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32 Cards in this Set
- Front
- Back
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to invest with mental or emotion energy |
Cathecting |
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to withdraw one's feelings of attachment |
decathecting |
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the process by which a person experiences the grief |
Bereavement |
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study of death and dying |
Thanatology |
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when people facing imminent loss begin to tackle the very real possibility of loss/death in the near future |
Anticipatory Grieving |
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The outward expression of grief |
Mourning |
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An act of mourning any loss, emotional aspect of decathecting
Subjective emotions and affect that are a normal response to the experience of loss |
Grief |
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classified as Axis IV normal human emotion r/t loss symptoms similar to depression but have abrupt onset and shorter duration should not involve loss of self-esteem
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Grief |
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Fatigue, weakness, SOB, HA, anorexia, GI upset/disturbance, N&V, decreased immune system, sleep disturbance, palpitations, changes in endocrine system |
Physical/Physiologic manifestations of Acute Grief |
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obsessions with object of loss what could have been, regrets "if only" inability to concentrate, confusions changes in the way one views the world
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Cognitive manifestations of acute grief |
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Anger, sadness, anxiety, guilt, possible depression if unresolved or complicating factors, can result in self-medicating, fighting, crime
may experience feelings of loss of control in own life, uncharacteristic depending on others, anxiety about own death |
Emotional manifestations of acute grief |
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increased religiosity if belief system can give them meaning to loss decreased religiosity if belief system cannot give meaning to loss hopefully if person grieves successfully they find deeper spirituality, faith, and greater meaning in life |
Spiritual manifestations of acute grief |
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Recognize React Recollect and reexperience Relinquish Readjust Reinvest |
Grieving tasks-Rando, 6 R's |
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Accept Working through pain/grief adjusting to changes in environment emotionally relocating |
Worden's Grieving tasks |
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crying (emotional bleeding), agitation, pacing, restlessness, hostility towards others, inability to mobilize, feeling like they are functioning automatically (depersonalization)
Easiest to observe |
Behavioral manifestations of grief |
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grief immediately after a loss |
Acute grief |
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acute grief symptoms non-remitting for 2-6 months |
Dysfunctional grief |
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grief that cannot be shared, is not or cannot be acknowledged openly, mourned publicly, or supported socially |
Disenfranchised grief |
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Response outside the norm, occurs when a person is void of emotion, grieves for prolonged periods, or has expression of grief that seem disproportionate to the event |
Complicated grief |
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Studied thantology described 5 stages that both the dying person and the loved ones go throught |
Kubler-Ross |
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Humans instinctively attain and retain affectional bonds with significant others through attachment behaviors |
John Bowlby |
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experience numbness and denying the loss emotionally yearning for lost loved one and protesting permanence of the loss experiencing cognitive disorganization and emotional dispair with difficulty functioning in everyday life reorganizing and reintegrating the sense of self to pull life back together |
John Bowlby 4 phases |
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1. Denial 2. Anger 3. Bargaining 4.Depression 5. Acceptance |
Kubler-Ross Stages |
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1. Shock and disbelief 2. Developing awareness-acknowledge 3. Restitution-death rituals 4. resolution of loss-preoccupied 5. recovery- go on with life |
George Engel 5 Stages |
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1. Outcry-1st realization 2. denial and intrusion 3. working through 4. completion-normalacy |
Mardi Horowitz 4 Stages |
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At least one partner is unclear about how the couple loves/does not love each other |
Ambivalent attachment |
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one partner relies on the other to provide for his/her needs without necessarily meeting the partner's needs |
Dependent attachment |
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usually during childhood; especially if child has learned fear and helplessness |
Insecure attachment |
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Physiologic- amputation Safety-safe environment, domestic violence Security and sense of belonging-loved one, divorce Self-esteem-change in how person valued R/T self actualization-external or internal crisis |
Types of Loss |
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Being with the client and focusing intently on communicating with and understanding him/her |
Attentive presesnce |
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Pt gradually adjusts to the reality of the loss |
Adaptive denial |
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Poor pre-morbid functioning low self esteem, previous psych disorder, low trust in others, isolation/lack of social support, substance abuse hx death of spouse or child untimely or multiple deaths other concurrent life difficulties death of parent in childhood |
Predictors of dysfunctional grief (complicated grief) |
