Grief: The Dual Process Model Of Palliative Care

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Introduction Death is one of the essential aspects of human existence (Glaser and Strauss 1965). Palliative care now has its expanded application beyond care of people with malignancies to people with non-malignant life limiting illnesses. Death and dying and its multi-faceted impacts on the patients and families generate grief and loss. Grief is described as one of the most universal human reactions occurring across all age groups and cultures as an adaptational response to different kinds of acute life crises or series of crises (Crowles and Rodges, 1991; Curry and Stone, 1992). Grief experienced by bereaved families is defined to be more than a reaction to the loss (Kaunonen, 2000). Palliative care upholds the concept of holistic care. It emerged from reconsideration of the biomedical model of care.…show more content…
This model projects the idea that a bereaved person doesn’t spend all of his or her time for coping and the person requires time off from the pain of grief. This is made plausible when a dynamic state of oscillation occurs between loss oriented process and restoration oriented process. Dual process model of coping by Stroebe and Schut (2010) takes account of the gender differences in coping and the significant impact of culture on coping with bereavement. As the essence of dual process model is that the cognitive process analysis is essential in coping with the bereavement, this model is limited to individuals with good cognitive status. Although there are differences in ways of coping in relation to gender, it again depends on the personality and life experiences of the individual. On the basis of the clinical experience, the writer dissents the postulation of Strobe and Schut’s (2010) dual process model that oscillation is mandatory for an ideal adjustment over
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