ber comfortably and realistically both the pleasures and disap-to have occurred when a bereaved individual is able “to remem-Length of the Grief ProcessStages of grief allow bereaved persons an orderly approach to the resolution of mourning. Each stage presents tasks that must be overcome through a painful experiential process. Engel (1964) stated that successful resolution of the grief response is thought pointments of [what has been lost].” The duration of the grief process depends on the individual and can last for a number of years without being maladaptive. The acute phase of normal grieving usually lasts 6 to 8 weeks—longer in older adults—but complete resolution of the grief response may take much longer. Sadock and Sadock (2007) stated:grief response. The grief response can be more diffi^396 • The bereaved person was strongly dependent on or per-• The relationship with the lost entity was highly ambiva-within a prescribed interval; certain aspects persist indefimany otherwise high-functioning, normal individuals. Common manifestations of protracted grief occur intermittently. Most grief does not fully resolve or permanently disappear; rather grief be-comes circumscribed and submerged only to reemerge in response to certain triggers (p. 64). A number of factors inflAmple evidence suggests that the bereavement process does not end^ ceived the lost entity as an important means of physical and/or emotional support.●^ SPECIAL TOPICS IN PSYCHIATRIC uence the eventual outcome of the cult if: nitely for
2 2506_Ch24_390-405.indd 0396 506 Ch 24 390 - 405 .ind • The state of the person’s physical or psychological health is^ • The individual has experienced a number of recent losses. The grief response may be facilitated if: • The bereaved person perceives (whether real or imagined) • The individual has the opportunity to prepare for the d 0 • The loss is that of a young person. Grief over loss of a child • The individual has the support of signifi 396 and unexpected. The experience of anticipatory grieving is unstable at the time of the loss.Grief tends to be cumulative, and if previous losses have not been resolved, each succeeding grief response becomes is often more intense than it is over the loss of an elderly person.assist him or her through the mourning process.more diffiloss. Grief work is more intense when the loss is sudden some responsibility for the loss. thought to facilitate the grief response that occurs at the time of the actual loss. that can interfere with the grief work.lent. A love-hate relationship may instill feelings of guilt cult. cant others to 1 10/1/10 9:38:47 AM 0 / 1 / 10 9 : 38 : 47 AM