This document discusses the evolution of theories around continuing bonds with the deceased from ancient times to modern perspectives. It outlines how ancient cultures built monuments and engaged in rituals to maintain connections, while Freudian theory promoted severing bonds to move on. Modern research now shows that maintaining bonds can help the grieving process by allowing the relationship to transform over time rather than abruptly end. The document provides examples of how children can maintain connections and ways adults can support them.
The suicide equation, for those with alcohol related developmental disabilities.
Prenatal alcohol [+ preconceptual alcohol?] + Stuck-In-Set Perseveration = Suicide
Prenatal alcohol [+ preconceptual alcohol?] + Mindfulness =
No Suicide.
The suicide equation, for those with alcohol related developmental disabilities.
Prenatal alcohol [+ preconceptual alcohol?] + Stuck-In-Set Perseveration = Suicide
Prenatal alcohol [+ preconceptual alcohol?] + Mindfulness =
No Suicide.
http://jordantherapy.com/ Even though it is hard to let go of our loved ones, we can easily repair life with out them but still maintain loving memories.
Review of the latest research in the field on grief therapy and practice tips for practitioners. Topics include:
• The difference between normal grief and complicated or prolonged grief
• Research and issues involved in the inclusion of “Prolonged Grief Disorder” in DSM-V
• Cognitive behavioral techniques to treat prolonged grief
• The importance of self-awareness and the necessity of self-care when providing grief counseling
• Different cultural views of death
Presented by Susan Stuber, Ph.D. at the Philadelphia Society of Clinical Psychologists continuing education conference at the Philadelphia College of Osteopathic Medicine, March 22, 2013. A copy of the full presentation notes accompanying these slides may be obtained by contacting Dr. Stuber at sstuber@susanstuberphd.com.
This handout is from the presentation, Coming Together Across Cultures: Intentional Relationship Building, delivered on Tuesday, July 26, 2011, as part of the free monthly webinar series from Friends for Youth's Mentoring Institute.
Accurate PTSD in a Charlize Theron movie! Who would have thought?
Of A manifestation of PTSD, mind you... everyone's PTSD is different than anyone else's, of course. Enjoy! This was created by yours truly and Evie Skordara.
Pastor Elio Marrocco's "What Is Love" sermon at New Life Christian Church on February 17, 2013. You can learn more about New Life Christian Church here: http://www.newlifecc.ca
http://jordantherapy.com/ Even though it is hard to let go of our loved ones, we can easily repair life with out them but still maintain loving memories.
Review of the latest research in the field on grief therapy and practice tips for practitioners. Topics include:
• The difference between normal grief and complicated or prolonged grief
• Research and issues involved in the inclusion of “Prolonged Grief Disorder” in DSM-V
• Cognitive behavioral techniques to treat prolonged grief
• The importance of self-awareness and the necessity of self-care when providing grief counseling
• Different cultural views of death
Presented by Susan Stuber, Ph.D. at the Philadelphia Society of Clinical Psychologists continuing education conference at the Philadelphia College of Osteopathic Medicine, March 22, 2013. A copy of the full presentation notes accompanying these slides may be obtained by contacting Dr. Stuber at sstuber@susanstuberphd.com.
This handout is from the presentation, Coming Together Across Cultures: Intentional Relationship Building, delivered on Tuesday, July 26, 2011, as part of the free monthly webinar series from Friends for Youth's Mentoring Institute.
Accurate PTSD in a Charlize Theron movie! Who would have thought?
Of A manifestation of PTSD, mind you... everyone's PTSD is different than anyone else's, of course. Enjoy! This was created by yours truly and Evie Skordara.
Pastor Elio Marrocco's "What Is Love" sermon at New Life Christian Church on February 17, 2013. You can learn more about New Life Christian Church here: http://www.newlifecc.ca
Fuente: http://tecnicasdeseduccion.org/como-enamorar-a-una-mujer/
Decirle que la quieres demasiado pronto va a tener el mismo efecto que el punto anterior: va a saber que te tiene
y eso no le
agrada a ninguna mujer
. Lo mismo ocurrirá con cualquier otra cosa que le afirmes y le de a comprender que ya te tiene.
Más del 90 por ciento de los hombres comenten alguno de estos tres errores.
Si consigues evitarlos tendrás la mayoría del
camino andado, ahora vamos a recorrer la parte que nos falta
Empathy is the capacity to understand or feel what another person is experiencing from within their frame of reference, that is, the capacity to place oneself in another's position
Psychoanalysis presentation in Counseling Theories, Tools, and Techniques.
If you like it and if you find it useful, just like it.
You can also suggest to update the slide. <3 Thanks!
ReligionCosmogony - Origin of the UniverseNature of GodVie.docxsodhi3
Religion
Cosmogony - Origin of the Universe
Nature of God
View of Human Nature
View of Good and Evil
View of “Salvation”
View of After Life
Practices and Rituals
Celebrations and Festivals
Week 2
Hinduism and Jainism
It is not clear whether Hindu has a specific founder or a specific date when it began. Jainism began in the sixth century through Mahavira
Hindus believe that the cosmos consists of many deities and spiritual beings.
Hindus believe that someone’s actions determine his or her life both current and future
Hindus believe that good deeds have desirable effects while bad deeds have adverse effects.
According to Hindus salvation means eternal stay in paradise and can only be obtained by Gods while Followers of Jainism believe salvation is a peaceful and action less existence.
Hindus believe that when the soul dies, it moves into another body
Shiva, Kundalini Yoga, Namaste greeting, hatha Yoga, Puja, Ayurveda
Holi, Diwali and Mahashivarati.
Week 3
Buddhism
The Buddhism have neither a beginning nor an end.
Buddhists do not believe in the concept of a personal God.
Buddhists believe that man is made of feelings, mental formations, disposition, ideations and physical form.
According to Buddhists, good and evil are inseparable aspects of life.
There isn’t a clear belief about salvation yet.
Buddhists believe that one is reborn into a different body
Prayer wheels, Mudras and Mantras.
Vesak, Magha Puja Day, Asalha Puja Day, kathina ceremony, Uposatha.
Week 4
Daoism and
Confucianism
The world is seen as a vast intergrated part and not as discrete.
There is a force called Tao in God’s stead.
Man, is naturally good initially and changes to be evil when his or her wishes aren’t fulfilled
Good is a result of people following their feelings while evil is a result of going against man’s feelings.
Confucians do not believe in personal salvation.
Confucians pay very little attention to what happens after death.
Jiao
Qing Ming Festival, Dragon Boat Race, Childern's Day and National day.
Week 5
Shinto
The beginnings are difficult to trace since the original forms have been altered by other forms shaped by political forces
Shinto believe in a gods and goddesses called.Kami.kami simply means anything that is special
Evil is brought into the world by evil spirits.
Shinto believe in purity. Anything that draws people away from kami is impurity
Believe that all living things have an essence, a soul or a spirit referred to as Kami and that Kami lives amongst us.
Shinto believe that the spirit of human beings remains forever.
Omairi and Kagura ritual dance
Wedding, new year, child birth and coming of age.
Week 6
Judaism
The Jewish history begins with stories in the Hebrew bible also called Tanakh
There is a strong relationship between Jews and God. They also believe that God grants special favors.
Both men and women are equal in the eyes of God.
In Judaism, there is no conflict between good and evil
They believe man isn’t inherently sinful and that they do ...
The Shared World of Religion, Meditation, Alcohol, Drugs and Sex
A paper to be presented at the Annual Conference for Association of Transpersonal Psychology at Atherton on Feb 14th.
Spirituality in Action : Bringing Transpersonal Psychology to a World in Crisis
The Shared World of Religion, Meditation, Alcohol, Drugs and Sex
A paper to be presented at the Annual Conference for Association of Transpersonal Psychology, Atherton, on Feb 14.
Spirituality in Action: Bringing Transpersonal Psychology to the World in Crisis
LIT 229 Module Four 1 Introduction Myth and… .docxMARRY7
LIT 229 Module Four 1
Introduction: Myth and…
Given its nature as the wellspring of our knowledge about ourselves and the world, myth
should be found in all our ways of knowing, and it is. The phrase “ways of knowing” is
shorthand for those collections of beliefs, assumptions, discourse, values, and practices that
offer their own approaches for understanding the world and our place in it. This description
of ways of knowing sounds much like myth because myth itself is a way of knowing. The
point here is not to overlay myth onto all ways of knowing but to illuminate the relationship of
myth to them. For this module, we will analyze the role of myth in three prominent ways of
knowing: psychology, religion, and science. These three operate on a deeper layer than
particular genres for myth like art, literature, and film (will explore the latter two later) and
thus promise to illuminate myth by their own lights.
Myth and Psychology
At the heart of psychological ways of knowing sits a story. It is—like our most profound and
provocative stories—erotic, strange, traumatic, and Greek. Oedipus is the son of Laius and
Jocasta, the king and queen of Thebes. A prophecy declares that the young Oedipus will
grow up to commit the most horrible crimes imaginable—the murder of his father and incest
with his mother. Desperate to forestall these events, King Laius binds the boy’s feet
(Oedipus means “swollen foot”) and leaves him to die on a mountainside. As fate literally
would have it, shepherds find the boy, rescue him, and take him to the king and queen of
Corinth, who raise him as their own. Oedipus eventually hears the prophecy himself from the
Oracle at Delphi and leaves his known family at Corinth and heads, fatefully, to Thebes. On
the way there, he quarrels with a man who refuses to give way on the road, eventually killing
the man. Unknown to Oedipus, this man is Laius, his father. Upon arriving at Thebes, he
answers the riddle of the Sphinx, who is terrorizing the city, and is rewarded with the throne
of the dead king and his wife Jocasta, who is Oedipus’s mother. Upon hearing that the
prophecy had indeed been fulfilled, Jocasta commits suicide, and Oedipus blinds himself
and goes into exile.
2 LIT 229 Module Four
Freud Gives Birth to a Way of Knowing
In this myth, Sigmund Freud saw the central drama of the human psyche and by extension a
primal feature of the new discipline of psychology. He writes in his Interpretation of Dreams
that Oedipus’s:
destiny moves us only because it might have been ours—because the Oracle laid the
same curse upon us before our birth as upon him. It is the fate of all of us, perhaps, to
direct our first sexual impulse towards our mother and our first hatred and our first
murderous wish against our father. Our dreams convince us that this is so. (295)
Without delving too deeply into Freud’s Oedipus complex, we can see that the myth provides
a story—Fr ...
50 Minutes to Make a Difference:
Grief and Suicide Prevention Education in Schools and Community Agencies
Caitlin Burns, MSW
The Caring Tree Program of Big Bend Hospice
Death of a Friend in Childhood
Diane Snyder Cowan, MA, MT-BC
Elisabeth Severance Prentiss Bereavement Center Cleveland, OH 800-707-8922, www.hospicewr.org
Bereavement Centers: meeting the needs of the community
Diane Snyder Cowan, Director
Elisabeth Severance Prentiss Bereavement Center
Cleveland, OH, 800-707-8922
www.hopsicewr.org
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
404 c Schneider presentation
1. THE UNBREAKABLE BONDThe Theory and Practice of Continuing Bonds Lauren Schneider, LCSW Clinical Director Child & Adolescent Programs OUR HOUSE Grief Support Center
11. Five Stages of Death & Dying,Elisabeth Kubler-Ross Denial Anger Bargaining Depression Acceptance
12. “Begin at the Beginning”Neolithic Period – 9,000 B.C.E. - 1,500 B.C.E. Archeologists uncovered funerary finds around the world Evidence of man’s need to honor and love the deceased
16. In Western culture, grievers publicly identified themselves by wearing black Queen Victoria wore black for the rest of her life after the death of her beloved husband
17. Core Beliefs Intensity of the grief is an indicator of the strength of the bond with the deceased To dissolve the bond would render the relationship insignificant
18. We look before and after, And pine for what is not. Our sincerest laughter With some pain is fraught. Our sweetest songs are those that tell of saddest thought. ~~ Percy Bysshe Shelley
19. In the popular film “Ghost”, the widow, played by Demi Moore, experiences the presence and communicates with the spirit of her deceased husband.
20. The Lovely Bones shows a father’s longing to make contact with his daughter after her murder
21. Is it magical thinking, mental illness or something else?
23. The 20th Century & Modernism Grief theory evolved along with modern psychological theories Western world view valued autonomy & individuation over dependency & connection
24. Modernist perspective arose out of the writings of Sigmund Freud Psychoanalytic school believed in the importance of breaking bonds with the deceased They viewed grief as a “bothersome interruption” that must be “worked through” Reflected in statements such as: “move on” or “get over it”
26. Freud on Grief “The sad process by which each single one of the memories and situations of expectancy which demonstrates the libido’s attachment to the lost object is met by the verdict that the object no longer exists.”
28. Freud on Grief (continued) The libidinal energy remained attached to the thoughts and memories of the deceased Since energy is limited, cathexis to the lost object must be withdrawn in order for the person to have full access to the source of energy Those who fail to withdraw that energy, or hyper-cathect ,were viewed by the psychoanalysts as emotionally stunted
29. Freud on Grief(continued) Grief serves the function of freeing the ego from the attachment to the deceased When the work of mourning is completed the ego becomes free and uninhibited again The severing of the bond frees the libidinal energy allowing the person to form new bonds
31. “It is the only way of perpetuating that love that we don’t want to relinquish it” Freud on Grief (continued)
32. Freud’s Legacy The primary goal of grieving is seen as the cutting of the bond with the person who died so that new attachments can be formed.
33. Application of Freud’s Oedipal Theory to Grief Work An internalization of the lost object allows for a continuing attachment to the deceased The mourner identifies with aspects of the deceased, assuming certain characteristics Result: An ego that has been enriched
34. Erick Lindemann - 1942 Three Tasks of Griefwork Emancipation from the bond to the deceased Readjustment to the environment in which the deceased is missing 3. Formation of new relationships
36. Erick Erickson on Grief Viewed dependence as “bad” Felt that the survivor must relinquish the bond with the deceased so that new bond can be formed The adoption movement of the 20th Century embraced this theory. Birth parents must relinquish the bond to their newborn and carry on as if the baby did not exist.
37. John Bowlby - 1969Attachment Theory of Grief Purpose of grief: to sever the bond with the deceased Viewed grief as a type of separation anxiety Attempts to be reunited with the deceased seen as nonfunctional The yearning and searching behavior is extinguished gradually over time
40. South Park’s foul mouthed characters build a stairway to heaven so they can visit their deceased friend Kenny.
41. Dr. Collin Murray Parkes : Grief is “a preprogrammed series of behaviors aided by specific environmental stimulus” “Getting through the grief” means breaking the attachment to the deceased
42. Monica McGoldrick Five Therapeutic Goals for Grieving Families 1. Shared acknowledgment of the reality of the death 2. Shared experience of the loss 3. Revising the family narrative to include the death 4. Reorganizing the family system 5. Reinvesting in other relationships
43. McGoldrick & Walsh (1991) Roles are reassigned rather than internalized. The mourner who holds on to the bond is in danger Views visits to the gravesite as compulsive repetitions tying up family energy
44. Sharing a meal at the gravesite leaves the griever with the pleasurable feeling of having shared a meal with their person who died.
45. Therese Rando: 1992 “In all forms of complicated mourning there are attempts to do two things deny, repress, avoid aspects of the loss, it's pain and the full realization of the implications for the mourner 2. to hold onto, and avoid relinquishing the lost loved one”
46. J William Worden: “Grief Counseling and Grief Therapy” Original Version of Task 4: “To reinvest in new relationships” Revised Version of Task 4 (2009) “To Find an Enduring Connection with the Deceased in the Midst of Embarking on a New Life”
47. POST MODERNIST PERSPECTIVE Interdependence is sustained even in the absence of one of the parties Grievers construct an inner representation of the deceased as part of the normal grieving process
48. Gerry Doran and Nancy Hansen (2002) Eight ways Mexican American families maintain bonds after the death of a child: Dreams Storytelling Keepsakes Sense of presence Faith based connections Proximity Connections 7. On-going rituals 8. Pictorial remembrances
50. Doran & Hansen (continued) Maintaining bonds helped families: Cope 2. Gave them comfort and support 3. Enabled them to transition from the past to the future
53. “Death ends a life, not a relationship” Robert Benchly
54. Psychoanalysts: 1. Recognized that child maintained a connection or inner representation with the deceased parent 2. Allows the child to keep the deceased with them 3. Aids in understanding and accepting the reality of the death 3. Viewed inner representation as static and unchanging
55. Harvard Child Bereavement Study J William Worden, PhD & Phyllis Silverman, PhD Studied Parentally Bereaved Children aged 6-17 Boston area Silverman: Cross Cultural Perspective Studied Children in Israel
57. COPING INVOLVED PROCESS OF ADAPTATION & CHANGE Two Aspects to the Process 1. children learn to remember find ways to maintain a connection “CONSTRUCTIONS” Memories, feelings and behaviors that help them remain close with the deceased” Not static but changes as child matures
58. Administered the Child’s Understanding of Death questionnaire Responses suggested that efforts to connect were due to a lack of understanding of the finality of death Found instead that bereaved children understand younger than non-bereaved children
59. 5 TYPES OF ACTIVITIES THAT ENABLED CHILDREN TO MAINTAIN BONDS 1. Locating the Deceased 2. Experiencing the Deceased 3. Reaching Out 4. Waking Memories 5. Linking Objects
61. EXPERIENCING THE DECEASED “Who feels that their parent is still with them?” “When does that happen?” “Do you ever dream of your parent who died?”
62. REACHING OUT “Where do you go to feel close to your parent who died?” “Have you been back to the cemetery or scattering site” “When do you talk to your parent?” “What would your parent say about that__- if they were alive? “Can you still hear your parent’s voice and what do they say to you?”
63. WAKING MEMORIES “When you think about your parent is there a specific memory/image that comes to mind?”
64. LINKING OBJECTS Ask children to bring in something special to share that reminds them of their parent who died. Where do you keep it at home?
65. Summary 1. Grief is not a psychological state with a beginning and an end 2. Intensity may lessen 3. Child becomes more future oriented over time 4. Child maintains a connection or construction which changes over time 5. Accommodation is subject to the external environment
66. Summary cont’ 1. Over time the child comes to understand and constructs meaning of the deceased in his/her life. Family supports process with discussion about the deceased and by allowing the child to participate in on- going rituals that encourage both the discussion and the connection 3. Grief work should support this connection and how the relationship changes over time.
67. Ways Adults Can Help 1. Mention the deceased during family time 2. Give children linking objects or keepsakes that belonged to the person who died 3. Keep photos, home movies in an accessible place 4. Encourage children to communicate their feelings.
68. Suggested Activities 1. Connected for Life My Memory Book …for grieving children My Grief Journal…for grieving teens Life Links My Memorial CD A Letter from______to Me.