Tuesday, 5 March 2013

GRIEF - loosing someone close..........

GRIEF                  -                    loosing   someone  who   was   close....................

      "Pietà" by El Greco, 1571-1576.          

 Philadelphia  Museum  of  Art

 

 Grief is a multi-faceted response to loss, particularly to the loss of someone or something to which a bond was formed. Although conventionally focused on the emotional response to loss, it also has physical, cognitive, behavioral, social, and philosophical dimensions. While the terms are often used interchangeably, bereavement refers to the state of loss, and grief is the reaction to loss. - Wiki.....

 

The eternal purpose in the course of events is not always evident to many of us.  Particuarly, when we are grieving. However, when all is revealed, we will understand .  We have that assurance from the Divine.   When all is recreated, all will be well.

 

A  Definition

Grief is a natural response to loss. It is the emotional suffering one feels when something or someone the individual loves is taken away. Grief is also a reaction to any loss. The grief associated with death is familiar to most people, but individuals grieve in connection with a variety of losses throughout their lives, such as unemployment, ill health or the end of a relationship. Loss can be categorized as either physical or abstract, the physical loss being related to something that the individual can touch or measure, such as losing a spouse through death, while other types of loss are abstract, and relate to aspects of a person’s social interactions.


Grieving process

Every step of the process is natural and healthy, it is only when a person gets stuck in one step for a long period of time then the grieving can become unhealthy, destructive and even dangerous. When going through the grieving process it is not the same for everyone, but everyone does have a common goal, acceptance of the loss and to always keep moving forward. This process is different for every person but can be understood in four different steps.
Shock and Denial
Shock is the initial reaction to loss. Shock is the person’s emotional protection from being too suddenly overwhelmed by the loss. The person may not yet be willing or able to believe what their mind knows to be true. This stage normally lasts two or three months.
Intense Concern
Intense concern is often shown by not being able to think of anything else. Even during daily tasks, thoughts of the loss keep coming to mind. Conversations with one at this stage always turn to the loss as well. This period may last from six months to a year.
Despair and Depression
Despair and depression is a long period of grief, the most painful and protracted stage for the griever (during which the person gradually comes to terms with the reality of the loss). The process typically involves a wide range of feelings, thoughts, and behaviors. Many behaviors may be irrational. Depression can include feelings of anger, guilt, sadness and anxiety.
Recovery
The goal of grieving is not the elimination of all the pain or the memories of the loss. In this stage, one shows a new interest in daily activities and begins to function normally day to day. The goal is to reorganize one’s life, so the loss is an important part of life rather than its center.


Reactions

Crying is a normal and natural part of grieving. It has also been found, however, that crying and talking about the loss is not the only healthy response and, if forced or excessive, can be harmful. Responses or actions in the affected person, called "coping ugly" by researcher George Bonanno, may seem counterintuitive or even look dysfunctional, such as celebratory responses, laughter, self-serving bias in interpreting events. Lack of crying is also a natural, healthy reaction, potentially protective of the individual, and may also be seen as a sign of resilience. Science has found that some healthy people who are grieving do not spontaneously talk about the loss. Pressing people to cry or retell the experience of a loss can be harmful. Genuine laughter is healthy


Five identities of grievers

Berger identifies five ways of grieving, as exemplified by:
The nomads
Nomads have not yet resolved their grief and do not seem to understand the loss that has affected their lives.
The memorialists
This identity is committed to preserving the memory of the loved one that they have lost.
The normalizers
This identity is committed to re-creating a sense of family and community.
The activists
This identity focuses on helping other people who are dealing with the same disease or with the same issues that caused their loved one's death.
The seekers
This identity will adopt religious, philosophical, or spiritual beliefs to create meaning in their lives.


 Bonanno discusses Four Trajectories of Grief:

 The four trajectories are as follows:
  • Resilience: "The ability of adults in otherwise normal circumstances who are exposed to an isolated and potentially highly disruptive event, such as the death of a close relation or a violent or life-threatening situation, to maintain relatively stable, healthy levels of psychological and physical functioning" as well as "the capacity for generative experiences and positive emotions."
  • Recovery: When "normal functioning temporarily gives way to threshold or sub-threshold psychopathology (e.g., symptoms of depression or Posttraumatic stress disorder, or PTSD), usually for a period of at least several months, and then gradually returns to pre-event levels."
  • Chronic dysfunction: Prolonged suffering and inability to function, usually lasting several years or longer.
  • Delayed grief or trauma: When adjustment seems normal but then distress and symptoms increase months later. Researchers have not found evidence of delayed grief, but delayed trauma appears to be a genuine phenomenon.

 Five stages theory

The Kübler-Ross model, commonly known as the five stages of grief, is a theory first introduced by Elisabeth Kübler-Ross in her 1969 book, On Death and Dying. The popular but largely untested theory describes in five distinct stages how people deal with grief and tragedy. Such events might include being diagnosed with a terminal illness or enduring a catastrophic loss. The five stages are denial, anger, bargaining, depression, and acceptance.


Physiological and neurological processes

 Studies of fMRI scans of women from whom grief was elicited about the death of a mother or a sister in the past 5 years resulted in the conclusion that grief produced a local inflammation response as measured by salivary concentrations of pro-inflammatory cytokines.

Among those persons who have been bereaved within the previous three months of a given report, those who report many intrusive thoughts about the deceased show ventral amygdala and rostral anterior cingulate cortex hyperactivity to reminders of their loss.



Risks

Bereavement, while a normal part of life, carries a degree of risk when severe. Severe reactions affect approximately 10% to 15% of people. Severe reactions mainly occur in people with depression present before the loss event. Severe grief reactions may carry over into family relations.





Complicated grief

Prolonged Grief Disorder (PGD), formerly known as complicated grief, is a pathological reaction to loss representing a cluster of empirically-derived symptoms that have been associated with long-term physical and psycho-social dysfunction. Individuals with PGD experience severe grief symptoms for at least six months and are stuck in a maladaptive state.



Examples of bereavement

    •  

    Death of a child

    Death of a child can take the form of a loss in infancy such as miscarriage or stillbirth[28] or neonatal death, SIDS, or the death of an older child. In most cases, parents find the grief almost unbearably devastating, and it tends to hold greater risk factors than any other loss. This loss also bears a lifelong process: one does not get 'over' the death but instead must assimilate and live with it.


    Suicide

    Suicide is a growing epidemic and over the last thirty years there has been national research trying to curb this phenomenon and gather knowledge about who is "at-risk". When a parent loses their child through suicide it is traumatic, sudden and affects all loved ones impacted by this child. Suicide leaves many unanswered questions and leaves most parents feeling hurt, angry and deeply saddened by such a loss.

    Death of a spouse

    Although the death of a spouse may be an expected change, it is a particularly powerful loss of a loved one. A spouse often becomes part of the other in a unique way: many widows and widowers describe losing 'half' of themselves. After a long marriage, at older ages, the elderly may find it a very difficult assimilation to begin anew.

    Death of a parent


    For a child, the death of a parent, without support to manage the effects of the grief, may result in long-term psychological harm. This is more likely if the adult carers are struggling with their own grief and are psychologically unavailable to the child. There is a critical role of the surviving parent or caregiver in helping the children adapt to a parent's death.

    Death of a sibling

    The loss of a sibling is a devastating life event. Despite this, sibling grief is often the most disenfranchised or overlooked of the four main forms of grief, especially with regard to adult siblings. However, the sibling relationship tends to be the longest significant relationship of the lifespan and siblings who have been part of each other's lives since birth, such as twins, help form and sustain each other's identities; with the death of one sibling comes the loss of that part of the survivor's identity.

      

    Loss during childhood


    When a parent or caregiver dies or leaves, children may have symptoms of psychopathology, but they are less severe than in children with major depression.[35] The loss of a parent, grandparent or sibling can be very troubling in childhood, but even in childhood there are age differences in relation to the loss. A very young child, under one or two, may be found to have no reaction if a carer dies, but other children may be affected by the loss.


    Loss of a friend or classmate


    Children may experience a loss during their childhood through the death of a friend or a classmate.
          

Other losses

 Parents may grieve due to loss of children through means other than death, for example through loss of custody in divorce proceedings; legal termination of parental rights by the government, such as in cases of child abuse; through kidnapping; because the child voluntarily left home (either as a runaway or, for children over 18, by leaving home legally); or because an adult refuses or is unable to have contact with a parent. This loss differs from the death of a child in that the grief process is prolonged or denied because of hope that the relationship will be restored.

 

Professional support

Many people grieve without professional help. Some, however, may seek additional support from licensed psychologists or psychiatrists. And support resources available to the bereaved may include grief counseling, professional support-groups or educational classes, and peer-led support groups.

Cultural diversity in grieving

Each society specifies manners such as rituals, styles of dress, or other habits, as well as attitudes, in which the bereaved are encouraged or expected to take part. An analysis of non-Western cultures suggests that beliefs about continuing ties with the deceased varies. In Japan, maintenance of ties with the deceased is accepted and carried out through religious rituals. In the Hopi of Arizona, the deceased are quickly forgotten and life continues on.

Different cultures grieve in different ways, but all have ways that are vital in healthy coping with the death of a loved one


In animals

 Previously it was believed that grief was only a human emotion, but studies have shown that other animals have shown grief or grief-like states during the death of another animal. This usually occurs in mammals, typically between a mother and in the event of its offspring's death. She will often stay close to her dead offspring for short periods of time and may investigate the reasons for the baby's non-response. For example, some deer will often sniff, poke, and look at its lifeless fawn before realising it is dead and leaving it to rejoin the herd shortly afterwards. Other animals, such as a lioness, will pick up its cub in its mouth and place it somewhere else before abandoning it. But when a baby chimpanzee or gorilla dies, the mother will carry the body around for several days before it may finally be able to move on without it; this behavior has been observed in other primates, as well.                          info from Wiki.........




There are many books on this topic:


for example:
  

1402212216         I Wasn't Ready to Say Goodbye: Surviving, Coping and Healing After the Sudden Death of a Loved One
Pamela D. Blair                                            go to:
Amazon;    
 
                        while at Amazon - please take a look around - just type your search item into the search box - they have some tremendous resources.

 This site is an advertisement for products/services - that I hope you find helpful. Sales, of course, usually pay commissions.......
The information for this site was taken from that site.

And, all the best for you and yours...............................................................
Thank-you for sharing this information

(Personally, I am comforted by the picture above - I will see her in Heaven because of what the picture means.........)


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