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This study examined type of continuing bonds (CB) expression in relation to risk factors for complicated grief and measures of bereavement-related adjustment. Externalized CB expressions involving illusions and hallucinations with the deceased were distinguished from internalized CB expressions involving use of the deceased as an autonomy promoting secure base. 502 bereaved participants completed over the internet a CB measure assessing externalized and internalized CB along with various known risk-factor measures that included cause of death (i.e., violent vs. non-violent death), responsibility for the death, and attachment style as well as measures of psychological adjustment that included complicated grief symptoms, perceived physical health, and personal growth. As predicted, externalized CB was positively associated with violent death and responsibility for the death, whereas internalized CB was negatively associated with these risk factors as well as uniquely positively linked to personal growth. The implications of the findings for the role of CB in adjustment are discussed. DOI: 10.1080/07481180903372269

This article presents findings from a study on the impact of a child's death on parents. We explored the prominence and adaptiveness of parents' continuing bonds expressions, psychological adjustment, and grief reactions. A qualitative case study methodology was used to describe six cases. Participants were classified into two groups based on scores on the Inventory of Complicated Grief. Commonalities in themes on the Continuing Bonds Interview and projective drawings were assessed. Those in the Non-Complicated Grief Group reported internalization of positive qualities and identification with the deceased child as a role model, whereas participants in the Complicated Grief Group did not report these experiences. In addition, the drawings of those in the Non-Complicated Grief Group were evaluated as more adaptive than those in the Complicated Grief Group. doi: 10.2190/OM.60.1.a

This study examined the impact of attachment on grief severity following the death of a pet. Seventy-one participants who had lost a dog or cat within the past year completed a set of measures that included an attachment measure assessing individual differences in attachment anxiety and avoidance, strength of the past attachment to the pet, the continuing bond with the deceased pet, social support, and complicated grief symptoms. Attachment anxiety and strength of the past attachment to the pet were each uniquely predictive of more severe grief Furthermore, the continuing bond to the deceased pet partially mediated the impact of strength of the past attachment to the pet on grief severity. No significant mediators of the effect of attachment anxiety on grief were found, however. The results highlight the importance of distinguishing strength of attachment from attachment security in examining the effect of attachment on response to pet loss.

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.

Much of the contemporary bereavement literature on the continuing bond to the deceased (CB) has emphasized its adaptiveness and given limited attention to when it may be maladaptive. The attachment literature on disorganized-unresolved attachment classification in relation to loss, or 'unresolved loss,' is informative in identifying CB expressions that are indicative of failure to integrate the death of a loved one. In this article, an important linkage is identified between a prominent indicator of unresolved loss that involves a lapse in the monitoring of reasoning implying disbelief that the person is dead and the clinical writings of J. Bowlby (1980) and V. D. Volkan (1981) on maladaptive variants of CB expression. The aim is to highlight the value of the attachment literature on unresolved loss in clarifying the conditions under which CB is likely to be maladaptive.

An attachment theory based perspective on the continuing bond to the deceased (CB) is proposed. The value of attachment theory in specifying the normative course of CB expression and in identifying adaptive versus maladaptive variants of CB expression based on their deviation from this normative course is outlined. The role of individual differences in attachment security on effective versus ineffective use of CB in coping with bereavement also is addressed. Finally, the moderating influence of type of loss (e.g., death of a spouse vs. child), culture, and religion on type of CB expression within an overarching attachment framework is discussed.

This study examined the continuing bond (CB) to the deceased in coping with the death of a husband. Fifteen early-bereaved widows whose husband had died 4 months previously and 15 later-bereaved widows whose husband had died more than 2 years ago were electronically signaled every 3 hours to complete a set of measures that included the PANAS positive and negative mood scales and CB coping. Participants completed these measures 4 times each day for 14 successive days. Following from an attachment theory perspective on the role of CB in providing felt security, it was hypothesized that CB would be effective as a way of coping in mood regulation, but that its effectiveness would be moderated by time since the death. Consistent with predictions, a positive within-person relationship was found between CB coping and positive mood for the later-bereaved group, but not for early-bereaved widows. CB coping was also positively related to negative mood for both early, and later-bereaved widow groups, however. Finally, in a lagged analysis, greater use of CB was predictive of a shift toward more negative mood among early-bereaved widows, but not for later-bereaved widows. The results were discussed in the context of previous literature on the function of CB in adaptation to bereavement.

Thirty-nine bereaved individuals completed the Continuing Bonds Scale (CBS), assessing various aspects of the ongoing attachment to the deceased, at 60 months postloss in a longitudinal conjugal bereavement study. They also completed symptom measures at 6, 14, 25, and 60 months postloss. Higher CBS scores were associated with a more elevated grief-specific symptom pattern over the 5-year postloss period. Moreover, those who expressed greater helplessness and less blame toward the deceased during a monologue role-play involving their deceased spouse at 6 months postloss had higher CBS scores. Finally, greater satisfaction in the past relationship with the spouse was predictive of higher CBS scores. The results were discussed in relation to existing literature on the adaptiveness of continuing bonds.

In a challenge to traditional views of mental health, Taylor and Brown argued that an overly positive or enhanced perception of the self was adaptive, particularly in conditions of extreme adversity. Researchers have tempered this view with evidence linking self-enhancing biases to negative social consequences. This article reports studies examining self-enhancement in the context of civil war in Bosnia (Study 1) and premature conjugal loss (Study 2). In both studies, mental health experts rated self-enhancing individuals as better adjusted than other participants. Self-enhancement proved particularly salutary for bereaved participants who suffered more adverse losses. These effects were evidenced regardless of whether global judgments or structured clinical interviews were used, whether ratings were collected cross-sectionally or longitudinally, and when negative affect was statistically controlled. However, consistent with previous studies, self-enhancers also evoked negative impressions among untrained observers. Limitations and implications for future research are discussed.

The role of continuing attachment in adjustment to conjugal loss was examined. At 6 months postloss, 70 midlife bereaved participants were interviewed to assess different forms of continuing attachment. They also engaged in a monologue role-play with their deceased spouse, providing a behavioral measure of grief-related distress. In addition, they completed general and grief-specific symptom inventories at 6 months and again at 14 and 25 months postloss. The results indicated that use of the deceased's possessions to gain comfort was positively correlated with concurrent distress in the role-play and predictive of less of a decrease in grief-specific symptoms over time in a growth curve analysis. In contrast, attachment through fond memories was related to less distress in the role-play. The results, therefore, suggest that whether continuing attachment is adaptive or not depends on its form.

In this study the Gestalt empty-chair technique was applied in a research context to assess unresolved grief and its relation to later adjustment. Bereaved individuals who experienced the death of a spouse on average 6 months ago participated in an empty-chair monologue task in which they were instructed to speak to their deceased spouse, imagining that they had one last opportunity to do so. They completed a questionnaire at the end of their monologue speech assessing their affective experience during the monologue. It contained items associated with unresolved grief (e.g., anger, guilt, helplessness, nonacceptance). Near the time of the monologue session, bereaved participants also completed the Beck Depression Inventory (BDI) (Beck and Steer 1987) and the Impact of Event Scale (IES) (Horowitz, Wilner, and Alvarez 1979). At 14 months postloss, bereaved participants again were administered the BDI and IES. As hypothesized, the extent of unresolved grief as assessed by the monologue questionnaire at 6 months postloss was predictive of 14-month postloss symptoms, even when statistically controlling for 6-month postloss symptoms in hierarchical regression analyses.

This article describes a semantic space model of personality. According to the model, representations of facets of the self (e.g., actual self, ideal self) and of others are arrayed in a semantic space, with proximities among representations predicted to be associated with mood, self-evaluation, and broad personality dimensions. The relation of proximities among pairs of representations to personality and mood measures was found to be mediated by the spatial proximity of other representations, indicating that the representations constitute dynamic systems. Proximities among representations were shown to predict self-esteem and self-evaluative moods even after controlling for the contribution of the personality dimensions of Neuroticism, Extraversion, and Agreeableness. Generally, the semantic space model led to better predictions than did several related models concerning representations of self and other.

This study examined the relationship between sexual revictimization and interpersonal problems in a sample of adult survivors of childhood sexual abuse diagnosed with post-traumatic stress disorder. Fifty-two treatment-seeking women participated in this study. Research participants completed the Sexual Experiences Survey to assess sexual revictimization within the past 6 months and completed the Inventory of Interpersonal Problems (IIP). Revictimized participants reported overall greater interpersonal problems compared with nonrevictimized participants. Post hoc analyses showed significantly higher interpersonal problem scores for revictimized participants on the Hard to Be Assertive and Too Responsible subscales. On the circumplex IIP, revictimized participants were more socially avoidant, nonassertive, and overly nurturant.

Previous findings on the role of expectancy of spousal death in adjustment to bereavement are inconclusive due to methodological shortcomings. This study examined the impact of subjective and objective expectancy on adjustment, while addressing the methodological problems of previous studies. At six months postbereavement, 97 midlife bereaved adults responded to interview questions regarding expectancy of their spouse's death. They also completed the Beck Depression Inventory and Texas Revised Inventory of Grief, at 6, 13, and 25 months postbereavement. Greater objective expectancy was associated with lower symptoms at all three postbereavement periods. Subjective expectancy was not related to symptoms, however. The clinical implications of objective expectancy's role on bereavement-related adjustment are addressed.

At 6 months postloss, 37 midlife bereaved participants engaged in an empty-chair monologue role play involving their deceased spouses. Judges rated the extent of self- and deceased-blame in participants' monologue discourse, and forms of continuing attachment to the deceased were assessed. Participants completed outcome measures at 14, 25, and 60 months postloss. Self-blame was uniquely predictive of grief-specific symptoms across 60 months postloss. Furthermore, the relationship between self-blame and grief-specific symptoms was mediated by a maladaptive form of continuing attachment involving hanging onto the deceased's possessions. In contrast, deceased-blame was uniquely related to general symptoms at 14 months postloss but was not predictive of symptoms later on after the death. It was also negatively related to use of the fond memories form of continuing attachment. The results were interpreted in terms of differing motivational consequences of self- versus deceased-blame on the continuing attachment.

Traditional bereavement theories emphasize that it is crucial to work through the emotional meanings of a loss and that the failure to do so typically results in delayed grief symptoms. This article reports data examining these assumptions prospectively across the first 5 years of bereavement. Based on previous validity data, elevated symptoms were defined in terms of 6-month median scores for each measure. Delayed elevations were observed on isolated measures for 3 (7%) participants. However, these elevations were more parsimoniously explained by random measurement error. Furthermore, when a weighted grief-depression composite score was used to maximize the probability of capturing the true (latent) grief variable, not a single case of delayed symptom elevations was observed. Finally, data on emotional processing of the loss at 6 months failed to support the traditional assumption that minimal emotional processing of the loss would lead to delayed grief.