther

car

egiv

er to

ass

ist a

chi

ld to

ex

plor

e th

e m

eani

ng o

f dea

th b

y vi

ewin

g th

e bo

dy o

f a d

ead

love

d on

e. I

t mig

ht b

e ea

sier

for

som

eone

w

ho

wor

ks in

the

fun

eral

hom

e to

hel

p th

e ch

ild

see

and

touc

h th

e bo

dy.

• U

se a

n i

llus

trat

ive

anal

ogy

thro

ugh

a gl

ove

exer

cise

.

Hin

t: H

ave

the

chil

dren

put

on

a gl

ove

and

then

mov

e th

eir h

an

d-p

ick

up

an o

bjec

t,

shak

e ha

nds

wit

h an

othe

r per

son,

or p

lay

wit

h a

toy.

The

glo

ve m

oves

wit

h th

e ha

nd b

ecau

se th

e ha

nd

is th

e li

fe f

orce

wit

hin

the

glov

e. H

ave

the

chil

dren

take

off

the

glov

e an

d la

y it

on

the

tabl

e. E

xpla

in th

at

whe

n th

e li

fe f

orce

is r

emov

ed, t

he g

love

is s

imil

ar to

a d

ead

body

whi

ch h

as n

o Ii

fe i

n it.

It c

an n

o lo

nger

mov

e, f

eel,

touc

h, o

r pla

y.

• S

om

e ch

ildr

en m

ay

wan

t to

see

the

body

of t

he

love

d o

ne

wh

o d

ied.

Hin

t: I

fth

e de

ath

was

vio

lent

, thi

s m

ay n

ot b

e po

ssib

le d

ue to

law

enf

orce

men

t pol

icy

or

pare

ntal

obj

ecti

on.

A v

iew

ing

of t

he b

ody

is u

sefu

l, if

chil

dren

are

pro

perl

y pr

epar

ed fo

r w

hat t

hey

wil

l se

e. l

fth

ey c

anno

t see

the

body

, it m

ay b

e im

port

ant t

o le

t par

ents

kno

w th

at it

may

take

som

e ti

me

for

chil

dren

to a

bsor

b th

e co

ncep

t tha

t the

per

son

is d

ead

and

wil

l not

retu

rn.

40

3. E

xplo

ring

Wha

t H

appe

ns t

o a

Per

son

Aft

er H

e D

ies

Und

erZy

ing

Que

stio

n: W

hat h

appe

ns to

a p

erso

n af

ter h

e di

es?

Act

ivit

ies

that

Hel

p A

ddre

ss th

e Q

uest

ion:

• R

ead

a po

em o

r st

ory,

or

show

a v

ideo

tape

abo

ut s

omeo

ne o

r so

met

hing

dyi

ng.

Ask

th

e ch

ildr

en t

o co

mm

ent o

n th

e en

ding

. W

hat

are

thei

r be

lief

s or

thou

ghts

abo

ut w

hat

hap­

pene

d?

Hin

t:

Exa

mpl

es o

f sho

rt s

tori

es in

clud

e: A

ny A

ardv

arkf

inds

Hop

e, a

bo

ok

by

Do

nn

a 0

' Too

le.

Mor

e ex

cell

ent s

tori

es w

ill b

e in

the

loca

l lib

rary

.

Hin

t:

Che

ck th

e lo

cal l

ibra

ry o

r vid

eo s

tore

s fo

r vi

deos

that

add

ress

dea

th th

at w

ould

be

appr

opri

ate

for c

hild

ren

of v

aryi

ng a

ges.

Hin

t:

If ch

ildr

en a

re s

choo

l-ag

e o

r abo

ve, t

he c

areg

iver

may

ask

them

to h

elp

read

the

stor

y.

Hin

t:

Car

egiv

ers

shou

ld e

ncou

rage

chi

ldre

n to

wri

te th

eir o

wn

stor

ies

abou

t wha

t hap

­pe

ned

to th

e bo

dy o

f the

ir lo

ved

one

and

wha

t the

y be

liev

e ha

ppen

s to

the

spir

it o

f the

ir lo

ved

one.

• D

raw

ing

or p

aint

ing

imag

es o

f wha

t ha

ppen

s.

Com

mon

pic

ture

them

es i

nclu

de:

-D

epic

tion

of b

uria

l or f

uner

al p

roce

edin

gs.

-Sp

irit

ual

conc

epts

suc

h as

a p

erso

n go

ing

to h

eave

n or

bei

ng in

hea

ven,

gh

osts

, go

od o

r ev

il s

piri

ts.

-T

houg

hts

on w

here

the

per

son

is o

r w

hat h

e lo

oks

like

aft

er d

eath

.

Hin

t:

Car

egiv

ers

shou

ld b

e al

ert t

o fr

ight

enin

g im

ages

, sel

f-de

pict

ions

oft

he

chil

d w

here

th

e ch

ild

mig

ht b

e sh

own

in h

idin

g o

r wit

hout

impo

rtan

t bod

y pa

rts,

dep

icti

ons

oft

he

dece

ased

that

are

di

stor

ted

or p

arti

ally

dra

wn,

etc

.

Hin

t:

Car

egiv

ers

shou

ld e

ncou

rage

chi

ldre

n to

des

crib

e th

e pi

ctur

es a

nd a

sk q

uest

ions

ab

out a

ny im

ager

y th

at is

dis

turb

ing.

41

4. E

xplo

ring

Why

a S

udde

n D

eath

has

Occ

urre

d

Und

erly

ing

Que

stio

n: W

hy d

o yo

u th

ink

[per

son(

s) n

ame(

s)]

died

?

Act

ivit

ies

that

Hel

p A

ddre

ss th

e Q

uest

ion:

• L

ife

Cyc

les

Dis

cuss

ion

Tak

e ch

ildre

n on

a fi

eld

trip

to o

bser

ve li

fe a

nd d

eath

in th

e na

tura

l wor

ld.

In a

par

k,

child

ren

mig

ht b

e ab

le to

look

at a

livi

ng tr

ee, a

dyi

ng tr

ee, a

nd a

tree

kill

ed b

y a

stor

m o

r fire

. In

sect

s m

ay b

e ob

serv

ed li

ving

and

dea

d-s

om

e su

dden

ly b

ecau

se a

chi

ld s

tepp

ed o

n th

em.

A y

oung

ani

mal

m

ay b

e vi

ewed

and

con

tras

ted

with

a v

ery

old

anim

al.

Hin

t:

Thi

s di

scus

sion

is m

ost h

elpf

ul a

s an

edu

catio

nal t

ool i

n pr

epar

atio

n fo

r dea

th;

how

ever

, it c

an b

e us

ed in

the

afte

rmat

h o

f sud

den

deat

h to

try

to p

lace

all

deat

h in

per

spec

tive.

Hin

t:

Car

egiv

ers

shou

ld b

e pr

epar

ed fo

r que

stio

ns a

bout

the

diff

eren

ces

betw

een

vari

ous

kind

s of

life

, how

it is

dec

ided

whe

n lif

e sh

ould

end

, why

doe

s so

meo

ne I

love

die

, etc

.

• "F

indi

ng A

nsw

ers"

Gam

e W

ith D

iscu

ssio

n

Inst

ruct

ions

: Pr

ovid

e a

larg

e sh

eet o

f con

stru

ctio

n pa

per t

hat i

s di

vide

d in

to a

mat

rix

of

thre

e la

rge

squa

res

by s

ix la

rge

squa

res.

Chi

ldre

n ar

e as

ked

to w

rite

or d

raw

six

reas

ons

they

bel

ieve

he

lped

to c

ause

the

deat

h of

the

pers

on th

ey lo

ved

in th

e fi

rst s

et o

f ver

tical

squ

ares

. C

areg

iver

s th

en

verif

Y o

r cor

rect

eac

h o

f tho

se re

ason

s in

the

seco

nd s

et o

f ver

tical

squ

ares

. In

the

thir

d se

t of v

ertic

al

squa

res,

car

egiv

ers a

nd c

hild

ren

toge

ther

agr

ee o

n th

e as

sess

men

t tha

t it w

as n

ot th

e ch

ild'

s fa

ult.

Hin

t:

Thi

s exe

rcis

e ex

plor

es m

agic

al th

inki

ng a

nd th

e po

ssib

ility

that

chi

ldre

n bl

ame

them

selv

es fo

r thi

ngs

they

do,

thin

k or

feel

pri

or to

the

deat

h o

f a lo

ved

one.

Car

egiv

ers

can

reas

sure

ch

ildre

n th

at th

eir j

ob in

life

is to

be

a ch

ild a

nd th

at li

fe a

nd d

eath

dec

isio

ns a

re n

ot u

nder

thei

r con

trol

.

Hin

t:

Thi

s ex

erci

se a

lso

help

s ch

ildre

n to

lear

n ab

out t

he f

acts

that

sur

roun

d th

e de

ath

of a

lo

ved

one

and

to c

larif

Y m

isco

ncep

tions

and

rum

ors.

• "I

f I C

ould

Say

Goo

d-by

e" E

xerc

ise

With

Dis

cuss

ion

Inst

ruct

ions

: A

sk c

hi ld

ren

to w

rite

or t

o de

pict

wha

t the

y th

ink

thei

r lov

ed o

ne w

ould

wan

t th

em to

kno

w i

f tha

t per

son

wou

ld h

ave

had

an o

ppor

tuni

ty to

tell

them

they

wer

e go

ing

to d

ie s

udde

nly.

A

fter

chi

ldre

n ex

pres

s th

is id

ea, t

hey

are

then

ask

ed to

wri

te o

r dep

ict w

hat t

hey

wou

ld h

ave

wan

ted

thei

r lov

ed o

ne to

kno

w.

Hin

t:

Thi

s exe

rcis

e he

lps

child

ren

expl

ore

issu

es o

f aba

ndon

men

t, an

ger o

r gri

ef ov

er th

e su

dden

loss

of a

love

d on

e. I

t als

o he

lps

child

ren

to e

xpre

ss th

eir c

onfu

sion

ove

r why

dea

th h

appe

ns.

Hin

t:

The

sec

ond

part

oft

he e

xerc

ise

help

s ch

ildre

n th

ink

thro

ugh

how

they

mig

ht re

solv

e th

ese

issu

es a

nd g

o on

livi

ng.

42

5. I

dent

ifyi

ng T

raum

a or

Gri

ef R

eact

ions

Und

erly

ing

Que

stio

n: W

hat d

o yo

u re

mem

ber f

eelin

g af

ter y

ou k

new

or f

ound

out

that

[per

son(

s)

nam

e( s)

] was

dea

d?

Act

ivit

ies

that

Hel

p A

ddre

ss th

e Q

uest

ion:

• "C

olor

Me

Blu

e" E

xerc

ise

and

Dis

cuss

ion

Inst

ruct

ions

: D

istr

ibut

e pa

per a

nd c

olor

ed m

arke

rs a

nd a

sk c

hild

ren

to m

ake

a se

ries

of

self

-por

trai

ts id

entif

Yin

g ho

w th

ey fe

el w

hen

they

are

ang

ry, a

frai

d, c

onfu

sed,

ash

amed

, gui

lty, l

onel

y,

sad,

exc

ited,

hap

py, f

eelin

g lo

ved.

The

se c

an b

e do

ne o

n on

e pa

ge o

r a s

erie

s o

f sep

arat

e p

ag

es­

one

for e

ach

type

of f

eelin

g. A

sk c

hild

ren

to u

se a

spec

ial c

olor

for e

ach

feel

ing.

Aft

er th

ey h

ave

draw

n th

ose

pict

ures

, chi

ldre

n ar

e as

ked

to id

entif

Y w

hich

feel

ing

they

rem

embe

r hav

ing

first

aft

er le

arni

ng o

f th

eir l

oved

one

's d

eath

. T

hen

they

are

ask

ed to

iden

tifY

oth

er p

ictu

res t

hat i

llust

rate

add

ition

al fe

elin

gs.

Hin

t:

In th

e in

itial

sta

ges

ofth

is e

xerc

ise,

car

egiv

ers

shou

ld u

se s

impl

e, n

onth

reat

enin

g ill

ustr

atio

ns w

ith y

oung

er c

hild

ren

of w

hat t

he v

ario

us e

mot

ions

mig

ht m

ean.

Fo

r exa

mpl

e, g

uilt

mig

ht

be d

escr

ibed

as

"dra

win

g ho

w y

ou m

ight

look

if yo

u fe

lt ba

d be

caus

e yo

u di

d so

met

hing

wro

ng b

ut

didn

't w

ant t

o te

ll an

yone

."

Hin

t:

Car

egiv

ers

and

child

ren

may

wan

t to

keep

thes

e ill

ustr

atio

ns to

use

as

they

con

tinue

to

mee

t and

talk

abo

ut tr

aum

atic

gri

ef.

The

y ca

n be

com

e a

usef

ul r

efer

ence

poi

nt.

How

ever

, car

egiv

ers

shou

ld n

ote

that

chi

ldre

n m

ay w

ant t

o ch

ange

the

colo

r of d

iffe

rent

em

otio

ns a

s th

eir f

eelin

gs c

hang

e.

Hin

t:

Old

er c

hild

ren

may

not

wan

t to

take

the

time

to d

raw

pic

ture

s; h

owev

er, m

any

may

be

abl

e to

thin

k in

term

s o

f col

ors

that

cor

resp

ond

to th

eir r

eact

ions

mor

e ea

sily

than

nam

ing

thei

r re

actio

ns.

The

y m

ight

be

aske

d if

they

can

thin

k o

f a c

olor

that

fits

how

they

felt.

Som

etim

es a

vid

eo

proj

ectio

n of

the

colo

r whe

el m

ight

ass

ist t

hem

in id

entif

Yin

g th

e nu

ance

s o

f the

ir fe

elin

gs.

• R

oadm

ap o

f Tra

uma

Exe

rcis

e an

d D

iscu

ssio

n

Inst

ruct

ions

: A

sk c

hild

ren

to d

raw

a li

ne fr

om th

e tim

e th

at th

eir l

oved

one

die

d un

til th

e pr

esen

t. H

ave

them

mar

k im

port

ant e

vent

s th

at h

ave

happ

ened

dur

ing

that

tim

e on

the

line

and

indi

cate

w

heth

er th

ey w

ere

thin

gs th

at fe

lt sa

d, b

ad, m

ad, o

r gla

d.

Hin

t:

Eve

nts

may

incl

ude

the

first

tim

e th

ey re

turn

ed to

sch

ool,

the

fune

ral,

an in

terv

iew

by

the

polic

e, a

life

cha

nge

such

as

a di

vorc

e o

f par

ents

or t

he b

irth

of a

new

sib

ling,

and

so

forth

.

Hin

t:

Mos

t eve

nts

will

rela

te d

irec

tly to

the

trau

mat

ic d

eath

or b

e in

terp

rete

d in

ligh

t of

that

trau

ma.

Hin

t:

Car

egiv

ers

shou

ld b

e pr

epar

ed to

talk

abo

ut th

e on

goin

g im

pact

of t

he tr

aum

a,

clar

ifY a

ny m

isco

ncep

tions

, and

hel

p w

ith c

hild

ren'

s und

erst

andi

ng o

f ord

inar

y lif

e ch

ange

s tha

t tak

e pl

ace

and

thos

e th

at m

ight

hav

e be

en p

reci

pita

ted

by th

e im

pact

oft

he tr

aum

a.

Hin

t:

Man

y th

ings

in a

chi

ld's

life

will

cha

nge

as a

resu

lt o

f tra

umat

ic d

eath

. T

he c

areg

iver

m

ay s

eek

to fi

nd p

ositi

ve re

solu

tions

in th

ose

chan

ges,

but

som

e ne

gativ

e ch

ange

s may

take

pla

ce.

Car

egiv

ers

shou

ld b

e pr

epar

ed to

hel

p ch

ildre

n co

pe w

ith c

onse

quen

t and

suc

ceed

ing

trau

mas

.

43

6.

Cop

ing

Wit

h T

raum

a or

Gri

ef R

eact

ions

Und

erly

ing

Que

stio

n: H

ow c

an y

ou li

ve w

ith y

our f

eelin

gs?

Act

ivit

ies

that

Hel

p A

ddre

ss th

e Q

uest

ion:

• C

lay-

thro

win

g -

to A

ddre

ss A

ng

er

Ang

er a

nd ra

ge a

re th

e m

ost v

olat

ile a

nd p

oten

tially

vio

lent

em

otio

nal r

eact

ions

to tr

aum

a an

d gr

ief.

Old

er c

hild

ren

may

be

able

to e

xpre

ss a

nger

in w

ritin

g, v

erba

lly o

r thr

ough

con

stru

ctiv

e so

cial

ac

tion.

You

nger

chi

ldre

n m

ay fi

nd it

mor

e di

ffic

ult t

o fin

d w

ays

to a

dequ

atel

y al

levi

ate

thei

r fur

y. C

lay­

thro

win

g ha

s be

en u

sed

by s

ome

care

give

rs to

ass

ist t

hem

. A

larg

e pl

astic

she

et o

r gar

bage

bag

is

plac

ed o

n th

e gr

ound

or f

loor

. U

nmol

ded

soft

cla

y is

giv

en to

chi

ldre

n. T

hey

may

sha

pe it

or s

impl

y ro

ll it

in a

bal

l. T

hey

are

then

allo

wed

to th

row

the

clay

on

the

shee

t as

hard

as

they

can

. E

ach

time

they

th

row

it d

own,

they

are

enc

oura

ged

to e

xpre

ss w

hat t

hey

are

thro

win

g it

for.

Hin

t:

If do

ne in

gro

ups,

this

act

ivity

nee

ds to

be

clos

ely

mon

itore

d so

that

chi

ldre

n do

not

th

row

the

clay

at e

ach

othe

r.

Hin

t:

A m

odif

icat

ion

ofth

is e

xerc

ise

invo

lves

usi

ng d

iffe

rent

col

ors

of c

lay

and

havi

ng

child

ren

iden

tity

diff

eren

t fee

lings

with

eac

h co

lor a

nd th

row

ing

the

colo

rs a

s th

ey e

xpre

ss d

iffe

rent

fe

elin

gs.

Hin

t:

Ven

tilat

ion

of a

nger

is a

use

ful e

xerc

ise

so lo

ng a

s it

is fo

llow

ed b

y re

laxa

tion

and

defu

sing

exe

rcis

es so

that

the

ange

r doe

s no

t esc

alat

e in

em

otio

nal i

nten

sity

.

• P

repa

ring

Sa

fety

Pla

ns -

to A

ddre

ss F

ear

Chi

ldre

n w

ho h

ave

been

trau

mat

ized

by

viol

ent d

eath

nee

d to

hav

e id

eas

abou

t how

they

ca

n pr

otec

t the

mse

lves

in th

e fu

ture

. Pr

actic

al s

afet

y pl

ans

may

not

be

fool

proo

f but

they

can

pro

vide

ch

ildre

n w

ith a

mea

sure

of r

eass

uran

ce.

Car

egiv

ers

shou

ld ta

lk to

chi

ldre

n ab

out t

heir

fear

s an

d tr

y to

pr

ovid

e th

em w

ith s

kills

to a

ddre

ss b

asic

pro

blem

s. F

or in

stan

ce, a

chi

ld m

ay h

ave

hear

d th

at th

ey

shou

ld c

all t

he p

olic

e in

an

emer

genc

y, b

ut th

ey d

o no

t kno

w w

hat t

he n

umbe

r is

or h

ow to

dia

l it.

Tha

t is

a s

impl

e le

sson

. T

he d

isas

ter e

duca

tion

prov

ided

to c

hild

ren

in e

arth

quak

e an

d hu

rric

ane

zone

s ar

e ex

ampl

es o

f edu

catio

n pr

ogra

ms

that

hel

p ch

ildre

n fe

el m

ore

com

pete

nt w

hen

thre

aten

ed w

ith th

ose

disa

ster

s. C

rim

e pr

even

tion

and

educ

atio

n pr

ogra

ms

can

help

chi

ldre

n fe

el m

ore

com

pete

nt w

hen

thre

aten

ed w

ith v

iole

nce.

Car

egiv

ers

shou

ld a

lso

wor

k w

ith si

61J1i f

ican

t adu

lts to

ens

ure

that

chi

ldre

n kn

ow w

hat w

ill h

appe

n to

them

if a

noth

er tr

aum

atic

dea

th o

ccur

s in

thei

r I iv

es.

Whe

re w

i 11 t

hey

go?

Who

will

they

live

with

? H

ow m

ight

they

con

tinue

to b

e in

con

tact

with

thei

r fri

ends

if t

hey

mus

t mov

e to

ano

ther

nei

ghbo

rhoo

d?

Hin

t:

Chi

ldre

n sh

ould

be

allo

wed

to p

ract

ice

safe

ty s

kills

ove

r and

ove

r aga

in u

ntil

they

re

spon

d au

tom

atic

ally

to p

erce

ptio

ns o

fthr

eats

.

-C

on

tin

ued

-

44

Hin

t:

Chi

ldre

n sh

ould

be

allo

wed

to d

evel

op th

eir o

wn

safe

ty te

chni

ques

and

try

them

out

to

see

if t

hey

wor

k. [

fthe

ir su

gges

tions

or a

ttem

pts

refl

ect g

ood

thin

king

but

nee

d re

fine

men

t, ca

regi

vers

sh

ould

rein

forc

e th

eir e

ffor

ts.

[fth

eir s

ugge

stio

ns a

re d

ange

rous

or w

ould

be

futil

e, th

ey s

houl

d be

en

cour

aged

to c

onsi

der a

ltern

ativ

es.

Hin

t:

Safe

ty p

lans

sho

uld

have

rea

listic

cha

nces

of s

ucce

ss.

Car

ryin

g a

good

luck

cha

rm

may

pro

vide

reas

sura

nce,

but

will

not

pro

vide

a c

hild

with

safe

ty.

• Jo

urna

l-w

riti

ng -

to A

ddre

ss C

onfu

sion

Kee

ping

a re

gula

r jou

rnal

is s

omet

hing

that

all

scho

ol a

ge c

hild

ren

can

do.

For y

oung

ch

ildre

n th

is m

ay in

volv

e ke

epin

g a

scra

pboo

k of

thin

gs w

ith a

few

pri

nted

wor

ds th

at d

escr

ibe

feel

ings

an

d th

ough

ts.

Old

er c

hild

ren

can

expa

nd th

eir i

deas

and

reac

tions

. T

he v

alue

ofj

oum

al-w

riti

ng is

that

it

give

s ch

ildre

n a

chan

ce to

nar

rate

thei

r sto

ry o

ver a

nd o

ver a

gain

as

wel

l as

to e

xpre

ss th

eir r

eact

ions

. E

ach

narr

atio

n m

ay h

elp

them

sor

t thr

ough

fact

s an

d em

otio

ns th

at c

onfu

se th

em.

Hin

t:

Car

egiv

ers

shou

ld a

ssur

e ch

ildre

n th

at th

eir j

ourn

als c

an b

e ke

pt p

riva

te b

ut e

ncou

r­ag

e th

em to

sha

re th

em v

olun

taril

y.

Hin

t:

Chi

ldre

n m

ay fi

nd it

eas

ier t

o sh

are

the

cont

ents

of t

heir

jour

nals

ifth

ey th

ink

that

th

eir e

xper

ienc

es w

ill h

elp

othe

rs w

ho fa

ce s

imila

r tra

uma

or g

rief.

• I'

m O

K A

ffir

mat

ions

-to

Add

ress

Sh

am

e

Car

egiv

ers

can

talk

to c

hild

ren

who

feel

ash

amed

of w

hat t

hey

did

duri

ng a

trau

mat

ic e

vent

, ha

ving

sur

vive

d a

trau

ma,

or h

ow th

eir l

oved

one

die

d to

thin

k ab

out t

he g

ood

thin

gs th

ey d

o an

d th

e go

od th

ings

thei

r lov

ed o

nes

have

don

e. C

hild

ren

may

be

aske

d to

list

the

thin

gs th

at th

ey a

re p

roud

est

of-

in th

emse

lves

or t

heir

love

d on

es -

and

to k

eep

a ch

art o

f eac

h tim

e th

ey d

o so

met

hing

or

rem

embe

r som

ethi

ng th

at re

affi

rms

that

qua

lity

or a

ttrib

ute.

Chi

ldre

n m

ay a

lso

feel

ash

amed

of t

hing

s th

at h

appe

n to

them

aft

er a

trau

ma.

Som

etim

es c

hild

ren

who

hav

e be

en p

erce

ived

by

adul

ts to

hav

e be

en "

hero

es"

duri

ng a

trau

ma

feel

par

ticul

arly

ash

amed

bec

ause

they

"kn

ow"

insi

de th

at th

ey w

ere

scar

ed a

nd fe

lt he

lple

ss.

Car

egiv

ers

can

talk

to c

hild

ren

and

deve

lop

plan

s fo

r ho

w to

res

pond

to

emba

rras

sing

que

stio

ns, c

omm

ents

or s

ituat

ions

. W

ritin

g ou

t "cu

e ca

rds"

that

chi

ldre

n ca

n ca

rry

with

th

em to

rem

ind

them

of h

ow th

ey p

lan

to r

espo

nd c

an p

rovi

de e

xtra

sec

urity

.

• W

orry

Bea

ds -

to A

ddre

ss G

uilt

an

d A

nxi

ety

Wor

ry b

eads

are

com

mon

obj

ects

use

d in

pra

yer a

nd m

edita

tion

in m

any

part

s of

the

wor

ld.

In a

n ad

apta

tion

of t

his

use,

car

egiv

ers

may

ask

chi

ldre

n to

mak

e a

set o

f bea

ds o

ut o

f pap

ier-

mac

he,

oldj

ewel

ry, g

lue

and

pape

r or o

ther

mat

eria

ls.

Eac

h be

ad c

an b

e us

ed to

sym

boliz

e sp

ecif

ic w

orri

es,

guilt

feel

ings

or a

nxie

ties

a ch

ild m

ay h

ave.

The

y st

ring

and

kee

p th

em to

touc

h an

d fe

el w

hene

ver t

hey

are

thin

king

anx

ious

thou

ghts

. T

hey

sym

boliz

e th

at th

ese

thou

ghts

are

with

in th

eir c

ontr

ol a

nd c

an b

e so

othe

d an

d ca

lmed

by

thei

r fin

gers

.

-C

on

tin

ued

-

45

• R

itua

l: T

he B

urde

n B

aske

t

Thi

s ri

tual

, dra

wn

from

Nat

ive

Am

eric

an T

ribe

s, w

here

bur

den

bask

ets

wer

e co

nstr

ucte

d ou

t of c

edar

to a

bsor

b an

ger a

nd te

ars

to c

arry

eve

ryda

y bu

rden

s, in

volv

es c

reat

ing

a ba

sket

out

of t

he

child

's c

hoic

e o

f mat

eria

l. T

he c

hild

then

wri

tes

or d

epic

ts fe

elin

gs th

at a

re o

verw

helm

ing

and

depo

sits

th

em in

the

bask

et.

The

bas

ket t

hen

is b

urne

d an

d th

e as

hes

scat

tere

d to

hel

p de

fuse

the

inte

nsity

oft

he

imm

edia

te fe

elin

gs.

Hin

t:

Chi

ldre

n sh

ould

be

supe

rvis

ed c

lose

ly if

the

bask

et is

bur

ned.

Hin

t:

Som

etim

es c

hild

ren

wan

t to

disp

ose

of t

he b

aske

t in

a di

ffer

ent w

ay

-su

ch

as

thro

win

g it

in a

bod

y o

f wat

er.

Hin

t:

Som

etim

es c

hild

ren

mig

ht w

ant t

o ke

ep th

e ba

sket

and

its

cont

ents

and

pic

k a

spec

ific

tim

e ea

ch d

ay o

r wee

k to

look

at t

heir

bur

dens

and

ree

xam

ine

the

issu

es in

a n

ew c

onte

xt.

• R

itua

l: T

he H

eali

ng C

ircl

e

The

sha

man

i (na

tura

l med

icin

e) tr

aditi

on th

roug

hout

the

wor

ld s

ugge

sts

that

a h

ealin

g ci

rcle

ca

n he

lp u

s co

nnec

t with

spi

rit a

nd a

ffir

m o

ur p

lace

in th

e un

iver

se.

The

Hea

ling

Cir

cle

uses

eac

h o

f the

fo

ur d

irec

tions

in n

atu

re-S

ou

th, W

est,

Nor

th a

nd E

ast t

o id

entif

y sp

ecif

ic ta

sks

and

proc

esse

s o

f de

velo

pmen

t for

indi

vidu

als a

nd c

omm

uniti

es to

atte

nd to

in th

eir l

ives

. C

hild

ren

may

par

ticip

ate

in a

rit

ual a

dapt

ed fr

om th

e sh

aman

i tra

ditio

n th

at u

ses

thes

e di

rect

ions

to a

ddre

ss th

eir n

eeds

. Mus

ic a

nd

rhyt

hm c

an b

e us

ed to

acc

ompa

ny th

is ri

tual

.

A c

ircl

e is

dra

wn

on th

e gr

ound

and

the

child

sta

nds

faci

ng S

outh

. T

his

is th

e di

rect

ion

of t

he

heal

er.

The

chi

ld a

sks

the

win

ds o

f the

Sou

th to

hel

p hi

m d

eal w

ith h

is tr

aum

a an

d gr

ief.

The

chi

ld te

lls

the

sout

h w

inds

of h

is s

orro

w a

nd lo

ss a

s w

ell a

s an

y se

nse

of a

band

onm

ent b

y th

e on

e he

love

d. A

rh

ythm

ic d

rum

beat

acc

ompa

nies

the

stor

y.

The

chi

ld th

en fa

ces

Wes

t. It

is in

this

dir

ectio

n th

at th

e ch

ild is

ask

ed to

talk

abo

ut h

is f

ears

and

hi

s lo

nelin

ess.

Thi

s is

the

dire

ctio

n o

f cou

rage

. H

e ca

lls u

pon

the

spir

its o

fthe

Wes

t to

help

him

fac

e th

ose

fear

s. A

tim

e o

f sile

nce

is u

sed

to h

elp

the

child

gat

her h

is c

oura

ge.

The

chi

ld th

en f

aces

Nor

th to

ask

for

the

abili

ty to

cop

e w

ith h

is a

nger

, fea

r, an

d sa

dnes

s. H

e as

ks th

e sp

irits

oft

he N

orth

to h

elp

him

rec

onne

ct w

ith f

amily

and

co

mm

un

ity

-to

bre

ach

the

gap

the

trau

ma

has

caus

ed.

A d

ance

of r

emem

bran

ce a

nd o

utre

ach

to o

ther

s is

use

d to

beg

in th

is p

roce

ss.

The

chi

ld fi

nally

fac

es E

ast t

o fin

d a

visi

on to

gui

de h

im in

the

futu

re.

The

task

of d

ecid

ing

how

to

go

on in

volv

es fr

eein

g on

esel

ffro

m th

e pa

st s

o th

at o

ne c

an b

e fu

lly c

omm

itted

to th

e pr

esen

t and

the

futu

re v

isio

n. S

ongs

of h

ope

acco

mpa

ny th

e ch

ild a

s he

face

s th

is d

irec

tion.

Hin

t:

Thi

s rit

ual s

houl

d be

pla

nned

in a

dvan

ce a

nd in

volv

e pa

rtic

ipat

ion

and

assi

stan

ce o

f ca

regi

vers

. It

may

be

mos

t app

ropr

iate

for o

lder

chi

ldre

n be

caus

e o

f the

com

plex

ity o

fthe

sym

bolis

m.

Ado

lesc

ents

may

wan

t to

crea

te th

eir o

wn

rhyt

hm a

nd m

usic

al a

ccom

pani

men

t.

Hin

t:

Thi

s rit

ual m

ay b

e us

ed in

four

dif

fere

nt d

iscu

ssio

n se

ssio

ns w

ith th

e ch

ildre

n in

-vo

lved

.

46

7. M

emor

ials

and

Rem

embr

ance

Unde

r~vi

ng Q

uest

ion:

How

can

you

rem

embe

r the

one

you

love

d an

d ex

pres

s yo

ur lo

ss?

Act

ivit

ies

that

Hel

p A

ddre

ss th

e Q

uest

ion:

• F

uner

als

an

d F

orm

al M

emor

ial S

ervi

ces

Con

sist

ent w

ith th

e sp

iritu

al b

elie

fs o

fthe

fam

ily, c

areg

iver

s sh

ould

enc

oura

ge p

aren

ts to

in

clud

e ch

ildre

n in

fune

rals

and

mem

oria

l ser

vice

s so

they

can

exp

ress

thei

r ow

n gr

ief,

say

good

-bye

to

thei

r lov

ed o

ne a

nd b

e m

ore

conn

ecte

d w

ith th

e gr

ief o

f the

ir pe

ers

and

sign

ific

ant a

dults

. C

hild

ren

may

w

ant t

o br

ing

"gif

ts"

to s

uch

serv

ices

or d

epos

it le

tters

or m

emen

tos

in th

e co

ffin

or a

t the

bur

ial s

ite.

Ofte

n tr

aditi

onal

spi

ritu

al a

nd m

ourn

ing

ritua

ls h

elp

to a

ccom

plis

h th

e ac

know

ledg

men

t of d

eath

and

the

reaf

firm

atio

n of

life.

• C

hild

-cen

tere

d M

emor

ial S

ervi

ces

Man

y tim

es c

hild

ren

need

to h

ave

thei

r ow

n m

emor

ial s

ervi

ces

in a

dditi

on to

the

ones

pl

anne

d by

and

for a

dult

grie

vers

. Su

ch p

lans

sho

uld

be e

ncou

rage

d an

d su

ppor

ted.

• C

ultu

rall

y-sa

ncti

oned

Rit

ual:

All

Sai

nts

Day

In M

exic

o, A

ll Sa

ints

Day

is a

tim

e to

hon

or th

e de

ad.

It ce

nter

s ar

ound

feas

ting

and

offe

ling

food

to th

e de

ad a

s w

ell a

s gi

ft e

xcha

nges

and

fam

ily r

euni

ons.

Car

egiv

ers

coul

d su

gges

t tha

t ch

ildre

n an

d th

eir f

amili

es a

dopt

a si

mila

r rit

ual-

perh

aps

on th

e bi

rthd

ay o

fthe

dec

ease

d lo

ved

one

or

on a

day

with

spe

cial

mea

ning

for t

he fa

mily

.

• C

ultu

rall

y-sa

ncti

oned

Rit

ual:

Bud

dhis

t a

nd

Shi

nto

Tra

diti

ons

Man

y ho

mes

hav

e an

alta

r hon

orin

g de

ceas

ed a

nces

tors

. Pi

ctur

es m

ight

be

plac

ed th

ere

and

even

an

urn

cont

aini

ng c

rem

atio

n as

hes.

Fam

ily m

embe

rs m

ay m

ake

offe

ring

s to

thei

r lov

ed o

nes,

as

k ad

vice

, or s

tate

opi

nion

s. T

he c

onne

ctio

n w

ith th

e pa

st li

ves

in th

e pr

esen

t. C

hild

ren

may

wan

t to

choo

se a

spec

ial p

lace

in th

eir o

wn

hom

e w

here

they

feel

esp

ecia

lly c

lose

to a

dec

ease

d fa

mily

mem

ber

and

mak

e a

habi

t of c

omm

unic

atin

g th

eir i

deas

and

feel

ings

to th

at p

erso

n.

Bec

ause

chi

ldre

n te

nd to

grie

ve a

nd m

ourn

spo

radi

cally

ove

r lon

g pe

riod

s of t

ime,

indi

vidu

aliz

ed

mem

oria

l act

iviti

es s

houl

d al

so b

e su

ppor

ted.

-C

on

tin

ued

-

47

• Tr

easu

re M

ap

Car

egiv

ers

can

supp

ly c

hild

ren

wit

h a

larg

e st

ack

of o

ld m

agaz

ines

, sci

ssor

s, g

lue

and

a la

rge

piec

e o

f con

stru

ctio

n pa

per.

Ins

truc

t chi

ldre

n to

go

thro

ugh

the

mag

azin

es q

uick

ly a

nd f

ind

pic­

ture

s, w

ords

, or c

apti

ons

that

rem

ind

them

of t

heir

love

d on

e. A

sk th

em to

cut

out

thos

e th

at c

atch

thei

r ey

es.

Aft

er th

ey h

ave

asse

mbl

ed a

pil

e o

f cut

outs

, tel

l the

m to

wri

te th

e na

me

or d

raw

a p

ictu

re o

f the

ir

love

d on

e in

the

mid

dle

of t

he c

onst

ruct

ion

pape

r and

then

glu

e th

e ot

her i

tem

s ar

ound

in w

hate

ver o

rder

th

ey w

ant.

The

y m

ay w

ant t

o dr

aw li

nes

from

eac

h it

em to

the

pict

ure

or n

ame

in t

he c

ente

r. O

r the

y m

ay w

ant t

o d

raw

line

s th

at c

onne

ct a

ll th

e it

ems

to e

ach

othe

r and

then

en

d in

the

cen

ter.

Wha

teve

r the

or

der,

the

chil

dren

hav

e cr

eate

d a

trea

sure

map

oft

hei

r tho

ught

s an

d fe

elin

gs o

f the

love

d on

e.

Hin

t:

A v

aria

tion

oft

his

exe

rcis

e fo

r old

er c

hild

ren

is to

take

a p

iece

of p

aper

, and

in th

e m

iddl

e o

f the

pap

er p

ut th

e na

me

oft

he

pers

on.

The

n, th

ey s

houl

d be

inst

ruct

ed to

wri

te w

ords

aro

und

that

per

son'

s na

me

that

they

ass

ocia

te w

ith

them

.

Hin

t:

Chi

ldre

n m

ay u

se th

is a

s a

way

to m

emor

iali

ze a

lov

ed o

ne.

It m

ay a

lso

be u

sed

to

expl

ore

unre

solv

ed fe

elin

gs o

fth

e ch

ild

abou

t the

dec

ease

d.

• A

Mem

ory

Bo

x

Chi

ldre

n m

ay w

ant t

o sa

ve it

ems

that

rem

ind

them

oft

hei

r lo

ved

one

in a

spe

cial

box

that

ca

n b

e lo

oked

at w

hen

they

feel

sad

or w

hen

they

wan

t to

feel

the

pre

senc

e o

fth

eir

love

d on

e. C

on­

stru

ctin

g an

d de

cora

ting

an

old

ciga

r box

or s

hoe

box

for

this

pur

pose

can

be

crea

tive

and

com

fort

ing

wor

k.

• V

isits

to

Cem

eter

y

Car

egiv

ers

mig

ht s

ugge

st r

egul

ar m

onth

ly v

isit

s to

the

cem

eter

y w

here

the

love

d on

es o

f ch

ildr

en a

re.

Chi

ldre

n ca

n w

rite

lett

ers

abou

t the

ir c

urre

nt a

ctiv

itie

s in

life

, poe

ms

of r

emem

bran

ce, o

r ch

oose

son

gs to

sin

g. T

his

acti

vity

hel

ps c

hild

ren

keep

a s

ense

of c

omm

unio

n an

d co

nnec

tion

wit

h th

e sp

irit

oft

he

love

d on

e.

48

E. S

up

por

t Gro

up

Act

ivit

ies

The

fol

low

ing

page

s co

ntai

n sa

mpl

e su

ppor

t gro

up s

essi

on to

pics

that

can

be

used

wit

h gr

ievi

ng c

hild

ren,

bro

ken

dow

n in

to a

ge b

YfO

UP

S b

y de

velo

pmen

tal l

evel

s. W

hile

som

e ca

regi

vers

may

fe

el m

ore

com

fort

able

if g

roup

s ar

e li

mit

ed to

chi

ldre

n o

f sim

ilar

dev

elop

men

tal l

evel

s, o

ther

car

egiv

ers

have

fou

nd m

ixed

age

s m

anag

eabl

e in

one

gro

up.

Gro

ups

shou

ld b

e li

mit

ed to

no

mor

e th

an 2

0 ch

ildr

en

to f

acil

itat

e co

mm

unic

atio

n. I

t is

best

to h

ave

at le

ast t

wo

trai

ned

care

give

rs in

att

enda

nce.

Sup

port

gr

oups

wit

h ol

der c

hild

ren

can

be f

acil

itat

ed b

y pe

ers

or g

roup

mem

bers

but

sho

uld

have

adu

lts

avai

l­ab

le f

or re

sour

ce a

nd c

ouns

el.

You

nger

gro

ups

may

be

faci

lita

ted

by a

dole

scen

ts in

par

tner

ship

wit

h ad

ults

.

Gro

up s

essi

ons

shou

ld u

sual

ly la

st n

o lo

nger

than

112

to I

hou

r wit

h gr

oups

age

s 2-

6; I

hou

r fo

r gr

oups

age

s 7-

11; a

nd

1 1

/2 h

ours

to 2

hou

rs f

or g

roup

s ov

er th

e ag

e o

f 12

. R

efre

shm

ents

sho

uld

be

prov

ided

, ifp

ossi

ble.

It i

s pr

efer

able

if g

roup

s m

eet w

eekl

y fo

r 6 w

eeks

and

then

take

a b

reak

bef

ore

star

ting

aga

in, i

f nee

ded.

Thi

s al

low

s ti

me

for

the

grou

p m

embe

rs to

get

to k

now

and

trus

t eac

h ot

her,

bu

t als

o al

low

s gr

oup

mem

bers

an

opp

ortu

nity

to d

rop

out a

fter

the

firs

t cyc

le, i

f the

ses

sion

s ar

e no

lo

nger

nee

ded

or d

o no

t fit

into

thei

r sch

edul

e.

Sup

port

gro

ups

may

cen

ter a

roun

d on

e pa

rtic

ular

trau

mat

ic e

vent

that

aff

ecte

d a

sign

ific

ant

popu

lati

on o

f chi

ldre

n su

ch a

s a

sudd

en d

eath

in a

sch

ool s

etti

ng o

r on

the

gri

ef o

f chi

ldre

n w

ho h

ave

surv

ived

the

deat

h o

f a lo

ved

one

in a

var

iety

of t

raum

atic

eve

nts.

The

pur

pose

oft

he

grou

p is

:

• T

o he

lp th

e ch

ildr

en p

roce

ss th

e tr

aum

atic

exp

erie

nce,

its

afte

nnat

h an

d th

eir r

eact

ions

.

• T

o id

enti

i)r t

roub

ling

thou

ghts

or e

mot

ions

sur

roun

ding

the

expe

rien

ce a

nd th

e de

ath.

• T

o pr

ovid

e ed

ucat

ion

for c

hild

ren

on tr

aum

a, g

rief

, and

hea

lthy

cop

ing

stra

tegi

es.

• T

o pr

ovid

e to

ols

and

skil

ls f

or c

hild

ren

to u

se in

eve

ryda

y li

fe a

s th

ey c

ope

wit

h tr

aum

atic

gr

ief.

49

1. A

ges

2-6

Sett

ing:

Whe

n yo

ung

chil

dren

mee

t in

a gr

oup

it is

bes

t ift

he

faci

lita

tors

arr

ange

for

a c

omfo

rt­

able

env

iron

men

t whe

re th

ey c

an s

it o

n th

e fl

oor

in a

cir

cle.

Chi

ldre

n m

ay b

e en

cour

aged

to b

ring

a

favo

rite

stu

ffed

ani

mal

to th

e gr

oup.

Alt

erna

tive

ly, f

acil

itat

ors

mig

ht p

rovi

de th

e ch

ildr

en w

ith

such

a

stuf

fed

toy

to h

old

on to

whi

le th

ey p

arti

cipa

te in

the

gro

up.

Par

ents

may

be

pres

ent b

ut s

houl

d no

t pa

rtic

ipat

e in

the

sess

ions

. P

aren

ts s

houl

d be

kep

t inf

orm

ed o

f the

sub

ject

mat

ter o

f eac

h gr

oup

and

any

re

ques

ts fo

r chi

ldre

n to

do

acti

viti

es a

t hom

e o

r bri

ng th

ings

from

hom

e. R

efre

shm

ents

suc

h as

coo

kies

an

d ju

ice

shou

ld b

e pr

ovid

ed a

t the

end

of t

he s

essi

on.

Tool

s: P

aper

, cra

yons

, glu

e st

icks

, pic

ture

s cu

t fro

m m

agaz

ines

, hou

sepl

ants

or f

low

ers,

a

pitc

her a

nd

pap

er c

ups,

rib

bon,

and

a b

all.

50

Sess

ion

On

e (2

-6):

Int

rodu

ctio

n; D

iscu

ssio

n of

Vio

lent

Dea

th

A.

Fac

ilit

ator

s In

trod

uce

The

mse

lves

an

d E

xpla

in t

he

Pur

pose

of t

he

Gro

up s

essi

ons.

"Goo

d af

tern

oon.

I

am S

uzie

Wils

on a

nd th

is i

s Ju

dy M

artin

. W

e ar

e lo

okin

gfor

war

d to

tal

king

and

pla

ying

wit

h yo

u to

day.

D

id e

very

one

brin

g a

toy

wit

h th

em?

[Alt

erna

tive

: D

id

ever

yone

get

a t

oy a

s th

ey a

rriv

ed?}

C

an y

ou a

ll h

old

your

toy

up fo

r us

to

see?

T

hank

you

. Ju

dy a

nd

I ar

e go

ing

to p

lay

wit

h yo

u ev

ery

wee

k un

til

Than

k'lg

ivin

g.

[Fac

ilit

ator

s sh

ould

id

entif

j; a

hol

iday

or

seas

on t

hat c

orre

spon

ds to

whe

n th

e si

x w

eek'

! w

ill e

nd

} E

very

one

here

has

kn

own

som

eone

the

y lo

ved

who

die

d re

cent

ly.

That

is

wha

t w

e w

ant

to t

alk

abou

t -w

hat y

ou

thin

k ab

out

that

an

d h

ow y

ou

feel

. W

e al

so w

ant

to g

et to

kno

w y

ou a

ll a

lit

tle

bette

r.

So w

e w

ant y

ou

to t

ell

us y

ou

r na

me

an

d a

lit

tle

bit a

bout

the

per

son

you

know

who

die

d

To h

elp

us d

o th

at,

we

are

goin

g to

pla

ya b

all g

ame.

B.

Lis

t B

asic

Rul

es;

Tape

The

m t

o th

e W

all

to R

efer

to T

hrou

ghou

t th

e Se

ssio

n.

Rul

es f

or G

rou

p P

arti

cip

atio

n

• O

nly

one

pers

on ta

lks

at a

tim

e.

• E

very

one

has

a ch

ance

to ta

lk b

ut n

o on

e ha

s to

. •

No

one

shou

ld m

ake

fun

of a

nyon

e el

se in

the

grou

p.

• It

's o

kay

to b

e up

set a

nd fe

el f

eeli

ngs.

It's

not

oka

y to

hit

or s

hove

som

eone

els

e.

• A

ny q

uest

ion

can

be a

sked

, not

all

que

stio

ns c

an b

e an

swer

ed.

C.

Ba

ll G

ame

Fac

ilit

ator

s ho

ld a

bal

l in

thei

r han

ds a

nd g

ive

the

foll

owin

g in

stru

ctio

ns.

"We

are

goin

g to

rol

l th

is b

all t

o on

e o

f you

. Yo

u w

ill c

atch

it.

Whe

n yo

u c

atch

it,

we

wan

t you

to

tell

eve

rybo

dy y

ou

r na

me,

the

nam

e o

f you

r st

ufle

d an

imal

, an

d th

e na

me

of t

he

pers

on w

ho d

ied

Th

en,

we

wan

t you

to t

ell

us w

hen

the

pers

on d

ied

and

how

she

or

he d

ied

W

hen

you

aref

inis

hed

talk

ing,

you

get

to r

oll

the

ball

bac

k to

us

and

we

wil

l rol

l it

to s

omeo

ne

else

. W

hen

you

hav

e th

e ba

l!,

you

get

to t

alk;

whe

n so

meo

ne e

lse

has

the

ball,

you

get

to l

iste

n. "

Mod

el th

is a

ctiv

ity

by ro

llin

g th

e ba

ll to

ano

ther

faci

lita

tor a

nd te

llin

g yo

ur n

ame,

the

nam

e o

f yo

ur s

tuff

ed a

nim

al, a

nd th

e na

mes

of p

erso

ns w

hom

you

hav

e kn

own

who

hav

e di

ed.

Whe

n th

e ba

ll is

ro

lled

to th

e ch

ildr

en, f

acil

itat

ors

shou

ld b

e pr

epar

ed to

hel

p th

e ch

ildr

en re

mem

ber t

he q

uest

ions

by

as

king

aga

in,

"Wha

t:'!

you

r na

me?

W

ho i

s yo

ur fr

iend

[in

dica

te t

he s

tuff

ed a

nim

al}?

W

ho d

id y

ou

kn

ow w

ho d

ied?

Can

you

tell

me

whe

n or

how

it h

appe

ned?

" F

acil

itat

ors

shou

ld r

espo

nd b

y

sayi

ng th

ey a

re s

orry

the

pers

on d

ied

and

reas

sure

chi

ldre

n th

at b

eing

sad

is o

kay.

D.

Th

inki

ng

Ab

ou

t L

ife

an

d D

eath

• B

egin

this

exe

rcis

e by

say

ing,

-C

on

tin

ued

-

51

.. Whe

n so

meo

ne d

ies,

the

y ar

e de

ad.

They

don

i m

ove,

eat

, sl

eep,

or

brea

the.

Th

eir

hear

t doe

sn i

bea

t. W

hen

they

die

, th

ey c

an t

com

e ba

ck to

life

. W

hat

do y

ou t

hink

bei

ng d

ead

mea

ns?"

• A

sk th

e ch

ildr

en to

cho

ose

a pi

ece

of p

aper

and

som

e cr

ayon

s.

• A

sk th

e ch

ildr

en to

dra

w a

pic

ture

of d

eath

on

one

side

of t

he p

aper

.

• A

sk th

em to

dra

w a

pic

ture

ofl

ife

on th

e ot

her s

ide.

• A

sk e

ach

oft

he

chil

dren

to e

xpla

in th

eir p

ictu

res.

• C

lari

fy m

isco

ncep

tion

s an

d be

pre

pare

d to

ans

wer

que

stio

ns.

E.

Con

clu

sion

• T

han

k th

em fo

r be

ing

a pa

rt o

f the

gro

up a

nd fo

r pl

ayin

g to

geth

er.

• S

erve

refr

eshm

ents

.

• E

nco

ura

ge th

e ch

ildr

en to

take

thei

r pic

ture

s ho

me.

• R

emin

d th

em th

at th

ey m

ight

thin

k ab

out d

eath

or t

he p

erso

n th

ey lo

ved

duri

ng th

e ne

xt

wee

k an

d if

they

wan

t to

draw

mor

e pi

ctur

es a

bout

wha

t the

y th

ink

or fe

el, t

he f

acil

itat

ors

wou

ld li

ke to

se

e th

ose

pict

ures

at t

he n

ext g

roup

ses

sion

.

52

Sess

ion

Tw

o (2

-6):

Fee

ling

s

A.

Illt

rodu

ctio

lls

alld

Pur

pose

of G

roup

Ses

siol

l

Faci

litat

ors

shou

ld b

egin

by

revi

ewin

g th

ough

ts th

e ch

ildre

n m

ight

hav

e ha

d du

ring

the

wee

k.

"Hi.

It s

grea

t to

see

you

all a

gain

. I

hope

you

all

bro

ught

you

r.f;

·iend

s (t

he s

tufT

ed

anim

als)

. D

id a

nyon

e dr

aw a

ny p

ictu

res

last

wee

k th

at y

ou w

ould

like

to s

hare

? D

oes

anyo

ne

have

a s

tory

q[s

omet

hing

that

hap

pene

d du

ring

the

wee

k th

at y

ou w

ould

like

to

tell

?" [

If th

e ch

ildr

en a

nsw

er y

es, f

acil

itat

ors

shou

ld a

sk e

ach

one

who

wan

ts to

sho

w s

omet

hing

or

tell

som

e­th

ing

to d

o so

.}

"Thi

s w

eek,

we

wan

t to

lea

rn m

ore

abou

t th

e pe

ople

you

kno

w w

ho d

ied

-w

hat

they

w

ere

like

an

d h

ow y

ou

feel

now

that

the

y ar

e go

ne. "

B.

Mem

ory

Pic

ture

s

• A

sk th

e ch

ildre

n to

dra

w p

ictu

res

of t

hing

s th

eir l

oved

one

like

d or

that

rem

ind

them

of

thei

r lov

ed o

ne.

• S

ugge

st th

at th

e ch

ildre

n se

lect

som

e pi

ctur

es fr

om m

agaz

ines

or o

ther

pub

licat

ions

of

com

mon

item

s su

ch a

s ca

ndy,

flow

ers,

hou

seho

ld a

pplia

nces

, car

s, a

nim

als

or fu

rnitu

re th

at re

min

d th

em

of t

heir

love

d on

e an

d gl

ue th

em o

n th

e pi

ctur

e pa

per.

[Pre

-cut

pic

ture

s ca

n sa

ve ti

me.

]

• A

sk ea

ch c

hild

to ta

lk a

littl

e bi

t abo

ut th

e m

emor

y pi

ctur

e.

C.

Fee

lill

g P

ictu

rebo

ok

Ask

the

child

ren

to d

raw

one

pic

ture

eac

h o

f how

they

look

whe

n th

ey e

xper

ienc

e th

e fo

llow

ing

feel

ings

.

"How

do

you

loo

k w

hen

you

feel

hap

py?"

"H

ow d

o yo

u l

ook

whe

n yo

u fe

el m

ad

?"

"How

do

you

look

whe

n yo

u fe

el a

frai

d?"

"How

do

you

look

whe

n yo

u fe

el li

ke y

ou d

id s

omet

hing

wro

ng?

" "H

ow d

o yo

u l

ook

whe

n yo

u fe

el s

ad?

"

• H

elp

the

child

ren

stap

le o

r tap

e th

em to

geth

er in

a b

ook

with

a c

over

on

it th

at s

ays"

[C

hild

's N

ame]

's Fe

elin

gs B

ook"

.

• E

xpla

in th

at:

"Fee

ling

s ar

en ~

wro

ng o

r ri

ght

but t

hey

can

mak

e u

sfee

l goo

d or

bad

. "

"Eve

ryon

e ha

s di

ffer

entf

eeli

ngs

at d

!fTer

ent

tim

es b

ut m

ost

qfu

s ha

ve s

imil

ar

feel

ings

to

each

oth

er a

t som

e tim

e. "

-

Co

nti

nu

ed-

53

"Som

etim

es i

t is

har

d to

tal

k ab

out

wha

t w

e ar

efee

ling

bec

ause

we

don'

t th

ink

othe

r pe

ople

can

und

erst

and.

but

it o

fien

hel

ps to

tal

k ab

out

wha

t w

e ar

efee

ling

bec

ause

it

mak

es u

sfee

lles

s lo

nely

. ..

• E

xp

lain

that

thes

e bo

oks

can

be u

sed

ever

y ti

me

the

grou

p m

eets

to s

how

eac

h ot

her

how

eac

h ch

ild

feel

s th

at d

ay.

• A

sk ea

ch c

hild

whi

ch fe

elin

g th

ey h

ave

righ

t now

whe

n th

ey th

ink

abou

t the

ir lo

ved

one.

• U

se th

e ba

ll g

ame

to h

elp

chil

dren

take

turn

s ta

lkin

g an

d li

sten

ing.

D.

Con

clus

ion

• T

han

k th

e ch

ildr

en fo

r com

ing

to th

e se

ssio

n.

• S

erv

e re

fres

hmen

ts.

• A

sk th

e ch

ildr

en to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k

so th

at th

ey c

an b

ring

them

to th

e ne

xt s

essi

on.

54

Sess

ion

Thr

ee (

2-6)

: F

ear

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

Faci

litat

ors s

houl

d be

gin

by re

view

ing

thou

ghts

the

child

ren

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It s g

reat

to s

ee y

ou a

ll a

gain

. 1

hope

you

all

bro

ught

you

rfri

ends

(th

e st

uffe

d an

imal

s).

Did

any

one

draw

any

pic

ture

s la

st w

eek

that

you

wou

ld li

ke to

sha

re?

Doe

s an

yone

ha

ve a

sto

ry o

f som

ethi

ng th

at h

appe

ned

duri

ng t

he w

eek

that

you

wou

ld li

ke t

o te

ll?"

aft

he

chil

dren

ans

wer

yes

, fac

ilit

ator

s sh

ould

ask

eac

h on

e w

ho w

ants

to s

how

som

ethi

ng o

r te

ll s

ome­

thin

g to

do

so.}

R

emem

ber

ourf

eeli

ng b

ooks

tha

t you

mad

e la

st w

eek

[dis

trib

ute

thef

eeli

ng

book

s}?

Can

eac

h o

f you

pic

k ou

t the

pic

ture

tha

t sho

ws

how

you

are

feel

ing

righ

t now

? [A

s th

e ch

ildr

en p

ick

out t

heir

pic

ture

s, a

sk th

em t

o te

ll w

hy t

hey

aref

eeli

ng th

at w

ay.}

"Thi

s w

eek,

we

wan

t to

talk

abo

ut t

hing

s th

at w

e ar

e af

,-aid

of

Lots

o.l

tim

es w

hen

som

eone

we

love

die

s, w

e ge

t sca

red

abou

t th

e w

ay th

ey d

ied,

how

oth

er p

eopl

e tr

eat

us,

or

may

be w

heth

er w

e're

goi

ng to

die

soo

n, t

oo.

Eve

ryon

e is

saf

e he

re r

ight

now

, bu

t 1 k

now

whe

n 1

get s

care

d o.

fsom

ethi

ng s

omet

imes

I w

ant t

o cu

rl u

p in

to a

lit

tle

teen

y ba

ll a

nd h

ide.

"

B.

Scar

y P

ictu

res

• A

sk th

e ch

ildre

n to

dra

w a

pic

ture

of a

sca

ry th

ing.

• A

sk ea

ch c

hild

to e

xpla

in w

hat i

t is

that

is s

cary

in th

e pi

ctur

e.

• A

sk th

e ch

ildre

n to

try

to c

hang

e th

e pi

ctur

e to

mak

e it

less

sca

ry.

Thi

s ac

tivity

allo

ws

child

ren

to re

aliz

e th

at th

ey h

ave

som

e po

wer

ove

r sca

ry th

ings

.

C.

Stu

ffed

An

ima

l Pla

y

• A

sk th

e ch

ildre

n to

pre

tend

that

thei

r stu

ffed

ani

mal

s are

ver

y fr

ight

ened

of s

omet

hing

.

• A

llow

each

chi

ld to

des

crib

e w

hat t

heir

ani

mal

is a

frai

d of

.

• A

sk ea

ch c

hild

to s

how

the

grou

p w

hat t

heir

ani

mal

mig

ht d

o if

it w

ere

afra

id o

r how

th

ey m

ight

mak

e th

e an

imal

fee

l saf

e ag

ain.

D.

Hou

sepl

ant

Act

ivit

y

• F

ill a

larg

e pi

tche

r with

wat

er a

nd la

bel t

he p

itche

r with

a m

arke

r as

"Fea

rs".

• G

ive

each

chi

ld a

pap

er c

up.

• A

sk ea

ch c

hild

to n

ame

som

ethi

ng th

ey a

re a

frai

d of

. W

hile

the

child

is ta

lkin

g ab

out i

t, th

e fa

cilit

ator

s sh

ould

:

• P

ou

r the

ir "

fear

s" fr

om th

e pi

tche

r int

o th

eir p

aper

cup

s. W

hen

each

chi

ld h

as a

cup

full

of f

ears

: -

Co

nti

nu

ed-

55

• A

sk th

e ch

ildr

en to

pou

r the

ir fe

ars

into

a h

ouse

plan

t.

• E

xpla

in th

at w

hen

we

keep

ou

r fea

rs to

our

selv

es, t

hey

ofte

n m

ake

us m

ore

afra

id.

Whe

n w

e ar

e ab

le to

po

ur t

hem

out

, we

can

feel

str

onge

r and

they

can

hel

p us

gro

w -ju

st

like

the

wat

er w

ill h

elp

the

plan

t to

grow

.

E.

Con

clus

ion

• T

han

k th

e ch

ildr

en fo

r com

ing

to th

e se

ssio

n.

• S

erv

e re

fres

hmen

ts.

• A

sk th

e ch

ildr

en to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k so

that

they

can

bri

ng th

em to

the

next

ses

sion

.

56

Sess

ion

Fou

r (2

-6):

Ang

er

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

Faci

litat

ors

shou

ld b

egin

by

revi

ewin

g th

ough

ts th

e ch

ildre

n m

ight

hav

e ha

d du

ring

the

wee

k.

"Hi.

It s

grea

t to

see

you

all a

gain

. I

hope

you

all

bro

ught

you

rfri

ends

(th

e st

uffe

d an

imal

s).

Did

any

one

draw

any

pic

ture

s la

st w

eek

that

you

wou

ld li

ke to

sha

re?

Doe

s an

yone

ha

ve a

sto

ry o

f som

ethi

ng th

at h

appe

ned

duri

ng th

e w

eek

that

you

wou

ld li

ke t

o te

ll?"

[I

f the

ch

ildr

en a

nsw

er y

es, f

acil

itat

ors

shou

ld a

sk e

ach

one

who

wan

ts to

sho

w s

omet

hing

or

tell

som

e­th

ing

to d

o so

.]

Rem

embe

r ou

r fee

ling

boo

k'!

[dis

trib

ute

thef

eeli

ng b

ooks

]?

Can

eac

h o

f you

pi

ck o

ut th

e pi

ctur

e th

at s

how

s ho

w y

ou a

refe

elin

g ri

ght n

ow?

[As

the

chil

dren

pic

k ou

t the

ir

pict

ures

, as

k th

em t

o te

ll w

hy th

ey a

refe

elin

g th

at w

ay.]

"Thi

s w

eek,

we

wan

t to

tal

k ab

out

times

whe

n w

e ar

e an

g'y.

L

ots

qf t

imes

whe

n so

meo

ne w

e lo

ve i

s ki

lled,

we

get

mad

at

the

pers

on w

ho k

ille

d th

em,

at p

eopl

e w

ho s

houl

d ha

ve

help

ed th

em,

at o

ther

peo

ple

who

don

i u

nder

stan

d.

Som

etim

es p

eopl

e te

ll u

s w

e sh

ould

n i b

e an

gly,

but

no

one

can

help

it (

[the

y fe

el a

ngry

som

etim

es w

hen

som

eone

die

s su

dden

ly. ,

.

B.

Wor

king

With

Cla

y

• P

lace

pla

stic

gar

bage

bag

s in

fron

t of e

ach

child

and

giv

e th

e ch

ildre

n ba

lls o

f cla

y.

• A

sk th

em to

mak

e so

met

hing

that

mak

es th

em a

ngry

.

• M

ake

som

ethi

ng th

at a

nger

s yo

u as

wel

l. It

help

s sm

all c

hild

ren

to s

ee f

acili

tato

rs d

o th

e sa

me

thin

gs th

at th

ey d

o.

• A

sk e

ach

child

to d

escr

ibe

wha

t the

y ha

ve m

ade

and

why

.

• A

sk th

em w

hat t

hey

wou

ld li

ke to

do

with

thei

r cla

y-s

om

e m

ay s

mas

h it,

oth

ers

may

th

row

it o

n th

e pl

astic

as

hard

as

they

can

, or o

ther

s m

ay ju

st ro

ll it

up.

C.

Phy

sica

l A

ctiv

ity

• G

uide

angr

y ac

tivity

and

teac

h ch

ildre

n to

con

nect

thei

r fee

lings

with

saf

e ph

ysic

al

expr

eSSI

on.

• A

dapt

the

chil

dren

's so

ng, "

If Y

ou 'r

e H

appy

and

You

Kno

w It

Cla

p Y

our H

ands

" to

pr

ovid

e a

safe

out

let f

or a

nger

. T

each

the

child

ren

the

song

usi

ng "

If Y

ou 'r

eAng

ry a

nd Y

ou K

now

It"

as

a s

ubst

itute

for

"Hap

py".

Enc

oura

ge c

hild

ren

to c

lap

thei

r han

ds, s

tom

p th

eir f

eet,

and

sing

loud

ly in

an

ger.

D.

Stu

ffed

An

ima

l Pla

y

• E

xpla

in to

chi

ldre

n th

at it

is o

kay

to b

e an

gry

at s

omeo

ne, b

ut it

is n

ot o

kay

to h

urt o

r hi

t som

eone

with

who

m w

e ar

e an

gry.

-C

on

tin

ued

-

57

• A

sk th

e ch

ildre

n to

pre

tend

they

are

ver

y an

gry

at th

eir s

tuff

ed a

nim

al a

nd th

en to

de

mon

stra

te w

hat t

hey

mig

ht d

o to

sho

w th

eir p

et th

ey a

re a

ngry

.

• E

xpla

in th

at h

ittin

g or

thro

win

g is

not

a g

ood

way

to b

e an

gry.

• E

nco

ura

ge th

em to

alte

rnat

ivel

y de

al w

ith a

nger

by

not p

layi

ng w

ith th

e an

imal

, dra

win

g a

pict

ure

ofth

eir a

nger

and

sho

win

g it

to th

e an

imal

, or b

y pi

ckin

g up

thei

r cla

y, m

akin

g an

ani

mal

lik

enes

s and

sm

ashi

ng it

.

E.

Con

clu

sion

• T

han

k th

e ch

ildre

n fo

r com

ing

to th

e se

ssio

n.

• S

erve

refr

eshm

ents

.

• A

sk th

e ch

ildre

n to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k so

that

they

can

bri

ng th

em to

the

next

ses

sion

.

58

• •

Sess

ion

Fiv

e (2

-6):

Gri

ef a

nd M

ourn

ing

A.

Intr

oduc

tion

s an

d P

urpo

se o

f Gro

up S

essi

on

Faci

litat

ors s

houl

d be

gin

by re

view

ing

thou

ghts

the

child

ren

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It:')

grea

t to

see

you

all a

gain

. I

hope

you

all

bro

ught

you

rfri

ends

(th

e st

ufTe

d an

imal

s).

Did

any

one

draw

any

pic

ture

s la

st w

eek

that

you

wou

ld li

ke to

sha

re?

Doe

s an

yone

ha

ve a

sto

ry o

f som

ethi

ng th

at h

appe

ned

duri

ng t

he w

eek

that

you

wou

ld li

ke t

o te

ll?"

a

lth

e

chil

dren

ans

wer

yes

, fac

ilit

ator

s sh

ould

ask

eac

h on

e w

ho w

ants

to

show

som

ethi

ng o

r te

ll s

ome­

thin

g to

do

so.}

R

emem

ber

ourf

eeli

ng b

ook<

> [d

istr

ibut

e th

efee

ling

boo

ks}?

C

an e

ach

of y

ou

pick

out

the

pict

ure

that

sho

ws

how

you

are

feel

ing

righ

t now

? [A

s th

e ch

ildr

en p

ick

out

thei

r pi

ctur

es,

ask

them

to

tell

why

the

y ar

efee

ling

that

way

.]

"We'

ve t

alke

d a

lot

abou

t th

e w

ay w

efee

l a.ft

er s

omeo

ne w

e lo

ve i

s ki

lled

, bu

t of

ten

the

mai

n th

ing

wef

eel

is s

adne

ss.

Ther

e ar

e a

lot o

lrea

sons

to b

e sa

d an

d m

ost o

f the

m h

ave

to

do w

ith m

issi

ng th

e pe

rson

who

is

gone

. To

day

we

are

goin

g to

tal

k ab

out h

ow w

e ca

n re

mem

ber

the

pers

on w

e lo

ve s

o th

at t

heir

mem

Ol:Y

can

be

with

us

alw

ays.

"

B.

Fun

eral

Act

ivit

y

• E

xpla

in to

chi

ldre

n th

at m

any

adul

ts p

artic

ipat

e in

mem

oria

l ser

vice

s and

fun

eral

s to

re

mem

ber t

he p

erso

n w

ho d

ied.

• F

ind

out f

rom

the

child

ren

if th

ey a

ttend

ed s

uch

a se

rvic

e or

fune

ral

for t

heir

love

d on

e .

• A

sk th

em i

fthe

y ha

ve a

ny q

uest

ions

abo

ut th

e fu

nera

l and

try

to c

lari

fy a

ny m

isco

ncep

­tio

ns o

r con

cern

s.

• A

sk th

em to

dra

w a

pic

ture

oft

hing

s th

ey r

emem

ber a

t the

fun

eral

or m

emor

ial.

• A

sk th

em to

tell

the

stor

y o

f the

pic

ture

.

C.

Mem

ory

Stor

ies

• E

xpla

in to

the

child

ren

that

one

way

of r

emem

beri

ng s

omeo

ne th

ey lo

ve is

to te

ll st

orie

s ab

out t

hem

to p

eopl

e th

ey m

eet.

• E

ncou

rage

them

to p

ract

ice

telli

ng s

tori

es a

bout

the

pers

on th

ey lo

ve b

y te

lling

a st

ory

to th

eir s

tuff

ed a

nim

al f

or th

e gr

oup.

D.

Col

or M

emor

ies

• E

xpla

in to

the

child

ren

that

oft

en c

erta

in c

olor

s re

min

d us

of o

ther

peo

ple.

Som

etim

es

the

colo

r was

the

favo

rite

col

or o

f the

per

son

who

die

d. S

omet

imes

the

colo

r is

a co

lor t

hat y

ou s

aw o

n th

e da

y of

the

fune

ral.

• S

how

the

child

ren

a co

lor c

hart

or b

ox o

f col

ored

mar

kers

and

ask

them

to p

ick

the

colo

r tha

t rem

inds

them

of t

he p

erso

n w

ho h

as d

ied.

59

-C

on

tin

ued

-•

Ask

the

chil

dren

to e

xpla

in w

hy th

e co

lor r

emin

ds th

em o

fth

e de

ceas

ed.

Ifth

e co

lor i

s as

soci

ated

wit

h go

od m

emor

ies,

the

chil

d sh

ould

be

enco

urag

ed to

do

an e

ntir

e pi

ctur

e in

mem

ory

oft

he

love

d on

e in

that

col

or.

Ifth

e co

lor i

s as

soci

ated

wit

h ba

d m

emor

ies,

the

faci

lita

tor

shou

ld ta

lk to

the

chil

d ab

out h

ow th

e co

lor m

ight

be

chan

ged

and

the

mem

ory

mig

ht b

e sh

aded

in f

avor

of a

goo

d m

emor

y. E

xam

ple:

A c

hild

may

pic

k a

red

mar

ker b

ecau

se h

e sa

w h

is m

othe

r kil

led

and

rem

embe

rs

the

bloo

d. T

he fa

cili

tato

r may

be

able

to e

ncou

rage

the

chil

d to

thin

k ab

out a

goo

d m

emor

y o

f his

m

othe

r suc

h as

whe

n th

ey p

laye

d in

the

sun

. T

he fa

cili

tato

r can

then

take

a y

ello

w m

arke

r and

sho

w th

e ch

ild

ho

w to

cha

nge

red

to o

rang

e to

rep

rese

nt th

e su

n ra

ther

than

the

bloo

d.

E.

Con

clus

ion

• T

han

k th

e ch

ildr

en fo

r com

ing

to th

e se

ssio

n.

• S

erv

e re

fres

hmen

ts.

• A

sk th

e ch

ildr

en to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k so

that

they

can

bri

ng th

em to

the

next

ses

sion

. S

ince

the

next

ses

sion

wil

l be

the

last

ses

sion

, ask

the

chil

dren

to lo

ok a

roun

d du

ring

the

wee

k fo

r so

meth

ing

-a m

emor

y o

bje

ct-

that t

hey

can

brin

g to

the

grou

p th

at re

min

ds th

em o

f the

ir lo

ved

one.

60

Sess

ion

Six

(2-6

): G

oing

on

Wit

h L

ife

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

Faci

litat

ors s

houl

d be

gin

by re

view

ing

thou

ghts

the

child

ren

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It:\,

grea

t to

see

you

all a

gain

. I

hope

you

all

bro

ught

yourFiend~· (

the

stuf

Ted

anim

als)

. D

id a

nyon

e dr

aw a

ny p

ictu

res

last

wee

k th

at y

ou w

ould

like

to s

hare

? D

oes

anyo

ne

have

a s

tory

o.f

som

ethi

ng th

at h

appe

ned

duri

ng t

he w

eek

that

you

wou

ld li

ke t

o te

ll?"

af t

he

chil

dren

ans

wer

yes

, fac

ilit

ator

s sh

ould

ask

eac

h on

e w

ho w

ants

to s

how

som

ethi

ng o

r te

ll s

ome­

thin

g to

do

so.}

R

emem

ber

ourf

eeli

ng b

ook\

' [di

stri

bute

the

feel

ing

book

s}?

Can

eac

h o.

fyou

pi

ck o

ut th

e pi

ctur

e th

at s

how

s ho

w y

ou a

refe

elin

g ri

ght n

ow?

[As

the

chil

dren

pic

k ou

t th

eir

pict

ures

, as

k th

em t

o te

ll w

hy t

hey

are

feel

ing

that

way

.}

"Tod

ay is

the

las

t ti

me

that

we

wil

l mee

t bef

ore

Than

ksgi

ving

. It

: ... b

een ve

~v s

peci

al

gett

ing

to k

now

eac

h o.

fyou

. B

ut it

:\, t

ime

to s

ay g

ood-

bye

for

a w

hile

. So

tod

ay w

e w

ant

to t

alk

abou

t w

hat e

ach

o.fu

s is

goi

ng to

do

as y

ou c

onti

nue

to g

row

up

and

get o

lder

. F

irst

, I

wan

t to

se

e w

hat

mem

ory

obje

ct y

ou b

roug

ht to

sho

w u

s. "

B.

Mem

ory

Obj

ects

• B

ring

to th

e gr

oup

a ro

ll o

f ri

bbon

and

pre

-cut

hea

rts

at le

ast t

wo

inch

es in

siz

e.

(Hea

rt d

oilie

s ca

n al

so b

e us

ed.)

• A

llow

eac

h ch

ild to

sho

w th

e m

emor

y ob

ject

, des

crib

e it

and

tell

why

it is

impo

rtan

t.

• C

ut a

pie

ce o

f rib

bon

and

atta

ch it

to a

hea

rt.

As

the

child

say

s th

e na

me

of t

he p

erso

n w

ho d

ied:

• W

rite

the

nam

e in

blo

ck le

tters

on

the

hear

t. (A

llow

the

child

to d

o th

is i

fhe

or s

he

know

s ho

w to

pri

nt.)

• A

tta

ch th

e he

art t

o th

e m

emor

y ob

ject

.

• T

ell t

he c

hild

ren

that

in m

any

cultu

res,

peo

ple

keep

mem

ory

obje

cts

in th

eir h

ome

or

carr

y th

em w

ith th

em to

con

tinue

to fe

el t

hat t

hey

can

talk

to th

eir l

oved

one

s.

C.

Loo

king

Int

o th

e F

utur

e

• A

sk th

e ch

ildre

n to

dra

w a

pic

ture

of w

hat t

hey

wan

t to

be w

hen

they

gro

w u

p.

• A

sk th

em to

tell

the

stor

y o

f the

pic

ture

.

• P

rovi

de th

em w

ith e

ncou

rage

men

t and

val

idat

ion

of p

ositi

ve p

erso

nalit

y at

trib

utes

that

ar

e re

flec

ted

in th

eir d

ream

.

-C

on

tin

ued

-

61

D.

Con

clus

ion

• T

han

k th

e ch

ildre

n fo

r com

ing

to th

e se

ssio

ns.

• G

ive

each

chi

ld a

spec

ial m

emen

to to

take

hom

e fr

om th

e gr

oup

(Exa

mpl

es: a

larg

e go

ld s

tar w

ith th

e gr

oup'

s na

me

and

the

chil

d's

nam

e, a

cer

tific

ate,

a se

t of c

olor

cra

yons

and

pap

er, a

sm

all t

oy, a

nd s

o fo

rth).

• S

erve

refr

eshm

ents

.

62

2.

Age

s 7-

11

Sett

ing:

Chi

ldre

n sh

ould

be

seat

ed in

cha

irs

arou

nd a

tabl

e in

a c

omfo

rtab

le e

nvir

onm

ent w

ith

the

faci

lita

tors

. P

aper

, cra

yons

, and

mar

kers

sho

uld

be a

vail

able

on

the

tabl

e.

Ref

resh

men

ts s

uch

as

chip

s, c

ooki

es, f

ruit

and

juic

e o

r sod

a sh

ould

be

prov

ided

at t

he e

nd o

fth

e se

ssio

n.

Tool

s: P

aper

, cra

yons

, mar

kers

, nam

e ba

dge

mak

er w

ith

colo

red

pape

r, a

nd a

ssem

bly

mat

eri­

als

(alt

erna

tive

ly: n

ame

tags

wit

h pl

asti

c ho

lder

s), s

tick

ers,

old

mag

azin

es. p

aper

bag

s, g

lue

stic

ks, f

lip

char

t.

Sess

ion

One

(7-

11):

Int

rodu

ctio

n;

63

Dis

cuss

ion

of V

iole

nt D

eath

A.

Intr

oduc

e Yo

urse

lves

to

the

Chi

ldre

n a

nd

Exp

lain

Pur

pose

of t

he G

roup

Ses

sion

s.

"Goo

d af

tern

oon.

I

am S

uzie

Wils

on a

nd th

is i

s Ju

dy M

artin

. W

e ar

e lo

okin

gfor

war

d to

tal

king

with

you

toda

y.

Judy

and

I ar

e go

ing

to b

e he

re o

n T

hurs

day

afte

rnoo

n ev

e/~V

wee

kfo

r th

e ne

xt s

ix w

eeks

. E

very

one

here

has

kno

wn

som

eone

the

y lo

ved

who

was

kil

led

rece

ntly

. V

iole

nt d

eath

is

a te

rrib

le t

hing

and

we'

re s

on

y th

at it

has

hap

pene

d in

you

r liv

es.

That

is

wha

t w

e w

ant

to t

alk

abou

t -w

hat y

ou t

hink

abo

ut h

omic

ide

and

mur

der

and

how

yo

u'v

e be

en

feel

ing.

D

urin

g th

ese

sess

ions

ther

e ar

e so

me

basi

c ru

les

tofo

llow

so

that

eve

(von

e.le

e!s

com

-fo

rtab

le a

nd h

as a

n op

port

uni~

y to

tal

k !l

they

wis

h. "

B.

Lis

t Bas

ic R

ules

; Ta

pe T

hem

to

the

Wal

l to

Ref

er to

Thr

ough

out

the

Sess

ion.

Rul

es f

or G

roup

Par

tici

pati

on

• O

nly

on

e pe

rson

talk

s at

a ti

me.

Eve

ryon

e ha

s a

chan

ce to

talk

but

no

one

has

to.

• N

o o

ne s

houl

d m

ake

fun

of a

nyon

e el

se in

the

gro

up.

• It

's o

kay

to b

e up

set a

nd fe

el f

eeli

ngs.

It's

no

t ok

ay to

hit

or s

hove

som

eone

els

e.

• A

ny

que

stio

n ca

n be

ask

ed, n

ot a

ll q

uest

ions

can

be

answ

ered

.

C.

Nam

e G

ame

"We

also

wan

t to

get

to k

now

you

all

a l

ittl

e he

tte/:

So

we

wan

t you

to t

ell

us y

our

nam

e, s

omet

hing

abo

ut th

e pe

ople

who

die

d an

d ho

w th

ey d

ied.

To

hel

p us

get

acq

uain

ted,

we

have

han

ded

out t

wo

nam

e si

gns

-on

e is

a h

adge

for

you

to w

ear

and

the

othe

r is

a s

ign

to

plac

e in

fro

nt o

f you

at

the

tabl

e.

We

wan

t you

to w

rite

you

r na

me

on e

ach.

but

we

also

wan

t you

to

thi

nk a

bout

a p

ictu

re o

r sy

mbo

l tha

t you

thi

nk d

escr

ibes

you

or

your

love

d on

e an

d to

dra

w i

t or

cho

ose

a st

icke

r or

cut

out

a p

ictu

re t

hat

repr

esen

ts i

t and

put

that

on

the

badg

e an

d si

gn a

s w

ell .

..

Aft

er th

e ch

ildr

en d

o th

is, g

o a

roun

d th

e ci

rcle

and

ask

eac

h ch

ild

to s

ay th

eir n

ame,

an

d d

e­sc

ribe

the

sym

bol o

r pic

ture

.

D.

Vid

eota

pe

• T

ell t

he c

hild

ren:

"Man

y ch

ildr

en h

ave

had

pare

nts.

sib

ling

s o

rfh

end

s w

ho w

ere

kille

d.

The

sefa

cts

don'

t mak

e it

any

eas

ier

to l

ive

with

a p

erso

nal l

oss

but i

t m

ay h

elp

to h

ear

how

oth

er c

hild

ren

have

tho

ught

abo

ut v

iole

nt d

eath

. Th

e vi

deot

ape

was

pre

pare

d to

hel

p ch

ildr

en t

ell o

ther

chi

l­dr

en w

hat

they

ha

vefe

lt a

fter

som

eone

the

y lo

ved

had

been

kill

ed.

"

-C

on

tin

ued

-

65

• Sh

ow

the

vide

otap

e.

"You

hav

e se

en s

ome

of t

he r

eact

ions

of k

ids

who

hav

e su

ffer

ed a

vio

lent

dea

th a

mon

g th

eirf

amil

ies

orfr

iend

s.

Eve

rybo

dy r

eact

s d(

ffere

ntly

. E

ach

of y

ou h

ave

your

ow

n st

orie

s.

We

wan

t to

hea

r th

ose

stor

ies

to l

earn

mor

e ab

out h

ow w

e ar

e d(

ffer

ent

and

how

muc

h w

e ar

e th

e sa

me.

E.

Tel

ling

the

Stor

y o

f V

iole

nt D

eath

• A

sk th

e ch

ildr

en to

take

a p

iece

of p

aper

and

som

e co

lore

d m

arke

rs.

Ask

them

to

thin

k ab

out t

he d

ay th

eir l

oved

one

was

kil

led,

and

wha

t the

y re

mem

ber.

Fac

ilit

ator

s ca

n pr

ompt

thei

r th

inki

ng b

y as

king

som

e o

f the

foll

owin

g qu

esti

ons

depe

ndin

g up

on th

e ev

ent(

s) g

roup

mem

bers

hav

e ex

peri

ence

d.

-W

here

wer

e yo

u w

hen

it h

appe

ned?

-

How

did

you

fin

d o

ut w

hat h

appe

ned?

-

Wha

t do

you

rem

embe

r se

eing

? -

Wha

t do

you

rem

embe

r he

arin

g?

-W

hat

do y

ou r

emem

ber

smel

ling

? -

Wha

t di

d yo

u do

?

As

they

are

thin

king

abo

ut th

e da

y, a

sk th

em to

dra

w a

pic

ture

oft

he

wor

st m

emor

y th

ey h

ave

abou

t tha

t day

. A

fter

they

hav

e co

mpl

eted

thei

r dra

win

gs, a

sk fo

r vo

lunt

eers

to s

how

thei

r pic

ture

s o

r to

tell

the

stor

y o

fth

ose

bad

mem

orie

s.

• A

sk th

e gr

oup

try

to r

emem

ber i

fth

ere

was

any

goo

d pa

rt o

f the

day

.

• A

sk th

em to

dra

w a

pic

ture

of t

he b

est m

emor

y th

ey h

ave

abou

t the

day

.

• A

sk fo

r vo

lunt

eers

to s

how

or t

ell t

hose

sto

ries

.

F.

Thi

nkin

g A

bo

ut L

ife

an

d D

eath

Fac

ilit

ator

s sh

ould

beg

in th

is e

xerc

ise

by

say

ing,

"W

hat d

oes

it m

ean

to b

e de

ad?"

The

n as

k th

e ch

ildr

en to

cho

ose

a pi

ece

of p

aper

and

som

e cr

ayon

s. A

sk th

em to

dra

w a

pic

ture

of d

eath

on

on

e si

de o

fth

e pa

per.

Aft

er th

ey a

re f

inis

hed,

ask

them

to d

raw

a p

ictu

re o

flif

e on

the

othe

r sid

e.

Whe

n th

ey a

re th

roug

h dr

awin

g, a

sk e

ach

of t

he c

hild

ren

to e

xpla

in th

eir p

ictu

res.

Fac

ilit

ator

s sh

ould

he

lp to

cla

rify

mis

conc

epti

ons

and

be p

repa

red

to a

nsw

er q

uest

ions

.

G.

Con

clus

ion

• T

han

k th

em fo

r be

ing

a pa

rt o

fth

e gr

oup.

• S

erv

e re

fres

hmen

ts.

• E

nco

ura

ge

chil

dren

to ta

ke th

eir p

ictu

res

hom

e.

• R

emin

d th

em th

at th

ey m

ight

thin

k ab

out d

eath

or t

he p

erso

n th

ey lo

ved

duri

ng th

e ne

xt

wee

k an

d if

they

wan

t to

draw

mor

e pi

ctur

es a

bout

wha

t the

y th

ink

or fe

el, t

he f

acil

itat

ors

wou

ld li

ke to

se

e th

ose

pict

ures

at t

he n

ext g

roup

ses

sion

.

66

Sess

ion

Tw

o (7

-11)

: F

eeli

ngs

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

• R

evie

w th

ough

ts th

e ch

ildre

n m

ight

hav

e ha

d du

ring

the

wee

k.

"Hi.

It s

grea

t to

see

you

all a

gain

. D

id a

nyon

e dr

aw a

ny p

ictu

res

last

wee

k th

at

you

wou

ld li

ke to

sha

re?

Doe

s an

yone

hav

e a

stm

y o.

fsom

ethi

ng th

at h

appe

ned

duri

ng t

he w

eek

that

you

wou

ld li

ke to

tel

l?"

[{lt

he c

hild

ren

answ

er y

es, f

acil

itat

ors

shou

ld a

sk e

ach

one

who

w

ants

to

show

som

ethi

ng o

r te

ll s

omet

hing

to d

o so

.}

"Thi

s w

eek,

we

wan

t to

lea

rn m

ore

abou

t th

e pe

ople

you

kno

w w

ho d

ied

-w

hat

they

wer

e li

ke a

nd

how

yo

u fe

el n

ow th

at t

hey

are

gone

. "

B.

Mem

ory

Pic

ture

s

• A

sk th

e ch

ildre

n to

cre

ate

pict

ures

of t

hing

s th

eir l

oved

one

like

d or

that

rem

ind

them

of

thei

r lov

ed o

ne.

• S

ugge

stth

at ch

ildre

n lo

ok th

roug

h th

e m

agaz

ines

and

cut

out

pic

ture

s of

thin

gs th

at

rem

ind

them

oft

heir

love

d on

e an

d gl

ue th

em o

n th

e pi

ctur

e pa

per.

• A

sk ea

ch c

hild

to ta

lk a

bout

the

mem

ory

pict

ure.

C.

Fee

ling

Pic

ture

Boo

k

• A

sk th

e ch

ildre

n to

dra

w o

ne p

ictu

re e

ach

of ho

w th

ey lo

ok w

hen

they

exp

erie

nce

the

follo

win

g fe

elin

gs. "H

ow d

o yo

u l

ook

whe

n yo

u fe

el h

appy

? "

"How

do

you

loo

k w

hen

you

feel

mad

? "

"How

do

you

look

whe

n yo

u fe

el a

frai

d? "

"H

ow d

o yo

u lo

ok w

hen

you

feel

like

you

did

som

ethi

ng w

rong

? "

"How

do

you

look

whe

n yo

u fe

el s

ad?

"

• H

elp

the

child

ren

stap

le o

r tap

e th

e fe

elin

g pi

ctur

es to

geth

er in

a b

ook

with

a c

over

on

it th

at s

ays

"[C

hild

's N

ame]

's F

eelin

gs B

ook"

.

• E

xpla

in th

at:

-F

eeli

ngs

aren

't w

rong

or

righ

t but

the

y ca

n m

ake

usf

eel g

ood

or b

ad.

-E

very

one

has

d(ff

eren

tfee

ling

s at

d(f

fere

nt t

imes

but

mos

t o.f

us h

ave

sim

ilar

fe

elin

gs t

o ea

ch o

ther

at s

ome

time.

-

Som

etim

es i

t is

har

d to

tal

k ab

out

wha

t w

e ar

e fe

elin

g be

caus

e w

e do

n't

thin

k ot

her

peop

le c

an u

nder

stan

d, b

ut it

oft

en h

elps

to t

alk

abou

t w

hat

we

are

feel

ing

beca

use

it

mak

es u

s fee

l le

ss l

onel

y.

-C

on

tin

ued

-

67

• E

xpla

in th

at th

ese

book

s ca

n be

use

d ev

ery

tim

e th

e gr

oup

mee

ts to

sho

w e

ach

othe

r ho

w e

ach

chil

d fe

els

that

day

.

• A

sk ea

ch c

hild

to d

emon

stra

te a

fee

ling

that

they

hav

e n

ow

whe

n th

ey th

ink

abou

t the

ir

love

d on

e.

D.

Con

clus

ion

• T

han

k th

e ch

ildr

en fo

r com

ing

to th

e se

ssio

n.

• S

ugg

est t

hat t

hey

take

thei

r mem

ory

pict

ures

hom

e.

• K

eep

the

"Fee

ling

Boo

ks"

until

the

next

sess

ion.

• S

erve

refr

eshm

ents

.

• A

sk th

e ch

ildr

en to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k

so th

at th

ey c

an b

ring

them

to th

e ne

xt s

essi

on.

68

Sess

ion

Thr

ee (

7-11

): F

ear

A.

Intr

oduc

tions

an

d P

urpo

se o

f Gro

up S

essi

on

• R

evie

w th

ough

ts th

e ch

ildr

en m

ight

hav

e ha

d du

ring

the

wee

k.

"Hi.

It:~

gre

at to

see

you

all

aga

in.

Did

any

one

draw

any

pic

ture

s la

st w

eek

that

yo

u w

ould

like

to s

hare

? D

oes

anyo

ne h

ave

a st

ory

o/so

met

hing

that

hap

pene

d du

ring

the

wee

k th

at y

ou w

ould

like

to t

ell?

"

• A

sk fo

r vol

unte

ers

who

wan

t to

show

or t

ell s

omet

hing

.

• D

istr

ibu

te th

e F

eeli

ng B

ooks

.

• A

sk ch

ildr

en to

pic

k ou

t a p

ictu

re th

at s

how

s ho

w th

ey fe

el r

ight

now

.

• A

sk fo

r vo

lunt

eers

to te

ll a

bout

the

pict

ure

they

cho

se.

• In

trod

uce

the

topi

c fo

r th

e da

y.

"Thi

s w

eek,

we

wan

t to

tal

k ab

out

thin

gs t

hat

we

are

a/ra

id o

f L

ots

o/t

imes

w

hen

som

eone

we

love

die

s, w

e ge

t sca

red

abou

t the

way

the

y di

ed,

how

oth

er p

eopl

e tr

eat

us,

or

may

be w

heth

er w

e're

goi

ng to

die

soo

n, t

oo.

Eve

ryon

e is

saf

e he

re r

ight

now

, bu

t I k

now

whe

n I

get s

care

d o/

som

ethi

ng s

omet

imes

I w

ant t

o cu

rl u

p in

to a

lit

tle

teen

y ba

ll a

nd h

ide.

"

B.

Wha

t Mak

es Y

ou S

care

d?

• A

sk e

ach

chil

d to

nam

e so

met

hing

that

sca

res

them

and

to te

ll w

hy

it s

care

s th

em.

C.

Let

ter

Wri

ting

• A

sk th

e ch

ildr

en to

wri

te a

let

ter t

o so

meo

ne w

ho

m th

ey th

ink

is v

ery

impo

rtan

t or

pow

erfu

l and

tell

them

in th

e le

tter

wha

t the

y sh

ould

do

abou

t the

sca

ry th

ing.

(E

xam

ples

of p

eopl

e to

w

rite

to in

clud

e: T

he P

resi

dent

, God

, a p

olic

eman

, a te

ache

r, th

eir p

aren

ts.)

D.

Act

ion

Pla

nn

ing

• D

ivid

e th

e ch

ildr

en in

to s

mal

l gro

ups

of3-

5.

• T

ell t

hem

to ta

lk a

nd th

ink

abou

t thr

ee th

ings

they

wan

t to

know

ho

w to

do

that

wou

ld

mak

e th

em fe

el s

afer

.

• A

sk e

ach

grou

p to

list

thos

e th

ree

thin

gs o

n a

piec

e o

f pap

er.

• A

sk ea

ch g

roup

to r

epor

t the

ir li

st to

the

full

grou

p.

-C

on

tin

ued

-

69

• Id

enti

fy th

ings

that

chi

ldre

n ca

n le

arn

in o

rder

to f

eel s

afer

.

• D

emon

stra

te h

ow to

do

sim

ple

thin

gs.

Exa

mpl

es in

clud

e:

-Ho

w to

use

afi

re e

xtin

guis

her.

-H

ow

to c

all t

he p

olic

e or

em

erge

ncy

serv

ices

. -

Wha

t to

do

(lth

ere

is a

n ea

rthq

uake

(or

tor

nado

or

hurr

ican

e or

floo

d. e

tc.)

.

E.

Con

clus

ion

• T

han

k th

e ch

ildre

n fo

r com

ing

to th

e se

ssio

n.

• S

erve

refr

eshm

ents

.

• A

sk th

e ch

ildr

en to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k so

that

they

can

bri

ng th

em to

the

next

ses

sion

.

70

Sess

ion

Fou

r (7

-11)

: A

nge

r

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

• R

evie

w th

ough

ts c

hild

ren

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It s

grea

t to

see

you

all

aga

in.

Did

any

one

draw

any

pic

ture

s la

st w

eek

that

yo

u w

ould

like

to

shar

e? D

oes

anyo

ne h

ave

a st

ory

of s

ome t

hing

tha

t hap

pene

d du

ring

the

wee

k th

at y

ou w

ould

like

to

tell

? "

• A

sk fo

r vol

unte

ers

to s

how

or t

ell s

omet

hing

.

• D

istr

ibut

e th

e Fe

elin

g B

ooks

.

• A

sk fo

r vol

unte

ers

to c

hoos

e a

pict

ure

to s

how

how

they

feel

rig

ht n

ow.

• In

trod

uce

the

topi

c fo

r the

day

.

"Thi

s w

eek.

we

wan

t to

tal

k ab

out

tim

es w

hen

we

are

angl

y.

Lot

s o

f tim

es w

hen

som

eone

we

love

is

kille

d. w

e ge

t m

ad a

t th

e pe

rson

who

kil

led

them

. at

peo

ple

who

sho

uld

have

he

lped

them

. at

oth

er p

eopl

e w

ho d

on't

unde

rsta

nd.

Som

etim

es p

eopl

e te

ll u

s w

e sh

ould

n't b

e an

gry.

but

no

one

can

help

it ~r t

heyf

eel a

ngly

som

etim

es w

hen

som

eone

die

s su

dden

ly.

..

B.

Pup

pet

Pla

y

• D

istr

ibut

e pa

per b

ags,

mar

kers

, col

ored

pap

er, s

ciss

ors

and

glue

to th

e ch

ildre

n.

• A

sk th

em to

mak

e a

pape

r bag

pup

pet o

f the

ir fa

vorit

e an

imal

.

• A

sk th

e ch

ildre

n to

nam

e th

e pu

ppet

.

• M

ake

a pa

per b

ag p

uppe

t of y

ours

elf o

r an

anim

al.

• U

se y

our p

aper

bag

pup

pet t

o as

k th

e qu

estio

n o

f eac

h ch

ild'

s p

up

pet­

"Wha

t mak

es y

ou r

eally

, re

ally

mad

? ! "

• A

sk th

e pu

ppet

s: "

Wha

t do

you

do w

hen

you

get m

ad?"

• L

ist a

ll th

e w

ays

that

the

pupp

ets

resp

ond

on th

e fli

p ch

art.

• D

istr

ibu

te h

ando

ut o

n go

od w

ays

to b

e m

ad a

nd b

ad w

ays

to b

e m

ad.

• T

alk

to th

e ch

ildre

n ab

out g

ood

way

s to

be

mad

and

bad

way

s to

be

mad

.

-C

on

tin

ued

-

71

C.

Ph

ysic

al A

ctiv

ity

Ang

er c

reat

es e

nerg

y th

at n

eeds

to b

e re

leas

ed.

Fac

ilit

ator

s ca

n gu

ide

that

act

ivit

y an

d te

ach

chil

dren

to c

onne

ct th

eir f

eeli

ngs

wit

h sa

fe p

hysi

cal e

xpre

ssio

n.

• G

ive

the

chil

dren

a p

iece

of p

aper

and

a p

enci

l or m

arke

r.

• A

sk th

e ch

ildr

en to

wri

te o

r dra

w a

bout

the

thin

g th

at m

akes

them

ang

ry.

• T

ape

a la

rge

piec

e o

f pap

er w

ith

a bi

g re

d ci

rcle

on

the

wal

l.

• A

sk th

e ch

ildr

en to

wad

thei

r ang

er [p

aper

] in

to a

bal

l.

• A

sk th

e ch

ildr

en to

thro

w th

eir a

nger

at t

he c

ircl

e on

the

wal

l.

• A

llow

them

to p

ick

up th

e pa

per b

alls

and

thro

w th

em a

gain

and

aga

in.

D.

Con

clu

sion

• T

han

k th

e ch

ildr

en fo

r com

ing

to th

e se

ssio

n.

• Se

rve

refr

eshm

ents

.

• A

sk th

e ch

ildr

en to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k so

that

they

can

bri

ng th

em to

the

next

ses

sion

.

72

Sess

ion

Fiv

e (7

-11)

: G

rief

and

Mou

rnin

g

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

• R

evie

w th

ough

ts th

e ch

ildre

n m

ight

hav

e ha

d du

ring

the

wee

k.

"Hi.

It s g

reat

to s

ee y

ou a

ll a

gain

. D

id a

nyon

e dr

aw a

ny p

ictu

res

last

wee

k th

at

you

wou

ld li

ke t

o sh

are?

Doe

s an

yone

hav

e a

stor

y o

f som

ethi

ng th

at h

appe

ned

duri

ng th

e w

eek

that

you

wou

ld li

ke to

tel

l?"

• A

sk fo

r vol

unte

ers

to s

how

or t

ell s

omet

hing

.

• D

istr

ibut

e Fe

elin

g B

ooks

.

• A

sk fo

r vol

unte

ers

to c

hoos

e a

pict

ure

to s

how

how

they

are

fee

ling

righ

t now

.

• In

trod

uce

topi

c fo

r the

day

.

"We'

ve t

alke

d a

lot

abou

t th

e w

ay w

efee

l af

ter

som

eone

we

love

is

kille

d, b

ut

ofte

n th

e m

ain

thin

g w

efee

l is

sadn

ess.

Th

ere

are

a lo

t of r

easo

ns t

o be

sad

and

mos

t of t

hem

ha

ve to

do

wit

h m

issi

ng th

e pe

rson

who

is

gone

. To

day

we

are

goin

g to

tal

k ab

out

how

we

can

rem

embe

r th

e pe

rson

we

love

so

that

the

ir m

emor

y ca

n be

with

us

alw

ays.

"

B.

Fun

eral

Act

ivit

y

• E

xpla

in to

chi

ldre

n th

at m

any

adul

ts p

artic

ipat

e in

mem

oria

l ser

vice

s an

d fu

nera

ls to

re

mem

ber t

he p

erso

n w

ho d

ied.

• A

sk th

e ch

ildre

n if

they

atte

nded

suc

h a

serv

ice

or fu

nera

l for

thei

r lov

ed o

ne.

• A

sk th

em if

they

hav

e an

y qu

estio

ns a

bout

fune

rals

.

• C

lari

fy an

y m

isco

ncep

tions

or c

once

rns.

• D

ivid

e th

e ch

ildre

n in

to s

mal

l gro

ups.

• A

sk ea

ch g

roup

to p

lan

a fu

nera

l or m

emor

ial.

• R

econ

vene

the

child

ren

as a

larg

e gr

oup

and

ask

each

gro

up to

tell

or d

emon

stra

te th

e fu

nera

l or m

emor

ial t

hey

plan

ned.

C.

Mem

ory

Stor

ies

• E

xpla

in to

the

child

ren

that

one

way

to re

mem

ber s

omeo

ne th

ey lo

ve is

to te

ll st

orie

s ab

out t

hem

to p

eopl

e th

ey m

eet.

-C

on

tin

ued

-

73

• R

ead

a sh

ort s

tory

abo

ut s

omeo

ne w

ho h

as d

ied.

• A

sk th

e ch

ildr

en to

wri

te a

sho

rt s

tory

abo

ut th

e pe

rson

they

love

d.

• A

sk fo

r vol

unte

ers

to re

ad th

eir s

tori

es w

hen

they

are

fin

ishe

d.

E.

Con

clus

ion

• T

han

k th

e ch

ildr

en fo

r com

ing

to th

e se

ssio

n.

• Se

rve

refr

eshm

ents

.

• A

sk th

e ch

ildr

en to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k so

that

they

can

bri

ng th

em to

the

next

ses

sion

. S

ince

the

next

ses

sion

wil

l be

the

last

ses

sion

, ask

the

chil

dren

to l

ook

arou

nd d

urin

g th

e w

eek

for so

meth

ing

-a m

emor

y o

bje

ct-

that t

hey

can

brin

g to

the

grou

p th

at re

min

ds th

em o

fth

eir l

oved

one

.

74

Sess

ion

Six

(7-1

1):

Goi

ng o

n W

ith

Lif

e

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

• R

evie

w th

ough

ts th

e ch

ildr

en m

ight

hav

e ha

d du

ring

the

wee

k.

"Hi.

It s g

reat

to s

ee y

ou a

ll a

gain

. D

id a

nyon

e dr

aw a

ny p

ictu

res

last

wee

k th

at

you

wou

ld li

ke t

o sh

are?

Doe

s an

yone

hav

e a

stD

ly o

.[so

met

hing

that

hap

pene

d du

ring

the

wee

k th

at y

ou w

ould

like

to

tell

? "

• A

sk fo

r vol

unte

ers

to s

how

or t

ell s

omet

hing

that

hap

pene

d.

• D

istr

ibut

e th

e F

eeli

ng B

ooks

.

• A

sk fo

r vo

lunt

eers

to c

hoos

e a

pict

ure

and

desc

ribe

thei

r fee

ling

s ri

ght n

ow.

• In

trod

uce

topi

c fo

r th

e da

y.

"Tod

ay is

the

las

t tim

e th

at w

e w

ill

mee

t bef

ore

Tha

nksg

ivin

g.

It s

been

ver

y .\p

ecia

l get

ting

to k

now

eac

h o.

[you

. B

ut it

:5 t

ime

to s

ay g

ood-

bye

for

a w

hile

. So

tod

ay w

e w

ant

to t

alk

abou

t w

hat

each

o.[

us i

s go

ing

to d

o as

you

con

tinu

e to

gro

w u

p an

d ge

t ol

der.

F

irst

, I

wan

t to

see

wha

t m

emor

y ob

ject

you

bro

ught

to s

how

us.

"

B.

Mem

ory

Obj

ects

• H

ave

a ro

ll o

f ri

bbon

and

pre

-cut

hea

rts

at le

ast t

wo

inch

es in

siz

e. (

Hea

rt d

oili

es c

an

also

be

used

.)

• A

llow

eac

h ch

ild

to s

how

the

mem

ory

obje

ct, d

escr

ibe

it an

d te

ll w

hy it

is i

mpo

rtan

t.

• A

fter

eac

h ch

ild

tell

s ab

out t

he m

emor

y ob

ject

, the

fac

ilit

ator

s sh

ould

cu

t a p

iece

of

ribb

on a

nd

att

ach

it to

a h

eart

.

• A

llow

eac

h ch

ild

to w

rite

the

nam

e o

f the

love

d on

e on

the

hear

t.

• T

ie o

r gl

ue th

e ri

bbon

and

hea

rt to

the

mem

ory

obje

ct.

• E

xpla

in th

at in

man

y cu

ltur

es, p

eopl

e ke

ep m

emor

y ob

ject

s in

thei

r hom

e o

r car

ry th

em

wit

h th

em to

con

tinu

e to

feel

tha

t the

y ca

n ta

lk to

thei

r lov

ed o

nes.

C.

Loo

king

Int

o th

e F

utur

e

• A

sk th

e ch

ildr

en to

thin

k ab

out w

hat t

hey

wan

t to

be w

hen

they

gro

w u

p.

-C

on

tin

ued

-

75

• D

ivid

e th

e ch

ildr

en in

to s

mal

l gro

ups

and

ask

them

to ta

lk w

ith

each

oth

er a

bout

wha

t th

ey w

ant t

o be

and

pla

n ho

w to

"ac

t out

" th

eir f

utur

e fo

r th

e w

hole

gro

up.

• R

econ

ven

e th

e ch

ildr

en a

s a

larg

e gr

oup.

Ask

eac

h sm

all g

roup

to "

act o

ut th

e dr

eam

s" o

f eac

h gr

oup

mem

ber.

D.

Con

clus

ion

• T

han

k th

e ch

ildr

en fo

r com

ing

to th

e se

ssio

ns.

• G

ive

each

chi

ld a

spe

cial

mem

ento

to ta

ke h

ome

from

the

grou

p (e

xam

ples

: a

phot

o­gr

aph

of t

he g

roup

toge

ther

, a c

ard

wit

h au

togr

aphs

fro

m e

ach

grou

p m

embe

r, a

poe

m o

r quo

tati

on.)

• S

erve

refr

eshm

ents

.

76

• •

3. A

ges

12-1

8

Sett

ing:

You

th s

houl

d be

sea

ted

in c

hair

s ar

ound

a ta

ble

in a

com

fort

able

env

iron

men

t wit

h th

e fa

cili

tato

rs.

Pap

er a

nd p

enci

ls s

houl

d be

ava

ilab

le o

n th

e ta

ble.

R

efre

shm

ents

suc

h as

chi

ps, c

ooki

es,

frui

t and

juic

e o

r sod

a sh

ould

be

prov

ided

at t

he e

nd o

f the

ses

sion

.

Tool

s: P

aper

, cra

yons

, mar

kers

, nam

e ba

dge

mak

er w

ith

colo

red

pape

r, a

nd a

ssem

bly

mat

eri­

als

(alt

erna

tive

ly: n

ame

tags

wit

h pl

asti

c ho

lder

s), s

tick

ers,

old

mag

azin

es, s

mal

l not

eboo

ks, g

lue

stic

ks,

fiip

char

t.

77

Sess

ion

One

(12

-18)

: In

trod

ucti

on;

Dis

cuss

ion

of V

iole

nt D

eath

A.

Intr

odu

ce Y

ours

elve

s an

d E

xpla

in P

urpo

se o

f the

Gro

up S

essi

ons.

"Goo

d af

tern

oon.

I

am S

uzie

Wils

on a

nd th

is i

s Ju

dy M

artin

. W

e ar

e lo

okin

gfor

war

d to

tal

king

wit

h yo

u to

day.

Ju

dy a

nd I

are

goin

g to

be

here

on

Thu

rsda

y aj

iern

oon

ever

y w

eekf

or

the

next

six

wee

ks.

Eve

ryon

e he

re h

as k

now

n so

meo

ne t

hey

love

d w

ho w

as k

ille

d re

cent

ly.

Vio

lent

dea

th i

s a

terr

ible

thi

ng a

nd w

e're

so

ny

that

it h

as h

appe

ned

in y

our

lives

. Th

at i

s w

hat

we

wan

t to

tal

k ab

out -

wha

t you

thi

nk a

bout

hom

icid

e an

d m

urde

r an

d ho

w y

ou

've

been

fe

elin

g.

Dur

ing

thes

e se

ssio

ns th

ere

are

som

e ba

sic

rule

s to

/all

ow s

o th

at e

very

onef

eels

com

-fo

rtab

le a

nd

has

an

oppo

rtun

ity

to t

alk

([ th

ey w

ish.

'.'

B.

Lis

t B

asic

Rul

es;

Tap

e to

th

e W

all

to R

efer

to T

hrou

ghou

t th

e Se

ssio

n.

Rul

es fo

r G

roup

Par

ticip

atio

n

• O

nly

one

pers

on ta

lks

at a

tim

e.

• E

very

one

has

a ch

ance

to ta

lk b

ut n

o on

e ha

s to

. •

No

one

shou

ld m

ake

fun

of a

nyon

e el

se in

the

grou

p.

• It

's o

kay

to b

e up

set.

It's

not

oka

y to

hur

t som

eone

els

e.

• A

ny q

uest

ion

can

be a

sked

, not

all

que

stio

ns c

an b

e an

swer

ed.

• N

othi

ng s

aid

in th

e gr

oup

shou

ld b

e re

peat

ed to

oth

ers

exce

pt fo

r ge

nera

l ide

as.

C.

Nam

eGam

e

"We

also

wan

t to

get

to k

now

you

all

a l

ittl

e be

tter.

So

we

wan

t you

to t

ell

us y

ou

r na

me,

som

ethi

ng a

bout

the

peop

le w

ho d

ied

and

how

they

die

d.

To h

elp

us g

et a

cqua

inte

d, w

e ha

ve h

ande

d ou

t tw

o na

me

sign

s -

one

is a

ba

dg

e/o

r yo

u to

wea

r an

d th

e ot

her

is a

sig

n to

pl

ace

infr

on

t o

f yo

u a

t th

e ta

ble.

W

e w

ant y

ou to

wri

te y

our

nam

e on

eac

h, b

ut w

e al

so w

ant y

ou

to t

hink

abo

ut a

pic

ture

or

,\ym

bol t

hat y

ou t

hink

des

crib

es y

ou o

r yo

ur l

oved

one

an

d to

dra

w i

t or

cho

ose

a st

icke

r o

r cu

t ou

t a p

ictu

re t

hat

repr

esen

ts i

t and

put

that

on

the

badg

e an

d si

gn a

s w

ell.

"

Aft

er th

e yo

uth

do th

is, g

o ar

ound

the

circ

le a

nd a

sk e

ach

pers

on to

say

thei

r nam

e, d

escr

ibe

the

sym

bol o

r pic

ture

.

D.

Vid

eota

pe

• T

ell t

he y

outh

:

"Man

y ki

ds h

ave

had

pare

nts,

sib

ling

s or

.fi-i

ends

who

wer

e ki

lled.

T

hese

fact

s do

n i m

ake

it a

ny e

asie

r to

liv

e w

ith a

per

sona

l lo

ss b

ut it

may

hel

p to

hea

r ho

w o

ther

s ha

ve

thou

ght

abou

t vi

olen

t de

ath.

Th

e vi

deot

ape

was

pre

pare

d to

hel

p ki

ds t

ell

othe

r ki

ds w

hat

they

ha

ve fe

lt a

.fier

som

eone

the

y lo

ved

had

been

kill

ed.

"

-C

on

tin

ued

-

79

• S

ho

w th

e vi

deot

ape.

"You

hav

e se

en s

ome

of t

he r

eact

ions

of p

eopl

e w

ho h

ave

suff

ered

a v

iole

nt d

eath

am

ong

thei

rfam

ilie

s or

/rie

nds.

E

very

body

rea

cts

d(fJ

eren

tly.

Eac

h o

f you

hav

e yo

ur

own

stor

ies.

W

e w

ant

to h

ear

thos

e st

orie

s to

lea

rn m

ore

abou

t how

we

are

d(ff

eren

t an

d ho

w m

uch

we

are

the

sam

e. "

E.

Tel

ling

the

Stor

y o

f V

iole

nt D

eath

• A

sk th

e yo

uth

to c

lose

thei

r eye

s an

d th

ink

abou

t the

per

son

who

has

die

d an

d w

hen

th

ey fi

rst l

earn

ed a

bout

the

deat

h.

• A

sk th

em to

thin

k ab

out t

he f

ollo

win

g qu

esti

ons:

-W

here

wer

e yo

u w

hen

it h

appe

ned?

-

How

did

you

fin

d o

ut w

hat h

appe

ned?

-

Wha

t do

you

rem

embe

r se

eing

? -

Wha

t do

you

rem

embe

r he

arin

g?

-W

hat

do y

ou r

emem

ber

smel

ling

? -

Wha

t di

d yo

u do

?

• A

sk th

em to

ope

n th

eir e

yes

and

ask

for

volu

ntee

rs to

tell

wha

t the

y th

ough

t abo

ut.

• R

ecor

d co

rnm

on c

risi

s re

acti

ons

on th

e fl

ip c

hart

.

• E

xp

lain

the

patt

ern

oftr

aum

a an

d gr

ief r

eact

ion.

• D

istr

ibut

e ha

ndou

ts o

n tr

aum

a an

d gr

ief r

eact

ions

(see

App

endi

x I)

.

• A

sk th

e yo

uth

to ta

ke a

pie

ce o

f pap

er a

nd d

raw

a s

trai

ght h

oriz

onta

l lin

e ac

ross

it.

Tel

l th

em to

mar

k th

e st

art o

fth

e li

ne a

nd in

dica

te th

at th

e st

art o

fth

e li

ne w

ill s

ymbo

lize

whe

n th

e de

ath

happ

ened

. T

he e

nd o

fth

e li

ne w

ill s

ymbo

lize

toda

y. N

ow a

sk th

em to

mar

k on

the

line

any

sig

nifi

cant

ev

ents

that

hav

e ta

ken

plac

e si

nce

the

death

-in

dica

te th

ose

thin

gs th

at w

ere

unha

ppy

even

ts o

r sad

ti

mes

und

erne

ath

the

line

and

thos

e th

at w

ere

posi

tive

or g

ood

even

ts a

bove

the

line

.

• S

ho

w th

e yo

uth

an e

xam

ple

of s

uch

a li

ne o

n th

e fl

ip c

hart

.

• A

sk fo

r vo

lunt

eers

to d

escr

ibe

wha

t the

y ha

ve d

raw

n on

thei

r pap

er.

F.

Thi

nkin

g A

bo

ut

Lif

e a

nd

Dea

th

• B

egin

this

exe

rcis

e by

ask

ing

-"W

hat d

oes

it m

ean

to b

e de

ad?

" "W

hat h

appe

ns w

hen

you

die?

"

-C

on

tin

ued

-

80

• D

istr

ibu

te p

oem

, "D

irge

wit

hout

Mus

ic"

by E

dna

St. V

ince

nt M

illa

y (s

ee A

ppen

dix

II).

• R

ead

the

po

em a

nd a

sk th

e gr

oup

for c

omm

ents

and

thou

ghts

on

thei

r ow

n pe

rspe

c­ti

ves o

f dea

th. •

Ask

the

grou

p to

hel

p yo

u li

st th

e m

ost c

omm

on c

once

ptio

ns o

f dea

th.

Incl

ude:

-D

eath

as

an u

ltim

ate

fina

lity

-w

ith

no a

fter

lfle

. -B

iolo

gic

al d

ecay

of t

he b

ody.

-D

ea

th a

s a

rele

ase

o.lt

he s

piri

t. -

Dea

th w

ith

an a

fter

/ffe

in w

hich

the

re i

s a

heav

en,

purg

ator

y a

nd

hel

l. -

Dea

th w

ith

an a

fier

l(fe

thr

ough

rei

ncar

nati

on.

-D

eath

wit

h an

aft

erl(

fe i

n he

aven

.

G.

Rec

ordi

ng Y

our

Tho

ught

s a

nd

Rea

ctio

ns

• D

istr

ibu

te sm

all n

oteb

ooks

to e

ach

pers

on.

• A

sk th

em to

wri

te o

r dra

w a

bout

thou

ghts

or r

eact

ions

they

hav

e ab

out t

he p

erso

n w

ho

w

as k

ille

d du

ring

the

next

wee

k. T

ell t

hem

that

the

note

book

s ar

e to

be

conf

iden

tial

but

eve

ryon

e w

ill

be g

iven

an

oppo

rtun

ity

to r

ead

or s

how

wha

t the

y ha

ve r

ecor

ded

if th

ey c

hoos

e to

do

so.

F.

Con

clus

ion

• A

sk th

e gr

oup

to e

ach

brin

g a

phot

ogra

ph o

r pic

ture

of t

he p

erso

n w

ho

was

kil

led

to

the

next

gro

up s

essi

on.

• T

han

k th

em fo

r bei

ng a

par

t of t

he g

roup

.

• S

erv

e re

fres

hmen

ts.

81

Ses

sion

Tw

o (1

2-18

): T

raum

a an

d G

rief

Rea

ctio

ns

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

• R

evie

w th

ough

ts th

e yo

uth

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It:\,

grea

t to

see

you

all a

gain

. D

id a

nyon

e m

ake

any

jour

nal e

ntri

es l

ast

wee

k th

at y

ou w

ould

like

to

shar

e? "

• In

tro

du

ce to

pic

for

the

wee

k.

"Thi

s w

eek,

we

wan

t to

lear

n m

ore

abou

t th

e pe

ople

you

kno

w w

ho w

ere

kil

led

­w

hat t

hey

wer

e li

ke a

nd h

ow y

ou h

ave

been

rea

ctin

g si

nce

thei

r de

ath.

"

B.

Pic

tllr

e C

ol/a

ge

• A

sk th

e yo

uth

to c

reat

e a

coll

age

ofth

ings

thei

r lov

ed o

ne li

ked

or t

hat r

emin

d th

em o

f th

eir l

oved

one

.

• H

ave

grou

p m

embe

rs s

elec

t a p

iece

of c

olor

ed c

onst

ruct

ion

pape

r.

• G

lue

the

phot

ogra

ph o

r pic

ture

of t

he l

oved

one

on

the

pape

r.

• S

ug

ges

tth

at g

roup

mem

bers

look

thro

ugh

the

mag

azin

es a

nd c

ut o

ut p

ictu

res

ofth

ings

th

at re

min

d th

em o

fth

eir l

oved

one

and

glu

e th

em a

roun

d th

e pi

ctur

e.

• A

sk e

ach

youn

g pe

rson

to ta

lk a

bout

the

pict

ure

coll

age

and

desc

ribe

thei

r lov

ed o

ne.

C.

Rea

ctio

n E

xerc

ise

• T

ape

six

shee

ts o

f col

ored

con

stru

ctio

n pa

per w

ith

di ff

eren

t rea

ctio

ns w

ritt

en o

n th

em in

di

ffer

ent l

ocat

ions

aro

und

the

room

. T

he s

ix r

eact

ions

sho

uld

be:

Red

-An

ger

Y

ello

w -

Fea

r G

reen

-G

uilt

O

rang

e -

Sha

me

Blu

e -

Sad

ness

P

ink

-Hap

py

• E

xp

lain

that

:

-N

one

of t

hese

rea

ctio

ns a

re w

rong

or

righ

t but

d~f

rere

nt r

eact

ions

can

mak

e us

fe

el g

ood

or b

ad.

-C

on

tin

ued

-

83

-E

vel:

vone

has

d(f

fere

nt r

eact

ions

at d

(ffe

rent

tim

es t

o d(

ffer

ent

thin

gs b

ut m

ost

~lus h

ave

sim

ilar

rea

ctio

ns to

oth

ers

at s

ome

time.

-So

met

imes

it

is h

ard

to t

alk

abou

t ho

w w

e re

act

or w

hat

we

are

thin

king

be

caus

e w

e do

n't

thin

k ot

her

peop

le c

an u

nder

stan

d, b

ut it

~/i

en h

elps

to t

alk

abou

t ou

r re

acti

ons

beca

use

it m

akes

usf

eell

ess

lone

ly.

• A

sk th

e gr

oup

to c

hoos

e on

e o

f the

se r

eact

ions

to th

ink

abou

t and

then

to g

o to

the

loca

tion

mar

ked

by th

e ap

prop

riat

e pa

per.

• A

sk g

roup

mem

bers

to te

ll th

e re

st o

f the

gro

up:

-w

hat

they

tho

ught

abo

ut w

hen

they

pic

ked

the

part

icul

ar r

eact

ion.

-

how

the

y re

act

whe

n th

e.v.

/eel

angry,fea~/ul,

guil~v,

asha

med

, sa

d, o

r ha

ppy.

-

wha

t th

ey u

sual

ly d

o or

wha

t th

ey w

ould

like

to

do w

hen

the,

yfee

l ang

~v,

few

ful,

gui

lty,

asha

med

, sa

d o

r ha

ppy.

• A

fter

eac

h pe

rson

has

res

pond

ed, a

sk th

e gr

oup

mem

bers

to s

elec

t ano

ther

col

or a

nd

reac

tion

-and

mov

e to

it.

• R

epea

t the

exe

rcis

e un

til e

ach

grou

p m

embe

r has

com

men

ted

on e

ach

reac

tion

.

• A

sk th

e gr

oup

to s

it d

own.

D.

Cop

ing

With

Rea

ctio

ns

• E

xp

lain

that

reac

tion

s ca

n be

exp

ress

ed in

pos

itiv

e or

neg

ativ

e w

ays.

• A

sk th

e gr

oup

to h

elp

you

crea

te a

list

of p

osit

ive

and

nega

tive

way

s o

f dea

ling

wit

h an

ger,

fea

r, g

uilt

, sha

me,

sad

ness

and

hap

pine

ss.

• L

istt

hei

r res

pons

es o

n th

e fl

ip c

hart

.

E.

Con

clus

ion

• T

han

k th

e gr

oup

mem

bers

for c

omin

g to

the

sess

ion.

• S

ug

ges

t tha

t the

y ta

ke th

eir p

ictu

re c

olla

ge h

ome.

• R

emin

d th

em to

con

tinu

e to

wri

te o

r dra

w in

the

ir jo

urna

ls o

ver t

he n

ext w

eek.

• S

erv

e re

fres

hmen

ts.

84

Sess

ion

Thr

ee (

12-1

8):

Fea

r

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

• R

evie

w th

ough

ts th

e yo

uth

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It:~

gre

at to

see

you

all

aga

in.

Did

any

one

reco

rd s

omet

hing

in y

our j

our­

nals

tha

t you

wou

ld li

ke to

sha

re?

..

• A

sk fo

r vo

lunt

eers

to r

espo

nd.

• In

trod

uce

the

topi

c fo

r th

e da

y.

"Thi

s w

eek.

we

wan

t to

tal

k ab

out

thin

gs t

hat

we

are

afra

id o

f L

ots

0/ tim

es

whe

n so

meo

ne is

kill

ed.

peop

le b

ecom

e sc

ared

abo

ut th

e w

ay th

ey d

ied.

how

oth

er p

eopl

e re

act.

wha

t is

expe

cted

o/u

s, o

r m

aybe

whe

ther

we

wil

l be

kill

ed o

r di

e so

on.

too.

M

any

peop

le a

re

afra

id 0

/ lot

s 0/

thin

gs a

bout

dea

th ..

.

B.

Fea

rs A

bo

ut D

eath

• D

istr

ibut

e w

orks

heet

s o

n fe

ars

abou

t dea

th (s

ee A

ppen

dix

III)

.

• A

sk e

ach

grou

p m

embe

r to

spen

d te

n m

inut

es th

inki

ng a

bout

var

ious

fear

s an

d co

plet

e th

e w

orks

heet

s.

• In

stru

ct th

em n

ot to

put

thei

r nam

es o

n th

e w

orks

heet

.

• C

olle

ct th

e w

orks

heet

s, m

ix th

em u

p, a

nd d

istr

ibut

e th

em b

ack

to th

e gr

oup

mak

ing

sure

that

no

one

gets

thei

r ow

n w

orks

heet

bac

k.

• T

akin

g ea

ch fe

ar, o

ne a

t a ti

me,

ask

eac

h gr

oup

mem

ber t

o re

ad w

hat i

s w

ritt

en o

n th

e w

orks

heet

he

or s

he n

ow

has

.

• D

iscu

ss th

e di

ffer

ence

bet

wee

n pr

acti

cal,

real

isti

c fe

ars

and

impr

obab

le fe

ars.

C.

Act

ion

Pla

nnin

g

• D

ivid

e th

e yo

uth

into

sm

all g

roup

s of

3-5.

• D

istr

ibut

e fe

ar a

ctio

n pl

anni

ng w

orks

heet

s (s

ee A

ppen

dix

IV).

• T

ell t

hem

to id

entif

Y th

ree

prac

tica

l thi

ngs

that

they

wor

ry a

bout

or a

re a

frai

d o

f in

thei

r ev

eryd

ay li

fe.

-C

on

tin

ued

-

85

• A

sk th

em to

wor

k to

geth

er to

dev

elop

a p

lan

for

wha

t the

y ca

n do

to m

ake

them

selv

es

feel

saf

er.

• E

mph

asiz

e th

at th

e pl

an s

houl

d in

clud

e pr

actic

al a

ctio

n st

eps

that

they

can

impl

emen

t by

them

selv

es o

r with

the

help

of o

ther

mem

bers

in th

e co

mm

unity

.

• A

sk th

em to

iden

tify

wha

t act

ion

that

they

will

take

dur

ing

the

next

wee

k to

beg

in to

im

plem

ent t

heir

pla

n.

• A

sk ea

ch g

roup

to r

epor

t the

ir g

roup

pla

n to

the

full

grou

p.

D.

Con

clu

sion

• T

han

k th

e gr

oup

mem

bers

for c

omin

g to

the

sess

ion.

• S

erve

refr

eshm

ents

.

• R

emin

d th

e gr

oup

to c

ontin

ue to

rec

ord

thou

ghts

and

rea

ctio

ns in

thei

r jou

rnal

s.

86

Sess

ion

Fou

r (1

2-18

): A

nger

A.

Intr

oduc

tion

s an

d P

urpo

se o

f Gro

up S

essi

on

• R

evie

w th

ough

ts th

at g

roup

mem

bers

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It s

grea

t to

see

you

all a

gain

. D

id a

nyon

e re

cord

any

thin

g in

yo

ur j

ourn

al

duri

ng t

he l

ast

wee

k?"

• A

sk fo

r vol

unte

ers

to s

how

or t

ell s

omet

hing

.

• A

sk fo

r sm

all g

roup

repo

rts

on w

hat t

hey

acco

mpl

ishe

d on

thei

r act

ion

plan

s de

velo

ped

last

wee

k.

• In

trod

uce

the

topi

c fo

r the

day

.

"Thi

s w

eek,

we

wan

t to

tal

k ab

out

tim

es w

hen

we

are

ang,

:v.

Lot

s o

f tim

es w

hen

som

eone

we

love

is

kille

d, w

e ge

t mad

at

the

pers

on w

ho k

ille

d th

em,

at p

eopl

e w

ho s

houl

d ha

ve

help

ed th

em,

at o

ther

peo

ple

who

don

't un

ders

tand

. So

met

imes

peo

ple

tell

us

we

shou

ldn'

t be

angr

y, b

ut n

o on

e ca

n he

lp i

t ([t

hey/

eel a

ngry

som

etim

es w

hen

som

eone

die

s su

dden

ly. "

B.

Dis

cuss

ion

of t

he P

hysi

olog

y o

f An

ger

• R

ead

and

dist

ribu

te ex

cerp

t fro

m A

nger

: Th

e M

isun

ders

tood

Em

otio

n, b

y C

arol

T

avris

(see

App

endi

x V

).

• D

istr

ibut

e ang

er w

orks

heet

s (s

ee A

ppen

dix

VI)

.

• A

sk th

e gr

oup

mem

bers

to fi

ll ou

t the

wor

kshe

ets.

• A

sk fo

r vol

unte

ers

to r

ead

the

com

men

ts th

ey m

ade

on th

e w

orks

heet

s to

the

grou

p.

C.

Bur

ning

up

Your

An

ger

• G

ive

the

grou

p m

embe

rs a

pie

ce o

f pap

er a

nd a

pen

cil o

r mar

ker.

• A

sk th

e gr

oup

to li

st th

e th

ings

that

mak

e th

em m

ost a

ngry

abo

ut th

e de

ath

ofth

eir

love

d on

e.

• In

stru

ct th

em to

che

ck o

ff th

ings

that

they

can

do

som

ethi

ng a

bout

.

• D

ivid

e th

e gr

oup

into

sm

all g

roup

s of

3-5.

• D

istr

ibut

e an

ger a

ctio

n pl

anni

ng w

orks

heet

s (s

ee A

ppen

dix

VII

).

-C

on

tin

ued

-

87

• T

ell t

hem

to w

ork

toge

ther

to c

reat

e a

pers

onal

act

ion

plan

for e

ach

mem

ber t

o ad

dres

s th

e is

sues

ove

r whi

ch th

ey h

ave

som

e co

ntro

l.

• E

mph

asiz

e th

at th

e pl

an s

houl

d in

clud

e pr

actic

al a

ctio

n st

eps

that

they

can

impl

emen

t by

them

selv

es o

r with

the

help

of o

ther

mem

bers

in th

e co

mm

unity

.

• A

sk th

em to

iden

tifY

wha

t act

ion

that

they

will

take

dur

ing

the

next

wee

k to

beg

in to

im

plem

ent t

heir

plan

.

• P

ass a

met

al w

aste

can

or b

ucke

t aro

und

the

room

and

ask

the

grou

p m

embe

rs to

th

row

the

rem

aini

ng li

st o

f ang

ry th

ings

that

they

can

't co

ntro

l int

o th

e ca

n or

buc

ket.

• S

et fi

re to

the

pape

r to

sym

bolic

ally

bum

aw

ay th

e an

ger.

D.

Phy

sica

l A

ctiv

ity

Ang

er c

an a

lso

be "

burn

ed u

p" o

r def

used

thro

ugh

phys

ical

act

ivity

.

• A

sk ea

ch m

embe

r oft

he g

roup

to th

ink

of a

spec

ific

type

of p

hysi

cal a

ctiv

ity w

hich

they

en

joy

that

they

can

use

to b

um u

p an

ger w

hen

they

bec

ome

upse

t. So

me

exam

ples

mig

ht b

e:

-ru

nnin

g or

jogg

ing

-pla

yin

gfo

otb

all

-p

layin

g a

mus

ical

inst

rum

ent

-da

ncin

g

-ro

win

g a

boat

E.

Con

clus

ion

• G

ive t

he g

roup

the

read

ing

assi

gnm

ent o

f "Fu

nera

l and

Mou

rnin

g C

usto

ms"

, fro

m

Giv

ing

Sorr

ow W

ords

by

Can

dy L

ight

ner a

nd N

ancy

Hat

haw

ay, a

nd d

istr

ibut

e co

pies

of t

he c

hapt

er

(see

App

endi

x V

III)

.

• T

han

k th

e gr

oup

for c

omin

g to

the

sess

ion.

• S

erve

refr

eshm

ents

.

• R

emin

d th

e gr

oup

to c

ontin

ue to

rec

ord

entr

ies

in th

eir j

ourn

als a

nd to

impl

emen

t the

ir

fear

and

ang

er a

ctio

n pl

ans.

88

Sess

ion

Fiv

e (1

2-18

): G

rief

and

Mou

rnin

g

A.

Intr

oduc

tion

s an

d P

urpo

se o

f Gro

up S

essi

on

• R

evie

w th

ough

ts th

e yo

uth

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It:S'

grea

t to

see

you

all a

gain

. D

id a

nyon

e dr

aw a

ny p

ictu

res

last

wee

k th

at

you

wou

ld li

ke to

sha

re?

"

• A

sk fo

r vol

unte

ers

to s

how

or t

ell s

omet

hing

.

• A

sk fo

r gro

up re

port

s on

wha

t peo

ple

have

don

e to

impl

emen

t the

ir fe

ar o

r ang

er

actio

n pl

ans.

• In

trod

uce

topi

c fo

r the

day

.

.. We'

ve t

alke

d a

lot

abou

t th

e w

ay w

efee

l aft

er s

omeo

ne w

e lo

ve i

s ki

lled,

but

of

ten

the

mai

n th

ing

wef

eel

is s

adne

ss.

Ther

e ar

e a

lot o

f rea

sons

to

be s

ad

an

d m

ost o

f the

m

have

to d

o w

ith m

issi

ng th

e pe

rson

who

is

gone

. To

day

we

are

goin

g to

tal

k ab

out

how

we

can

rem

embe

r th

e pe

rson

we

love

so

that

the

ir m

emO

lY c

an b

e w

ith u

s al

way

s. "

B.

Fun

eral

s an

d M

emor

ials

Act

ivit

y

• E

xpla

in to

the

grou

p th

at fu

nera

ls a

nd m

emor

ials

are

a w

ay o

f say

ing

good

-bye

to

peop

le w

ho h

ave

died

and

oft

en h

elp

peop

le to

gri

eve

thei

r los

s. F

uner

als

and

mem

oria

ls c

an b

e pa

infu

l an

d gr

im f

or s

ome

surv

ivor

s.

• A

sk th

e gr

oup

how

man

y at

tend

ed s

uch

a se

rvic

e or

fune

ral f

or th

eir l

oved

one

.

• A

sk th

em i

f the

y ha

ve a

ny q

uest

ions

abo

ut w

hat t

hey

saw

or h

eard

.

• C

lari

fy an

y m

isco

ncep

tions

or c

once

rns.

• A

sk th

em to

hel

p yo

u lis

t exa

mpl

es o

f fun

eral

or m

emor

ial c

usto

ms

that

are

use

d in

di

ffer

ent c

ultu

ral g

roup

s or d

iffe

rent

par

ts o

f the

cou

ntry

.

• D

ivid

e th

e yo

uth

into

sm

all g

roup

s.

• A

sk ea

ch g

roup

to p

lan

a fu

nera

l or

mem

oria

l the

way

they

wou

ld li

ke to

see

one

hel

d.

• R

econ

vene

the

yout

h as

a la

rge

grou

p an

d as

k ea

ch g

roup

to r

epor

t on

the

fune

ral

or

mem

oria

l the

y pl

anne

d.

-C

on

tin

ued

-

89

C.

Vid

eo a

nd

Mem

ory

Stor

ies

• E

xp

lain

to th

e gr

oup

that

one

way

to r

emem

ber s

omeo

ne th

ey lo

ve is

to te

ll s

tori

es

abou

t the

m to

peo

ple

they

mee

t.

• S

ho

w th

e vi

deo,

"S

hado

w o

fth

e D

ream

". (

Con

tact

NO

VA

for

inf

orm

atio

n on

how

to

obta

in a

cop

y o

f thi

s vi

deo.

)

• E

xp

lain

that

Bet

ty J

ane

Spe

ncer

agr

eed

to d

o th

e vi

deo

as a

mem

oria

l to

her b

oys.

• A

sk th

e gr

oup

mem

bers

to w

rite

a s

hort

sto

ry a

bout

the

pers

on th

ey lo

ved.

• A

sk fo

r vol

unte

ers

to re

ad th

eir s

tori

es w

hen

they

are

fin

ishe

d.

D.

Con

clus

ion

• A

ssig

n th

e gr

oup

mem

bers

to b

ring

a m

emor

y ob

ject

to th

e ne

xt a

nd la

st s

essi

on.

• A

ssig

n th

e gr

oup

mem

bers

to w

rite

a le

tter

to th

e pe

rson

who

was

kil

led

tell

ing

them

an

ythi

ng th

ey w

ould

esp

ecia

lly

like

them

to k

now

.

• T

han

k th

e gr

oup

for c

omin

g to

the

sess

ion.

• S

erv

e re

fres

hmen

ts.

• R

emin

d th

e gr

oup

to c

onti

nue

to r

ecor

d en

trie

s in

the

ir jo

umal

s.

90

Sess

ion

Six

(12-

18):

Goi

ng o

n W

ith

Lif

e

A.

Intr

oduc

tion

s an

d P

urp

ose

of G

roup

Ses

sion

• R

evie

w th

ough

ts th

e gr

oup

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It s g

reat

to s

ee y

ou a

ll a

gain

. D

id a

nyon

e dr

aw a

ny p

ictu

res

last

wee

k th

at

you

wou

ld li

ke to

sha

re?"

• A

sk fo

r vol

unte

ers

to s

how

or t

ell s

omet

hing

from

thei

r jou

rnal

s.

• A

sk fo

r gr

oup

repo

rts

on th

e pr

ogre

ss o

fth

eir f

ear

or a

nger

act

ion

plan

s.

• In

trod

uce

topi

c fo

r the

day

.

"Tod

ay is

the

las

t tim

e th

at w

e w

ill

mee

t bef

ore

Tha

nksg

ivin

g.

It ~'1

bee

n ve

ry

spec

ial g

etti

ng to

kno

w e

ach

q[ y

ou.

But

it:"

tim

e to

say

goo

d-by

e fo

r a

whi

le.

So t

oday

we

wan

t to

tal

k ab

out

wha

t eac

h q

[us

is g

oing

to d

o as

you

con

tinu

e to

gro

w u

p an

d ge

t ol

del:

Fir

st,

I w

ant

to s

ee w

hat

mem

ory

obje

ct y

ou b

roug

ht to

sho

w u

s. "

B.

Mem

ory

Obj

ects

• H

ave

a ro

ll o

f ri

bbon

and

pre

-cut

hea

rts

at le

ast t

wo

inch

es in

siz

e. (

Hea

I1 d

oili

es c

an

also

be

used

.)

• A

llow

eac

h gr

oup

mem

ber t

o sh

ow th

e m

emor

y ob

ject

, des

crib

e it

and

tell

wh

y it

is

impo

rtan

t.

• A

fter

eac

h yo

ung

pers

on te

lls

abou

t the

mem

ory

obje

ct, c

ut a

pie

ce o

f rib

bon

and

atta

ch it

to a

hea

rt.

• A

llow

eac

h pe

rson

to w

rite

the

nam

e o

fth

e lo

ved

one

on th

e he

art.

• T

ie o

r gl

ue

the

ribb

on a

nd h

eart

to th

e m

emor

y ob

ject

.

• E

xpla

in th

at in

man

y cu

ltur

es, p

eopl

e ke

ep m

emor

y ob

ject

s in

thei

r hom

e o

r car

ry th

em

wit

h th

em to

con

tinu

e to

fee

l tha

t the

y ca

n ta

lk to

the

ir lo

ved

ones

.

C.

Let

ters

to L

oved

One

s

• A

sk fo

r vo

lunt

eers

to r

ead

the

lett

ers

they

wro

te to

the

pers

on w

ho w

as k

ille

d.

• O

ffer

to c

olle

ct th

e le

tter

s fr

om t

he g

roup

and

mak

e a

book

of a

ll th

e le

tter

s to

be

dist

libu

ted

to a

ll th

e gr

oup

mem

bers

.

-C

on

tin

ued

-

91

• A

sk if

ther

e is

any

thin

g el

se th

ey w

ould

like

to d

o w

ith th

e le

tters

.

D.

Thi

nkin

g A

bou

t th

e F

utu

re

• B

reak

the

grou

p in

to p

airs

of y

oung

peo

ple.

• A

sk ea

ch p

air t

o ta

ke tu

rns

inte

rvie

win

g ea

ch o

ther

abo

ut w

hat t

hey

wan

t to

do w

hen

they

gro

w u

p an

d ho

w th

ey p

lan

to a

ccom

plis

h th

eir g

oals

.

• T

ell t

hem

to b

e sp

ecif

ic b

ecau

se a

fter

they

hav

e ta

lked

for f

ifte

en o

r tw

enty

min

utes

, ea

ch p

erso

n w

ill b

e as

ked

to "

intr

oduc

e" th

eir p

artn

er to

the

grou

p as

i fth

ey w

ere

now

thir

ty-f

ive

year

s ol

d.

• H

ave

the

grou

p m

embe

rs m

ake

thei

r pre

sent

atio

n.

E.

Con

clu

sion

• T

han

k th

e gr

oup

mem

bers

for c

omin

g to

the

sess

ions

.

• G

ive

each

you

ng p

erso

n a

cert

ific

ate

of c

ompl

etio

n of

the

grou

p pr

oces

s.

• T

ake

a pi

ctur

e o

f the

gro

up to

geth

er a

s a

"gra

duat

ion"

pic

ture

.

92

F. T

he

Nee

d f

or P

rofe

ssio

nal H

elp

wit

h G

riev

ing

Chi

ldre

n

Whi

le th

is g

uide

book

can

be

used

by

vict

im a

ssis

tanc

e pr

ofes

sion

als

and

othe

r car

egiv

ers

to

help

gri

evin

g ch

ildr

en, m

any

chil

dren

who

sur

vive

the

trau

mat

ic, v

iole

nt d

eath

of s

omeo

ne w

hom

they

lo

ve m

ay n

eed

prof

essi

onal

men

tal h

ealt

h he

lp.

The

foll

owin

g m

ay b

e sy

mpt

oms o

f the

nee

d fo

r add

itio

nal h

elp:

1.

Whe

n ch

ildr

en d

on

't ta

lk a

bout

the

dece

ased

, do

n't

men

tion

his

or h

er n

ame,

and

avo

id

hear

ing

any

conv

ersa

tion

s ab

out t

he d

ecea

sed.

2.

Whe

n ch

ildr

en b

ecom

e de

stru

ctiv

e to

pro

pert

y, o

ther

peo

ple,

pet

s o

r the

mse

lves

.

3.

Whe

n sc

hool

per

form

ance

goe

s do

wn

and

rem

ains

low

.

4.

Whe

n ch

ildr

en b

ecom

e ov

erly

con

cern

ed w

ith

doin

g an

ythi

ng w

rong

.

5.

Whe

n ch

ildr

en s

how

a p

reoc

cupa

tion

wit

h de

ath.

6.

Whe

n ch

ildr

en re

enac

t the

dea

th e

xper

ienc

e ov

er a

nd o

ver.

(S

ome

reen

actm

ent i

s a

part

o

f ven

tila

tion

, but

obs

essi

ve r

eena

ctm

ent o

ver t

ime

may

indi

cate

ext

raor

dina

ry d

istr

ess.

)

7.

Whe

n ch

ildr

en u

se th

e de

ath

expe

rien

ce a

s an

exc

use

for

unde

sira

ble

beha

vior

.

8.

Whe

n ch

ildr

en o

veri

dent

ifY

wit

h th

e de

ceas

ed a

nd b

egin

to ta

ke o

n a

sim

ilar

per

sona

lity

.

9.

Whe

n ch

ildr

en s

how

sign

s o

f hav

ing

trou

ble

eati

ng o

r sle

epin

g.

10.

Whe

n ch

ildr

en c

ompl

ain

of n

ot fe

elin

g go

od w

itho

ut a

ny e

vide

nt p

hysi

cal s

ympt

oms

for

a lo

ng p

erio

d o

f tim

e.

93

VI.

P

roto

cols

for

Wor

king

wit

h G

riev

ing

Chi

ldre

n

A. B

ackg

roun

d C

onsi

dera

tion

s

1.

Vic

tim

ass

ista

nce

prof

essi

onal

s ar

e of

ten

call

ed u

pon

to r

espo

nd to

chi

ldre

n w

ho h

ave

surv

ived

the

viol

ent d

eath

of s

omeo

ne th

ey k

now

or l

ove,

or w

ho h

ave

wit

ness

ed v

iole

nt d

eath

. S

ome

prof

essi

onal

s ar

e ca

lled

to th

e sc

enes

of v

iole

nce

and

mus

t ass

ist c

hild

ren

in t

he im

med

iate

aft

erm

ath

of a

cr

ime.

Oth

ers

may

be

aske

d to

wor

k w

ith

chil

dren

in th

e pr

oces

s o

f hel

ping

oth

er fa

mil

y m

embe

rs d

eal

wit

h th

e cr

imin

al ju

stic

e sy

stem

. St

ill o

ther

s be

com

e in

volv

ed w

ith

aidi

ng c

omm

unit

ies

or sc

hool

sys

tem

s de

velo

p an

d im

plem

ent p

lans

for

help

ing

chil

dren

cop

e w

ith

the

impa

ct o

f dea

th o

n th

eir d

aily

live

s.

The

se g

uide

line

s de

scri

be a

ppro

pria

te s

teps

for

suc

h as

sist

ance

, and

age

-app

ropr

iate

res

pons

es a

nd

prov

ide

a va

riet

y o

f ski

lls,

tool

s an

d te

chni

ques

.

2.

The

goa

l of v

icti

m a

ssis

tanc

e w

ith g

riev

ing

chil

dren

is:

To h

elp

chil

dren

und

erst

and

and

live

with

the

ir g

rief

in a

he

alth

y a

nd

con

stru

ctiv

e w

ay.

3.

Mos

t chi

ldre

n fe

el a

frai

d an

d is

olat

ed a

fter

exp

osur

e to

vio

lent

dea

th.

Suc

cess

ful

inte

rven

tion

s ar

e pr

edic

ated

on

deve

lopi

ng s

ocia

l net

wor

ks o

f sup

port

for

them

invo

lvin

g fa

mil

y m

em­

bers

, sch

ool p

erso

nnel

, pee

rs, a

nd c

omm

unit

y m

embe

rs.

4.

The

impa

ct o

f dea

th o

n ch

ildr

en a

nd th

eir a

bili

ty to

cop

e w

ith

grie

f in

its a

fter

mat

h is

de

pend

ent u

pon:

a.

The

ir a

ge o

f dev

elop

men

t.

b.

The

att

ribu

tes

of t

he d

eath

-ho

w th

e pe

rson

die

d.

c.

The

rela

tion

ship

of t

he c

hild

to th

e pe

rson

who

die

d.

d.

The

nat

ure

of t

he d

eath

not

ific

atio

n.

e.

Chi

ldre

n's

prev

ious

exp

elie

nce

and

expo

sure

to d

eath

and

loss

.

f T

heir

exis

ting

cop

ing

skill

s.

g.

The

nat

ure

oft

hei

r sup

port

net

wor

k.

h.

The

info

rmat

ion

rece

ived

from

and

the

beha

vior

s an

d at

titu

des

of c

areg

iver

s ar

ound

them

.

5.

The

re a

re fi

ve c

riti

cal a

ctiv

itie

s th

at m

ust b

e ac

com

plis

hed

in o

rder

to li

ve w

ith

grie

f:

a.

Und

erst

andi

ng w

hat h

appe

ned.

95

b.

Exp

erie

ncin

g th

e pa

in o

f the

loss

.

c.

Mou

rnin

g th

e lo

ss.

d.

Com

mem

orat

ing

the

loss

.

e.

Adj

usti

ng to

and

inte

grat

ing

the

loss

into

a n

ew li

fe.

6.

Vio

lent

dea

th c

ompo

unds

gri

ef.

The

re a

re fi

ve is

sues

to b

e ad

dres

sed

in c

opin

g w

ith

the

trau

ma

of v

iole

nce:

a.

Ree

stab

lish

ing

orde

r and

saf

ety.

b.

Add

ress

ing

the

impa

ct o

f the

trau

ma

even

t.

c.

Ack

now

ledg

ing

the

dist

ress

cau

sed

by th

e tr

aum

a.

d.

Ref

ram

ing

the

trau

ma

thro

ugh

mea

ning

, pur

pose

or h

ope.

e.

Rec

onci

ling

trau

ma

and

loss

in a

new

life

.

7.

It is

ess

enti

al to

add

ress

bot

h tr

aum

a is

sues

and

gri

ef o

ver d

eath

whe

n w

orki

ng w

ith

chil

dren

who

hav

e su

rviv

ed v

iole

nt d

eath

.

8.

Mos

t vic

tim

ass

ista

nce

prof

essi

onal

s ha

ve s

urvi

ved

the

deat

h o

f a lo

ved

one

them

selv

es

and

mus

t add

ress

thei

r ow

n is

sues

pri

or to

tryi

ng to

hel

p o

ther

s-p

arti

cula

rly

chi

ldre

n.

B. D

efin

itio

ns

Ch

ild

-Fo

r th

e pu

rpos

es o

f thi

s pr

otoc

ol, a

chi

ld is

def

ined

as

an i

ndiv

idua

l bet

wee

n th

e ag

es o

f 0-1

8. T

hree

dev

elop

men

tal

stag

es a

re a

ddre

ssed

wit

hin

that

def

init

ion:

0-6

, 7-1

1, a

nd 1

2-18

. It

is r

ecog

nize

d th

at s

uch

defi

niti

on a

nd th

e de

velo

pmen

t sta

ges

are

arbi

trar

y; th

at a

per

son

may

be

deve

lopm

enta

lly

a ch

ild

past

the

age

of

18; a

nd th

at a

per

son

who

is u

nder

6 o

r 12

may

be

in a

hig

her

deve

lopm

enta

l sta

ge.

Gri

ef-

Th

e fe

elin

gs a

nd th

ough

ts th

at re

flec

t em

otio

ns in

the

afte

rmat

h of

loss

. F

or th

e pu

rpos

es o

f thi

s pr

otoc

ol, g

rief

wou

ld b

e ca

used

by

viol

ent d

eath

.

Mo

urn

ing

-Th

e b

ehav

iors

and

act

ions

that

an

indi

vidu

al u

ses

to c

ope

wit

h gr

ief.

Gri

evin

g C

hil

d-T

he g

riev

ing

chil

d m

ay b

e a

surv

ivor

of o

r wit

ness

to th

e de

ath

of a

lo

ved

one,

acq

uain

tanc

e, o

r pet

.

Vic

tim

Ass

ista

nce

Pro

gra

m-A

pro

gram

that

pro

vide

s on

e or

mor

e o

f the

fol

low

ing

serv

ic~s

to v

icti

ms

of c

rim

e: c

risi

s in

terv

enti

on, s

uppo

rtiv

e co

unse

ling

and

adv

ocac

y, in

form

atio

n an

d re

ferr

al, a

ssis

tanc

e du

ring

cri

me

inve

stig

atio

n, a

ssis

tanc

e du

ring

any

sta

ge o

f pro

secu

tion

, and

ass

ista

nce

afte

r cas

e di

spos

itio

n. A

pro

gram

may

ser

ve o

ne o

r mor

e ty

pes

of c

rim

e vi

ctim

s su

ch a

s se

xual

ass

ault

96

vict

ims,

vic

tims o

f dom

estic

vio

lenc

e, s

urvi

vors

of h

omic

ide

vict

ims,

chi

ld v

ictim

s, e

lder

ly v

ictim

s or

vict

ims o

f bia

s crim

es.

Vic

tim

Ass

ista

nce

Pro

fess

ion

al-

A p

erso

n w

ho p

rovi

des

any

of t

he s

ervi

ces

liste

d ab

ove

as a

pai

d or

unp

aid

staf

f per

son.

The

per

son

may

be

empl

oyed

by

a vi

ctim

ass

ista

nce

prog

ram

or

be

a te

ache

r or c

ouns

elor

in a

scho

ol, a

law

enf

orce

men

t pro

fess

iona

l, a

law

yer o

r pro

secu

tor,

a ju

dge,

a m

embe

r of t

he c

lerg

y, a

men

tal h

ealth

pro

fess

iona

l, or

any

oth

er in

divi

dual

who

bec

omes

a

care

give

r to

grie

ving

chi

ldre

n.

c. V

icti

m A

ssis

tanc

e P

rofe

ssio

nal'

s R

espo

nsib

ilit

ies

Whe

n w

orki

ng w

ith

grie

ving

chi

ldre

n, th

e vi

ctim

ass

ista

nce

prov

ider

shal

l:

1.

Wor

k w

ith th

e si

gnif

ican

t adu

lts a

nd p

eers

in th

eir l

ives

to c

reat

e a

safe

, com

pass

iona

te,

carin

g en

viro

nmen

t tha

t fos

ters

com

mun

icat

ion

and

ackn

owle

dgm

ent o

f the

gri

ef an

d lo

ss.

2.

Stri

ve to

pro

vide

con

cret

e an

d tim

ely

info

rmat

ion

abou

t the

trau

ma,

the

deat

h, a

nd w

hat

may

hap

pen

to th

e ch

ild o

r aro

und

the

child

in th

e af

term

ath.

3.

Rec

ogni

ze th

at g

rief

and

mou

rnin

g is

a lo

ng-te

rm p

roce

ss a

nd re

quire

s gu

idan

ce

thro

ugho

ut d

evel

opm

enta

l sta

ges.

4.

Util

ize

a ra

nge

of te

chni

ques

and

skill

s in

ord

er to

acc

omm

odat

e di

ffer

ent d

evel

opm

enta

l st

ages

as

wel

l as

to a

ddre

ss d

iffe

rent

lear

ning

cap

aciti

es o

f the

chi

ld.

In o

rder

to a

ccom

pli

sh t

he a

bov

e, a

t the

sce

ne

of a

cri

me,

the

vic

tim

ass

ista

nce

pr

ovid

er sh

all:

I. Ta

lk w

ith a

n ad

ult w

ho h

as a

sign

ifica

nt re

latio

nshi

p w

ith th

e ch

ild, p

rior t

o in

form

ing

the

child

of t

he d

eath

, if p

ossi

ble.

2.

Wor

k w

ith la

w e

nfor

cem

ent t

o fin

d ou

t wha

t inf

orm

atio

n th

e po

lice

may

nee

d fr

om th

e ch

ild.

3.

Est

ablis

h a

safe

pla

ce to

tell

the

child

abo

ut th

e de

ath

or ta

lk w

ith th

e ch

ild in

the

afte

r­m

ath

of n

otifi

catio

n.

4.

Mak

e a

prel

imin

ary

asse

ssm

ent o

fthe

chi

ld th

roug

h:

a. Id

entif

Yin

g an

y po

ssib

le p

hysi

cal i

njur

ies o

r rea

ctio

ns th

at m

ight

nee

d m

edic

al

atte

ntio

n.

b.

Iden

tifY

ing

the

nam

es, a

ges,

gen

ders

, add

ress

es, s

choo

ls, o

r gra

des

of c

hild

ren

witn

essi

ng o

r sur

vivi

ng th

e de

ath.

c.

Iden

tifY

ing

the

rela

tions

hip

of t

he d

ecea

sed

to th

e ch

ild.

97

d.

Obt

aini

ng a

s muc

h in

form

atio

n as

pos

sibl

e ab

out t

he n

atur

e of

the

deat

h.

e.

Obt

aini

ng a

s m

uch

info

rmat

ion

as p

ossi

ble

abou

t the

chi

ld a

nd h

is o

r her

pre

viou

s ex

peri

ence

s w

ith d

eath

.

5.

Ens

ure

that

the

child

is w

arm

and

com

fort

able

, and

off

er p

hysi

cal c

omfo

rt, i

fthe

chi

ld

resp

onds

to it

.

6.

Be

calm

and

reas

suri

ng w

hen

telli

ng th

e ch

ild a

bout

the

deat

h or

talk

ing

abou

t his

or h

er

initi

al re

actio

ns.

7.

Con

vey

sym

path

y to

the

child

abo

ut th

e de

ath.

8.

Ask

the

child

ifhe

or s

he h

as a

ny q

uest

ions

abo

ut th

e de

ath.

9.

Be

prep

ared

to a

nsw

er q

uest

ions

hon

estly

, fac

tual

ly a

nd b

riefly

.

10. W

ork

with

sig

nifi

cant

adu

lts to

arr

ange

for a

safe

and

reas

suri

ng p

lace

for t

he c

hild

to

stay

for

the

next

24-

48 h

ours

.

11.

Spen

d tim

e w

ith s

igni

fica

nt a

dults

pre

pari

ng th

em to

wor

k w

ith th

e ch

ild d

urin

g th

e ne

xt

24-4

8 ho

urs.

12.

Arr

ange

for o

r pla

n to

pro

vide

add

ition

al s

uppo

rt fo

r the

chi

ld w

ithin

the

next

24-

48

hour

s.

Ifvi

ctim

ass

ista

nce

prov

ider

s ar

e re

ques

ted

to p

rovi

de d

eath

not

ific

atio

n to

chi

l­dr

en, t

hey

shal

l:

1.

Tak

e th

em to

a sa

fe p

lace

to d

o so

. If

a tr

uste

d ad

ult i

s av

aila

ble

to b

e th

ere,

enc

oura

ge

parti

cipa

tion.

a.

Eve

n w

hen

a ch

ild h

as w

itnes

sed

a vi

olen

t dea

th, a

not

ific

atio

n is

nec

essa

ry s

ince

de

ath

is n

ot re

adily

com

preh

ende

d.

b.

A sa

fe p

lace

is o

ne w

hich

is c

omfo

rtab

le, s

ecur

e an

d re

mov

ed fr

om o

ther

maj

or

activ

ity.

Whi

le it

may

be

with

in th

eir o

wn

hom

e, it

sho

uld

not b

e th

eir b

edro

om o

r kitc

hen

beca

use

they

m

ay a

ssoc

iate

the

deat

h an

d th

eir a

ccom

pany

ing

reac

tions

with

thes

e pl

aces

and

that

ass

ocia

tion

may

in

terf

ere

with

sle

epin

g or

eat

ing

habi

ts in

the

afte

rmat

h.

2.

Prov

ide

them

, if a

ge-a

ppro

pria

te, w

ith a

bla

nket

, toy

or s

tuff

ed a

nim

al (a

favo

rite

item

, if

avai

labl

e) to

hol

d on

to w

hile

you

tell

them

wha

t hap

pene

d.

3.

Ifth

ey a

re c

ryin

g or

agi

tate

d, h

old

or so

othe

them

unt

il th

ey c

an c

once

ntra

te o

n w

hat

you

have

to s

ay.

98

4.

Sit d

own

with

th

em

-on

the

floor

ifa

ppro

pria

te-a

nd te

ll th

em y

ou h

ave

som

ethi

ng

sad

to ta

lk w

ith th

em a

bout

.

5.

TeJl

them

in s

hort,

fact

ual s

tate

men

ts w

hat h

appe

ned.

"You

r fat

her

was

kil

led

toni

ght.

He

is d

ead.

So

meo

ne s

hot h

im w

ith

a gu

n.

It is

ve

ry s

ad

an

dyo

ur

mot

her i

s ve

ry sa

d. "

If t

he p

erso

n w

ho d

id th

e sh

ootin

g is

alr

eady

iden

tifie

d, n

ame

him

. "M

r. Sm

ith

sho

t him

. "

6.

Ask

them

ifth

ey h

ave

any

ques

tions

, and

list

en c

aref

ully

to th

eir c

once

rns.

It i

s im

por­

tant

to tr

y to

find

out

wha

t is

happ

enin

g in

side

thei

r min

ds.

7.

If ch

ildre

n ha

ve w

itnes

sed

the

viol

ent d

eath

, enc

oura

ge th

em to

rela

te a

ll th

e de

tails

they

sa

w s

o yo

u ca

n fin

d ou

t wha

t the

y th

ink

happ

ened

. T

ry to

rec

onci

le th

eir p

erce

ptio

ns w

ith w

hat y

ou

know

hap

pene

d an

d im

med

iate

ly b

egin

to d

ispe

l any

dis

torti

ons

or fe

elin

gs o

f gui

lt or

self-

blam

e.

Vic

tim a

ssis

tanc

e pr

ovid

ers w

orki

ng w

ith c

hild

ren

in th

e af

term

ath

of a

crim

e sh

all:

I. M

ake

an a

sses

smen

t of t

he g

rievi

ng c

hild

ren'

s nee

ds th

roug

h:

a.

Wor

king

with

adu

lts in

thei

r soc

ial s

uppo

rt ne

twor

k to

iden

tifY

info

nnat

ion

on:

(I)

Eac

h ch

ild in

clud

ing:

nam

es, a

ddre

sses

, gen

ders

, age

s, s

choo

ls, g

rade

s, a

nd

resp

onsi

ble

and

sign

ific

ant a

dults

or p

eers

in th

eir l

ives

.

(2)

The

nat

ure

ofth

e de

ath

and

the

rela

tions

hips

of c

hild

ren

to th

e de

ceas

ed.

(3)

The

soc

ial,

econ

omic

, rel

igio

us, a

nd c

ultu

ral b

ackg

roun

d of

the

child

ren'

s fa

mili

es.

(4)

The

chi

ldre

n's

scho

ol h

isto

ries.

(5)

Oth

er c

ritic

al e

vent

s in

the

child

ren'

s liv

es s

uch

as th

e ex

peri

ence

of p

revi

ous

deat

hs, d

ivor

ce, s

erio

us il

lnes

s or

inju

ry, l

oss

of h

ome,

exp

osur

e to

sub

stan

ce a

buse

, or s

igni

fica

nt

scho

ol o

r com

mun

ity c

hang

es.

b.

Wor

king

with

the

child

ren

to s

olic

it in

fonn

atio

n on

:

(I)

The

mea

ning

oft

he d

eath

to th

em.

(2)

The

ir u

nder

stan

ding

of t

he re

latio

nshi

p o

f the

dec

ease

d to

them

.

(3)

The

ir u

nder

stan

ding

of t

he n

atur

e of

the

deat

h.

(4)

Inte

rest

s and

spec

ial a

bilit

ies

that

may

be

help

ful i

n in

volv

ing

the

child

ren

in

mea

ning

ful a

ctiv

ities

. (5)

Sign

ific

ant a

dults

or p

eers

who

may

be

help

ful t

o th

em.

99

(6)

Atti

tude

s to

war

ds th

emse

lves

and

oth

ers

in th

e pa

st a

nd p

rese

nt.

2.

Ens

ure

that

the

child

ren

have

a sa

fe a

nd re

assu

ring

env

iron

men

t with

in w

hich

to c

ontin

ue

thei

r liv

es.

a.

A sa

fe p

hysi

cal e

nvir

onm

ent i

s one

cha

ract

eriz

ed b

y:

(l)

A la

ck o

f vio

lenc

e.

(2)

A la

ck o

f sub

stan

ce a

buse

.

(3)

Ade

quat

e nu

triti

on, o

ppor

tuni

ties

for r

est o

r sle

ep, a

nd a

dequ

ate

phys

ical

ex

erci

se.

b.

A re

assu

ring

env

iron

men

t is o

ne c

hara

cter

ized

by:

(I)

The

pre

senc

e o

f a c

arin

g ad

ult.

(2)

The

opp

ortu

nity

for e

xpre

ssio

ns o

f grie

f.

(3)

The

pre

senc

e o

f adu

lts w

ho a

re a

cqua

inte

d an

d sy

mpa

thet

ic w

ith th

e gr

ievi

ng

proc

esse

s fo

und

in c

hild

ren.

3.

Dev

elop

a lo

ng-t

erm

pla

n fo

r hel

ping

chi

ldre

n co

pe w

ith g

rief.

It sh

ould

incl

ude:

a.

A co

oper

ativ

e pa

rtne

rshi

p be

twee

n ad

ults

in th

e fa

mily

, sch

ool,

relig

ious

inst

itutio

ns,

crim

inal

just

ice

agen

cies

, and

med

ical

inst

itutio

ns.

b.

Part

icip

atio

n in

fune

ral o

r mem

oria

l pla

ns a

nd e

vent

s.

c.

Opp

ortu

nitie

s fo

r dea

th e

duca

tion.

d.

Opp

ortu

nitie

s fo

r the

exp

lora

tion

and

expr

essi

on o

f gri

ef.

e.

Opp

ortu

nitie

s fo

r edu

catio

n on

trau

ma

and

trau

ma

reac

tions

.

f. O

ppor

tuni

ties

for t

he e

xplo

ratio

n an

d ex

pres

sion

oft

raum

a re

actio

ns.

g.

Opp

ortu

nitie

s fo

r the

dev

elop

men

t of p

eer s

uppo

rt.

h.

Min

imiz

atio

n of

enco

unte

rs w

ith th

e cr

imin

al ju

stic

e sy

stem

.

1. Su

ppor

t dur

ing

the

crim

inal

just

ice

proc

ess.

J. M

onito

ring

for h

ealth

and

men

tal h

ealth

cha

nges

in th

e ch

ild.

k.

Lon

g-te

rm a

ttent

ion

to c

hang

es in

chi

ldre

n's

reac

tions

to d

eath

as

they

gro

w o

lder

.

100

D. P

roto

col f

or W

orki

ng w

ith

Chi

ldre

n 0-

6

1. B

ack

grou

nd

Inf

orm

atio

n

a.

Infa

nts

have

a li

mit

ed u

nder

stan

ding

of t

he w

orld

aro

und

them

. T

hey

do

reac

t to

the

loss

of s

tabi

lity

in th

eir e

nvir

onm

ent a

nd th

e ab

senc

e o

f car

egiv

ers

to w

hom

they

hav

e be

com

e at

tach

ed.

The

y al

so re

act t

o tr

aum

atic

eve

nts

to w

hich

they

hav

e be

en p

hysi

call

y ex

pose

d. S

uch

reac

tion

s us

uall

y in

volv

e m

anif

esta

tion

of h

igh

anxi

ety

thro

ugh

cryi

ng, b

iting

, thr

owin

g ob

ject

s, th

umb

suck

ing

and

othe

r ag

itat

ed b

ehav

iors

. S

ome

may

refu

se to

eat

or b

ecom

e un

able

to s

leep

com

fort

ably

. T

he g

reat

est n

eed

of i

nfan

ts is

for

nurt

urin

g, a

tten

tive

, phy

sica

l con

tact

. A

ris

k in

the

afte

rmat

h o

f a tr

aum

atic

dea

th is

that

in

fant

s re

ceiv

e le

ss p

hysi

cal a

tten

tion

and

car

e be

caus

e th

eir p

rim

ary

care

give

rs a

re tr

aum

atiz

ed.

b.

Chi

ldre

n un

der t

he a

ge o

f six

are

in a

n ag

e o

f exp

lora

tion

. M

ost e

xper

ienc

es a

re n

ew.

The

one

s w

hich

are

bes

t und

erst

ood

are

conc

rete

day

-to-

day

situ

atio

ns.

Con

cept

ual t

hink

ing

is n

ot y

et

deve

lope

d so

that

idea

s ab

out t

ime,

spa

ce, l

ife

and

deat

h ar

e on

ly v

ague

ly u

nder

stoo

d. C

hild

ren

deve

lop

idea

s b

y im

itat

ion,

ass

ocia

tion

, and

obs

erva

tion

. T

heir

imag

inat

ions

pro

vide

fert

ile

grou

nd fo

r dr

awin

g co

nclu

sion

s. T

his

resu

lts

in w

hat s

ome

have

term

ed "

mag

ical

thin

king

".

In t

his

age

grou

p th

ere

is le

ss d

enia

l of t

rage

dy th

an w

ith

olde

r chi

ldre

n o

r adu

lts.

Ift

rau­

mat

ic d

eath

occ

urs

in c

hild

ren'

s li

ves,

it b

ecom

es a

par

t of t

heir

dev

elop

ing

sens

e o

f reali

ty-a

sta

n­da

rd f

or m

easu

ring

futu

re e

xper

ienc

es.

Dea

th is

usu

ally

vie

wed

as

reve

rsib

le, i

mpe

rman

ent,

and

an

exte

nsio

n of

life

. T

he a

bsen

ce o

f som

eone

who

is lo

ved

is g

riev

ed b

ut u

sual

ly in

sho

rt, c

once

ntra

ted

peri

ods

punc

tuat

ed b

y o

ther

inte

rest

s an

d ac

tivi

ties

. If

deat

h an

d lo

ss a

re n

ot e

xpla

ined

or r

espo

nded

to

, chi

ldre

n de

velo

p th

eir o

wn

expl

anat

ions

that

are

oft

en a

com

bina

tion

of m

agic

al th

inki

ng a

nd th

eir

obse

rvat

ions

. Des

pite

thes

e co

gnit

ive

diff

eren

ces

betw

een

a yo

ung

chil

d an

d ol

der c

hild

ren

and

adul

ts, t

he

com

mon

pat

tern

of r

eact

ions

to tr

aum

a an

d lo

ss a

re s

imil

ar: a

nger

, fea

r, c

onfu

sion

, sel

f-bl

ame,

sha

me,

an

d gr

ief.

2. V

icti

m A

ssis

tanc

e P

rofe

ssio

nals

Res

pons

ibil

itie

s

a.

Wor

k w

ith

supp

orti

ve a

dult

s to

pro

vide

them

wit

h ed

ucat

ion

and

unde

rsta

ndin

g co

n­ce

rnin

g th

e ch

ildr

en's

nee

ds.

b.

Com

mun

icat

e w

ith

chil

dren

thro

ugh

age-

appr

opri

ate

exp

ress

ion

-pla

y, a

rt, d

ram

a,

wor

ds, a

nd s

o fo

rth.

c.

At t

he s

cene

of a

vio

lent

dea

th:

(I)

Ens

ure

that

any

infa

nts

invo

lved

are

kep

t war

m, p

icke

d up

, hel

d an

d co

mfo

rted

. E

nsur

e th

at re

!:,ru

lar r

outi

nes

for

infa

nts

such

as

feed

ing,

bat

hing

, and

sle

ep a

re m

aint

aine

d to

the

exte

nt

poss

ible

.

(2)

Hel

p ch

ildr

en b

e re

conn

ecte

d w

ith

supp

orti

ve, c

arin

g ad

ults

as

soon

as

poss

ible

. E

ncou

rage

phy

sica

l, lo

ving

con

tact

.

101

(30

Ifre

ques

ted

or n

eces

sary

, pro

vide

a d

eath

not

ific

atio

n to

chi

ldre

n.

(4)

Exp

lain

wha

t will

hap

pen

nex

t-w

ho

will

take

car

e of

them

ove

r the

nex

t few

da

ys, i

f cha

nges

will

occ

ur in

thei

r im

med

iate

live

s (d

isru

ptio

n of

vaca

tion,

abs

ence

s fr

om d

ay c

are

or

pre-

scho

ol, t

rave

l to

a fr

iend

or r

elat

ive'

s ho

me

for s

ever

al d

ays)

.

(5)

Ens

ure

thei

r saf

ety

and

care

and

reas

sure

them

of i

t.

d.

In th

e af

term

ath

of v

iole

nt d

eath

:

(I)

Ens

ure

that

chi

ldre

n ha

ve a

safe

and

a se

cure

env

ironm

ent.

(2)

Tal

k to

chi

ldre

n ab

out t

he d

eath

and

thei

r und

erst

andi

ng o

f it.

• A

sk th

em to

tell

you

wha

t hap

pene

d.

• R

econ

cile

any

dif

fere

nces

bet

wee

n th

eir s

tory

and

wha

t you

kno

w h

appe

ned.

• L

et c

hild

ren

know

that

sho

win

g em

otio

n is

oka

y.

• E

ncou

rage

and

be

prep

ared

for q

uest

ions

abo

ut d

eath

.

• A

sk th

em to

tell

you

wha

t the

y th

ink

is h

appe

ning

to th

e de

ceas

ed a

fter

dea

th.

• B

e pr

epar

ed to

dis

tingu

ish

betw

een

"mag

ical

thin

king

" an

d ot

her b

elie

fs.

(3)

Be

prep

ared

to e

xpla

in d

isru

ptio

ns in

rout

ine.

(4)

Exp

lain

wha

t will

hap

pen

at fu

nera

ls, i

nves

tigat

ions

, and

in th

e cr

imin

al ju

stic

e sy

stem

.

(5)

Prov

ide

com

fort

whe

n ch

ildre

n se

em s

ad a

nd d

epre

ssed

.

(6)

Hel

p ch

ildre

n th

ink

abou

t the

futu

re a

nd d

evel

op p

ositi

ve th

ough

ts o

f a n

ew a

nd

diff

eren

t life

.

(7)

Rea

ssur

e ch

ildre

n th

at th

eir l

oved

one

will

not

be

forg

otte

n an

d th

at th

ey c

an a

nd

shou

ld re

mem

ber t

hem

.

3. V

icti

m A

ssis

tanc

e P

rofe

ssio

nal'

s Sk

ills

a.

Ass

essm

ent o

f chi

ldre

n's v

ulne

rabi

litie

s.

b.

Kno

wle

dge

of a

nd a

bilit

y to

hel

p ch

ildre

n ac

cess

di f

fere

nt s

ervi

ces

and

reso

urce

s.

c.

Abi

lity

to ta

lk a

nd c

omm

unic

ate

wi t

h ch

ildre

n.

102

d.

Und

erst

andi

ng o

f chi

ldre

n's d

evel

opm

enta

l sta

ges.

e.

U

nder

stan

ding

of c

hild

ren'

s re

actio

n to

trau

ma.

f. K

now

ledg

e an

d sk

ill to

use

chi

ld-o

rien

ted

tech

niqu

es to

resp

ond

to tr

aum

a an

d be

-re

avem

ent.

g.

Abi

lity

to c

omm

unic

ate

effe

ctiv

ely

with

sup

porti

ve a

dults

in o

rder

to p

rovi

de a

dequ

ate

educ

atio

n on

chi

ld b

erea

vem

ent.

103

E. P

roto

col f

or W

orki

ng w

ith

Chi

ldre

n 7-

11

1. B

ackg

roun

d In

form

atio

n

a.

Scho

ol-a

ge c

hild

ren

expa

nd th

eir h

oriz

ons

to in

clud

e di

ffer

ent s

patia

l env

iron

men

ts.

The

y ac

com

mod

ate

soci

al d

efin

ition

s oft

ime,

incr

ease

soci

al r

elat

ions

hips

, and

beg

in to

sol

idifY

con

cep­

tual

idea

s. T

hey

deve

lop

idea

s by

imita

tion,

ass

ocia

tion,

and

obs

erva

tion,

but

they

exa

min

e su

ch id

eas

in th

e co

ntex

t of t

heir

ow

n pa

st e

xper

ienc

es a

s w

ell.

Mem

orie

s ha

ve in

crea

sing

mea

ning

for i

nter

pret

ing

the

pres

ent,

but t

his

incr

ease

d ca

paci

ty fo

r und

erst

andi

ng o

ften

cre

ates

con

fusi

on.

It is

not

unu

sual

for

a

child

of t

his

age

to c

onfu

se w

ords

and

thei

r mea

ning

s.

b.

As

they

gro

w m

ore

inde

pend

ent,

child

ren

in th

is a

ge ra

nge

lear

n to

use

thei

r re­

sour

ces

to a

naly

ze p

robl

ems

or si

tuat

ions

and

mak

e ch

oice

s in

how

to re

spon

d. I

f thi

s de

velo

pmen

t oc

curs

in a

stab

le e

nvir

onm

ent,

child

ren

lear

n to

trus

t the

ir re

actio

ns a

nd ju

dgm

ent a

s w

ell a

s th

e re

­sp

onse

s of t

hose

aro

und

them

. V

iole

nce

or su

dden

dea

th d

isru

pts

that

sta

bilit

y an

d ch

ildre

n of

ten

beco

me

tent

ativ

e, r

adic

ally

cha

nge

beha

vior

s an

d w

ithdr

aw fr

om r

elat

ions

hips

. T

he c

once

pt o

f dea

th a

t th

is a

ge is

oft

en p

erso

nifi

ed.

A d

esir

e to

str

ike

out a

t a "

kille

r" is

oft

en a

des

ire

to o

verc

ome

deat

h its

elf.

c.

Pre-

adol

esce

nts

are

pron

e to

ext

rem

e re

actio

ns p

hysi

cally

and

em

otio

nally

. Su

ch

reac

tions

are

oft

en c

onfl

ictin

g an

d co

nfus

ing.

The

y m

ay e

xhib

it su

dden

moo

d sw

ings

or f

eel b

oth

exhi

lara

ted

and

depr

esse

d by

a tr

aged

y.

The

y ar

e se

lf-o

rien

ted

but t

end

to s

uffe

r low

sel

f-es

teem

as

a re

sult

of t

he p

hysi

cal c

hang

es o

f pub

erty

. T

his,

aug

men

ted

by e

goce

ntri

sm, m

ay re

sult

in s

elf-

criti

cism

. Pr

e-ad

oles

cent

s ten

d to

hav

e an

acu

te s

ense

of m

oral

ity.

Cer

emon

y an

d ri

tual

is v

ery

impo

rtan

t in

man

ifes

ting

this

sen

se o

f rig

ht a

nd w

rong

. R

elat

ions

hips

bec

ome

cent

ral t

o th

eir e

xist

ence

, so

ques

tions

ab

out d

eath

may

shif

t fro

m w

hat d

eath

is to

how

they

will

sur

vive

with

out t

heir

love

d on

e.

2. V

icti

m A

ssis

tanc

e P

rofe

ssio

nal'

s R

espo

nsib

ilit

ies

a.

Wor

k w

ith s

uppo

rtiv

e ad

ults

to p

rovi

de th

em w

ith e

duca

tion

and

unde

rsta

ndin

g co

ncer

ning

the

child

ren'

s nee

ds.

b.

Com

mun

icat

e w

ith c

hild

ren

thro

ugh

age-

appr

opri

ate

expr

essi

on-p

lay,

art,

dram

a,

wor

ds, a

nd s

o fo

rth.

c.

At t

he s

cene

of a

vio

lent

dea

th:

(I)

Hel

p ch

ildre

n be

reco

nnec

ted

with

sup

port

ive,

car

ing

adul

ts a

s so

on a

s po

ssib

le,

but a

llow

them

to r

emai

n in

con

tact

with

thei

r pee

r gro

ups,

if t

hey

are

pres

ent.

Enc

oura

ge p

hysi

cal,

lovi

ng c

onta

ct.

(2)

Ifre

ques

ted

or n

eces

sary

to p

rovi

de a

dea

th n

otif

icat

ion

to c

hild

ren,

take

them

to

a s

afe

plac

e to

do

so.

If a

trus

ted

adul

t is

avai

labl

e to

be

ther

e, e

ncou

rage

par

ticip

atio

n.

(3)

Ask

them

to te

ll yo

u w

hat h

app

ened

-wh

at d

o th

ey re

mem

ber?

105

(4)

Exp

lain

wha

t will

hap

pen

nex

t-w

ho

will

take

car

e o

f the

m o

ver t

he n

ext f

ew

days

, if c

hang

es w

ill o

ccur

in th

eir i

mm

edia

te li

ves

(dis

rupt

ion

of va

catio

n, a

bsen

ces

from

day

car

e or

pr

e-sc

hool

, tra

vel t

o a

frie

nd o

r rel

ativ

e's

hom

e fo

r sev

eral

day

s), o

r wha

t will

be

expe

cted

oft

hem

. D

escr

ibe

in d

etai

l wha

t the

nex

t 24-

48 h

ours

will

hol

d fo

r the

m.

(5)

Ens

ure

thei

r saf

ety

and

care

and

reas

sure

them

of i

t.

d.

In th

e af

term

ath

of v

iole

nt d

eath

:

(1)

Ens

ure

that

chi

ldre

n ha

ve a

safe

and

a se

cure

env

iron

men

t.

(2)

Tal

k to

chi

ldre

n ab

out t

he d

eath

and

thei

r und

erst

andi

ng o

f it.

• A

sk th

em to

tell

you

wha

t hap

pene

d. B

e al

ert f

or a

ny c

onfu

sing

con

cept

s or

wor

ds u

sed

in th

e de

scri

ptio

n.

• H

elp

them

cla

rify

thei

r sto

ries

and

reco

ncile

any

dif

fere

nces

bet

wee

n w

hat

they

say

and

wha

t you

kno

w h

appe

ned.

• L

et c

hild

ren

know

that

sho

win

g em

otio

n is

oka

y.

• E

ncou

rage

and

be

prep

ared

for q

uest

ions

abo

ut d

eath

.

• A

sk th

em to

tell

you

wha

t the

y th

ink

is h

appe

ning

to th

e de

ceas

ed a

fter

de

ath.

• A

sk th

em to

des

crib

e an

y pr

oble

ms t

hat t

hey

mig

ht b

e ha

ving

sin

ce th

e de

ath.

• A

sk th

em to

des

crib

e w

hat t

he n

ext m

onth

, the

tim

e be

fore

an

upco

min

g ho

liday

, or t

he n

ext f

ew m

onth

s w

ill b

e lik

e w

ithou

t the

per

son

who

die

d.

• B

e pr

epar

ed to

dis

tingu

ish

fact

from

fant

asy

and

addr

ess j

udgm

enta

l sel

f-re

flect

ion.

(3)

Arr

ange

for p

eer g

roup

dis

cuss

ions

with

oth

ers

who

hav

e su

rviv

ed a

vio

lent

de

ath.

(4)

Be

prep

ared

to e

xpla

in d

isru

ptio

ns in

rout

ine.

(5)

Exp

lain

wha

t will

hap

pen

at fu

nera

ls, i

nves

tigat

ions

, and

in th

e cr

imin

al ju

stic

e sy

stem

.

(6)

Prov

ide

com

fort

whe

n ch

ildre

n se

em s

ad a

nd d

epre

ssed

.

(7)

Hel

p ch

ildre

n th

ink

abou

t the

futu

re a

nd d

evel

op p

ositi

ve th

ough

ts o

fa n

ew a

nd

diff

eren

t life

.

106

(8)

Rea

ssur

e ch

ildre

n th

at th

eir l

oved

one

will

not

be

forg

otte

n an

d th

at th

ey c

an

and

shou

ld re

mem

ber t

hem

.

3. V

icti

m A

ssis

tanc

e P

rofe

ssio

nal'

s Sk

ills

a.

Ass

essm

ent o

f chi

ldre

n's v

ulne

rabi

litie

s.

b.

Kno

wle

dge

of a

nd a

bilit

y to

hel

p ch

ildre

n ac

cess

dif

fere

nt s

ervi

ces a

nd re

sour

ces.

c.

Abi

lity

to ta

lk a

nd c

omm

unic

ate

with

chi

ldre

n.

d.

Und

erst

andi

ng o

f chi

ldre

n's d

evel

opm

enta

l sta

ges.

e.

Und

erst

andi

ng o

f chi

ldre

n's r

eact

ion

to tr

aum

a.

f. K

now

ledg

e an

d sk

ill to

use

chi

ld-o

rien

ted

tech

niqu

es to

resp

ond

to tr

aum

a an

d be

reav

emen

t.

g.

Abi

lity

to c

omm

unic

ate

effe

ctiv

ely

with

sup

port

ive

adul

ts in

ord

er to

pro

vide

ad­

equa

te e

duca

tion

on c

hild

ber

eave

men

t.

107

F. P

roto

col

for

Wor

king

wit

h C

hild

ren

12-1

8

1. B

ack

grou

nd

Inf

orm

atio

n

a.

Ado

lesc

ents

resp

ond

to th

e w

orld

and

to tr

aum

a in

way

s th

at a

re s

imila

r to

adul

ts;

how

ever

, the

y sh

ould

stil

l be

trea

ted

with

the

kind

of c

are

that

is p

rovi

ded

to y

oung

er c

hild

ren.

b.

For a

dole

scen

ts, t

he w

orld

is c

onst

antly

fluc

tuat

ing.

The

y sh

ift b

ack

and

forth

fro

m

bein

g de

pend

ent a

nd c

hild

like

to b

eing

inde

pend

ent a

nd a

ctin

g as

adu

lts.

As

they

sha

pe th

eir w

orld

s,

they

que

stio

n, c

ritic

ize

and

seek

info

rmat

ion.

The

y un

ders

tand

the

perm

anen

cy o

f dea

th, t

he fa

ct th

at it

is

uni

vers

al, a

nd th

at it

see

ms t

o oc

cur r

ando

mly

. I f

they

hav

e pr

evio

usly

exp

erie

nced

vio

lent

dea

th, t

hey

may

als

o vi

ew d

eath

as

inev

itabl

e an

d as

par

t of t

heir

imm

edia

te fu

ture

. D

eath

, for

som

e, m

ay e

ven

be

rom

antic

ized

as

an a

ltern

ativ

e to

thei

r pai

n in

life

. T

hey

expe

rim

ent w

ith v

alue

s and

beh

avio

rs to

try

to

deve

lop

thei

r ow

n se

nse

of a

n in

depe

nden

t life

sty

le.

The

ir p

rim

ary

rela

tions

hips

are

with

thei

r pee

rs.

The

adu

lt w

orld

may

see

m fo

reig

n an

d ad

ults

may

be

perc

eive

d as

unt

rust

wor

thy.

2. V

icti

m A

ssis

tanc

e P

rofe

ssio

nal'

s R

espo

nsib

ilit

ies

a.

Wor

k w

ith s

uppo

rtiv

e ad

ults

to p

rovi

de th

em w

ith e

duca

tion

and

unde

rsta

ndin

g co

ncer

ning

the

adol

esce

nts'

need

s.

b.

Com

mun

icat

e w

ith a

dole

scen

ts in

adu

lt la

ngua

ge b

ut u

se d

ram

a, a

rt, a

nd p

hysi

cal

activ

ity to

stim

ulat

e th

eir t

houg

hts

and

help

them

to e

xpre

ss th

eir f

eelin

gs.

c.

At t

he s

cene

of a

vio

lent

dea

th:

(1)

Hel

p ad

oles

cent

s re

conn

ect w

ith p

eopl

e th

ey tm

st a

nd fe

el s

afe

with

.

(2)

If re

ques

ted

or n

eces

sary

, pro

vide

a d

eath

not

i fic

atio

n to

ado

lesc

ents

.

(3)

Ask

them

to te

ll yo

u w

hat h

app

ened

-wh

at d

o th

ey re

mem

ber?

(4)

Exp

lain

wha

t will

hap

pen

next

. E

xpla

in w

hy ro

utin

es m

ay v

ary

and

why

thin

gs

will

hap

pen.

(5)

Ens

ure

thei

r saf

ety

and

care

. R

eass

ure

them

that

som

eone

car

es a

bout

them

an

d th

eir l

ives

.

d.

In th

e af

term

ath

of v

iole

nt d

eath

:

(1)

Ens

ure

that

ado

lesc

ents

are

livi

ng in

an

envi

ronm

ent i

n w

hich

they

can

sle

ep, e

at

and

func

tion

com

forta

bly.

(2)

Ask

ado

lesc

ents

abo

ut th

e de

ath

and

how

it a

ffec

ts th

eir l

ives

.

109

• A

sk th

em to

tell

you

wha

t hap

pene

d. B

e al

ert f

or a

ny c

onfu

sing

con

cept

s or

wor

ds u

sed

in th

e de

scri

ptio

n.

• H

elp

them

cla

rifY

thei

r sto

ries a

nd re

conc

ile a

ny d

iffe

renc

es b

etw

een

wha

t th

ey s

ay a

nd w

hat y

ou k

now

hap

pene

d.

• L

et a

dole

scen

ts k

now

that

reac

tions

suc

h as

ang

er, f

ear,

frus

trat

ion,

sel

f­bl

ame,

sha

me,

and

gri

ef ar

e co

mm

on a

nd u

nder

stan

dabl

e.

• E

ncou

rage

and

be

prep

ared

for q

uest

ions

abo

ut d

eath

.

• A

sk th

em to

tell

you

wha

t the

y th

ink

will

hap

pen

to th

em in

thei

r fut

ure.

• A

sk th

em to

des

crib

e an

y pr

oble

ms

that

they

mig

ht b

e ha

ving

sin

ce th

e de

ath.

• A

sk th

em to

des

crib

e w

hat t

he n

ext m

onth

, the

tim

e be

fore

an

upco

min

g ho

liday

, or t

he n

ext f

ew m

onth

s w

ill b

e lik

e w

ithou

t the

per

son

who

die

d.

• B

e pr

epar

ed to

cop

e w

ith e

xpre

ssio

ns o

f ang

er a

nd f

rust

ratio

n di

rect

ed a

t yo

u, in

stitu

tiona

l aut

horit

ies,

or o

ther

s.

(3)

Arr

ange

for p

eer g

roup

dis

cuss

ions

with

oth

ers

who

hav

e su

rviv

ed a

vio

lent

de

ath.

(4)

Exp

lain

wha

t will

hap

pen

and

why

at f

uner

als,

inve

stig

atio

ns, a

nd in

the

crim

inal

ju

stic

e sy

stem

.

(5)

Prov

ide

com

fort

ifth

ey a

re s

ad o

r dep

ress

ed.

(6)

Prov

ide

them

with

tool

s to

deal

with

intru

sive

thou

ghts

and

ove

rwhe

lmin

g em

otio

ns.

(7)

Wor

k w

ith o

ther

adu

lts to

dev

elop

pro

gram

s o

f act

iviti

es th

at d

iver

t ado

lesc

ent

ener

gies

into

con

stru

ctiv

e be

havi

ors a

nd a

llow

for t

he e

xpre

ssio

n o

f grie

f.

(8)

Hel

p ad

oles

cent

s th

ink

abou

t the

futu

re a

nd d

evel

op p

ositi

ve th

ough

ts o

f a n

ew

and

diff

eren

t life

.

(9)

Rea

ssur

e ad

oles

cent

s th

at th

eir l

oved

one

will

not

be

forg

otte

n an

d th

at th

ey c

an

and

shou

ld re

mem

ber t

hem

.

3. V

icti

m A

ssis

tanc

e P

rofe

ssio

nal'

s Sk

ills

a.

Ass

essm

ent o

f ado

lesc

ents

, vul

nera

bilit

ies.

110

b.

Kno

wle

dge

of a

nd a

bili

ty to

hel

p ad

oles

cent

s ac

cess

dif

fere

nt s

ervi

ces

and

re-

sour

ces.

c.

Abi

lity

to ta

lk a

nd c

omm

unic

ate

wit

h ad

oles

cent

s.

d.

Und

erst

andi

ng o

f ado

lesc

ent d

evel

opm

enta

l iss

ues.

e.

Und

erst

andi

ng o

f ado

lesc

ent r

eact

ions

to tr

aum

a.

F.

Kno

wle

dge

and

skil

l to

use

adol

esce

nt-o

rien

ted

tech

niqu

es to

res

pond

to tr

aum

a an

d be

reav

emen

t.

g.

Abi

lity

to c

omm

unic

ate

effe

ctiv

ely

wit

h su

ppor

tive

adu

lts

in o

rder

to p

rovi

de a

d­eq

uate

edu

cati

on o

n ad

oles

cent

ber

eave

men

t.

111

Ap

pen

dix

I -

Tra

uma

and

Gri

ef

Tra

uma

Sho

ck,

disb

elie

f, d

enia

l

Ang

er

Fea

r C

onfu

sion

S

ham

e G

uilt

Gri

ef

113

Gri

ef

Sho

ck,

deni

al

Pro

test

A

nger

G

uilt

B

arga

inin

g

Des

pair

D

etac

hmen

t R

esol

utio

n

Ap

pen

dix

II,

Dir

ge W

ith

out

Mus

ic,

by

Ed

na

St. V

ince

nt M

illa

y

Dir

ge W

ithou

t Mus

ic

I am

not

res

igne

d to

the

shu

ttin

g aw

ay o

f lov

ing

hear

ts in

the

har

d gr

ound

. So

it i

s, a

nd

so

it w

ill b

e, f

or

so i

t has

bee

n, t

ime

out o

f min

d:

Into

the

dar

knes

s th

ey g

o, t

he w

ise

and

the

love

(y.

Cro

wne

d W

ith l

ilie

s a

nd

with

lau

rel t

hey

go;

but I

am

not

res

igne

d.

Lov

ers

an

d th

inke

rs,

into

the

ear

th w

ith

you.

B

e on

e w

ith t

he d

ull,

the

indi

scri

min

ate

dust

. A

frag

men

t o

f wha

t you

felt

, o

f wha

t you

kne

w,

Afo

rmul

a, a

phr

ase

rem

ains

, -

but t

he b

est i

s lo

st.

The

answ

ers

quic

k &

kee

n, t

he h

ones

t loo

k, t

he l

augh

ter.

the

lov

e,

The

y ar

e go

ne.

The

y ha

ve g

one

tofe

ed th

e ro

ses.

E

lega

nt a

nd

cur

led

b th

e bl

osso

m.

Fra

gran

t is

the

blo

ssom

. I

know

. B

ut I

do

not a

ppro

ve.

Mor

e pr

ecio

us w

as t

he l

ight

in y

our

eyes

tha

n al

l the

ros

es in

the

wor

ld.

Dow

n, d

own,

dow

n in

to t

he d

arkn

ess

C?l

the

grav

e G

entl

y th

ey g

o, t

he b

eaut

(lul

, th

e te

nder

. th

e ki

nd;

Qui

etly

they

go,

the

int

elli

gent

, th

e w

itty,

the

bra

ve.

I kn

ow.

But

I d

o no

t app

rove

. A

nd

I am

not

res

igne

d.

-E

dna

St.

Vin

cent

Mil

lay

115

App

endi

x II

I. W

orks

heet

F

ears

Ab

out

Dea

th

Fea

rs a

bou

t Dea

th

The

follo

win

g fe

ars

of d

eath

are

pla

ced

in o

rder

of/

owes

t pri

ority

to h

ighe

st p

rior

ity in

thei

r em

otio

nal c

onte

nt fo

r mos

t peo

ple.

Und

er e

ach

head

ing,

writ

e a

sent

ence

or t

wo

expr

essi

ng

your

reac

tion

or th

ough

ts a

bout

suc

h a

fear

. A

dd o

ther

fear

s if

you

can

thin

k o

f the

m.

1.

Pra

ctic

al F

ears

• Fe

ar fo

r wha

t may

hap

pen

to th

e pe

rson

who

has

die

d

• Fe

ar o

f cha

nges

in ro

les

or e

xpec

tatio

ns

• Fe

ar o

flos

s o

f fam

ily a

nd f

riend

s

• Fea

r of d

ying

pro

cess

2.

Fea

rs o

f Unk

now

n

• Fe

ar o

f God

or s

piri

ts

• Fea

r of j

udgm

ent a

nd fi

nalit

y

• Fea

r of b

eing

alo

ne

3. F

ears

of L

oss

of C

onne

ctio

n w

ith L

ife

• Fe

ar o

flos

s or

des

truc

tion

of b

ody

• F

earo

ffor

gett

ing

or b

eing

forg

otte

n

4. O

ther

Fea

rs?

117

App

endi

x IV

. W

orks

heet

F

ear

Act

ion

Pla

n T

hree

Fea

rs I

Hav

e S

ince

My

Lov

ed O

ne

Die

d:

1.

2.

3.

Thi

ngs

I C

an D

o To

Be

Les

s A

frai

d:

Fea

r#l:

W

hat

I C

an D

o:

Fea

r #2

: W

hat

I C

an D

o:

Fea

r #3

: W

hat

I C

an D

o:

Wha

t W

e C

an D

o To

Mak

e O

ur

Liv

es S

afer

?

1. G

oal:

__

__

__

__

__

__

__

__

__

_ _

Act

ion

Ste

ps

to A

ccom

pli

sh G

oal:

a.

__

__

__

__

__

_ b.

__

__

__

__

__

_ c.

__

__

__

__

__

_ d.

__

__

__

__

__

_ e.

__

__

__

__

__

_ 2.

Goa

l: _

__

__

__

__

__

__

__

__

__

_

Act

ion

Ste

ps

to A

ccom

pli

sh G

oal:

a.

__

__

__

__

__

_ b.

__

__

__

__

__

_ c.

__

__

__

~ _

__

_ d.

__

__

__

__

__

_ e.

__

__

__

__

__

_ 3.

Goa

l: _

__

__

__

__

__

__

__

__

__

__

_

Act

ion

Ste

ps

to A

ccom

pli

sh G

oal:

a.

__

__

__

__

__

_ b.

__

__

__

__

__

_ _

c. _

__

__

__

__

_ _

d. _

__

__

__

__

__

_ e.

__

__

__

__

__

_ _

119

App

endi

x V

. E

xcer

pt

An

ger:

The

Mis

un

ders

tood

Em

otio

n

by C

arol

Tav

ris

Sim

on a

nd S

chus

ter,

New

Yor

k, 1

982

The

follo

win

g ex

cerp

t, fr

om th

e be

ginn

ing

of C

hapt

er 3

of D

r. T

arvi

s's b

ook,

is in

clud

ed fo

r edu

ca­

tiona

l pur

pose

s on

ly, a

s an

exa

mpl

e of

the

kind

s o

f mat

eria

ls th

at c

an b

e us

ed to

dis

cuss

this

topi

c.

Add

ition

al c

opie

s m

ay b

e re

prin

ted

only

for e

duca

tiona

l use

and

are

not

to b

e du

plic

ated

for p

rofi

t.

121

3. T

he

An

atom

y o

f An

ger

"0,

prep

oste

rous

and

fran

tic

outr

age,

end

thy

dam

ned

sple

en!"

-R

ICH

AR

D II

I, II

, iv

Whe

n yo

u ge

t ang

ry, w

hat h

appe

ns to

you

r bod

y? H

ow d

o yo

u fe

el?

Try

to

reca

ll a

rece

nt in

cide

nt

of a

nger

and

com

pare

you

r rea

ctio

ns to

the

follo

win

g lis

t of s

ympt

oms:

--ch

ange

s of m

uscl

e te

nsio

n --

;sco

wlin

g -g

rin

din

g o

f tee

th

-gla

ring

--

clen

chin

g yo

ur fi

sts

--ch

ange

s of a

rn1S

and

pos

ition

of b

ody

-flu

shin

g (g

ettin

g re

d in

face

or b

ody)

-p

alin

g (l

osin

g co

lor)

--

goos

e bu

mps

--

chil

ls an

d sh

udde

rs

-pri

ckly

sens

atio

ns

--nu

mbn

ess

--ch

okin

g -t

wit

chin

g --

swea

ting

--

losi

ng se

lf-co

ntro

l -f

eeli

ng

hot

-f

eeli

ng

cold

The

se a

re a

few

of t

he it

ems

from

the

first

mod

em, s

cien

tific

eff

ort t

o st

udy

ange

r. In

189

4, p

sy­

chol

ogis

t G. S

tanl

ey H

all c

olle

cted

218

4 qu

estio

nnai

res

from

peo

ple

who

ans

wer

ed h

is c

ompl

icat

ed

quer

ies

in re

veal

ing

deta

il, a

nd H

all c

erta

inly

wan

ted

deta

il. H

e as

ked

peop

le to

pro

vide

exa

mpl

es o

f th

eir a

ngri

est e

piso

des-

--w

hat p

rovo

ked

them

, wha

t the

y di

d, h

ow th

ey te

lt la

ter,

any

phys

ical

and

m

enta

l cha

nges

. By

toda

y's

stan

dard

s, H

all's

surv

ey w

as to

o de

man

ding

, uns

yste

mat

ic, a

nd im

prec

ise.

It

was

als

o lo

ts o

ffun

, and

its

findi

ngs

entir

ely

cont

empo

rary

. O

ne o

f Hal

l's m

ost c

urio

us re

sults

was

the p

hysi

cal v

aria

tion

in p

eopl

e's

expe

rien

ces

of an

ger.

Som

e sa

id th

at a

nger

mad

e th

em fe

el g

ood,

and

oth

ers

that

it m

ade

them

feel

sic

k. "

I hav

e fo

und

it a

not

alto

geth

er u

nple

asan

t sen

satio

n to

be

in a

gre

at ra

ge,"

wro

te o

ne in

form

ant;

"It w

akes

me

up a

nd m

akes

m

e fe

el v

ery

muc

h al

ive.

" B

ut a

noth

er sa

id, "

I am

ofte

n fr

ight

ened

that

I ca

n ge

t so

angr

y, a

nd o

ften

hav

e a

nerv

ous

head

ache

late

r." A

nd s

ome

repo

rted

they

had

bot

h re

actio

ns, d

epen

ding

on

circ

umst

ance

:

Whe

n an

gry

I fee

l all

of a

sudd

en b

urni

ng h

ot, s

tifle

d an

d co

mpe

lled

to m

ake

a no

ise.

So

met

imes

1 gr

ow ic

y co

ld a

nd fe

el a

s if

! w

as a

ll bl

ancm

ange

insi

de. T

his

feel

ing

is w

orse

th

an th

e he

at, f

or 1

seem

to b

e a

ston

e.

Hal

l's re

spon

dent

s to

ld h

im th

at a

nger

pro

duce

d "c

ardi

ac s

ensa

tions

, hea

dach

es, n

oseb

leed

, mot

­tli

ng o

f fac

e, d

izzi

ness

," te

ars,

sna

rls, o

r "a

com

plet

e in

abili

ty to

voc

aliz

e."

Thi

s ar

ray

of p

hysi

cal r

eact

ions

to a

nger

was

mat

ched

by

the

arra

y o

f cau

ses

of a

nger

. One

cat

egor

y o

f pro

voca

tion

was

wha

t we

mig

ht c

all t

he S

tupi

d In

anim

ate

Obj

ect,

the

idio

t thi

ng th

at p

rodu

ces

123

imm

edia

te (u

sual

Iy b

rief

) fur

y. "

Our

retu

rns

abou

nd,"

wro

te H

alI c

alm

ly, "

in c

ases

of p

ens a

ngri

ly b

roke

n be

caus

e th

ey w

ould

not

wri

te, b

rush

es a

nd p

enci

ls th

row

n th

at d

id n

ot w

ork

we 1

1 , b

utto

nhol

es a

nd

clot

hes

tom

, mir

rors

sm

ashe

d, s

late

s br

oken

, pap

er c

rush

ed, t

oys

dest

roye

d, k

nive

s, s

hoes

, boo

ks

thro

wn

or in

jure

d, e

tc. "

Whe

n in

anim

ate

obje

cts

don'

t beh

ave

as th

ey "

ough

t,"

said

Hal

l-T

her

e is

th

at m

oral

izin

g ou

ght a

gain

--w

e la

pse

mom

enta

rily

into

the

child

's c

onfu

sion

bet

wee

n ob

ject

s tha

t are

al

ive

and

thos

e th

at a

re n

ot, a

nd a

ct a

s if

the

offe

ndin

g br

ick,

pen

, or t

ool w

ere

capa

ble

offe

elin

g ou

r re

sent

men

t. B

y so

doi

ng, n

atur

ally

, we

com

poun

d th

e injury~s w

hen

you

kick

the

vend

ing

mac

hine

th

at h

as s

wal

low

ed y

our q

uart

er, t

here

by b

reak

ing

your

toe.

You

are

not

alo

ne.

But

ano

ther

cat

egor

y o

f ang

er w

as m

ore

cere

bral

, and

con

sist

ed o

f the

idi

osyn

cras

ies,

the

"spe

cial

av

ersi

ons"

that

irri

tate

us.

The

se a

re th

e ha

bits

and

aff

ecta

tions

that

som

e pe

ople

hav

e, n

o m

atte

r how

ni

ce o

r kin

d th

ey a

re o

ther

wis

e, y

ou w

ant t

o th

rottl

e th

em fo

r. O

ne h

undr

ed a

nd th

irty

wom

en s

pont

ane­

ousl

y to

ld H

alI

that

ear

ring

s on

men

wer

e ab

horr

ent t

o th

em. (

I w

as s

urpr

ised

that

eno

ugh

men

wer

e w

eari

ng e

arri

ngs

in 1

894

for

this

to b

e o

f suc

h co

ncer

n.)

Men

and

wom

en a

like

repo

rted

irri

tatio

n at

"t

hum

b ri

ngs,

ban

gs, f

rizz

es, s

hort

hai

r in

wom

en, h

at o

n on

e si

de, b

aldn

ess,

too

muc

h st

yle

or je

wel

ry,

sing

le e

ye g

lass

, fla

shy

ties,

hea

vy w

atch

cha

ins,

man

y ri

ngs,

" an

d th

e lik

e.

But

it w

as th

e th

ird

cate

gory

of a

ngry

inci

dent

s, a

nger

cau

sed

by o

ne p

erso

n's

trea

tmen

t of a

noth

er,

that

dre

w th

e gr

eate

st n

umbe

rs a

nd th

e gr

eate

st p

assi

on:

Inju

stic

e. S

tupi

dity

(one

's o

wn

or a

noth

er's

).

Che

ater

s. B

ootli

cker

s (th

e m

odem

equ

ival

ent s

tilI

infu

riat

es, a

lthou

gh th

e te

rm h

as a

dvan

ced

up th

e an

atom

y). I

nsul

ts. C

onde

scen

sion

: "T

o be

trea

ted

as if

! w

ere

of n

o ac

coun

t." O

ne w

oman

sum

mar

ized

th

e lo

t: T

he c

hief

caus

es a

re c

ontr

adic

tion,

esp

ecia

lly if

l am

righ

t; sl

ight

s, e

spec

ialI

y to

my

pare

nts

or fr

iend

s, e

ven

mor

e th

an m

ysel

f; to

hav

e m

y ve

raci

ty q

uest

ione

d; th

e si

ght o

f my

olde

r br

othe

r sm

okin

g w

hen

we

are

poor

; inj

ustic

e, d

islik

e or

hat

e fr

om th

ose

who

fear

to s

peak

ri

ght o

ut; b

eing

tire

d an

d ou

t of s

orts

, etc

. In

the

latte

r moo

d th

e le

ast t

hing

[will

mak

e m

e an

gry]

like

find

ing

book

s ou

t of p

lace

... s

tupi

dity

in p

eopl

e w

ho w

ill n

ot u

nder

stan

d--t

hese

m

ake

me

feel

as

a ca

t mus

t whe

n st

roke

d th

e w

rong

way

. T

he a

nger

s th

at fe

ll in

this

cat

egor

y se

emed

to c

ombi

ne b

oth

phys

ical

reac

tions

, in

all t

heir

star

tling

va

riety

, and

men

tal p

erce

ptio

ns o

f ins

ult,

cond

esce

nsio

n, a

nd th

e lik

e, in

all

of t

heir

star

tling

var

iety

.

124

Ap

pen

dix

VI.

Wor

kshe

et

Ang

er

Wha

t si

gns

do y

ou

hav

e w

hen

you

get

ang

ry?

Che

ck t

hose

tha

t app

ly.

_ ch

ange

s of m

uscl

e te

nsio

n _

sco

wli

ng

_

gri

nd

ing

oft

eeth

_

gla

rin

g

_ cl

ench

ing

your

fist

s _

ch

an

ges

ofan

ns a

nd p

ositi

on o

f bod

y _

flus

hing

(ge

tting

red

in f

ace

or b

ody)

_

pali

ng

(los

ing

colo

r)

_g

oo

se b

umps

ch

ills

and

shud

ders

_

pri

ck

ly se

nsat

ions

nu

mbn

ess

_ch

ok

ing

_

twit

chin

g

_sw

eati

ng

_

losi

ng

self

-con

trol

_

feeli

ng

hot

_

feeli

ng

cold

Wha

t kin

ds o

f sit

uati

ons

caus

e yo

u to

bec

ome

angr

y?

Wri

te o

ne o

r tw

o ex

ampl

es.

"Stu

pid

Inan

imat

e O

bjec

ts"

"Spe

cial

Ave

rsio

ns"

"I nj

ust

ice"

Oth

er E

xam

ples

125

App

endi

x V

II.

Wor

kshe

et

Ang

er A

ctio

n P

lan

Wha

t mak

es m

e an

gry?

Lis

t the

top

ten

thin

gs.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Pla

ce a

che

ck a

fter

thos

e th

ings

on

the

list

that

you

can

do

som

ethi

ng a

bout

.

Thi

ngs

I ca

n do

to

redu

ce m

y an

ger:

Ang

ry S

itua

tion

#1:

W

hat

I C

an D

o:

Ang

ry S

itua

tion

#2:

W

hat

I C

an D

o:

Ang

ry S

itua

tion

#3:

W

hat

I C

an D

o:

Ang

ry S

itua

tion

#4:

W

hat I

Can

Do:

Ang

ry S

itua

tion

#5:

W

hat

I C

an D

o:

127

App

endi

x V

III.

Exc

erpt

G

ivin

g S

orro

w W

ords

b

y C

and

y L

ight

ner

and

Nan

cy H

atha

way

W

arne

r B

ooks

, New

Yor

k, 1

990

The

foll

owin

g ex

cerp

t, c

hapt

er 4

of t

he L

ight

ner-

Hat

haw

ay b

ook,

is in

clud

ed f

or e

duca

tion

al

purp

oses

onl

y, a

s an

exa

mpl

e o

fth

e ki

nds

of m

ater

ials

that

can

be

used

to d

iscu

ss th

is to

pic.

Add

itio

nal

copi

es m

ay b

e re

prin

ted

only

for e

duca

tion

al u

se a

nd a

re n

ot to

be

dupl

icat

ed fo

r pr

ofit

.

129

Ch

apte

r 4.

Fun

eral

s an

d M

ourn

ing

Cu

stom

s

I w

ante

d to

dig

my

son

:\' gr

ave,

The

y w

ould

n't l

et m

e. T

hey

used

mac

hine

s to

do

it.

I w

ould

hav

e h

ad

gre

at sati,~faction i

ll co

uld

have

dug

the

gra

ve.

-RA

Y T

AN

GU

AY

Our

atti

tude

s to

war

d de

ath

and

mou

rnin

g ha

ve c

hang

ed d

ram

atic

ally

in th

e la

st tw

o ce

ntur

ies.

In th

e ni

nete

enth

cen

tury

, peo

ple

thre

w th

emse

lves

into

dra

mat

ic, i

mpa

ssio

ned

mou

rnin

g. T

hey

used

par

asol

s,

hand

kerc

hief

s, s

tatio

nery

, and

eve

n te

a se

ts d

esig

ned

excl

usiv

ely

for m

ourn

ing;

they

wor

e m

ourn

ing

ring

s an

d pe

ndan

ts w

hich

mig

ht e

ncas

e a

lock

of h

air o

fthe

dec

ease

d. T

he e

xces

ses

of t

he a

ge c

an b

e se

en

mos

t viv

idly

in Q

ueen

Vic

toria

, who

mou

rned

for h

er h

usba

nd, A

lber

t, no

nsto

p fr

om h

is d

eath

in 1

861

to h

er o

wn

in 1

901.

For

forty

yea

rs, s

he p

ut o

ut h

is s

havi

ng s

uppl

ies

ever

y m

orni

ng a

nd k

ept a

pic

ture

o

f him

pro

pped

up

on h

is s

ide

of t

he b

ed. N

or w

as h

er e

xten

ded

mou

rnin

g fo

r A

lber

t the

onl

y ex

ampl

e o

f her

sen

se o

f pro

prie

ty a

bout

suc

h m

atte

rs. I

n 18

59, w

hen

her g

reat

-gra

ndm

othe

r die

d, V

icto

ria

was

ou

trag

ed to

lear

n th

at o

ne o

f her

gre

at-g

rand

mot

her's

des

cend

ants

in th

e Pr

ussi

an c

ourt

was

not

dr

esse

d in

mou

rnin

g--d

espi

te th

e fa

ct th

at th

e ch

ild w

as o

nly

five

mon

ths

old.

Lila

c an

d w

hite

, she

sug

­ge

sted

, wer

e pr

oper

mou

rnin

g co

lors

for b

abie

s.

Bla

ck, o

f cou

rse,

was

the

pref

erre

d co

lor f

or a

dults

, and

esp

ecia

lly fo

r wom

en, w

ho u

nlik

e m

en

wer

e ex

pect

ed to

be

clad

ent

irel

y in

that

col

or. D

urin

g th

e fir

st y

ear,

wid

ow's

wee

ds w

ere

mad

e o

f dul

l bl

ack

and

acce

ssor

ized

with

vei

ls, h

ats,

and

"w

eepe

r cuf

fs."

Dur

ing

the

seco

nd y

ear,

shin

y bl

ack,

suc

h as

silk

, was

per

mitt

ed. A

fter

war

d, o

ne m

ight

gra

dual

ly lo

ok to

war

d ot

her c

olor

s--b

egin

ning

with

whi

te,

also

a c

olor

ass

ocia

ted

with

mou

rnin

g.

Dur

ing

this

per

iod,

alth

ough

ther

e w

as m

uch

over

t mou

rnin

g, d

eath

was

rom

antic

ized

. Nin

e­te

enth

-cen

tury

nov

els

are

fille

d w

ith te

ar-j

erke

r sce

nes

such

as

the

deat

hs o

f Bet

h in

Lit

tle

Wom

en a

nd

of L

ittle

Nel

l in

Dic

kens

' ser

ializ

ed n

ovel

The

Old

Cur

iosi

ty S

hop-

-an

even

t whi

ch c

ause

d w

eepi

ng

crow

ds to

gat

her i

n th

e po

rt o

f New

Yor

k av

idly

aw

aitin

g th

e ne

xt in

stal

lmen

t in

the

futil

e ho

pe th

at

Dic

kens

wou

ldn'

t let

her

die

. In

the

twen

tieth

cen

tury

, the

re w

as a

rebe

llion

aga

inst

the

mau

dlin

ext

rem

e o

f the

Vic

tori

ans.

In

its

plac

e, p

eopl

e em

brac

ed tw

entie

th-c

entu

ry re

pres

sion

. In

an e

ssay

ori

gina

lly p

ublis

hed

in 1

955

and

title

d "T

he P

orno

grap

hy o

f Dea

th,"

Bri

tish

anth

ropo

logi

st G

eoff

rey

Cor

er e

xpla

ined

that

, dur

ing

the

Vic

tori

an

era,

se~

was

unm

entio

nabl

e bu

t "de

ath

was

no

mys

tery

, exc

ept i

n th

e se

nse

that

dea

th is

alw

ays

a m

ys­

tery

." B

y th

e m

iddl

e o

f the

twen

tieth

cen

tury

, it w

as th

e ot

her w

ay a

roun

d. "

Whe

reas

cop

ulat

ion

has

be­

com

e m

ore

and

mor

e 'm

entio

nabl

e, ' p

artic

ular

ly in

the

Ang

lo-S

axon

soc

ietie

s, d

eath

had

bec

ome

mor

e an

d m

ore

'unm

enti

onab

le,'

" he

wro

te. M

ourn

ing

cost

umes

dis

appe

ared

; hou

ses

wer

e no

long

er d

rape

d in

bla

ck; b

lack

mou

rnin

g w

reat

hs w

ere

no lo

nger

in fa

shio

n (in

par

t bec

ause

, on

the

day

of t

he f

uner

al,

they

pro

vide

d an

eas

y m

ark

for b

urgl

ars)

; dea

th b

ecam

e a

priv

ate

affa

ir.

Tod

ay, a

lthou

gh a

con

side

rabl

e m

ovem

ent i

s con

cern

ed w

ith th

e pr

oces

s of

cons

ciou

s dy

ing

as a

si

gnif

ican

t life

exp

erie

nce,

the

proh

ibiti

on a

gain

st m

ourn

ing

rem

ains

. But

turn

ing

away

from

mou

rnin

g is

ultim

atel

y as

sel

f-de

feat

ing

as d

row

ning

in g

rief.

The

bal

ance

d w

ay to

trav

el th

roug

h gr

ief i

s to

ack

now

l­ed

ge it

s va

ried

em

otio

ns. I

n m

any

way

s, th

at jo

urne

y be

gins

with

the

fune

ral.

The

fune

ral

is th

e fir

st m

ajor

eve

nt o

f the

mou

rner

's li

fe w

ithou

t the

dec

ease

d. M

ore

than

an

un­

happ

y ga

ther

ing,

mor

e th

an a

form

aliz

ed f

arew

ell,

the

fune

ral

is th

e pi

vot b

etw

een

befo

re a

nd a

fter.

Lik

e ot

her r

itual

s, it

is a

rite

of p

assa

ge th

at p

rovi

des

a fr

amew

ork

for c

hang

e. A

t the

fun

eral

, if a

t no

othe

r tim

e, th

e aw

esom

e pa

ssag

e fr

om li

fe to

dea

th is

ser

ious

ly a

ddre

ssed

. The

fune

ral

is a

cer

emon

y o

f sep

a­ra

tion

that

pro

vide

s an

opp

ortu

nity

to e

xpre

ss s

tron

g fe

elin

gs, t

o be

rec

ogni

zed

and

com

fort

ed a

s a

mou

rner

, to

say

fare

wel

l with

str

uctu

re, s

olem

nity

, and

sup

port

, and

to re

alig

n ou

rsel

ves

with

the

com

­m

unity

of m

ourn

ers-

the

livin

g. F

or al

l tho

se re

ason

s, th

e fu

nera

l or m

emor

ial s

ervi

ce c

an h

elp

enor

-

131

mou

sly

in th

e pr

oces

s o

f gri

evin

g.

Thi

s is

true

eve

n un

der t

he w

orst

of c

ircu

mst

ance

s, w

hen

deat

h ha

s co

me

in a

n un

timel

y an

d br

utal

fa

shio

n. E

lizab

eth

Pear

son

is a

Sha

kesp

eare

an a

ctre

ss w

hose

bro

ther

Bill

y di

ed in

197

1 w

hen

he w

as in

th

e ar

med

forc

es.

He

was

sho

t in

the

head

at a

mili

tary

bas

e, a

nd th

e de

tails

of h

is d

eath

wer

e ne

ver e

n­tir

ely

clea

r: M

y br

othe

r was

a b

uddi

ng h

ippi

e,ju

st g

ettin

g in

to h

is o

wn

thou

ghts

abo

ut th

e w

ar. H

e sh

ould

hav

e be

en a

con

scie

ntio

us o

bjec

tor.

He

was

sho

t in

the

head

, and

they

sai

d it

was

su

icid

e. B

ut w

ere

his

fing

erpr

ints

on

the

gun?

I d

on't

even

kno

w. P

eopl

e I'v

e sp

oken

to

sinc

e ha

ve s

aid,

"Y

our b

roth

er w

as fr

agge

d, s

hot b

y on

e o

f his

ow

n m

en. W

ithou

t a d

oubt

. Y

our b

roth

er g

ot w

aste

d."

It w

as m

y m

othe

r's c

hoic

e to

hav

e a

mili

tary

fune

ral

and

it as

­to

unde

d m

e be

caus

e I f

elt i

t was

the

mili

tary

that

kill

ed h

im. I

was

ang

ry a

t the

dec

isio

n.

But

in re

tros

pect

, I fe

el d

iffe

rent

ly. T

here

was

pro

toco

l and

that

com

fort

ed m

e. F

amily

an

d cl

ose

frie

nds

sat i

n ro

ws

unde

r a c

anop

y an

d fa

ced

a br

and-

new

alu

min

um c

offi

n w

ith a

fla

g dr

aped

ove

r it.

The

re w

as a

thir

teen

-gun

sal

ute.

It w

as o

utra

geou

sly

dram

atic

-whi

ch I

thin

k he

lped

, fir

st b

ecau

se th

ere

was

no

deny

ing

that

this

boy

was

dea

d, a

nd s

econ

d be

­ca

use

I kne

w h

e w

as g

oing

to b

e pr

oper

ly la

id to

res

t. T

here

's n

o w

ay to

kno

w w

hat e

lem

ents

of a

fune

ral w

ill m

ake

an e

mot

iona

l im

pact

. The

mos

t rea

s­su

ring

asp

ect o

f a fu

nera

l may

be

the

num

ber o

fpeo

ple

who

app

ear;

it m

ay b

e w

ords

sai

d by

the

min

is­

ter o

r rab

bi o

r a e

ulog

y sp

oken

by

a fr

iend

; or i

t may

be

a sm

all,

sym

bolic

ges

ture

that

pro

vide

s em

o­tio

nal r

elea

se. T

hat's

som

ethi

ng L

ee S

helto

n no

ted

afte

r his

eig

hty-

year

-old

fath

er w

as k

illed

in a

n au

to­

mob

ile c

rash

: I don

't pl

ace

a lo

t of c

rede

nce

in ri

tual

. But

at m

y fa

ther

's fu

nera

l, on

e pa

rt o

fthe

cer

­em

ony

did

affe

ct m

e. I

wen

t out

of m

y w

ay to

toss

the

first

bit

ofso

il o

nto

his

coff

in. T

ossi

ng

that

han

dful

of s

oil o

nto

the

coff

in w

as li

ke th

e fin

al g

ood-

bye.

It b

roug

ht e

very

thin

g in

to

such

focu

s at

that

mom

ent b

ut it

was

free

ing

ther

eafte

r. A

t Car

i's fu

nera

l, I w

as e

spec

ially

touc

hed

whe

n he

r cla

ssm

ates

file

d pa

st th

e ca

sket

and

one

by

one

plac

ed a

sin

gle

rose

on

top.

Tha

t ges

ture

told

me

that

her

dea

th w

ould

be

mou

rned

by

man

y. O

ver

thre

e hu

ndre

d pe

ople

wer

e th

ere;

my

sorr

ow w

as s

hare

d. T

his

is o

ne o

f the

gre

at b

enef

its o

ffun

eral

s:

they

pla

ce th

e de

ath

in a

soci

al c

onte

xt b

y gi

ving

us

an o

ppor

tuni

ty to

mou

rn to

geth

er, a

nd in

so

doin

g,

they

hel

p us

to fe

el l

ess

alon

e.

CU

LT

UR

AL

AN

D R

EL

IGIO

US

TR

AD

ITIO

NS

Whi

le d

eath

is u

nive

rsal

, way

s o

f dea

ling

with

it a

re a

s va

ried

as

the

lang

uage

s pe

ople

spe

ak a

nd th

e w

ays

they

thin

k. S

ome

cultu

res,

suc

h as

thos

e o

f the

Med

iterr

anea

n, e

ncou

rage

str

ong

emot

iona

l rea

c­ti

onsa

t fun

eral

s; o

ther

s fa

vor t

he s

tiff

uppe

r lip

. The

Bal

ines

e, w

ho a

re n

ot k

now

n to

cry

at a

ll, a

t lea

st in

pu

blic

, act

ually

enc

oura

ge la

ught

er a

t fun

eral

s by

dro

ppin

g th

e co

ffin

into

a cr

eek-

--1>

omet

imes

mor

e th

an o

nce.

The

Sam

oans

hav

e an

ext

rem

ely

brie

f per

iod

of m

ourn

ing,

whe

reas

in G

reec

e, w

idow

s ar

e ex

pect

ed to

wea

r bla

ck fo

r the

rest

of t

heir

live

s. I

n So

uthe

ast A

sia,

em

otio

nal r

eact

ions

are

con

side

red

perf

ectly

acc

epta

ble

in p

ublic

but

in p

riva

te g

riev

ers

are

expe

cted

to m

aint

ain

som

e co

ntro

l. T

he E

nglis

h ge

nera

lly ta

ke th

e op

posi

te a

ppro

ach.

Wha

t fee

ls n

atur

al to

one

gro

up m

ay s

eem

dee

ply

unna

tura

l to

anot

her;

wha

t is

mea

nt to

be

com

fort

ing

in o

ne tr

aditi

on m

ay, i

n th

e co

ntex

t of a

noth

er, a

ppea

r dis

re­

spec

tful.

In th

e U

nite

d St

ates

, sty

les o

f mou

rnin

g va

ry w

idel

y. T

he fu

nera

l of a

jazz

mus

icia

n in

New

Orl

eans

w

ith it

s sy

ncop

ated

par

ade

rese

mbl

es v

ery

little

the

subd

ued

fare

wel

l giv

en th

eir l

oved

one

s by

the

Qua

kers

of P

enns

ylva

nia.

At t

he fu

nera

l and

dur

ing

the

peri

od o

f mou

rnin

g th

at fo

llow

s, a

beh

avio

r con

­si

dere

d ut

terl

y na

tura

l and

impo

rtan

t by

one

grou

p, s

uch

as w

eari

ng b

lack

or v

isiti

ng th

e gr

ave,

may

st

rike

ano

ther

gro

up a

s un

nece

ssar

y. A

mon

g A

fro-

Am

eric

ans,

fune

rals

are

occ

asio

ns fo

r lar

ge f

amily

132

• •

and

com

mun

ity g

athe

ring

s, a

nd a

ttend

ance

is g

iven

eno

nnou

s em

phas

is, e

ven

for d

ista

nt re

latio

ns. B

ut

afte

r the

fun

eral

, acc

ordi

ng to

res

earc

h co

nduc

ted

in 1

974

by D

avid

K. R

eyno

lds

and

Ric

hard

A.

Kal

ish

com

pari

ng e

thni

c gr

oups

in th

e U

nite

d St

ates

, Afr

o-A

mer

ican

s pu

t the

leas

t em

phas

is o

n vi

sitin

g th

e gr

ave

of a

dec

ease

d sp

ouse

. Am

eric

ans

of J

apan

ese

and

Mex

ican

des

cent

, on

the

othe

r han

d, o

ver­

whe

lmin

gly

thO

Ugh

t it w

as im

porta

nt to

vis

it fr

eque

ntly

. E

ven

with

in th

e co

ntex

t ofa

sing

le e

thni

c he

rita

ge, p

atte

rns

can

vary

mar

kedl

y as

fam

ilies

dev

elop

th

eir o

wn

styl

es. L

isa

Cur

ran

cont

rast

ed th

e w

ays

the

two

side

s o

f her

fam

ily--

-bot

h Ir

ish

Cat

ho

lic­

cope

with

dea

th:

I've

hear

d w

ild s

tori

es a

bout

wak

es fr

om o

ne s

ide

of m

y fa

mily

. My

grea

t-gr

andf

athe

r ow

ned

a ho

tel t

hat h

ad a

salo

on a

nd m

y U

ncle

Tim

my

told

a s

tory

in w

hich

a d

ead

body

so

meh

ow e

nded

up

prop

ped

up in

the

salo

on. Y

ou h

ear s

tori

es li

ke th

at. A

s fa

r as

I kno

w

they

nev

er a

ctua

lly h

appe

ned.

But

eve

ryon

e dr

inks

a lo

t and

it b

ecom

es a

par

ty.

On

the

othe

r sid

e of

the

fam

ily, t

he w

akes

are

mor

bid,

dow

ntro

dden

, and

dep

ress

ing,

fil

led

with

gui

lt an

d re

mor

se. W

hen

my

gran

dpar

ents

on

that

sid

e of

the

fam

ily d

ied,

we

stay

ed a

t the

fun

eral

hom

e fo

r sev

eral

day

s. S

ince

my

Unc

le D

enny

was

a p

ries

t, ev

eryb

ody

up to

the

bish

op s

aid

the

fune

ral m

ass.

The

re w

ere

may

be fi

ftee

n pe

ople

-def

inat

ely

holie

r th

an th

ou.

The

goa

l in

ever

y er

a an

d in

eve

ry c

ultu

re is

the

sam

e: to

pro

vide

a p

rope

r con

clus

ion

to a

life

and

to

begi

n th

e pr

oces

s of

livi

ng w

ithou

t the

dec

ease

d. T

hose

task

s ar

e ge

nera

lly c

onsi

dere

d to

fall

into

the

real

m o

f rel

igio

n. W

heth

er th

e se

rvic

e ta

kes

plac

e in

a c

hurc

h, s

ynag

ogue

, or f

uner

al h

ome

(as

is in

­cr

easi

ngly

the

case

), th

e so

lem

nity

of t

he p

roce

edin

gs, t

he re

ligio

us tr

appi

ngs,

and

the

pres

ence

of c

lerg

y un

ders

core

the

grav

ity o

fthe

even

t. Pr

otes

tant

cus

tom

s va

ry, d

epen

ding

on

the

deno

min

atio

n. G

ener

ally

, the

re is

a b

rief

serv

ice

at th

e ch

urch

or f

uner

al h

ome

that

incl

udes

a re

adin

g fr

om th

e B

ible

, pra

yers

, org

an m

usic

, pos

sibl

y th

e si

ngin

g o

f hym

ns, a

nd a

fune

ral s

enno

n or

med

itatio

n. S

elec

tions

of p

oetr

y or

pro

se a

re s

omet

imes

read

. The

ca

sket

may

be

open

or c

lose

d, d

epen

ding

on

the

deno

min

atio

n, a

nd th

ere

may

or m

ay n

ot b

e a

eulo

gy.

At t

he g

rave

, the

re is

a b

rief

com

mitt

al s

ervi

ce. A

fter

war

d, a

s in

oth

er g

roup

s, p

eopl

e us

ually

gat

her t

o­ge

ther

for a

mea

l. In

Cat

holic

ism

, the

rite

s id

eally

beg

in p

rior

to d

eath

, whe

n th

e dy

ing

pers

on re

ceiv

es th

e fin

al s

acra

­m

ents

. (W

hen

deat

h is

sud

den,

the

prie

st is

pen

nitt

ed to

giv

e pe

nanc

e an

d ex

trem

e un

ctio

n up

to s

ever

al

hour

s af

ter d

eath

.) T

he fu

nera

l its

elf i

s co

mpr

ised

of t

hree

par

ts: t

he w

ake,

the

fune

ral m

ass,

and

the

grav

esid

e se

rvic

e. T

he w

ake,

whi

ch o

ccur

s th

e ni

ght b

efor

e th

e fu

nera

l, is

cond

ucte

d in

the

pres

ence

of

the

body

, whi

ch is

in a

n op

en c

aske

t. H

eld

eith

er in

the

fune

ral p

arlo

r or i

n th

e m

ourn

er's

hom

e, th

e w

ake

serv

ice

may

incl

ude

psal

ms,

pra

yers

, a ro

sary

, and

a sh

ort h

omily

on

the

mea

ning

ofl

ife,

dea

th,

and

resu

rrec

tion.

For

man

y ho

urs,

fri

ends

and

rel

ativ

es c

ome

to o

ffer

con

dole

nces

, to

pray

, and

to v

iew

th

e bo

dy; i

ndee

d, th

e te

nn "

view

ing"

is s

omet

imes

use

d in

stea

d o

f "w

ake.

" T

he n

ext d

ay, t

here

is a

fu­

nera

l or r

equi

em m

ass.

The

cof

fin

is c

lose

d an

d co

vere

d w

ith a

whi

te p

all u

pon

whi

ch a

cro

ss m

ight

be

plac

ed. H

oly

wat

er, i

ncen

se, a

nd c

andl

es a

ccen

t the

sol

emni

ty o

fthe

hig

hly

stru

ctur

ed s

ervi

ce, w

hich

em

phas

izes

the

conc

ept o

fthe

new

life

the

dece

ased

has

fou

nd w

ith G

od.

Aft

er th

e fu

nera

l mas

s, th

e "f

inal

com

men

datio

n an

d fa

rew

ell"

take

s pl

ace

eith

er in

chu

rch

or a

t the

gr

ave

site

, whi

ch is

ble

ssed

in a

dvan

ce. I

t use

d to

be

that

the

fam

ily w

ould

avo

id w

atch

ing

the

cask

et

bein

g lo

wer

ed in

to th

e ea

rth.

Tod

ay, t

he te

nden

cy is

to s

tay,

so

that

the

real

ity o

fthe

dea

th c

anno

t be

deni

ed.

In J

udai

sm, b

uria

l tak

es p

lace

imm

edia

tely

-wit

hin

twen

ty-f

our h

ours

, ifp

ossi

ble.

The

sim

ple,

w

oode

n co

ffin

is c

lose

d, a

nd th

ere

are

few

flo

wer

s. A

t the

fun

eral

, whi

ch is

a sh

ort o

ne in

clud

ing

pray

ers

and

a eu

logy

, mem

bers

oft

he im

med

iate

fam

ily a

re g

iven

a b

lack

ribb

on w

hich

is th

en c

ut to

indi

cate

th

eir g

rief

l33

Aft

er th

e fu

nera

l, th

ere

is a

bri

ef se

rvic

e at

the

cem

eter

y du

ring

whi

ch th

e ca

sket

is lo

wer

ed in

to th

e gr

ound

and

the

mou

rner

s sh

ovel

dir

t on

it. "

Shov

elin

g th

e di

rt is

an

incr

edib

ly h

ealin

g th

ing

to d

o. A

l­th

ough

I w

ould

nev

er re

quir

e it,

I e

ncou

rage

it v

ery

stro

ngly

bec

ause

I fin

d th

at th

e ac

tual

act

of b

uryi

ng

is th

e be

ginn

ing

ofth

e ac

know

ledg

men

t tha

t thi

s ho

rrib

le th

ing

has

happ

ened

and

the

wor

ld is

for

ever

di

ffer

ent,"

sta

tes

Rab

bi L

aura

Gel

ler,

dire

ctor

of H

illel

at t

he U

nive

rsity

of S

outh

ern

Cal

ifor

nia.

Fol

low

ing

the

buri

al, f

rien

ds a

nd re

lativ

es g

athe

r for

a tr

aditi

onal

"m

eal o

f con

dole

nce.

" Pe

rhap

s the

mos

t dis

tinct

ive

aspe

ct o

f the

Jew

ish

trad

ition

is n

ot th

e fu

nera

l but

the

mou

rnin

g pe

riod

th

at fo

llow

s, w

hen

mou

rner

s re

turn

hom

e fo

r sev

en d

ays

of "

sitti

ng sh

iva"

(shi

vam

eans

"se

ven"

). T

radi

­tio

nally

, the

y lig

ht a

can

dle

that

bum

s fo

r sev

en d

ays,

sit

on w

oode

n st

ools

or b

ench

es, a

nd re

ceiv

e vi

si­

tors

. All

activ

ities

cea

se e

xcep

t for

one

: mou

rnin

g.

The

Isla

mic

relig

ion

spec

ifie

s fiv

e ri

tual

s co

ncem

ing

deat

h: w

ashi

ng th

e bo

dy in

a c

erem

onia

l man

ner;

w

rapp

ing

the

entir

e bo

dy in

cle

an, p

refe

rabl

y w

hite

, clo

th; p

raye

r; th

e fu

nera

l its

elf,

duri

ng w

hich

mus

ic

and

cryi

ng a

re f

orbi

dden

; and

bur

ial.

If po

ssib

le, t

he b

ody

is b

urie

d di

rect

ly in

the

grou

nd, w

ithou

t a c

as­

ket,

and

with

the

face

tur

ned

tow

ard

Mec

ca. A

sto

ne, a

few

bri

cks,

or s

ome

soil

can

be p

ut u

nder

the

head

, but

not

hing

· els

e is

per

mitt

ed in

the

grav

e. A

fter

war

d, p

eopl

e br

ing

food

to th

e fa

mily

. A

ccor

ding

to I

slam

, the

re is

one

God

, kno

wn

as A

llah,

and

man

y pr

ophe

ts, o

f who

m M

oham

med

is

the

last

. "M

osle

ms b

elie

ve A

llah

is a

ll an

d H

e ca

n de

cide

whe

n m

an h

as to

live

and

whe

n ou

r life

sho

uld

be e

nded

," s

tate

s A

bdal

Mag

eed

Nas

ouef

, vic

e-co

ordi

nato

r oft

he Is

lam

ic C

ente

r in

Los

Ang

eles

. D

eath

is e

xpec

ted

to b

e m

et w

ith e

quan

imity

. Con

sequ

ently

, the

mou

rnin

g pe

riod

is s

hort

. For

a

thre

e-da

y pe

riod

aft

er th

e fu

nera

l, kn

own

as A

zah,

mou

rner

s ac

cept

con

dole

nces

. Aft

er th

at, t

alki

ng

abou

t the

dec

ease

d w

ith th

e m

ourn

ers

is n

ot e

ncou

rage

d. "

It is

rem

indi

ng h

im o

f his

sad

ness

," N

asou

ef

expl

ains

. "S

o af

ter t

hree

day

s w

e sh

ould

retu

rn to

nor

mal

life

." (T

he s

ole

exce

ptio

n oc

curs

whe

n a

hus­

band

die

s, in

whi

ch c

ase

the

wif

e is

exp

ecte

d to

sta

y ho

me

for t

hree

mon

ths

and

ten

days

.) M

ourn

ers

are

not s

uppo

sed

to b

ecom

e so

imm

erse

d in

thei

r gri

efth

at it

dis

trac

ts th

em fr

om th

eir r

elat

ions

hip

with

G

od. B

uddh

ists

and

Hin

dus

belie

ve th

at li

fe, d

eath

, and

rebi

rth

are

part

oft

he sa

me

cont

inuu

m, w

aves

on

the

ocea

n o

f exi

sten

ce. T

he b

ody

dies

; con

scio

usne

ss re

mai

ns. T

he tr

aditi

onal

pur

pose

oft

he fu

nera

l, w

hich

incl

udes

cha

ntin

g, p

raye

rs, t

he r

eciti

ng o

f sac

red

text

s, a

nd e

ulog

ies,

is to

hel

p th

e de

ceas

ed a

d­ju

st to

the

afte

r-de

ath

stat

e an

d pr

epar

e fo

r re

birt

h. A

t Bud

dhis

t fun

eral

s, th

e pr

iest

spe

aks

dire

ctly

to

the

dece

ased

. The

fune

ral i

s fo

llow

ed b

y a

fort

y-ni

ne-d

ay p

erio

d du

ring

whi

ch th

e pe

rson

who

die

d th

eore

tical

ly c

ompl

etes

the

jour

ney

from

dea

th to

rebi

rth. D

urin

g th

at ti

me,

mou

rner

s re

peat

pra

yers

in­

tend

ed to

eas

e th

e tr

ansi

tion.

T

he p

hilo

soph

y an

d pr

actic

es o

f Eas

tern

relig

ions

hav

e be

com

e in

crea

sing

ly a

ttrac

tive

to W

este

rner

s du

ring

the

last

seve

ral d

ecad

es. R

on H

amm

es, a

Pen

nsyl

vani

a ar

tist,

spen

t a m

onth

at a

Bud

dhis

t mon

­as

tery

aft

er h

is w

ife,

edi

tor T

obi S

ande

rs, d

ied

in a

car

cra

sh. H

e to

ld u

s ab

out s

ome

of h

is e

xper

ienc

es

ther

e:

The

y of

fere

d a

serv

ice

for T

obi.

The

re w

as a

n al

tar w

ith a

Bud

dha,

flo

wer

s (w

hich

rep­

rese

nt e

arth

), w

ater

, inc

ense

(rep

rese

ntin

g ai

r), a

nd fi

re. S

o it

was

qui

te b

eaut

iful

. The

y al

so

wro

te a

poe

m a

nd g

ave

it to

me

on a

scro

ll w

ith lo

vely

cal

ligra

phy

One

of t

he th

ings

I e

xper

ienc

ed a

t the

mon

aste

ry w

as, y

ou c

an g

et s

uppo

rt, b

ut th

ey

don'

t soo

the.

Ift

here

is s

uch

a th

ing

as th

e da

rk n

ight

of t

he s

oul,

I've

bee

n th

roug

h it.

I

coul

d ha

rdly

spe

ak. W

hen

I was

sitt

ing

Zaz

en, I

was

in p

hysi

cal a

gony

bec

ause

the

tend

ons

in m

y le

gs w

ere

not u

sed

to s

ittin

g fo

r tw

o-ho

ur st

retc

hes.

The

less

on w

as n

ot to

run

fro

m

pain

. It h

ad a

n im

pact

that

car

ried

me

over

. Not

to b

e a

born

-aga

in B

uddh

ist,

but i

t com

es

dow

n to

the

fact

that

with

eve

ry g

reat

relig

ious

mys

tic o

r sea

rche

r, w

heth

er it

was

the

Bud

­dh

a or

whe

ther

it w

as C

hris

t, at

the

hear

t of t

heir

teac

hing

was

thei

r em

path

y fo

r the

suf

fer­

ing

of m

anki

nd a

nd th

eir s

earc

h, n

ot fo

r an

esca

pe fr

om it

, bec

ause

ther

e is

n't a

n es

cape

134

from

it, b

ut fo

r a w

ay to

go

beyo

nd th

at. T

his

is w

hat s

ittin

g Z

azen

is a

ll ab

out i

n m

y lif

e: n

ot

calm

, not

rela

xatio

n, b

ut th

e is

sue

of d

eath

, life

, suf

feri

ng. B

enea

th s

ittin

g is

that

issu

e. I

n si

t­tin

g is

the

reso

lutio

n.

BU

RIA

L C

UST

OM

S T

hrou

ghou

t his

tory

, peo

ple

have

bur

ied

thei

r dea

d in

vas

tly d

iffe

rent

way

s. F

ifty

thou

sand

yea

rs a

go,

the

Nea

nder

thal

s ru

bbed

the

bodi

es o

f the

ir d

ead

with

red

ochr

e an

d bu

ried

them

in th

e fe

tal p

ositi

on.

The

Egy

ptia

ns m

umm

ifie

d th

e de

ceas

ed (i

nclu

ding

thei

r dea

d ca

ts) a

nd, i

n th

e ca

se o

f the

pha

raoh

s,

erec

ted

the

mos

t ela

bora

te a

nd p

erm

anen

t tom

bs th

e w

orld

has

eve

r see

n. T

he S

cand

inav

ian

Vik

ings

pu

t the

ir d

ead

on b

oats

, set

them

afi

re, a

nd s

aile

d th

em o

ut to

sea

. The

Pla

ins

Indi

ans

plac

ed th

e co

rpse

on

a h

igh

woo

den

plat

form

or i

n th

e br

anch

es o

f a tr

ee a

nd o

nly

late

r bur

ied

the

skel

eton

in a

sac

red

buri

al g

roun

d. T

he im

puls

e to

trea

t the

bod

y in

a sp

ecia

l ritu

aliz

ed w

ay s

eem

s to

be

univ

ersa

l; bu

t not

h­in

g el

se is

. In

som

e pl

aces

in E

urop

e w

here

land

is s

carc

e, fo

r in

stan

ce, b

uria

l plo

ts a

re n

ot y

ours

for

eter

nity

. The

y ar

e te

mpo

rary

resi

denc

es, a

nd a

fter

a w

hile

the

bone

s ar

e re

mov

ed a

nd th

e sp

ace

is f

reed

fo

r som

eone

els

e's

use.

I ft

his

soun

ds d

istu

rbin

g, it

mig

ht b

e be

caus

e w

e're

not

acc

usto

med

to th

e id

ea.

Nik

olas

Ste

fani

dis,

Ph.

D.,

a co

unse

lor a

t the

Cen

ter f

or L

ivin

g in

Wes

t Hol

lyw

ood,

Cal

ifor

nia,

de­

scri

bed

his

expe

rien

ce w

hen

he r

etur

ned

to h

is n

ativ

e G

reec

e to

pay

his

res

pect

s to

his

dea

d gr

and­

mot

her:

On

the

Gre

ek is

land

whe

re I

gre

w u

p, b

ecau

se o

f spa

ce li

mita

tions

, we

exhu

me

the

bone

s o

f the

dec

ease

d. T

here

's a

n in

tere

stin

g rit

ual t

hat g

oes

with

it. T

hey

clea

n th

e bo

nes

with

red

win

e an

d ro

sem

ary.

The

y co

unt e

very

bon

e an

d pu

t the

m in

a b

ox w

ith th

e pe

rson

's

nam

e, th

e da

te o

f bir

th, a

nd th

e da

te o

f dea

th. T

hen

they

hav

e a

mem

oria

l ser

vice

. And

then

yo

u pu

t the

bon

es to

res

t in

a co

mm

unal

mau

sole

um, a

big

bui

ldin

g w

here

all

the

bone

s ar

e st

ored

in b

oxes

. Som

e pe

ople

put

pic

ture

s o

f the

dec

ease

d on

the

boxe

s. W

hen

I wen

t ba

ck to

Gre

ece

I wen

t in

and

foun

d m

y gr

andm

othe

r's s

kull,

and

I fe

lt as

in

had

see

n he

r ag

ain.

It w

as a

goo

d ex

peri

ence

. Fo

r mos

t peo

ple

toda

y, th

e ch

oice

is b

etw

een

buri

al a

nd c

rem

atio

n. T

he c

hief

bene

fit o

f bur

ial,

and

it is

an

impo

rtan

t one

, is

that

it p

rovi

des

a sa

fe p

lace

to m

ourn

, a p

lace

that

bel

ongs

to th

e de

ceas

ed. "

I vi

sit m

y hu

sban

d's

grav

e ev

ery

year

on

his

birt

hday

," s

aid

New

Yor

ker A

nna

Shap

iro.

"I p

rune

the

shru

b I p

lant

ed th

ere,

and

I c

lear

aw

ay a

ny w

eeds

that

mig

ht b

e gr

owin

g, a

nd I

feel

as in

am

taki

ng

care

of h

im. I

t's a

con

nect

ion-

-a p

hysi

cal c

onne

ctio

n."

The

re c

an b

e gr

eat s

olac

e in

that

. C

rem

atio

n is

the

pref

erre

d m

ode

in m

any

cultu

res,

incl

udin

g In

dia,

Jap

an, a

nd E

ngla

nd, w

here

it h

as

beco

me

so p

opul

ar si

nce

the

tum

oft

he c

entu

ry th

at it

now

is th

e us

ual c

hoic

e. I

n 19

89, a

ccor

ding

to

Will

iam

Hoc

ker,

form

er p

resi

dent

oft

he N

atio

nal F

uner

al D

irec

tors

Ass

ocia

tion,

cre

mat

ion

was

cho

sen

appr

oxim

atel

y 15

per

cent

oft

he ti

me

in th

e U

nite

d S

tate

s--a

nd in

Sou

ther

n C

alif

orni

a, o

ne d

eath

in

thre

e re

sults

in c

rem

atio

n. W

hat o

nce

seem

ed a

n ex

otic

ritu

al is

bec

omin

g co

mm

onpl

ace.

A

lthou

gh c

rem

atio

n ca

n be

less

exp

ensi

ve th

an b

uria

l, m

ost p

eopl

e w

ho c

hoos

e cr

emat

ion

do s

o fo

r de

eply

per

sona

l rea

sons

that

hav

e lit

tle to

do

with

cos

t. So

me

peop

le, d

istu

rbed

by

the

idea

of t

he b

ody

grad

ually

dec

ompo

sing

, as

it do

es w

ith b

uria

l, fin

d cr

emat

ion

aest

hetic

ally

less

dis

tres

sing

. Cre

mat

ion

may

als

o be

app

ealin

g be

caus

e o

f the

man

y w

ays

of d

ispe

nsin

g th

e as

hes.

Alth

ough

they

may

be

kept

in

a ce

met

ery

vaul

t kno

wn

as a

col

umba

rium

, the

y m

ay a

lso

be s

catte

red

at s

ea o

r in

a ga

rden

. The

idea

of

the

body

bei

ng re

turn

ed to

the

eart

h in

this

man

ner-

-pos

sibl

y in

a sp

ot th

e de

ceas

ed p

erso

n lo

ved

-­br

ings

com

fort

to m

any

peop

le.

Cre

mat

ion

has

draw

back

s to

o. P

eopl

e so

met

imes

hop

e th

at b

ecau

se c

rem

atio

n is

so

quic

k an

d fi­

nal,

it w

ill s

hort

en th

e gr

ievi

ng p

roce

ss.lt

will

not

. Ano

ther

dif

ficu

lty c

an a

rise

whe

n th

e re

mai

ns a

re n

ot

kept

in a

spe

cial

spo

t. W

hen

they

are

sca

ttere

d ov

er a

larg

e ar

ea, t

here

is n

o m

arke

r, no

pla

que,

not

h­m

g--n

ow o

r eve

r.

135

For t

hat r

easo

n, th

e fin

al r

estin

g pl

ace

shou

ld b

e ch

osen

with

car

e. T

here

's n

othi

ng w

rong

with

the

ocea

n, b

ut if

it do

esn'

t hav

e pe

rson

al a

ssoc

iatio

ns fo

r you

, the

situ

atio

n o

f "no

pla

ce to

go"

may

pro

ve

dist

urbi

ng. C

hoos

ing

an a

cces

sibl

e sp

ot c

an a

llevi

ate

that

pro

blem

. Sol

omon

Ber

g bu

ried

his

son

's a

shes

am

ong

the

tree

s an

d bu

shes

in h

is fr

ont y

ard

and

then

mar

ked

the

spot

with

a s

tatu

e tu

cked

in a

mon

g th

e fo

liage

. Mar

cy D

e Je

sus

buri

ed h

er h

usba

nd's

rem

ains

in th

e ba

ckya

rd, w

here

I h

elpe

d he

r pla

nt a

n ol

­iv

e tr

ee. A

nd m

ore

peop

le th

an y

ou m

ight

exp

ect k

eep

the

ashe

s in

side

the

hous

e, a

t lea

st fo

r a w

hile

. Sa

ra a

nd P

aul G

risa

nti p

ut th

e tin

y bo

x co

ntai

ning

thei

r bab

y's

ashe

s in

the

larg

e cl

oset

that

thei

r old

er

child

ren

had

exci

tedl

y tr

ansf

orm

ed in

to a

bri

ghtly

col

ored

nur

sery

--a

room

the

baby

nev

er sa

w. J

oni

Scha

ap p

ut h

er so

n's

rem

ains

on

the

man

tel i

n th

e liv

ing

room

, whe

re it

is s

urro

unde

d by

ath

letic

trop

hies

an

d pi

ctur

es o

fthe

blo

nd te

enag

er. T

he u

rge

to c

reat

e a

spot

dev

oted

sol

ely

to th

e de

ceas

ed is

a d

eepl

y hu

man

one

. In

Japa

n, m

ourn

ers

ofth

e B

uddh

ist a

nd S

hint

o re

ligio

ns ty

pica

lly c

reat

e ho

useh

old

alta

rs

that

incl

ude

the

ashe

s an

d ph

otog

raph

s o

f the

dec

ease

d al

ong

with

oth

er o

bjec

ts s

uch

as ri

ce a

nd fl

ow­

ers.

Cre

mat

ion

not o

nly

perm

its a

wid

e ch

oice

ofl

ocat

ion,

it a

lso

allo

ws

the

mou

rner

s to

cre

ate

that

spo

t in

a v

arie

ty o

f way

s w

hen

they

're re

ady.

With

a s

udde

n de

ath

in p

artic

ular

, tha

t can

be

a be

nefi

t. M

any

peop

le, i

nclu

ding

mys

elf,

like

the

idea

of d

onat

ing

orga

ns to

peo

ple

who

requ

ire

tran

spla

nts.

I

was

una

ble

to d

o so

with

Car

i bec

ause

her

bod

y ha

d be

en s

o se

riou

sly

inju

red

that

it w

as im

poss

ible

, an

d in

any

cas

e, it

did

n't o

ccur

to m

e to

ask

unt

il al

mos

t tw

elve

hou

rs a

fter

she

die

d. B

y th

en, i

t was

too

late

. Org

ans

need

to b

e ha

rves

ted

(yes

, tha

t's th

e w

ord

they

use

) im

med

iate

ly.

Fina

lly, t

here

is th

e op

tion

of d

onat

ing

the

body

to "

scie

nce.

" T

hat,

too,

is a

dec

isio

n th

at m

ust b

e m

ade

quic

kIy-

-and

gen

eral

ly w

ith th

e kn

owle

dge

that

it w

as w

hat t

he d

ecea

sed

wan

ted.

As

a ru

le,

whe

n th

e bo

dy is

don

ated

to a

scho

ol o

r res

earc

h fa

cilit

y, m

ourn

ers

hold

a m

emor

ial s

ervi

ce w

ithou

t the

bo

dy ra

ther

than

a fu

nera

l. B

ut it

is a

lso

poss

ible

to h

ave

a fu

nera

l in

the

pres

ence

oft

he b

ody

if th

e fu

­ne

ral d

irec

tor i

s im

med

iate

ly n

otif

ied

the

body

has

bee

n do

nate

d. T

he u

nder

take

r can

then

pre

pare

the

body

in th

e m

anne

r spe

cifi

ed b

y th

e in

stitu

tion,

and

aft

er th

e fu

nera

l, it

will

be

sent

ther

e.

TH

E C

ASK

ET

: OPE

N O

R C

LO

SED

? A

noth

er q

uest

ion

that

may

ari

se is

whe

ther

to h

ave

an o

pen

or a

clo

sed

cask

et. E

xper

ts in

the

fiel

d o

f dea

th a

nd d

ying

alm

ost u

nive

rsal

ly fa

vor o

pen

cask

et. "

The

re's

a re

al c

atha

rsis

invo

lved

, a k

ind

of r

e­le

ase,

" sa

id W

illia

m H

ocke

r. "A

fter

the

first

tim

e th

ey s

ee th

e bo

dy, t

he te

nsio

n is

bro

ken

and

it's

ver

y th

erap

eutic

. With

som

e pe

ople

, it's

not

hel

pful

. It h

as to

do

with

per

sona

lity

diff

eren

ces.

But

ove

rwhe

lm­

ingl

y, I

wou

ld s

ay it

's b

ette

r for

a p

erso

n to

see

."

The

reas

on to

see

the

body

is n

ot th

at it

will

mak

e yo

u fe

el b

ette

r. It

cert

ainl

y di

d no

t mak

e m

e fe

el

bette

r to

see

my

daug

hter

in a

cas

ket.

But

it d

id h

elp

me

to a

ccep

t the

fin

ality

of h

er d

eath

. See

ing

the

body

will

not

sto

p m

ourn

ers

from

yea

rnin

g fo

r the

ir lo

ved

one

or d

ream

ing

that

the

dece

ased

is s

till a

live.

B

ut w

ith a

n op

en c

aske

t, gr

ieve

rs a

re le

ss li

kely

to h

arbo

r fan

tasi

es in

volv

ing

mis

take

n id

entit

y or

love

d on

es w

ande

ring

aro

und

with

am

nesi

a. S

eein

g th

e bo

dy d

ispe

ls a

ny li

nger

ing

doub

ts, f

or n

o m

atte

r how

sk

illed

the

unde

rtak

er is

with

mak

eup

and

wax

, whe

n yo

u se

e th

e bo

dy, y

ou k

now

. A p

erso

n yo

u lo

ve is

de

ad. T

hat's

the

real

ity.

Som

e pe

ople

wor

ry th

at s

eein

g th

e bo

dy w

ill b

e a

horr

ible

exp

erie

nce;

they

wan

t to

rem

embe

r the

de

ceas

ed a

s vi

bran

t and

hea

lthy

and

they

are

afr

aid

that

the

posi

tive

imag

es w

ill b

e ob

liter

ated

by

the

final

vis

ion.

But

oft

en, t

he w

ay th

e bo

dy lo

oks

in th

e ca

sket

can

act

ually

be

an im

prov

emen

t ove

r how

th

e pe

rson

look

ed w

hile

ill.

Nur

se th

anat

olog

ist S

herr

y G

ibso

n o

f Lou

isvi

lle, K

entu

cky,

des

crib

ed h

er

expe

rien

ce w

hen

her m

othe

r die

d:

Whe

n m

y m

othe

r die

d, s

he w

as fo

rty-

two

year

s ol

d an

d I w

as tw

enty

-six

. I to

ok c

are

of h

er th

roug

h he

r illn

ess.

She

was

a v

ery

beau

tiful

wom

an, a

ver

y pr

oud

wom

an, a

nd w

hen

she

was

in th

e ho

spita

l, sh

e ha

d tu

bes

ever

ywhe

re. S

he lo

st a

ll di

gnity

and

she

lost

so m

uch

wei

ght a

nd lo

oked

terr

ible

. I w

as in

the

med

ical

pro

fess

ion

and

knew

all

abou

t tha

t kin

d o

f

136

stuf

f, bu

t it w

as a

wfu

l for

that

to b

e th

e la

st im

age

of m

y m

othe

r in

my

min

d.

I cou

ldn'

t bel

ieve

it w

hen

I wen

t to

the

fune

ral

hom

e. S

he lo

oked

so g

ood.

Tha

t was

the

wom

an I

rem

embe

r. N

o, it

was

n't t

he s

ame.

Dea

d is

dea

d an

d th

ere

is n

o w

ay th

at a

dea

d bo

dy lo

oks

like

it is

aliv

e. B

ut s

he c

erta

inly

look

ed b

ette

r tha

n sh

e lo

oked

whe

n I l

eft h

er a

t th

e ho

spita

l the

nig

ht sh

e di

ed. A

nd th

at w

as s

o co

mfo

rtin

g to

me.

Se

eing

the

body

pro

vide

s a

final

opp

ortu

nity

to g

aze

at th

e fa

ce o

fthe

per

son

you

love

, to

touc

h th

em, t

o sa

y go

od-b

ye in

thei

r pre

senc

e. I

t can

als

o br

ing

a gr

eat s

ense

of r

elie

fbec

ause

at l

ast t

he p

er­

son

look

s at

pea

ce. B

ooks

elle

r Dia

ne 1

. Will

iam

s o

f Ven

ice,

Cal

ifor

nia,

spe

nt m

any

nigh

ts in

the

hosp

ital

with

her

eig

ht-y

ear-

old

cous

in w

ho w

as d

ying

of c

ance

r. Sh

e de

scri

bes

her r

egre

t at n

ot s

eein

g he

r co

usin

's b

ody

afte

r dea

th:

Lau

ren

had

been

puf

fy a

nd s

he h

ad n

o ha

ir a

nd s

he lo

oked

aw

ful,

but a

s sh

e ap

­pr

oach

ed d

eath

, she

got

her

eye

lash

es b

ack

and

then

she

got

thin

aga

in a

nd h

er h

air g

rew

ba

ck j e

t-bl

ack

and

curl

y-a

dif

fere

nt c

olor

, a d

iffe

rent

text

ure.

She

look

ed lu

min

ous,

bea

u­tif

ul, a

nd p

erfe

ct. B

ut s

he w

as fu

ll o

f rag

e an

d yo

u co

uld

read

her

pai

n in

her

face

. Aft

er sh

e di

ed, m

y au

nt s

aid

it w

as th

e m

ost e

xtra

ordi

nary

thin

g: h

er w

hole

bod

y re

laxe

d an

d th

ere

was

no

pain

and

her

face

was

cle

ar. I

'm so

sor

ry I

didn

't se

e he

r. Se

eing

the

body

doe

sn't

have

to o

ccur

at t

he fu

nera

l. In

deed

, man

y re

ligio

ns o

ppos

e op

en-c

aske

t fu

nera

ls. M

any

peop

le to

day

are

terr

ifie

d by

the

thou

ght o

f see

ing,

no

less

touc

hing

, a d

ead

body

. But

ke

ep in

min

d th

at th

roug

hout

mos

t of h

isto

ry, p

eopl

e di

ed a

t hom

e, a

nd fa

mily

mem

bers

wou

ld h

ave

natu

rally

see

n th

e pe

rson

aft

er d

eath

. See

ing

the

body

, whe

ther

it's

in a

cas

ket o

r on

the

deat

hbed

, can

pr

ovid

e bo

th a

jolt

of r

ealit

y an

d a

degr

ee o

f acc

epta

nce.

It w

on't

be a

won

derf

ul m

omen

t, bu

t in

the

mon

ths

and

year

s to

com

e, it

usu

ally

pro

ves

to b

e be

nefi

cial

. It

also

use

d to

be

cust

omar

y fo

r mou

rner

s to

dre

ss th

e bo

dy. A

lthou

gh th

is is

muc

h le

ss c

omm

on

toda

y, it

doe

s oc

cur.

Whe

n m

y m

othe

r die

d, h

er fr

iend

Dot

ty W

ard,

who

is a

nur

se (a

nd h

ence

was

not

af

raid

of t

he b

ody)

, wan

ted

to d

ress

her

and

bru

sh h

er h

air.

Man

y pa

rent

s w

hose

infa

nts

have

die

d ha

ve

foun

d so

lace

in d

ress

ing

thei

r dea

d ch

ild fo

r the

bur

ial.

And

with

in tr

aditi

onal

Jud

aism

, the

re is

a sp

ecia

l gr

oup

calle

d th

e H

evra

Kad

isha

who

se fu

nctio

n is

to p

repa

re th

e bo

dy fo

r bur

ial.

Rab

bi G

elle

r exp

lain

s,

"The

not

ion

of a

mor

tuar

y th

at y

ou ju

st se

nd th

e bo

dy to

is n

ot a

n es

sent

ial p

art o

f Jew

ish

trad

ition

. You

w

ould

vol

unte

er to

be

a m

embe

r oft

he H

evra

Kad

isha

soc

iety

, and

you

r job

wou

ld b

e to

was

h th

e bo

dy o

f dea

d pe

ople

in a

ritu

aliz

ed w

ay. T

he b

ody

is c

over

ed s

o th

at o

nly

the

part

that

's b

eing

was

hed

is u

ncov

ered

. It

's v

ery

resp

ectf

ul o

f the

bod

y. I

read

an

artic

le in

a m

agaz

ine

calle

d L

ilit

h by

a n

ontr

adi­

tiona

l wom

an w

ho jo

ined

the

Hev

ra K

adis

ha o

f her

non

trad

ition

al s

ynag

ogue

, and

she

talk

s ab

out w

hat

an in

cred

ibly

impo

rtan

t exp

erie

nce

and

priv

ilege

it is

to p

repa

re a

bod

y to

be

buri

ed."

TH

E C

ON

TE

MPO

RA

RY

FU

NE

RA

L

The

pri

mar

y tr

end

in f

uner

als

toda

y is

tow

ard

pers

onal

izat

ion.

Peo

ple

wan

t fun

eral

s th

at re

flec

t the

lif

e of

the

depa

rted

. In

the

past

, tha

t has

n't a

lway

s ha

ppen

ed. I

n a

surv

ey c

ondu

cted

in th

e 19

60s

amon

g 16

9 Pr

otes

tant

min

iste

rs o

f var

ious

den

omin

atio

ns, o

nly

39 p

erce

nt a

ctua

lly re

ferr

ed to

the

de­

ceas

ed b

y na

me

duri

ng th

e fu

nera

l ser

vice

s, a

ccor

ding

to P

aul I

rion

, aut

hor o

f Fun

eral

: V

estig

e o

r V

alue

? In

man

y fu

nera

ls, t

he lo

fty

ques

tions

ofl

ife

and

deat

h an

d lif

e af

ter d

eath

may

hav

e be

en a

d­dr

esse

d, b

ut th

e pe

rson

lyin

g th

ere

in th

e ca

sket

was

bar

ely

men

tione

d. T

he fu

nera

l may

hav

e su

ccee

ded

as a

sta

ged

ritu

al, b

ut a

s a

cere

mon

y m

eant

to c

omfo

rt th

e m

ourn

ers

and

to p

ut th

e lif

e o

f the

dec

ease

d in

to a

con

text

, it f

aile

d m

iser

ably

. (T

he s

ame

mig

ht b

e sa

id fo

r a b

izar

re re

cent

inve

ntio

n: th

e dr

ive-

in fu

­ne

ral.

You

pay

you

r res

pect

s to

the

dece

ased

with

out h

avin

g to

unb

uckl

e yo

ur sa

fety

bel

t.)

Dep

erso

naliz

ing

deat

h m

akes

it e

asie

r for

eve

ryon

e ex

cept

the

mou

rner

s to

bea

r. E

ven

the

cle

rgy

­w

ho m

ay n

ever

hav

e m

et th

e de

ceas

ed o

r the

fam

ily o

fthe

dec

ease

d--m

ay fi

nd it

far e

asie

r to

prea

ch

abou

t dea

th in

som

e gr

and

theo

retic

al s

ense

than

to th

ink

abou

t an

actu

al h

uman

bei

ng w

hose

life

is

137

over

. "T

he fi

rst t

ime

I dea

lt w

ith a

per

son

who

was

gri

evin

g, I

was

a d

eaco

n fr

esh

out o

f sch

ool a

nd I

fe

lt un

prep

ared

," s

aid

the

vene

rabl

e H

arts

horn

Mur

phy,

Jr.,

oft

he E

pisc

opal

Arc

hdio

cese

of L

os A

nge­

les.

"M

any

of u

s co

pe w

ith th

at s

ituat

ion

by h

idin

g be

hind

pra

yers

. In

one

resp

ect,

it's

hea

lthy,

in th

at it

tr

ies

to p

ut d

eath

in a

larg

er p

ictu

re. I

n an

othe

r way

, it's

hid

ing.

I w

ould

put

on

this

aur

a o

f the

pri

est a

nd

so w

as u

ntou

ched

by

the

pain

."

For m

ourn

ers,

that

pai

n is

unav

oida

bly

pres

ent.

Pers

onal

izin

g th

e fu

nera

l or b

eing

invo

lved

in it

s pl

anni

ng c

an o

ffer

a w

ay to

ass

uage

som

e o

f tha

t pai

n by

doi

ng s

omet

hing

for t

he d

ecea

sed.

Bei

ng in

­vo

lved

faci

litat

es m

ourn

ing

by tu

rnin

g th

e gr

ievi

ng in

to a

n ac

tive

rath

er th

an a

pas

sive

pro

cess

. H

owev

er, m

any

mou

rner

s ar

e fa

r too

gri

ef-s

tric

ken

at th

e tim

e of

the

fune

ral t

o do

any

thin

g at

all.

G

ettin

g dr

esse

d is

har

d; w

alki

ng to

the

fron

t doo

r is

hard

; say

ing

"hel

lo"

is h

ard.

For

tuna

tely

, the

re a

re

man

y sm

all w

ays

of p

erso

naliz

ing

the

serv

ice.

Cho

osin

g yo

ur o

wn

mus

ic h

as th

at e

ffec

t. M

y fa

ther

love

d th

e bi

g-ba

nd m

usic

of t

he f

ortie

s an

d fif

ties,

and

that

's w

hat w

e pl

ayed

at h

is f

uner

al. R

eadi

ng fr

om a

fa­

vori

te b

ook

can

also

turn

a st

anda

rd s

ervi

ce in

to s

omet

hing

intim

ate

and

mov

ing.

At C

ari's

fune

ral,

we

read

from

The

Lit

tle

Pri

nce.

Oth

er m

ourn

ers

have

cho

sen

sele

ctio

ns ra

ngin

g fr

om T

.S. E

liot

's F

our

Qua

rtet

s to

poe

try

wri

tten

by th

e de

ceas

ed.

Hav

ing

a eu

logy

is a

n ex

celle

nt w

ay to

mak

e su

re th

e de

ceas

ed is

ref

lect

ed in

the

serv

ice.

"It

's im

­po

rtan

t to

talk

abo

ut th

e pe

rson

," s

tate

s A

rchd

eaco

n M

urph

y. "

We

didn

't us

ed to

do

eulo

gies

. Tha

t's

chan

ging

. Peo

ple

wan

t to

mar

k th

e lif

e th

at h

as p

asse

d."

Mou

rner

s of

ten

feel

inc

apab

le o

f giv

ing

a eu

logy

them

selv

es, w

hich

is o

ne re

ason

why

mos

t of t

he

time,

the

cler

gy d

oes

it. B

ut y

ou m

ight

ask

a fr

iend

or r

elat

ive,

som

eone

who

had

a re

al r

elat

ions

hip

with

th

e de

ceas

ed, t

o sp

eak

a fe

w w

ords

. Tho

se p

erso

nal r

emin

isce

nces

are

goo

d to

hea

r at t

hat t

ime.

Ifi

t's

poss

ible

, you

mig

ht s

peak

a fe

w w

ords

you

rsel

f, as

Dia

ne 1

. Will

iam

s di

d at

her

cou

sin'

s fu

nera

l: O

n th

e da

y sh

e di

ed, L

aure

n's

pare

nts

aske

d m

e to

spe

ak. I

t sca

red

me-

-I'v

e ne

ver

spok

en li

ke th

at b

efor

e. I

talk

ed a

bout

how

Lau

ren

and

I bec

ame

frie

nds

over

a b

ox o

f cr

ayon

s an

d ho

w s

he li

ked

grue

som

e m

ovie

s, a

nd e

very

one

laug

hed.

I ta

lked

abo

ut th

e th

ree

days

Lau

ren

and

I spe

nt to

geth

er w

hen

my

brot

her g

ot m

arri

ed.

I was

gla

d I s

poke

bec

ause

mos

t of t

he ti

me,

nob

ody

wan

ts to

hea

r you

talk

abo

ut

som

eone

who

's d

ead.

It w

as a

reli

efto

say,

this

is w

hy I

love

d he

r, th

is is

why

I'm

goi

ng to

m

iss

her s

o m

uch.

Aft

erw

ard,

ther

e w

as a

n aw

kwar

d sp

ace

and

then

peo

ple

star

ted

com

ing

up a

nd in

trod

ucin

g th

emse

lves

to m

e an

d th

anki

ng m

e. I

t mad

e m

e fe

el g

ood.

A

t man

y fu

nera

ls to

day,

fri

ends

and

fam

ily m

embe

rs a

re in

vite

d to

sha

re a

necd

otes

abo

ut th

e de

­ce

ased

. The

pic

ture

that

em

erge

s ca

n be

trem

endo

usly

mov

ing.

A

noth

er w

ay to

per

sona

lize

the

serv

ice

is to

inco

rpor

ate

phot

ogra

phs

into

the

surr

ound

ings

, pos

sibl

y by

pla

cing

them

aro

und

the

fune

ral c

hape

l or a

t the

gra

ve s

ite d

urin

g th

e bu

rial

ser

vice

. Or s

et u

p a

mem

orab

ilia

tabl

e fil

led

with

pho

togr

aphs

and

obj

ects

rem

inis

cent

oft

he d

ecea

sed-

thin

gs th

at c

an h

elp

the

livin

g fin

d w

ays

to ta

lk a

bout

the

dead

. T

echn

olog

y ha

s al

so a

ffec

ted

the

fune

ral

indu

stry

, and

som

e m

ay b

e su

rpri

sed

that

its

impa

ct h

as

been

bot

h po

sitiv

e an

d pe

rson

al. W

hen

my

frie

nd C

arol

Sha

mha

rt's

hus

band

, Val

Hum

phre

ys, d

ied

of

canc

er, s

he p

laye

d a

cass

ette

tape

in w

hich

he

talk

ed a

bout

his

impe

ndin

g de

ath.

I h

ardl

y kn

ew th

e m

an,

but I

sob

bed,

as

did

ever

yone

els

e.

Vid

eo d

ispl

ays

are

anot

her r

ecen

t inn

ovat

ion.

"A

vid

eo s

cree

n is

plac

ed in

fro

nt o

fthe

fune

ral

chap

el,"

stat

es W

illia

m H

ocke

r. "P

ictu

res o

f the

per

son

who

die

d, b

egin

ning

with

thei

r you

th a

nd c

on­

tinui

ng th

roug

h th

eir m

arri

age

and

into

thei

r old

age

, are

fla

shed

on

the

scre

en in

ters

pers

ed w

ith s

cene

s fr

om th

e pe

rson

's a

rea

or h

is s

tate

. Not

hing

is s

aid

but m

usic

is p

laye

d. I

t can

be

terr

ibly

touc

hing

and

be

autif

ul. "

Pr

obab

ly th

e m

ost c

reat

ive

fune

rals

are

thos

e he

ld fo

r peo

ple

who

se d

eath

s w

ere

antic

ipat

ed, a

llow

­in

g th

e dy

ing

pers

on to

mak

e sp

ecia

l req

uest

s an

d th

e m

ourn

ers

to p

lan

a pe

rson

aliz

ed fu

nera

l. In

som

e

138

• •

case

s, th

e re

ques

ts a

re v

ery

smal

l. Fo

r ins

tanc

e, H

arry

Ros

enzw

eig,

who

was

cha

irm

an o

fthe

Rep

ubli­

can

Part

y in

Ari

zona

for o

ver f

ifte

en y

ears

, was

sur

pris

ed w

hen

he re

ad h

is w

ife

Sand

y's

will

aft

er sh

e di

ed. "

She

had

pic

ked

out e

ight

ver

y cl

ose

wom

en f

rien

ds to

be

her p

allb

eare

rs,"

he

said

. "T

he m

orti­

cian

sai

d he

's n

ever

see

n th

at."

O

ccas

iona

lly, p

eopl

e ar

e ex

trao

rdin

arily

inve

ntiv

e. S

hort

ly b

efor

e hi

s ow

n de

ath,

Los

Ang

eles

art

ist

Ben

jam

in C

ole

atte

nded

the

fune

ral o

f a c

lose

frie

nd in

New

Orl

eans

who

die

d o

f AID

S: "

He

was

cre

­m

ated

. His

frie

nd E

mily

mix

ed h

is a

shes

with

glit

ter a

nd c

onfe

tti a

nd e

very

one

got a

smal

l box

. The

n th

ey

had

a pa

rade

to th

e M

issi

ssip

pi R

iver

and

they

thre

w h

im in

." I

t's c

erta

inly

not

a tr

aditi

onal

ser

vice

; but

be

caus

e it

refl

ects

so

muc

h ab

out t

he d

ecea

sed,

it m

ust h

ave

been

incr

edib

ly m

ovin

g. A

nd s

urel

y th

ose

who

par

ticip

ated

mus

t hav

e fe

lt bo

th c

onne

cted

to th

e de

ceas

ed a

nd b

ound

to e

ach

othe

r.

ME

MO

RIA

L S

ER

VIC

ES

Man

y cu

lture

s, r

ecog

nizi

ng h

ow a

goni

zing

the

first

few

wee

ks o

f mou

rnin

g ar

e al

so h

old

anot

her c

er­

emon

y a

few

wee

ks a

fter

the

fune

ral.

Tra

ditio

nally

, for

exa

mpl

e, th

e G

reek

Ort

hodo

x ha

ve a

fort

y-da

y ce

rem

ony,

as

do m

any

Mus

lims.

Cat

holic

ism

mar

ks th

e fir

st th

irty

day

s w

ith a

"M

onth

's M

ind

Mas

s,"

alth

ough

thos

e ar

e no

t as

prev

alen

t as

they

onc

e w

ere.

Our

dis

com

fort

with

dea

th h

as c

ause

d us

to tu

m

away

from

man

y o

f the

rel

igio

us o

bser

vanc

es th

at tr

aditi

onal

ly p

rovi

ded

a st

ruct

ure

for g

riev

ing

and

a w

ay o

f rel

easi

ng s

ome

of t

hose

feel

ings

. Se

cula

r mem

oria

l ser

vice

s, h

owev

er, o

ften

acc

ompl

ish

the

sam

e go

al o

f rec

ogni

zing

that

initi

al p

e­rio

d. W

eeks

or e

ven

mon

ths

afte

r the

fun

eral

, the

se s

ervi

ces

prov

ide

addi

tiona

l opp

ortu

nitie

s to

mak

e pe

rson

al g

estu

res,

to a

ckno

wle

dge

the

loss

, and

to c

onne

ct w

ith o

ther

mou

rner

s. "

I wen

t to

a m

emor

ial

serv

ice

for

Sam

Pec

kinp

ah,"

sta

tes

actr

ess

Mar

iette

Har

tley.

"Ja

son

Rob

ards

and

I h

ad n

ever

met

be­

fore

, and

we

sobb

ed in

eac

h ot

her's

arm

s. I

t was

an

exte

nsio

n o

f our

live

s. M

emor

ial s

ervi

ces

are

vita

lly

impo

rtan

t bec

ause

you

're

surr

ound

ed b

y fr

iend

s, a

nd w

ords

are

spo

ken,

and

you

can

say

goo

d-by

e w

ith w

itnes

ses.

" B

ecau

se m

emor

ial s

ervi

ces

are

less

rigi

dly

stru

ctur

ed th

an fu

nera

ls, t

hey

can

be c

reat

ed in

a fo

rm th

e de

ceas

ed m

ight

hav

e ap

prec

iate

d. W

hen

twen

ty-n

ine-

year

-old

Ben

jam

in C

ole

died

of A

IDS,

his

be­

reav

ed fr

iend

s he

ld a

mem

oria

l for

him

. One

oft

hem

told

us

abou

t tha

t eve

nt:

I atte

nded

a p

arty

for

Ben

jam

in. I

t was

dif

ficu

lt be

caus

e pe

ople

wer

e dr

unk

and

emo­

tiona

l and

wee

ping

. The

bes

t par

t was

that

a fr

iend

of h

is m

ade

an in

cred

ible

alta

r, co

vere

d w

ith m

irro

rs a

nd c

andl

es a

nd, i

n th

e m

iddl

e, B

en's

han

d-pa

inte

d je

ans j

acke

t. Pe

ople

wer

e as

ked

to b

ring

pho

togr

aphs

and

item

s th

at b

elon

ged

to h

im a

nd to

pla

ce th

em o

n th

e al

tar.

Whe

n w

e le

ft, w

e w

ere

each

invi

ted

to ta

ke s

omet

hing

as

a m

emen

to.

Mem

oria

l ser

vice

s ca

n be

sm

all g

athe

ring

s at

whi

ch p

eopl

e si

mpl

y sh

are

mem

orie

s. "

I atte

nded

a

mem

oria

l ser

vice

for a

n ar

t tea

cher

who

had

ver

y de

vote

d st

uden

ts,"

a L

os A

ngel

es b

iogr

aphe

r sai

d. "

A

form

er s

tude

nt, a

col

leag

ue, a

chi

ldho

od f

rien

d-a

n o

ld m

an h

e gr

ew u

p w

ith-

-and

his

wif

e al

l spo

ke.

His

rec

ent a

rtw

ork

had

been

hun

g on

the

wal

ls, a

nd th

ere

was

a s

tron

g se

nse

of c

ompl

etio

n an

d w

hole

­ne

ss a

bout

them

. The

ser

vice

real

ly w

as a

cel

ebra

tion

of h

is li

fe."

Hea

ring

that

stor

y re

min

ded

me

of t

he

one

regr

et w

e ha

d at

my

fath

er's

fune

ral,

whi

ch w

as th

at w

e ha

dn't

disp

laye

d hi

s ph

otog

raph

s. H

e w

as

a w

onde

rful

pho

togr

aphe

r. It

wou

ld h

ave

been

nic

e to

see

his

pic

ture

s at

the

fune

ral,

and

I bel

ieve

he

wou

ld h

ave

liked

the

gest

ure.

W

hen

the

dece

ased

had

a v

ery

wid

e ne

twor

k o

f fri

ends

and

acq

uain

tanc

es, m

emor

ial s

ervi

ces

can

prov

ide

a m

ore

publ

ic k

ind

of m

ourn

ing.

A fe

w m

onth

s af

ter h

is w

ife d

ied,

Ron

Ham

mes

rece

ived

a c

all

from

the

publ

ishi

ng h

ouse

whe

re s

he h

ad w

orke

d, a

skin

g hi

m to

take

par

t in

plan

ning

a m

emor

ial s

er­

VIce

: I a

rran

ged

for a

ser

vice

to b

e he

ld a

t Bar

nard

Col

lege

, whe

re T

obi w

ent t

o sc

hool

. She

w

as v

ery

fond

of B

arna

rd. T

ryin

g to

do

it in

the

styl

e sh

e w

ould

hav

e lik

ed, I

had

it c

ater

ed

139

with

lots

of h

er fa

vori

te f

oods

. I o

rder

ed c

ham

pagn

e an

d ca

viar

. I g

ot in

touc

h w

ith a

you

ng

wom

an fr

om th

e M

anha

ttan

Scho

ol o

f Mus

ic w

ho c

ame

and

play

ed a

ll th

e w

onde

rful

son

gs

from

the

sixt

ies t

hat T

obi l

oved

so m

uch.

The

re w

ere

a fe

w s

peak

ers,

incl

udin

g re

pres

enta

­tiv

es fr

om B

arna

rd a

nd B

anta

m, a

frie

nd o

fTob

i's w

ho h

as s

ince

die

d o

f AID

S, a

nd T

obi's

w

ritin

g te

ache

r, Jo

y C

hu, w

ho d

ied

only

a m

onth

or t

wo

late

r, an

d T

obi '

s si

ster

. I m

ade

a to

ast t

o T

obi '

s lif

e. O

ver t

hree

hun

dred

peo

ple

wer

e th

ere,

whi

ch I

felt

was

a w

onde

rful

tr

ibut

e to

Tob

i. Pe

ople

wan

ted

to k

now

wha

t to

do, a

nd I

ask

ed th

at c

ontr

ibut

ions

be

mad

e to

the

Am

eric

an F

ound

atio

n fo

r A

IDS

Res

earc

h. T

hat w

as th

e w

ay s

he w

ould

hav

e w

ante

d it.

AN

NIV

ER

SAR

Y R

ITU

AL

S T

he fi

rst a

nniv

ersa

ry o

fthe

dea

th is

reco

gniz

ed a

s im

port

ant i

n m

any

cultu

res.

The

loss

is s

till s

o fr

esh,

the

grie

f so

stro

ng. Y

et th

e de

sire

to m

ove

away

from

gri

evin

g an

d in

to th

e en

joym

ent o

flif

e is

als

o pr

esen

t. F

or th

at re

ason

, the

end

of t

he f

irst

yea

r is

ofte

n m

arke

d by

a ri

tual

obs

erva

nce

of s

ome

kind

. A

mon

g W

este

rn re

ligio

ns, J

udai

sm is

mos

t spe

cific

in it

s gu

idel

ines

for m

ourn

ing.

Eac

h da

y du

ring

th

e fi

rst y

ears

, mou

rner

s re

cite

the

Kad

dish

, a p

raye

r in

prai

se o

flif

e. O

n th

e an

nive

rsar

y, k

now

n as

Y

ahrz

eit,

a ca

ndle

is li

t and

the

Kad

dish

is s

aid.

Aft

erw

ard,

it is

no

long

er sp

oken

dai

ly. "

The

folk

trad

i­tio

n is

that

the

soul

now

find

s pe

ace,

" R

abbi

Lau

ra G

elle

r exp

lain

s. "

Ano

ther

way

to s

ee it

is th

at th

e so

ul n

eeds

you

to le

t go

of i

t. It

's n

ot ju

st fo

r the

mou

rner

s th

at th

ere

need

s to

be

a tim

e w

hen

mou

rnin

g is

less

inte

nse,

but

for t

he d

ead

pers

on a

s w

ell."

Fro

m th

en o

n, K

addi

sh is

spo

ken

only

on

cert

ain

high

ho

ly d

ays

and

on th

e an

nive

rsar

y-fo

r the

res

t of y

our l

ife. "

As

long

as

you'

re a

live

to s

ay K

addi

sh,

you'

re e

ffec

tivel

y sa

ying

in a

ritu

al w

ay th

at th

is re

latio

nshi

p co

ntin

ues,

" R

abbi

Gel

ler s

tate

s. "

It's

dif

fer­

ent n

ow, b

ut it

nev

er e

nds.

" T

he fi

rst a

nniv

ersa

ry is

n't t

he o

nly

one

that

hur

ts. "

Gri

ef re

turn

s w

ith th

e re

volv

ing

year

," w

rote

the

poet

Per

cy B

yssh

e Sh

elle

y, a

nd h

e di

dn't

just

mea

n th

e fir

st y

ear;

it h

appe

ns e

very

yea

r for

a lo

ng, l

ong

time.

Tha

t's w

hy m

any

cultu

res

and

relig

ions

set

asi

de o

ne d

ay in

the

year

whe

n m

ourn

ers

can

take

spe

­ci

al n

ote

ofth

e lo

sses

they

hav

e su

ffer

ed. I

n Ju

dais

m, s

peci

al s

ervi

ces

acco

mpa

ny Y

om K

ippu

r, th

e D

ay

of A

tone

men

t, th

e m

ost i

mpo

rtan

t day

in th

e Je

wis

h ye

ar. I

n C

atho

licis

m, o

n A

ll S

ouls

' Day

, Nov

embe

r 2,

the

nam

es o

ftho

se w

ho h

ave

died

are

read

alo

ud a

nd m

ourn

ers

light

can

dles

. Pos

sibl

y th

e m

ost e

x­te

nsiv

e ye

arly

ritu

al is

a v

aria

tion

of A

ll S

ouls

' Day

: the

Mex

ican

Day

oft

he D

ead.

Pri

or to

the

actu

al

day,

peo

ple

crea

te a

ltars

at h

ome

feat

urin

g ph

otog

raph

s, fl

ower

s, c

akes

, can

dles

, and

the

favo

rite

foo

ds

of t

he d

ecea

sed.

Mem

ento

mor

i, in

clud

ing

little

toy

skel

eton

s doi

ng e

very

thin

g fr

om p

layi

ng in

mar

iach

i ba

nds

to g

ettin

g m

arri

ed, a

re U

biqu

itous

. On

the

Day

of t

he D

ead,

peo

ple

spen

d th

e ni

ght a

t the

cem

­et

ery,

dan

cing

, eat

ing,

dri

nkin

g, a

nd o

ffer

ing

cand

y sk

ulls

and

cof

fins

to th

eir d

ead

rela

tives

and

frie

nds.

T

he id

ea is

not

to d

wel

l on

deat

h in

a m

orbi

d w

ay b

ut to

dem

ystif

y it,

to a

llow

mou

rner

s to

thin

k ab

out

deat

h in

a g

ener

al w

ay, t

o re

mem

ber t

he p

artic

ular

dea

ths

in th

eir o

wn

lives

, to

grie

ve, a

nd to

mov

e on

. T

hose

ritu

al a

ckno

wle

dgm

ents

ser

ve th

e ps

ycho

logi

cal p

urpo

se o

f rec

ogni

zing

the

cont

inue

d gr

ief

that

mou

rner

s m

ay fe

el. T

hose

feel

ings

are

mos

t lik

ely

to a

rise

on

the

anni

vers

ary:

the

anni

vers

ary

syn­

drom

e ca

n ev

en a

ffec

t peo

ple

who

do

not c

onsc

ious

ly re

mem

ber t

he d

ate.

Som

e ye

ars

are

mor

e di

ffi­

cult

than

oth

ers.

One

yea

r whe

n I w

as f

eelin

g pa

rtic

ular

ly s

ad a

bout

Car

i and

was

far f

rom

the

cem

eter

y w

here

she

is b

urie

d, m

y fr

iend

Mic

hael

Bis

sonn

ette

and

I b

ough

t a b

ouqu

et o

f ros

es, w

alke

d to

the

beac

h, a

nd to

ssed

them

into

the

ocea

n. S

ymbo

lic g

estu

res

like

that

can

pro

vide

pow

erfu

l rel

ease

and

a

grea

t dea

l of c

omfo

rt th

at g

oes

beyo

nd w

hat y

ou m

ight

gai

n fr

om c

ryin

g on

you

r bed

(alth

ough

that

's

also

som

ethi

ng y

ou s

houl

d al

low

you

rsel

fto

do).

By

actin

g on

you

r sor

row

, you

beg

in to

rel

ease

it.

140

Bib

liog

raph

y

Allo

di F

. T

he c

hild

ren

of v

ictim

s o

f pol

itica

l per

secu

tion

and

tort

ure:

A p

sych

olog

ical

stu

dy o

f a

Lat

in A

mer

ican

ref

ugee

com

mun

ity.

Inte

rnat

iona

l Jou

rnal

~rMental H

ealt

h 19

89,

18: 3

-15.

A

ltsh

uler

JL

, Rub

le O

N.

Dev

elop

men

tal

chan

ges

in c

hild

ren'

s aw

aren

ess

of s

trat

egie

s fo

r co

ping

wit

h un

cont

roll

able

str

ess.

C

hild

Dev

elop

men

t 19

89, 6

0: 1

337-

1349

. A

ntho

ny S

. Th

e C

hild

ren

s Dis

cove

ry ~fDeath.

New

Yor

k: H

arco

urt,

Bra

ce,

1940

. A

pple

baum

DR

, B

ums

GL

. U

nexp

ecte

d ch

ildh

ood

deat

h: P

ost-

trau

mat

ic s

tres

s di

sord

er in

su

rviv

ing

sibl

ings

and

par

ents

. Jo

urna

l ~r C

lini

cal

Chi

ld P

sych

olog

y 19

91, 2

0: 1

14-1

20.

Arm

swor

th M

W, H

olad

ay M

. T

he e

ffec

ts o

f psy

chol

ogic

al tr

aum

a on

chi

ldre

n an

d ad

oles

­ce

nts.

Jou

rnal

~rCounseling a

nd D

evel

opm

ent

1993

, 71

(4):

49-

56.

Bal

k D

. E

ffec

ts o

f sib

ling

dea

th o

n te

enag

ers.

Jou

rnal

of S

choo

l Hea

lth

1983

,53:

14-

18

Ban

d E

B,

Wei

sz J

R.

How

to f

eel

bett

er w

hen

it fe

els

bad:

C

hild

ren'

s pe

rspe

ctiv

es o

n co

ping

w

ith

ever

yday

str

ess.

D

evel

opm

enta

l Psy

chol

ogy

1988

,24:

247-

253.

B

ened

ek E

D.

Chi

ldre

n an

d di

sast

er:

Em

ergi

ng i

ssue

s.

Psy

chia

tric

Ann

als

1985

, 15

: 168

-172

. B

erli

ner L

, B

arbi

eri

MK

. T

he t

esti

mon

y o

f the

chi

ld v

icti

m o

f sex

ual

assa

ult.

Jour

nal ~

r

Soci

all')

sues

19

84,

40(2

): 1

25-1

37.

__

-',

Con

te J

R.

The

pro

cess

of v

icti

miz

atio

n: T

he v

icti

m's

per

spec

tive

. C

hild

Abu

se

and

Neg

lect

19

90,

14:

29-4

0.

Ber

zons

ky M

D.

A p

reli

min

ary

inve

stig

atio

n o

f chi

ldre

n's

conc

epti

on o

flif

e an

d de

ath.

M

erri

ll-P

alm

er Q

uart

erly

19

87,3

3: 5

05-5

13.

Bir

bace

R,

Wal

sh M

E.

(eds

).

New

Dir

ecti

onsf

or C

hild

Dev

elop

men

t:

Chi

ldre

n 50

Con

cep­

tion

s ~r H

ealth

, Il

lnes

s an

d B

odil

y F

unct

ion.

Sa

n F

ranc

isco

: Jo

ssey

-Bas

s, 1

981.

B

loom

GE

. A

sch

ool d

isast

er-

Inte

rven

tion

and

res

earc

h as

pect

s. J

ourn

al ~rthe A

mer

ican

A

cade

my

of C

hild

Psy

chia

try

1986

,25:

336

-345

. B

owlb

y J.

G

rief

and

mou

rnin

g in

inf

ancy

and

ear

ly c

hild

hood

. P

sych

oana

lyti

c St

udy ~rth

e

Chi

ld

1960

, 15

: 9-

52.

__

_ . C

hild

hood

mou

rnin

g an

d it

s im

plic

atio

ns f

or p

sych

iatr

y. A

mer

ican

Jou

rnal

of

P.\:

vchi

atry

19

61,

18:

481-

498.

_

__

. P

roce

sses

of m

ourn

ing.

Int

erna

tion

al J

ourn

al o

f Psy

choa

naly

sis

1961

,44:

317

. _

__

. Att

achm

ent a

nd L

oss:

Vol

. 3.

Los

s, S

adne

ss a

nd D

epre

ssio

n.

New

Yor

k: B

asic

B

ooks

, 19

80.

__

-,'

On

know

ing

wha

t you

are

not

sup

pose

d to

kno

w a

nd f

eelin

g w

hat y

ou a

re n

ot s

uppo

sed

to f

eel.

Can

adia

n Jo

urna

l of P

sych

iatr

y 19

79; 2

4: 4

03-4

08.

Boy

d-W

ebb

N.

(ed)

. P

lay

The

rapy

with

Chi

ldre

n in

Cri

sis.

N

ew Y

ork,

Gui

lfor

d P

ress

, 19

91.

Bra

dbur

n IS

. A

fter

the

eart

h sh

ook:

Chi

ldre

n's

stre

ss s

ympt

oms

6-8

mon

ths

afte

r a

disa

ster

. A

dvan

ces

in B

ehav

ior

Res

earc

h an

d Th

erap

y 19

91,1

3: 1

73-1

79.

Bra

ssar

d M

R,

Ger

mai

n R

, H

art

SN.

Psy

chol

ogic

al M

altr

eatm

ent ~r

Chii

dren

an

d Y

outh

. N

ew Y

ork:

Per

gam

on,

1987

. B

rodk

in A

M,

Ter

r L

. C

hild

hood

tra

uma.

In

stru

ctor

19

92,

101

(8):

23-2

4.

Bur

key

J, B

orus

J, B

ums

B, M

ills

tein

K,

Bea

slet

M.

Cha

nges

in c

hild

ren'

s be

havi

or a

fter

a

natu

ral

disa

ster

. A

mer

ican

Jou

rnal

~f'Psychiatry

1982

, 13

9: 1

010-

1014

. C

arls

on B

E.

Chi

ldre

n's

obse

rvat

ions

of i

nter

pare

ntal

vio

lenc

e. I

n R

ober

ts A

R. (

ed).

Bat

tere

d W

omen

an

d T

heir

Fam

ilie

s: I

nter

vent

ion

Stra

tegi

es a

nd T

reat

men

t Pro

gram

s.

New

Yor

k:

Spr

inge

r, 1

984:

147

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.

141

Car

pent

er B

. (ed

). P

erso

nal C

opin

g: T

heor

y. R

esea

rch

and

App

lica

tion

. N

ew Y

ork:

Pra

eger

, 19

92. Car

ter

SR.

Use

of p

uppe

ts to

tre

at tr

aum

atic

gri

ef:

A c

ase

stud

y. E

lem

enta

ry S

choo

l Gui

danc

e a

nd

Cou

nsel

ing

1987

,21

(3):

210

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C

sapo

M.

Pos

t-tr

aum

atic

str

ess

diso

rder

in c

hild

ren:

R

ecog

niti

on o

f beh

avio

ral

sign

s. B

riti

sh

Col

umbi

a Jo

urna

l o

f Spe

cial

Edu

cati

on

1991

, 15

(2):

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. C

eci

SJ,

Tog

lia

MP,

Ros

s D

F.

Chi

ldre

n: ..

Eye

wit

ness

Mem

ory.

N

ew Y

ork:

Spr

inge

r-V

erla

g,

1987

. Chi

ldre

ss P

, Wim

mer

M.

The

con

cept

of d

eath

in e

arly

chi

ldho

od.

Chi

ldho

od D

evel

opm

ent

1971

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129

9-13

01.

Chi

lds-

Gow

ell,

Ela

ine.

Goo

d G

rief

Rit

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arry

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him

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r JA

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hali

feh

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ren'

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acti

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ar-r

elat

ed s

tres

s. S

ocia

l Psy

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­tr

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nd

Psy

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tric

Epi

dem

iolo

gy

1989

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. C

layt

on P

, Des

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L, W

inok

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fno

nn

al b

erea

vem

ent.

Am

eric

an J

ourn

al ~l

Psy

chia

try

1968

, 12

5(2)

: 16

8-17

8 C

ompa

s B

E.

Cop

ing

wit

h st

ress

dur

ing

chil

dhoo

d an

d ad

oles

cenc

e. P

,\ych

olog

ical

Bul

leti

n 19

87,1

01:

393-

403.

_

__

, Mal

carn

e V

L,

Fon

daca

ro K

M.

Cop

ing

wit

h st

ress

ful

even

ts in

old

er c

hild

ren

and

youn

ger

adol

esce

nts.

Jo

urna

l ~l C

onsu

ltin

g an

d C

lini

cal

Psy

chol

ogy

1988

, 56

:405

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. _

_ -" H

owel

l DC

, Pha

res

V, W

illia

ms

RA

, Led

oux

N.

Pare

nt a

nd c

hild

str

ess

and

sym

ptom

s:

An

inte

grat

ive

anal

ysis

. D

evel

opm

enta

l Psy

chol

ogy

1989

,550

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. _

_ --

', B

anez

GA

, M

alca

rne

VL

, W

orsh

am N

. P

erce

ived

con

trol

and

cop

ing

wit

h st

ress

: A

de

velo

pmen

tal

pers

pect

ive.

Jo

urna

l ~lSocial I

ssue

s 19

91,4

7: 2

3-34

. C

orr

CA

. T

each

ing

a C

olle

ge C

ours

e on

Chi

ldre

n an

d D

eath

-A

13

Yea

r R

epor

t. D

eath

St

udie

s 19

92,

16(4

): 3

43-3

56.

Cot

ton

CR

, Ran

ge L

M.

Chi

ldre

n's

deat

h co

ncep

ts:

Rel

atio

nshi

p to

cog

niti

ve f

unct

ioni

ng,

age,

ex

peri

ence

wit

h de

ath,

fea

r o

f dea

th,

and

hope

less

ness

. Jo

urna

l ~f

Clin

ical

Chi

ld P

sych

olog

y 19

90,

19:

123-

127.

C

rens

haw

, Dav

id A

. B

erea

vem

ent:

Cou

nsel

ing

the

Gri

evin

g th

roug

hout

the

Lif

e C

ycle

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ew Y

ork,

N

Y: C

ross

road

Pub

lishi

ng,

1995

. C

urry

SL

, Rus

s S.

Id

enti

fyin

g co

ping

str

ateg

ies

in c

hild

ren.

Jou

rnal

~fC

lini

cal

Chi

ld P

sy­

chol

ogy

1985

,14:

61-

69.

Dav

ies

B. T

he f

amil

y en

viro

nmen

t in

bere

aved

fam

ilie

s an

d its

rel

atio

nshi

p to

sur

vivi

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ng

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ealt

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are

1988

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: 22

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D

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, Bre

slau

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Pos

ttra

umat

ic s

tres

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tim

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f civ

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aum

a an

d cr

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Som

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ch

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f the

vio

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des

truc

tion

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heir

com

mun

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In

tern

atio

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ourn

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enta

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ealt

h 19

89,

18:

16-4

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Dey

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M,

Cor

bin

BA

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elpi

ng e

arly

ado

lesc

ents

tell

-A

gui

ded

exer

cise

for

trau

ma­

focu

sed

sexu

al a

buse

tre

atm

ent g

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Chi

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elfa

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154.

D

ietr

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D, S

haba

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(eds

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he P

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f Los

s an

d M

ourn

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Psy

choa

naly

tic

Per

spec

­ti

ves.

N

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Int

erna

tion

al U

nive

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198

8.

Dok

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Gri

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MA

: L

exin

gton

Boo

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olli

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S1.

The

nee

d fo

r m

eani

ng f

ollo

win

g di

sast

er:

Att

ribu

tion

s an

d em

otio

nal u

pset

. P

erso

nali

ty a

nd

Soc

ial P

sych

olog

y B

ulle

tin

1986

, 12

: 30

0-31

0.

142

__

_ " O

n th

e va

riet

ies

of c

hild

hood

sle

ep d

istu

rban

ce.

Jour

nal o

/Cli

nica

l Chi

ld P

sych

olog

y 19

82,1

1: 1

07-1

15.

__

~. L

ight

ning

-str

ike

disa

ster

am

ong

child

ren.

Bri

tish

Jour

nal o

.lMed

ical

Psy

chol

ogy

1985

,58:

375

-383

. _

__

" T

he m

easu

rem

ent o

f chi

ldre

n's

slee

p di

stur

banc

es a

nd s

omat

ic c

ompl

aint

s fo

llow

ing

a di

sast

er.

Chi

ld P

sych

iatr

y an

d H

uman

Dev

elop

men

t 19

86,

16:

148-

153.

_

_ -',

Cra

mer

P.

Chi

ldre

n's

defe

nsiv

e re

spon

ses

and

emot

iona

l up

set f

ollo

win

g a

disa

ster

: A

pro

ject

ass

essm

ent.

Jou

rnal

o.l

Per

sona

lity

Ass

essm

ent

1990

, 54:

116

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. _

__

, O'D

onne

ll J

P, S

tale

y A

A.

Lig

htni

ng s

trik

e di

sast

er:

Eff

ects

on

chil

dren

's f

ears

and

w

orri

es.

Jour

nal

o.l C

onsu

ltin

g an

d C

lini

cal

Psy

chol

ogy

1984

, 52:

102

8-10

38.

Ear

l W

L.

Per

ceiv

ed t

raum

a: I

ts e

tiol

ogy

and

trea

tmen

t. A

dole

scen

ce

1991

, 26:

97-

104.

E

arls

F, S

mit

h E

, Rei

ch W

, Jun

g K

G.

Inve

stig

atin

g ps

ycho

path

olog

ical

con

sequ

ence

s o

f a

disa

ster

in c

hild

ren:

A

pil

ot s

tudy

inco

rpor

atin

g a

stru

ctur

ed d

iagn

osis

app

roac

h. J

ourn

alo.

lthe

A

mer

ican

Aca

dem

y 0/

Chi

ld a

nd

Ado

lesc

ent P

sych

iatr

y 19

88, 2

7: 9

0-95

. E

ggin

gton

J.

Day

o.lF

ury.

N

ew Y

ork:

Mor

row

, 19

91.

Eli

zur

E, K

aufm

an M

. F

acto

rs in

flue

ncin

g th

e se

veri

ty o

f chi

ldho

od b

erea

vem

ent r

eact

ions

. A

mer

ican

Jou

rnal

o.l

Ort

hops

ychi

atry

19

83,5

3: 6

68-6

76.

Ell

is P

L,

Per

sma

HL

, G

rays

on C

Eo

Inte

rrup

ting

the

reen

actm

ent c

ycle

. A

mer

ican

Jou

rnal

o.l

P.~ychothera

py

1990

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4):

525-

535.

E

th S

, P

ynoo

s R

S. (

eds)

. P

ostt

raum

atic

Str

ess

Dis

orde

r in

Chi

ldre

n.

Was

hing

ton,

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: A

mer

ican

Psy

chia

tric

Pre

ss,

1985

. E

vers

tine

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Eve

rsti

ne L

. Se

xual

Tra

uma

In C

hild

ren

and

Ado

lesc

ents

. N

ew Y

ork:

B

runn

er/M

azel

, 19

89.

Fam

ular

o R

, K

insc

herf

fR, F

ento

n T.

S

ympt

om d

iffe

renc

es in

acu

te a

nd c

hron

ic p

rese

ntat

ion

of c

hild

hood

pos

t-tr

aum

atic

str

ess

diso

rder

. C

hild

Abu

se a

nd N

egle

ct

1990

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9-44

4.

Far

bero

w N

L,

Gor

don

NS.

M

an

ua

lfo

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hild

Hea

lth

Wor

kers

in

Maj

or D

isas

ters

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D:

Nat

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stit

ute

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h, 1

986.

F

arre

lly

J, J

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xpre

ssiv

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inte

rven

tion

ser

vice

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e A

rts

in P

sych

o-th

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y 19

91,1

8: 1

31-1

37.

Fig

ley

CR

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aum

a an

d it

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ake.

New

Yor

k:B

runn

er/M

azel

, 19

85.

__

_ ,. H

elpi

ng T

raum

atiz

ed F

amil

ies.

Sa

n F

ranc

isco

: Jo

ssey

-Bas

s, 1

989.

F

itzg

eral

d, H

elen

. Th

e G

riev

ing

Chi

ld:

A Parent:~

Gui

de.

New

Yor

k, N

Y:

Sim

on &

S

chus

ter,

199

2.

__

_ .

The

Mou

rnin

g H

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N

ew Y

ork,

NY

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imon

& S

chus

ter,

199

4.

Flo

rian

V, K

rave

tz S

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hild

ren'

s co

ncep

ts o

f dea

th:

A c

ross

-cul

tura

l co

mpa

riso

n am

ong

Mus

lim

s, D

ruze

, Chr

isti

ans

and

Jew

s in

Isr

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Jour

nal o

.lC

ross

-cul

tura

l Psy

chol

ogy

1985

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: 17

4-18

9.

Fox

SS.

G

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Gri

ef:

Hel

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Gro

ups

o./T

hild

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Whe

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Fri

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Die

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Bos

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Eff

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e up

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icti

ms.

Eva

luat

ion

an

d C

hang

e 19

80, S

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ssue

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Fri

edri

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N.

Psy

chot

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Vir

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95.

Fur

man

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A Chi

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Par

ent

Die

s: S

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es in

Chi

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od B

erea

vem

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New

Hav

en:

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e U

nive

rsit

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ress

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74.

143

Fur

man

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Chi

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nd

his

Fam

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Th

e Im

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73;

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A.

The

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Hel

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ew Y

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Plu

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19

88. Gal

ente

R,

Foa

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An

epid

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cal s

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of p

sych

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aum

a an

d tr

eatm

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ffec

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ness

fo

r ch

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fter

a n

atur

al d

isas

ter.

Jou

rnal

q/'t

he A

mer

ican

Aca

dem

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hild

an

d A

dole

scen

t P

sych

iatr

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86, 2

5: 3

57-3

63.

c

Gam

pel

Y.

Fac

ing

war

, mur

der,

tor

ture

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dea

th i

n la

tenc

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Psy

choa

naly

tic

Rev

iew

19

88,

75:

499-

509.

G

arba

rino

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Chi

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n in

Dan

ger:

Cop

ing

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Con

sequ

ence

s q{

Com

mun

ity

Vio

lenc

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San

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ncis

co, C

A:

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199

2.

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The

Psy

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al(v

Bat

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d C

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an F

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ass,

198

6.

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fink

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D, C

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Dis

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Chi

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n a

nd

Ado

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cent

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a: W

.B.

Sau

nder

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990.

_

_ -" K

oste

lny

K,

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N.

Wha

t chi

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ut li

ving

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ange

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mer

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P

sych

olog

ist.

19

91,4

6(4)

: 37

6-38

3.

Gan

nezy

N,

Rut

ter

M.

(eds

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Stre

ss,

Cop

ing,

and

Dev

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men

t in

Chi

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od.

New

Yor

k:

McG

raw

-Hil

l,19

83.

__

_ , M

aste

n A

S, T

elle

gen

A.

The

stu

dy o

f str

ess

and

com

pete

nce

in c

hild

ren:

A

bui

ld­

ing

bloc

k fo

r de

velo

pmen

tal

psyc

hopa

thol

ogy.

Chi

ld D

evel

opm

ent

1984

,55:

97-

111.

__

_ .

Chi

ldre

n un

der

seve

re s

tres

s:

Cri

tiqu

e an

d co

mm

enta

ry.

Jour

nal q

fth

e A

mer

ican

A

cade

my

q{C

hii

d P

sych

iatr

y 19

86,2

5: 3

84-3

92.

Gil

E.

The

Hea

ling

Pow

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{ Pla

y:

Wor

king

with

Abu

sed

Chi

ldre

n.

New

Yor

k: G

uilf

ord,

1991

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dber

ger

L,

Bre

znit

z S.

(ed

s).

Han

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Stre

ss:

The

oret

ical

and

Cli

nica

l Asp

ects

. N

ew Y

ork:

Fre

e P

ress

, 19

82.

Gol

dman

, L

inda

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{e a

nd

Los

s: A

Gui

de to

Hel

p G

riev

ing

Chi

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n.

Mun

cie,

IN

: A

ccel

er­

ated

Dev

elop

men

t, C

orp.

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94.

Gom

es-S

chw

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B,

Hor

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z JM

, S

auzi

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ever

ity

of e

mot

iona

l dis

tres

s am

ong

sexu

ally

ab

used

pre

scho

ol, s

choo

l-ag

e, a

nd a

dole

scen

t chi

ldre

n. H

ospi

tal a

nd C

omm

unit

y P

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iatr

y 19

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36:

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G

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A.

Dim

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sych

olog

ical

trau

ma

in a

buse

d ch

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n. J

ourn

al q

fAm

eric

an A

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1983

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Lit

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Boo

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Com

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ondo

n: H

arpe

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olli

ns, M

arsh

all

Pic

keri

ng

Pres

s, 1

995.

H

andf

ord

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S, M

attis

on R

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phre

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Bag

nato

r S, B

ixle

r E, K

ales

J. C

hild

and

par

ent

reac

tion

to th

e T

hree

Mil

e Is

land

nuc

lear

acc

iden

t. Jo

urna

l q{t

he A

mer

ican

Aca

dem

y q

fCh

iid

P

sych

iatr

y 19

86,2

5: 3

46-3

56.

Har

riso

n SI

, D

aven

port

CW

, M

cDen

nott

JF.

C

hild

ren'

s re

acti

ons

to b

erea

vem

ent.

Arc

hive

s q{

Gen

eral

Psy

chia

try

1967

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: 59

3-59

7.

Har

tman

CR

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urge

ss A

W.

Info

nnat

ion

proc

essi

ng o

f tra

uma:

C

ase

appl

icat

ion

ofa

mod

el.

Jour

nal

qf1n

terp

erso

nal

Vio

lenc

e 19

88,

3: 4

43-4

57.

Har

tman

E,

Rus

s D

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fiel

d M

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ivan

I, C

oope

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W

ho h

as n

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Arc

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G

ener

al P

sych

iatr

y 19

87,4

4: 4

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.

144

Haa

sl,

Bet

h, a

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amoc

ha, J

ean.

Ber

eave

men

t Sup

port

Gro

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rogr

amfo

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hild

ren:

Par

tici

­pa

nt W

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M

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men

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axin

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The

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New

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Y:

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Pen

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Pub

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Psy

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1979

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Hof

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The

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men

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Stu

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19

85,

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82.

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L, V

ega

W, V

alle

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Kol

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B, d

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RG

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Men

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heal

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San

Ysi

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McD

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com

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jour

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St

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89,3

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H

ul C

H,

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D

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Bel

iefs

abo

ut th

e co

nseq

uenc

es o

f dea

th.

jou

rna

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Res

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Per

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89,2

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Hor

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mod

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rnin

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sch

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nd

oth

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jou

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mer

i­ca

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edic

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ssoc

iati

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__

_ . K

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A.

Mar

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Init

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l re

spon

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th.

Arc

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f Gen

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Psy

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try

1981

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B.

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atin

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s. S

ocia

l C

ogni

tion

19

89,

7: 1

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36.

__

_ .

Shat

tere

d A

ssum

ptio

ns:

Tow

ards

a N

ew P

sych

olog

y rt

f Tra

uma.

N

ew Y

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Fre

e P

ress

, 19

92.

Jew

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CL

. H

elpi

ng C

hild

ren

Cop

e w

ith S

epar

atio

n an

d L

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H

arva

rd,

MA

: H

arva

rd

Com

mon

Pre

ss,

1982

. Jo

hnso

n K

. Tr

aum

a in

the

Liv

es r

tf C

hild

ren:

C

risi

s an

d St

ress

Man

agem

ent

Tec

hniq

uesf

or

Cou

nsel

ors

an

d O

ther

Pro

fess

iona

ls.

Cla

rem

ont,

CA

: H

unte

r H

ouse

, 19

89.

John

son

MK

, Fol

ey M

A.

Dif

fere

ntia

ting

fac

t fr

om f

anta

sy:

the

reli

abil

ity

of c

hild

ren'

s m

emor

y.

jou

rna

l rtf

Soc

ial

Issu

es

1984

,40:

33-

50.

John

son

S, M

aile

LJ.

Su

icid

e an

d th

e Sc

hool

s:

A H

andb

ookf

or P

reve

ntio

n, I

nter

vent

ion,

a

nd

Reh

abil

itat

ion.

S

prin

gfie

ld,

IL:

Tho

mas

, 19

87.

Jone

s R

T, R

ibbe

DP.

Chi

ld, a

dole

scen

t, a

nd a

dult

vic

tim

s o

f res

iden

tial

fir

e: P

sych

osoc

ial

cons

eque

nces

. B

ehav

ior

Mod

!fic

atio

n 19

91,

15:

560-

580.

K

affm

an N

, Eli

zur E

. B

erea

vem

ent r

espo

nses

of k

ibbu

tz a

nd n

on-k

ibbu

tz c

hild

ren

foll

owin

g th

e de

ath

of t

he f

athe

r. j

ou

rna

l rtf

Chi

ld P

sych

olog

y a

nd

P.\:

vchi

atry

19

83,2

4: 2

90-2

99.

Kan

e, B

. C

hild

ren'

s co

ncep

ts o

f dea

th.

jour

nal r

tf G

enet

ic P

sych

olog

y 19

79,

13:

141-

153.

K

elle

r PA

, H

eym

an S

R.

(eds

).

Inno

vati

ons

in C

lini

cal P

ract

ice:

A S

ourc

e B

ook

(Vol

. 10

). S

aras

ota,

FL

: P

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ssio

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Res

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e E

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1.

Kin

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JD,

Sac

k W

H, A

ngel

l R

H,

Man

son

S, R

ath

B.

The

psy

chia

tric

eff

ects

of m

assi

ve

trau

ma

on C

ambo

dian

chi

ldre

n.

jou

rna

l (?f

"the

Am

eric

an A

cade

my

rtlC

hild

P,\:

ychi

atry

19

86,

25(3

): 3

70-3

76.

Kis

er L

J, A

cker

man

BJ,

Bro

wn

E,

Edw

ards

NB

, M

cCol

gan

E,

Pug

h R

, P

ruit

t D

B.

Pos

t­tr

aum

atic

str

ess

diso

rder

in y

oung

chi

ldre

n:

A r

eact

ion

to p

urpo

rted

sex

ual

abus

e.

jou

rna

l of t

he

Am

eric

an A

cade

my

rtf C

hild

an

d A

dole

scen

t Psy

chia

try

1988

,27(

5):

645-

649.

145

Klin

gman

A.

Pers

uasi

ve c

omm

unic

atio

n in

avo

idan

ce b

ehav

ior:

Usi

ng ro

le s

imul

atio

n as

a s

trat

egy.

Si

mul

atio

n a

nd

Gam

es

1982

, 13

: 37

-50.

_

__

. F

ree

wri

ting

: E

valu

atio

n o

f a p

reve

ntiv

e pr

ogra

m w

ith

elem

enta

ry s

choo

l chi

ldre

n.

Jour

nal

o.f S

choo

l P

sych

olog

y 19

85,

23:

167-

175.

_

_ ---

--'. A

sch

ool-

base

d em

erge

ncy

cris

is in

terv

enti

on in

a m

ass

scho

ol d

isas

ter.

Pro

.fess

iona

l P

sych

olog

y: R

esea

rch

an

d P

ract

ice

1987

, 18

: 60

4-61

2.

__

_ " S

choo

l co

mm

unit

y in

dis

aste

r: P

lann

ing

for

inte

rven

tion

. Jo

urna

l (~lCommunity

Psy

chol

ogy

1988

,16:

205

-216

. _

__

" Sch

ool-

base

d em

erge

ncy

inte

rven

tion

fol

low

ing

an a

dole

scen

t's s

uici

de.

Dea

th

Stud

ies

1989

, 13

: 26

3-27

4.

__

_ " T

he e

ffec

ts o

f par

ent-

impl

emen

ted

cris

is-i

nter

vent

ion:

A r

eal-

life

em

erge

ncy

invo

lv­

ing

a ch

ild'

s re

fusa

l to

use

a g

as-m

ask.

Jou

rnal

o.f

Cli

nica

l C

hild

Psy

chol

ogy

1992

, 21

: 70

-75.

_

__

" S

choo

l psy

chol

ogy

serv

ices

: C

omm

unit

y-ba

sed,

fir

st-o

rder

cri

sis

inte

rven

tion

du

ring

the

Gu

lf W

ar.

Psy

chol

ogy

in t

he S

choo

ls

1992

, 29

: 37

6-38

4.

__

_ . S

tres

s re

acti

ons

ofls

rael

i you

th d

urin

g th

e G

ulf W

ar:

A q

uant

itat

ive

stud

y. P

ro./e

ssio

nal

Psy

chol

ogy:

Res

earc

h a

nd

Pra

ctic

e 19

92,2

3: 5

21-5

27.

__

----

', K

oeni

gsfe

ld E

, Mar

kman

D.

Art

act

ivit

y w

ith

chil

dren

fol

low

ing

disa

ster

: A

pre

­ve

ntiv

e or

ient

ed c

risi

s in

terv

enti

on m

odal

ity.

Art

s in

Psy

chot

hera

py 1

987,

14:

153

-166

. K

ooch

er G

P.

Chi

ldho

od, d

eath

, and

cog

niti

ve d

evel

opm

ent.

D

evel

opm

ent P

sych

olog

y 19

73,

9(3)

: 36

9-37

5.

Kra

nzle

r E

, Sha

ffer

D, W

asse

rman

G, D

avie

s M

. E

arly

chi

ldho

od b

erea

vem

ent.

Jour

nalo

.f

Am

eric

an A

cade

my

o.fC

hild

and

Ado

lesc

ent P

sych

iatr

y 19

90,2

9: 4

13-5

20.

Kry

stal

H.

Trau

ma

an

d A

ffec

ts.

P,\:

vcho

ana(

vtic

Stu

dy o

.('th

e C

hild

19

78,

33:

81-1

16.

Lah

ey B

B,

Kaz

din

AE

. (e

ds).

Adv

ance

s in

Cli

nica

l C

hild

P"y

chol

ogy.

N

ew Y

ork:

Ple

num

Pre

ss,

1982

, Vol

. 5.

L

andg

arte

n H

B.

Cli

nica

l Art

The

rapy

: A

Com

preh

ensi

ve G

uide

. N

ew Y

ork:

Bru

nner

/Maz

el,

1981

. Lan

sdow

n R

, B

enha

min

G.

The

dev

elop

men

t of t

he c

once

pt o

f dea

th i

n ch

ildr

en a

ged

5-9

year

s.

Chi

ld C

are,

Hea

lth,

and

Dev

elop

men

t 19

85,

11:

13-2

0.

Lau

b J,

Mur

phy

S. (

eds)

. P

ersp

ecti

ves

on D

isas

ter

Rec

over

y.

Nor

wal

k, C

T:

App

leto

n­C

entu

ry-C

roft

s, 1

985.

L

azar

us R

S, F

olkm

an S

. St

ress

, A

ppra

isal

and

Cop

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N

ew Y

ork:

Spr

inge

r, 1

984.

L

eavi

tt L

A,

Fox

NA

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ds).

P

sych

olog

ical

Eff

ects

o.f

War

and

Vio

lenc

e on

Chi

ldre

n.

New

Y

ork:

Law

renc

e E

rlba

um,

1994

. L

ifto

n R

, Ols

on E

. T

he h

uman

mea

ning

oft

otal

dis

aste

r. P

sych

iatr

y 19

76, 3

9: 1

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L

onet

to R

. Children:~ C

once

ptio

n o.

lDea

th.

New

Yor

k: S

prin

ger,

198

0.

Lon

igan

CJ,

Sha

nnon

MP,

Fin

ch A

J, D

augh

erty

TK

, Tay

lor

CM

. C

hild

ren'

s re

acti

ons

to

natu

ral

disa

ster

: S

ympt

om s

ever

ity

and

degr

ee o

f exp

osur

e.

Adv

ance

s in

Beh

avio

r R

esea

rch

an

d

The

rapy

19

91,1

3(3)

: 13

5-15

4.

Lor

d. J

H.

No

Tim

e/or

Goo

dbye

,,'.

Ven

tura

, C

A:

Pat

hfin

der

Pub

lish

ing,

198

7.

Lut

har

SS

, Zig

ler

E.

Vul

nera

bili

ty a

nd c

ompe

tenc

e: A

rev

iew

of r

esea

rch

on r

esil

ienc

e in

ch

ildh

ood.

A

mer

ican

Jou

rnal

o.l

Ort

hops

ychi

atlY

19

91,

61(l

): 6

-22.

L

yons

lA

. P

ost-

trau

mat

ic s

tres

s di

sord

er in

chi

ldre

n an

d ad

oles

cent

s:

A r

evie

w o

f the

lit

era­

ture

. D

evel

opm

enta

l and

Beh

avio

ral

Ped

iatr

ics

1987

,8(6

): 3

49-3

56.

Lys

tad

MH

. C

hild

ren'

s re

spon

ses

to d

isas

ter:

Fam

ily

impl

icat

ions

. In

tern

atio

nal J

ourn

al o

.l F

amil

y P

sych

iatr

y 19

84,5

: 41

-60.

146

McC

affr

ey R

J, F

airb

anks

JA.

Post

-tra

umat

ic s

tres

s di

sord

er a

ssoc

iate

d w

ith tr

ansp

orta

tion

acc

i­de

nts:

Tw

o ca

se s

tudi

es.

Beh

avio

r T

hera

py 1

985,

16:

406-

416.

M

cCan

n L

, P

earl

man

LA

. P

sych

olog

ical

Tra

uma

and

the

Adu

lt S

urvi

vor:

Th

eory

, Th

erap

y,

and

Tra

ns/o

rmat

ion.

N

ew Y

ork:

Bru

nner

/Maz

el,

1990

. M

cFar

lane

AC

. Po

sttr

aum

atic

phe

nom

ena

in a

long

itudi

nal s

tudy

of c

hild

ren

follo

win

g a

natu

ral

disa

ster

. Jo

urna

l o/t

he

Am

eric

an A

cade

my

o/C

hil

d a

nd A

dole

scen

t Psy

chia

try

1987

,26:

764

-76

9. M

cFar

lane

AC

, Pol

ican

sky

SK,

Irw

in C

. A

long

itud

inal

stu

dy o

f the

psy

chol

ogic

al m

orbi

dity

in

chi

ldre

n du

e to

a n

atur

al d

isas

ter.

P

sych

olog

ical

Med

icin

e 19

87,

17:7

27-7

38.

McL

eer

SV,

Deb

ling

er E

, A

tkin

s M

S, F

oa E

B,

Ral

phe

DL

. P

ost-

trau

mat

ic s

tres

s di

sord

er in

se

xual

ly a

buse

d ch

ildr

en.

Jour

nal o

/th

e A

mer

ican

Aca

dem

y o

/Ch

ild

and

Ado

lesc

ent P

sych

iatr

y 19

88,

27(5

): 6

50-6

54.

Mal

mqu

ist

CPo

Chi

ldre

n w

ho w

itne

ss p

aren

tal

mur

der:

P

ostt

raum

atic

asp

ects

. Jo

urna

l ~lt

he

Am

eric

an A

cade

my ~lChild P

sych

iatr

y 19

86,2

5: 3

20-3

25.

Mas

ten

AS

, B

est K

M, G

arm

ezy

N.

Res

ilie

nce

and

deve

lopm

ent:

C

ontr

ibut

ions

fro

m t

he

stud

y o

f chi

ldre

n w

ho o

verc

ome

adve

rsit

y.

Dev

elop

men

t and

Psy

chop

atho

logy

19

91, 2

: 42

5-44

4. M

eise

ls S

J, S

honk

off J

P. (

eds)

. H

andb

ook ~l E

ar(v

Int

erve

ntio

n.

New

Yor

k: C

ambr

idge

U

nive

rsit

y P

ress

, 19

90.

Mil

gram

NA

. (e

d).

Stre

ss a

nd C

opin

g in

TIm

e ~lWar:

Gen

eral

izat

ion/

rom

the

Isr

aeli

E

xper

ienc

e.

New

Yor

k: B

runn

er/M

azel

, 19

86.

Mil

gram

NA

, Tou

bian

a Y

, Kli

ngm

an A

, Rav

iv A

, Gol

dste

in I.

S

itua

tion

al e

xpos

ure

and

pers

onal

los

s in

chi

ldre

n's

acut

e an

d ch

roni

c st

ress

rea

ctio

ns to

a s

choo

l di

sast

er.

Jour

nal 0

/ Tr

aum

atic

Str

ess

1988

, I:

339-

352.

M

onah

on C

. C

hild

ren

and

Trau

ma:

A P

aren

t:s-

Gui

de to

Hel

ping

Chi

ldre

n H

eal.

New

Yor

k,

NY

: L

exin

gton

Boo

ks,

1993

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otta

RW

. Id

enti

fica

tion

of c

hara

cter

isti

cs a

nd c

ause

s o

f chi

ldho

od p

ostt

raum

atic

str

ess

diso

rder

. P

sych

olog

y in

the

Sch

ools

19

94,

31 (

I):

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6.

New

berg

er C

M, D

e V

os E

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buse

and

vic

timiz

atio

n: A

Lif

e-sp

an d

evel

opm

ent p

ersp

ecti

ve.

Am

eric

an J

ourn

al ~l O

rtho

psyc

hiat

ry

1988

, 58

(4):

505

-511

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ewm

an C

J. C

hild

ren

of d

isas

ter:

Cli

nica

l ob

serv

atio

ns a

t B

uffa

lo C

reek

. A

mer

ican

Jou

rnal

~l P

sych

iatr

y 19

76,

133(

3):

306-

312.

O

ates

MD

. D

eath

in

the

Scho

ol C

omm

unity

: A

Han

dboo

k/or

Cou

nsel

ors,

Tea

cher

s an

d A

dmin

istr

ator

s. A

lexa

ndri

a, V

A:

Am

eric

an C

ouns

elin

g A

ssoc

iati

on,

1993

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llen

dick

TH

, Kin

g N

J, F

rary

RB

. F

ears

in c

hild

ren

and

adol

esce

nts:

Rel

iabi

lity

and

ge

nera

liza

bili

ty a

cros

s ge

nder

, age

, and

nat

iona

lity

. B

ehav

ior

Res

earc

h an

d T

hera

py

1989

, 27:

19

-26.

_

_ -',

Her

sen

M.

(eds

).

Han

dboo

k o

/Ch

ild

Psy

chop

atho

logy

(2n

d ed

.).

New

Yor

k:

Ple

num

Pre

ss,

1989

. _

_ -" Y

ule

W, O

ilie

r K.

Fea

rs in

Bri

tish

chi

ldre

n an

d th

eir

rela

tion

ship

to m

anif

est a

nxie

ty

and

depr

essi

on.

Jour

nal ~

lChild P

sych

olog

y an

d P

,\ych

iatr

y an

d A

llie

d Pr

~les

sion

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90,3

2:

321-

331.

O

sofs

ky J

D,

Fen

iche

l E.

C

arin

g fo

r in

fant

s an

d to

ddle

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vio

lent

env

iron

men

ts:

hurt

, hea

l­in

g, a

nd h

ope.

Z

ero-

to-T

hree

19

94,

13(3

) P

arry

G.

Cop

ing

with

Cri

ses.

L

ondo

n: B

riti

sh P

sych

iatr

ic P

ress

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90.

Par

kes

CM

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erea

vem

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Stu

dies

~lGrie/in A

dult

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Inte

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iona

l U

nive

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Pre

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uska

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ren'

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acti

ons

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ss o

f par

ent t

hrou

gh v

iole

nce.

Jou

rnal

o

/th

e A

mer

ican

Aca

dem

y q[

Chi

ld P

sych

iatr

y 19

88,2

7(5)

: 56

3-56

6.

Pol

loch

GH

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hild

hood

sib

ling

loss

: A

fam

ily

trag

edy.

Ped

iatr

ic A

nnal

s 19

86,

15: 8

51-8

55.

Pri

char

d S,

Ept

ing

F.

Chi

ldre

n an

d de

ath

-N

ew h

oriz

ons

in t

heor

y an

d m

easu

rem

ent.

O

meg

a-J

ou

rna

l q[

Dea

th a

nd D

ying

19

92,

24(4

): 2

71-2

88.

Pru

ett K

D.

Hom

e tr

eatm

ent f

or tw

o in

fant

s w

ho w

itne

ssed

thei

r mot

her'

s m

urde

r. J

ourn

al q

[the

A

cade

my

qlC

hil

d P~JJchiatry

1979

, 18

: 64

7-65

7.

Pun

amak

i R.

Fac

tors

aff

ecti

ng th

e m

enta

l he

alth

of P

ales

tini

an c

hild

ren

expo

sed

to p

olit

ical

vi

olen

ce.

Inte

rnat

iona

l Jou

rnal

q[ M

enta

l H

ealth

19

89,

18:

63-7

9.

Pyn

oos

RS,

Eth

S.

The

chi

ld a

s w

itne

ss t

o ho

mic

ide.

Jo

urna

l q

lSo

cia

l Iss

ues

1984

, 40(

2):

87-1

08.

__

----

' __

_ .

Wit

ness

to v

iole

nce:

The

chi

ld i

nter

view

. Jo

urna

l q

lth

e A

mer

ican

A

cade

my

qlC

hil

d P

sych

iatr

y 19

86,2

5(3)

: 30

6-31

9.

Pyn

oos

RS,

Nad

er K

. P

sych

olog

ical

fir

st a

id a

nd t

reat

men

t app

roac

h to

chi

ldre

n ex

pose

d to

co

mm

unit

y vi

olen

ce:

Res

earc

h im

plic

atio

ns.

Jour

nal q

lTra

umat

ic S

tres

s 19

88;

I: 4

45-4

73.

__

----

' __

_ . C

hild

ren

who

wit

ness

the

sexu

al a

ssau

lt o

f the

ir m

othe

rs.

Jour

nal q

l A

mer

ican

Aca

dem

y q

lCh

ild

and

Ado

lesc

ent P

sych

iatr

y 19

87,2

7: 5

67-5

72.

__

---'

__

_ .

Chi

ldre

n's

mem

ory

and

prox

imit

y to

vio

lenc

e. J

ourn

al q

lth

e A

mer

ican

A

cade

my

ql C

hild

an

d A

dole

scen

t Psy

chia

try

1989

, 28

(2):

236

-241

. _

__

" Fre

deri

ck C

, Nad

er K

, Arr

oyo

W, S

tein

berg

A, E

th S

, Nun

ez F

, Fai

rban

ks L

. L

ife

thre

at a

nd p

ost-

trau

mat

ic s

tres

s in

sch

ool-

age

chil

dren

. A

rchi

ves o

f Gen

eral

Psy

chia

try

1987

,44:

10

57-1

063.

_

__

" Nad

er K

. F

rede

rick

C.

Gon

da L

. S

tube

r M

. G

rief

reac

tion

s in

sch

ool-

age

chil

dren

af

ter

a sn

iper

att

ack

at s

choo

l.

Isra

el J

ourn

al q

lPsy

chia

try

and

Rel

ated

Sci

ence

s 19

87;

24 (

1-2)

: 53

-63.

R

ando

TA

. G

riev

ing:

How

to

go

on L

ivin

g w

hen

Som

eone

You

Lov

e D

ies.

L

exin

gton

, M

A:

Lex

ingt

on B

ooks

, 19

88.

Rap

hael

B.

The

Ana

tom

y ql

Ber

eave

men

t.

Lon

don:

Hut

chin

son.

19

84.

Rei

lly

TP,

Has

azi

lE,

Bon

d L

A.

Chi

ldre

n's

conc

epti

ons

of d

eath

and

per

sona

l m

orta

lity

. Jo

urna

l q

l Ped

iatr

ic P

sych

olog

y 19

83,

8: 2

1-31

. R

igam

er E

F.

Psy

chol

ogic

al m

anag

emen

t of c

hild

ren

in a

nat

iona

l cr

isis

. Jo

urna

l qlt

he

Am

eric

an A

cade

my

qlC

hil

d P

sych

iatr

y 19

86,2

5: 3

64-3

69.

Ron

stro

m A

. C

hild

ren

in C

entr

al A

mer

ica:

V

icti

ms

of w

ar.

Chi

ld W

ella

re

1989

,68:

145

-15

3. Rub

onis

AV

, Bic

kman

L. P

sych

olog

ical

impa

irm

ent i

n th

e w

ake

of d

isas

ter:

The

dis

aste

r-ps

ycho

pa­

thol

ogy

rela

tion

ship

. P

sych

olog

ical

Bul

leti

n 19

91, 1

09: 3

84-3

99.

Rut

ter

M.

Res

ilie

nce

in t

he f

ace

of a

dver

sity

. B

riti

sh J

ourn

al q

l Psy

chia

try

1985

; 14

7: 5

98-

611.

Rut

ter

M,

Izar

d C

E,

Rea

d PB

. (e

ds).

D

epre

ssio

n in

You

ng P

eopl

e:

Dev

elop

men

t an

d C

lini

­ca

l P

ersp

ecti

ves.

N

ew Y

ork:

Gui

lfor

d P

ress

, 19

86.

Sai

gh P

. T

he v

alid

ity

of t

he D

SM

-lll

pos

t-tr

aum

atic

str

ess

diso

rder

cla

ssif

icat

ion

as a

ppli

ed to

ch

ildr

en.

Jour

nal q

l Abn

orm

al P

sych

olog

y 19

89, 9

8: 1

89-1

92.

San

dova

l 1.

(ed

).

Res

ourc

es in

Cri

sis

Inte

rven

tion

: Sc

hool

, F

amil

y a

nd

Com

mun

ity

App

lica

­tio

ns.

Sil

ver

Spr

ing,

MD

: N

atio

nal

Ass

ocia

tion

of S

choo

l P

sych

olog

ists

, 19

91.

San

ford

LT.

St

rong

at t

he B

roke

n P

lace

s:

Ove

rcom

ing

the

Trau

ma

qlC

hil

dh

oo

d A

buse

. N

ew

Yor

k: R

ando

m H

ouse

, 19

90.

148

San

dler

IN, G

erst

en J

C, R

eyno

lds

K, K

alig

ren

C, R

amir

ez R

. U

sing

theo

ry a

nd d

ata

to p

lan

supp

ort i

nter

vent

ions

: des

ign

of a

pro

gram

for

bere

aved

chi

ldre

n. I

n G

ottl

ieb

BH

(ed)

. M

arsh

alli

ng

Soci

al S

uppo

rt:

For

mat

s, P

roce

sses

and

Eff

ects

. B

ever

ly H

ills

, Cal

ifor

nia:

Sag

e. 1

988.

S

andl

er 1

. The

bac

kgro

und

of s

afet

y. I

nter

nati

onal

Jou

rnal

0/ P

\:vc

hoan

alys

is 1

960;

41:

352

-35

6. Sar

tore

RL

. P

oetr

y an

d ch

ildh

ood

trau

ma.

Jo

urna

lo.f

Poe

try

The

rapy

19

90,3

(4):

229

-33.

S

aylo

r C

FS

. (e

d).

Chi

ldre

n an

d D

isas

ters

. N

ew Y

ork:

Ple

num

Pre

ss,

1993

. _

_ -',

Sw

enso

n C

C,

Pow

ell

P.

Hur

rica

ne H

ugo

blow

s do

wn

the

broc

coli

: P

re-s

choo

lers

' po

st-d

isas

ter

play

and

adj

ustm

ent.

C

hild

Psy

chia

try

an

d H

uman

Dev

elop

men

t 19

92, 2

2: 1

39-

149.

Sch

afer

D,

Lyo

ns C

. H

ow D

o W

e Te

ll th

e C

hild

ren?

H

elpi

ng C

hild

ren

Und

erst

and

an

d C

ope

Whe

n So

meo

ne D

ies.

New

Yor

k: N

ewm

arke

t Pre

ss,

1986

. S

chon

fiel

d O

J, S

mil

ansk

y S.

A c

ross

-cul

tura

l com

pari

son

ofIs

rael

i and

Am

eric

an c

hild

ren'

s de

ath

conc

epts

. D

eath

Stu

dies

19

89,

13:

593-

604.

S

chum

ache

r JD

. H

elpi

ng c

hild

ren

cope

wit

h a

sibl

ing'

s de

ath.

Fam

ily

The

rapy

Col

lect

ions

19

84,

8: 8

2-94

. S

chw

artz

RE

. C

hild

ren

unde

r fi

re:

The

rol

e o

f the

sch

ools

. A

mer

ican

Jou

rnal

o.f

Ort

hops

ychi

atry

19

82,5

2: 4

09-4

19.

Sch

war

z E

D,

Kow

alsk

i 1M

. P

ostt

raum

atic

str

ess

diso

rder

aft

er a

sch

ool

shoo

ting

: E

ffec

ts o

f sy

mpt

om t

hres

hold

sel

ecti

on a

nd d

iagn

osis

by

DS

M-I

II,

DS

M-I

II-R

, or

Pro

pose

d D

SM-I

Y.

Am

eric

an J

ourn

al o

.fP

sych

iatr

y 19

91,1

48:

592-

597.

S

elig

man

EP.

Lea

rned

Opt

imis

m.

New

Yor

k: A

lfre

d A

. K

nopf

, 19

91.

Ser

oka

CM

, Kna

pp C

, Kin

gth

S, S

iem

on C

R, S

tarb

uck.

A c

ompr

ehen

sive

pro

gram

for

post

disa

ster

cou

nsel

ing.

So

cial

Cas

ewor

k: T

he J

ourn

al o

.fC

onte

mpo

rary

Soc

ial

Wor

k 19

86,6

7:

37-4

4.

Sgr

oi S

. H

andb

ook

o.fC

lini

call

nter

vent

ion

in C

hild

Sex

ual A

buse

. L

exin

gton

, M

A:

Lex

ing­

ton

Boo

ks,

1982

. S

hane

M,

Sha

ne E

. O

bjec

t Los

s an

d S

elf-

obje

ct L

oss:

a

cons

ider

atio

n o

f sel

f psy

chol

ogy'

s co

ntri

buti

on to

und

erst

andi

ng m

ourn

ing

and

the

fail

ure

to m

ourn

. R

epor

t of s

cien

tifi

c m

eeti

ng

(rep

orte

r:

Wil

son

S).

Los

Ang

eles

Psy

choa

naly

tic

Bul

leti

n 19

89:

Sum

mer

: 32

-35.

S

ilve

r R

L, W

ortm

an C

B.

Cop

ing

wit

h un

desi

rabl

e li

fe e

vent

s.

In G

arbe

r 1. S

elig

man

ME

P

(eds

).

Hum

an H

elpl

essn

ess.

N

ew Y

ork:

Aca

dem

ic P

ress

. 19

80.

279-

341.

S

iege

l K

, M

esag

no F

P, C

hris

t G.

A p

reve

ntiv

e pr

ogra

m f

or b

erea

ved

chil

dren

. A

mer

ican

Jo

urna

l o.

f Ort

hops

ychi

atry

19

90,

60:

168-

175.

S

peec

e M

W,

Bre

nt S

B.

Chi

ldre

n's

unde

rsta

ndin

g o

f dea

th:

A r

evie

w o

f thr

ee c

ompo

nent

s o

f a

deat

h co

ncep

t.

Chi

ld D

evel

opm

ent

1984

, 55

: 16

71-1

686.

S

tam

broo

k M

, P

arke

r K

C.

The

dev

elop

men

t o

f the

con

cept

of d

eath

in

chil

dhoo

d:

A r

evie

w

of

the

lite

ratu

re.

Mer

rill

-Pal

mer

Qua

rter

ly

1987

, 33

: 13

3-15

7.

Sta

udac

her,

Car

ol.

Bey

ond

Gri

ef A

Gu

ide/

or

Rec

over

ingf

i·om

the

Dea

th o

.f a

Lov

ed O

ne.

Oak

land

, CA

: N

ew H

arbi

nger

Pub

lica

tion

s, 1

987.

S

ugar

M.

Chi

ldre

n in

a d

isas

ter:

A

n ov

ervi

ew.

Chi

ld P

sych

iatl

y a

nd

Hum

an D

evel

opm

ent

1989

,19:

163

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. S

ulli

van

MA

, Say

lor C

F, F

oste

r KY

. Po

st-h

urri

cane

adj

ustm

ent o

f pre

scho

oler

s an

d th

eir f

amili

es.

Adv

ance

s in

Beh

avio

r R

esea

rch

and

The

rapy

19

91,

13:

163-

171.

T

err L

C.

Chi

ldre

n o

f Cho

wch

illa

: A s

tudy

of p

sych

ic tr

aum

a. P

sych

oana

lyti

c St

udyo

.fth

e C

hild

19

79,3

4: 5

47-6

23.

149

__

_ . T

he c

hild

as

a w

itne

ss.

In S

chet

ky D

, Ben

edek

E, (

eds)

. C

hild

Psy

chia

try

and

the

Law

. N

ew Y

ork:

Bru

nner

/Maz

el,

1980

. 20

7-22

1.

__

_ .

Psy

chic

trau

ma

in c

hild

ren:

Obs

erva

tion

s fo

llow

ing

the

Cho

wch

illa

sch

ool-

bus

kidn

appi

ng.

Am

eric

an J

ourn

al o

f Psy

chia

try

1981

, 13

8(1)

: 14

-19.

_

__

. "F

orbi

dden

gam

es":

Pos

t-tr

aum

atic

chi

ld's

pla

y. J

ourn

al o

f the

Am

eric

an A

cade

my

~r C

hild

Psy

chia

try

1981

, 20

: 74

1-76

0.

__

---'.

Cho

wch

illa

rev

isit

ed:

The

eff

ects

of p

sych

ic t

raum

a fo

ur y

ears

aft

er a

sch

ool b

us

kidn

appi

ng.

Am

eric

an J

ourn

al ~r P

sych

iatr

y 19

83,

140:

154

3-15

50.

__

_ '. L

ife

atti

tude

s, d

ream

s, a

nd p

sych

ic t

raum

a in

a g

roup

of "

norm

al"

chil

dren

. Jo

urna

l ~r A

mer

ican

Aca

dem

y ~r C

hild

Psy

chia

try

1983

, 22

: 22

1-23

0.

__

_ '.

Chi

ldho

od p

sych

ic t

raum

a.

In C

all

JD, C

ohen

RL

, H

arri

son

SI,

Ber

lin

IN,

Sto

ne

LA

. (e

ds).

Bas

ic H

andb

ook ~rChiid P

sych

iatr

y. N

ew Y

ork:

Bas

ic B

ooks

, 19

87.

Vol

. 5,

262-

271.

_

__

. Wha

t hap

pens

to e

arly

mem

orie

s? A

stu

dy o

f tw

enty

chi

ldre

n un

der a

ge fi

ve a

t the

tim

e o

f doc

umen

ted

trau

mat

ic e

vent

s. J

ourn

al ~rt

he A

mer

ican

Aca

dem

y ~rChiid a

nd A

dole

scen

t P

sych

iatr

y 19

88, 2

7( I)

: 96

-104

. To

o Sc

ared

to C

ry.

New

Yor

k: H

arpe

r &

Row

, 19

90.

__

_ .

Unc

hain

ed M

emor

ies.

N

ew Y

ork:

Har

per

& R

ow,

1994

. _

__

. C

hild

hood

trau

mas

: A

n ou

tlin

e an

d ov

ervi

ew.

Am

eric

an J

ourn

al ~fPsychiatry

1991

,148

(1):

10-

19.

Tou

bian

a Y

H,

Mil

gram

NA

, Str

ich

Y, E

dels

tein

A.

Cri

sis

inte

rven

tion

in s

choo

l co

mm

unit

y di

sast

er:

Pri

ncip

les

and

prac

tice

s. J

ourn

al ~rCommul1ity P

sych

olog

y 19

88,

16:

228-

240.

V

ande

n B

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R,

Bry

ant

BK

. (e

ds).

C

atac

lysm

s, C

risi

s an

d C

atas

trop

he:

Psy

chol

ogy

in

Act

ion.

Was

hing

ton,

D.C

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mer

ican

Psy

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tric

Pre

ss,

1987

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alke

r C

E,

Rob

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f Cli

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hild

Psy

chol

ogy.

N

ew Y

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Wil

ey,

1983

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lers

tein

JS.

Pre

vent

ive

inte

rven

tion

s w

ith

divo

rcin

g fa

mili

es:

A re

conc

eptu

aliz

atio

n. I

n G

olds

ton

SE

, Yae

ger J

, et a

l. (e

ds).

M

enta

l Hea

lth D

istu

rban

ces

in C

hild

hood

. W

ashi

ngto

n, D

C:

Am

eric

an

Psy

chia

tric

Pre

ss,

1990

. W

einb

erg

RB

. S

ervi

ng la

rge

num

ber

of a

dole

scen

t vic

tim

sur

vivo

rs:

Gro

up i

nter

vent

ions

fo

llow

ing

trau

ma

at s

choo

l. Pr

~fes

sion

al P

,\ych

olog

y:

Res

earc

h an

d P

ract

ice

1990

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8. W

eiss

man

MM

, Wic

kram

arat

ne P

, War

ner V

, Joh

n K

. P

ruso

ffB

A, M

erik

anga

s K

R, G

amm

on D

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sses

sing

psy

chia

tric

dis

orde

rs in

chi

ldre

n. A

rchi

ves ~rGeneral P

sych

iatr

y 19

87,4

4: 7

47-7

53.

Wel

ler E

B, W

elle

r RA

, Fri

stad

MA

. Cai

n SE

. Bow

es J

M.

Sho

uld

chil

dren

att

end

thei

r par

ents

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mer

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59-

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Stu

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93,

17(2

):

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tlie

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tl:Y

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52.

154

Wor

king

Wit

h G

riev

ing

Chi

ldre

n A

fter

V

iole

nt D

eath

: E

valu

atio

n o

f Gu

ideb

ook

Ple

ase

com

plet

e an

d m

ail t

o:

Nat

iona

l Org

aniz

atio

n fo

r V

ictim

Ass

ista

nce

1757

Par

k R

oad,

N.W

., W

ashi

ngto

n, D

.C.

2001

0 O

r fa

x to

: 20

2-46

2-22

55

Ple

ase

circ

le o

ne o

nly,

usi

ng a

rat

ing

of o

ne (

poor

) to

fiv

e (e

xcel

lent

).

Ov

eral

l E

valu

atio

n o

f Gui

debo

ok:

2 3

4

Sub

stan

tive

Co

nte

nt o

fth

e G

uide

book

: 2

3 4

Com

men

ts:

Org

aniz

atio

n o

fth

e G

uide

book

: 2

3 4

Com

men

ts:

Act

ivit

ies

Rec

omm

ende

d:

2 3

4 C

omm

ents

:

Use

fuln

ess

of G

uide

book

to Y

ou/Y

our J

ob

: 2

3 4

Com

men

ts:

My

expe

ctat

ion

for

this

Gui

debo

ok w

as:

fulf

ille

d un

fulf

ille

d

Wha

t di

d yo

u fi

nd m

ost

bene

fici

al?

Wha

t di

d yo

u fi

nd l

east

ben

efic

ial?

Wha

t im

prov

emen

ts w

ould

you

mak

e?

5 5 5 5 5

Wha

t ad

diti

onal

inf

orm

atio

n/tr

aini

ng r

elat

ed t

o w

orki

ng w

ith

grie

ving

chi

ldre

n w

ould

be

help

ful

to y

ou?

Wha

t el

se w

ould

you

lik

e us

to

know

? U

se r

ever

se i

fmo

re s

pace

is

need

ed.

Num

ber

of y

ears

of e

xper

ienc

e in

vic

tim

ass

ista

nce

or in

wor

king

with

gre

ivin

g ch

ildr

en f

ield

: 0-

3 3-

6 6-

9 9+

Th

ank

you

for

hel

ping

us!

155

·U.S

. G

over

nmen

t Prin

ting

Offi

ce:

1997

·417

·738

1743

13