Anticipatory Grief

Kubler-Ross, E and Kessler, D (2005). On Grief and Grieving, London: Simon & Schuster. p7-28.

Looking at an anticipated death for example when someone is terminally ill planning can be made well in advance of the loss happening. We may then experience anticipatory grief. This type of grief gives the bereaved an opportunity to gain closure. The bereaved would still feel emotions of fear, anger, guilt, sadness, blame and possibly denial.

The Two-Track Model of Bereavement is a model that states loss is conceptualized along two axes. Track I pertains to the biopsychosocial functioning in the event of a loss and Track II pertains to the bereaved’s continued emotional attachment and relationship to whoever is deceased. The effect of Track I is seen through the bereaved’s functioning, including their anxiety, their self-esteem and self-worth, and their depressive affect and cognitions. Noting the ability of one to invest in life tasks after experiencing a loss indicates how they are responding to the loss of the deceased. This Track is seen as an expression similar to one of trauma, or crisis. Track II holds that the bereaved has difficulty physically separating from the deceased. This can be seen in emotional, interpersonal, or cognitive ways. It is shown through imagery and memories that the bereaved experiences surrounding the deceased, whether positive or negative, as well as the emotional distance from them. These pictures in the bereaved’s head explain both the cognitive and emotional view of the person who has died (Rubin, 1999).

The life transition of death and dying is inevitably one with which we will all be faced; we will all experience the death of people we hold close throughout our lifetime. This paper will explore the different processes of grief including the bereavement, mourning, and sorrow individuals go through after losing someone to death. Bereavement is a period of adaptation following a life changing loss. This period encompasses mourning, which includes behaviors and rituals following a death, and the wide range of emotions that go with it. Sorrow is the state of ongoing sadness not overcome in the grieving process; though not pathological, persistent

Loss is a phenomenon that is experienced by all. Death is experienced by family members as a unique and elevated form of loss which is modulated by potent stages of grief. Inevitably, everyone will lose someone with whom they had a personal relationship and emotional connection and thus experience an aftermath that can generally be described as grief. Although bereavement, which is defined as a state of sorrow over the death or departure of a loved one, is a universal experience it varies widely across gender, age, and circumstance (definitions.net, 2015). Indeed the formalities and phases associated with bereavement have been recounted and theorized in literature for years. These philosophies are quite diverse but

Research Report: Review of the Literature on Anticipated vs. Unanticipated Grief and their Corresponding Coping Skills

Grief and loss are one of the most universal human experiences, though painful, and understandably causes distress. However, approximately 15 % experience a more problematic grieving process with elevated symptoms of depression and/or posttraumatic stress symptoms (Bonanno and Kaltman, 1999).There is no well-established model of the timeline for resolution of grief and the variance of its expression is wide. Many persons cope with the emotional pain of bereavement without any formal intervention. However, individuals who have experienced traumatic bereavement, such as deaths that are sudden, violent, or due to human actions (Green 2000), may face particular challenges. Researchers have tried to define a model for the treatment of traumatic bereavement that fully supports not only the client, but also those working with the clients around their trauma

This grief symptom would be based on gender, ethnicity and race. Based on the analysis of the article and using PREPARE, this article would be retained for the final assignment due to the credibility of the authors, the research which was performed, and the method in which the authors performed the research.

To fully understand the causes and particularly the effects that bereavement can have on someone’s life, especially if you have been fortunate to not have been touched with the experience, will help with understanding what someone is going through and how it can alter their behavior. The intensity in which someone experiences their loss of a person is dependent on the closeness of the relationship and the suddenness of the passing, even religion amongst many other factors. “The way a person

Grief is a personal adaptive reaction to the loss of a relationship or a serious attachment and it’s a process that takes time. Nicholas Wolterstorff in his book, Lament for a Son, narrated this grief process as he reflected on his son’s death. Provoked by death, grief can impede a person’s thought process and can take a heavy toll as they become emotionally labile (Brosche, 2003). In a healthcare setting, a nurse may experience grief after the death of a patient and often this emotion is masked and kept private. It is crucial for healthcare providers to recognize and deal with emotions appropriately to competently function in the workplace. This paper will examine the five stages of grief as defined by Kübler-Ross and how these stages are in parallel to Nicholas Wolterstorff’s grief process and how he eventually finds joy in understanding the significance of death.

The stages of mourning and grief are universal and are experienced by people from all walks of life. Mourning occurs in response to an individual’s own terminal illness or to the death of a valued being, human or animal. There are five stages of normal grief that were first proposed by Elisabeth Kübler-Ross in her 1969 book “On Death and Dying.”

Grief is the act following the loss of a loved one. While grief and bereavement are normal occurrences, the grief process is a social construct of how someone should behave. The acceptable ways that people grieve change because of this construct. For a time it was not acceptable to grieve; today, however, it is seen as a necessary way to move on from death (Scheid, 2011).The grief process has been described as a multistage event, with each stage lasting for a suggested amount of time to be considered “normal” and reach resolution. The beginning stage of grief is the immediate shock, disbelief, and denial lasting from hours to weeks (Wambach, 1985). The middle stage is the acute mourning phase that can include somatic and emotional turmoil. This stage includes acknowledging the event and processing it on various levels, both mentally and physically. The final stage is a period of

“…there are shortcomings in traditional theorizing about effective ways of coping with bereavement, most notably, with respect to the so-called ‘grief work hypothesis.’ Criticisms include imprecise definition, failure to represent dynamic processing that is characteristic of grieving, lack of empirical evidence and validation across cultures and historical periods, and a limited focus on intrapersonal processes and on health outcomes.” (Stroede & Schut p. 197 1999)

The loss of a loved one is a very crucial time where an individual can experience depression, somatic symptoms, grief, and sadness. What will be discussed throughout this paper is what the bereavement role is and its duration, as well as the definition of disenfranchised grief and who experiences this type of grief. I will also touch upon the four tasks of mourning and how each bereaved individual must accomplish all four tasks before mourning can be finalized. Lastly, with each of these topics, nursing implications will be outlined on how to care for bereaved individuals and their families.

This essay explores several models and theories that discuss the complexities of loss and grief. A discussion of the tasks, reactions and understanding of grief through the different stages from infants to the elderly, will also be attempted.