What are the signs, symptoms and stages of grief?
Doctor of Medicine Elizabeth Kubler-Ross developed a model for understanding grief, which is described in her book (1969). By death and dying. Five stages of grief, which she identified:
She described the stage of denial as being a bereaved person who has difficulty believing what happened, a phase of anger like how a survivor asks about the justice of loss, a stage of a deal as a desire to make a deal with fate, to gain more time with that who is lost, the stage of depression as a period when a person who has lost a loved one comes in contact with how sad it is for him to experience the loss of his beloved, and acceptance is like a feeling of some completion of grief and a greater ability to continue his own life. i love you
Kubler-Ross apparently believed that these stages could be applied to any significant personal loss (for example, work, relationships, health, and the prediction of his own death), including the death of a loved one. Also, she probably believed that not all of these stages must occur, they can occur in a different order and can recur many times as part of individual grief. Other grief experts view the grief process as having 7 stages, including:
The stage of shock or disbelief is understood as stupor, often associated with the initial receipt of news about the death of a loved one. The stage of guilt, grief refers to feelings of regret for the complex aspects of the relationship with the deceased.
In addition to emotional pain, symptoms of grief can be physical, social, or religious in nature. Physical symptoms can range from lung problems with sleep or appetite to a heart attack. Social symptoms of bereavement include isolation from other loved ones and difficulties in relationships, activities at home, at school and / or at work.
For children and adolescents, reactions to the death of a parent or other loved one, as a rule, correspond to reactions to any severe stress. Such reactions usually reflect a particular stage of development of the child or teenager. For example, while children under the age of 2 still cannot speak, their reactions to the loss of a loved one usually include crying and great irritability. Further, they manifest physical symptoms of problems with sleep and appetite, changes in the level of activity, as well as greater vigilance (vigilance) to their surroundings.
From the time preschoolers between the ages of 3 and 5 become able to remember the one who died, but have not yet developed the ability to understand the constancy of death, they may think that they somehow magically caused death and can bring the person back. In addition to showing signs of grief, which are similar to toddlers, they may have more difficulty separating from people caring for them.
Primary school children, aged 6 to 8, are more likely to understand that death is constant, compared to younger children, often feel guilty about the death of their loved one, become lost in memories of the departed and try to cope with their loss. worry, often talking about it. While the symptoms of grief in schoolchildren aged 9 to 11 years are similar to the symptoms of primary school children, this older group is more vulnerable to lower self-esteem because they consider themselves different from their peers if they have experienced a loss of a loved one. They are also more likely to protect themselves from their sense of loss by being actively engaged in school, social and / or extracurricular activities.
In accordance with the growing need for independence, adolescents between the ages of 12 and 14 may experience mixed feelings about a deceased face and show a wide range of emotions. They can avoid talking about losing. Older adolescents usually experience grief, similar to adults, experiencing sadness, anxiety, and anger. They, as a rule, deny their sense of loss when communicating with parents, but discuss it in detail with their peers. For children, adolescents and adults, like any great stress, grief can lead to a person’s emotional regression,
Regardless of age, people who have lost a loved one due to suicide are at greater risk of becoming absorbed by the cause of suicide than denying or hiding the cause of death, wondering if they could have prevented it by feeling guilty about their pre-suicide problems, feeling rejected by their loved ones and branded by others.