The Dual Process Model

The Two-Track Model of Bereavement is a model that states loss is conceptualized along two axes. Track I pertains to the biopsychosocial functioning in the event of a loss and Track II pertains to the bereaved’s continued emotional attachment and relationship to whoever is deceased. The effect of Track I is seen through the bereaved’s functioning, including their anxiety, their self-esteem and self-worth, and their depressive affect and cognitions. Noting the ability of one to invest in life tasks after experiencing a loss indicates how they are responding to the loss of the deceased. This Track is seen as an expression similar to one of trauma, or crisis. Track II holds that the bereaved has difficulty physically separating from the deceased. This can be seen in emotional, interpersonal, or cognitive ways. It is shown through imagery and memories that the bereaved experiences surrounding the deceased, whether positive or negative, as well as the emotional distance from them. These pictures in the bereaved’s head explain both the cognitive and emotional view of the person who has died (Rubin, 1999).

There are also many factors that influence these events and emotions such as personality, culture, religion, relationships, and the way in which the deceased passed away (Buglass, 2010, 44). Buglass (2010) refers to Stroebe and Schut’s “flexible” model of grief and explains that a person handling loss will experience lifestyle changes as a result of that loss. This is due to the dual manner of moving between grieving, and trying to come to terms with loss. This theory looks at grieving as a process that happens in everyday life. Other theorists, such as Freud, view grieving as a “solitary process” where mourners withdraw from the world around them and gradually deal with the loss they’ve suffered.

Grieving is a process the human mind goes through to stay healthy through a large loss. According to the American Psychology Association “Coping with the loss of a close friend or family member may be one of the hardest challenges that many of us face. When we lose a spouse, sibling or parent our grief can be particularly intense. Loss is understood as a natural part of life, but we can still be overcome by shock and confusion, leading to prolonged periods of sadness or depression. The sadness typically diminishes in intensity as time passes, but grieving is an important process in order to overcome these feelings and continue to embrace the time you had with your loved one.” The argument could even be made that grief is part of psychologist Abraham Maslow’s hierarchy of human needs (See Below), which is a pyramid shaped diagram used to explain the basic needs of humanity. In a brief explanation Simple Psychology puts is simply, “Maslow wanted to understand what motivates people. He believed that people possess a set of motivation systems unrelated to rewards or unconscious desires. Maslow (1943) stated that people are motivated to achieve certain needs. When one need is fulfilled a person seeks to fulfill the next one, and so on… This five stage model can be divided into basic (or deficiency) needs (e.g. physiological, safety,

Death is a universally experienced phenomenon. In the United States alone, over 2.6 million people die each year (Center for Disease Control and Prevention [CDC], 2015). For practitioners, it is of utmost importance to better understand the process of grief to develop better interventions for bereaved individuals.

Grief and loss are one of the most universal human experiences, though painful, and understandably causes distress. However, approximately 15 % experience a more problematic grieving process with elevated symptoms of depression and/or posttraumatic stress symptoms (Bonanno and Kaltman, 1999).There is no well-established model of the timeline for resolution of grief and the variance of its expression is wide. Many persons cope with the emotional pain of bereavement without any formal intervention. However, individuals who have experienced traumatic bereavement, such as deaths that are sudden, violent, or due to human actions (Green 2000), may face particular challenges. Researchers have tried to define a model for the treatment of traumatic bereavement that fully supports not only the client, but also those working with the clients around their trauma

A common struggle for many folks identify is trying to figure out how grieving is operationalized and whether they are doing it "right". "Doing it right" usually has two meanings for the person struggling with a loss. The first has to do with reaction - many folks spend a good deal of time trying to figure out whether how they are feeling in relation to the loss is normal. The second has to do with process - a desire for a blue print on how to go about grieving.

Someone who is grieving will experience “major psychological, spiritual, social and physiological” changes throughout the grieving process (Hooyman & Kramer, 2006, p37). There are many theories and models that support these words. This essay will discuss Freud’s theory of grief work (Davies, 2004), Bowlby’s attachment theory (Walsh, 2012), and Worden’s tasks of grief (Worden & Winokuer, 2011). The major tasks of grief throughout the four different stages of life will be looked at, as well as common grief reactions, and ways to support people through these. In addition how children, adolescents, adults and the elderly understand and respond to grief will be examined. Finally how people at the various stages of life confront their own death will be looked at, including some personal examples.

Grief is a personal adaptive reaction to the loss of a relationship or a serious attachment and it’s a process that takes time. Nicholas Wolterstorff in his book, Lament for a Son, narrated this grief process as he reflected on his son’s death. Provoked by death, grief can impede a person’s thought process and can take a heavy toll as they become emotionally labile (Brosche, 2003). In a healthcare setting, a nurse may experience grief after the death of a patient and often this emotion is masked and kept private. It is crucial for healthcare providers to recognize and deal with emotions appropriately to competently function in the workplace. This paper will examine the five stages of grief as defined by Kübler-Ross and how these stages are in parallel to Nicholas Wolterstorff’s grief process and how he eventually finds joy in understanding the significance of death.

Complicated grief (CG) is a mental disorder characterised by intense emotions following the death of a loved one, severely and persistently impacting on daily life, compared to normal cases of bereavement (Solomon & Shear, 2015). Lichtenthal, Cruess and Prigerson’s (2004) review discusses the necessity of acknowledging and defining CG as a separate mental disorder. CG is not considered a mental disorder under the fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual (DSM-5), but is within the category of ‘Disorders Requiring Further Study’ (Shear, Ghesquiere & Glickman, 2013). In Lichtenthal et al.’s (2004) review, CG is defined, and a distinction is made between normal and ‘complicated’ grief. A justification for the discriminant validity of CG is also made, by differentiating CG from other disorders such as posttraumatic stress disorder (PTSD), major depressive disorder (MDD) and adjustment disorder (AD).

Later, Prigerson et al. (1999) researched disordered grief and found a number of differences as related to anxiety and depression. Both Horowitz and Prigerson’s studies found similarities in that participants had prolonged longing for the deceased, extreme impairing thoughts about the deceased, extreme denial of the death and avoidance ( Boelen & Prigerson, 2007).

Grief refers to the psychological reaction to the bereavement, the death of a loved one. When a person dies who has been a close companion and with whom we have had a close bond with, many changes in our life have to be taken in. Death of a long-term partner can force on us a need to redefine ourselves and it is not an easy task. Grief becomes a problem when someone gets stuck in grief, this is know as “complicated grief” or “chronic grief”. Factors that contribute to this include a lack of family support and remaining overly focused on past memories. Returning to normal everyday activities is the most obvious sign that the grieving stage is over.

As important as it is for Gary to experience and work through the emotions associated with Chris’s death, I do not believe that this alone will be enough to help him work through his grief. Matthews and Marwit (2004) suggest that complicated grief is a pattern of non-normative behavior triggered by the loss of a loved one. The authors argue that complicated grief may resemble depression while often also including symptoms relating to separation distress and traumatic distress, illustrated by Gary’s feelings of loneliness and rumination over his relationship with Chris in addition to his anger, guilt, and social isolation. This article describes how, traditionally, it was thought that a bereaved person needed to go through “grief work” by confronting and processing emotions associated with the loss of a loved one. However, this confrontation of emotion may not be enough and recovery may also require addressing the cognitions of the bereaved person. In addition, the authors of this study suggest a dual-process model in which the bereaved person oscillates between confronting various types of stressors, then taking a break from those stressors. By utilizing EFT, Gary will essentially be doing grief work by experiencing the emotions associated with loss. Experiencing his feeling of guilt may trigger cognitions such

Dr. Kubler-Ross’s theory on the stages of grief laid a foundation for scholars and others who work with people who grieve to analyze and to work therapeutically with those who morn. This theory is very sequential and linear where one stage neatly transitions into the next stage so that in healthy grief a person should move from shock and denial to acceptance within a set timeframe. Grief however is not always so sequential and linear. Those who grieve can move back and forth through the stages of the grief process. From my personal experience, I understand why the final stage is important and essential. From the moment my loved one was buried, I had a hard time going to the grave, I refused because I did not want to face reality. After a few months, I woke up one day thinking “enough is enough I have to but these feelings to rest.” I went to the grave and had a moment of prayer and also talked to my lost loved one and I left there accepting their death. I felt so much better know that I have finally had enough courage to visit the grave and accepted

Grief is the act following the loss of a loved one. While grief and bereavement are normal occurrences, the grief process is a social construct of how someone should behave. The acceptable ways that people grieve change because of this construct. For a time it was not acceptable to grieve; today, however, it is seen as a necessary way to move on from death (Scheid, 2011).The grief process has been described as a multistage event, with each stage lasting for a suggested amount of time to be considered “normal” and reach resolution. The beginning stage of grief is the immediate shock, disbelief, and denial lasting from hours to weeks (Wambach, 1985). The middle stage is the acute mourning phase that can include somatic and emotional turmoil. This stage includes acknowledging the event and processing it on various levels, both mentally and physically. The final stage is a period of

In the first stage that I will discuss is denial. In this stage people may deny the reality of the situation by blocking out the words and hiding from the facts ("5 Stages of Loss & Grief | Psych Central," n.d.-a). For instance, someone could be diagnosed with some form of cancer. That person may not want to know because it might overwhelm them. So they would not want to know the reality of