Difficulties and OpportunitiesNAGC Griefinar December 3, 2010 ...
Introductions<br />Corrine Walijarvi, MS, MBA, LMSW<br />Clinical Researcher, Bo’s Place<br />PhD student, University of H...
Bo’s Place Research Goals <br />Promote quality research<br />Maintain the highest ethical standards<br />Provide results ...
NAGSS<br />Available at bosplace.0rg<br />Summaries of peer-reviewed articles<br />Bibliographical information<br />Summar...
Why is grief research difficult?<br />Ethical concerns<br />Lack of consensus on definitions<br />What is grief?<br />What...
Ethical Concerns<br />Grief research can be an effective intervention<br />Participants in grief research identify substan...
Implications for Research<br />Research with the bereaved can be ethically designed and conducted<br />Cautions and consid...
Why is grief difficult to define?<br />Multiple definitions<br />Work<br />Processes<br />Emotions<br />Stages/tasks/phase...
Diverse models applied to grief<br />Psychodynamic: search for pathology<br />Existential: search for meaning<br />Cogniti...
Grief Patterns<br />
What about time frames?<br />At what point is intense grief pathological?<br />At what point should interventions be offer...
Grief as pathology<br />Consensus has grown after years of debate:<br />15% -20% of grief is pathological<br />Grief is a...
How has grief been measured?<br />Pathology Measurements<br />Depression measurements<br />Anxiety measurements<br />Stres...
Criteria Proposed Traumatic Grief (2002)<br />Traumatic Grief<br />More than 2 months<br /> Interferes with functioning<br...
Criteria ProposedProlonged Grief Disorder (2009)<br />PGD-13 (Prigerson, Horowitz, Jacobs, et al., 2009)<br />More than 6 ...
PGD, Continued<br />Additional elements (5 of 9):<br />Avoid reminders <br />Feel stunned, shocked, dazed<br />Feel confus...
Why do the measurements matter?<br />Impact on the bereaved<br />Who is diagnosed<br />Who receives treatment/services<br ...
Progress has been achieved<br />Studies have validated concept of PGD<br />Unique construct (Dillen & Fontaine, 2009)<br /...
Issues Remain<br />PGD as a diagnostic category<br />Will it be overused?<br />What interventions will be developed?<br />...
Research Opportunities<br />Identifying/defining non-pathological forms of grief<br />Developing measurement instruments f...
Opportunities: Progress in Grief<br />Elements contributing to progress in grief<br />Support network (Cacciatore, 2007; F...
Questions?<br />
of 22

NAGC Griefinar Dec 2010

Published on: Mar 3, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - NAGC Griefinar Dec 2010

  • 1. Difficulties and OpportunitiesNAGC Griefinar December 3, 2010 © Bo’s Place 2010<br />Measuring Grief:<br />
  • 2. Introductions<br />Corrine Walijarvi, MS, MBA, LMSW<br />Clinical Researcher, Bo’s Place<br />PhD student, University of Houston, Graduate College of Social Work<br />Doctoral Associate, University of Houston<br />Ann H. Weiss, MAT, MEd, LPC<br />Program Director, Bo’s Place<br />
  • 3. Bo’s Place Research Goals <br />Promote quality research<br />Maintain the highest ethical standards<br />Provide results useful to practitioners<br />Provide insights helpful to the bereaved<br />Communicate research and findings<br />Online: NAGSS<br />Conferences<br />
  • 4. NAGSS<br />Available at bosplace.0rg<br />Summaries of peer-reviewed articles<br />Bibliographical information<br />Summary of key findings<br />Summary of service provider implications<br />Target audience: service providers <br />On-going program<br />
  • 5. Why is grief research difficult?<br />Ethical concerns<br />Lack of consensus on definitions<br />What is grief?<br />What is recovery? Resilience? Growth?<br />Lack of appropriate measurements<br />Timing issues<br />Control and comparison groups<br />
  • 6. Ethical Concerns<br />Grief research can be an effective intervention<br />Participants in grief research identify substantial benefits from participation: (Beck & Konnert, 2007)<br /> Tell the story<br />Gain insights into own thoughts, feelings<br />Find meaning in the death (Kaufman & Kaufman, 2006)<br />Participation contributes to greater understanding of the grief process<br />Normalizes the grief experience<br />
  • 7. Implications for Research<br />Research with the bereaved can be ethically designed and conducted<br />Cautions and considerations (Williams, Woodbury, Bailey, & Burgio, 2008)<br />Time since death<br />Choice of site<br />Informed consent<br />Empathic, trained interviewers<br />Control over pace<br />
  • 8. Why is grief difficult to define?<br />Multiple definitions<br />Work<br />Processes<br />Emotions<br />Stages/tasks/phases<br />Grief is an abstract construct<br />Nearly universal experience<br />Uniquely experienced<br />
  • 9. Diverse models applied to grief<br />Psychodynamic: search for pathology<br />Existential: search for meaning<br />Cognitive behavioral: search for functioning<br />Systems: search for relationships<br />Constructionist: create on-going story<br />
  • 10. Grief Patterns<br />
  • 11. What about time frames?<br />At what point is intense grief pathological?<br />At what point should interventions be offered?<br />How long should interventions last?<br />How long should follow-ups occur?<br />Does grief end?<br />Much debate remains regarding timeframes<br />
  • 12. Grief as pathology<br />Consensus has grown after years of debate:<br />15% -20% of grief is pathological<br />Grief is a distinct construct<br />Not depression<br />Not PTSD<br />Evolution in conceptualization of pathological grief<br />Traumatic grief<br />Complicated grief<br />Prolonged grief disorder<br />
  • 13. How has grief been measured?<br />Pathology Measurements<br />Depression measurements<br />Anxiety measurements<br />Stress measurements<br />Posttraumatic stress measurements<br />General health measurements<br />Other Measurements<br />Continuing bonds measurements<br />Growth measurements<br />
  • 14. Criteria Proposed Traumatic Grief (2002)<br />Traumatic Grief<br />More than 2 months<br /> Interferes with functioning<br />Distressing preoccupation is present<br />Other elements:<br />Avoidance<br />Purposelessness<br />Difficulty acknowledging the death<br />Shattered worldview<br />
  • 15. Criteria ProposedProlonged Grief Disorder (2009)<br />PGD-13 (Prigerson, Horowitz, Jacobs, et al., 2009)<br />More than 6 months<br />Significant impairment in functioning<br />Daily experience of yearning <br />Daily experience of intense feelings of pain, grief, sorrow<br />At least 5 of 9 additional cognitive, emotional, and behavioral elements<br />
  • 16. PGD, Continued<br />Additional elements (5 of 9):<br />Avoid reminders <br />Feel stunned, shocked, dazed<br />Feel confused (part of self has died?)<br />Hard to trust others<br />Trouble accepting the loss<br />Feel bitter<br />Moving on is difficult<br />Emotionally numb<br />Life is empty, meaningless<br />
  • 17. Why do the measurements matter?<br />Impact on the bereaved<br />Who is diagnosed<br />Who receives treatment/services<br />Impact on services<br />What services/interventions are offered<br />When services/interventions are offered<br />How services are evaluated<br />
  • 18. Progress has been achieved<br />Studies have validated concept of PGD<br />Unique construct (Dillen & Fontaine, 2009)<br />Distinct from depression, PTSD, anxiety<br />Studies have begun to evaluate interventions<br />Supportive psychotherapy (Currier, Neimeyer, & Berman, 2008)<br />Cognitive behavioral therapy (Boelen, de Keijser, van den Hout, & van den Bout, 2007)<br />Support groups (Cacciatore, 2007)<br />
  • 19. Issues Remain<br />PGD as a diagnostic category<br />Will it be overused?<br />What interventions will be developed?<br />Bereaved who are not diagnosed with PGD<br />Will services continue to be offered?<br />What measurements are needed?<br />What interventions are needed?<br />
  • 20. Research Opportunities<br />Identifying/defining non-pathological forms of grief<br />Developing measurement instruments for progress/growth following bereavement<br />Identifying elements that contribute to progress/growth<br />Identifying interventions that contribute to progress/growth<br />
  • 21. Opportunities: Progress in Grief<br />Elements contributing to progress in grief<br />Support network (Cacciatore, 2007; Feigelman, Gorman, Beal, & Jordan, 2008)<br />Cognitive and affective processing (Boelen, de Keijser, van den Hout, & van den Bout, 2007; Doughty, 2009; Fleming & Robinson, 2001; Matthews & Marwit, 2004) <br />Meaning making (Neimeyer, Baldwin, & Gilles, 2006)<br />Information and knowledge (Charles-Edwards, 2009; Kinder & Cooper, 2009; Walter, 2009)<br />
  • 22. Questions?<br />

Related Documents