six losses

8/16/2019 Six Losses

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The Six Losses that people

experience in Life

Lecturer: Rev Morris Sing Key

This teaching material is copyrighted.No part of this work may be reproduced, including photocopied, without written permission of UPH.


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Learning Objectives

1. To become familiar with these six losses

2. To apply these losses both for your patients and

yourself.

3. To become sensitive to your patients as they cometo terms with some of the losses caused by their

illness.


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THE SIX LOSSESS MOST PEOPLE

EXPERIENCE IN LIFE

Grief and Loss is not just limited to

the death of someone.

Mitchell and Anderson identified Six major

kinds of loss that people experience in life


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THE SIX TYPES OF LOSS

Material Loss

Relationship Loss

Systemic LossFunctional Loss

Intrapsychic Loss

Role Loss


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Material Loss

Material Loss is the loss of a physical

object or of familiar surroundings

to which one has an important

attachment.


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MATERIAL LOSS

Probably one of the first losses we

experience is when a child drops ascoop of ice cream on the ground

or when a toy is too badly broken

to be mended


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MATERIAL LOSS

Many persons who have undergone

material loss report an almostirresistible urge to replace the lost

object.


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MATERIAL LOSS

In some cases where a comparable

replacement is impossible because ofthe expense, a copy or some other

symbolic replacement is substituted.


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MATERIAL LOSS

Those who replace lost material

objects often conclude that the

replacement is never quite the same

as the original, even when by

objective standards it is better inquality or costs more.


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MATERIAL LOSS

The Story of my Daughter’s favourite

doll called Strawberry ...because of

the doll’s red hair.


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Relationship loss

Relational Loss is the ending ofopportunities to relate oneself to, talk

with, share experiences with, makelove to, touch, settle issues with, fightwith, and otherwise be in emotional

and /or physical presence of aparticular other human being


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Relationship loss

It is an unavoidable component of

human life. Sooner or later we allexperience such a loss.

It may be partial, as in moving fivehundred miles away, or total, as withwidowhood


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Systemic Loss

Your Brother or sister is offered a

job overseas.

You move out of the family home to

go to UPH Medical school ….your parents will miss you.


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Functional Loss

Most people react with horror to the

idea of a child’s blindness yet the same

phenomenon in an elderly personprovokes a lesser reaction, reflectingour underlying belief that functionalloss naturally goes with the agingprocess/


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Functional Loss

But loss is horrifying to young and

old. Going blind at seventy-five isno less painful than going blind at

fifteen even if it does happen more

often.


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Functional Loss

Amputation of a limb or breast...thediscovery that one must wear a hearing

Aid, undergoing a colostomy , having to

enter a nursing home because you can no

longer look after yourself ...all these

experiences are functional losses.


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Functional Loss

• The reaction is grief.• We may be aware that a hearing-impaired

acquaintance is touchy about her hearing

aid or that those who use guide dogs aresometimes inappropriately angry if othersadmire the dog.

• What we may miss is that the touchinessand anger are normal grieving reactions.


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Intrapsychic loss

Intrapsychic loss is the experience of

losing an emotionally important image

of oneself, losing the possibilities of“What might have been.”

The Dying of a Dream


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Intrapsychic loss

• A Married Lady is unable to bear children

• She is infertile

• She can Never be a Mother

• It is a dying of a dream

• There are some unmarried mothers

•

BUT she is the married unmother


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Intrapsychic loss

We may encounter intrapsychic loss intimes of change or when a major task is

successfully completed.

“Buzz” Aldrin, the astronaut, referred in

television interviews to the enormous

sense of loss he experiences after settingfoot on the moon.


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Role loss

• Role loss is also visible when a singleperson marries or a married person loses a

spouse.

• The middle-aged person who changes

careers or enters school may experience

loss in assuming the roles of a student


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Case study

You have been accepted into UPH Medicalschool. Your family is not rich and both

mum and dad sacrifice by working long

hours but they think it is worth it ….you

will be the first doctor in the family and

they are very proud of you.


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What Losses are there for …

• You as a student…

• Your dad who may die

• Your Mum who may become a widow

six losses

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