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Review - key lessons

by: Kirsten Notetaker

Review - key lessons

Marketplace > Lewis University > > Review key lessons
Kirsten Notetaker
Lewis University

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Review discussion - weeks 6 & 7
Loss and Mourning
Ms. Rzeszutko
Class Notes
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This 4 page Class Notes was uploaded by Kirsten Notetaker on Monday October 17, 2016. The Class Notes belongs to at Lewis University taught by Ms. Rzeszutko in Fall 2016. Since its upload, it has received 7 views.


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Date Created: 10/17/16
10 questions 10 points each 1. What are the general patterns of response to death? 1. Death defying - our souls will live on, like the Egyptians thought they would come back to their bodies 2. Death denying - happens a lot, we do not believe that we are going to die, we don't want to die, we don’t even want to think about dying, trying to keep people alive when enough is enough/quality of life is nonexistent, people do not want to experience getting old - plastic surgery/fact lift 1. List the psychological factors that influence how a person grieves.  Nature - the nature of the death, what is happening in the whole process of how they are dying  Strength of attachment - relationships between you and the dying person and their own personal relationships, main goal is to make sure the dying person has a good death  Coping behaviors and mental health - how we get through things, defense mechanisms, how you normally cope with crisis situations is how you are going to cope with grief situations , coping behaviors help us to get through  Mental health - is there is a mental illness, it is going to double the grief reaction, the mental illness may interfere with a normal and healthy reaction  Roles: I and people - people's roles have to have a grief process, say role is to provide money, that would be a big loss  Level of maturity/intelligence - cognition, how does that person view death, education on death, maturity - the developmental process that happens, socially, environmentally, brain chemistry of how we develop  Age - different ages deal with loss/grief differently  Past experiences - bereavement overload, having lots of experiences with the grief process, there are usually consecutive losses  Social, cultural, ethnicity, religion - without it, might not go through the grief process, do not see that there is another side to life, inward and outward expression of grief  Amount of unfinished business - not having resolution to certain people at the end of life, if there is a lot of unfinished business the grief process will be harder The death surround - actual place, time, and environment where  person has died  Length of illness -  Sudden vs. expected - what is better depends on the person  What are the four systems that can offer comfort to those dealing with death?  Biological - our organs shut down, we know that is going to happen  Social - we will live on through other people - people will remember us  Natural - our body is going back to nature  Religious - we are going somewhere else - Heaven  Name and explain one of the theories of the stages of grief.  Worden's Tasks o Accept loss - usually the last stage, thinks that you have to accept the loss first, in order to deal with it o Experience grief - have to accept the grief and hit it head on, acknowledging your feelings, dealing with your feelings o Adjust to new environment - adjusting to the new environment without that person or thing that you loss, takes time o Withdraw emotional investment - you know that you're going to be okay with the loss, the pit in your stomach starts to go away, need to stop putting so much stock in the loss, and start to move on, you can re- fill the piece of your heart that was taken away from the loss  What is the criteria that is used to determine legal death?  Irreversible loss of flow of body fluids - heart stops pumping, you cannot eliminate wastes  Irreversible loss of soul from the body - a person really being able to truly socialize, presence of the person feels gone  Irreversible loss of the capacity for bodily integration - our systems have begun to shut down, brain is pretty much shut down  Irreversible loss of the ability to socially interact -  List cognitive, behavioral, physical, and emotional reactions that occur when a loss happens. (3 for each)  Normal reactions to loss o Cognitive - disorganized thought patterns, inquisitive thoughts, trying to understand the reasoning, obsessive thoughts, memories and flashbacks, dreams or re-occurring dreams, sense of the presence of the deceased person, search for the meaning of life and death, thinking that is was your fault, idealization of the deceased, confusion, rationalization, intellectualization o Emotional - anger, denial, loneliness, depression, sadness, lethargy, numb, relief, guilt, survivors guilt, regret, hopeless, ambivalence, abandonment, loss of ability to have pleasure, shock, loss of control o Behavioral - do things to avoid places or people that remind you of your loss, isolation, lack of hygiene, alcohol and drug abuse, personality change, self harm, re-locating, re-decorating, keeping things in the house the same, risky behaviors, suicidal tendencies, aggressiveness, impaired work performance, absenteeism, carry around the deceased person's possessions o Physical - weight gain or loss, appetite change, change in sleeping patterns, vomiting, diarrhea, menstruation, libido changes, loss of hair, tremors, somatic responses (back ache, headache, etc.), vulnerable to illness, sensitivity to noise  In the Bill Mauer documentary, discuss the cognitive, behavior, physical, and emotional reactions that can be seen (from Bill).  Cognitive - after the shock, and sadness, he really began to accept his death  Behavioral - hung out with those guys in the mountains and smoked, starte d to "live life to the fullest"  Physical - felt pain during the dying process, he was in pain  Emotional - scared of suffering, eventually content, really handled it well  What are the losses that can occur during and after the dying process? --> book  Loss of a job - dying person  Loss of ability to take care of themselves  Let their family down - their role in their lives changes  Loss of job, hobbies, mobility  Loss of freedom  Physical loss - can never hug or see them again  Social loss - you lost a friend  During the developmental stage of teens, how does a teen deal with death? What helps a teen deal with death? View of Look at death more in terms of violence (media, video games), not that it is death going to happen around them, view is more global, don’t think about death and themselves, think about how our life can affect our death - becomes a little obsessive, links in with looking to the future What Listen actively (empathy), make sure you hear why they are angry, offer helps support, music therapy, lyrics help with personal identification, group work 1. What is complicated grief, explain 3 forms of complicated grief.  Abnormal stage of grief  Complicated grief: intense, painful reactions to a loss - much more severe than grief reactions o Some reasons why complicated grief happens: unexpected death, violence, homicide, suicide, multiple losses, unresolved grief, the traumatic experience of loss, prior loss, mental illness, substance abuse and use, small support system o Chronic - ongoing, prolonged  Normal grief reactions should last about a year o Delayed - suppressed, postponed - conscious/unconscious o Exaggerated - self destructive behaviors, cannot stop thinking about the loss, obsessively o Masked - not aware that behaviors/reactions influence functioning o Disenfranchised - loss that cannot be openly expressed  An affair ends, miscarriage, homosexual insecurity, grief is complicated here because you cannot talk about it


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