M.
Dezelic
&
G.
Ghanoum
©2013
STAGES
OF
DEATH,
GRIEF,
&
PROCESSING
THROUGH
LOSS,
GRIEF,
TRANSITIONS
AND
TRANSITION:
4
STAGES
OF
GRIEF:
TRANSFORMATION:
u DENIAL
u ANGER
u NUMBNESS
A
Meaning-‐Centered
Existen;al
Approach
u YEARNING
&
SEARCHING
u BARGAINING
u DEPRESSION
u DISORGANIZATION
&
u ACCEPTANCE
DESPAIR
-‐E.
Kübler-‐Ross
&
D.
Kessler
u REORGANIZATION
-‐J.
Bowlby
THE
CONTINUAL
PHASE:
MEANING-‐CENTERED
RECOVERING
MEANING
GRIEF
MODEL:
IMPORTANT
Life0me
Journey
of
Recovery
CONSIDERATIONS
THAT
vProcessing
Through
IMPACT
GRIEF:
Grief:
(Not
Linear)
vNature
of
Death,
-‐Spiraling
and
processing
Sudden
or
Prolonged
through
all
of
the
Stages,
(Experienced
During
The
Various
Stages)
Depression
vType
of
Death,
Suffering
Unavoidable
Feeling
&
Emo=ons,
Suffering
EXISTENTIAL FRUSTRATION
vA9achment
Style,
DESPAIR
LOSS
OF
HOPE
while
experiencing:
Nature
of
Rela=onship
Tragic
EXISTENTIAL
VACUUM
Neuro=c
Soma;c
Pain
(Body),
with
Deceased
u Staying
Triad
Inner
Pain
Triad
Outer
Expression
Psychic
Distress
(Mind),
vFormer
Losses,
Connected
with
Guilt
Death
Aggression
u Ongoing
Process
Addic0on
and
Spiritual
Uncertainty
Trauma=c
Exposure
Loved
One
u Surviving
Through
(Spirit).
vCurrent
Support
the
Loss
-‐Valida=ng
and
being
u Con0nuing
to
Network
present
with
one’s
inner
Create
Meaning
u Acceptance
that
and
outer
experience,
vAge
of
Griever,
Gender,
Culture,
Faith
Beliefs
with
Loved
One
Loved
One
is
No
mul=-‐dimensional
levels
vAddi=onal
Stressors
and
Self
Longer
Physically
of
pain
In
One’s
Life
u Crea0vity,
New
Present,
Yet
Can
vCon;nual
Phase:
-‐Recovering
Meaning
Experiences,
Con0nue
to
Have
(Meaning
in
Life)
TRANSCENDING
LOSS
MODEL:
AFtude
a
Presence
in
Life
-‐Accessing
Resources
of
u SHOCK
u Meaning
in
the
u Growth
&
Thriving
the
Spirit
u DISORGANIZATION
Moment
u Resilience
-‐Healing
through:
u RECONSTRUCTION
Meaning,
Memory,
u SYNTHESIS
uUl0mate
u Transcendence
Restora;on
and
u TRANSCENDENCE
Meaning
Re-‐Ac;va;on
-‐A.
Davis
Bush
-‐M.
Dezelic
&
G.
Ghanoum
MEANING
RECONSTRUCTION:
u Death
validates/invalidates
6
“R”
PROCESSES
OF
MOURNING:
construc0ons
or
is
a
novel
experience
u AVOIDANCE
PHASE
u Grief
is
a
personal
process
-‐DEFIANT
POWER
OF
THE
SPIRIT-‐
1.
Recognize
the
loss
u Grieving
is
something
we
do,
not
something
done
to
us
-‐NEW
RELATIONSHIP
WITH
DECEASED-‐
u CONFRONTATION
PHASE
2.
React
to
the
separa0on
u Reconstruc0ng
personal
world
of
-‐SELF-‐TRANSCENDENCE-‐
3.
Recollect
and
reexperience
meaning
4.
Relinquish
the
old
aXachments
u Feelings
as
signals
to
state
of
meaning
and
assump0ve
world
making
efforts
u ACCOMODATION
PHASE
u Construct
&
reconstruct
iden00es
in
“Keeping
your
Loved
One
Sacred
and
Present,
5.
Readjust
to
move
adap0vely
nego0a0on
with
others
6.
Reinvest
-‐R.
Neimeyer
while
Recovering
Meaning
in
Your
Life.”
(M.D.
&
G.G.)
-‐T.
Rando