Loss and Bereavement Flashcards Preview

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Flashcards in Loss and Bereavement Deck (19)
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1
Q

Define loss:

A

When you no longer have something because you have misplaced it or it has been taken away.

2
Q

Impact of death:
It can be sudden and unexpected / the expected result of a long illness

The first death encountered / one of many bereavements already experienced

A

3
Q

We cannot predict how people will grieve, but give some examples that can impact this (6)

A

Trauma – sudden / unexpected / traumatic death

Attachment disorders

Depression

Self harm

Mental Health history

Suicide – past history

Culturally conditioned beliefs

Relationship difficulties

Previous losses

Social support and situation

4
Q

Define bereavement:

A

A term that describes the period of grief around the loss of someone close

5
Q

Define grief

A

Grief is what we feel when we are Bereaved:
“The emotional and psychological reaction to loss”

An intense emotional response that involves feelings of sorrow, suffering, being lost, anger, guilt,…

6
Q

Define mourning

A

Mourning describes what we do when we experience grief – the outward manifestations of grief.
It is active, cultural, and often collaborative

7
Q

RECAP

A

Bereavement is what happens to you

Grief is what you feel

Mourning is what you do

8
Q

Grief can manifest into (4)

A

feelings

thoughts

physical sensations

behaviours

9
Q

Aspects of grief

A

Physical: nausea, dry mouth, dry eyes, SOB, tight chest, decreased appetite, weakness

cognitive: disbelief, unrealtity, obsessive thoughts, memory loss, intense dreams
emotional: anger, sadness, depression, guilt, anxiety, shock

Behavioural: social withdrawal, avoiding reminders of deceased, changes in routine,

10
Q

Name some types of grief and define them:

A

anticipatory - mourning for a future loss

disenfranchised - (a loss that cannot be openly acknowledged, publicly moured or soically supported

delayed - grief which is not experiences in the months following a loss, but becomes apparent later

re-grief - grievning which needs to be re-done when a new devlopemental stage is reached

complicated - chronic, delayed, exaggerated, masked

11
Q

What may people try to turn to help with pain?

A

Counselling

support of their peers family

use of the internet

Some people will use, or increase their use of alcohol, illegal drugs, or anti-depressants. By doing this they distance themselves from what they need to feel to heal, and they distance themselves from their family members and support systems . The grief simply goes underground and waits to be expressed.

12
Q

Models - know the names:

Bowlby (1969) Attachment, Separation and Loss

Traditional/phase models

Worden (1982); tasks of the bereaved.

Goodall (1994); wheel of grief
Kubler-Ross (1969); DABDA

Experiential models

Tonkin (1996); growing around grief

Strubler and Schut (1995);
Dual Process Model

Wilson (1993); Waterfall of Bereavement

Attig (2010); Relearning the World

A

13
Q

Bowlby (1969) Attachment, Separation and Loss
Attachment Styles – worked with children

Grief as behavioural phenomenon – the emotional distress of mourning is about breaking the bonds of attachment:

Shock and Numbness – the loss is not yet real

Yearning and Searching – trying to undo the loss

Despair and disorganisation – acceptance hits

Reorganisation and recovery

A

14
Q

Kubler Ross DABDA (draw it out) Draw all the models out, or get pictures and stick them up.

A

15
Q

Phase Models: Worden

A

Acceptance of reality of loss (Provide time to grieve, focus on the reality of the loss, illness, funeral etc.)

Experience pain of grief (Explore all emerging feeling such as rage, guilt and anguish.)

Adjust to environment without deceased (Overcome problems in readjusting; social and practical meaning of bereavement, including confidence and self esteem.)

Withdrawal of emotional energy and reinvesting in other relationships (Encourage withdrawing from the deceased and explore new sources of social and emotional gratification.)

16
Q

look at tonkin grief model

A

17
Q

dual process model - describe the factors involved in LOSS

A

Loss orientation – focuses on the loss itself; on the relationship, tie or bond with the deceased person

Yearning for / rumination about the deceased person

Memories / memorialising

Dwelling on / reliving events around the death

Preoccupation, intrusive memories, attempts to make sense

Continuing bonds

18
Q

dual process model - describe the factors involved in Restoration

A

Restoration orientation – focuses on what needs to be dealt with, moving forward:

Adjusting to substantial changes that are secondary consequences to loss

Mastering new tasks

Dealing with arrangements for re-organisation of life

Development of new identity and new relationships

19
Q

Look at the whirpool of loss and river of life on slides 47 onwards

A