W Derrick Johnson LCMHC LCAS MAC NCC Executive amp Clinical Director NorthStar Clinical Services Charlotte NC djcltncgmailcom GOALS To learn about reactions to loss and how these losses relate to substance abuse ID: 918294
Download Presentation The PPT/PDF document "Grief & Loss: What You Need to Know" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Grief & Loss: What You Need to Know
W. Derrick Johnson, LCMHC, LCAS, MAC, NCC
Executive & Clinical Director
NorthStar Clinical Services
Charlotte, NC
djcltnc@gmail.com
Slide2GOALS
To learn about reactions to loss and how these losses relate to substance abuse.
To examine how individuals respond to the grief associated with recovery.
To develop ways to help address grief and loss issues associated with SUD.
Slide3SELF ACTUALIZATION
THE REALIZATION OF FULFILLMENT OF ONE’S TALENTS, POTENTIALITIES, ESPECIALLY CONSIDERED AS
A DRIVE OR NEED PRESENT IN EVERYONE
.
Online: Oxford Dictionary
Slide4Grief
The experience of living the loss of a person, a place, a thing.Thoughts, Feelings, BehaviorsJob, Partner, Pet, Rituals, Belonging
Loss
The fact of no longer having, giving up
Person, Place, ThingJob, Status, Belonging
Slide5ATTACHMENT
“Attachment behavior is to maintain an affectional bond, situations that endanger this bond give rise to certain very specific reactions. THE GREATER THE POTENTIAL FOR LOSS, THE MORE INTENSE AND VARIED THE REACTIONS ARE.
Bowlby, J. (1977a) The making and breaking of affectional bonds: I.
Aetiology
and psychotherapy in the light of attachment theory. British Journal of Psychiatry, 130, 421-431
Slide6HAVE YOU EVER BEEN IN LOVE?
HAS A LOVE RELATIONSHIP EVER NOT WORKED OUT?
DID YOUR FEELINGS IMMEDIALTEY CHANGE?
Slide7Two Stories
Slide8Are
Substances a Loss to Be Grieved?
Furr, S. R., Johnson, W. D., Goodall, C.
(2
015). Grief and recovery: The
prevalence of grief and loss in
substance abuse treatment.
Journal of addictions & Offender
counseling , 36, 1, 43-56.
Slide9RESEARCH: Losses experienced in addiction
Furr, Susan, Johnson, Derrick, Goodall, C. (2015), Journal of Addictions & Offender Counseling, 35.1
Slide10Research: Losses, cont.
Furr, Susan, Johnson, Derrick, Goodall, C. (2015), Journal of Addictions & Offender Counseling, 35.1
Slide11Are Substances a Loss to Be Grieved, cont.
Slide12HOW WE GRIEVE : PHASES
Klass, John, (1988), Journal of Death and Dying, 18, (1), 13-32.
Slide13HOW DO WE GRIEVE: TASK
Worden, J. William, (2015), Death, Dying and Bereavement: Contemporary perspectives, institutions, and practices, 91-103.
Slide14TASK
Worden, J. William, (2015), Death, Dying and Bereavement: Contemporary perspectives, institutions, and practices, 91-103.
Slide15TASK
Worden, J. William, (2015), Death, Dying and Bereavement: Contemporary perspectives, institutions, and practices, 91-103.
Slide16TASK
Worden, J. William, (2015), Death, Dying and Bereavement: Contemporary perspectives, institutions, and practices, 91-103.
Slide17RANDO/R FACTOR
Rando,Therese
, (2000), Research Press, American Psychological Association
Slide18APPLYING WORDENS TASK MODEL
Slide19WORDEN: Task I Accept
Slide20WORDEN: Task II Work Through
Slide21WORDEN: Task III Adjust
Slide22WORDEN: Task IV Relocating/Living
Slide23What the 12-Steps Say About Grief
Lucas, Kenneth. (2004) The Reality Between A Buddhist Approach to Addiction, Grief, and Psychotherapy. New York: iUniverse, Inc.
Slide24What the 12-Steps Say About Grief continued…..
Lucas, Kenneth. (2004) The Reality Between A Buddhist Approach to Addiction, Grief, and Psychotherapy. New York: iUniverse, Inc.
Slide25What the 12-Steps Say About Grief continued…..
Lucas, Kenneth. (2004)
The Reality Between A Buddhist Approach to Addiction, Grief, and Psychotherapy.
New York: iUniverse, Inc
.
Slide26Worden, W. J. (2018). Grief Counseling and Grief Therapy, 5
th
edition, New York, NY, Springer
I. DISENFRANCHISED GRIEF
GRIEF THAT IS NOT ACKNOWLEDGED BY SOCIETY
Slide27A. SOCIALLY NEGATED LOSSES-
Losses society sees as a non-loss
Death of a pet, infertility, getting clean/sober, retirement, loss of culture/tradition
Slide28B. SOCIALLY UNSPEAKABLE LOSSES
Something difficult to speak about Death due to an overdose, HIV/AIDS death of a same sex partner,
Slide29CONTINUING BONDS
Attachments are maintained, not relinquished
Ongoing connections
More recent loss/farther away from the loss (Sober tenure is recovery’s best friend) Worden, W. J. (2018). Grief Counseling and Grief Therapy, 5
th , New York, NY, Springer
Slide30BIO PSYCHO SOCIAL
DSM IV versus DSM 5
ABUSE VS DEPENDENCE
SUD mild, moderate, severe
Does culture (social) play a role in the addiction process?
What is the American narrative? Belonging? Rituals?
What is our meaning making?
Streifel
and
Sevaty-Seib
(2009) viewed the transition from drinking to recovery as leading to many losses including client’s identity as an addict, giving up way of coping, and shifting their own belief system and views of life.
Slide31HOW DOES ONE GRIEVE/HOW IS ONE ADDCITED?
How does one grieve?
Biological response
Psychological response
Social response
Bio-psycho-socialPhysiological etiologySocial-psycho-bioOrigins are social in nature
Slide32IT’S A P
ROCESS NOT AN EVENT
Slide33WHY IS THAT IMPORTANT
Slide34Transtheoretical
Stages of Change
”I want to use”
is not
“I used.” ” I used” is not “I don’t want to be sober.”
Precontemplation NOContemplation MAYBEPreparation OKAction DOMaintenance KEEP GOING
Slide35Where do we go from here?
Slide36MEANING RECONSTRUCTION
Neimeyer, Robert (2000). Searching for the meaning of meaning: Greif therapy and the process of reconstruction. Death Studies,
24, 541-558
.
Use of narratives & Life stories
Ways of re-engaging /meaning making Worden, W. J. (2018). Grief Counseling and Grief Therapy, 5th , New York, NY, Springer
Slide37Slide38ADAPTATION
people adaption/Recover differently
Worden, J. (2018) Grief counseling, New York, Ny, Springer
Slide39Self Actualization
Slide40