• Title/Summary/Keyword: the grief of loss

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Bereavement Care in Hospice and Palliative Care (호스피스.완화의료에서의 사별 돌봄)

  • Kim, Chang-Gon
    • Journal of Hospice and Palliative Care
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    • v.10 no.3
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    • pp.120-127
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    • 2007
  • Bereavement is the state of loss resulting from death. Grief is the emotional response associated with loss, intense and acute sorrow resulting from loss. Complicated grief represent a pathological outcome involving social, physical, emotional, cognitive, spiritual morbidity. The common psychiatric disorders associated complicated grief or abnormal grief responses include clinical depression, anxiety disorders, alcohol abuse or other substance abuse, and dependence, psychotic disorders, and post-traumatic stress disorder (PTSD). Grief tasks involve a series of stage or phases following an important loss that gradually permit adjustment and recovery. Three phases of grief involve phase 1 (walking the edges), phase 2 (entering the depths), and phase 3 (reconnecting the world). For intervention to be effective they need to be individually tailored to abnormal grief reaction or unresolved grief reaction. Clear understandings of complicated grief, abnormal responses, factors increasing risk after bereavement will often enable us to prevent psychiatric disorders in bereaved patients.

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Grief Stages and Responses of Bereaved Mother Who Lost Her Children with Cancer (암으로 자녀와 사별한 어머니의 슬픔단계와 반응)

  • 이원희;황애란
    • Journal of Korean Academy of Nursing
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    • v.33 no.6
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    • pp.847-855
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    • 2003
  • Purpose: This study was done to develop a bereaved family care program by identifying characteristics of a grief healing process in a child loss. Method: The subjects were five bereaved mothers who have lost their children with cancer. Data was collected with in-depth interviews using grief phase assessment tool and grief reaction assessment tool from 1, February, 2001 to 31 August, 2002. Data was analyzed on the basis of two tools. Result: Process of grief in general was as follows: evading phase was within one week - one month, confrontation phase was 5 - 12 months, and reconciliation phase was after 9 months and still going on when the study was finished. Grief reaction in five (physical, cognitive, emotional, social, and spiritual) dimensions was stabilized when the phase moved into reconciliation phase. Influencing factors were intimacy and expectation towards child, social support, personality, prior loss experience, coping style, religion, culture, family cohesion, openness of communication, and stress events. Conclusion: These results suggest that a bereaved family care program considering characteristics of Korean culture should be developed and activated.

The Relationship between the Grief of Loss and the Sense of Ego-Integrity of the elderly (고령자의 상실감과 자아통합감의 관계)

  • Hu Kyung Kim ;Soon Chul Lee ;Ju Seok Oh
    • Korean Journal of Culture and Social Issue
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    • v.13 no.2
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    • pp.17-32
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    • 2007
  • The word "Loss" means being deprived a person's meaningful property, people or idea by irresistible force, and it is not avoidable in one's life. Especially, the elderly have higher possibility to experience this "Loss" than any other age groups on account of their characteristics. Feeling grief of loss after going through any kind of loss is natural and normal. However, if someone has severe trouble with overcoming this grief, it would affect negatively to his/her psychological or social inelastic. Therefore, we tried to find out which factors consists the "Grief of loss" and how it affects on the elderly's quality of life, especially on the sense of ego-integrity through this study. 97 of the elderly over age 65 participated in the survey and the results as follow; grief of loss is classified into four factors, 'economical loss', 'loss from being parted by death', 'loss of physical functions' and 'loss of relations'. These four factors of "Grief of loss" showed negative correlations with the scores of the sense of ego-integrity factors except 'acceptance of death'. Especially, the 'economical loss' affects on every factor of the sense of ego-integrity negatively except 'acceptance of death' and 'acceptance of aging'. Moreover, 'loss of physical functions' and 'loss of relations' affect negatively on elderly's satisfaction to their lives. On the other hand, the 'loss from being parted by death' of "Grief of loss" and 'acceptance of death' of the sense of ego-integrity showed no statistically significant effect in every process of analysis.

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Pet Loss and Complicated Grief: The Moderating Role of Perceived Social Constraints (반려동물 상실과 복합 애도: 지각된 사회적 제약의 조절 효과)

  • Ji-Yeon Jung;Ji-Eun Shin;Young-Shin Kang
    • Science of Emotion and Sensibility
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    • v.26 no.3
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    • pp.101-114
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    • 2023
  • Pets are increasingly becoming vital companions in human life, prompting researchers to focus on understanding the grief experiences of pet owners. Unlike other forms of loss, pet loss often leads to complicated grief, characterized by intense and prolonged sorrow. This is likely due to the comparatively lower societal value placed on the human-pet relationship, which may restrict pet owners from feeling truly understood by others. The subjective perception of these "social constraints" significantly hampers the process of recovering from pet loss and contributes to the development of complicated grief. In this study, we hypothesize that the perceived social constraints could intensify the transition from the initial shock of pet loss to complicated grief. The results confirm that pet owners' perceived social constraints play a moderating role in the relationship between the shock of pet loss and complicated grief. Notably, pet owners experience heightened levels of complicated grief when perceiving greater social barriers and constraints. By highlighting the pivotal role of perceived social constraints in comprehending the experiences of pet loss and grief, this study underscores the importance of social awareness and improvement.

The Influence of the Grief of loss on the Subjective well-being in the Elderly (고령자의 상실감이 주관적 안녕감에 미치는 영향)

  • Hun Yoon ;Soon Chul Lee ;Ju Seok Oh
    • Korean Journal of Culture and Social Issue
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    • v.13 no.2
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    • pp.1-15
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    • 2007
  • The purpose of this study is to find how the factors of "Grief of loss" affect on the subjective well-being of elderly('the satisfaction with life', 'the positive affect', 'the negative affect). One hundred of subjects, over age 65, participated in the survey and we could find that the "Grief of loss" was composed of four sub-factors('economical loss', 'loss from being parted by death', 'loss of physical functions', 'loss of relations'). These four sub-factors of "Grief of loss" showed negative correlations with the scores of the satisfaction with life. However, three other sub-factors except 'loss from being parted by death' showed negative correlations with the scores of 'the positive affect'. On the other hand, other three sub-factors except 'economical loss' showed positive correlations with the scores of 'the negative affect'. Especially, the 'economical loss' was affecting on 'the negative affect' and 'the positive affect' significantly. Also, 'loss of relations' was affecting on both 'the negative affect' and 'the satisfaction with life''. Two out of the four sub-factors, 'economical loss' and 'loss from being parted by death', showed no significant effects on the subjective well-being. This results insists us that the emotional supports, especially from their offspring, are truly important for elderly to overcome their Grief of loss('loss of physical functions', 'loss of relations')

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Loss and Grief in Asian Culture (아시아 문화권에서의 상실과 슬픔)

  • Hong, Young-Seon;Yeom, Chang-Hwan;Lee, Kyung-Shik
    • Journal of Hospice and Palliative Care
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    • v.1 no.1
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    • pp.1-5
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    • 1998
  • Grief is the ordinarily self-limited complex of symptoms and processes that constitute the acute reaction to a significant loss. And it is the reaction of the dying as well as the bereaved. Every culture has had its own ways of grief and mourning. The definition of healthy grief and mourning, in terms of both emotional expression and the length of time it should continue, mostly depend upon the type of culture as well as the type of religion. So the manner of grief and mourning greatly differs from culture to culture. In the most of the Asian countries, influenced by Confucianism, Taoism, and Buddhism, death is traditionally considered the most significant life cycle transition. In Chinese culture, many rituals have evolved to help family members deal with their loss, over the past five thousand years. Confucianism taught the virtues of filial piety and righteousness. These rules and many customs added since the time of Cofucius, have been loyally followed and practiced by many Asian people. However, Buddhists have different ideas. They believe in karma and reincarnation and in predetermination of one's present life by good or bad deeds in the present life and past lives. Display of uncontrollable emotion is not encouraged. Continuity of family relations after death is very important. The ancient practice of the ancestor worship is still followed in many Asian households. Many Buddhist do not practice ancestor worship; family members honor the deceased by placing a memorial plate in the temple for continued chanting purposes. The mourning rituals have been dramatically curtailed in the past 50 years. For example, political, social and economic forces have shaped the current mourning practices of Chinese in different countries. There are many clinical implications in helping Asian to deal better with the emotional strains of the experience of loss. The therapiest must respect the cultural framework through which the client perceives family losses.

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A STUDY OF THE EFFECTIVENESS OF THE BEREAVEMENT PROGRAM OF SEVERANCE HOSPICE (세브란스 호스피스 추후관리 프로그램의 효과에 관한 연구)

  • Wang, Mae-Ryeon
    • The Korean Nurse
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    • v.31 no.2
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    • pp.51-69
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    • 1992
  • Grief that is not acknowledged and worked through may manifest itself in some emotional, mental or physical problem. In recent years much has been learned about coping with grief which the hospice program can utilize to help family members cope with their grief. This study was carried out to determine the helpfulness of the bereavement care of Severance Hospice and to learm more about the grief response of the bereaved. The tools used to collect data were an assessment form used in the bereavement program and the Grief Experience Inventory developed by Sanders and revised and translated 'by the researcher. Data was obtained from bereaved family members(54 for the final grief assessment and 39 for the grief response assessment) receiving bereavement follow-up, from July 1989 to March 1991. Results of the study were as follows: 1. Final Grief Assessment Regarding the resolution of their grief the majority of the bereaved accepted the reality of the death of their family member, while slightly more than three-quarters were able to express their feelings toward their loss. A large majority had returned to activities of daily living well or fairly well and had reinvested their energy in a person other than the deceased. In addition, the physical condition of the majority was good or fairly good. A majority of the bereaved considered the bereavement care to be helpful and almost three-quarters were not considered to be in need of more follow-up. 2. Grief Response Assessment Age was found to have a modoerately positive correlation to appetite disturbance(r=.41, P<.Ol) and loss of vigor(r=.37, P<.Ol) A moderately positive correlation was found between the number of contacts and sleep disturbance(r=2.38, P<.01) Significant differences were found between men and women in regard to guilt(t=2.38, P<.05), social isolation(t=2.44, P<.05) and depersonalization(t=2.07, P<.05) with men having the more intense grief. Significant differences were found in the grief responses of somatization(F=5.82, P<.001), physical symptoms(F=5.87, P<.OOl), appetite disturbance(F=4.40, P<.Ol), despair(3.79, P<,Ol), anger(Fp2.83, P<.05), social isolation(F=3.61, P<.05), guilt(F=3.62, P<.05) and depersonalization (F = 2.58, P <.05). In the first six of these grief responses mothers scored highest, followed by husbands and then wives, In the grief response of guilt, daughters scored highest and on the grief response of depersonalization sons scored highest. Only one grief response, that of sleep disturbance(t= -2.19, P<.05) was found to be statistically significant, with those family members who died at home having the higher scores. Based on the results of this study several suggestions are presented as follows: 1. Since unresolived grief can have a detrimental effect on the bereaved person's mental and phys. ical health it would be good for the nurse, to include questions related to death of family members and the bereaved person's response to the grief, in her nursing assessment. And in the case of unresolved grief the nurse should encourage the person to talk with a trusted friend or counselor and express their fellings of grief. 2. A study to determine the degree of resolution of the grief of those in the bereavement program could be carried out by use of the Grief Experience Inventory early in their bereavement and again 13 months after the death of their family member. 3. A comparison of the grief response of the bereaved in the bereavement program and bereaved not in the program could be carried out using the Grief Experience Inventory. 4. After bereavement programs have been started in other hospice programs it would be good to carry out a joint study of bereavement outcomes of those in the bereavement programs.

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A Study on Curriculum to Improve Grief Counselor's Competency (애도상담자 전문역량 향상을 위한 교육과정 탐색)

  • Jeon, Hee-Chung
    • The Journal of the Korea Contents Association
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    • v.18 no.2
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    • pp.602-615
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    • 2018
  • Loss has been expanded to include not only death but also the change that take place in the transition of life. In addition, the rate of direct and indirect experience of death around us has increased due to natural disasters and unexpected accidents. Therefore, there is a growing demand for grief counseling and a need for professional grief counseling. The purpose of this study was to investigate the competency of grief counselors and to review on the literatures what grief counselors should be trained to improve their professional competences. Specifically, there were grief counseling theory, evaluation of grief, death education, and counselor self-care. There were suggested that how to integrate into existing counselor curriculum and introduced experiential practice. This study can be used as a basic data for encouraging the attention of grief counselor education and competency model.

Concept Analysis of Preparatory Grief in Terminal Cancer Patients (암환자의 예비슬픔[preparatory grief]에 대한 개념 분석)

  • Park Hyoung-Sook;Kim Myoung-Soo;Jung Jung-Sim;Choi Nam-Yeoun;Yu Sung-Mi;Ko Young-Hee;Kim Young-Soon
    • Journal of Korean Academy of Nursing
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    • v.36 no.5
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    • pp.782-791
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    • 2006
  • Purpose: The purpose of this study was to conceptualize and clarify a concept of "preparatory grief" in terminal cancer patients. Method: A hybrid model of concept development was applied to develop a concept of preparatory grief, which included a field study carried out in Busan, Korea. Participants of this study were 8 cancer patients. Results: On the basis of our literature, research and clinical experience, the concept of preparatory grief emerged as a complex phenomenon playing an important role in five areas; physical, emotional, interpersonal, religious, and transcendental dimensions. Two new attributes were defined through a field phase; trust of the post-mortal world and a serene state of mind. Indicators reflected attitudes of sadness, worry, regret, capability to adapt and hope. The results of preparatory grief were loss of energy and interest, emotional chaos, contemplation, taciturnity and restoration. Conclusions : Differentiating among preparatory grief and other symptoms in cancer patients is essential because of therapeutic implications. Understanding preparatory grief is necessary in order to manage cancer patients for promoting quality of life so that its application may have a positive impact on the patient's life.

An Exploratory Study on the Effects of the Negative Emotions on the Selection of Digital Contents (개인의 상실감이 디지털 컨텐츠 선호에 미치는 영향에 대한 탐색적 연구)

  • Oh, Chang-Gyu
    • The Journal of Information Systems
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    • v.19 no.4
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    • pp.253-270
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    • 2010
  • The adjustment of negative emotions in later life is related to the quality of life and life satisfaction. any studies have examined how to control the negative emotions in related to physical, psychological, and social relationships. As the digital media and contents positively influence elder's mental and somatic well-being, it is significant to examine this problem from IT usage, especially the selection of digital contents. This study validated the theoretical study through a qualitative exploratory study comprising both negative emotions and the selection of digital contents, and empirically tested the proposed research model on the older people. The result shows the pattern of linkages between the grief of loss and the pursuit of digital contents. Loss from being parted by death and loss of relations was positively related to the information seeking contents. Economical loss and loss of physical functions was positively related to the innovation seeking contents. Loss of physical functions and Loss from being parted by death was positively related to the emotion seeking contents. And economic loss and loss of relations was positively related to the entertainment seeking contents.