Notes on Grief
My
notes ----------Taken from C. Lighter & N Hathaway - Giving Sorrow Words
Once
a death occurs some people plummet into grief others become numbed thus postponing the pain. Some spend years submerged beneath
the weight of sorrow, other balance precariously on the edge of anger.
Paradoxically
the more ambivalent the relationship, the more difficult the mourning may be.
Beneath
the sobbing or stoicism, the anger or acquiescence, the guilt or even
gratitude, there lies a pattern.
Three
phases of grief: avoidance, confrontation, and re-establishment -
T. Rando
4
Phases - numbing, yearning and search, disorganization and despair and finally
reorganization. - J. Bowlby.
Kubler-Ross
- denial
and isolation, anger, bargaining, depression, and acceptance.
Like
all defense mechanisms, the most common of all DM, DENIAL keeps fear and anxiety at bay.
The
defense of numbness anesthetizes the pain, allowing the Psych a little time to
absorb the magnitude of what has happened. Numbness can come and go.
Using
denial guards against the fear that if they stop denying what they feel, the
lid will come off the emotional tornado.
Denial
is born out of the desire to feel better fast, to be done with the pain. Puts
the pain off until we can deal with it.
The
main task at the beginning of mourning is to accept the reality of the death.
By
giving sorrow words we start to accept what has happened and to release some of
the pain.
Idealized
portraits can be constructed in mourning as we play over and over again special
moments even those at the time that was unremarkable.
Many
people avoid the murkiness of their emotions and instead turn towards action.
This only represses their grief. For no matter how hard you try it is
impossible to ignore grief. One way or another it demands expression.
Fear is a natural component of grief,
once you have experienced the death of a love one; you know the world is not a
safe place
Those
that are harsh with them attempt perfect 24hr care of the loved one,
unconsciously hoping they can save the person, and they feel that nothing they
do can ever be enough. They often want to avoid the feeling of guilt after the
death. Guilt is not something you can utterly avoids. No matter how much
self-sacrificing and saintly you are, when death occurs, you will be alive and
your loved one is gone. If there are specific actions you can take now to
reduce guilt later, do so. No one is superhuman; we do the best we can.
Adult
siblings caring for a dying parent often exposes the rivalries of childhood.
Some unable to cope with reality, with what is going on drop out entirely;
others take charge. Grabbing the reins of responsibility in their own minds,
becoming a tyrant in the minds of others.
The
death of a parent shifts responsibilities to the child; the emotional
underpinnings we have relied on our entire lives are gone. Unbuffered by
parental protection (even if only symbolic) we feel the harsh winds of reality.
I
spent my lifetime thinking I was somebody's child. But I was nobody's child.
I was
angry with my Father for having shunned me when I was a child. It made me feel
worthless and those entire feelings rose to the surface with a sudden and
violence caused by his unexpected death. I needed his approval and never got
it. His death removed the possibility that I ever would.
It is sad but also reassuring that the
death of a parent can be an opportunity to do what we want without parental
interference or disapproval.
It can open the door to our own individuality by offering a form of freedom.
I'm on my own now, what do I do? Or one could say I now don't have to worry
about living up to someone else's expectation, no one is looking over my
shoulder. (Although you could have been
ignoring your parents over the past 30 years.)
I
could never please my Mother. She was so highly critical of me that when she
died, I felt complete freedom to do what ever I wanted to do without harsh
judgment. Her death allowed me the freedom to grow in self-confidence. In the
presence of death we become more aware of life and then to seek it. The value of death is that it can inspire
us to decide what are really matters in life and then to seek it.
My
mind is scattered in a million different directions, emotionally, physically,
and mentally. The pain was so severe.
But I have come to realize that you cannot run from the pain.
Anger, guilt, relief and idealization.
Many people avoid painful memories and
feelings by idealizing the deceased. In most cases, idealization is strong at first but then
tapers off. People over idealize because
it is unacceptable to them to feel ambivalent or negative feelings. But
when it continues, it's a problem. Idealization creates a totally unrealistic
image, a fantasy that prevents people from going on. They become stuck, immobilized by the fantasy and by guilt about their
anger. They become depressed. They have difficulty connecting with other
people because the more someone is idealized the more everyone is measured
against them.
Many
tend to discharge their emotions through work. Instead of mourning many will
pull back from their powerful and frightening emotions but nevertheless they
will feel them and redirect them into such maladies as headaches, backaches,
insomnia, high blood pressure. Societal expectation reinforces this; "one
must be strong, at the same time to provide emotional support to others. They
must suppress their emotions. Many retreat into a conspiracy of silence. This
is often what happens when people love each other so much they don't want o t
hurt each other. In other worlds that stop communicating.
Much of personal anguish is the birth
struggle to find the real self, the new self after a death. The new self is shaped by grief, they
grow, and their values change. Experiencing death for the first time also
allows for experiencing life. Paradoxically that grief can make one stronger.
Once one survives this deadly wound, this insult to their lives, they stop
sweating the small stuff. They are more direct. They know they have a right to being treated with respect. They
believe in their own dignity. They become more forceful in a strange way, more
powerful. Once you have survived the death of someone you feel you can survive
anything.
Relationships
between siblings are always complicated and ambivalent. Identification between
siblings are strong and so too the rivalry. Siblings have to deal with guilt
and anger that goes way back.
I
felt so helpless, at the death, as I felt so ultimately excluded.
There
is usually a mixture of love, anger, guilt and sorrow. (Mad, Sad, Bad, Glad) The difficulty
is in resolving these emotions.
How children Mourn.
They respond to the death of the chief caregiver just as
they do to other separations, they cry and show distress, a reaction that
diminishes when someone whom they trust takes over the responsibility for their
care. The initial response is protest, hoping the parent will return. When this
doesn't happen they may sink into despair, losing interests in everything
around them. If they continue to be deprived of nurturing they shift from
despair to detachment. The parent must anticipate the children needs.
The
grief of children is colored by fear. The world is now seen as an insecure
place. They fear further abandonment; they may worry about their own demise. In
response to these fears the child, particularly younger then 5 will respond by
clinging, and being very demanding, often they regress.
Children often feel guilty because, egocentric little
creatures that they are readily conclude that Mommy isn't returning because of
something they did. They use magically thinking. They remember their negative
thoughts (I wish you were dead) and they may conclude that there wish many have
caused their death. It is their fault. They bear these thoughts silently.
Children have to spread it over time. They grieve intermittently and often
invisibly. As they grow, in each new developmental stage can revive their grief
and caste it into a different light. The process of identifying with and
thinking about the deceased undergoes many shifts over the course of their
lifetime. The child who is not told and left to figure it out on their own, to
grieve in isolation, without the support of family members. Not telling spares
the child no pain; the children know that something is wrong.
Young children are frequently told lies and evasions,
sometime purposely, by adults whose own fear of death makes them instinctively
repress all thoughts and feelings. Children who withdraw need to know that
their feelings including fear, anger, and guilt are perfectly acceptable to
you. They are afraid of their own reaction, motivated by fear of losing
control. When the child's world is so thoroughly threatened, shutting down
their emotions may be the only solution. In families in which the adult
subscribes to repression, children likewise feel compelled to hide their
sorrow, they are emotionally abandoned. They are grieving in a situation that
recognizes neither their feelings nor the facts.
To help a child express their feelings the parent or someone
else must be able to express their own. A child takes their cue from their
parent. How can the child identify their own feelings if the parent cannot
either? And are willing to be vulnerable enough. They instead go on doing all
those things that keep the peace, doing all those things that please the
parent.
But that initial compliance later turns into rebelliousness,
acting out. Beneath the tough exterior there lies a broken heart and a guilty
conscious. Acting out has its roots in anger, guilt and fear. That the child
may be unable to express in other ways. It is important not to hide your own
fears.
Bereavement in
Childhood is a catastrophic experience, a threat to their basic survival. Even
a brief separation from their primary love object activates anxiety and a
dreadful anticipation of deprivation of the most basic needs. It is simply
emotional shock of the deepest kind.
The immediate
response is pervasive denial that the event has occurred at all. Detachment,
actually leaving the scene psychologically removes them from the reality of the
loss. As the children attempts and always fails, extreme feelings of
helplessness, hopelessness and unworthiness become pervasive. If the child
cannot integrate the loss, long lasting and persistent behavioral changes may
occur.
Young children at
this time are attempting to separate and gain control of their own thoughts and
body. During this time their thoughts
take on a magical quality. They often believe that their thoughts influence
outside events. This is a boundary issue. What is mine, what is yours and what
is ours. The two basic instincts, love and hate are felt intensely. If the
child hates by wishing the parent to go away, when they do, the child is left
wondering whether it was his influence that made them go away. This then is
where guilt comes from. Ones hate drove the parent away leaving the child
believing he is bad and responsible for this.
When the loved one
does not return they often reason that the love one does not wish to, do not
wish to be with them. They feel unworthy and that the parent does not care for
them. There is of course a sense of abandonment. They become convinced that it
was their own misdeeds or evil thoughts or misbehavior that caused such a
catastrophe, hence guilt and the start of OCD, and pleasing behaviors. The
child is concerned with who is to blame for the abandonment and their
conclusion is that they are. There is a sense of culpability in the death of
the parent, which of course gives rise to hopelessness, anxiety, feelings of
badness and hence being unlovable. In the child mind, their abandonment is
proof that they are unworthy of love and care and they may actively seek
punishment (masochism) as a way of atonement. Self-identity, self-esteem goes
down.
The developmental stage of initiative versus
guilt is interfered with. Their
former security in the world is lost and the world becomes a hostile and
unpredictable place. In future any losses many trigger the original loss, with
regression occurring. It is the memories of these early losses, and its
accompanied bewilderment, confusion and anxiety that return. Any aggression is
now viewed as dangerous, destructive therefore they respond by attempting to
control their emotions and impulses in a very rigid manner. Often the lost
parent is idealized and the child will retreat into a world of fantasy that
only included the child and the dead parent.
Mourning is the most intense process the people go through.
Grief is complex and primal. The only way through is expressing their feelings.
If one faces their grief they will be able to make room in their heart for hope
and happiness. If you suppress it sticks around forever. No matter how much
time has passed it can always spring to life at any moment. A death in
childhood is the hardest blow of all.
To grieve one must experience not just sorrow and loss, but
anger and guilt. The future is a blank to most people, before they can move
ahead they must look back, they must grieve.
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