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Related Experiment Videos

Pathological grief: diagnosis and explanation

M J Horowitz1, G A Bonanno, A Holen

  • 1Langley Porter Psychiatric Institute, University of California, San Francisco.

Psychosomatic Medicine
|May 1, 1993
PubMed
Summary
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Pathological grief requires a distinct diagnosis. A personality-based model explains abnormal grief responses, identifying individuals prone to complicated mourning based on pre-loss traits and affect regulation.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health

Background:

  • Pathological grief lacks a clear diagnostic category, unlike posttraumatic stress disorder.
  • Bereavement is a universal experience, yet abnormal grief responses necessitate clinical attention.
  • Existing research notes varied pathological grief presentations, complicating study.

Purpose of the Study:

  • To propose a unified diagnostic approach for pathological grief.
  • To introduce a personality-based explanatory model for abnormal grief.
  • To develop a predictive model for identifying individuals at risk for complicated mourning.

Main Methods:

  • Conceptualizing pathological grief through personality traits and relational schemas.
  • Developing a predictive model based on antecedent trait combinations.

Related Experiment Videos

  • Analyzing pre-loss factors contributing to unsuccessful mourning processes.

    • Main Results:

    • A single diagnosis of pathological grief is proposed, accommodating diverse presentations.
    • A predictive model identifies individuals with relational schema contradictions and affect control tendencies as high-risk.
    • Variations in contradictions and overcontrol explain different personality-based grief responses.

    Conclusions:

    • Pathological grief should be integrated into diagnostic nomenclature.
    • A personality-based framework offers a cohesive understanding of abnormal grief.
    • The predictive model aids in identifying and potentially intervening in complicated mourning.