Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2009. / Includes bibliographical references (p. 85-89).

Thesis (M.S.)--University of Michigan, 19977 / Includes bibliographical references.

The incidence of congenital anomalies or potential congenital anomalies of fetuses is two to three percent. Most women who have a positive diagnosis of a congenital anomaly choose to terminate the pregnancy. A review of the literature identifies conflict preabortion and grief postabortion as key variables for women terminating pregnancies for genetic indications. The purpose of this study was to study the degree of conflict in the decision-making process preabortion and the intensity of grief six weeks postabortion and to determine if a relationship exists between the conflict and grief variables. This was a descriptive, correlational study which used summary statistics to analyze the data. Women responded to a questionnaire six weeks postabortion about conflict experienced pretermination and current grief experienced. The sample included nine women who aborted in the second trimester of pregnancy following either ultrasound, chorionic villi sampling, or alpha-fetoprotein analysis of the fetus. The findings indicated that the women experienced conflict while deciding whether or not to abort the fetus and that at six weeks posttermination the intensity of grief experienced was still high. A scatter plot revealed a curvilinear relationship showing grief plateauing and then decreasing as the conflict scores rose. Recommendations were that objective counselling in the decision-making period prior to the termination be provided, and grief counselling should continue longer than six weeks posttermination for those who need counselling. / Applied Science, Faculty of / Nursing, School of / Graduate

Thesis (Ph. D. (Clinical Psychology)) -- Univesity of Limpopo, 2019 / The aim of the study was to determine the experience of ambiguous loss and grief reactions in adolescents affected by parental diagnosis of HIV/AIDS, and the identification of potential resilience factors that moderate the grieving symptoms. A convenient sample of 159 adolescents ninety-five (95) from families with a parental diagnosis of HIV/AIDS and a control group of sixty-four (64) adolescents whose parent(s) were diagnosed with cancer, participated in the study. The age of the participants from both families fell in the following ranges: 11-14 (n=45), 14-17 (n=65), 17-18 (n=45), 18 and above (n=2). Eighty-nine (89) were females whereas seventy (70) were males. A triangulation method of data collection was used wherein a biographical questionnaire designed by the researcher, a TRIG questionnaire to assess the level of grief in the participants and resilience scales were used in the quantitative phase. The family resilience scales included Family attachment and changeability Index 8 (FACI-8), Family Crisis Orientated Personal Evaluation Scale (F-COPES), Family Hardiness Index (FHI), and Relative and Friend Support Index (RFS). The Pearson correlation was used to identify the significance of potential resilience factors present in the affected families. Regression analysis was used to determine the predictability of variables to show moderating effect of resilience factors on the impact of experience of an ailing member of the family. Interviews were held with the adolescents in the qualitative phase using semistructured interview schedule. The questions elicited qualitative responses on the participants’ feelings towards the illness of the parents, the role they are playing and feelings towards the role, experience of feelings of loss, disclosure and the family qualities perceived to be helping them adapt to the stress of having a sick parent. The results showed that the two groups experienced ambiguous loss in the form of boundary ambiguity marked by enforced role changes following indisposed parent due to ill-health. Both groups of adolescents experienced forms of grief during the ailment of the parent(s). HIV/AIDS affected group experienced delayed grief whilst the control group of cancer affected individuals experienced acute and prolonged grief. Parental disclosure following diagnosis was higher among cancer affected families (75%) than those affected by HIV/AIDS (55%). There was, however, no significant difference between disclosure of disease status and the experience of grief, p=0.0120. Potential resilience factors in both families were F-COPES, FHI, and FACI-8. These factors were also found to have a moderating effect on the experience of grief in the HIV/AIDS affected families, but showed the opposite effect on the experience of grief in the cancer affected families. This shows the uniqueness of the study in the way the HIV/AIDs and Cancer affected families responded differently to the moderation of the resilience factors. The difference in the impact is in line with the shift in the status of HIV/AIDS from being a terminal condition to being manageable and considered chronic in contrast to cancer. The shift was seen occurring also in this study where previously high grief was associated with HIV/AIDS as its diagnosis was regarded as a death sentence. There was high stigma associated with HIV/AIDS diagnosis until recently when it was found to be controllable and also positively impacting on the life expectancy in South Africa that increased from 53 to 64 years post utilization of ARV’s.

The death of a parent by suicide is especially traumatic. Researchers estimate the number of children in the United States annually who experience their parent's suicide ranges from 7,000 to 30,000. These child survivors experience more complicated grief as compared to children bereaved by a parent's non-suicidal death. In particular, very young children have difficulty understanding that their parent completed suicide. Across time they struggle with confusion and intense emotions associated with their parent's suicide. Due to the stigma associated with suicide, feelings of guilt, and intense grief, surviving family members avoid talking about the suicide. Young children are often confused and suffer in silence with limited understanding about who the deceased parent was and why the parent completed suicide. Individual semi-structured interviews were conducted with seven adults, who as young children experienced the death of their father by suicide. All participants reported being five years old or younger at the time of the suicide. Participants explained how they found out about the suicide; how they developed an understanding of their deceased father across the years; and how they developed memories of their father, largely dependent on others' stories and reported details. At the conclusion of the interviews, participants were offered nine children's picture books. Participants self-selected books from these nine books and offered their impressions about how these books may or may not be helpful for young child survivors of parent suicide. Their reactions to the books are discussed in relationship to their personal stories and lived experiences. Their reactions have implications for how potential books must be carefully selected, making considerations in light of the child's unique experiences. Participants' responses highlighted the importance of attachment issues, the challenges of forming a connection to the deceased loved one with limited memories of their parent. Ultimately, survivors' perceptions and experiences are tied to the challenges of navigating Worden's (1996) tasks of grief. Implications for applied practice include considering how to use children's literature to open and encourage communication, allowing children to ask questions about the suicide; supporting young children in accepting the reality of their parent's death; facing the grief and pain with the support of loved ones; adapting to changes in their life's trajectory due to their father's suicide and adapting to altered family relationships; and building memories of the deceased loved one, and when possible, ensuring healthy attachment to the deceased parent.

This investigation involved three procedural areas. The first was the development of a "Grief Work Treatment Program" designed for smokers who wanted to quit or reduce smoking. The second was the use of the program in experimental research in order to distinguish a relationship between structured grief work and cigarette-smoking reduction. The third area of investigation concerned evaluation of the program in terms of the subjects' goals for their smoking behavior. Results of the study indicated that the Grief Work Treatment Program was effective. A statistical comparison of treatment and control subjects using Analysis of Covariance, with number of cigarettes smoked daily at the beginning of the program as the covariate, produced a significant F at the 0.05 level on measures taken immediately after the treatment and four weeks later. Thus, in terms of the subjects’ respective goals, the grief work program was effective in assisting subjects to quit or reduce smoking. In addition, correlational tests concerning the treatment group indicated significant relationships existed between the variable, decrease in number of cigarettes smoked daily, and the variables: length of time a subject smoked prior to treatment; importance of cigarettes to the subject; and number of cigarettes smoked daily at the outset of the program. On comparisons of these variables, significant Spearman-Rank and Pearson Product Moment Correlational Coefficients ranged from 0.67 to 0.85.

The current paper reviews the recent literature on grief and resilience. Specific limitations are noted, namely the lack of attention in the grief literature given to traditional-age college students. The personality characteristics and coping strategies associated with resilient grievers are discussed, followed by a review of the issues and barriers specific to grieving college students. Finally, this paper provides suggestions for how universities and college counselors can promote resilience in grieving students in order to allow for better adjustment during bereavement. / text

No description available.

This study explores a unique Canadian weekend camp for children and adolescents who are grieving the death of someone significant in their lives. The camp provides recreational activities such as campfires, horseback riding, and wall-climbing as well as therapeutic activities to help with grief such as music therapy. As part of a larger project on Canadian music therapy programming for youth (called “Meeting Youth In Music”), the present study’s purpose is to identify how music therapy interventions are applied and experienced in a particular program with adolescents experiencing bereavement. A case study research design was used and data collected from multiple sources. Primary data were generated by interviewing five stakeholders: the program director, the music therapist, a volunteer, and one adolescent and her mother (who were interviewed together). Thematic analysis was conducted on the interview transcripts, resulting in the identification of numerous themes about the application of music therapy practices. Identified themes characterize music therapy practices as fostering community connections, encouraging emotional expression, and supporting therapeutic practices for diverse populations. Findings of the current study suggest that music therapy interventions can provide benefit for bereaved adolescents. Future research can investigate the specific mechanisms of music which provide such therapeutic benefits.

No description available.