Thesis (MPhil)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: This study explores the needs of sibling-bereaved adolescents in high schools in the Western Cape, South Africa. A grounded theory approach was used to examine unexpected sibling bereavement with specific focus on participant perceptions and experiences regarding support provided by their high school. Interviews and focus groups were conducted with siblings who were in high school when their brother or sister died suddenly. An argument is developed for why high schools need insight into effective ways of supporting sibling-bereaved adolescents as they attempt to fit in and function at school. As this study was conducted in a multi-language environment, attention is given to the differing abilities of adolescents to articulate their bereavement experience. The effectiveness of focus groups with this population and the importance of providing psycho-education support during the interviewing process are emphasised. The scarcity of studies on adolescent bereavement in South Africa can be attributed to a combination of the emotional painfulness of the subject for adolescents and gatekeeping by school personnel and parents. Understandably, concerns about disclosure and fresh trauma/grief triggering may be given precedence over research. Themes grounded in the data uncovered a psychosocial journey involving disruption, transition and changed self. Bereaved siblings felt singled out as different from their peers when they return to school. Hence discreet acknowledgement and disclosure of the death is important to them. A key finding is that accomplishment plays a significant role in boosting the flagging morale of bereaved adolescents. Accomplishment aids their inviduation and stimulates them to regain interest in their own life goals. While individual teachers and other school personnel were considered helpful, there was an absence of a structured plan of support for bereaved adolescents in the schools examined. Attachment theory foregrounded an explanation of why the loss of a sibling during adolescence can have a lasting influence on the future of those left behind. Most adolescents in the study evidenced a desire for an on-going connection with their sibling who died while they simultaneously took on new roles to try and fill the void created by their death. Findings from this study are intended to provide richer insight into the complexity of adolescent sibling bereavement and may also serve to inform educational and health care interventions for bereaved learners in South Africa. / AFRIKAANSE OPSOMMING: Hierdie studie verken die behoeftes van adolessente in hoërskole in die Wes-Kaap, Suid-Afrika, ná die verlies van ’n broer of suster. ’n Gegronde-teorie-benadering is gebruik om ondersoek in te stel na adolessente wat onverwags ’n broer of suster verloor het, met bepaalde klem op deelnemers se opvattings oor, en ervarings van, die steun wat hulle van hul onderskeie hoërskole ontvang het. Onderhoude en fokusgroepe is dus gehou met adolessente wat op hoërskool was toe hul broer of suster skielik gesterf het. Die studie beredeneer waarom hoërskole insig moet hê in die doeltreffende ondersteuning van adolessente wat ’n broer of suster aan die dood moes afstaan, namate hulle weer op skool probeer inpas en funksioneer. Aangesien hierdie studie in ’n meertalige omgewing uitgevoer is, word adolessente se wisselende vermoëns om hul ervaring van verlies te verwoord, in ag geneem. Die doeltreffendheid van fokusgroepe met hierdie populasie, sowel as die belang van psigo-opvoedkundige steun gedurende die onderhoudproses, word beklemtoon. Die seldsaamheid van Suid-Afrikaanse studies oor adolessente wat broers of susters verloor, kan toegeskryf word aan ’n kombinasie van die emosionele pyn wat die onderwerp by adolessente oproep, en skoolpersoneel en ouers wat adolessente teen sodanige navorsing beskerm. Uiteraard is dit te verstane dat kommer oor openbaarmaking en die vars trauma/hartseer wat dit kan ontlok, dikwels voorrang kry bo navorsing. Die temas wat in die data vasgelê was, bring ’n psigososiale reis van ontwrigting, oorgang en verandering van die self aan die lig. Adolessente wat broers of susters aan die dood moes afstaan, het met hul terugkeer skool toe uitgesonder en anders as hul portuur gevoel. Dus is oordeelkundige erkenning en openbaarmaking van die sterfgeval vir hulle belangrik. Een van die belangrikste bevindinge is dat prestasie ’n beduidende rol speel om die verswakte moreel van sodanige adolessente ’n hupstoot te gee. Prestasie help met hulle individuasie, en stimuleer hulle om opnuut in hul eie lewensdoelwitte belang te stel. Hoewel individuele onderwysers en ander skoolpersoneel as tegemoetkomend beskou is, was daar geen gestruktureerde ondersteuningsplan vir die adolessente in die betrokke skole nie. Die gehegtheidsteorie doen ’n verklaring aan die hand van waarom die verlies van ’n broer of suster gedurende adolessensie ’n blywende invloed kan hê op die toekoms van die kinders wat agterbly. Die meeste adolessente in die studie het ’n begeerte getoon na ’n voortgesette band met hul oorlede broer of suster, terwyl hu lle terselfdertyd nuwe rolle aanvaar het om die leemte van die oorledene te probeer vul. Bevindinge uit hierdie studie is bedoel om dieper insig te bied in die kompleksiteit van adolessente wat broers of susters verloor, en kan ook opvoedkundige en gesondheidsorgintervensies vir sodanige leerders in Suid-Afrika rig.

Varje dag förlorar åtta barn en förälder i Sverige. En större del av dem bevittnar detta efter en förälders sjukdom och kanske en kontakt med palliativ sjukvård. 2010 kom en ny lagändring i Hälso- och sjukvårdslagen som kräver att sjukvården särskilt ska beakta barnens behov av råd, stöd och information i samband med en förälders sjukdom eller om en förälder avlider. Det förekommer kunskapsbrister om hur läget kring stöd för barn som har förlorat en förälder ser ut. Syftet med uppsatsen är att undersöka hur kuratorer inom palliativ sjukvård upplever sitt arbete med stöd till barn i samband med en förälders död. I en kvalitativ intervjustudie med fyra kuratorer som jobbar inom palliativ sjukvård kom det fram att de upplever sin roll i arbetet som bestående av många olika moment. Kuratorerna uppmärksammar barnet i dess sociala sammanhang, till exempel familj och skola och försöker se till att stödet därifrån fungerar. Detta görs genom att till exempel ge föräldrastöd till föräldrarna och att försöka informera föräldrarna att det gynnar barnens utveckling att de görs delaktiga och informeras. Att hänvisa till vidare kontakter som gruppverksamheter för barn i sorg eller dylikt är också en viktig del av kuratorers arbete. Kuratorernas arbete präglas av ett systemteoretiskt förhållningssätt/en helhetssyn vilket kan vara ett sätt att handskas med den komplexitet som arbetsuppgifterna innebär: att uppmärksamma barnens men även familjens behov i olika sammanhang och på olika nivåer. Vissa problemområden, till exempel motsättningen mellan barnens behov av information/delaktighet och föräldrars rätt att bestämma över sina barn har identifierats och inbjuder till vidare diskussion. / Eight children loose one of their parents every day in Sweden. The bigger part of them witness the death of the parent after a long-term illness and maybe after being in contact with the palliative care. The Swedish law of Health- and Healthcare was changed in 2010 due to emphasize that the healthcare institutions have to take into account children rights for information, counseling and support in case of a parental illness or death.  Knowledge about how the system of support for these children is functioning is limited until this day. The goal of this thesis is to examine how counselors in the palliative care experience their work with supporting the children who have lost a parent. The result of the interview study with four counselors in the palliative care implies that these counselors experience their job being complex with many different tasks. The counselors try to take into account the children and their needs in their social environments, such as family and school. To reassure that they get the support needed from these environments the counselors try to support the parents in their parenting and also by informing the parents that informing and including the children in these situations has a positive impact on their development. Another important part of the counselors’ job is referring the children to different support groups or another alternatives for support. The counselors job is characterized by the system theoretical/holistic approach which possibly can by explained as a way to work with children but even parental needs in different social environments and on different levels. Some new problematic issues arose from the interviews, such as the contradictive relationship between the children rights to information and support and the rights of the parents to decide for their children, which invites to further discussion and research in the area.

The dissertation discusses theis sues of psycho-socio-spiritual care of midwives for a woman after perinatal loss and is mainly focused on interventions that help building an attitude towards perinatal loss (farewell rituals with a baby, collection of mementos) and their influence on grieving process of women after perinatal loss. The objective of the empirical part of the study was to thoroughly describe the experiences of Czech women with parting with a child after perinatal death and investigate the impact of this experience on the grieving process after the perinatal loss. Thesub-objective of the thesis was to validate the Czech version of the Perinatal Grief Scale. We used a mixed methods research design to fulfill the dissertation's objectives. The analyses of qualitative and quantitative data were performed separately and integrated during the interpretation of research findings. The study sample comprised of total 102 women who experienced perinatal loss. The detailed description of experience of Czech women with interventions related to parting with the deceased child was dominated by the decision making process of women about farewell rituals (seeing and holding the baby, receive mementos of it). The key factors that influenced the decision making process were classified as internal (the need of the woman to get to know her child, doubt and fear of contact) and external (emotional support, information provided and a relationship with the midwife/ attending doctor) during our research. The research proved a significant influence of the independent decision of the woman about the contact with her deceased child on the intensity of grief. Grief of women who decided on their own and were confident about their decision was statistically less severe than grief of women whose decision was made by the medical personnel instead. We were checking the intensity of grief of women after perinatal loss using the newly validated Perinatal Grief Scale instrument that can be used as a single factor scale in the Czech Republic. Reliability of the research instrument was established using Cronbach alpha coefficient (? = 0.9545) and indicated high reliability. The outcomes of the mixed research point towards necessary changes in the psycho-social care of midwives for women after perinatal loss.

At Resuscitation Units and Intensive Care Units nurses face the issue of dying and death every day. Very often they are in contact with the dying and their immediate family and they are expected to have professional approach and provide comprehensive care. Stress that the nurses experience in these situations results into mental, emotional and physical exhaustion, and can be manifested by psychosomatic problems. Preparation of nurses to these situations and support of their management is therefore a key factor for the management of this demanding profession. The theoretical part of the thesis contains a description of the current state of the issue, characterizes resuscitation and intensive care, and deals with the issue of death and dying in Resuscitation Units nad Intensive Care Units, managing situations associated with death and the support of nurses in these situations. The work has four goals. The first objective is to determine what method of preparation of nurses is in practice ensured in Resuscitation Units and Intensive Care Units for the performance of high-quality nursing care for dying patients. Another objective is to determine whether and how the nurses are prepared and trained in the field of management of situations connected with the death of a patient in Resuscitation Units and Intensive Care Units. The third objective is, whether there is and what is the form of assistance to nurses in RU and ICU provided by the team and the management of the Department in case of deaths of patients, and the fourth objective is to determine what form and manner of support nurses expect and require. Research part of the thesis was carried out by quantitative investigation using an anonymous questionnaire. Respondents were answering 38 questions, 13 questions were closed, 21 half open and 4 were open. The support is most frequently understood as a psychological support, good teamwork, communication, supervision and representation where necessary. Management is expected primarily to provide support through education, ensuring supervision, corresponding financial support and professional psychological assistance where necessary. On the basis of this work?s results a proposal for the course for paramedical professions working in RS and ICU called ?Course of the Strategy of Difficult Situations Management in the Care for the Dying and Their Close Family in Intensive and Urgent Care?, was made.

Ce mémoire vise à explorer les besoins de formation continue des travailleurs sociaux pouvant intervenir auprès des endeuillés. Il s’agit de mieux comprendre les besoins de formation continue concernant les pertes, le deuil et l’accompagnement des endeuillés. Se situant dans une perspective qualitative exploratoire, six travailleurs sociaux et agents de relations humaines du Centre intégré de la santé et des services sociaux (CISSS) de Lanaudière ont participé à des entrevues semi-dirigées. De plus, une analyse documentaire des formations continues offertes sur le deuil et inscrites au catalogue de l’Ordre des travailleurs sociaux, thérapeutes conjugaux et familiaux du Québec (OTSTCFQ) a été réalisée. Nous avons utilisé un cadre d’analyse intégrateur s’inspirant de plusieurs concepts clés (la formation continue, la motivation, le développement professionnel, le contexte organisationnel, les savoirs) et du modèle d’analyse des besoins de formation ressentis de Labesse (2008) afin d’analyser nos résultats de recherche. Avec une analyse de contenu thématique, ce modèle a permis de mieux comprendre les besoins de formation continue des travailleurs sociaux pouvant intervenir auprès des endeuillés. Cette recherche a aussi permis d’examiner les formations continues actuellement offertes et de déterminer la concordance entre ces dernières et les besoins identifiés par les participants. / This thesis aims to explore the continuing training needs of social workers who may intervene with bereaved persons. Its goal is to better understand the continuing education needs regarding loss, mourning and bereavement support. From a qualitative exploratory perspective, six social workers and human relations agents within the Integrated Health and Social Services Centres (IHSSC) of Lanaudière participated in semi-structured interviews. In addition, an in-depth textual analysis of bereavement-related continuing education courses listed within the Order of Social Workers, Marriage and Family Therapists of Quebec (OTSTCFQ) catalogue was carried out. An integrative analytical framework was used, inspired by several key concepts (continuing education, motivation, professional development, organizational context, knowledge) and an analytical model related to perceived training needs (Labesse, 2008) was used to analyze collected data. Through thematic content analysis, this model made it possible to better understand the ongoing training needs of social workers who may provide services for bereaved persons. The research results also allowed us to review the current continuing education training offered and helped determine the degree to which these trainings met the needs identified by participants.

ENGLISH: This study looks at the bereavement of adolescents left orphaned by and vulnerable to the HIV and Aids crisis that is crippling the continent of Africa. Their bereavement and the psycho-spiritual issues relating to this bereavement are examined by means of postfoundationalism as an approach to practical theology along with the narrative approach to research and therapy. This is done by integrating these approaches with the art of storytelling within the unique African context. By listening to the stories of ten adolescents under the care of PEN, a Non Governmental Organisation (NGO), this research gives them the opportunity to express their own unique stories of bereavement. Stories that would otherwise have been silenced by the wave of bereavement in the wake of countless deaths worldwide due to the HIV and Aids infection. It looks holistically at the multiple losses these adolescents have suffered and consequently how this has affected them not only physically, but also especially emotionally and spiritually. In light of the above, this research attempts to show how these adolescents are in the process of – by means of storytelling – reformulating the story of their lives and the lives of those they care about in the true spirit of Ubuntu to find hope anew in the proverbial pot of gold at the end of the rainbow. AFRIKAANS: Hierdie studie fokus op die verlies wat tieners ervaar wat wees gelaat is deur die MIV en Vigs pandemie wat besig is om die vasteland van Afrika te verlam. Hulle rousmart en die gepaardgaande psigies-spirituele aangeleenthede word ondersoek deur middel van die postfondamentele benadering tot praktiese teologie in samehang met die narratiewe benadering tot navorsing en terapie. Dit word gedoen deur die integrasie van hierdie benaderings met die vertelkuns binne die unieke Afrika konteks. Deur te luister na die stories van tien tieners onder die sorg van PEN, ‘n Nie- Regeringsorganisasie (NRO), gun hierdie navorsing hulle die geleentheid om hul eie unieke stories van smart te vertel. Stories wat andersins verlore sou gegaan het in die golf van verlies wat volg op die ontelbare getal sterftes wêreldwyd as gevolg van MIV en Vigs besetting. Daar word holisties gekyk na die veelvoudige verliese wat hierdie tieners beleef het en gevolglik hoe dit hulle nie net fisies nie, maar ook emosioneel en geestelik beïnvloed. Asook hoe hulle in staat is om – deur die gebruikmaking van stories – hul lewensstorie te hervertel asook die lewens van diegene naby aan hulle, in die ware gees van Ubuntu, om nuwe hoop in die spreekwoordelike pot goud aan die einde van die reënboog te vind. SEPEDI: Dinyakišišo tše di lebelela go hlokofalelwa ga bana ba mahlalagading bao ba tlogetšwego e le ditšhiwana le go ba kotsing ya mathata a HIV le Aids yeo e golofatšago khonthinente ya Afrika. Go hlokofalelwa le ditaba tša bona tša monagano le tša semoya tše di amanago le go hlokofalelwa mo di hlahlobja ka go šomiša post-foundationalism bjalo ka mokgwa wa Tiragatšo ya Thutabodumedi gammogo le mokgwakanegelo wa dinyakišišo le kalafo. Se se dirwa ka go kopanya mekgwa ye ka bokgabo bja go anega kanegelo ka tikologong ya Seafrika ye e swanago e nnoši. Ka go theeletša dikanegelo tša bana ba mahlalagading ba lesome bao ba lego ka fase ga tlhokomelo ya PEN, Mokgatlo wo e Sego wa Semmušo (NGO), dinyakišišo tše di ba fa sebaka sa go anega dikanegelo tša bona tša go hlokofalelwa tše di swanago di nnoši. Dikanegelo tše di ka bego di ile tša homotšwa ke leuba la go hlokofalelwa ka lebaka la mahu a mantši lefaseng ka bophara ka lebaka la bolwetši bja HIV le Aids. Di lebelela ka botlalo go hlokofala ga batho ba bantši mo go dirilego gore bana ba ba mahlalagading ba be le mathata le ka moo se se ba amilego e sego fela mmeleng, eupša maikutlong le meboyeng ya bona. Ka lebaka le, dinyakišišo tše di leka go bontšha ka moo bana ba ba mahlalagading ba lego gare ka tshepedišo ya – ka go šomiša go anega dikanegelo – go beakanya lefsa kanegelo ya maphelo a bona le maphelo a bao ba kgathalago ka bona ka moya wa mmakgonthe wa Botho (Ubuntu) go hwetša kholofelo ye mpsha ka pitšeng ya gauta ye e lego mafelelong a molalatladi ye go bolelwago ka yona ka se. / AFRIKAANS: Hierdie studie fokus op die verlies wat tieners ervaar wat wees gelaat is deur die MIV en Vigs pandemie wat besig is om die vasteland van Afrika te verlam. Hulle rousmart en die gepaardgaande psigies-spirituele aangeleenthede word ondersoek deur middel van die postfondamentele benadering tot praktiese teologie in samehang met die narratiewe benadering tot navorsing en terapie. Dit word gedoen deur die integrasie van hierdie benaderings met die vertelkuns binne die unieke Afrika konteks. Deur te luister na die stories van tien tieners onder die sorg van PEN, ‘n Nie- Regeringsorganisasie (NRO), gun hierdie navorsing hulle die geleentheid om hul eie unieke stories van smart te vertel. Stories wat andersins verlore sou gegaan het in die golf van verlies wat volg op die ontelbare getal sterftes wêreldwyd as gevolg van MIV en Vigs besetting. Daar word holisties gekyk na die veelvoudige verliese wat hierdie tieners beleef het en gevolglik hoe dit hulle nie net fisies nie, maar ook emosioneel en geestelik beïnvloed. Asook hoe hulle in staat is om – deur die gebruikmaking van stories – hul lewensstorie te hervertel asook die lewens van diegene naby aan hulle, in die ware gees van Ubuntu, om nuwe hoop in die spreekwoordelike pot goud aan die einde van die reënboog te vind. SEPEDI: Dinyakišišo tše di lebelela go hlokofalelwa ga bana ba mahlalagading bao ba tlogetšwego e le ditšhiwana le go ba kotsing ya mathata a HIV le Aids yeo e golofatšago khonthinente ya Afrika. Go hlokofalelwa le ditaba tša bona tša monagano le tša semoya tše di amanago le go hlokofalelwa mo di hlahlobja ka go šomiša post-foundationalism bjalo ka mokgwa wa Tiragatšo ya Thutabodumedi gammogo le mokgwakanegelo wa dinyakišišo le kalafo. Se se dirwa ka go kopanya mekgwa ye ka bokgabo bja go anega kanegelo ka tikologong ya Seafrika ye e swanago e nnoši. Ka go theeletša dikanegelo tša bana ba mahlalagading ba lesome bao ba lego ka fase ga tlhokomelo ya PEN, Mokgatlo wo e Sego wa Semmušo (NGO), dinyakišišo tše di ba fa sebaka sa go anega dikanegelo tša bona tša go hlokofalelwa tše di swanago di nnoši. Dikanegelo tše di ka bego di ile tša homotšwa ke leuba la go hlokofalelwa ka lebaka la mahu a mantši lefaseng ka bophara ka lebaka la bolwetši bja HIV le Aids. Di lebelela ka botlalo go hlokofala ga batho ba bantši mo go dirilego gore bana ba ba mahlalagading ba be le mathata le ka moo se se ba amilego e sego fela mmeleng, eupša maikutlong le meboyeng ya bona. Ka lebaka le, dinyakišišo tše di leka go bontšha ka moo bana ba ba mahlalagading ba lego gare ka tshepedišo ya – ka go šomiša go anega dikanegelo – go beakanya lefsa kanegelo ya maphelo a bona le maphelo a bao ba kgathalago ka bona ka moya wa mmakgonthe wa Botho (Ubuntu) go hwetša kholofelo ye mpsha ka pitšeng ya gauta ye e lego mafelelong a molalatladi ye go bolelwago ka yona ka se. / SEPEDI: Dinyakišišo tše di lebelela go hlokofalelwa ga bana ba mahlalagading bao ba tlogetšwego e le ditšhiwana le go ba kotsing ya mathata a HIV le Aids yeo e golofatšago khonthinente ya Afrika. Go hlokofalelwa le ditaba tša bona tša monagano le tša semoya tše di amanago le go hlokofalelwa mo di hlahlobja ka go šomiša post-foundationalism bjalo ka mokgwa wa Tiragatšo ya Thutabodumedi gammogo le mokgwakanegelo wa dinyakišišo le kalafo. Se se dirwa ka go kopanya mekgwa ye ka bokgabo bja go anega kanegelo ka tikologong ya Seafrika ye e swanago e nnoši. Ka go theeletša dikanegelo tša bana ba mahlalagading ba lesome bao ba lego ka fase ga tlhokomelo ya PEN, Mokgatlo wo e Sego wa Semmušo (NGO), dinyakišišo tše di ba fa sebaka sa go anega dikanegelo tša bona tša go hlokofalelwa tše di swanago di nnoši. Dikanegelo tše di ka bego di ile tša homotšwa ke leuba la go hlokofalelwa ka lebaka la mahu a mantši lefaseng ka bophara ka lebaka la bolwetši bja HIV le Aids. Di lebelela ka botlalo go hlokofala ga batho ba bantši mo go dirilego gore bana ba ba mahlalagading ba be le mathata le ka moo se se ba amilego e sego fela mmeleng, eupša maikutlong le meboyeng ya bona. Ka lebaka le, dinyakišišo tše di leka go bontšha ka moo bana ba ba mahlalagading ba lego gare ka tshepedišo ya – ka go šomiša go anega dikanegelo – go beakanya lefsa kanegelo ya maphelo a bona le maphelo a bao ba kgathalago ka bona ka moya wa mmakgonthe wa Botho (Ubuntu) go hwetša kholofelo ye mpsha ka pitšeng ya gauta ye e lego mafelelong a molalatladi ye go bolelwago ka yona ka se. / Thesis (PhD)--University of Pretoria, 2010. / Practical Theology / unrestricted

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This essay investigates themes and theologies in Requiem: Mute the Bereaved Memories Speakusing a modified version of Material, Moral, Mysterious as presented in God's Song and Music's Meanings: Theology, Liturgy, and Musicology in Dialogue by James Hawkey, Ben Quash and Vernon White (2020). The analysis highlights the central themes victim/perpetrator and the Holocaust as well as sub-themes such as the game, Mary Had a Little Lamb and the sorrow of the children. The theologies found through the analysis are centred around belonging, longing, nothingness, and redemption. These theologies relate and reacts to the Holocaust as well as the existential state of being a human.

Text in Afrikaans / Rituals are part of our everyday life and are usually performed unconsciously. In this dissertation rituals are used consciously, within a therapeutic context, with the purpose to facilitate healing and growth. The aim of the research is to focus the readers' attention on the therapeutic potential of rituals and its value as an intervention strategy. The study concentrates on the grieving process. The researcher therefore specifically wants to show how rituals are used during grief counselling. The following research problem was investigated in the study: "What is the attitude, opinion and knowledge of professional caregivers concerning the use of rituals as a therapeutic tool during grief counselling?" Out of the research data the following hypothesis was formulated: - To grief over a loss is essential. Because of the basic properties and remedial functions of rituals, rituals can be a valuable therapeutic tool in the facilitation of this process. - There is an inherent connection between professional caregivers' attitudes, opinions and knowledge of therapeutic rituals and the regular and effective use of them during grief counselling. - The use of rituals during grief counselling is only one component in the comprehensive pastoral care of the bereaved. / Practical theology / M.Th.

Text in Afrikaans / Rituals are part of our everyday life and are usually performed unconsciously. In this dissertation rituals are used consciously, within a therapeutic context, with the purpose to facilitate healing and growth. The aim of the research is to focus the readers' attention on the therapeutic potential of rituals and its value as an intervention strategy. The study concentrates on the grieving process. The researcher therefore specifically wants to show how rituals are used during grief counselling. The following research problem was investigated in the study: "What is the attitude, opinion and knowledge of professional caregivers concerning the use of rituals as a therapeutic tool during grief counselling?" Out of the research data the following hypothesis was formulated: - To grief over a loss is essential. Because of the basic properties and remedial functions of rituals, rituals can be a valuable therapeutic tool in the facilitation of this process. - There is an inherent connection between professional caregivers' attitudes, opinions and knowledge of therapeutic rituals and the regular and effective use of them during grief counselling. - The use of rituals during grief counselling is only one component in the comprehensive pastoral care of the bereaved. / Practical theology / M.Th.