Loss and Grieving Flashcards
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Questions and Answers

What is loss?

The experience of separation from something of personal importance.

What is grief?

Deep mental and emotional suffering that is a response to the subjective experience of loss of something significant.

What is a good indication of no mental illness related to loss?

When the patient behavior demonstrates no functional impairment.

What often accompanies grief and loss?

<p>Stress - individual responses to stress vary.</p> Signup and view all the answers

What are the types of loss?

<p>Loss of external objects, loss of a known environment, loss of a significant other, loss of an aspect of self, loss of life.</p> Signup and view all the answers

What does palliative care focus on?

<p>Quality of life.</p> Signup and view all the answers

According to Freud, what is depression?

<p>The same thing as grief.</p> Signup and view all the answers

What are the stages of grief according to Elisabeth Kubler-Ross?

<p>Denial, Anger, Bargaining, Depression, Acceptance.</p> Signup and view all the answers

What are the stages of grief according to John Bowlby?

<p>Numbness or protest, Disequilibrium, Disorganization and despair, Reorganization.</p> Signup and view all the answers

What is avoidance in grief response?

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What is confrontation in grief response?

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What is accommodation in grief response?

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What are the tasks of grief according to William Worden?

<p>Accepting the reality of the loss, working through the pain of grief, adjusting to an environment that has changed because of the loss, emotionally relocating what has been lost and moving on with life.</p> Signup and view all the answers

What is hope in the context of grief?

<p>Hope is not a single act; it is a complex series of thoughts, feelings, and actions that change often.</p> Signup and view all the answers

What is involved in the assessment of a patient experiencing loss?

<p>Individual functioning, family functioning, experiences of loss.</p> Signup and view all the answers

What is the length of the grief process?

<p>Usually lasts 6-8 weeks in adults.</p> Signup and view all the answers

What can make the grief response more difficult?

<p>Strong dependency on the lost concept, ambivalent relationship, multiple recent losses, loss of a young person, unstable physical or psychological health, perceived responsibility for the loss.</p> Signup and view all the answers

How is the grief process eased?

<p>With the support of significant others and the opportunity to prepare for the loss.</p> Signup and view all the answers

What is anticipatory grieving?

<p>Experiencing feelings and emotions associated with grief before the actual loss occurs.</p> Signup and view all the answers

What factors may hinder the healing process?

<p>Avoiding or minimizing emotions, using alcohol or drugs to self-medicate, using work to avoid feelings.</p> Signup and view all the answers

What is a maladaptive response to loss?

<p>It is complicated to understand individuals who fail to express grief.</p> Signup and view all the answers

What is a good indicator of a maladaptive response to loss?

<p>Patient states the feeling of worthlessness.</p> Signup and view all the answers

What is delayed or inhibited grief?

<p>The absence of evidence of grief when it ordinarily would be expected.</p> Signup and view all the answers

What is a distorted (exaggerated) grief response?

<p>All symptoms associated with normal grieving are exaggerated.</p> Signup and view all the answers

What are grief behaviors aimed at doing?

<p>Keeping the lost loved one alive as though he or she will eventually return.</p> Signup and view all the answers

What are disabling behaviors in grief?

<p>Prevent the bereaved from adaptively performing activities of daily living.</p> Signup and view all the answers

What is the major difference between normal grieving and maladaptive grieving response?

<p>Maladaptive response includes feelings of worthlessness or loss of self-esteem, which are absent in normal grieving.</p> Signup and view all the answers

How long does normal grieving usually last?

<p>No longer than 1 year.</p> Signup and view all the answers

How do women express grief?

<p>Express feelings early, seek social support, exhibit more sorrow, depression, and guilt, more willing to talk about loss.</p> Signup and view all the answers

How do men express grief?

<p>Take on a managerial role, intellectualize emotions, feel more anger, fear, and loss of control, use denial more, are more private about grief.</p> Signup and view all the answers

What is the developmental grief response for ages 2-4?

<p>Concept of death seen as reversible, intense but brief responses, awareness of care patterns, and repeated questioning.</p> Signup and view all the answers

What are the needs of the 2-4 year old during grief?

<p>Kind demeanor, encouragement to talk about feelings, permission for play related to death, honesty, sharing of feelings, reassurance.</p> Signup and view all the answers

What is the developmental grief response for ages 4-7?

<p>Concept of death still seen as reversible, concerns with the process of death, more verbalization, general distress.</p> Signup and view all the answers

What are the needs of the 4-7 year old during grief?

<p>Clear answers to questions, an accepting listener, explanations to refute fears, acceptance of play about death.</p> Signup and view all the answers

What is the developmental grief response for ages 7-12?

<p>Beginning to see death as final, specific questions about death, desire for details, starting to mourn.</p> Signup and view all the answers

What are the needs of the 7-12 year old during grief?

<p>Being taken seriously, inclusion in family discussions, acceptance of grieving methods, understanding the emotions surrounding death.</p> Signup and view all the answers

What is the developmental grief response for ages 13-18?

<p>Ability to abstract, understand death conceptually, experience extreme sadness, denial, risk-taking behaviors.</p> Signup and view all the answers

What are the needs of the teenager (13-18) during grief?

<p>Inclusion in planning, information on what to expect, understanding expected behaviors, observing adult grief, encouraged communication.</p> Signup and view all the answers

What should you do when dealing with a person who is grieving?

<p>Act natural, show care, listen, talk about the deceased, acknowledge difficult times, help symbolize the death.</p> Signup and view all the answers

What should you NOT do when dealing with a person who is grieving?

<p>Shelter children from reality, provide false messages, discourage crying, distract from emotions, pry into personal matters.</p> Signup and view all the answers

When may the grief response be facilitated?

<p>With the support of significant others and the opportunity to prepare for the loss.</p> Signup and view all the answers

What is delayed or repressed grief?

<p>Absence of grief when it ordinarily would be expected, potentially unhealthy.</p> Signup and view all the answers

What is the difference between grief and depression?

<p>Grief is experienced in waves, diminishes, has a healthy self-image; depression is static, characterized by depletion, and unresponsive to support.</p> Signup and view all the answers

How can people who are grieving help themselves?

<p>Attending support groups, therapy, journaling, eating well, exercising, getting enough rest, using antidepressants if needed.</p> Signup and view all the answers

What is anhedonia?

<p>Loss of the capacity to experience pleasure and inability to gain pleasure from normally pleasurable experiences.</p> Signup and view all the answers

What does 'falling out' mean in African American culture?

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What does it mean to not express grief openly in Southwest Navajo Indian culture?

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What does the color red symbolize in Chinese American culture?

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Study Notes

Loss and Grief Concepts

  • Loss: Separation from something of personal significance, often marked by anniversaries.
  • Grief: Intense emotional suffering due to the loss of something crucial.

Indicators of Grief and Stress

  • Absence of functional impairment suggests no mental illness related to loss.
  • Grief often accompanies stress, and individual responses to stress vary widely.

Types of Loss

  • Losses can include external objects, environments, significant others, aspects of self, or life itself.

Grief Theories

  • Freud's Perspective: Views depression as synonymous with grief.
  • Elisabeth Kübler-Ross's Stages:
    • Denial, Anger, Bargaining, Depression, Acceptance.
    • Fluid movement through stages is typical.
  • John Bowlby's Stages:
    • Numbness, Disequilibrium, Disorganization & Despair, Reorganization.

Grieving Process

  • William Worden's Tasks:
    • Accepting reality of loss.
    • Processing grief.
    • Adjusting to a changed environment.
    • Emotionally relocating what has been lost.

Hope and Assessment

  • Hope: Complex mix of thoughts and feelings, varying through different stages of terminal illness or loss.
  • Holistic assessment includes individual and family functioning, and experiences of loss.

Duration of Grief

  • Resolution often occurs when positive and negative memories coexist.
  • Typical grieving period lasts 6-8 weeks for adults; varies individually.

Factors Impacting Grieving

  • Dependency on the lost subject, ambivalence in the relationship, multiple recent losses, loss of a young person, unstable health, and perceived responsibility can complicate grief.

Easing the Grief Process

  • Support from significant others and preparation for the loss can facilitate the grieving process.

Anticipatory Grieving

  • Emotional experiences related to impending loss can occur, with varying effectiveness.

Maladaptive Grief Responses

  • Maladaptive grief includes delayed or inhibited grief, distorted responses, and disabling behaviors preventing daily functioning.
  • Key indicators: feelings of worthlessness and dysfunction in daily activities.

Gender Differences in Grieving

  • Women: Generally express feelings earlier, seek support, and discuss emotions openly.
  • Men: Often intellectualize grief, taking managerial roles and showing less emotional expression.

Developmental Aspects of Grief

  • Grief responses change by age:
    • Ages 2-4: Death seen as reversible, intensive but brief emotional responses.
    • Ages 4-7: Increased verbalization, concern over processes and responsibility.
    • Ages 7-12: Beginning to comprehend death as final, asking specific questions.
    • Ages 13-18: Understanding death abstractly, experiencing extreme emotions, and engaging in risky behaviors.

Supporting Grievers

  • Engage with genuine care and openness; allow space for expression and recognition of emotions.
  • Avoid false reassurances and minimize information surrounding death.
  • Practical support includes attending support groups and professional therapy.

Grief vs. Depression

  • Grief is characterized by waves of emotion, improving with time, while depression features static moods and a persistent sense of worthlessness.
  • Anhedonia reflects the loss of pleasure, commonly seen in various mental illnesses.

Cultural Considerations

  • Different cultures exhibit unique mourning practices, with varying openness regarding grief expressions.

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Description

This quiz focuses on key concepts related to loss and grieving, including definitions and indications of mental health responses. It provides essential insights into recognizing maladaptive grief responses and overall mental health. Test your understanding and deepen your knowledge on these important emotional topics.

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