Treatment of Complicated Mourning

This is the first book to focus specifically on complicated mourning, often referred to as pathological, unresolved, or abnormal grief. It provides caregivers with practical therapeutic strategies and specific interventions that are necessary when traditional grief counseling is insufficient.

The author provides critically important information on the prediction, identification, assessment, classification, and treatment of complicated mourning.

Content Highlights
-- Extensive review of the literature from classic theoretical works to the newest empirical research
-- New approaches to assessment, including a new clinical tool, the Grief and Mourning Status Interview and Inventory (GAMSII)
-- Issues and therapeutic implications associated with the death of a child, AIDS-related death, suicide, homicide, sudden and unexpected death, and multiple death
-- Interventions for major problem areas such as guilt, ambivalence, and anger
-- Case examples drawn from the literature and from Dr. Rando's clinical experience
-- Information on the duration

Figures and Tables

xi

Acknowledgments

xiii

PART I Fundamentals

Introduction

3

(16)

Growing Interest in the Topic

3

(2)

Prevalence and Costs of Complicated Mourning

5

(1)

Factors Contributing to Increased Complicated Mourning

5

(6)

Problems in the Field

11

(5)

Content and Organization of This Book

16

(3)

A Perspective on Loss, Grief, and Mourning

19

(60)

Definitions

19

(7)

Inevitability of Loss

26

(1)

Myths and Realities of Mourning

27

(2)

Factors Influencing Grief and Mourning

29

(1)

Three Phases of Grief and Mourning

30

(13)

The Six ``R'' Processes of Mourning

43

(17)

Perspectives on the Duration and Course of Mourning

60

(4)

Subsequent Temporary Upsurges of Grief

64

(15)

Theories of Complicated Mourning: A Historical Review

79

(70)

Sigmund Freud

79

(6)

Karl Abraham

85

(1)

Helene Deutsch

86

(1)

Melanie Klein

87

(2)

Erich Lindemann

89

(3)

Otto Fenichel

92

(1)

Charles Anderson

93

(5)

Samuel Lehrman

98

(2)

John Bowlby

100

(14)

George Engel

114

(2)

Colin Murray Parkes

116

(4)

Lorraine Siggins

120

(3)

Charles Wahl

123

(1)

Vamik Volkan

124

(4)

George Krupp

128

(2)

Beverley Raphael

130

(3)

Aaron Lazare

133

(3)

Mardi Horowitz

136

(9)

Sidney Zisook and Colleagues

145

(4)

Complicated Outcomes of Loss: Symptoms and Syndromes

149

(36)

Definition of Complicated Mourning

149

(1)

Symptoms of Complicated Mourning

150

(4)

Syndromes of Complicated Mourning

154

(31)

Complicated Outcomes of Loss: Mental Disorders, Physical Disorders, and Death

185

(58)

Mental Disorders

185

(53)

Physical Disorders

238

(2)

Death

240

(3)

PART II Assessment and Treatment

Clinical Assessment of Grief and Mourning

243

(24)

Assessment Issues

244

(4)

Four Assessment Situations

248

(4)

Specific Areas of Assessment: Using the Grief and Mourning Status Interview and Inventory (GAMSII)

252

(15)

Formal Therapeutic Approaches to Complicated Mourning

267

(66)

Focal Psychotherapy

267

(3)

Re-Grief Therapy

270

(6)

Behavioral, Cognitive, and Social Approaches

276

(22)

Gestalt Therapy

298

(3)

Time-Limited Dynamic Psychotherapy for Phase-Oriented Treatment of the Stress Response Syndrome

301

(9)

Worden's Treatment Procedures for Resolving Pathological Grief

310

(3)

Rando's Schema for Creating Therapeutic Bereavement Rituals

313

(20)

Generic Issues in the Treatment of Complicated Mourning

333

(60)

Efficacy of Intervention in Mourning

334

(11)

Philosophical Perspectives on Treatment

345

(20)

Generic Guidelines for Treatment

365

(28)

Intervening in the Six ``R'' Processes of Mourning

393

(60)

Recognize the Loss

393

(6)

React to the Separation

399

(15)

Recollect and Reexperience the Deceased and the Relationship

414

(9)

Relinquish the Old Attachments to the Deceased and the Old Assumptive World

423

(6)

Readjust to Move Adaptively Into the New World Without Forgetting the Old

429

(19)

Reinvest

448

(5)

PART III Specific Clinical Problems

Risks and Therapeutic Implications Associated With Individual, Relationship, and System Factors

453

(50)

Interrelationship Among High-Risk Factors

454

(1)

Mourner Liabilities

455

(7)

Anger

462

(7)

Ambivalence

469

(9)

Guilt

478

(10)

Dependency and Codependency

488

(7)

Social Support

495

(8)

Risks and Therapeutic Implications Associated With Mode of Death

503

(50)

Natural Versus Unnatural Death

503

(2)

Natural Death

505

(6)

Accidental Death

511

(11)

Suicide

522

(12)

Homicide

534

(19)

Risks and Therapeutic Implications Associated With Sudden and Unexpected, Multiple, and Traumatic Death

553

(58)

Sudden, Unexpected Death

553

(10)

Multiple Death

563

(5)

Traumatic Death

568

(43)

Risks and Therapeutic Implications Associated With Death of a Child and AIDS-Related Death

611

(40)

Death of a Child

611

(21)

AIDS-Related Death

632

(19)

Caregiver Concerns in the Treatment of Complicated Mourning

651

(14)

Caregiver Characteristics

652

(2)

Common Therapeutic Errors

654

(2)

Caregiver Stressors

656

(7)

Strategies for Reducing Caregiver Stress

663

(2)

Appendix Grief and Mourning Status Interview and Inventory (GAMSII)

665

(18)

References

683

(40)

Author Index

723

(8)

Subject Index

731

(20)

About the Author

751

What is included with this book?

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.

FREE SHIPPING

Amazon no longer offers textbook rentals. We do!

Treatment of Complicated Mourning

Summary

Table of Contents

Supplemental Materials