Grief and bereavement
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This presentation isn't going to give complete knowledge to the presenter. However it gives an idea of what topics to expound upon. This was made for third year medical students posted in a psychiatry department. It was presented over 45 minutes.
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Grief and bereavement
- 1. Grief and Bereavement Dr Dheeraj Kattula Department of Psychiatry 8.7.16
- 2. • Break up with boy/girl friend • Lose scholarship after failing in an exam • Diagnosed of Schizophrenia • Childhood friend died in an RTA • Diagnosed of disseminated cancer
- 3. Definitions • GRIEF is the process of psychological, social & somatic reactions to the perception of loss • MOURNING is the cultural response to grief • BEREAVEMENT is the state of having suffered a loss. • GRIEF WORK is the work of dealing with grief, requiring the expenditure of physical and emotional energy
- 4. Stages of Grief • Denial • Anger • Bargaining • Depression • Acceptance. Dr Elizabeth Kubler Ross
- 5. Grieving is… • Active • Healing • Skilful • Social • Connective • Transformative
- 6. Issues • Mathew effect • Men vs women • Children • Elderly • Patterns of coping • Past grief • Other stressors • Culture, religion
- 7. Issues… • Unique nature of relationship • Role of person in family • Unfinished bussiness • Family function • Nature of death – Natural vs Accidental/Suicide – Acute vs Chronic • Lifestage of deceased
- 8. Issues… • Current social supports • Complications – Absent grief – Conflicted grief – Chronic grief – Psychiatric disturbances • Psychosis • Suicidality
- 9. Tasks of mourning • To accept the reality of the loss. • To experience the pain of grief. • To adjust to an environment in which the deceased is missing. • To withdraw emotional energy and reinvest it in other relationships
- 10. Grief counseling • Can begin before death • Listening Listening Listening • Give adequate time to grieve • Discuss spikes on anniversaries • Memorial service • Use of medication- Minimal
- 11. Summary • Grief is the process of psychological, social & somatic reactions to the perception of loss • It can make us resilient. • It makes us help others.