Chapter 12 Personal Loss Question(s): Be prepared to discuss 2 q
Chapter 12 Personal Loss Question(s): Be prepared to discuss 2 questions Compare the Adaptive grieving model (Martin & Doka, 2000) and the Dual Process model (Stroebe & Schut, 2001). What are the similarities and differences? Which seems to fit best to your style of counseling? Why is that so? Guidelines:The answer should be based on the knowledge obtained from reading the book, no just your opinion. If there are 2 questions in the discussion, you must answer both of them. Your grade will be an average of both questions. Chapter Twelve: Personal Loss: Bereavement and Grief Terms Critical to Understanding Loss Bereavement Uncomplicated bereavement Grief Complicated grief/prolonged grief Traumatic grief Disenfranchised grief Loss Primary loss Secondary loss Ambiguous loss Mourning Dynamics of Bereavement Cultural Dynamics Culture 3 patterns of response: Death accepting Death defying Death denying Sociocultural Mores Spirituality and Religion Conceptual Approaches to Bereavement Stage/Phase Models Kubler-Rosss Stages Bowlbys Attachment Theory Schneiders Growth Model Counterpart to Traditional Models Dual Process Model Loss orientation Restoration orientation Adaptive Model Intuitive grieving Instrumental grieving Assessment Tools Texas Revised Inventory of Grief (TRIG) Current Grief Past Disruption Grief Experience Inventory (GEI) Nine clinical scales Hogan Grief Reaction Checklist (HGRC) Can discriminate variability in the grieving process as a function of cause of death and time elapsed since death Inventory of Complicated Grief (ICG) Targets symptoms of grief that are distinct from bereavement-related depression and anxiety, and predicts long-term functional impairments Types of Loss Death of a Spouse One of the most emotionally stressful and disruptive events in life More widows than widowers Loss Due to Caregiving Death of a Child Perhaps the ultimate loss for a person to endure regardless of the age of the child Types of Loss Cont. Bereavement in Childhood Toddlers Primary school age Middle school age Intervention and treatment Bereavement in Adolescence Value of connectedness Intervention and treatment Bereavement in the Elderly Present more somatic problems than psychological problems No indication that the intensity of grief varies significantly with age Grief among older people may be more prolonged than among younger people Tend to be lonelier and to have far longer periods of loneliness than younger people Types of Loss Cont. HIV/AIDS Job Loss Separation and Divorce Death of a Pet Complicated Grief Traumatic grief Being There for Grievers Empathic Presence Gentle Conversation Providing Available Space Eliciting Trust Fitting Technique to Style of Grief The Dual Process Model The griever sometimes confronts and sometimes avoids the stressors of both orientations Adaptive Model Affective Behavioral Cognitive Spiritual Fitting Technique to Style of Grief Cont. Cognitive-Behavioral Approaches Most commonly used therapies for those who suffer from complicated grief Narrative Therapy Reconstructs the relationship with the deceased rather than abandoning it Attachment Theory and Therapy One of the oldest theories that deals with grief and loss Coherent narrative? Case Examples for Dealing with Loss Sudden Death of a Spouse Stuart Traumatic Death of a Child Helen and Brad Bereavement in Childhood Makeena Separation and Divorce Nancy Case Examples for Dealing with Loss Cont. Death of a Pet The Thompsons Bereavement in Elderly People Lenore Bereavement in an HIV-Infected Client Clint Complicated Grief: Death of a Mother Ann Marie The Crisis Workers Own Grief Emotional investment in the client Bereavement overload Countertransference Emotional replenishment Facing ones own mortality Sense of power Tendency to rescue
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