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Complicated Grief

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To work through the pain & grief. To adjust to an environment in which deceased missing ... Pointers to Complicated grief. Seems like a recent loss. Emotion out ... – PowerPoint PPT presentation

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Title: Complicated Grief


1
Complicated Grief
2
The Grief Wheel
Loss
Life Function
Shock
Protest
Reorganization
Disorganization
3
Normal Grief
  • Sadness
  • Anger
  • Guilt
  • Anxiety
  • Loneliness
  • Yearning
  • Relief
  • Numbness

4
  • Kubler Ross 5 Stages
  • Denial, Anger, Bargaining, Depression,
    Acceptance.
  • C M Parkes 4 Stages
  • Numbness,Yearning, Disorganisation Despair,
    Re-organised behaviour.

5
  • J W Worden 4 Tasks of Mourning
  • To accept reality of the loss.
  • To work through the pain grief
  • To adjust to an environment in which deceased
    missing
  • To relocate the deceased and move on.

6
Acknowledged reality of loss
  • By keeping all reminders the same
  • By making everything different
  • By denying the meaning of loss
  • By selective forgetting

7
  • Work through pain grief
  • Adjust to the environment
  • Avoid reminders
  • Change roles
  • Relocate move on

8
Complicated Grief
  • Can you think of any factors which may make grief
    more complicated?

9
Factors which effect out come of bereavement
  • The Nature of the death
  • Nature of relationship
  • Nature circumstances of bereaved
  • Life history of bereaved
  • Personality of bereaved
  • Social Factors

10
Indication to Complicated Grief
  • Avoidance of grief process
  • Self Blame
  • Identification problems
  • Preserving the environment
  • Hypochondria

11
Pointers to Complicated grief
  • Seems like a recent loss
  • Emotion out of proportion to loss
  • Refusal to talk about loss
  • Did they really exist?
  • Radical lifestyle change
  • illness Phobias
  • Repeated relationship difficulties

12
Pointers to complicated grief
  • Cant speak of loss without intense fresh grief
  • Imitation of the deceased

13
Complicated Grief
  • Absent Grief
  • Delayed Grief
  • Inhibited Grief
  • Unbalanced Grief
  • Chronic Grief
  • Exaggerated Grief
  • Masked Grief

14
(No Transcript)
15
Case Studies
  • Consider
  • What Further questions would you like to ask?
  • Why are they experiencing difficulty in grieving
  • Where do you think they are on the grief wheel?

16
References/ Resources
  • Parkes C M (1972) Bereavement Studies of grief
    in adult life. PenguinHarmondsworth.
  • Parkes C M (1980) Bereavement Counselling does
    it work? British Medical Journal 281 Page 3-6
  • Raphael B (1984) The Anatomy of Bereavement A
    handbook for the caring professional. Hutchinson
    london
  • Stroebe, M, and Schutt, H. (1999) The Dual
    Process Model of Coping with Bereavement. Death
    Studies. 23, 197-224.

17
  • Worden, W. (1991) Grief Counselling and Grief
    Therapy (2nd ed) Routledge. London
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