Complicated Bereavement

2020 ◽  
pp. 309-325
Author(s):  
Jo Ann Silcox
Keyword(s):  
Complicated Bereavement

Interpersonal psychotherapy

2013 ◽  
Author(s):  
Philip Wilkinson
Keyword(s):  
Care Management ◽  
Psychological Treatment ◽  
Late Life ◽  
Interpersonal Psychotherapy ◽  
Evidence Base ◽  
Role Transition ◽  
Late Life Depression ◽  
Management Interventions ◽  
Social Theories ◽  
Complicated Bereavement

Interpersonal psychotherapy (IPT) is a structured psychological treatment developed for the management of depressive disorder that has been further refined and evaluated in the treatment of older adults. IPT is based on attachment, communication and social theories and focuses on the interpersonal origins and effects of depression. In this chapter, the delivery of IPT is described and illustrated with a case example. The four possible foci in IPT (complicated bereavement, role transition, interpersonal disputes, and interpersonal deficits) are explained. The evidence base for the efficacy of IPT in late-life depression is reviewed, including the Maintenance Therapies in Late Life Depression trials. Newer applications, including care management interventions and the treatment of anxiety, are described.

Case Study of a Survivor of Suicide Who Lost All Family Members Through Parent–Child Collective Suicide

Crisis ◽  
2015 ◽  
Vol 36 (1) ◽  
pp. 71-75 ◽  
Author(s):  
Eunjin Lee ◽  
Sung won Kim ◽  
Robert D. Enright
Keyword(s):  
South Korea ◽  
Personal Experience ◽  
Semistructured Interview ◽  
Adult Survivor ◽  
Survivors Of Suicide ◽  
Survivor Of Suicide ◽  
Complicated Bereavement ◽  
Detailed Picture ◽  
Parent Child

Background: South Korea is characterized by a high percentage of parent–child collective suicide. Aims: This case study explores one individual’s personal experience as an adult survivor of suicide who lost his wife and his only son through parent–child collective suicide in South Korea. Method: The study reports data from a semistructured interview, which were analyzed using interpretive phenomenological analysis (IPA). Results: Two themes were identified through the analysis of the narratives of the survivor. The first theme provides a detailed picture of the survivor’s explanation of why the parent–child collective suicide occurred. The second theme examines how the participant experienced complicated bereavement after his heart-breaking loss of both wife and son. Conclusion: We discuss the importance of support from other people or grief experts for the survivors of suicide who lose family to collective suicide.

IPT for PTSD—Middle Phase

2016 ◽  
pp. 68-78
Author(s):  
John C. Markowitz
Keyword(s):  
Role Play ◽  
Social Signals ◽  
Middle Phase ◽  
Life Event ◽  
Role Transitions ◽  
Social Risks ◽  
Affective Attunement ◽  
Complicated Bereavement

This chapter comprises a review of the middle sessions of IPT treatment for PTSD. This covers the interpersonal foci of grief (complicated bereavement), role disputes, and role transitions. It addresses techniques like affective attunement, eliciting, normalizing, validating, and helping patients verbalize feelings; eliciting a recent, affectively charged life event; exploring options; and role play. The key opening is a question: “How have things been since we last met?” Having identified a recent, affectively charged life event, the therapist uses an interrogatory triad to reconstruct it. Catchphrase: “Emotions are uncomfortable but not dangerous”—and indeed are even useful as social signals. The chapter also addresses thematic continuity of sessions and encouragement of taking social risks.

Grief

2017 ◽  
pp. 43-54
Author(s):  
Myrna M. Weissman ◽  
John C. Markowitz ◽  
Gerald L. Klerman
Keyword(s):  
Major Depression ◽  
Complicated Grief ◽  
Problem Area ◽  
Emotional Life ◽  
Case Examples ◽  
Adaptive Process ◽  
Dsm 5 ◽  
Grief Reaction ◽  
Complicated Bereavement ◽  
The Relationship

The symptoms of a normal grief reaction typically resolve over the course of a few months as the person processes the loss, thinking through remembered experiences with the deceased. This period of grief or mourning is a normal, useful, adaptive process. In contrast, in complicated grief, the person tries to contain her emotions, distancing herself from emotional life. This postponing and avoidance of grief is characteristic of complicated bereavement, a long-recognized form of major depression. This chapter discusses both normal and complicated grief and how grief is defined by the DSM-5 and how it presents as a problem area in IPT. The two goals of the therapist are to facilitate mourning (catharsis) and to reestablish interests and relationships that can to some degree substitute for the person and the relationship that have been lost. Case examples are included.

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