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Recent Advances in Grief Research Presented by :Dr. Ramkumar G.S Chairperson : Dr. Geetha Desai
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Terminology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Why do we grieve? ,[object Object],[object Object],[object Object]
Grief Theories, Models... ,[object Object],[object Object],[object Object],[object Object]
Grief theories... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Grief theories... ,[object Object],[object Object],[object Object],[object Object]
Six components of acute grief   Lindemann-1946 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Phenomenology of Grief ,[object Object],[object Object],[object Object],[object Object]
Elisabeth Kübler-Ross stages
Evidence for stage theory ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Emperical evidence for grief stage ,[object Object],[object Object],[object Object]
Stage theory refuted The Myth of the Stages of Dying, Death and Grief Russell Friedman and John W James 2008 Refutes the stage theory and challenges the YBS. Kubler Ross  in  Grief and Grieving - the stage theory has much evolved and much misunderstood over the past three decades. “ They were never ment to tuck messy emotions into neat packages. Our grief is as individual as our lives. Not every one goes through all of them or goes in a prescribed order”.
Reorganisation, Bowlby1969 ,[object Object],[object Object],[object Object]
Reorganisation, Bowlby1969 ,[object Object],[object Object],[object Object]
4 tasks of mourning-Worden 1983 1.  to accept the reality of the loss 2. working through the pain of grief 3. adjusting to the environment in which the deceased is missing 4.to emotionally relocate the deceased and move on with life
Grief outcome ,[object Object],[object Object],[object Object],[object Object]
ICD 10 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DSM IV ,[object Object],[object Object],[object Object],[object Object],[object Object]
Proposals for DSM V ,[object Object],[object Object]
Proposals for DSM V ,[object Object],[object Object]
Proposals for DSM V ,[object Object],[object Object],[object Object],[object Object]
Assessing between Grief and Depression ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Result ,[object Object],[object Object]
Bereavement and PTSD ,[object Object],[object Object],[object Object],[object Object]
Comparison ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complicated Grief-  Worden ,1991 ,[object Object],[object Object],[object Object],[object Object],[object Object]
A case for Complicated Grief criteria ,[object Object],[object Object],[object Object],[object Object]
A case for Complicated grief criteria. ,[object Object],[object Object],[object Object]
Criteria for Prolonged Grief Disorder Proposed for DSM-V   Prigerson ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Criteria for Prolonged Grief Disorder Proposed for DSM-V ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Criteria for Prolonged Grief Disorder Proposed for DSM-V   Prigerson ,[object Object],[object Object]
Why not Complicated Grief? Why Prolonged Grief Disorder?  Prigerson ,[object Object],[object Object],[object Object],[object Object]
Health hazard of CG   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors for Adverse Health Outcomes  Stroebe et al., 2007 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Unnatural death ,[object Object],[object Object],[object Object],[object Object]
Efficacy of intervention.. ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Efficacy of intervention.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Efficacy of intervention ,[object Object],[object Object],[object Object],[object Object]
Can grief therapy cause harm.. Neimeyer(2000) - meta analysis of 23 scientifically adequate outcome studies of grief therapy pub. Btw 1975-98 The selected studies offered psychosocial intervention to randomly assigned participants in control and intervention groups Two measures used 1. degree of benefit with participation 2. estimate of treatment induced deterioration.
Result ,[object Object],[object Object],[object Object]
Methodological issues   Margaret Stroebe, Wolfgang Stroebe, Henk Schut 2003 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Neurobiology ,[object Object],[object Object],[object Object],[object Object]
Grief&Craving ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Grief&craving.. ,[object Object],[object Object],[object Object]
Preparedness for the Death, grief ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intervention ,[object Object]
Interventions available ,[object Object],[object Object],[object Object],[object Object],[object Object]
CGT: A targeted treatment ,[object Object],[object Object]
Treatment Strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of Complicated Grief A Randomized Controlled Trial ,[object Object],[object Object],[object Object],[object Object]
Evidence-based Recommendations for Breavement  Intervetions    Prigerson ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why Intervene?  Prigerson ,[object Object],[object Object],[object Object],[object Object],[object Object]
Who Benefits from Bereavement Interventions?   ,[object Object],[object Object],[object Object]
Who should be targeted for  interventions?  Prigerson ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What to do for whom  Prigerson ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Positive emotions ,[object Object],[object Object],[object Object],[object Object]
Positive emotions ,[object Object],[object Object],[object Object],[object Object]
Continued relationship ,[object Object],[object Object],[object Object]
CULTURE AND CONTINUING BONDS ,[object Object],[object Object],[object Object],[object Object]
Culture and continuing bonds ,[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object]
Conclusion ,[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
. Thank you

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Recent advances in grief research

  • 1. Recent Advances in Grief Research Presented by :Dr. Ramkumar G.S Chairperson : Dr. Geetha Desai
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  • 13. Stage theory refuted The Myth of the Stages of Dying, Death and Grief Russell Friedman and John W James 2008 Refutes the stage theory and challenges the YBS. Kubler Ross in Grief and Grieving - the stage theory has much evolved and much misunderstood over the past three decades. “ They were never ment to tuck messy emotions into neat packages. Our grief is as individual as our lives. Not every one goes through all of them or goes in a prescribed order”.
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  • 16. 4 tasks of mourning-Worden 1983 1. to accept the reality of the loss 2. working through the pain of grief 3. adjusting to the environment in which the deceased is missing 4.to emotionally relocate the deceased and move on with life
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  • 42. Can grief therapy cause harm.. Neimeyer(2000) - meta analysis of 23 scientifically adequate outcome studies of grief therapy pub. Btw 1975-98 The selected studies offered psychosocial intervention to randomly assigned participants in control and intervention groups Two measures used 1. degree of benefit with participation 2. estimate of treatment induced deterioration.
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