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Related Experiment Videos

Attachment, loss, and complicated grief.

Katherine Shear1, Harry Shair

  • 1Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh, Pennsylvania, USA. shearmk@upmc.edu

Developmental Psychobiology
|October 28, 2005
PubMed
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Bereavement involves acute grief, but some develop complicated grief. This study proposes a model where unresolved attachment loss, failing to integrate the deceased, leads to complicated grief.

Area of Science:

  • Psychology
  • Neuroscience
  • Attachment Theory

Background:

  • Bereavement is a disruptive experience often leading to acute grief.
  • A minority experience prolonged and impairing complicated grief, distinct from major depression.
  • Underlying mechanisms of both usual and complicated grief remain poorly understood.

Purpose of the Study:

  • To propose a provisional model of bereavement processes.
  • To integrate insights from biobehavioral regulation, attachment research, and bereavement studies.
  • To understand the transition from acute grief to complicated grief.

Main Methods:

  • Theoretical model development.
  • Integration of Myron Hofer's work on biobehavioral regulation and infant separation.

Related Experiment Videos

  • Incorporation of adult human attachment research and contemporary bereavement findings.

    • Main Results:

    • The death of an attachment figure triggers traumatic loss and acute grief symptoms.
    • Resolution of acute grief typically involves revising the internal representation of the deceased.
    • Failure to integrate the reality of the death perpetuates grief, leading to complicated grief.

    Conclusions:

    • A proposed model links unresolved attachment loss to complicated grief.
    • Integrating the reality of death is crucial for resolving acute grief.
    • This framework may elucidate the underlying processes of complicated grief.