Grief presentation in psychology class

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  • 1. Brian A. Wong 13B.A. PsychologyCounseling minor Areas of interest: Bereavement and AutismAdult Development (PSY 312) K. Hinton Tues. Dec. 4, 12

2. Kathleen E. BurchedeanU.S. Army Band Pershings Own 1974-1998First female Sergeant Major to lead Army Strings Ensemble 3. Personal ExperienceGrand Canyon; August 02Died of melanoma at age 54 (10/1950 12/2004) 4. Practical Experience Sociology of Death and Dying (SOC 452) Spring 10 Death and Grief Counseling (COUN 456) Fall 11Huntington, WV Fall 2010 for Clinical Placement in Counseling (COUN 370)Washington, DC 5. What is grief?Normal and natural reaction toloss of any kind and theconflicting feelings caused by theend of or change in a familiarpattern of behaviorJames, J.W. & Friedman, R. (2009). The grief recoveryhandbook: the action program for moving beyond death,divorce, and other losses. New York, NY: HarperCollins 6. Anticipatory GriefUsually in cases of terminal illnessgrief over those losses that havealready occurred as a result of theillness and those that are occurringPomeroy, E.C. & Garcia, R.B. (2009). The grief assessmentand intervention workbook: a strengths perspective. Belmont,CA: Brooks/Cole 7. Disenfranchised GriefGrief from a loss that is not socially accepted as aloss to be grieved. Although the individual grieves,others do not acknowledge that he or she has a rightto grieve.Doka, K.J. (2008). Disenfranchised Grief in Historical and Cultural Perspective. In M.S.Stroebe, R.O. Hansson, H. Schut, and W. Stroebe. Handbook of bereavement research andpractice: advances in theory and intervention. (p. 224). Washington, DC: AmericanPsychological Association.Example:Alzheimers DiseaseBoss, P. (2010). The trauma and complicated grief of ambiguous loss. Pastoral Psychology59(2), 137-145. DOI: 10.1007/s11089-009-0264-0. 8. Tasks of Mourning 1. Accept reality of the loss 2. Process the pain of grief 3. Adjust to a world without the deceased 4. Find an enduring connection with thedeceased in the midst of embarking on anew lifeWorden, J.W. (2009). Grief counseling and grief therapy: a handbook for themental health practitioner. (Fourth edition). New York, NY: Springer Publishing. 9. Mediators of Mourning Who the person who died was (parent, sibling,etc.) Nature of the attachment (secure? Strong?) How the person Died (expected, unexpected,violent?) Previous losses Personality, coping style Social Support SystemWorden, J.W. (2009). 10. Stages of Denial and Isolation Anger Bargaining Depression Acceptance 11. Elisabeth Kbler-Ross, M.D.1926-2004 Psychiatrist Near-death studies Stage theory of dying 12. Background of theory 1969 On Death and Dying 200 patients interviewed Patients told by doctor of a terminal illnessKbler-Ross, E. (1969). On death and dying. New York,NY: Macmillan Publishing(available at Drinko) 13. Yale Bereavement Study Examined the relative magnitudes and patterns ofchange over time post loss of 5 grief indicators forconsistency with the stage theory of grief. Longitudinal cohort January 2000 January 2003 233 grievers; 65 years of age Assessed disbelief, yearning, anger, depression, andacceptance of the death from 1 to 24 months post lossMaciejewski, P.K., Zhang B., Block, S.D, & Prigerson, H.G. (2007). Anempirical examination of the stage theory of grief. Journal of theAmerican Medical Association 297(7), 716-722 14. Yale Bereavement Study resultsDisbelief not dominant initial feelingAcceptance most frequently endorsed itemPersonally:If participants were in denial that their loved ones weredeceased, they would not have been in that study 15. Misunderstanding The stages have been very misunderstoodThey werenever meant to help tuck messy emotions into neatpackages. They are responses to loss that many peoplehave but there is not a typical response to loss, as thereis no typical lossKbler-Ross, E. & Kessler, D (2005). On grief and grieving: finding themeaning of grief through the five stages of loss. (p. 8) New York: Simon &Schuster. Retrieved from Google Books 16. Personal observationsFrom speaking with grievers, those who have lost a lovedone at least ten years prior and are still coming to termswith their grief, have all told me that were told aboutstages of grief and believed it 17. DamageWhen viewed as a stage, the griever is at a standstill.Implying that the emotion and feeling is a stage willmake the griever wait and they will still feel the same,waiting for time.There are no stages of grief. But people will always try tofit themselves into a defined category if one is offered tothem. Sadly, this is particularly true if the offer comesfrom a powerful authority such as a therapist,clergyperson, or doctorJames, J.W. & Friedman, R. (2009). 18. Joseph R. Novello, MDAdult, Child/Adolescent, Forensic Psychiatrist(and my neighbor)3301 New Mexico Ave. NW, Suite 305Washington, DC 20016Tel (202) 362-0115www.NovelloMD.comStudied under Kbler-RossAs I recall, Elisabeth viewed her work as a starting point. She was pleased that shehad shed light on what was the darkness of death but, humble as I recall her,trusted that others would follow her and expand our knowledge and sensitivity. 19. Dignity Memorial Compassion Helpline Counseling resource available 24/7, 365 Staffed by licensed professionals specially trained ingrief counseling. All hold doctorate or master degrees Maintains a network of therapists and support groupsfor face-to-face counseling (at your expense) if desired. 1-800-480-1234 20. Grief Recovery Institute 1-800-334-7606 Provides resources and workshops togrieving people in major cities Training to anyone who wants to becomeone of their Grief Recovery Specialists Helpful articles on grief Broken Hearts blog on Psychology Today 21. ` 22. 6 Dangerous Myths of GriefAug. 24, 2011