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This section announces that paper proposals for concurrent sessions of the 2006 International Death, Grief, and Bereavement Conference on June 4-7, 2006 are being accepted until November 1, 2005. Guidelines for submission can be gleaned from the web site www.uxlax.edu.

AbstractDeath is commonly accepted as the irreversible ending of all biological functions that keep an organism alive. However, understanding death is more complicated than merely comprehending the biological elements of death. Beyond the biological elements of death, it is also critical to understand death’s social, cognitive, and environmental aspects as they influence death awareness, death anxiety, grief and bereavement, and death education. This paper explores the development of mature death concept in children, from early childhood to adolescence. Drawing on a range of developmental and death awareness theoretical frameworks, the authors create a comprehensive model describing the development of mature death concept. The goal of this paper is to propose one theoretical perspective that connects traditional cognitive, socioemotional, and ecological developmental theories with current death awareness theories. [ABSTRACT FROM AUTHOR]

Difficulties in recruiting newly bereaved families and following them over time present a major barrier in grief research following the death of a spouse/parent. We established FALCON-the first prospective nationwide cohort of families with children below age 18 years whose parent died in Denmark between April 2019 and July 2021. Data from parents and children were collected within 2 months of death with ongoing follow-up assessments up to 18 months post-death. A total of 992 families were invited. The final cohort consisted of 250 families (250 widowed parents, 134 adolescents, 120 children aged 6-12 years and 63 children aged 0-5 years). In this paper, we describe the rationale for the cohort's creation, the challenges of researching grief in families, the methods used and future plans to utilize this unique family-level dataset.

Despite the vast developments in research on loss and grief, dominant grief models fall short in reflecting the comprehensive issues grieving persons are facing. Three causes seem to be at play: grief is usually understood to be connected to death and other types of loss are under-researched; the majority of research is done from the field of psychology and on pathological forms of grief, hardly integrating research from other disciplines; and the existential suffering related to grief is not recognized or insufficiently integrated in the dominant models. In this paper, we propose an integrated process model (IPM) of loss and grief, distinguishing five dimensions of grief: physical, emotional, cognitive, social, and spiritual. The integrated process model integrates therapies, tools, and models within different scientific theories and paradigms to connect disciplines and professions. The comprehensive and existential understanding of loss and grief has relevance for research, clinical settings and community support.

This special issue entitled "Futures of Digital Death: Mobilities of Loss and Commemoration" explores the topic of digital death and how technologies are reconfigured by and reconfiguring social relationships with the deceased and dying loved ones as well as the larger ecosystem supporting such relationships. This Introduction article starts with an overview of the past research on digital death intended to provide a relevant context for the five papers included in this issue. Then, we reflect on how the current papers, or the present research, build on the past and can be used to address existing gaps and to inform future new research directions in order to move the field forward. [ABSTRACT FROM AUTHOR]

The concept of recovery following bereavement can be both useful and misleading. As a metaphor, the concept of recovery highlights some aspects of bereavement and obscures others. Bereaved people interviewed in 3 different studies typically did not bring up the term recovery so it did not seem to be a term that described their experience. Across cultures, the concept of recovery can be irrelevant or even misleading in understanding what goes on following bereavement. Arguably, a postmodern perspective in which no single concept is considered relevant for framing what goes on or what is desirable following bereavement might be best.

The author argues that the term "recovery" aptly describes the trajectory following the bereavement of most persons. While the term "resilience" has gained ascendancy in the thanatology literature and the term "recovery" has been dismissed as inappropriate to denote responses over time to being bereaved, the irony is that all dictionaries of the English language, other than specialized dictionaries in such fields as psychology, define "resilience" as ability to recover quickly from a misfortune. The author argues that recovery denotes the possibility of transforming change following a major life crisis, and wonders how such an outcome would be possible for those whose response to bereavement is marked by resiliency. The author's research with bereaved teenagers and college students has demonstrated that in many of the cases there were manifestations of transforming change along spiritual, cognitive, emotional, and interpersonal lines. These changes are captured by what the author calls the reflexive meaning of the word "recovery". In a final comment the author accepts that another word than recovery may unambiguously designate the transforming change that many persons experience following bereavement. But, of course, we need to find that word, and if recovery does not suffice, then how can "resilience", a term that means quick recovery following misfortune?

The article is a response to the contributions the special issue of Death Studies on continuing bonds. The contributions indicate that the conversation among scholars has clarified our thinking on how bonds function in individual grief. The author discussed two issues to help keep the conversation moving: (a) the relationship of continuing bonds to the complex we call adjustment to or resolution of grief, and (b) the social and communal nature of continuing bonds. In the first, the author concluded that the hypothesis that continuing bonds either help or hinder grief adjustment too simple to account for the evidence. In the second, he argued that cultural/political narratives are woven into individual grief narratives and if we do not include community, cultural, and political narratives in our understanding of continuing bonds we are in danger building bereavement theory that applies to only a small portion of one population in one historical time. (Contains 2 figures.)

The author, a psychologist who has been specializing in end-of-life issues for over a decade, uses the death of his fiancee (Becky), following the withdrawal of a ventilator and the refusal to place her back on the machine, to discuss research and analysis of end-of-life care in the United States. After briefly discussing his own background, Becky's history, and their relationship, he details Becky's last weeks of life and the first weeks of his grieving process. This story provides a background for discussing end-of-life issues including what constitutes a "good death," concerns about aggressive treatment and the cost of care near the end of life, prognosis, advance directives, and demographic issues. There is also a major section on psychosocial issues that arise when a person is dying. The author concludes with a set of "lessons learned" as a result of his relationship with Becky and going through the dying process with her and her family.

In this commentary on Werth's (this issue) article, the author attempts to continue the work of "meaning making" by describing 10 lessons that were evident to him, based on 25 years of experience as an end-of-life researcher and clinician. He highlights the impact of stress, the importance of communication, the idiosyncratic definition of a "good death," the role of patient-centered care, the power of self-efficacy, the need to integrate theory and experience, the use of interdisciplinary teams, the impact of altruism and having a sense of purpose, the need to listen, and the healing effects of communicating about loss.

This paper explores a revelatory moment in fieldwork—the death of a close friend and research participant who died suddenly in suspicious circumstances. Her mourning period challenged my understandings of grief in Lihir. In a previous article I argued that grief in Lihir is resilient and focused on remembering and forgetting, rather than emotions. However this particular mourning period was an emotionally charged space and time. I explore what made this death and grief distinctive, arguing that the nature of her death provoked shock and anger. This paper contributes to an ongoing discussion about how sudden or violent deaths might impact grieving both in the local context, and globally. [ABSTRACT FROM AUTHOR]

The paper is an inquiry into the poetics of mourning and faith-based intervention in maladaptive grieving processes in Ethiopia. The paper discusses the ways that loss is signified and analyzes the meanings of ethnocultural and psychospiritual practices employed to deal with maladaptive grief processes and their psychological and emotional after-effects. Hermeneutics provided the methodological framework and informed the analysis. The thesis of the paper is that the poetics of mourning and faith-based social interventions are interactionally based meaning making processes. The paper indicates the limitations of the study and their implications for further inquiry. [ABSTRACT FROM AUTHOR]

Animal owners who experience the death of a beloved family pet or companion animal may experience feelings of grief and loss that are synonymous with the death of a human. This systematic review synthesized 19 qualitative papers from 17 studies that explored the psychosocial impact of bereavement and grieving the loss of a pet. The analysis revealed five themes: Their Relationship; Their Grief; Their Guilt; Their Supports; and Their Future. By looking beyond grief, health professionals can respond to bereaved pet owners the same way they would for other forms of human bereavement and provide the necessary support to transition bereavement. [ABSTRACT FROM AUTHOR]

The nature of intrafamilial homicide is complex and traumatic. Child survivors are at significant risk for maladjustment, including negative psychological sequela, grief complications, and contextual challenges associated with the homicide. Thus, children may benefit from services addressing specific psychosocial challenges following intrafamilial homicide. In this paper, we review the literature to identify trauma- and grief-informed interventions implemented for youth following violent bereavement. Given limited research on this vulnerable population, we discuss interventions that show promise for child survivors, exploring specific needs, challenges, and potential implications of these interventions for treating children and families experiencing intrafamilial homicide bereavement. [ABSTRACT FROM AUTHOR]

To date, 110,000+ people in the United States have died from the COVID-19 pandemic. In this paper, the authors will discuss COVID-19 relative to Black people and their overrepresentation among those who are infected and died from the disease. Their dying, death, and grief experiences are explored through a cultural and spiritual lens. The physical distancing, social isolation, misinformation, and restrictive burials and cremations now elicited by this unprecedented pandemic have had diminished familial, cultural, emotional, and economic impacts on the Black community. Implications for public health and Black peoples' involvement in the political process are also addressed. [ABSTRACT FROM AUTHOR]

This paper explains the healing benefits, the “sweet unexpected” of the title, which results from using poetry to engage trauma, including traumatic grief. The benefits of poetry are presented alongside a discussion of a 22-year-old nonprofit called The Pongo Poetry Project. The sweet unexpected includes the ease with which trauma survivors engage their trauma narrative, the critical insights that emerge in poetry, the beneficial social context of sharing poetry, and the healing benefits of poetry for writers, care providers, and readers alike. The paper concludes by providing resources that can help people use poetry in their own work. [ABSTRACT FROM PUBLISHER]

The practice of operating room (OR) clinicians - nurses, surgeons, and anesthetists - is fundamentally about preserving life. Some patients, however, die in the OR. Clinicians are therefore vulnerable to moral and emotional trauma. In this paper, we discuss three forces that shape clinicians' moral and emotional experiences in OR care: biomedical values, normative death discourse, and socially (un)sanctioned grief. We suggest how each of these forces increases clinicians' vulnerability to feel traumatized when their patients die. We hope this discussion will stimulate clinicians and researchers to engage with social and cultural determinants of clinicians' experiences when patients die.

This paper focuses exclusively on inscriptions on roadside memorials. We conducted a review of studies of roadside memorial inscriptions and a field study of 29 inscriptions found on 156 roadside memorials in Poland to understand the similarities and differences between these inscriptions and those in other countries. The uniqueness of Polish inscriptions is their religious meaning. They reflect the inscription authors' and/or the deceased's relationship with Catholicism. We proposed a typology of inscriptions (limited and developed) that may be useful in further comparative studies on roadside memorialization. [ABSTRACT FROM AUTHOR]

This paper asks how do the deaths and the postmortem detransitioning (the verbal, visual, and material rejection of a person's gender identity) of transgender women impact trans activism? After analyzing the case studies of Jennifer Gable and Leelah Alcorn, I outline how the contentious memorialization of transgender women and the disenfranchized grief of survivors influence trans activism. I conclude that activism is characterized by respecting the wishes of the deceased, by preventing the violence which transgender women experience, by advocating for trans elder care, by educating about end-of-life issues, and by lobbying for laws that protect transgender men and women after death. [ABSTRACT FROM AUTHOR]

This paper reports on a study that examined the grief and coping of 29 parents whose child has hypoplastic left heart syndrome using the Dual Process Model. The study employed a secondary thematic analysis of interviews at key times of treatment and recovery for the child. After the diagnosis, parents experienced intense loss (LO), but focused upon restoration-orientated tasks (RO) to support their child. Over time, most parents employed a healthy oscillation between LO coping and RO coping, with waves of grief and with some grieving suppressed. There are some specific grief and coping and gender patterns employed by parents.

Significant strides have been made in the trauma and grief fields to address the unique needs of those who have lost a loved one to violent death. Several treatment techniques have been found to be effective for symptoms of trauma and grief that are prevalent among violent loss survivors including restorative retelling and cognitive behavioral strategies. Current interventions either are tailored for a specific mental health problem or are more universal in nature for grief related to violent loss. This paper presents an evidence-based and guided modular approach for responding to the myriad potential mental health needs of violent loss survivors. A comprehensive module-based structured intervention for violent loss survivors, which specifically targets several common mental health difficulties following traumatic loss, may offer clinicians a thorough and flexible approach guided by clinical assessment to address the distinctive and common issues violent loss survivors often face.

Restorative retelling(RR) is an evidence-based procedure for facilitating adaptation following traumatic bereavement. In this paper, we introduceperformative retelling(PR), a variation on RR, which fosters healing from personal losses and portrays personal reactions to collective tragedy. We describe our collaboration with an ex-offender reentry program, the Memphis Police Department, and Playback Theatre to use improvisational community theatre to bridge the gap between law enforcement and the citizens they serve. We review program outcomes to-date and illustrate its impact using participant stories. We argue that training police and citizens in PR can potentially transform broken narratives of police-community relations. [ABSTRACT FROM PUBLISHER]

The role of the continuing bond to the deceased in adjustment to bereavement has been given considerable attention in the bereavement literature. It is increasingly recognized that it is a normative part of adjustment to the loss of a loved one and that it can be adaptive. It may be the case however that a continuing bond to the deceased may also be maladaptive under certain conditions. In this special topic series of articles, the implications of a continuing bond for ajustment to bereavement is addressed. Conceptually and empirically focused papers as well as clinically oriented papers on the continuing bond to the deceased have been included in order to provide the reader with a broad sampling of contemporary work in this area. The aim is to inspire further thinking and research on this topic as well as to promote greater awareness among grief counselors and practitioners on the importance of the continuing bond to the deceased in working with the bereaved. [ABSTRACT FROM AUTHOR]

In this paper we compare grief work and continuing bond models of grief to determine if one explains the data better than the other. Sixty individuals in active grief completed a questionnaire in which they were asked to rate their grief status, perceived similarity to the deceased along 7 dimensions, and closeness of relationship to the deceased. A matched control group was also asked to rate the closeness of relationship and perceived similarity to a living person of the same relationship as the deceased to the griever. In line with grief work, we found that perceived similarity was directly related to severity of grief and that perceived closeness of relationship declined over time. In support of continuing bonds, however, perceived similarity did not decline over time, nor was overall perception of similarity among grievers different from their matched controls.

Provides information on events relevant to death studies. Call for paper proposals for concurrent sessions for the 2005 International Death, Grief, and Bereavement Conference; 2004 annual conference of the International Society for Quality of Life Studies titled "Advancing Quality of Life in a Turbulent World," in Philadelphia, Pennsylvania.

We examined perceptions of individuals grieving the loss of a family member to incarceration. Participants (N = 1095) were randomized to a vignette that varied by race-ethnicity, crime type, and grief trajectory to assess their perceptions. Results indicated: (1) participants perceived prolonged grief as less appropriate than resilience; (2) Black family members grieving someone who committed a violent crime as more appropriate compared to White family members; and (3) women endorsed both grief trajectories as more appropriate and indicated greater comfort supporting the family member. Lastly, participants indicated prolonged, White and Latinx grievers should seek therapy more than resilient or Black individuals. [ABSTRACT FROM AUTHOR]

Elisabeth Kübler-Ross' pioneering work focused on dying, yet some clinicians persist in prescribing it as a path through grief. We surveyed 964 mental health clinicians who completed a five-section mixed methods survey: two sections assessed knowledge with multiple choice questions and a case study to assess clinicians' knowledge-base and approach to grief/loss in practice. Analysis of four items related to Kübler-Ross' model and 66/962 case studies indicates ongoing use of "stages" and Kübler-Ross' model. Only 330 (34.2%) of the clinicians were deemed knowledgeable; 462 (47.9%) were questionable; and 172 (17.9%) were misinformed, continuing to use Kübler-Ross' stage theory for grief. [ABSTRACT FROM AUTHOR]

This paper discusses how various details of traditional Jewish law (Halakha) reflect human dynamics of mourning, drawing heavily on the approach of the late Joseph B. Soloveitchik, one of the major philosophers of Judaism of this century.

Cultural and psychotherapeutic rituals are designed to aid the bereaved in grief resolution . This paper examines the function of funeral and bereavement rituals in contemporary Western society and considers the relationship between rituals and complicated and disenfranchised grief. A new model for the use of rituals in psychotherapy with the bereaved that emphasizes intrapsychic and psychosocial processes is described. Rituals are presented as vehicles for transformation and connection as well as the more commonly recognized transition. [ABSTRACT FROM AUTHOR]

Attending to bereaved peoples' lived experiences offers considerable potential for better understanding how to improve support following loss. In-depth interviews (n=36) and solicited diaries (n=23) were conducted with bereaved adults following a death in palliative or residential aged care. A constructivist grounded theory approach guided data analysis, through which three themes were derived: making sense of the lived experience of bereavement; relationships in bereavement; and bereavement over time. The results reveal the nuances within everyday experiences of bereavement, in particular the multiplicity of affinities, present or lacking, in social support and recognition. [ABSTRACT FROM AUTHOR]

The purpose of this study was to understand how active coping with extreme loss takes place when creating memorial playgrounds, as well as in relation to existing memorial playgrounds. Using qualitative methods and drawing from 63 cases, the research enriches our understanding of bereavement by revealing the central mechanisms through which active coping takes place and by presenting the distinct elements that the mechanisms are composed of. The study contributes to the research on bereavement by showing how active coping takes place both as an outcome of and during the memorial creation process. [ABSTRACT FROM AUTHOR]

The use of animal-assisted therapy with children who have experienced trauma is receiving increasing attention in the literature. However, there is a lack of attention given to the death of therapy animals. The scholarship on the death of animal companions highlights a varying depth of acknowledgment of children's grief. This article draws on the clinical experience of one therapy center's approach to the death of a therapy dog. Knowledge gained from this experience highlighted the necessity of acknowledging the death, the need for clear communication with children and young people, and the importance of involving children in a memorial ritual. [ABSTRACT FROM AUTHOR]

Pre-loss grief can be experienced by relatives before impending death; however, limited understanding exists about the impact of pre-loss grief on bereavement. This systematic review aimed to synthesize qualitative research evidence reporting adults' experiences of pre-loss grief within cancer care. Thirteen studies were selected, and three key themes identified. Findings indicate that relatives transitioned through lived experiences during end-stage cancer, and that meanings attached to these experiences influenced how they experienced pre-loss grief. Limited formal support was identified to navigate these experiences; however, context was seen as important, and skilled healthcare practitioners and physical environment were key to facilitating preparedness. [ABSTRACT FROM AUTHOR]

To complement existing literature and better capture the diversity of factors influencing grief, a more interpersonal understanding is required. Thus, we used the relational landscape's concept and empirical investigation to clarify the roles of individuals surrounding the bereaved. Sixteen interviews with bereaved individuals by euthanasia or natural death were analyzed using Interpretive Description. We present a model describing five types of actors in the environment of the bereaved and their ways of "being with" or giving space. We also include four lived landscapes in our model, with the purpose of describing how bereavement can be experienced within the social environment. [ABSTRACT FROM AUTHOR]

The present study used a revised online version of the College Student Bereavement Survey (the CSBS-R) to study the effects of student grief on college academics and social life. Of the 969 respondents, 408 (42%) reported grieving a relatively recent death of a person of significance in their lives. Hierarchical multiple regressions using gender, multiple deaths, closeness to the deceased, and/or social media use as independent variables revealed closeness to the deceased explaining a significant proportion of the variance of academic and social/peer experiences. Findings underscore the need for student bereavement policies, and how social media and closeness to the deceased affect the college experience. [ABSTRACT FROM AUTHOR]

Despite the high prevalence of miscarriage and stillbirth, prenatally bereaved couples tend to experience a sense of isolation or loneliness after their loss. The purpose of this study was to describe the prenatal loss experiences of partners from a sociocultural perspective. Data were gathered via semi-structured interviews with 10 couples (n = 20). The findings of the study reflected the inner experiences of partners, how sociocultural context has impacted their grief experiences, and how women's and men's grief reactions differ within this sociocultural context. [ABSTRACT FROM AUTHOR]

This study used a convergent parallel mixed-method design to explore the impact of an anencephalic pregnancy on parents. Twenty women and four men between 18–59 years old participated. Interview transcripts were analyzed using interpretive phenomenology and synthesized with Perinatal Grief Intensity Scale scores using a Pearson's correlation. Overall, 75% of parents scored intense grief. Qualitative patterns included overwhelming trauma, patient-centeredness as critical, stigmatizing perinatal loss, embracing personhood, and reframing reality. Control over care was associated with decreased grief (p =.019). Health care professionals are ideally positioned to reduce the risk of intense grief in parents experiencing an anencephalic pregnancy. [ABSTRACT FROM AUTHOR]

Medical assistance in dying (MAiD) legislation was passed in Canada in 2016, yet the bereavement experience of family and friends is not well understood. Using interpretive description, we interviewed nine bereaved individuals. The time before the assisted death seems most impactful—an experience of bringing death to life shapes bereavement after death. We identified themes that inform this grieving: (1) certainty of date/time of death—intensifies a parade of lasts, initiates a countdown and affords time to say good-bye; (2) active family engagement as planners supports sense-making; and (3) enacting MAiD as ceremony slows time to "digest" loss. [ABSTRACT FROM AUTHOR]

This study explores how Mayan people from Guatemala and Swedes view and behave toward death. Using an interpretative phenomenological analysis, 10 participants from each culture were interviewed to elucidate the most relevant and important emerging themes. The Mayan approach to death is based on a collective perspective in which consultations with Elders, ancient traditions, and rituals help provide answer to most existential inquiries surrounding death. In contrast, the Swedish approach is based on an individualistic, rational analysis with a focus on life instead of death, but also showing openness to new perspectives on death. [ABSTRACT FROM AUTHOR]

Literature indicates laypeople hold strong opinions about how persons should grieve. This study examined how individuals perceive normal grief. Participants across two distinct samples (Study 1: N = 510 via MTurk; Study 2: N = 210 via Qualtrics panels) completed the Perception of Grief Scale and Grief Expectations Questionnaire. Findings indicated participants endorsed maladaptive grief responses as normal relative to other responses to loss. Endorsement of maladaptive grief responses as normal predicted endorsement of grief work beliefs. If social expectations deem maladaptive grief to be normal, as this study suggests, bereaved individuals might implicitly push themselves to grieve maladaptively. [ABSTRACT FROM AUTHOR]

Few studies examine the relationship of grief with interrelated and broad concepts. In this study, the role of sense of coherence and emotion regulation difficulties in the relationship between early maladaptive schemas and grief was investigated with individuals (N = 254) who have lost a close person in the last 5 years. Mediation and moderated mediation analyses revealed that individuals with early maladaptive schemas may experience more complicated grief symptoms through the effect of early maladaptive schemas. For individuals with self-sacrifice schema, difficulties in the grief process were regulated by moderate to high levels of sense of coherence. [ABSTRACT FROM AUTHOR]