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Recovery from grief and loss
by David L. Conroy, Ph.D. Original location
Poorly resolved grief has many causes. Its origins are often
in childhood. We may have had parents who were unable to
grieve normally, and were unable to be good models for healthy
grieving. We may have received explicit or covert messages
from our families or culture that expressions of grief were
unacceptable. If adults did not talk to us after a loss, we
were left with the message, 'Grieve alone.' We may have
suffered traumatic events that made it impossible for us to
have normal emotional functioning. Not only are we then left
with unresolved feelings about the losses of childhood and
adolescence, but we carry poor grieving patterns with us into
adulthood.
Many of us suffered the loss of a loved one in a way that was
traumatic, stigmatized, or unexpected. We may have been
present when these deaths occurred. Perhaps we suffered
several losses in a short period of time. Important facts
concerning the cause and circumstances of the loss may be
unknown to us. These factors make the mourning process much
more difficult.
Some of us suffered for years from depression, chemical
addiction, or patterns of compulsive behavior. These illnesses
made it impossible for us to grieve losses we suffered during
these periods. Moreover, chronic mental illness or addiction
themselves cause enormous losses - loss of years of our lives,
loss of personality and self-respect.
We did not choose the conditions that made it more difficult
for us to grieve. Although grievers are often negatively
judged - 'What’s wrong with you? Why can’t you snap out of it
and get on with your life?' - these judgments are invalid and
abusive. As children and as adults, our culture and most of
our families bombard us with the message, 'Don’t grieve.'
Within a support group we create a place where it is safe to
grieve. We maintain confidentiality, and we are not
competitive about our losses or about our recovery. As we
listen to others struggle with their grief, we see that we are
not alone. We can begin to identify the factors that cause us
to suffer unresolved grief.
An important step in recovery from accumulated grief is to
prepare a chronological list, with approximate dates, of our
loss histories. There are no rules about what to put on the
list; it may include the births and deaths of important people
in our lives, changes of schools and residences, divorces and
separations, physical and mental illnesses suffered by
ourselves or family members, traumatic events, losses of
occupations or activities, loss of childhood, youth,
innocence, or trust, periods of addictive or compulsive
behaviors, periods of institutionalization, and changes in
social or economic status. You may wish to revisit places from
your past, or make efforts to obtain photographs or
information. There are no rules about when to prepare this
list; you can do it when you feel you are ready to do it. (The
recently bereaved are not in delayed grief or unresolved
grief. It is normal to suffer pain after a severe loss. There
are no rules for how long 'normal' grief lasts, since it
varies by individual, type of loss, and relationship to the
deceased. The griefwork program described here is designed for
the not-recently bereaved.)
Preparing the loss history is apt to stir up strong feelings
and memories. Many of us regarded the past as something awful,
and preferred not to think about it. We may have large memory
gaps and be confused about the chronology of events. The loss
(and, below, relationship) history charts will enable us to
revive some of our memories and to place them in more accurate
order. Although no one else need see our loss history charts,
it is important not to do this alone. We should discuss these
issues with someone we trust or with the group.
The second step is to identify the emotionally incomplete
losses. The losses that still hurt or are hard to talk about
should be written down in a list.
The third step is to take each item on that list and prepare a
chronological list of the significant events in your
relationship to the person or thing lost. If you lost a family
through divorce, you list the significant events in the family
history from the beginning of the family to the present.
Again, there are no rules about what goes into the history.
For example, many of us can remember seemingly offhand remarks
by relatives that vividly defined personal attitudes. If
something feels significant, it probably is. There are no
rules on how much time to spend working on grief. You may
choose to spend a week or more on each incomplete loss, and
give yourself a break in between.
After the relationship history is prepared, you may in some
cases have a surge of warm feelings and memories about the
person or thing that was lost. That is a good time to write
out a detailed list of the positive qualities in the person or
relationship.
You may then wish to write out or talk out responses to
various questions. What kinds of feelings do I have about this
loss? At the time of the loss, was I told by others, or did I
tell myself, to not grieve, or to grieve alone? What kinds of
other losses were part of this major loss? (For example,
extended depression, as a loss of mental health, may bring
with it loss of ambition, loss of interest in life, loss of
ability to sleep normally, deterioration of relationships with
family members, loss of self-confidence, loss of capacity for
enjoyment of life, loss of money due to reduced earnings and
cost of treatment, loss of social acceptability due to the
stigma of mental illness, etc.)
The major question to ask about each incompletely grieved loss
is, 'How do I wish the relationship had been different?' This
is tremendously painful. This is the pain we have to address
if we are to make progress in resolving our grief. Simply
articulating our regrets and our disappointed hopes can be a
great release.
We can then ask ourselves a series of further questions. Do we
want to continue with the kinds of feelings we have had, or
have now? Given what happened in the relationship, are these
feelings accurate or rational? Do we want to reassess our
feelings about the extent to which we and the other person (or
group) were responsible for things that happened in the
relationship? To what extent were we and the other person
powerless over what happened? To what extent do we wish to
make amends for things we feel guilty about, or offer
forgiveness for ways in which we were harmed? Are there
messages we would like to have communicated to the person we
lost? Have we, consciously or unconsciously, been trying to
replace something that cannot be replaced?
Soon after beginning work on the relationship histories we
will begin to enjoy the benefits of delayed grieving. These
are
- Improved memory, and a new appreciation for the value of
our memories.
- A strong feeling that these losses are real, that these
losses impoverished our lives. The strong feeling of
sadness means that what was lost had unique value. A
sense that the life we have is precious.
- A sense that my life is important. Because of stigma,
trauma, and illness, many of us led lives that were
devalued by society and our families. Griefwork helps to
undo the effects of this devaluation.
- Improved self-esteem.
- A stronger sense of being alive, a new vitality. A new
sense of being able to live in the present.
- Feeling less weighed down, that the burdens of the past
take up less 'rent' in one’s mind.
- The griefwork reduces the extent to which we have
negative thoughts and feelings about the past. We have a
sense that our beliefs and judgments about the past are
more accurate.
- While the periods of early recovery in programs for
addiction and trauma are often unrelentingly painful,
delayed griefwork has been described as a 'passionate'
experience. The release of blocked pain is often
accompanied by the release of blocked positive feelings
and memories. These are feelings that at an earlier time
we were unable to have, now they can be experienced and
appreciated.
- Persons in recovery from mental illness, substance abuse,
or compulsive behaviors are prone to relapse. The
progress we make in bereavement recovery invariably
remains with us.
All of us will experience more losses in the future. Members
of bereavement support groups learn how to become better
grievers. When possible we do preparatory grieving. We do what
we can to learn all the facts and to encourage the
distribution of the facts to other grievers. We make extra
efforts to participate in memorial activities. We communicate
more and learn how to be good listeners. We recognize grief
related problems and take appropriate action. We lead lives
that are healthier for ourselves and those around us.
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