Cross-Cultural aspects of bereavement. II: Ethnic and cultural variations in the development of bereavement practices

Despite a growing interest in bereavement in cross-cultural perspective, few reports have described a comparative analysis of bereavement. By examining the social contexts in the transformations of Western bereavement practices, structures common to bereavement in a range of cultures can be identified. The paper compares the contemporary bereavement practices of several ethnic and cultural groups in North America: Blacks; ethnic Chinese; Southeast Asian refugees; Haitians; Italians; Greeks; and Spanish-speaking groups. Consideration is given to the state of widowhood in different cultural systems. The impact of modernization among traditional societies demonstrates that even though Western technologies are incorporated into the procedures followed by these modernizing societies, the deep cultural code remains intact. Five questions require further clarification: is bereavement an illness, or a rite de passage and a normal life event? How widespread and useful are protective factors, such as group support, that facilitate successful resolution of grief? How effective are mourning practices of various ethnic groups in preventing “bad grief”, and might some of these practices be beneficial if taken up by other ethnic groups? How can the Western health practitioner know that a bereaved person from an unfamiliar cultural group is suffering “bad grief”? How acceptable is Western grief counseling to non-Western clients?     

Grief as social experience: Death and bereavement in Lihir,Papua New Guinea1

This paper explores the nature of grief in Lihir, Papua New Guinea, in light of psychological theories of bereavement and grief. Anthropologists have demonstrated that culture has an impact on both the expression and experience of grief and can offer both a challenge to established theories and new perspectives on the conceptualisations and experiences of the bereaved. Until recently, ‘grief work’ was the foremost model for understanding bereavement as a psychological process and was also used by anthropologists in cross‐cultural work. However, since the 1990s, a number of alternative models of normal grief have emerged, including the dual process coping model and the model that proposes resilience as a central concept. These newer models, particularly the one which incorporates resilience, offer more for understanding grief in Lihir. The article argues that grief in Lihir has a phase of sorrow and worry that is dealt with through the sociality and activity of the mourning period, and then a longer phase of active remembering and forgetting of the deceased. The social and cultural context of bereavement is not adequately captured in current psychological conceptualisations of social support, which need to be broadened to encompass cross‐cultural material.     

Pet Loss: Understanding Disenfranchised Grief,Memorial Use,and Posttraumatic Growth

The growing body of literature exploring pet loss suggests that many bereaved pet owners experience disenfranchised grief. Disenfranchised grief occurs when a loss is unacknowledged and the bereaved are unable to express their grief. When grief is considered illegitimate, the bereaved may experience a variety of adverse psychological outcomes, including increased distress and reduced quality of life. Additionally, when grief is inhibited, the individual may be less likely to experience positive changes such as posttraumatic growth. Few studies have considered the relationship between disenfranchisement and posttraumatic growth following the loss of a companion animal. This study investigated the relationship between disenfranchised grief, memorialization, and posttraumatic growth in bereaved pet owners. Grief severity was assessed as a moderator. Using an online survey, respondents (n?=?133) completed standardized measures, including the Pet Bereavement Questionnaire, the Loss of Social Support subscale from the Grief Experience Questionnaire, and the Posttraumatic Growth Inventory-Short Form (PTGI-SF). As hypothesized, there was a significant interaction between disenfranchised grief, grief severity, and posttraumatic growth, suggesting that disenfranchised grief inhibits posttraumatic growth when grief severity is high. Contrary to the hypothesis, there was no relationship between memorial quantity or type and posttraumatic growth. Overall, this study shows that disenfranchised grief can inhibit posttraumatic growth following the loss of a pet, highlighting the complicated relationship between posttraumatic growth, grief intensity, and disenfranchised grief.     

Why was Standing Rock and the #NoDAPL campaign so historic? Factors affecting American Indian participation in social movement collaborations and coalitions

ABSTRACT

Is the #NoDAPL mobilization, which was historically unusual as a national scale grassroots campaign featuring American Indians grassroots activists and tribal governments in coalition with others, an indicator of future similar efforts? Or, will the Standing Rock resistance be a relative aberration, based on a unique set of circumstances? To explore these questions, I draw upon theory and historical scholarship about American settler colonialism; cross-group collaborations and social movement coalitions; and American Indian movements. A variety of within-group, intergroup and larger structural factors pose significant obstacles to American Indian participation in grassroots social movement coalitions. However, striking threats, the existence of social ties between American Indian movements and environmental movements, and overlap between ideologies and frames generated by each movement were sufficient to generate robust coalitional mobilization.     

Disenfranchised grief and social inequality: bereaved African Canadians and oppositional narratives about the violent deaths of friends and family members

This article discusses how disenfranchised grief, that is grief that has been invalidated in some manner, is experienced by African Canadians who have lost friends and family to gun-related violence. It is based on research findings suggesting that the violent deaths of young black men are partly rooted in racial stratification and perceived criminality. These factors have implications for how the deceased person is grieved. Covictims, the bereaved families and friends of deceased people, are impacted by the treatment they receive as a result of their social location as raced bodies. Police scrutiny of co-victims and the media representation of the victims as ‘known to police’ are just two of the ways in which grief is invalidated. The analysis points to the complexities of coming to terms with the death of loved ones in a liberal racial state where a group's precarious status signifies social meanings in life and death.     

“They Burn Brightly,But Only for a Short Time”: The Role of Social Workers in Companion Animal Grief and Loss

The human–animal bond is a relational theory which describes the dynamic between humans and nonhuman animals that satisfies needs in each for companionship and emotional support, framing companion animals as valued family members. Social workers have historically ignored the central role companion animals play in the lives of their clients, adopting an anthropocentric view underpinned by human rights and social justice. However, the need for companion animal-inclusive practice features in recent social work literature. As companion animals are intricately woven into the lives of their guardians, it follows that their inevitable death brings a profound sense of loss and thus an opportunity for social work intervention. The aim of this research was to see if there was a role for social work practitioners to support grieving animal companion guardians. Qualitative thematic analysis was performed on 218 candid online responses to an article on the topic of losing a companion animal, from which four major themes were identified: strength of the bond, anthropocentrically disenfranchised grief, anticipatory grief in the context of euthanasia, and the need for professional support. This analysis demonstrates the strength of the human– animal bond, illustrates how the dominant anthropocentric hegemony disenfranchises this variety of grief and loss, describes the experience of anticipatory grief in the context of euthanasia, and identifies the need for professional support. Implications for social work practice are identified, with opportunities for social workers to exchange their anthropocentric approach for a biocentric view, provide support to veterinarians and other professionals, and to work toward challenging the social constructs, which disenfranchise companion animal loss.     

Duelo anticipado en familiares de personas con demencia. Variables psicosociales asociadas y su impacto sobre la salud del cuidador. Una revisión de literatura

IntroductionTaking care of a relative with dementia may be linked to negative consequences for the caregiver. One of the processes that can be experienced is anticipatory grief, that is defined as the feelings of pain and loss that appear in the caregiver before the death of the person cared for.ObjectivesThe review aimed to conceptualize anticipatory grief in this population, to study the related psychosocial variables, and to know the repercussions for the health of the caregiver.MethodA systematic search was made under the directives of PRISMA statement in the ProQuest, PubMed, Web of Science (WOS), and Scopus databases, including studies published in the last 10 years (2013–2023).ResultsA total of 160 articles were obtained, 15 being finally selected. It is observed that anticipatory grief is defined as an ambiguous process since it appeared before the death of the sick family member. Being a female caregiver, spouse of a family member with dementia, having a closer relationship with him and/or having an important responsibility in care, are associated with a greater chance of experiencing anticipatory grief. In relation to the person cared for, if he or she is in a severe phase of the disease, is younger, and/or presents problematic behaviours, there is also greater anticipatory grief in the family caregiver.Anticipatory grief has a significant impact on caregivers’ physical, psychological, and social health, being associated with greater burden, depressive symptomatology, and social isolation.ConclusionsAnticipatory grief turns out to be a relevant concept in the context of dementia, being necessary to include it in intervention programs for this population.     

Exploring the Grief Experience Among Callers to a Pet Loss Support Hotline

The present study explored the grief experience among callers to the Ontario Veterinary College Pet Loss Support Hotline (PLSH). Summary notes (n = 75) of the conversations between callers and PLSH volunteers were qualitatively analyzed using content analysis. Major content categories emerging from the analysis include personal pet narrative; perceived support sources; grief experiences; relationship with pet; memorialization; grief coping strategies; grief triggers; decision to euthanize; and veterinary interaction. Findings support that pet loss grief is a broad, complex construct, which can be complicated by a pet owner’s perceptions that they have minimal social support sources and negative veterinary interactions. Pet owners involved in the current study appeared comfortable sharing personal stories about their pet’s death when asked. In addition, memorialization appeared to be widely used by PLSH callers and may have helped them cope with their loss. Importantly, the interaction with veterinary staff was identified to potentially aggravate or alleviate a pet owner’s grief experience. Implications for mental health counselors and veterinary staff are that asking pet owners to tell their pet’s story and explore their support network may have value following the loss of a pet. Also, effectively communicating about memorialization and grief coping strategies may be beneficial when talking to owners experiencing grief. Finally, there continues to be a need for curricula and continuing professional training courses for veterinarians and mental health counselors to address topics such as the human–animal bond, grief, euthanasia, and memorialization practices.     

Psychobiological and evolutionary perspectives on coping and health characteristics following loss: a twin study.

An analysis of coping, grief and health characteristics is reported for a bereaved monozygotic (MZ) and dizygotic (DZ) same-sex twin sample. The data were examined with reference to psychobiological and evolutionary perspectives on behavior. A Coping Scale, included as part of a comprehensive Twin Loss Survey (TLS), assessed coping with daily responsibilities and activities 1-2 months before the co-twin's death, 1-2 months following the co-twin's death and currently. A Grief Intensity Scale obtained judgments of grief 1-2 months following the loss, and currently. Information on physical symptoms was available from the Somatization Scale of the Grief Experience Inventory. Psychobiological and evolutionary perspectives specified hypotheses for two twin groups: one model was specified to reflect bereavement experiences immediately following loss of the co-twin (retrospective twin group); a second model represented present bereavement response (current twin group). Consistent with psychobiological theory, twins' social closeness showed a positive association with grief intensity which, in turn, affected somatic symptoms and coping efficacy in predicted directions. With respect to evolutionary psychological theory, the effect of zygosity on current grief implicated correlates of genetic relatedness as factors in the bereavement process.     

How can ecologists thrive during the global environmental crisis? Lessons from the ancient world

When striving to meet an immense challenge, how can we, as restoration ecologists, flourish? Given the ongoing environmental crisis, it is normal to experience ecological grief and discouragement. This article discusses how insights from the ancient philosophy of Stoicism can help environmental practitioners navigate these troubling times. To overcome ecological grief, ecologists can draw on three tenets from Stoic thought: distinguishing between what we can and cannot control; recognizing our contribution as part of a broader community of environmental managers; and focusing on the intent of our actions. We believe that these ideas can help ecologists shoulder the emotional burden of modern environmental practice and focus on working toward a diverse and resilient biosphere.     

Therapeutic Riding: Assessing Human Versus Horse Effects

ABSTRACT

This study evaluated the grief process of 58 horse owners who had had their horses euthanized. Owner-present euthanasia was performed in 83% (n=48) of cases, while in 36% of cases the horse was euthanized at the owner's home. The euthanasia was described by the respondents as peaceful in 84% of cases. Respondents appreciated both active support directly after the euthanasia by the veterinarian in 69% (n=40) of cases and a telephone follow-up after a couple of days (67%; n=39). The veterinarian was evaluated as compassionate and friendly by 83% of the respondents (n=48), and as a better veterinarian by 50% of the respondents (n=29). The mean grief index of the respondents was 8.5 (range: 1[low] to 10[high]) and the mean grieving period was 4.4 months. Most respondents (86%) received support from their social environment. This study demonstrated that grief is common after equine euthanasia. The role of the veterinarian in the grieving process is important.     

Three days for weeping: dreams,emotions, and death in the Peruvian Amazon

Funeral customs and beliefs about the dead among the Matsigenka of Peru reflect great anxiety over the contagion of death and the power of the dead over the living. In this article, these beliefs and practices are interpreted in light of a native theory about emotion. For the Matsigenka, excessive displays of emotion, especially grief, anger, and aggressive sexuality, cause a vicious cycle of unhappiness, social disruption, illness, and death. Moving beyond a culturally particular, symbolic-interpretive perspective, the author also draws on personal experiences both in the field and at home to reflect on the phenomenology of grief across cultures.     

Positive Behavioral Impact of Reptile-Assisted Support on the Internalizing and Externalizing Behaviors of Female Children with Emotional Disturbance

ABSTRACT

The effects of animal-assisted support were tested with children identified with emotional disturbance. Forty female children, aged 12 years old, participated in one of two treatments: animal-assisted support or control support. All participants had experienced the death of a parent in the preceding year. When offered animals for their support group, the participants chose reptiles. The reptile-assisted support group discussed death and grief along with training in animal care and identifying displays of emotions and grief. The control group discussed death and grief without reference to, or interactions with, reptiles. Primary caregivers completed the Child Behavior Checklist-Parent version (CBCL-P) before and after the 16-week support group sessions. A repeated measures ANOVA was used to examine the effects of reptile-assisted support on internalizing, externalizing, and other behaviors, as measured by the CBCL-P. The findings suggest that the use of reptile-assisted support improved internalizing behaviors such as withdrawal and somatic behaviors, externalizing behaviors such as aggression/delinquency behaviors, and other behaviors such as social, attention, and thought. Future work is suggested to identify why these children with emotional disturbance chose reptiles rather than pets such as dogs and horses, which are commonly used in animal-assisted programs with children with disabilities.     

Variation in mothers' arginine vasopressin receptor 1a and dopamine receptor D4 genes predicts maternal sensitivity via social cognition

We examined the extent to which the arginine vasopressin receptor 1a (AVPR1a) and dopamine receptor D4 (DRD4) were related to sensitive maternal behavior directly or indirectly via maternal social cognition. Participants were 207 (105 European‐American and 102 African‐American) mothers and their children (52% females). Sensitive maternal behavior was rated and aggregated across a series of tasks when infants were 6 months, 1 year and 2 years old. At 6 months, mothers were interviewed about their empathy, attributions about infant behavior and beliefs about crying to assess their parenting‐related social cognition. Mothers with long alleles for AVPR1a and DRD4 engaged in more mother‐oriented social cognition (i.e. negative attributions and beliefs about their infants' crying, β = 0.13, P < 0.05 and β = 0.16, P < 0.05, respectively), which in turn predicted less sensitive maternal behavior (β = ?0.23, P < 0.01). Both indirect effects were statistically significant independent of one another and covariates [95% confidence interval (CI): ?0.22, ?0.03 and β = ?0.03 for AVPR; 95% CI: ?0.20, ?0.03 and β = ?0.04 for DRD4]. There were no significant direct effects of AVPR1a or DRD4 on maternal sensitivity (β = 0.02, P = .73 and β = ?0.10, P = .57, respectively). The results did not vary for African‐American and European‐American mothers (Δχ² = 18.76, Δdf = 16, P = 0.28). Results support the view that one mechanism by which maternal genes are associated with parental behavior is via social cognition.     

From Types to Populations: A Century of Race, Physical Anthropology, and the American Anthropological Association

In the 1960s, U.S. physical anthropology underwent a period of introspection that marked a change from the old physical anthropology that was largely race based to the new physical anthropology, espoused by Washburn and others for over a decade, which incorporated the evolutionary biology of the modern synthesis. What actually changed? What elements of the race concept have been rejected, and what elements have persisted, influencing physical anthropology today? In this article, I examine both the scientific and social influences on physical anthropology that caused changes in the race concept, in particular the influence of the American Anthropological Association. The race concept is complicated but entails three attributes: essentialism, cladistic thinking, and biological determinism. These attributes have not all been discarded; while biological determinism and its social implications have been questioned since the inception of the field, essentialism and the concomitant rendering of populations as clades persists as a legacy of the race concept. [Keywords: race, essentialism, physical anthropology]     

Validation of the new DSM‐5‐TR criteria for prolonged grief disorder and the PG‐13‐Revised (PG‐13‐R) scale

Although the concept of pathological grief dates back at least as far as Freud’s “Mourning and Melancholia”, there has been opposition to its recognition as a distinct mental disorder. Resistance has been overcome by evidence demonstrating that distinctive symptoms of prolonged grief disorder (PGD) – an attachment disturbance featuring yearning for the deceased, loss of meaning and identity disruption – can endure, prove distressing and disabling, and require targeted treatment. In acknowledgement of this evidence, the American Psychiatric Association Assembly has recently voted to include PGD as a new mental disorder in the DSM‐5‐TR. We tested the validity of the new DSM criteria for PGD and of an adapted version of our PG‐13 scale, the PG‐13‐Revised (PG‐13‐R), designed to map onto these criteria, using data from investigations conducted at Yale University (N=270), Utrecht University (N=163) and Oxford University (N=239). Baseline assessments were performed at 12‐24 months post‐loss; follow‐up assessments took place 5.3‐12.0 months later. Results indicated that the PG‐13‐R grief symptoms represent a unidimensional construct, with high degrees of internal consistency (Cronbach's alpha = 0.83, 0.90 and 0.93, for Yale, Utrecht and Oxford, respectively). The DSM PGD diagnosis was distinct from post‐traumatic stress disorder (phi=0.12), major depressive disorder (phi=0.25) and generalized anxiety disorder (phi=0.26) at baseline. Temporal stability was remarkable for this diagnosis (r=0.86, p<0.001). Kappa agreement between a PG‐13‐R threshold symptom summary score of 30 and the DSM symptom criterion for PGD was 0.70‐0.89 across the datasets. Both the DSM PGD diagnosis and the PG‐13‐R symptom summary score at baseline were significantly associated (p<0.05) with symptoms and diagnoses of major depressive disorder, post‐traumatic stress disorder and/or generalized anxiety disorder, suicidal ideation, worse quality of life and functional impairments at baseline and at follow‐up, in the Yale, Utrecht and Oxford datasets. Overall, the DSM‐5‐TR criteria for PGD and the PG‐13‐R both proved reliable and valid measures for the classification of bereaved individuals with maladaptive grief responses.     

Grief and bereavement: what psychiatrists need to know

This review covers four areas of clinical importance to practicing psychiatrists: a) symptoms and course of uncomplicated (normal) grief; b) differential diagnosis, clinical characteristics and treatment of complicated grief; c) differential diagnosis, clinical characteristics and treatment of grief-related major depression; and d) psychiatrists’ reactions to patient suicides. Psychiatrists often are ill prepared to identify complicated grief and grief-related major depression, and may not always be trained to identify or provide the most appropriate course of treatment. Both conditions overlap with symptoms found in ordinary, uncomplicated grief, and often are written off as “normal” with the faulty assumption that time, strength of character and the natural support system will heal. While uncomplicated grief may be extremely painful, disruptive and consuming, it is usually tolerable and self-limited and does not require formal treatment. However, both complicated grief and grief-related major depression can be persistent and gravely disabling, can dramatically interfere with function and quality of life, and may even be life threatening in the absence of treatment; and both usually respond to targeted psychiatric interventions. In addition, patient suicide has been reported as one of the most frequent and stressful crises experienced by health providers, and psychiatrists are not immune to complicated grief or grief-related depression when they, themselves, become survivors. Thus, it is essential for psychiatrists to recognize their own vulnerabilities to the personal assaults that often accompany such losses, not only for their own mental health and well-being, but also to provide the most sensitive and enlightened care to their patients.     

An evolutionary approach to grief-related rumination: Construction and validation of the Bereavement Analytical Rumination Questionnaire

There has been little evolutionarily oriented empirical research on the intense, repetitive thoughts—ruminations—that often occur during grief. We used evolutionary theory to develop a new instrument for evaluating grief-related rumination titled the Bereavement Analytical Rumination Questionnaire (BARQ) operationalized by two dimensions: root cause analysis (RCA), the analysis of the cause of the loss; and reinvestment analysis (RIA), the analysis of how to reinvest time and effort in meaningful (presumably fitness enhancing) activities. We administered the BARQ to a sample of people seeking help for grief from non-profit organizations (619 completers) and tested several evolutionary predictions about grief-related rumination. The sample had several signs of severe grief, making it clinically relevant (sleep disturbances, chronicity, psychotropic drug use). Rumination was higher among antidepressant users, suggesting that rumination is related to depression. We also found evidence that grief-related rumination is modulated by circumstances (e.g., type of loss, age and gender of the participant, age of the deceased, traumatic death), which suggests adaptive regulation. Our most important results are consistent with inclusive fitness theory. Specifically, the pattern suggests that as people grow older, they spend less time ruminating about the causes of direct fitness losses (the loss of their own children), and they spend more time ruminating about the causes of indirect fitness losses (e.g., the loss of young non-parental, non-offspring relatives). We also found a sex or gender difference in grief-related rumination that is consistent with other evidence that women have a greater impact on the survival of close relatives (particularly, children and grandchildren), as well as evidence that women have more to lose with the loss of a close social partner. Overall, we found little support for the hypothesis that grief-related rumination is disordered.