A Dual Process Model of Grief Counseling

Summary

This paper tests Stroebe and Schuf s Dual Process Model of Bereavement using data from the Changing Lives of Older Couples (CLOC), a prospective study of 1,532 married persons over the age of 65. This analysis focused on a weighted sample of 104 widowers and 492 widows at six months, 18 months, and four years later. Bradburn's Affect Balance Scale was used as the dependent variable, and the independent variables were based on Stroebe and Schut's bereavement model. The multiple regression analyses revealed that loss- and restoration-oriented activities were important throughout bereavement. Implications for bereavement counseling are discussed.     

The Long‐Term Effects of Spousal Care Giving on Survivors' Well‐Being in Widowhood*

Objective. Previous research suggests that bereavement and adjustment to widowhood are long term and should be studied as processes rather than as static outcomes. We analyze how spousal care giving affects survivors' depressive symptoms 18 and 48 months into widowhood. Method. We use three waves of data from the Changing Lives of Older Couples (CLOC) Survey and estimate OLS regression equations to determine the long‐term effects of spousal care giving on widow(er)s' well‐being. Results. At 18 months, more burdensome spousal care giving predicted higher levels of depressive symptoms, while greater caregiver stress predicted lower levels. Specific characteristics of the caregiving situation were no longer significant predictors of well‐being 48 months into widowhood, although care giving itself had an ameliorative effect on level of symptoms. Conclusions. The results highlight the dynamic nature of bereavement and suggest that the effects of spousal care and characteristics of the care situation on depressive symptoms during widowhood are not linear over time. We discuss the implications of our findings for the conceptualization of the relationship between care giving and bereavement.     

Individual and Situational Differences in Recovery from Bereavement: A Risk Group Identified

The Tübingen Longitudinal Study of Bereavement was designed to provide information on (a) health deterioration and recovery following bereavement, (b) risk factors in bereavement, and (c) selection and social desirability as potential biases in health findings in this type of research. A sample of widows and widowers were interviewed three times during the first two years following their loss. Measures of their health and well-being were compared to those of a matched sample of married individuals. Data were also collected on the health status of some of the widowed who refused participation. The findings suggest the following conclusions: (1) Partner loss is associated with an increased level of depressive and somatic symptoms during the first six months, but the majority of bereaved gradually recover over the two-year period. (2) Individuals with low internal control beliefs who have experienced an unexpected loss constitute a risk group of individuals who suffer most and recover least. (3) Due to selection, the impact of bereavement is likely to be underestimated for widowers and overestimated for widows. Implications of these findings are discussed.     

谈谈高校危机干预中的哀伤辅导

危机干预是高校学生工作者面临的一项重点与难点问题。对于大学生自杀或意外死亡的危机干预的对象主要是其所在班级同学,干预的一项重要内容就是哀伤辅导。分析了哀伤的概念、反应与过程,并详细阐述了哀伤辅导的原则与程序。     

Heideggerian existentialism and social work practice with death and survivor bereavement

Heideggerian existentialism has not been applied on a widespread basis to the Generalist Social Work Practice Model. This paper explores the relationship between social work practice with bereavement issues and Heideggerian existentialism. Applications of Heideggerian existentialism in the social work profession with clients and families experiencing bereavement are examined. Conceptual applications also address future utilization of Heideggerian existentialism.     

Applying a Positive Youth Development Perspective to Observation of Bereavement Camps for Children and Adolescents

A positive youth development perspective focuses on recognizing psychosocial strengths and providing social environments that contribute to the development of these in children and adolescents. Bereavement camps can provide such an environment as they help children cope with the death of someone close. The purpose of this study was to observe bereavement camps through the lens of positive youth development to determine the applicability of the eight features of positive developmental settings for describing bereavement camps (safety, appropriate structure, supportive relationships, opportunities to belong, positive norms, support for efficacy, skill building opportunities, integration of family and community). Observational notes were recorded by researchers during on-site visits to three different weekend bereavement camps. Results identified how each element of positive developmental settings was exemplified in either typical camp activities or bereavement-focused activities. For example, assigning campers to cabin groups based on age and gender provided opportunities to belong, and giving campers a comfort object and a big buddy provided supportive relationships. Findings were used to create a positive developmental settings observation checklist for use by bereavement camp practitioners to assess the extent to which each camp provides the requisite elements for promoting positive youth development.     

Bereavement Research: An Historical Introduction

Early research in the field of bereavement and widowhood was often problem generated and focused on intrapersonal issues such as health consequences. More recent research has emphasized that, to understand the grieving individual, we must also understand the social context in which the bereavement occurred and in which recovery must progress. This introduction traces the historical development of theory, empirical research, and methodology in the field, and places current developments in perspective. The papers in this issue underline the complexity of the bereavement phenomenon, and the need for conceptual perspectives with which to understand the cultural, socioeconomic, interpersonal, and physiological determinants of grief, mourning, and recovery.     

The Role of Social Support in Bereavement

Spousal bereavement involves a social network crisis. The individual's response is influenced by prebereavement personality factors and preexisting social network characteristics. The impact of the loss on the individual and other network members, and the presence or absence of concurrent stressors, will determine the "goodness of fit" between the support offered and the needs of the bereaved and perception of the environment as helpful or unhelpful. An inadequate social network is associated with high distress over the course of bereavement. Intervention aimed at increasing social support can decrease the distress of bereavement.     

The role of the welfare state in supporting economic transitions following family bereavement: Comparing Britain and Israel

Despite its centrality to the experience of death and grief, it is only in recent years that the economic burden following family bereavement has been recognized by social care professionals and scholars. Based on the realization that death and bereavement are grounded in social context, and assuming this economic burden is a multifaceted phenomenon, the present study compares the British and Israeli welfare systems in three policy settings: social security, funeral services, and bereavement leave. The findings suggest that while in both systems bereavement and especially widowhood is considered a deserving category, recent pressures for restructuring the British welfare state have been successful in shifting provision from the state to the market. The findings also show that in both cases, albeit to a lesser extent in Israel, current policy measures are not fully aligned with critical scholarship on bereavement and its financial consequences, nor with socio‐economic and demographic trends. These disparities are addressed using the notion of disenfranchised grief and by emphasizing the pivotal, although often overlooked role of the welfare state in constituting it. Lastly, the differences between the two cases are discussed in terms of the powerful role of Judaism in shaping Israeli policy.     

Grief support groups used by few--are bereavement needs being met?

Few adult bereaved attend closed grief support groups, yet many of those who do attend say they are extremely helpful. This research explores factors influencing support group attendance, and the extent to which bereavement support needs are being met. Focus group discussions reveal that a broad scope of sources of support is available to the bereaved. Results show what is seen as unhelpful to them, and what might be more helpful to them. The study indicates many adult bereaved suffer from an overall lack of support and would benefit from more caring overtures from those around them. Findings from this small frontline hospice bereavement study point toward ideas for adjustments in support groups and innovative bereavement education and programming.     

Bereavement as a Psychosocial Transition: Processes of Adaptation to Change

There are many ways of construing the psychology of loss. This paper describes one such model, which enlightens some, but not all, aspects of bereavement and needs to be used alongside other models. Loss is one aspect of psychosocial transition, the psychological change that takes place whenever people are faced with the need to undertake a major revision of their assumptions about the world. The paper focuses on the ways in which people change or fail to change their internal model of the world in the face of emergent events. Examples are taken from bereavement, loss of a limb, and the succession of losses that mark the course of terminal illness. Implications for identifying people at risk and mitigating that risk are outlined.     

Bereavement in Old Age:

Major theoretical and empirical studies of the bereavement process and its outcomes are reviewed within a framework of therapeutic intervention. Findings on the impact of bereavement and variables associated with successful and unsuccessful coping are examined for bereaved elderly. Research needs in this area, based on the limitations of previous studies, are also discussed.     

Grief Support Groups Used by Few—

Abstract

Few adult bereaved attend closed grief support groups, yet many of those who do attend say they are extremely helpful. This research explores factors influencing support group attendance, and the extent to which bereavement support needs are being met. Focus group discussions reveal that a broad scope of sources of support is available to the bereaved. Results show what is seen as unhelpful to them, and what might be more helpful to them. The study indicates many adult bereaved suffer from an overall lack of support and would benefit from more caring overtures from those around them. Findings from this small frontline hospice bereavement study point toward ideas for adjustments in support groups and innovative bereavement education and programming.     

The Validation of the Texas Revised Inventory of Grief on an Older Latino Sample

Abstract

Purpose: Bereavement is considered to be one of the most profound experiences in older adulthood. However, assessments of emotional reactions to grief and loss have often been based on measures tested on primarily Anglo samples. This study examined the validity and factor structure of a commonly used bereavement measure on an older Latino sample.

Design and Methods: Using convergent and discriminant validation procedures, this instrument was tested using a purposive sample of 134 older, recently bereaved Latinos.

Results: While the instrument was originally designed to measure two domains of grief: Past Behaviors and Present Feelings, confirmatory and exploratory factor analysis revealed a three-factor solution for this sample which included also Disbelief of the loss. Items within this domain included anger, rejection, and a sense of injustice.

Implications: This study underscores the need for improved measures in research on grief and bereavement to capture the intensity and severity of grief in a cross-cultural context.     

Counseling the Bereaved

This paper considers many of the theoretical and practical issues underlying the provision of bereavement counseling, and discusses (a) risk factors for bereaved people, (b) therapeutic assessment of bereaved people and planning of care, (c) provision of services aimed at diminishing risk and facilitating grief and mourning, (d) key issues of family and social support in bereavement counseling, and (e) the need for further development and coordination of services for the bereaved.     

'She cried a very little': Death,grief and mourning in working-class culture,c . 1880-1914

Working-class attitudes towards death and bereavement in late Victorian and Edwardian Britain have overwhelmingly been discussed in terms of the respectable and the pauper funeral. Analyses of the culture of grief (that is, the emotional responses of the working classes to bereavement) have been reduced to an assumption that material insecurity blunted sensibility. This article argues that the reduction of working-class responses to death to a dichotomy between respectable and pauper funerals has overlooked the cathartic function of the funeral, negated the potential for individuals to invest burial rites with personal meaning, and failed to consider responses to death outside public mourning rites. I contend that languages of grief adopted many verbal and symbolic signs that were often ephemeral to the external observer. Moreover, material anxiety did not limit sensibility; it necessitated flexibility in the articulation of emotion. In conclusion, I argue that the emotional underpinnings of the working-class family need to be re-examined, using a definition of sensibility which acknowledges the mutability of feeling and the malleability of its expression.     

Identities in Transition: Women Caregivers in Bereavement

Population aging and longevity due to medical advances over the past few decades have meant that the approximately 44 million caregivers in the United States and eight million caregivers in Canada must provide more intensive levels of care and for longer periods of time. Consequently, caregivers are often profoundly affected by their caregiving role in emotional, psychological, physical, and financial ways. Thirty years of research on this population have helped to create a caregiver profile and identify the significant challenges for caregivers. One area explored to a much lesser extent is the postcaregiving period, when the caregiver transitions into a period of bereavement. This period can be particularly challenging for caregivers given the commitment inherent in the caregiving process. Research has shown that the emotional reactions of caregivers as well as practical challenges do not end with the death of the care recipient. In fact, complex realities, tensions, and responses continue well after the death into the postcaregiving period. This study of bereaved women caregivers explored their lived experiences in the postcaregiving phase. One central theme emerged and suggested that the experience of caregiving had an effect on the caregivers’ identities, which then influenced their bereavement processes and experiences.