Certified Thanatologist Learning Objectives Things to know the language of loss and models of understanding and intervening A walk in their shoes Understanding the experience of parents who are pregnant after a loss their concerns how they survive and things to look for ID: 759985
Download Presentation The PPT/PDF document "Pregnancy After Loss Lisa Zucker, MSW, L..." 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
Pregnancy After Loss
Lisa Zucker, MSW, LCSWCertified Thanatologist
Slide2Learning Objectives
Things to know: the language of loss and models of understanding and intervening
A walk in their shoes: Understanding the experience of parents who are pregnant after a loss – their concerns, how they survive, and things to look for
How can I help? Ways that professionals can support, guide, and assist parents experiencing pregnancy after a loss
Slide3Things to Know
Slide4The Language of LossDefinitions
Anticipatory Grief
Bereavement
“Complicated Grief”
Disenfranchised Grief
Grief
Mourning
Unresolved Grief
Slide5History
Freud
Mourning and Melancholia
(1917)
Kübler
-Ross
On Death and Dying
(1969)
Five Stages (DABDA)
Bowlby
Attachment Theory
Slide6Modern Models
Bowlby
&
Parkes
(four Phases)
Sanders (five Phases)
Lindemann
(anticipatory)
Rando
(6 R’s)
Worden (4 Tasks)
Wolfelt
(dosing and “companioning”)
Slide7How is Grief Experienced
In the Body
Aches and pains
Soreness
Sleep changes
Eating Changes
In the Mind
Concentration
Forgetfulness
Agitation
Fear
Anxiety
Blaming
Slide8How is Grief ExperiencedContinued
In the Heart
Loneliness
Anger
Despair
Seeking / Searching
Withdrawal
In our
Relationships
Gender difference in grief
The mother vs. the father/partner
The father/partner vs. the mother
Changes in social activities
Slide9Dual Process Model of Bereavement
Margaret Stroebe and Henk Schut (1999)Loss-orientedRestoration-oriented
Slide10Narrative Approaches
Meaning Reconstruction: Thomas
Attig
, Robert
Neimeyer
, Janice Nadeau
Contiuning
Bonds:
Klass
, Silverman, and
Nickman
Slide11A Walk in Their Shoes
Slide12Who are “they”?
Parents
Parents
who have experienced the loss of a child
“Age” of the child who passed (perinatal or child loss)
Previous loss
history
“Rainbow Babies”
Slide13Bittersweet
Dual Process Model
Fear, anxiety, sadness, anger
coexist
with
Joy, expectations, love, excitement
Appendix 1 – CNN article
Slide14The “Should”s
Grief is unique, personal, individual
Everyone’s got an opinion
Most “
should”s
come from reflection of the “
should”ers
own experiences or fears, an attempt to comfort, or the “
should”ers
discomfort with seeing pain and sadness
What can a parent do?
Appendix 2
Appendix 3
Slide15Our World of Social Media
Birth announcements
Pics
of the kids
Pressure on the parent
Reminders everywhere, all the time
Intolerance to ongoing grief of perinatal or infant loss
The Holidays, Birthdays, Mother’s Day, Father’s Day, “Year in Review” or most shared status
Slide16How Can I Help?
Slide17Meet them where they’re at
Acknowledge the loss
Model language from parent’s language
Be patient, kind, understanding, and reassuring
Slide18Be concrete and direct
Understand how a mother’s trust in her body has been changed – fears, anxieties, and worries that may seem trivial are not to her
Social Reconstruction
Each person’s experience of reality is informed by their personality, prior experiences, and expectations / motivations
Slide19Mindfulness – for the professional
Mindfulness as a tool to teach
Never be afraid to engage in appropriate, honest inquiry in the form of, “I don’t know how best to support you or what I can say that would be helpful. Please share with me how I can assist
”
Higher risk for perinatal or postnatal mood or anxiety disorders – know when to refer and to whom
Dads / partners are at risk too – disenfranchised grief, caregiver’s guilt, and own fears
Appendix 4
Slide20Resources
Pregnancy After Loss Support (
www.pregnancyafterlosssupport.com
)
Baby and Bump has a Pregnancy after Loss specific
forum
(
babyandbump.momtastic.com
/pregnancy-after-loss
/
)
Still
Standing Magazine
(
stillstandingmag.com/
)
Subsequent Pregnancy After a Loss Support
(
www.spals.com
)
Reconceiving Loss
(
reconceivingloss.com
/
magazine/
)
Compassionate Friends: organization for bereaved parents; not pregnancy after
loss specific
(
www.compassionatefriends.org/
)
Slide21References andFurther Reading Suggestions
Attig
, T. (1996). How we grieve: Relearning the world. New York: Oxford University Press.
Bonanno
, G. (2009). The Other Side of Sadness: What the New Science of Bereavement Tells Us About Life After Loss. New York: Basic Books.
Bowlby
, J. (1980). Loss: Sadness and depression. (Attachment and loss, Vol. 3). New York: Basic Books.
Doka
, K. (2002). Disenfranchised Grief: New Directions, Challenges, and Strategies for Practice. CA: Research
PRPub
.
Freud, S. (1917/1957). Mourning and melancholia. In J. Strachey (Ed.), The standard edition of the complete works of Sigmund Freud (Vol. 14, pp. 152–170). London: Hogarth Press.
Slide22Jordan, J. R. &
Neimeyer
, R. A. (2003). Does grief counseling work?
Death Studies, 27,
765-786.
Klass
, D., Silverman, P. R., &
Nickman
, S. L. (1996). Continuing bonds: New understandings of grief. Philadelphia: Taylor and Francis.
Kübler
-Ross, E. (1969). On death and dying. New York: Springer.
Lindemann
, Eric. "Symptomatology and Management of Acute Grief."
American Journal of Psychiatry
101 (1944):141–148.
Neimeyer
, R. A. (1998). Lessons of loss: A guide to coping. Boston: McGraw-Hill
.
Slide23Neimeyer
, R. A. (2001). Meaning, reconstruction and the experience of loss. Washington, DC: American Psychological Association.
Parkes
, C. M., & Weiss, R. S. (1983). Recovery from bereavement. New York: Basic Books
Rando
, T. A. (1984). Grief, dying, and death. Champaign, IL: Research Press.
Rando
, T. A. (1993). Treatment of complicated mourning. Champaign, IL: Research
Press
Sanders CM (1989)
Grief: the Mourning After
, Wiley Series
Stroebe
, M., &
Schut
, H. (1999). The dual process model of coping with bereavement: Rationale and description. Death Studies, 23, 197–224
.
Slide24Walter, T. (1996). A New Model of Grief: Bereavement and Biography. Mortality, 1, 7-25.
Wolfelt
, A. (2005). Companioning the Bereaved: A Soulful Guide for Counselors and Caregivers. Fort Collins, CO: Companion Press
Worden, J. W. (2002). Grief counseling and grief therapy: A handbook for the mental health practitioner (3rd ed.). New York: Springer
.