Differing bereavements along the life cycle may have different manifestations and problems which are age related, mostly because of cognitive and emotional skills along the way. Children will exhibit their mourning very differently in reaction to the loss of a parent than a widow would to the loss of a spouse. Reactions in one type of bereavement may be perfectly normal, but in another the same reaction could be problematic. The kind of loss must be taken under consideration when determining how to help
Types of bereavement
Childhood bereavement
When a parent or carer dies or leaves, children may have symptoms of psychopathology, but they are less severe than in children with major depression (Cerel, 2006). The loss of a parent, grandparent or sibling can be very troubling in childhood, but even in childhood there are age differences in relation to the loss. A very young child, under one or two, may be felt to have no reaction if a carer dies, but this is far from the truth. At a time when trust and dependency are formed, a break even of no more than separation can cause problems in wellbeing; this is especially true if the loss is around critical periods such as 8-12 months when attachment and separation are at their height in formation and even a brief separation from a carer can cause distress. (Ainsworth 1963) A change in carers can have lifelong consequences, which may become so blurred as to be untraceable.
As a child grows older, death still difficult to assimilate and that fact affects the way a child responds. For example, younger children will find the 'fact' of death a changeable thing: one child believed her deceased mother could be restored with 'band-aids', and children often see death as curable or reversible, more as a separation. Reactions here may manifest themselves in 'acting out' behaviors: a return to earlier behaviors such as sucking thumbs, clinging to a toy or angry behavior: they do not have the maturity to mourn as an adult, but the intensity is there. As children enter pre-teen and teen years, there is a more mature understanding. Adolescents may respond by delinquency, or oppositely become 'over-achievers': repetitive actions are not uncommon such as washing a car repeatedly or taking up repetitive tasks such as sewing, computer games etc. It is an effort to stay 'above' the grief. Childhood loss as mentioned before can predispose a child not only to physical illness but to emotional problems and an increased risk for suicide, especially in the adolescent period.
Death of a child
Death of a child can take the form of a loss in infancy such as miscarriage, stillbirth or neonatal death, SIDS, or the death of an older child. In all cases, parents find the grief almost unbearably devastating, and while persons may rate the death of a spouse as first in traumatic life events, the death of a child is still perhaps one of the most intense forms of grief, holding greater risk factors. This loss also bears a lifelong process: one does not get 'over' the loss but instead must assimilate and live with the death. Intervention and comforting support can make all the difference to the survival of a parent in this type of grief but the risk factors are great and may include family breakup or suicide. Because of the intensity of grief emotions, irrational decisions are often made. In the event of a miscarriage or abortion, it is important for friends and family members to acknowledge the loss of the pregnancy, and not to attempt to minimalize the significance of a pregnancy that did not come to term. Feelings of guilt, whether legitimate or not, are pervasive, and the dependent nature of the relationship disposes parents to a variety of problems as they seek to cope with this great loss. Parents that suffer miscarriage or abortion may experience resentment towards others who experience successful pregnancies.
Death of a spouse
Although the death of a spouse may be an expected change, particularly as we age, it is a particularly powerful loss of a loved-one. A spouse, though, often becomes part of the other in a unique way: many widows and widowers describe losing 'half' of themselves, and after a long marriage, at older ages, the elderly may find it a very difficult assimilation to begin anew. Further, most couples have a division of 'tasks' or 'labor', e.g. the husband mows the yard, the wife pays the bills, etc. which in addition to dealing with great grief and life changes means added responsibilities for the bereaved. Social isolation may also become imminent as many groups composed of couples find it difficult adjust to the new identity of the bereaved. When queried about what in life is most traumatic, most rate death of a spouse first, although the death of a child presents more risk factors.
Death of a parent
As a child, the death of a parent, without support to manage the effect of the grief, may result in long term psychological harm. Therefore, it is important that the emotions the child feels are worked through completely and discussed openly. While as an adult, one may be expected to cope with the death of a parent in a less emotional way, it can still bring about extremely powerful emotions. This is especially true when the death occurs at important or difficult times in life, such as becoming a parent as well, graduation or at a time of emotional stress. It is important to recognize the effects that the loss of a parent can cause and address these. As an adult, the willingness to be open to grief is often diminished and a failure to accept and deal with loss will only result in further pain and suffering.
Death of a sibling
Responses and reactions of older children or adults to the death of a sibling. There is a saying that if you have lost your parents, you have lost your past; if you lost your children, you have lost your future; if you have lost your spouse, you have lost your present; and if you have lost your sibling, then you have lost a part of your past, present and future.
Loss of children through divorce or kidnapping
Responses of parents accepting permanent loss of children through the reality of the divorce system, or through kidnapping. This loss differs from the death of a child in that the grief process is prolonged or denied because of hope that the relationship will be restored. This is often not the case.
Other losses
Many other losses predispose persons to these same experiences, although often not as severely. Loss reactions may occur after the loss of a romantic relationship (i.e. divorce or break up), a vocation, a pet (animal loss), a home, children leaving home (empty nest), a friend, a favored appointment or desire, a faith in one's religion, etc. While the reaction may not be as intense, experiences of loss may still show in these forms of bereavement. Those who have experienced a loss of trust, will also experience some form of grief. For example, people that have been physically or sexually abused as a child may have issues around trust as an adult.
This article is licensed under the GNU License Click here for original article: Grief