This training presentation provided information on supporting families experiencing ambiguous loss due to a missing loved one. The objectives were to explore ambiguous loss, understand the family needs and support models, and clarify the victim specialist support role. Ambiguous loss was defined as an unclear or uncertain loss that lacks closure. It differs from traditional loss in that there are no rituals or societal understanding of the situation. Families experiencing ambiguous loss require support, resources, and help managing their uncertainty. Victim specialists can provide crisis intervention, referrals, and navigate families to additional support services as needed.
1. 1
Ambiguous Loss Training:
Supporting Families with Missing Persons
(Missing Loved Ones)
For: OPP Victim Specialists
Presented by: Maureen Trask
On: Thurs. Dec. 2, 2021
2. 2
Training Objectives
Explore “Missing”
Understand Ambiguous Loss
Identify Family Needs & Support Models
Victim Specialist Support Role
Recap and Q & A
4. 4
My Journey to Peer Support
Bringing Families Together “Music for the Missing”, Dec. 2011
Calling on Grief and Loss Experts
Bereaved Families of Ontario (BFO), Nov. 2012
Bereavement Ontario Network (BON), Jan. 2013
BON Conf, Ambiguous Loss presentation, Oct. 2013 and 2021
BFO Breakfast Networking Group, Oct. 2013
Community Counselling Agencies, Sept. 2013
8 Month Support Group Cardinal Counselling, Nov. 2012 - June 11, 2013
Peer Support for Families with Missing Loved Ones (Missing Persons)
Brenda Richard, CSW CPS, Facilitator, Dec. 2015 - present
6. VS Training Sessions 2014 - 2021
6
Waterloo Region
Niagara Region
Guelph-Wellington
Caledon-Dufferin
Whitehorse, Yukon
Haldimand-Norfolk-New Credit
Oxford County (VASOC)
Halton Region
Hamilton
ON Missing and Unidentified Working Group
ON Office for Victims of Crime
Victim Services Alliance of Ontario (VSAO)
OPP Victim Specialists across Ontario (this session)
7. A Poem by Tom M. Brown, Dublin, Ireland
7
When Someone You Love Goes Missing
https://wenswritings.wordpress.com/when-someone-you-loves-goes-missing-by-tom-m-brown/
8. Explore “Missing”
8
A conversation to explore “Missing”
What is a Missing Person?
(Definition)
Who goes Missing?
Where are the Missing?
When are they Found?
Why do they go Missing?
How many go Missing?
12. Ambiguous Loss Explained
Dr. Pauline Boss, principal theorist of the concept of Ambiguous Loss
and Dr. Gloria Horsley, founder and president of Open to Hope
Foundation, discuss Ambiguous Loss at the annual Association of Death
Education and Counseling (ADEC) Conference, 2011.
http://www.youtube.com/watch?v=C2vYyefAgZ0
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13. Ambiguous Loss Recap
Unclear /Uncertain Loss
Senseless Loss
Traumatic / Painful Loss
Externally Caused
Lacks Closure / Understanding
Frozen Grief / Being Stuck in Limbo
A Unique Individual Journey
Boss, P. (2009). The trauma and complicated grief of ambiguous loss. Pastoral Psych, 59(2), 137-145.
Boss, P. (1999). Ambiguous loss: Learning to live with unresolved grief. Cambridge, MA. Harvard University Press
13
14. Types of Ambiguous Loss
14
1. Physically Absent-
Psychologically Present
2. Psychologically Absent-
Physically Present
Adoption
Migration
Miscarriage and stillborn loss
Missing people
Natural disaster and
catastrophic tragedy
Addictions
Dementia and Alzheimer’s
Mental health issues
Separation/Divorce
Traumatic brain injury or coma
There is no verification of death.
There is no certainty that the person will come back
15. Ambiguous Loss differs from
Traditional Loss
15
Traditional Loss Ambiguous Loss
Some knowledge and understanding
from society and western culture
Lack of knowledge about what
ambiguous loss is and its effects
Some services/supports available-
grief counsellors/professionals
Tremendous lack of services and
supports – lack of professionals that
specialize or educated on this
Seen as “normal” because everyone at
some point in their life has a loved one
that dies
Seen as “not normal”, “complicated
grief”, and not affecting the mass
majority
Spiritual/belief teachings exist that
speak to death and mourning
No spiritual/belief teachings discuss
ambiguous loss
16. Ambiguous Loss differs from
Traditional Loss continued
16
Traditional Loss Ambiguous Loss
Mourn the loss after the death Cannot mourn because no defined
death to mourn
Customary rituals that allow for
closure
Symbolic rituals that ordinarily support
a loss do not exist. (Boss, 1999)
Some tolerance to the loss that results
from a death.
Co-workers, peers, and society are less
likely to tolerate ambiguity.
The loss as a result of a death is
legitimized by society.
Ambiguous loss is not legitimized by
society.
Boss, P. (1999). Ambiguous loss: Learning to live with unresolved grief.
Cambridge, MA: Harvard University Press.
17. Manage the Contradictions
Take two opposing ideas, make into one (both - and)
•I am both sad - and still happy
•I am both alone - and still connected
•I am both powerless - and still empowered
•I am both frozen - and still transforming
•I am both doubtful - and still hopeful
•I am both burdened - and still grateful
•My loved one is both gone - and still here
17
18. Why does it matter?
Freezes the grief process
Paralyzes couple and family functioning
Prevents “closure”
Families can name it,
“Ambiguous Loss”
Families need help
Families need support
Families need to know
that they are not abnormal (crazy),
it’s the situation.
18
19. Needs of Families
• Be heard, believed, and supported
• Be safe and connected, with trust
• Understand the systems and resources
• Know what to expect of self and others
• Minimize the emotional roller coaster
• Take care of self first, find balance
• Cope in healthy ways, reduce stress
• Strive to maintain Hope, build Resiliency
• Access to timely information and resources
19
20. Missing Persons - Recommendations
20
Family input (needs)
based on their lived
experience:
1. Reporting
2. Investigations
3. Searches
4. Communications
5. Media
6. Training
7. Truth and Justice
Report Link: https://www.slideshare.net/trasker/missing-persons-recommendations
21. What Families need to Do
•File a Missing Person Report with Police
•Designate contact reps (Police and Media)
•Contact family, friends, last know locations
•Handle jurisdiction changes
•Deal with missing person matters (Finances,
Property, Possessions, Medical, Employer, etc.)
•Manage triggers (Sightings, Remains, Psychics)
•Maintain relationship with Police and searchers
•Live with the ambiguity and uncertainty
•Find meaning and maintain hope
21
22. How does one learn to
ease the effects?
Guidelines for resiliency while having to live with
Ambiguous Loss: (Boss, 1999)
1. Find Meaning (look at values, beliefs, traditions)
2. Accept Uncertainty (make 2 opposing ideas into 1)
3. Reconstruct Identity (forced to change roles)
4. Normalize Ambivalence (as the new norm)
5. Revisit Attachment (celebrate the missing and mourn the changes)
6. Discover Hope (look at strengths, making it with the pain)
22
24. 1. Re-animation
Move past “frozen”
Help families with their
sense of being frozen
to the time of their loved
one's disappearance.
Assist families to move
from their sense of
feeling “stuck”.
24
25. 2. A celebration so far
Respond to loss
Acknowledge and honour the family's relationship
with the missing person.
Facilitate families to find
an opportunity to respond
to the current loss of
their loved one.
25
26. 3. The trauma timeline
Explore the impact
of the disappearance,
as well as the accumulated
traumas that family or
the Missing Person
may have faced prior to
their loved one going
missing.
26
27. Triggers and Trauma
“Having a missing loved one is the most painful loss
of all.” (Dr. Pauline Boss, 1999)
Triggers can affect the emotional ups and downs:
• News, tips, or new leads
• Items found, but no physical evidence
• Possible sightings or remains found
• Significant dates, events, songs, smells, places, objects
• Other Missing Person stories, cases
• Mistaking a person you see or hear on the street
• Officer or Jurisdiction changes
The Trauma Timeline is an important aspect when
assessing the implications of the loss. Supporting those who are left behind,
Australian Federal Police (Sarah Wayland), 2007
27
29. 4. A protected place
A safe place of pain
Co-construct with families a space where they
can acknowledge the
pain of “not knowing”
while still finding
ways to live life.
29
30. 5. Opportunities for growth
Living with loss
Explore ways in which families can live
with their loss,
rather than being
consumed by it.
30
31. *AFP Updated Support
Framework
Assist people to tolerate the unknown
* AFP- Australian Federal Police by Dr. Sarah Wayland and University of New England Research Team,
Armidale, NSW AU, Mar. 4, 2019
31
32. *AFP Guide for Families
and Friends
32
Produced by the National
Missing Persons Coordination
Centre (NMPCC) in consultation
with State and Territory Police
to provide the best possible
practical advice and
information.
* AFP- Australian Federal Police, Mar. 4, 2019
34. First Nations Experiential
Knowledge Circle / Learning Cycle
34
Experiencing - Engagement in
"Real life" learning experience
Reflecting - Internalization of the
Experience
Making Meaning - Analysis of the
Experience
Acting - Application of Experience
to other Real Life Situations
Source: Experiential Knowledge Overview from the First Nations Pedagogy Online Project
35. What to Avoid as a Family
Support Facilitator
Supporting the person from a grief
approach (like a traditional death)
Focusing on advice or assumed cause
Assuming every situation is the same
Thinking newfound Hope remains
Asking “How does that make you feel?”
Using the word “Closure”
35
37. There is no “Closure”
37
Coming Dec. 2021
Guidance for beginning to
cope with this lingering
distress, and even learn
how this time of pandemic
has taught us to tolerate
ambiguity, build resilience,
and emerge from crises
stronger than we were
before.
39. Support:
Looks different to everyone
39
“Someone to really
listen…”
“Being present…”
“Just being there …”
…were by far the most
popular ways to
support someone
40. What you can Do to
Support Families
Create and hold a safe space
Learn that grief is “frozen” and is not a linear process
Encourage to share story, call loved one by name and
educate on the importance of this
Help build strategies to cope with tidal waves of emotion
Help cope with the tough questions: the ‘why’, ‘what if’
and ‘should have’ from the family
Help to recognize and build resilience
Help externalize the loss to release blame and guilt
Help find meaning in their experience of loss
Help embrace the paradox and move forward with the
“good enough” (Boss & Carnes, 2012)
40
41. What you can Do to Support
Families continued
Listen more and do less
Empower to see loss in a new way
Hold multiple truths about the missing person
Normalize the experience, feelings, and thoughts
Work collaboratively with the families as equals
Help build “… a new narrative that is less burdened with
negative attributions, which invoke guilt, shame, remorse,
or desire for retribution” (Boss & Carnes, 2012)
Use tasks as guidelines
Focus on the impact of the loss
41
42. The Unique Needs of Those
Experiencing Ambiguous Loss
42
Point of referral/contact for families
Initial support (Emotional, Missing Persons Report)
Practical support (Media, Search, Property, Finances)
Counselling (group, family, peer, individual)
Cope with triggers
Community tribute.
Need someone who will:
Listen, Empathize,
Communicate, Connect,
Be Present, Be Supportive,
Be Resourceful, Navigate.
43. 43
Reduce stress - physically and emotionally.
Acknowledge the pain of not knowing.
Connect with others in your community who have
missing loved ones and know that you are not alone.
Share what you are going through with family and
friends so they too can support you.
Learn as much as you can to help you understand.
Let the love of your missing loved one help guide
you on your journey of uncertainty.
Coping Suggestions for
Families
44. Family Perceptions of the Disappearance
44
Living in Limbo: The Experience of, and impacts on, the families of missing people, (pg. 30),
Lucy Holmes, Missing People UK, 2008.
45. Victim Services Skills
Crisis Intervention (trauma informed)
Help with urgent practical matters
“Navigate” the systems and resources
Referrals to other services/resources
Create and hold a safe space
Demonstrate Compassion, Kindness, Patience,
Empathetic Listening, Being Present
PLUS: Understand Ambiguous Loss
45
46. How You Can Help
Create and hold a safe space
Be the needed point of referral for families
Offer peace of mind for families that you are
there for them, especially when new triggers
Help families to navigate through their
journey of uncertainty (be the Navigator)
Support families, but don’t try to advise on
investigation or searches on behalf of Police
Listen - Empathize - Empower - Be Present
46
47. “Challenges” with Police
(from a Family Perspective)
Not being taken serious by police in the
first instance
Making sense of the entire situation -
understand the process and options
Lifestyle bias and assumptions of the
disappearance
Trust and/or credibility issues
Lack of communications - not being kept
up to date, short or long term
47
48. How Police Can Help -
to Improve Relationship with Families
Take the Missing Persons Report
Make a Communication Agreement with family contacts
Conduct consistent, transparent Missing Person Practises
Have a point of contact for Investigations and Searches
Inform families of Victim Services/other Support Services
Provide Reporting on Missing Persons
(as part of Annual Statistics/Trends)
Understand the uncertainty and triggers families face
Be there for the families and the missing person
48
50. Living and Learning on my
Ambiguous Loss Journey
“Loss of a missing loved one is often a lonely and an
untrodden path for each of us who has to walk it.” *
Accept and find meaning
in my uncertainty.
Care for myself first.
Learn to develop resilience.
Continue to discover Hope.
50
* Living in Limbo: Five Years On, Missing People UK, 2013
51. 51
What Helped Me
Connecting with other families with a missing loved one
Learning about Ambiguous Loss
Sharing my story and asking “What would Daniel want?”
Knowing I’m not Crazy, it’s the Situation!
Peer Support Group
53. Recap and Q & A
Ambiguous Loss is an uncertain/unclear loss
Triggers can impact the journey
I’m not “crazy”, it’s the situation
Each situation is unique and individual
Families need support (someone to listen)
Families need a “Navigator”
It’s about finding meaning and hope
“Closure” is a myth, families want answers
Why? How this work creates impact.
Any moments or thoughts? Questions?
53
54. From me to each of you:
54
Maureen Trask: trasker@rogers.com
Links to the Presentation and Resource Materials have been emailed.
“Thanks”
Hope for the Best,
Prepare for the Worst,
and NEVER GIVE-UP.
Editor's Notes
Land Acknowledgement
The land across Mother Earth is known to many Indigenous people as Turtle Island.
The story of Turtle Island varies among Indigenous communities, but by most accounts, it acts as a creation story that places emphasis on the Turtle as a symbol of life and earth.
We live and work on this land that is home to many diverse First Nations, Inuit, and Metis people.
In respect of all Indigenous people and their ancestors, and in the spirit of truth and reconciliation, I humbly offer this land acknowledgement, in a good way.
Ambiguous Loss Training: Support for Families with Missing Loved Ones
For OPP VS Specialists, Dec. 2, 2021
- I’m here to share my journey of ambiguous loss, with having had a missing son for 3 ½ years.
- Daniel had set me on this path, which was new to me, but I have learned lots about strength, resiliency, never giving up. This was his gift to me.
- As a parent, no one prepares you for this type of loss..
-Through this presentation, I will share what ambiguous loss is, what you helps to support families and how to relate to their experience of uncertainty, especially in these times of COVID, offering new opportunity for peer support.
So, as a Mom left behind, living in limbo, with frozen grief, not knowing what I was grieving or how to deal with this loss. More questions than answers.
My journey was 3 ½ years. Many have endured this path on their own, for far to many years.
A poem “When Someone you love goes missing”, by Tom M. Brown, speaks to this journey. In the Reference Materials.
I met Maureen back in December 2015. Maureen had come across Self Help & Peer Support at CMHA WW and was exploring the idea of creating a peer support group around her own lived experience of having a missed loved one. Maureen and her family endured a hard, difficult time when her son went missing in the remote wilderness of northern Ontario. Maureen approached Self Help and shared her story with us.
She told us about the unique loss that is ambiguous loss and the emotional experience of powerlessly wavering between hope and hopelessness. Maureen desired to create a drop-in peer support group where she could create a safe place for other’s experiencing the loss of a missing loved one to come together. We felt Maureen’s unique experience was an appropriate fit with our services as ambiguous loss is an experience that impacts mental health and frozen grief is often hidden or misunderstood.
Over the next few months Maureen and Self Help, mostly Maureen) worked together to create Families with Missing Loves Ones peer support group. Our first group starting in January 2016. The group met in-person once a month for 2 years, then was paused for a few years until we could shift the group to meet virtually. Over the course of the pandemic, the now bi-weekly group, has had great success in an online format, with people from all over Canada joining and helping each other by sharing their lived experience and providing emotional support to one another.
Maureen has not only given so much of her time to the creation and continued success of the Families of Missing Loved Ones group but has also been successful in advocating for changes to how missing persons cases are handled in Ontario. On July 1 2019, thanks to Maureen’s relentless efforts, the Missing Persons Act became law in Ontario.
I am excited for Maureen to share more with you about the Families of Missing Loved Ones group and her ongoing advocacy around missing persons.
Brenda Richard, CSW CPS, Self Help & Peer Support Facilitator at CMHA Waterloo Wellington.
The Journey Continued with:
Joint Planning Group: Families, Police, Media, Apr. 2013
The Record, Missing Series, Nov. 2013 - Mar. 2014
CTV Kitchener, Cold Case Series, Mar. 2014
Rogers TV, Families/Police Speak Out, Apr. 2014
Ontario Needs Missing Persons Legislation, Oct. 2014, Eff, Jul, 1, 2019
Victim Services Waterloo, May/Sept. 2014
Victim Services, Volunteer Training, Nov. 2014 – ongoing
Crime Prevention Council, Dec. 2013
Trauma Informed Initiative, July 2014
Waterloo Region Social Development Centre, Crime Prevention Council, Community Wellbeing, Children and Youth Planning Table
CMHA WWD, Dec. 2014 (now CMHA WW), Here 24/7, Service 211Crime Prevention Council (Dec. Peer Support Group, Jan. 2015 (now CMHA WW)
INFORM Presentation, June 2016 (get Missing Category in Service 211 Directory
Canadian Municipal Network for Crime Prevention (CMNCP), Nov. 25, 2020
These sessions are listed in order of date delivered.
In addition to these sessions, there were sessions tailored to counselling agencies, indigenous groups, service groups, government policy committees, and interested community organizations. Victim Services Directory: Victim Services Directory (justice.gc.ca)
This poem “When Someone you love goes missing”, by Tom M. Brown, speaks to this journey by families.
I connected with this poem for 3 reasons:
It shocked me when I read it, since it was my experience - so real, so raw, living with painful uncertainty.
Ellen went missing on Nov. 3rd and so did Daniel, though Ellen in 1999 and Daniel in 2011.
Tom has become a very good friend who “gets it”.
What is a Missing Person? (Definition on * Wikipedia, updated Jan. 24, 2020)A missing person is a person who has disappeared and whose status as alive or dead cannot be confirmed as their location and fate are not known.
Who goes Missing? Potentially anyone
All ages: infant, child, adolescent, adult, seniors All races, sexes, locations, education, economicsAnswer Intentional or not? Crime or not? Alive or Dead? Unique situations and experiences
Where are the Missing? Potentially anywhere. All jurisdictions across Canada: Municipal, Regional, Provincial, Territorial, Federal, Ontario Provincial Police (OPP), Sûreté du Québec (SQ), RCMP, Indigenous Policing including Nishnawbe Aski Police Service (NAPS)
Other jurisdictions outside Canada: Cross border-USA, International (INTERPOL), Abroad (Consulates, Embassies, ICMP-International Commission on Missing Persons (ICMP), founded in 1996 at the G-7 Summit in Lyon, France. ICMP is the only international organization of its kind that addresses the issue of missing persons in all facets. https://www.icmp.int/
When are they “Found”? Most, within a week, older (with 6 months – 1 years), cold cases many years, decades, even after your lifetime. Adults: 62% of missing adult reports were removed within 24 hours, while 90% were removed within a week. Children: 63% of missing children/youth reports were removed within 24 hrs, while 93% were removed within a week. * Based on Occurrence Data, 2019 Fast Fact Sheet, National Centre for Missing Persons and Unidentified Remains (NCMPUR) of RCMP
Why do they go Missing? Many reasons, but little data or research.
How Many go Missing? Next, statistics, patterns in the data 70,000 to 80,000
See Reference Materials document, Writing Related to the Missing, page 1.
Missing Person Myths Missing Persons Week, SK
QUIZ: 9 things everyone should know about finding missing people., Sept. 19, 2017
My Observations
Stats Canada do not collect, retain or publish these numbers, NCMPUR- National Centre for Missing Persons and Unidentified since 2015.
These numbers DO NOT represent actual number of Missing Persons, but derived from missing person transactions (incidents) in the CPIC – Canadian Police Information Centre system.
To learn more: Background - 2020 Fast Fact Sheet (canadasmissing.ca)
The data is then “scrubbed” to eliminate duplicates
Dr. Pauline Boss presented the theory of ambiguous loss in 1999 (book). She has also applied her theory by facilitating support for families in numerous disasters including 9/11, Thailand tsunami, and Malaysian air crash. When I learned of her work, I read her books and immediately connected with what I was experiencing, it made sense. It wasn’t me, it was the situation. I contacted her to learn more and determine if support material or services were available for families such as mine, very little in Canada. This short clip is an excellent introduction to ambiguous loss.
Pauline has written subsequent books on Loss, Trauma and Resilience (2006) and Dementia (2011), building on research and clinical experience of ambiguous loss.
In Loss, Trauma, and Resilience, Boss provides the therapeutic insight and wisdom that aids mental health professionals in not "going for closure," but rather building strength and acceptance of ambiguity. What readers will find is a concrete therapeutic approach that is at once directive and open to the complex contexts in which people find meaning and discover hope in the face of ambiguous losses.
In Loving Someone Who Has Dementia, Boss builds on research and clinical experience, yet the material is presented as a conversation. She shows you a way to embrace rather than resist the ambiguity in your relationship with someone who has dementia.
I would like to note that I will be using the term “traditional loss” to refer to loss from a death that is followed by a funeral.
Unclear Loss- the loss is unclear because the relationship is not completely gone. Rather a part of the loved one is still very present yet the other part of them is gone which I will further discuss in a moment.
Senseless Loss- the loss is confusing and incomprehensible due to the many uncertainties and unanswered questions.
Traumatic Loss - typically with ambiguous loss the loss comes from a traumatic experience.
Externally Caused- external circumstances and situations cause the loss rather than individual pathology This situation has caused sadness in my life. But, I’m not crazy, or depressed – I’m heart broken.
Lacks closure- Is closure ever possible with any loss? Some definitions: an often comforting or satisfying sense of finality, bringing to an end, and a conclusion. From this, full closure was never possible with any loss because you can never shut the doors on the memories, relationship, love and the bond, which can never be erased. In other words, while death does bring finality to one’s life. With ambiguous loss, there is no finality, but rather ongoing uncertainties, which deny any small sense of closure that, allow people to try to go on, not move on but go on with the sadness.
Frozen grief / Stuck in limbo- ambiguous loss freezes the grief process because not all is fully lost, there is no finality, and it does not feel right to fully mourn. It is an on-ongoing grief. It is essentially as though being stuck in limbo.
A unique individual journey- much like a traditional loss, each person’s grief journey is unique and individual. While two people may experience ambiguous loss for the same reasons, their journey will always be different. Having said that it is very important for those experiencing ambiguous loss to have a community connection with others experiencing the same thing as it helps to normalize the emotions, and the feeling connected helps to find the needed meaning.
Two types of ambiguous loss…
Psychologically absent- Physically present
The loved one is physically present however; they are cognitively and emotionally absent.
Physically absent- Psychologically present
The loved one is physically absent but remains psychologically present.
Missing People (for example disappeared, kidnapped, missing in action, or mass disasters such as 9/11)
It is also possible to be experiencing both at the same time as I am with a missing son and a mother with dementia. As you can see with all of these examples there is no real goodbye to the relationship and roles, no farewell ritual, and yet someone is lost and something remains creating ambiguity.
Traditional Loss means there is a death, with Verification and Certainty
Symbolic rituals that ordinarily support a loss do not exist. The result is an unverified loss by the community, and no validation of experience and feelings. People need to see the body and participate in rituals to break down denial, and cognitively begin to cope and begin the mourning process. Having the body empowers to let go and fulfills a need to say ‘good-bye’. Therefore, the grief process becomes frozen and paralyzes family members, and couple/family functioning
Co-workers, peers, and society are less likely to tolerate ambiguity. We are accustomed to focus on the problem and fixing the issue but with ambiguous loss, this is not possible which causes people to have less tolerance.
Ambiguous loss is not legitimized by society. We lived in a society that highly values answers, and a can-do attitude, and not being able to get closure is criticized because it goes against societal values.
We have two polarizing realities that co-exist.
We need to change the way we think of our loved one by taking two opposing ideas and make them into one: they are both here and not here.
I tried this on, and it makes sense. I applied this to my experience as follows:
Need to Manage the contradictions Take two opposing ideas, and make into one.
I am both sad – and still happy
I am both alone – and still connected
I am both powerless – and still empowered
I am both frozen – and still transforming
I am both doubtful – and still hopeful
I am both burdened – and still grateful
My loved one (Daniel) is both gone – and still here
When you have a Missing Person: When a loved one has gone missing, you are suspended in your grief (frozen) and living in Limbo.
Not knowing what has become of your loved one leaves you confused as to what to do next.
You don’t know if they are dead or alive, and as a result, you don’t know how to react and process what you’re feeling.
Not being able to “cure” or “fix” an ambiguous loss, we intervene to lower distress and anxiety and most important,
to increase the family’s tolerance for the ambiguity that persists.
People can and do learn to tolerate and even thrive despite their unanswered questions.
The voice of Families with Missing Loved ones (Missing Persons) is critical to ensure their needs are met and reflected in policy, process and procedures.
This document captures the needs and gaps identified by the Families.
Policing in Ontario: six principles:
Ontario is the first province in Canada to have a Declaration of Principles: Principles Comprehensive Ontario Police Services Act, 2019, S.O. 2019, c. 1 - Bill 68 written into its statutes. With these principles, Ontario’s police specifically declare: 4. The importance of respect for victims of crime and understanding of their needs.
Ontario Ministry of Community Safety and Correction Services (MCSCS), updated May 26, 2018ii
Now Ministry is known as: “Ministry of the Solicitor General” as the Comprehensive Ontario Police Services Act, 2019, S.O. 2019, c. 1 - Bill 68
My experience:
‘The heartache of having a missing loved one is overwhelming as days turn into weeks, then months, then years.
Each search or new lead sets us up for hopeful answers, but also painful disappointments.
It’s an emotional rollercoaster that is difficult to describe let alone understand. There is so much uncertainty.
Our family has experienced death of loved ones and the grieving process associated with this type of loss.
But how do you grieve someone who is missing? How do you grieve when you don’t know if they are alive or dead?
How do you carry on with the demands of life, and at the same time deal with the emotional turmoil?
This is our reality. Naturally, one will seek out support services to help cope, seek out those who can help us deal with the uncertainty.’
(as quoted in Living in Limbo from a mother’s perspective, me)
“Hope” means different things to different people and it manifests itself in different ways.
Find meaning- look at values, beliefs, and traditions to find a purpose and meaning for self in order to regain some control. This helps to remove blame and to feel like being pro-active.
2) Accept uncertainty- change the way one thinks about loved one by taking two opposing ideas and making them one: they are both here and not here. This balances the need for control with acceptance of ambiguity.
3. Reconstruct identity- inevitable for roles within relationship/ families to change. Therefore forced to change roles and identity. The missing has created a hole in the family dynamics.
4. Learn to live with ambivalence as a new norm- experience conflicting feelings/thoughts (I.e. wishing for answers even if death itself). Here accept the emotional rollercoaster and develop strategies to help with the waves of mixed and overwhelming emotions.
5. Revisit attachment-most difficult as you accept ambiguity and the uncertainty as part of life.
Part of this task is to celebrate the missing and mourn the changes.
6. Discover hope- look at strengths and see how you have made it to this point with pain. Discover hope in different ways (i.e. nature, volunteering, etc.). Understand hope changes over time.
*Use a Narrative Therapy approach- identify what has been lost, discuss the effects of the loss, normalizing the experience, assess coping resources, lay to rest guilt and blame, and develop rituals to allow to move on while still remembering. Overall, the goal is to take authorship of a new and more meaningful story of loss.
** Common to do family therapy, more beneficial than individual or group (particularly mass disasters)
“Loss of a missing loved one is often a lonely and an untrodden path for each of us who has to walk it.” * Living in Limbo: Five Years On, Missing People UK, 2013
“The weight of loss may never go away, but we learn how to carry it”.
A specific framework for supporting those left behind, families with missing loved ones.
Developed by Sarah Wayland, researcher, and adopted by the Australian Federal Police,
National Missing Persons Coordination Centre. Applies the Ambiguous Loss theory by Dr. Pauline Boss.
Prompts:
Can you tell me about your loved one? - referring to the person not just as a missing person
What would you say to (the missing person – name) if they were here now?
Prompts:
Do you tend to get “stuck” on the circumstances around the missing person’s disappearance? What would happen if you focussed on other times in your relationship with them i.e. when they weren’t missing?
Do you find it challenging to celebrate the missing person in your life because you don’t know where they are and when they may be returning?
Prompts:
Tell me about your life before your loved one went missing.
How have previous experiences of trauma impacted on the way you are coping with the loss of your loved one?
A trigger is many things that cause a reminder of the missing persons, causing an emotional response.
This can impact all senses and thoughts that can be random and unplanned.
These feelings can create an emotional reaction that is difficult to stifle.
The Trauma Timeline is an important aspect when assessing the implications of the loss. Supporting those who are left behind, Australian Federal Police (Sarah Wayland), 2007
Prompts:
7. Life continues even when your loved one is missing. How do you manage when life doesn’t allow you to focus only on your missing loved one’s disappearance?
8. Do you sometimes feel the need to take a break from concentrating on the sadness and frustration of having someone missing? What would it feel like to take some time for yourself?
Prompts:
What are some of the ways that you can keep your loved one present in your life?
If the missing person could see the journey you have been on, what would they say this journey has said about you?
Acknowledging the Empty Space, The Australian Federal Police (AFP) National Missing Persons Coordination Centre (NMPCC)
AFP launch updated framework to support those with a missing loved one | National Missing Persons Coordination Centre
Person-centered, empathetic listening, be where they are at, and what there needs are at this time.Wrap-around care. Unique experience, but common thread through lived experience.
Covers: Understanding Ambiguity, Experience of Missing, Providing Support and
Guideline sections for: Counsellors, Police, the Community, the Media
Also, The SOS Guide: Missing Persons A Guide for the Families and Friends of Missing Persons
National Missing Persons Coordination Centre (NMPCC) is a non-operational arm of the Australian Federal Police (AFP) and drives national coordination in response to missing persons in Australia, and to complement the investigative role of State and Territorial police. The NMPCC does not oversee or conduct investigations.
The SOS Guide: Missing Persons A Guide for the Families and Friends of Missing Persons.
Sections covered include: The Investigation, Australians Missing Oversees, The Search, Other Options, Media, Practical Matters, Coronial Process, DNA and Forensic Collection, Support, Contacts, My Contacts and Notes.
Practical Matters: Personal Property, Informing the Necessary People, Privacy Matters.
Support covers: Personal Health & Wellbeing, Writing & Remembrance, and Support Services,
OPP “Missing Persons – A Guide for Families of Missing Persons
Anti-Human Trafficking Investigation Coordination Team
777 Memorial Ave. 4th Floor
Orillia, ON L3V 7V3
Mail Code 4220
Received May 16, 2018
Victim Services of Waterloo Region, Waterloo, ON
“Missing Person Information and Support Services Brochure”
For those left behind, know that you’re not alone. Nov. 2015, Version 2
www.vswr.ca 519-585-2363
Halton Regional Police have created an information sheet for Families who report a Missing Persons titled:Missing Persons – Common Reactions of those left behind, 2014Contact: Kimberley Clark, Victim Services Unit, Halton Regional Police
Also: A Family Toolkit: Information for Families of Missing Persons, Victim Services, Regina Saskatchewan
Contact: Rhonda Fiddler, Missing Persons Liaison at Regina Police Service
In the First Nations Experiential Learning Cycle illustration below, the elements have the simple yet powerful labels of Experiencing, Reflecting, Meaning Making, and Acting.
These dynamic words reveal an engaged, deliberate, yet very open and aware process - one that is reflected in the traditional knowledge and learning processes, and has profound meaning in the 21st Century for students preparing to participate in Self Governance initiatives, and leadership positions within their communities. Dr. Marie Battiste, reinforced the importance of experiential learning for First Nations learners.
Experiential Knowledge Overview from the First Nations Pedagogy Online Project Although this model is organized as a cycle with four elements, learners do not always cognitively and affectively process the steps in a logical-step fashion.
All elements could occur at once by a multitasking learner, or could occur 'out of sequence', However, the sequence does provide a viable model to explain experiential learning.
Experiencing - Engagement in "Real life" learning experience
Reflecting - Internalization of the Experience
Meaning Making - Analysis of the Experience
Acting - Application of Experience to other Real Life Situations
Dr. Pauline Boss presented the theory of ambiguous loss in 1999 (book).
This comment explains ambiguous loss as an uncertain, unexplained loss, lacking answers, unsolvable.
Closure is a Myth (even with Death). Closure is not part of the grieving process. Nor is it necessary for healing.
A connection formed in LOVE can’t be closed. (The Grief Toolbox) Is closure a myth?
Complete closure is not possible with any loss because loss is never satisfying. However, with ambiguous loss there is absolutely no closure because there is no verification of death, no real goodbye rituals such as and burial.
Ambiguous loss defies closure even with healthy families as discussed by Pauline Boss and Donna Carnes, in Family Process article, 2012.
I agree with their summary that ambiguous loss with its lack of closure makes immense demands on the human capacity to cope and grieve.
So to me, there will be no closure for me. Even if Daniel is found deceased, I agree that my connection formed in LOVE can’t be closed. This too is being questioned in traditional loss. Closure is a word I really, really do not like, which is true of others with missing loved ones. Instead, I prefer to say it’s answers I need. If answers are not available, then I need to find comfort in the uncertainty, some sense of meaning from this, peace, but certainly not “Closure”.
Families will never have closure, the best we can get is answers.
Dr. Pauline Boss states that Closure is a myth.
There is no closure when it comes to relationships with people. Not even when death.
This book provides many strategies for coping: encouraging us to increase our tolerance of ambiguity and acknowledging our resilience as we express a normal grief, and still look to the future with hope and possibility.
How do we begin to cope with loss that cannot be resolved?The COVID-19 pandemic has left many of us haunted by feelings of anxiety, despair, and even anger. In this book, pioneering therapist Pauline Boss identifies these vague feelings of distress as caused by ambiguous loss, losses that remain unclear and hard to pin down, and thus have no closure. Collectively the world is grieving as the pandemic continues to change our everyday lives.
Support in COVID Times - Information provided in the Mental Health First Aid curriculum.
Information in the Mental Health First Aid curriculum is managed, operated and disseminated by the National Council for Behavioral Health.
1. Treat the person with respect and Dignity.
2. Offer consistent Emotional Support and understanding.
3. Have realistic expectations.
4. Give the person hope.
5. Provide practical help.
6. Offer information.
Before we talk about specific services, first, let’s look at the ways to support someone with a missing loved one.
Support looks different to everyone, but there are some that are most popular when it comes to supporting families with missing loved ones.
Not being able to “cure” or “fix” an ambiguous loss, we intervene to lower distress and anxiety and most important, to increase the family’s tolerance for the ambiguity that persists. People can and do learn to tolerate and even thrive despite their unanswered questions.
The effect of families’ perceptions of the disappearance on their emotional reaction to the experience.
Demonstrates the emerging pattern of the relationships between perceptions of whether or not the disappearance wis intentional, whether or not the missing person is alive, and their hopes and emotions connected to the disappearance. Families may fit into one of the quadrants, or move between the quadrants over time.
Emotional tension between perception on intention and fate (alive or deceased).
Alive or Deceased vs Intentional or Unintentional Disappearance
create quadrants of Low or High Hope of finding the missing person
Living in Limbo: The Experience of, and impacts on, the families of missing people, (pg. 30), Lucy Holmes, Missing People UK, 2008.
Victim Services Training: (12) - Waterloo Region Nov. 3, 2014 and Mar. 7, 2016 (2 sessions)
Niagara Region Feb. 3, 2015 and Niagara Region Families Oct. 11, 2017
Wellington-Guelph Nov. 7, 2017
Caledon-Dufferin - A Conversation Feb. 6, 2018
Yukon Territory May 29, 2018
Haldimand-Norfolk-New Credit Oct. 2, 2018
Victim Assistance Services of Oxford County (VASOC) Apr. 17, 2019
Hamilton, Missing Persons – A Conversation Jan. 14, 2021 and VS Unit Training Mar. 24, 2021
Halton – VS Training Feb. 24, 2021
Other Groups: (18) Agencies: White Owl, Cardinal Counselling, Carizon, Interfaith, KW Counselling (5)
Bereavement Ontario Network (BON), Oct. 17, 2013
CMHA Wat. Region Local Agencies Awareness/Gaps Apr. 22, 2015
CMHA Wat. Region Select Agencies Training June 1, 2016
Family Day, Missing People, UK July 30, 2016
Wat. Region Bereavement Breakfast Group Oct. 26, 2016
CMHA Peer Support & Self Help Volunteer Info Session Jan. 17, 2017
OPP Missing Persons Policing Workgroup, Toronto Nov. 7, 2018
New Horizons Group, Maryhill Apr. 11, 2019
London Community Teach-In, Atlohsa Native Family Healing Services Aug. 27, 2019
Self Help Peer Support and HERE 24/7 Volunteer Training,
Office for Victims of Crime (OVC) Missing Persons – A Conversation Oct. 14, 2020
Cdn Municipal Network on Crime Prevention (CMNCP) - Safer Cities Nov. 25, 2020
BFOSC Facilitator Training March 6, 2021
Specialized Victim Services for the Families of Missing and Murdered Aboriginal Women: An Overview of Scope, Reach and Impact Katie Scrim and Naomi Giff-MacKinnon https://www.justice.gc.ca/eng/rp-pr/cj-jp/victim/rd8-rr8/p5.html
Missing Persons Liaison, Regina, SK Victim Services looks to help families of Missing Persons Cope Sept. 16, 2020
https://www.cjme.com/2020/09/16/victimse28099-services-looks-to-help-families-of-missing-persons-cope/
Not being able to “cure” or “fix” an ambiguous loss, we intervene to lower distress and anxiety and most important, to increase the family’s tolerance for the ambiguity that persists.
Be the Navigator for Families.
People can and do learn to tolerate and even thrive despite their unanswered questions.
Based on lived experience of Families.
“Missing Persons Acts” are still needed in Quebec, New Brunswick, PEI, NWT, Nunavut.
Police were limited in their ability to investigate reports of missing persons when there was no evidence of criminal activity.
Missing legislation gives police a tool to respond to missing persons investigations by allowing them access to personal information (health, banking, employment, social media, phone, travel, vehicle records) and locations to search while balancing considerations for an individual’s privacy.
In Ontario, the Missing Persons Act went into effect on July 1, 2019 (5 year effort) with regulations for process, annual reporting, and will have a full review after 5 years in use (July 2024).
Yes, I can learned to live with this loss.
But, I know I will not get closure, Verification is needed, physical evidence which I got in May 2015.
I needed to learn to carry on without answers, while I was on my ambiguous loss journey.
I believe families need to connect with other families to not feel isolated and alone.
They would benefit from Support and a Navigator or Liaison to help them on their journey.
Ambiguous loss inherently creates complicated grief.
But the pathology lies in the ambiguity, not in the person whose grief is frozen.
The challenge then is not closure, but a paradoxical search for meaning in meaninglessness.
Understanding is key – providers must understand ambiguous loss to understand my experience.
Let me live my experience, understanding that the type of loss I’m experiencing will influence the type of grief I experience. (the type of loss shapes the type of grief – and the support challenge)