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who came up with the four tasks of mourning?
John William Worden
what is the first task of mourning?
accept the reality of death
what is the second task of mourning?
experience pain of death
what is the third task of mourning?
adjust to the environment in which deceased is missing
what is the fourth task of mourning?
finding a new connection with deceased in midst of embarking on a new life
what did Vamik D. Volkan think about mourning?
mourning ends when mourner no longer has a need to reactivate representation of death with exaggerated intensity in course of daily living
what did Shucter and Zisook think about mourning?
survivor’s readiness to enter new relationship depends not on giving up dead spouse but on finding suitable place for a spouse in mental life of bereaved, a place that is important but leaves room for others
what are some things to avoid saying to a grieving person?
I understand
Death was a blessing
You’re still young
You can have other kids/remarry
Call me when I can help
Put it behind you
Stay strong
reality of death becomes so much more real after the first…
year without the decedent
what are some things you can say to a grieving person? Mileage may vary
I’m sorry
How are you doing with all this?
What can I do for you?
I’m here, I will listen
Take all the time you need
what is abnormal grief?
active suicidal/homicidal ideation, plan, intention and means
what are some ways during the third task that family can carry on legacy of deceased?
hand molds, fingerprints, scrapbooks, monuments, web pages
who conducted the child bereavement study at Harvard?
Worden and Silverman followed 125 parentally bereaved children and families at Massachusetts General Hospital and provided insight into process of grief, study showed that a large number of children stayed connected with deceased parents by speaking to, thinking of, dreaming of and feeling watched over by deceased parent
what is mediator 1?
relation of person who died to the survivor, close relationship usually intensifies grief
what is mediator 2?
nature of attachment to deceased (strength, security of attachment, ambivalence in relationship, conflicts with deceased, dependent relationships - how much do they rely on this person?)
what is mediator 3?
how decedent died (affected by proximity to decedent, suddenness of death, violence associated with death, if losses have occurred within a short period of time, preventability of death, stigmatized deaths)
what is mediator 4?
understanding how a survivor has experienced loss previously/if they have experienced loss previously
what are some other factors affecting mediator 4?
unresolved loss and grief from previous losses, a person’s mental health history, if a person has an unhealthy family relationship that grief will complicate
what is mediator 5?
personality, age, and gender variables that effect grief