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Fetal Death
Published in Vincenzo Berghella, Maternal-Fetal Evidence Based Guidelines, 2022
After confirmation of stillbirth, initial counseling should include the communication of fetal death to the parents using clear and unambiguous language, preferably by an experienced provider. After the initial counseling, the management options should be discussed, including recommended workup (Table 57.1 and 57.2), delivery options, as well as possible complications. Grief counseling should be included, referral to grieving help groups should be encouraged. Staff interacting with the family should refer to the stillborn baby by name, if one was given. Understanding the cause of stillbirth is important to parents and has implications in the management of future pregnancies. Obtaining consent for autopsies, surgical investigations, imaging, and other investigations is difficult for both parents and healthcare providers, and must often be done over several conversations. Investigating the best possible way to support parental decision making is important [30]. Review of risk of recurrence, prevention of recurrence, and best management for a future pregnancy (Table 57.3) should be done postpartum.
Change: Little Eyolf, Henrik Ibsen (1894)
Published in Ewan Jeffrey, David Jeffrey, Enhancing Compassion in End-of-Life Care Through Drama, 2021
Physical expressions of grief may include numbness, restlessness, loss of appetite, sleeplessness, weight loss and loss of energy. The bereaved may behave in ways reflecting the loss–restoration model: socially withdrawing, then searching and seeking the dead person, finding reminders, experiencing pain and to repeat the cycle by retreating into isolation again.
The Initial Phase of IPT-A
Published in Robert McAlpine, Anthony Hillin, Interpersonal Psychotherapy for Adolescents, 2020
Robert McAlpine, Anthony Hillin
Many adolescents experience significant loss, including loss through death. Grief is a normal and healing process. Complex Grief is only identified when a disorder, in Erin’s case, depression, arises directly in response to the emotions of loss not being adequately processed—when the anticipated grief response to loss transmutes into an experience characterised by lasting distress and impairment of academic or vocational functioning and ruptured interpersonal processes. (See Chapter 7.)
Post-Pandemic Psychosocial Issues
Published in Issues in Mental Health Nursing, 2023
As I am writing, the US has experienced over one million deaths from COVID. Experts studying grief have noted that health professionals are ill-equipped to recognize grief or to intervene (Pappas, 2021). Given the large number of bereaved people they may encounter, psychologists and other mental health professionals are advised to seek out grief training and avenues for providing social support. However, despite the potential of social support to transform the lives of grieving persons, surprisingly little is known about how it works or might be optimized by health professionals (Breen, 2021; Pappas, 2021). There is a lack of clarity about how best to define and operationalize social support, which may explain why the “active ingredients” of social support that may benefit mental health and psychological well-being after bereavement are not known.
The Lived Experience of Human-Pet Relationships among Adult Survivors of Childhood Sexual Abuse: An Interpretative Phenomenological Analysis
Published in Journal of Child Sexual Abuse, 2022
Leslie H. A. Hamilton, K. Jessica Van Vliet, Gerri Lasiuk, Connie K. Varnhagen
Despite perceived benefits of the HPR, participants also experienced several drawbacks. These included: stress resulting from pet-related responsibilities; tangible hardships (e.g., financial strains, difficulties obtaining stable housing); frustration and harm due to pet misbehavior and aggression; and grief stemming from the loss or death of a pet. The shortcomings described by participants echo similar findings in the literature, specifically, concerns related to allergies, infections, parasitism, zoonoses, and animal attacks (Beck & Meyers, 1996; Lefkowitz et al., 2005). Furthermore, some studies have noted how pet loss or death may trigger grief and bereavement (Cordaro, 2012; Rujoiu & Rujoiu, 2014). Although severe pathological reactions are infrequent, subclinical levels of grief and sadness are commonplace (Luiz Adrain et al., 2009). Nevertheless, HPR-related shortcomings are essential to keep in mind when considering the integration of the HPR into the therapeutic environment.
Living with Grief Since COVID-19
Published in Journal of Gerontological Social Work, 2021
Grief is a universal experience, although it is probable that every living soul will intimately know it differently. For that reason, it is essential to understand that grief cannot be packaged into absolute stages, with step-by-step indicators of where a person may or may not be on their personal grief journey. Rosenblatt and Wallace in their chapter, Impact on Black America, provide a logical process for well-meaning white bereavement counselors and helping professionals as they serve Black clients who may have levels of mistrust. They suggest being “open to learning and accepting client realities” (p. 23). Further, they recommend starting the process by “assessing and examining their own possible personal attitudes, prejudices, and even obliviousness to the issues brought about by systemic racism and how these realities may impact their work” (p. 23). The sensitivity and authenticity of the authors’ contributions to this book was evident in each of their personal stories related to the universality of the grief experience.