GEORGEStage II: Developing Awareness.Stage I: Shock and Disbelief.Stage IV: Reorganization.and aimlessness. Efforts to regain productive patterns of behavior are ineffective and the individual experiences fear, helplessness, and hopelessness. Somatic complaints are com-mon. Perceptions of visualizing or being in the presence of that which has been lost may occur. Social isolation is com-mon, and the individual may feel a great deal of loneliness.spair. Anger may be directed toward the self or toward others stage include excessive crying and regression to a state of resigned to the loss. New goals and patterns of organization are established. The individual begins a reinvestment in new relationships and indicates a readiness to move forward with-in the environment. Grief subsides and recedes into valued remembrances.minutes to hours of the loss. Behaviors associated with this creates feelings of emptiness, frustration, anguish, and de-feelings evoked thereby.”helplessness and a childlike manner. Awareness of the loss the threshold against its recognition or against the painful is a stunned, numb feeling and refusal by the individual to acknowledge the reality of the loss. Engel states that this stage is an attempt by the individual to protect the self “against the effects of the overwhelming stress by raising ENGEL The individual accepts or becomes The initial reaction to a loss Loss and Bereavement This stage begins within ●^393
2 2506_Ch24_390-405.indd 0393 506 Ch 24 390 - 405 .indd than passive participants in the grief process. He proposes that bereavement includes a set of tasks that must be reconciled in Worden views the bereaved as active and self-determining rather 0 J. 39 WILLIAM 3 Stage IV: Resolution of the Loss.Stage V: Recovery.Stage III: Restitution.qualities of a person who has been lost. Preoccupation with the loss gradually decreases over a year or more, and the individual eventually begins to reinvest feelings in others.funerals, wakes, special attire, a gathering of friends and family, and religious practices customary to the spiritual the individual is able to go on with his or her life.beliefs of the bereaved. Participation in these rituals is thought to assist the individual to accept the reality of the loss and to facilitate the recovery process.in the environment who are held accountable for the loss.loss within a culture are performed. Examples include by a preoccupation with the loss. The concept of the loss is idealized, and the individual may even imitate admired^ WORDEN Obsession with the loss has ended, and The various rituals associated with This stage is characterized 1 10/1/10 9:38:46 AM 0 / 1 / 10 9 : 38 : 46 AM
