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Disenfranchised grievers--the GP's role in management
Susan Selby1, Alison Jones, Teresa Burgess
1Discipline of General Practice, School of Population Health and Clinical Practice, Faculty of Health Sciences, The University of Adelaide, South Australia, Australia. susan.selby@adelaide.edu.au
Disenfranchised grief, a loss not openly acknowledged, affects over half of returning cross-cultural workers. General practitioners need better recognition of this grief in primary care settings.
Area of Science:
- Psychology
- Grief Studies
- Primary Care Medicine
Background:
- Disenfranchised grief arises from losses lacking social acknowledgment or support.
- General practitioners (GPs) play a crucial role in recognizing and managing grief.
- Primary care often overlooks grief, focusing instead on mental illness.
Observation:
- A study examined 15 cross-cultural workers re-entering Australia.
- Over 50% reported experiencing grief during their re-entry process.
- All participants exhibited some form of disenfranchised grief.
Findings:
- Disenfranchised grief manifests in diverse symptoms.
- Current primary care approaches inadequately address disenfranchised grief.
- Grief and loss issues are often misdiagnosed or untreated in primary care.
Implications:
- Enhanced GP training is needed to identify and support disenfranchised grief.
- A new model for implementing grief support in Australian fee-for-service settings is under development.
- Further research is essential to validate and integrate grief-focused interventions into primary care.
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