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3905102
GRIEF
Descripción
Grief
Sin etiquetas
grief
psy2ach
chronic grief
grief counselling
models of grief
psychology
attachment
psy2ach
2
Mapa Mental por
zoe_whitwell
, actualizado hace más de 1 año
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Creado por
zoe_whitwell
hace casi 9 años
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Resumen del Recurso
GRIEF
DEFINITIONS
Bereavement: objective situation of loss
Grief: affective response to loss
Mourning: acts of expression of grief (culturally defined)
Models of Grief
Normal Grief
Phase Model (Stroebe)
Four phases that need to be progressed through
Shock and Disbelief
Yearning and Protest
Despair
Recovery and Restitution
Task Model (Worden)
Four tasks that need to be achieved
Accept reality of loss
Experience pain of grief
Adjust to environment where deceased is absent
Withdraw emotional energy and reinvest in new relationships
Dual Process Model (Stroebe)
Loss orentation
Restoration orientation
Pathological grief
Parkes
Chronic grief
Delayed grief
Inhibited grief
Parkes and Weiss
Unexpected grief syndrome
Ambivalent grief syndrome
Persistent Complex Bereavement Disorder (DSM5)
Pathological Grief Outcomes
Mortality rate increase - OR men 1.87/women 1.47 (3 months post widowhood)
OR men 1.16/women 1.07 12 months post widowhood
Psychiatric and other disorders
Elderly - unexpected bereavement mortality OR 1.61 / known morbidity OR 1.21
Trajectories through grief (Bonanno)
Stable low distress/resilience (46%)
Chronic grief 16%
Common grief or recovery 11%
Depression followed by improvement 10%
Chronic depression 8%
Determinants of Grief Outcomes (Worden)
Nota:
L A D A V S Loss, attachment, death, antecedent. variables, social, stressors
Extent of the loss
Nature of attachment
Mode of death
Historical antecedents
Demographic and personality variables
Social variables
Concurrent stressors
Theories of Grief
Psychoanalytic
Grief frees the person from libidinal attachment to the deceased
Attachment Theory
Detachment from unavailable figure (as in childhood attachment)
Assumptive World (Parkes)
Relinquishing assumptions about future and building new ones
Behavioural
Loss of reinforcement
Learned Helplessness
Loss of control/nothing can produce desired outcome
Stress and Crisis Models
Adapting and developing new coping strategies to manage the loss
Grief Couselling
Roles
Normalise experience
Support expression of feelings
Provide time to grieve
Assist living in presence of loss
Exposure therapy
Continuing support
Identify pathological grief responses
Efficacy
helpful for self-referred clients and recently bereaved
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