Grief & Loss: What You Need to Know - PowerPoint Presentation

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

Slide2

GOALS

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.

Slide3

SELF ACTUALIZATION

THE REALIZATION OF FULFILLMENT OF ONE’S TALENTS, POTENTIALITIES, ESPECIALLY CONSIDERED AS

A DRIVE OR NEED PRESENT IN EVERYONE

.

Online: Oxford Dictionary

Slide4

Grief

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

Slide5

ATTACHMENT

“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

Slide6

HAVE YOU EVER BEEN IN LOVE?

HAS A LOVE RELATIONSHIP EVER NOT WORKED OUT?

DID YOUR FEELINGS IMMEDIALTEY CHANGE?

Slide7

Two Stories

Slide8

Are

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.

Slide9

RESEARCH: Losses experienced in addiction

Furr, Susan, Johnson, Derrick, Goodall, C. (2015), Journal of Addictions & Offender Counseling, 35.1

Slide10

Research: Losses, cont.

Furr, Susan, Johnson, Derrick, Goodall, C. (2015), Journal of Addictions & Offender Counseling, 35.1

Slide11

Are Substances a Loss to Be Grieved, cont.

Slide12

HOW WE GRIEVE : PHASES

Klass, John, (1988), Journal of Death and Dying, 18, (1), 13-32.

Slide13

HOW DO WE GRIEVE: TASK

Worden, J. William, (2015), Death, Dying and Bereavement: Contemporary perspectives, institutions, and practices, 91-103.

Slide14

TASK

Worden, J. William, (2015), Death, Dying and Bereavement: Contemporary perspectives, institutions, and practices, 91-103.

Slide15

TASK

Worden, J. William, (2015), Death, Dying and Bereavement: Contemporary perspectives, institutions, and practices, 91-103.

Slide16

TASK

Worden, J. William, (2015), Death, Dying and Bereavement: Contemporary perspectives, institutions, and practices, 91-103.

Slide17

RANDO/R FACTOR

Rando,Therese

, (2000), Research Press, American Psychological Association

Slide18

APPLYING WORDENS TASK MODEL

Slide19

WORDEN: Task I Accept

Slide20

WORDEN: Task II Work Through

Slide21

WORDEN: Task III Adjust

Slide22

WORDEN: Task IV Relocating/Living

Slide23

What the 12-Steps Say About Grief

Lucas, Kenneth. (2004) The Reality Between A Buddhist Approach to Addiction, Grief, and Psychotherapy. New York: iUniverse, Inc.

Slide24

What 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.

Slide25

What 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

.

Slide26

Worden, 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

Slide27

A. SOCIALLY NEGATED LOSSES-

Losses society sees as a non-loss

Death of a pet, infertility, getting clean/sober, retirement, loss of culture/tradition

Slide28

B. SOCIALLY UNSPEAKABLE LOSSES

Something difficult to speak about Death due to an overdose, HIV/AIDS death of a same sex partner,

Slide29

CONTINUING 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

Slide30

BIO 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.

Slide31

HOW 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

Slide32

IT’S A P

ROCESS NOT AN EVENT

Slide33

WHY IS THAT IMPORTANT

Slide34

Transtheoretical

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

Slide35

Where do we go from here?

Slide36

MEANING 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

Slide37

Slide38

ADAPTATION

people adaption/Recover differently

Worden, J. (2018) Grief counseling, New York, Ny, Springer

Slide39

Self Actualization

Slide40