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Complicated Grief (CG) has been identified as a potential consequence of bereavement that is associated with unique and debilitating outcomes. This thesis investigated autobiographical memory in CG. This program of research focused on the specificity and content of autobiographical memories in the context of CG. Study 1 investigated memory retrieval specificity using a cue word paradigm. Bereaved individuals with CG displayed an overgeneral retrieval style (OGM) compared to bereaved individuals without CG. Study 2 found that CG participants were also less specific in imagining future events in response to positive cues. Further, there was a significant independent relationship between memory retrieval specificity and the specificity of future imaginings. Study 3 investigated the relationship between overgeneral memory and social problem solving. CG participants performed more poorly on this task; however, there was no independent relationship with memory retrieval style. Study 4 investigated the impact of treatment on OGM. Results indicated that as symptoms of CG reduced following treatment, individuals retrieved more specific memories to positive cues. Studies 5-7 examined proposed relationships between self construct and autobiographical remembering in CG, as outlined in Conway and Pleydell-Pearce??s (2000) self memory system model. In Study 5, individuals with CG were more likely than bereaved controls to view their self-identity as being related to the deceased. Study 6 investigated the relationship between self-discrepancy, personal goals and memory content. CG individuals were more likely to recall loss-related memories, and there was a relationship between personal goals and memory content. Study 7 extended examination of these factors to future-related thinking. Finally, the program recognised the importance of investigating the impact of the cognitive strategies that individuals may adopt to manage painful memories. Using an experimental Stroop procedure as a measure of thought accessibility, Study 8 investigated thought suppression in CG. The results suggested that CG individuals experienced greater interference from death-related cues. In summary, these studies highlighted some of the key memory processes that may be involved in the maintenance, and potentially the resolution, of CG.

Aim. The aim of the present research was to investigate the relationship of personality guilt- and shame-proneness to grief and psychological dysphoria following bereavement due to stillbirth or death in the newborn period. Methods. Participating parents completed self-report questionnaire measures of proneness to situational guilt and shame (Test of Self-Conscious Affect-2), chronic guilt and shame (Personal Feelings Questionnaire-2) and interpersonal guilt (Interpersonal Guilt Questionnaire-67), grief (Perinatal Grief Scale-33) and psychological dysphoria (General Health Questionnaire-28) one month (�early�, N = 158) and 13 months (�late�, N = 149) after a perinatal death. Results. Women compared with men self-reported more intense grief, anxiety and depression one month after the death, but there were no significant sex differences in grief or psychological dysphoria one year later. Hierarchical multiple regression analyses showed that composite shame (situational and chronic) explained a small but statistically significant proportion of the variance in early total grief (adjusted R 2 = .09) and anxiety (adjusted R 2 = .07) in women, and early total grief (adjusted R 2 = .19), anxiety (adjusted R 2 = .13) and depression (adjusted R 2 = .10) in men. Composite guilt (situational, chronic and interpersonal) controlled for shame did not make a significant further contribution to the variance in early total grief, anxiety or depression in either sex. Composite shame explained not only significant but meaningful proportions of the variance in late grief (adjusted R2=.27), anxiety (adjusted R2=.21) and depression (adjusted R2=.27) in women, and late grief (adjusted R2= .56),anxiety (adjusted R 2= .30) and depression (adjusted R2= .51) in men. Composite guilt controlled for shame made significant further contributions to the variancein late grief (∆R 2 = .21), anxiety (∆R 2 = .16) and depression (∆R 2 = .25) in women, and late grief (∆R 2 = .11) in men. Shame and guilt together explained a substantial proportion of the variance in late grief (adjusted R2= .45), anxiety (adjusted R2= .33) and depression (adjusted R2= .49) in women, and late grief (adjusted R2= .64), anxiety (adjusted R2= .35) and depression (adjusted R2= .56) in men. Situational shame, chronic guilt and survivor guilt made positive unique contributions to the variance in late grief in women. Chronic shame and survivor guilt made unique contributions to the variance in late grief in men. Situational guilt made a significant unique negatively valenced contribution to the variance in late grief in women. Early composite shame, but not guilt, predicted late grief, anxiety and depression in men. Early composite shame and/or guilt did not predict late grief, anxiety or depression in women. Conclusion. Personality proneness to shame was more relevant to late grief, anxiety and depression in men than in women, but survivor guilt was equally important to late grief in both sexes. Chronic guilt and functional situational guilt were pertinent to late grief, anxiety and depression in women, but not in men. Personality shame- and guilt-proneness have important relationships with parental grief after perinatal death that have not hitherto been recognised.

Thesis (M. Div.)--St. Vladimir's Orthodox Theological Seminary, Crestwood, N.Y., 1996. / Includes bibliographical references.

Thesis (M. Div.)--St. Vladimir's Orthodox Theological Seminary, Crestwood, N.Y., 1996. / Includes bibliographical references.

This qualitative research project is a narrative inquiry into the lives of four bereaved siblings; one is myself. The purpose of the project was to explore our mutual experiences of loss, look for patterns, and create a forum for continuing our stories in a new way. Identified as a disenfranchised loss (Wray, 2003) adult siblings are often seen as the least impacted family member when a sibling dies. After such a death, the concern is first directed toward the grieving spouse and children and then the deceased’s parents. Adult siblings are often expected to be a source of strength and support for others. Through in-depth interviews and story telling, three participants shared their reflections of, first, living with and, then, living without beloved siblings. Their stories of loss and love are captured both with words and visually through photographs. My stories are woven throughout the text as I reflect upon my grief journey and ongoing search for meaning. Findings of this research offer a glimpse into the profound depth of this loss and some of the unique challenges faced by bereaved adult siblings. All participants experienced strained dynamics within families of origin as members grieved the loss differently. Elderly parents, in particular, were hesitant to speak of their deceased child, setting a tone of silence within the family. To help “protect” parents from further grief, participants gradually stopped talking about deceased siblings in their presence. Relationships with surviving siblings were also strained as roles were reformed. For the three women participants, passing years did not lessen the emptiness of the loss. The pain was rekindled with each passing family milestone. All of us were changed by this experience. Sharing stories with an interested listener created another avenue for meaning making and a new way to honour and memorialize our lost siblings. Each of us moved to new understandings about ourselves and our relationships with our deceased siblings, naming the experience as transformative on many levels. Hopefully this study will serve as support for other grieving adult siblings and contribute to furthering research in grief and bereavement.

This qualitative research project is a narrative inquiry into the lives of four bereaved siblings; one is myself. The purpose of the project was to explore our mutual experiences of loss, look for patterns, and create a forum for continuing our stories in a new way. Identified as a disenfranchised loss (Wray, 2003) adult siblings are often seen as the least impacted family member when a sibling dies. After such a death, the concern is first directed toward the grieving spouse and children and then the deceased’s parents. Adult siblings are often expected to be a source of strength and support for others. Through in-depth interviews and story telling, three participants shared their reflections of, first, living with and, then, living without beloved siblings. Their stories of loss and love are captured both with words and visually through photographs. My stories are woven throughout the text as I reflect upon my grief journey and ongoing search for meaning. Findings of this research offer a glimpse into the profound depth of this loss and some of the unique challenges faced by bereaved adult siblings. All participants experienced strained dynamics within families of origin as members grieved the loss differently. Elderly parents, in particular, were hesitant to speak of their deceased child, setting a tone of silence within the family. To help “protect” parents from further grief, participants gradually stopped talking about deceased siblings in their presence. Relationships with surviving siblings were also strained as roles were reformed. For the three women participants, passing years did not lessen the emptiness of the loss. The pain was rekindled with each passing family milestone. All of us were changed by this experience. Sharing stories with an interested listener created another avenue for meaning making and a new way to honour and memorialize our lost siblings. Each of us moved to new understandings about ourselves and our relationships with our deceased siblings, naming the experience as transformative on many levels. Hopefully this study will serve as support for other grieving adult siblings and contribute to furthering research in grief and bereavement.

A central goal of this study is to better understand why some mothers become unresolved with respect to experiences of loss whereas others do not. Adults are considered to be unresolved with respect to loss if they display signs of mental disorganization while discussing an attachment-related loss due to death – for example, talking in the present tense about a deceased person as if the person is still alive (Main, Goldwyn, & Hesse, 2002). Studies have accumulated documenting the negative consequences of being unresolved. Researchers have linked unresolved attachment to frightened/frightening maternal behavior (Jacobvitz, Leon, & Hazen, 2006), drug/alcohol abuse (Riggs & Jacobvitz, 2002), and other Axis I and II disorders (Ward, Lee, & Polan, 2006; Fonagy et al., 1996); as well as anxiety, anger, (Busch, Cowan, & Cowan, 2008) and controlling behavior (Creasey, 2002) in romantic relationships. Less is known about the conditions under which a person becomes unresolved. This study will be one of the first to examine the comprehensive effects of several risk factors known to influence a person’s ability to resolve a loss including kinship, cause of death, and suddenness as well as primary attachment pattern. Other factors included in this study are social support and lifestyle changes. Although attachment theory provides a thorough explanation for an individual’s inability to resolve a loss, it is only one of many theoretical explanations of this phenomenon (Rando, 1993). One theory that is conceptually similar to unresolved loss is the theory of complicated grief, the process of painful searching and yearning for a deceased person (Prigerson et al., 1995b). Like those who study unresolved loss, complicated grief researchers are still seeking to understand what factors can predict whether an individual will experience prolonged symptoms of grief (van der Houwen et al., 2010). Also similar to unresolved loss, complicated grief involves irregular patterns of mental processes following a loss; however, complicated grief seems to be a conscious process, whereas unresolved loss has non-conscious components. Hence, this dissertation also examined whether complicated grief was related to unresolved loss and, if so, whether the origins for complicated grief were similar to unresolved loss. / text

The current report reviews the literature on grief manifestations in children. Definitions of grief terminology and current models of adult grief are covered to give the reader a foundational knowledge on grief. Unique manifestations of grief, developmental needs, and tasks for reconciliation with children are explored. Finally, a sampling of current interventions used with bereaved children is included. / text