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Dysfunctional grieving.

A Bateman1, D Broderick, L Gleason

  • 1Emergency Mental Health Service, Northwestern University.

Journal of Psychosocial Nursing and Mental Health Services
|December 1, 1992
PubMed
Summary
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Dysfunctional grieving occurs when individuals fail to resolve loss, leading to maladaptive coping and potential morbidity. Recognizing signs and predisposing factors of complicated bereavement is crucial for effective nursing interventions and client recovery.

Area of Science:

  • Psychology
  • Nursing
  • Bereavement Studies

Background:

  • Dysfunctional grieving is a deviation from normal grief resolution, overwhelming individuals and leading to maladaptive coping mechanisms.
  • This deviation can result in social, psychological, and medical morbidity.
  • Nurses require comprehensive information on client losses and perceptions to effectively assess and intervene.

Observation:

  • Case examples highlight unresolved grief, including denial masked by anger and complicated grief due to concurrent life stressors.
  • Secondary losses are frequently observed in cases of dysfunctional grieving.
  • Maladaptive behaviors adopted to preserve self-image during grief are eventually relinquished as the grief process resolves.

Findings:

  • Understanding the signs, symptoms, and predisposing factors of complicated bereavement is essential for nurses.

Related Experiment Videos

  • Effective intervention plans for dysfunctional grieving require thorough client assessment, including recent losses and their perception.
  • Therapeutic focus includes addressing the loss of pathological behaviors that were integral to the patient's self-image.

    • Implications:

    • Nurses can improve client care by accurately assessing and understanding dysfunctional grieving.
    • Early identification and intervention for complicated bereavement can mitigate negative health outcomes.
    • Therapy should address not only the object loss but also the relinquishment of self-preserving maladaptive behaviors.