grief and loss power point 7.4.11

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  • 1. (c) Copyright Community TrainingAustralia 2011Strategies for assisting thosesuffering from a loss(unit CHCCS426A)Learning aboutGrief and Loss
  • 2. (c) Copyright Community TrainingAustralia 2011OverviewGrief experiencesStrategies to support normal griefGrief and personal growthExercises to relieve grievers distressComplicated griefCommunity support structures
  • 3. (c) Copyright Community TrainingAustralia 2011Onwards andUpwards.Impossible words whenyou are struck with a majorloss in your life.Its the last thing you feel likedoing, and the energyrequired for even thinkinglike this let alone the doingcan be overwhelming.
  • 4. (c) Copyright Community TrainingAustralia 2011The Grief ExperienceMany people have tried to describe andunderstand what happens to people whenthey lose someone or something of greatvalue to them in their life. Grief is anexperience that we all know in varyingdegrees and will know over a lifetime.
  • 5. (c) Copyright Community TrainingAustralia 2011What are some of thethings we can lose in life?Family through separation and divorceFriendsGirlfriends and boyfriendsLocationsPrecious possessionsHopesHealthPeople through death
  • 6. (c) Copyright Community TrainingAustralia 2011What does grief feellike?Body sensations?Feelings?Thinking?Behaviour?
  • 7. (c) Copyright Community TrainingAustralia 2011What are some of the bodysensations that may accompanyloss.Stomach upsetHeadachesDizzinessTirednessPalpitationsNauseaAgitationTingles
  • 8. (c) Copyright Community TrainingAustralia 2011What are some of the feelingswhich may accompany loss?SadnessShockAngerInsecurityReliefDepressionLoneliness etc.
  • 9. (c) Copyright Community TrainingAustralia 2011What are some of the thoughtsthat may accompany a loss?Its my fault.Its not fair.I cant go on.I have beenabandoned.Life sucks.There is no God.This alwayshappens to me.
  • 10. (c) Copyright Community TrainingAustralia 2011Grief reactions areindividual and dependupon;Personality factorsPrevious family history in reacting to lossPrevious losses,multiple lossesShockOther complicatingfactors
  • 11. (c) Copyright Community TrainingAustralia 2011People have theories aboutthe stages or ways people gothrough a lossKubler Ross stages theoryWilliam Worden task theoryMargaret Stroebe and Henk Schut(1999)- Dual process model
  • 12. (c) Copyright Community TrainingAustralia 2011Loss ExperienceWhat is clear from any model is that after theshock, people tend to walk around in denialfor a bit before the reality hits and deep griefenvelopes them.
  • 13. (c) Copyright Community TrainingAustralia 2011The Dark TimesThis dark period of time feels like it will neverend, and all desire for it to end sometimesleaves as well.There isa place sodark, thatyou cantsee theend.
  • 14. (c) Copyright Community TrainingAustralia 2011GuiltWhen people lose apartner or child orsomeone close throughdeath, they may even feelguilty about having dayswhen they feel good orhappy. They are fearfulthat to be happy meansthat the person they havelost didnt count much, orthey dont care anymore.
  • 15. (c) Copyright Community TrainingAustralia 2011Sometimes a guilt tripis put on someone byothers.Children can be especially vulnerable to this.Kids move in and out of sad feelings andcannot stay in depression for long periods oftime. Its Gods design and not their fault.
  • 16. (c) Copyright Community TrainingAustralia 2011Trying to get out of the pit ofdespair.At other times peopleare desperate to feelnormal again and try tohasten its arrival byfeigning normality.Im alright, yes,managing fine, thankyou.At night time the pain ofthe faade catches up.
  • 17. (c) Copyright Community TrainingAustralia 2011Trying to be strong forothers.Many of us feelresponsible for youngchildren or other peoplewe consider to be morevulnerable thanourselves. We cansometimes put on abrave face in order tobe strong for others.Inside we may becrumbling.
  • 18. (c) Copyright Community TrainingAustralia 2011Strategies to supportothers in grief.1. Education theframework.2. Letting go, sayinggoodbye in ceremony.3. Keeping connected in anew way. Questioningtechniques.4. Micro-losses as a way tobuild a future.5. Support search.6. Introduce new supports.7. Check for complications.
  • 19. (c) Copyright Community TrainingAustralia 20111. Education theframework.Providing a framework for someonewho is grieving is helpful. In the middleof intense pain and misery tounderstand that the process has beenlived through by others and what toexpect can give an individual bearings.
  • 20. (c) Copyright Community TrainingAustralia 2011A feminine frameworkElizabeth Kubler-Ross observed grief inher patients and in their families. Shesaw grief as a journey which hadstages. She felt that the griever waspulled by an invisible thread through thedarkness of loss towards the light. Thistrusting framework will be very helpfulfor some individuals.
  • 21. (c) Copyright Community TrainingAustralia 2011Stages theoryThe stages she observed were:Stage 1: Shock and denialStage 2: Anger/bargainingStage 3: Depression and detachmentStage 4: DialogueStage 5: AcceptanceElisabeth Kubler Ross - On Death and Dying1969
  • 22. (c) Copyright Community TrainingAustralia 2011A fluid movement.Her theory was not rigidhoweverit was understoodthat in moving forward attimes people will movebackwards and forwards, forexample between anger anddepression, but willeventually come out the otherside.
  • 23. (c) Copyright Community TrainingAustralia 2011A male frameworkWilliam Worden had a task theory ofgrief. He felt it was something thatpeople had to do. This power modelwhich emphasises the need for actionwill assist some individuals as they feelmore relaxed when they know theexperience as something that they cancontrol.
  • 24. (c) Copyright Community TrainingAustralia 2011The Task TheoryTo accept the reality of the lossTo experience the pain of griefTo adjust to an environment in whichthe significant person is no longerpresentTo reinvest emotional energyJ.W. Worden, Grief Counselling and GriefTherapy 1982, pp 11-16
  • 25. Dual Process ModelMargaret Stroebe and Henk Schut(1999)This recent model of grief and lossmaintains that both grieving andavoiding grief are necessary for asuccessful resolution and pragmaticcoping with a loss.(c) Copyright Community TrainingAustralia 2011
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