AnapproachtoTreatingComplicated

Bereavement©

2018HopeConferencePhoenix,Arizona

FrankR.Campbell,Ph.D.,LCSW,C.T.SeniorConsultant,

CampbellandAssociatesConsulting,LLCWWW.Lossteam.com

Expectations?

Weshallnotceasefromexploration

AndtheendofallourexploringWillbetoarrivewherewestarted

Andknowtheplaceforthefirsttime

fromtheFourQuartets,T.S.Eliot

Post-Intervention

American Association of Suicidology A

merican A

ssociation of Suicidology

July 2014 - JLMcIntosh

2011 Data 4

Suicide in the USA: Statistics

Four ways to consider Suicide Behavior

INTENT=DIE AND THEY DIE SUICIDE

INTENT = DIE AND THEY LIVE SUICIDE ATTEMPT

INTENT=LIVE AND

THEY DIE ACCIDENTAL SUICIDE

INTENT=LIVE AND THEY LIVE PARASUICIDE

Psychologicallyunpreparedforwhatyouareaboutto

experience

• Psychologicalvulnerability• Emotionalconnection• Sensoryexposure

WhatweknowaboutSuddenandTraumaticLoss

GRIEF TRAUMA

RESOLVETHETRAUMA

•  Explainthetriggerstothetrauma•  Theyincludesight,smell,taste,touch,andsound•  HelpthesurvivortocopewithDreams,Flashbacks,TraumaticImagesandIntrusiveThoughts

•  Talkit,Drawit,Writeit,•  EMDR,systematicdesensitizationetc.

Remember that what you see in a person is just the tip of the iceberg – there’s more going on underneath

Feeling what is below the surface is the first step to releasing what is frozen

Wouldyouagreethesetwotripsaredifferentinthelevelofchallenge?

Ifyouarepackingforajourneyofanunknownlengthoftime,whatwould

youtakewithyou?andwhy?

Whowouldyoutakealong?Andwhy?

•  Whatwillyouneedtoknowinordertoknowwhattotake?

•  Whowouldyoutalktoforadviceonwhattotake?

Whatisthegoalofthegriefprocess?

•  Fortheindividual?•  Forafamily?

•  Foracommunity?

•  Whatisacommunity?

Barriersforthejourney(forprovidersandsurvivors)?

InternalandExternalBarriers

•  AccesstootherSurvivors•  Permissiontospeak(imposedinternallyandexternally)

•  Whattosaytothesurvivors(alsoimposedinternallyandexternally)– Whatguidelinesdoyoufollow?(aretheyrealorassumed?)

– Ethicalchallenges?

Basicorcorefeelings

•  Angry•  Sad•  Scared•  Happy•  Morecognitive:

•  Guilt(goalhereistoreframetoRegret)

•  Relief

TheoreticalConstructPast Present Future

EmotionalAllfeelings Sad/anger Hopeless

PhysicalHealthy Somatic/ADLs BadHealth

CognitiveVariety Intrusive Confusion

SpiritualIntact Scared Apart

Howtoreallyhearastoryaboutloss?

v ContentVs.Affect

TraumaticLossInterview(PleaseSeehandoutforthissection)

TraumaticLossInterviewCampbellandAssociatesConsulting©

Takenby:_______________Date_________Time(begin&end)__________am/pm

Referredby__________________________________

GeneralInformationAboutSurvivior

Survivor’sName_____________________________Race/Ethnicity___________

Address_______________________________Phone_______________(Home)

______________________________________________(Work)

EMail________________________________ County___________________

DateofBirth__________Age______Gender_____LivingSituation____________

MaritalStatus____________________MarriageHistory____________________

Religion_____________active/passive.Religiouscounselor_________________

Occupation_____________________________Howlong?__________________

Currentlyworking/student:yes/noNumberofhours/week___________

InformationAbouttheDeceased

Wheredothese“rules”comefrom

•  Institutional•  Governmental(apologylaws)

•  Malpracticeinsurancelimitations

•  Peers,warstories,worstcasescenarios•  Internalfearofbeingwiththosewhohavesuchaloss

•  Fearofbeingblamed,helpless,guilty

CaregiverAmbivalence(Potentialethicalissues)

“Firstplacethemaskonyourselfbeforeattemptingtohelpothers!”

Barriers

•  Whatdoyouthinkarethebarriersforselfcare?

Level of coping is indicated by:

a)  Participation in a supportive community

b)  Physical well-being

c)  Control over daily activities

d)  Productive and creative life

TakeCareofYou!

Couldthisbethegoalofsupportforthosewhoareinyourcare?

Weshallnotceasefromexploration

AndtheendofallourexploringWillbetoarrivewherewestarted

Andknowtheplaceforthefirsttime

fromtheFourQuartets,T.S.Eliot

AnapproachtoTreatingComplicated

Bereavement©

2018HopeConferencePhoenix,Arizona

FrankR.Campbell,Ph.D.,LCSW,C.T.SeniorConsultant,

CampbellandAssociatesConsulting,LLCWWW.Lossteam.com