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MODELS OF GRIEF PROCESS. Lorelle Madden M Couns , Grad Dip Couns Studies, B.Ed , Dip Rel Couns , Cert IV TAA, MAARC, SCAPE, PACFA # 20412. Virginia Satir - Human experience is universal, but my experience is unique. (Lecture notes) - PowerPoint PPT Presentation



MODELS OF GRIEFPROCESSLorelle Madden M Couns, Grad Dip Couns Studies,B.Ed, Dip Rel Couns, Cert IV TAA, MAARC, SCAPE, PACFA # 20412Virginia Satir - Human experience is universal, but my experience is unique. (Lecture notes)

Professor Gordon Allport (September 1957, lecture notes) Each man is like all other men; each man is like some other men; each man is like no other man. (Worden, 2009, p.8)Stages of Grief Elisabeth Kubler-RossShock and denial - No, not me!

Rage and anger - Why me? Why now?

Bargaining - Yes, it is me, but

Depression - Yes it is me!

5. Acceptance - Inner and outer peacePhases of Mourning Parkes, C.M.Phase I Period of Numbness ignore the loss

Phase II Phase of Yearning deny permanency of loss

Phase III Phase of Disorganization and Despair difficult to function in the environment

Phase IV Phase of Reorganised Behaviour begin to pull his or her life back togetherTasks of Mourning William J. WordenTo accept the reality of the loss(not believing)II. To process the pain of grief(not feeling)To adjust to a world without the deceased A. External adjustments: (not adjusting) Living daily without the person

B. Internal adjustments:(not growing) Who am I now?

C. Spiritual adjustments(not understanding) Reframe assumptive worldTo find an enduring connection(not moving forward) with the deceased while embarking on a new life.The Mediators of Mourning - WordenMediator 1 Kinship (who died)

Mediator 2 Nature of the attachmentstrength/securityambivalent/conflicteddependency issues

Mediator 3 Death circumstancesproximity of deathexpectedness of deathtraumatic deathmultiple lossespreventable deathambiguous deathstigmatized deathThe Mediators of Mourning Worden (contd)Mediator 4 Historical antecedentsloss historymental health history

Mediator 5 Personality mediatorsage/gendercoping styleattachment style (secure, insecure)cognitive styleego strength (esteem, efficacy)assumptive world (beliefs, values)The Mediators of Mourning Worden (contd)Mediator 6 Social mediatorssupport availabilitysupport satisfactionsocial role involvementreligious resourcesethnic expectations

Mediator 7 Concurrent stresseslife-change eventsLevels of Loss Patricia WeenolsenSpecific loss incident primary lossAssociated losses secondary lossAbstract or holistic losses to the life or selfLosses to the self or self-conceptMetaphorical losses idiosyncratic meaning of loss to individualNormal GriefFeelings* sadness* anger* guilt and self-reproach* anxiety* loneliness* fatigue* helplessness* shock* yearning*emancipation* numbnessNormal Grief (contd)Physical Sensations* hollowness in the stomach* tightness in the chest* tightness in the throat* oversensitivity to noise* sense of depersonalisation* breathlessness, feeling short of breath* weak in the muscles* lack of energy* dry mouthNormal Grief (contd)3. Cognitions* disbelief* confusion* preoccupation* sense of presence* hallucinationsNormal Grief (contd)4. Behaviours* sleep disturbances* appetite disturbances* absentminded behaviour* social withdrawal* dreams of the deceased* avoiding reminders of the deceased* searching and calling out* sighing* restless hyperactivity* crying* visiting places or carrying objects that remind the survivor of the deceased* treasuring objects that belonged to the deceasedWe find a place for what we lose. Although we know that after such a loss the acute stage of mourning will subside, we also know that we shall remain inconsolable and will never find a substitute. No matter what may fill the gap, even if it be filled completely, it nevertheless remains something else.

Freud, to his friend Binswanger on the death of his son.(1961, p.386)ReferencesFreud, S. (1961) Letters of Sigmund Freud (E. L. Freud, Ed.). New York: Basic Books.Kubler-Ross, E. (1997) Living with Death and Dying. New York: Touchstone.Weenolsen, P. (1988) Transcendence of Loss over the Life Span. New York: Hemisphere Publishing Corporation. Worden, J. W. (2010) (4th Edn) Grief Counselling and Grief Therapy. Hove, East Sussex, UK: Routledge


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