There were four major purposes of this study: (1) to evaluate the level of grief experience by bereaved individuals who attend either a grief support group or grief psycho-educational group in the Inland Empire, (2) to evaluate the level of spirtuality experienced by bereaved individuals who attend either a grief support or grief psycho-educational group in the Inland Empire, (3) to correlate the level of grief reactions with the level of spiritual experience within bereaved individuals, and (4) to describe demongraphic and grief/spiritual-related factors that may influence a bereaved individual's spiritual experience and grief process.

PhDA / Department of Development Studies

MA (Xitsonga) / Senthara ya M.E.R. Mathivha ya Tindzimu ta Afrika, Vutshila ni Ndhvuko / The study examines the taboos of death and their significance in the context of Xitsonga culture in the Hlanganani Area of the Vhembe District, Limpopo Province of South Africa. The study deals with social taboos pertaining to death and how Vatsonga perceive their dead. The principal aim of the study is to highlight the significance of taboos pertaining to death, the burial and the post-burial rites/rituals amongst Vatsonga in the Hlanganani Area. The study guarantees the continuity and resilience of the post-burial rituals. Accordingly, the study shows that the taboos are largely reflected through language. The study will recommend that the taboos as the important components of Xitsonga culture must be incorporated in the South African education system. More importantly, the study shows that language and culture are interlinked and cannot be separated. The researcher will employ the Renaissance Theory. The Renaissance Theory argues that a number of indigenous cultural identities, values and norms which used to be functional for society in the past can still be used today if properly utilised because they are the building blocks of indigenous existentiality. It is an emerging postcolonial philosophy which envisions reclaiming the glories of the African past. It posits that to think of the African life is to think of the unity of the shared perennial communitarian values. Data will collected through interviews and focus groups.

Background: Cconsiderable proportion of the population experiences major life disruptions after losing a loved one to suicide. Social stigma attached to suicide survivors adds to complications occurring in the course of suicide bereavement. Despite its known risks, stigma related to suicide survivors has been sparsely investigated. Methods: We conducted a systematic literature search in PubMed, Web of Science, PsycInfo and PsyArticles, of studies indexed up through August 2015. Articles were eligible for inclusion if they addressed experiences of stigma in suicide survivors, compared them to other bereavement populations, or investigated stigmatizing attitudes within the public. The search was restricted to English-language studies. Results: 25 records matched inclusion criteria. Study designs were heterogeneous, making comparisons difficult. Results demonstrated that suicide survivors experience stigma in the form of shame, blame, and avoidance. Suicide survivors showed higher levels of stigma than natural death survivors. Stigma was linked to concealment of the death, social withdrawal, reduced psychological and somatic functioning, and grief difficulties. Only one study investigated stigmatizing attitudes towards suicide survivors among the general population. Limitations: Internal and external validity of the studies was restricted by a lack of valid measures and selection bias. Conclusions: More methodologically sound research is needed to understand the impact of stigma on suicide survivors\'' grief trajectories and to separate it from other grief aspects. Clinicians and grief-counselors as well as the public should be educated about the persistent stigma experienced by suicide survivors.

The purpose of the present study was to develop the Descriptive Death Scale (DDS), a brief, descriptive and multidimensional measure that assesses individual perceptions of single death experiences. The DDS has the potential to expand how death experiences are understood in the literature because it can serve as a tool for grievers to quantitatively contextualize their single death experiences instead of indicating only the mode of death. From a constructivist perspective, the adjectives included in the DDS are parcels of meaning that symbolically contextualize grievers’ subjective understanding. Drawing from qualitative research, I compiled a broad list of 65 adjectives that grievers and terminally ill patients have used to describe past and impending deaths. My online recruitment process resulted in a sample of respondents (<i>N</i> = 572) who identified primarily as White/European American, cisgender female and heterosexual (83%, 85%, and 83%, respectively). Their ages ranged from 18 to 80 (<i>M = </i>43.13, <i>SD =</i> 13.40). The results of the EFA indicated a 5-factor structure; however, the CFA analysis/ESEM indicated that a 4-factor model better fit the data. The DDS subscales (i.e., Incomprehensible, Warm, Withering, Ostracized) include a total of 27-items and scores on each subscale displayed good internal consistency and convergent and discriminant validity. The results from the regression analysis indicated that the Incomprehensible, Warm and Withering death subscales contributed significantly and positively to grief distress, beyond closeness to the deceased and age of the deceased. The DDS assesses the nuanced and unique profiles of grievers’ perceptions of single deaths. It can serve as an important and novel tool for researchers and clinicians to capture grievers multidimensional and subjective understanding of their death experiences. With single word items, it is brief, easy to use, and versatile across domains.

The circumstances of responding to loss due to human death are among the most stressful experiences encountered in life. Although grief’s symptoms are typically considered essential to their gradual diminishment, possible negative impacts of complications related to grief are also well known, and have been associated with detriments to mental and physical health. Grief, however, can also generate transformative positive change. Thus, albeit ineludible, responding to loss is not uniformly experienced, expressed, or understood. It is also culturally-shaped, making attempts to define “normal” grief, as well as to label some grief “abnormal”—and to medicalize it—possibly problematic. Bereavement (the situation surrounding a death) and mourning (the publicly expressed response to loss due to death) are changing. Some of these changes (e.g., the increase in hospice care settings prior to deaths, and alterations in the ritual responses following all deaths—irrespective of their context) may have important implications for avoiding grief’s possible complications and for promoting its potential benefits. An improved alignment of grief theory, research, and practice is warranted; but theories of grief are diverse, and historically have not been empirically well-supported. This research articulates a new grief model, the loss-processing framework, featuring three dimensional components (perception, orientation, and direction). As a first step toward validation of the framework, also included is an empirical study examining retrospective descriptive reports of adult loss response relating to the first of these three dimensions (perception). As an interpretive, translational approach to understanding grief, the loss-processing framework may serve to positively impact grieving, health, and life quality.

This thesis "The Needs of Parents during End-of-Life Care for Terminally Ill Child" deals with the needs of families in which a child had died from a serious illness. The main goal of this thesis is to map the needs of parents caring for a terminally ill child during the course of the illness, the time of dying, and after the death of the child. The thesis also analyses the source of risk factors occurring while parents cope with care provision. The theoretical part of this thesis focuses on the loss of a child. The opening chapter is devoted to paediatric palliative care, including an assessment of the current situation in the Czech Republic. Based on the available sources, grief theories are described. Furthermore, the effect of the death of a child on the family is mapped, including the impact on the parent's relationship and the way parents cope with their grief. The last section of this part covers the possible reactions of parents to their loss. The empirical part detects the needs of parents caring for a terminally ill child. It maps the mechanisms which help parents to cope when caring for their child or dealing with their loss. It also identifies the risk factors influencing on the ability to cope with the care provision. The data were collected using qualitative research techniques. The...

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Losing a close relative or friend is a traumatic event for anyone, especially for children and adolescents. This article investigates the motives and patterns of children’s and adolescents’ interpersonal online communication on bereavement platforms. A qualitative content analysis of two different youth bereavement platforms (n = 21 threads; 319 postings) illuminates how one common feature is the verbalization and illustration of missing support in the offline world. The substantial usage of social network platforms can be considered an extension of children’s and adolescents’ personal social environment. Furthermore, topics on bereavement platforms ultimately go beyond grief, as children and adolescents also include emotions such as hope, gratitude and cohesiveness. Communication within online bereavement communities thus enables a process known from offline communication as transformation from a lossoriented to restoration-oriented coping (Stroebe and Schut 2010, p. 277).

Indiana University-Purdue University Indianapolis (IUPUI) / This essay explores a broad range of literary works that treat long-term grief as a natural response to the death of a child. Literary examples show gaps in the medical and social sciences’ considerations of grief, since these disciplines judge bereaved mothers’ grief as excessive or label it bereavement disorder. By contrast, authors who employ the ancient storyline of child death illuminate maternal grieving practices, which are commonly marked with a vigilance that expresses itself in wildness. Many of these authors treat grief as a forced pilgrimage, but question the possibility of returning to a previous state of psychological balance. Instead, the mothers in their stories and poems resist external pressure for closure and silence and favor lasting memory. Harriet Beecher Stowe, in Uncle Tom’s Cabin, and Emily Dickinson, in letters to bereaved mother Susan Gilbert Dickinson and in the poetry included in these letters, represent maternal child loss as compelling a movement into a new state and emphasize the lasting pain and disruption of this loss.