8. Family Perceptions of the Disappearance
Living in Limbo, Lucy Holmes,Missing People UK, 2008 8
9. What is Ambiguous Loss?
Dr. Pauline Boss, principal theorist of the concept of Ambiguous Loss
and Dr. Gloria Horsley, founder and president of Open to Hope Fdn,
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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10. Types of Ambiguous Loss
1. Physically Absent-
Psychologically Present
2. Psychologically Absent-
Physically Present
Adoption
Migration
Miscarriage and stillborn loss
Missing people
Natural disaster and
catastrophic tragedy
Addictions
Change in Gender Identity or
Gender Expression
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.
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11. Why does it matter?
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Ambiguous Loss will:
Freeze the grief process
Paralyze couple and family functioning
Change beliefs/values
Prevent “closure” but,
“closure” is a myth
(Need answers for Resolution)
Families can name it
(Ambiguous Loss)
Families need support
(I’m not crazy, it’s the situation)
12. What do Families Need?
Be heard and believed
Know what to expect of self and others
Feel safe and connected, with trust
Understand the systems and resources
Minimize the emotional roller coaster
Take care of self first, find balance
Cope in healthy ways, reduce stress
Strive to maintain Hope, build Resiliency
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13. Services (Support)
Support looks different to everyone
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* Someone to really listen
* Being present
* Just being there
were by far the most popular
ways to support someone.
Tips for Supporting Those Coping with the
Disappearance of a Loved One by Cindy S.
16. Triggers and Trauma
“Having a missing loved one is the most painful
loss of all.” (Dr. Pauline Boss, 1999)
The *Trauma Timeline is an important aspect when
assessing the implications of the loss.
Triggers can affect the emotional ups and downs:
Possible Sightings
Remains Found
Other Missing Persons
News, tips, or leads
Items(s) found, but no physical evidence
Officer or Jurisdiction change(s)
* Supporting those who are left behind, Australian Federal Police (Sarah Wayland), 2007 16
17. Building Positive Relations
with Police - A Family Perspective
Need to be taken seriously in the first instance –
Families know their loved one, take the report
Eliminate lifestyle bias and assumptions about the
disappearance – Investigate all cases equally
Keep us in the loop with ongoing communications
– Agreement on frequency of contact
Help us make sense of the entire situation –
Inform families of process, roles and options
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18. Patterns in the Numbers
Toronto (Toronto Star, Oct. 19, 2018)
More than 100,000 cases since 1990
Avg. 4,200 missing persons' reports annually
Ontario (NCMPUR*, Fast Fact Sheet, 2017)
18,060 Missing Person Occurrences (CPIC Transactions)
(11,025 children, 7,035 adults)
Cases on Canada’s Missing Public Site (Sept. 29, 2018)
ON - 49 children, 368 adults, 168 unidentified remains
Canada - 164 children, 1,131 adults, 268 unid. remains
29* National Centre for Missing Persons and Unidentified Remains (NCMPUR)
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19. Legislative/Policy Advocacy
Petition “Ontario needs Missing Persons Legislation”
Mar. 8, 2018, the Missing Persons Act (Schedule 7 of Bill
175), awaiting Regulations and Proclamation.
Petition “Develop a National Silver Alert strategy for
Canada” e-1588, Apr. 1, 2019. See: Silver Alert Canada
Petition “Declare a National Missing Persons Day in
Canada” tabled Jan. 29, 2018, awaiting Gov. re-response.
Input “Missing Persons - Police Practices” gathering
first hand experience from families with missing persons to
inform and recommend necessary changes.
Petition “National Missing Persons Framework” TBD
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20. Recap and Q & A
Ambiguous Loss is an uncertain loss
Triggers can impact the journey (traumatic)
Each situation is unique and individual
It’s about finding meaning and hope in uncertainty
“Closure” is a myth, families want equal treatment
to find answers and get “Resolution”
Community can play a huge role to help families
Relationship with Police is the most important one
Any moments or thoughts? Questions?
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21. Living and Learning on my
Journey of “Not Knowing”
“Loss of a missing loved one is often a lonely
and an untrodden path for each of us who has
to walk it.” *
21* Living in Limbo: Five Years On, Missing People UK, 2013
22. From me to each of you:
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Maureen Trask: trasker@rogers.com
Support for Us – Families with
Missing Loved Ones (FB page)
Links to the Presentation and
Resource Materials will be emailed.
Editor's Notes
Introductions
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 am learning lots about strength, resiliency, never giving up.
As a parent, no one prepares you for this type of loss..
Through this presentation, I will share what ambiguous loss is, what you can do to help support families and how to relate to their experience of uncertainty.
So, as a Mom left behind, living in limbo, frozen in 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.
This poem “When Someone you love goes missing”, by Tom M. Brown, speaks to this journey.
(read poem)
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.
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.
Policing in Ontario: six principles
Ontario is the first province in Canada to have a Declaration of Principles written into its statutes. With these principles, Ontario’s police are committed to:
Ontario Ministry of Community Safety and Correction Services (MCSCS), updated May 26, 2018
An occurrence is considered as belonging to the year 2017 based on the reported Date Last Seen Footnote 3. The number of missing person subjects reported herein reflects a "point in time" and can change if records for 2017 cases are added, modified, or flagged as duplicate Footnote 4.
Ambiguous loss inherently creates complicated grief. But the pathology lies in the ambiguity, not in the person whose grief is frozen. Therapeutic 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)