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Good
Grieving by Dr. Chris Diggle All Saints Service of Remembrance Sunday 7th November 2004. In the last few decades, there has been a ‘progression of understanding’ of what actually happens when people are grieving. This has resulted from the findings of research workers – whose new insights into the process of grieving – have led to the development of a series of “models of the grieving process”. The
providers of counseling have drawn on these models to inform the advice
and guidance they offer to grieving people. The
conventional understanding of what is happening in grieving has changed so
much over these decades that the current goals of counseling appear to
have swung through 180
degrees – from the former goal of working towards being able to ‘say
an effective goodbye’ to departed loved-ones - to the more usual goal,
nowadays, of helping people to find healthy ways of maintaining a ongoing
sense of ‘connectedness’ with them. So
what were the steps in this progression?
Elisabeth Kubler-Ross provides a starting point. She was a Swiss researcher – who in the 1960’s and 70’s observed that grieving people displayed a range of differing responses during their grieving experiences. She identified four recognisable patterns of behaviour, which occurred predictably for different people. These were ·
disbelief, ·
bargaining, ·
anger ·
and acceptance. Incidentally
Elisabeth Kubler Ross’ own death occurred just two months ago and she is
reported to be one of the few people who really looked forward to the
event with some relish – as she expressed a keen interest (having
contributed to the theory) in experiencing some of the practicalities of
the process for herself! The model of grieving that was constructed from her theories – postulated that people progressed through these features of grieving in a sequential fashion with acceptance being seen as a desirable conclusion. Dysfunctional grief was explained as a person being ‘stuck’ in one of the earlier phases. The catch phrase of someone being “stuck in denial” arises from this model of counseling. (For example: Queen Victoria’s long, drawn-out, early phase of mourning for Albert can be explained in these terms) The
next significant development in the ‘theorising about grieving’ arose
when researchers observed that these postulated stages of grieving were not
as neatly ordered as had been thought. In fact many grieving people
were found to exhibit all the four key behaviours – denial, bargaining,
anger and acceptance – sometimes all in the space of one day! So the
search went on for a better model of grieving. A
model proposing a series of significant tasks of grieving (to be addressed
and achieved by the bereaved person) was the next to evolve. These tasks
were listed as ·
First -
accepting the reality of the loss ·
Second - working
through the pain of grief ·
Third -
adjusting to the environment from which the deceased is missing ·
And fourth -
emotionally relocating the deceased - and moving on with life. This
model had much to recommend it – it provided a helpful framework for
counseling in which the bereaved person could be guided through ‘a
sequence of defined tasks’. A
comparison with wound healing was viewed as an appealing parallel for this
model. In wound healing a sequential set of conditions needs to be met to
allow for optimum outcome. A scar will always result – but the better
the conditions provided in which healing can occur – then, the healthier
and stronger the scar. And so with grief – the more effectively each of
tasks was attended to - then the better would be the - ‘recovery’. Later
researchers asked the question: But is this really what happens in grief?
Can we really talk about “recovery” – as from an illness? When you
ask about whether someone has truly, fully recovered from grieving, it is
actually like asking: “How high is up?”
These researchers questioned the apparent goal of the earlier
models to achieve a sense of completion (or “closure”) for the
grieving process – a reaching of a point of letting go - or “saying
good bye”. They
asked – is that really what people do? And the answer was NO – if
fact, what we all do – each in our own different and special ways - is
to find a healthy way of remembering our deceased loved one. And,
it turns out, a more useful measure of a grieving process having reached a
healthy stage of “recovery” occurs when the loved one can be mentioned
in conversation with the grieving person without that reference causing an
uncomfortable “tugging at the emotions”. This
is the stage when the inclusion of references to the deceased person in
everyday conversation is seen as natural and normal -and even expected -
and in this way, the memory of the deceased person is kept alive. Here
is an example of how one family found a healthy and effective way to do
this: The
teenaged son in this family had the nickname ‘Bumblebee”. The name
arose from a time in his infancy when he had worn a black and yellow,
bumblebee-striped dressing gown suit, which his mother had obtained
through a mail order. The
boy’s death happened, suddenly, when in he was in his late teens. When
it came time for the family to set off from home, in their car, to go to
the funeral … the boy’s father couldn’t be found. The family members
found him in his son’s bedroom – fixedly watching the movements of a
bumblebee, which had entered and stayed in the boy’s room. Each of them
was deeply touched and bumblebee insects in general came to symbolise
something of the spirit of their departed son and brother. Further
reinforcement came, when they later received an awed phone call, from the
boy’s aunt. She had been in the act of writing to her grieving sister
(the dead boy’s mother) when a bumblebee alighted on the windowsill
opposite her. She had spoken to it in semi- seriousness way: “Now,
little bumble bee, I’ve begun to have had enough of this nonsense – if
you really are the spirit of my nephew – raise you left rear leg”.
Which the tiny creature duly did! The
symbolism became more strongly accepted within the family after that. It
even extended beyond the family – for the boy’s friends developed a
practice of bringing bumblebee ornaments as gifts for his mother whenever
they visited the home. No doubt these items eased the conversations on
those occasions and now all the people who knew him are helped by the
presence of reminders which act as natural prompts to conversations about
their own departed “Bumblebee” [As
an aside: This story was shared, by the boy’s mother, at an annual
Hospice remembrance service a few years ago. After the service a few of
the staff members privately shared their new resolve to never squash
another bumblebee!!] And
we can all of us find special ways of remembering departed loved ones. In
our own family my wife’s father, who died 12 years ago, is kept fresh in
our memories through his own quaint sayings. He referred to me as his favourite
son in law – quite true – for I was also his only son in law!
And at the conclusion of meals – if there didn’t happen to be a
prepared dessert – he would collect the fruit bowl and offer it saying
“Fresh fruit in season?” He had been a military man and when the phone
rang he would cry out “Signals!” – and appropriate action followed.
We continue to repeat these sayings at similar moments – and in doing
so, remember Peter with smiles. Returning to serious subjects again, it can be helpful to distinguish between grief and depression. These two states have similarities – and a key difference.Depression
is seen, nowadays, very much as an illness – for a chemical depletion in
the nerve endings in the brain has been shown to be associated with the
state of depression. These
Chemical substances are needed to carry messages from one ‘living
wire’ to another and when they are in short supply all the “slowed
up” features of depression are present. Replacement medication is
effective in restoring functioning but it takes several days for the
replenishment to occur as the replacement chemicals “seep in”. The importance of having ‘accompanying counseling’ for sufferers of depression cannot be understated – for it is essential to analyse and attend to remedying – the psychological factors leading up to the onset of the depression – in order to try to avoid recurrences. There
are 3 key features present in persons in a state of depression. 1)
Early morning waking. 2)
A lowered mood in all circumstances 3)
A loss of productivity and achievementThe main difference between grief
and depression is the last of these 3 features. In both states we are sad
and sleep is disturbed – but in grief, we can keep on working –
whilst in depression, progressively, we cannot. When
grief is prolonged and dysfunctional it can become complicated by
depression as the person’s reserves of resilience are depleted So,
returning to grief – it is
remarkable to observe that the research findings of the last 40 years have
led to a turnaround in the goals of grief counseling from that of
‘achieving closure’ and ‘saying good bye’ - to the present one -
of finding ways of maintaining a sense of connectedness with our departed
loved ones. This
has brought the secular ‘scientifically derived’ approach much more
into line with the wisdom that has long informed Christians: that death is
not to be feared as finality – but rather able to be accepted with the
assurance that it is, instead, the transition into a different state of
existence – one where we enter into a closer communion with God. We have heard the words of that assurance in our readings tonight. It is an assurance brought about through the actions of Christ, – and it acts as a source of great comfort to bereaved believers. In my
work in the Hospice Service there have been many occasions where the
presence of this comforting effect has been apparent. You can sense it in
the rooms where a whole family is calmed and strengthened by their shared
faith - even though they are gathered round the bed of their dying loved
one. The atmosphere of serenity – in the face of deep sadness - can be
amazing. Certainly the dying person surrounded by such support invariably
needs much less in the way of anxiety-relieving medication than would
otherwise be the case. Such situations are a powerful reminder of the
psalmist’s words – for although such a family is traveling into
the valley of the shadow of death – yet there is an absence of fear –
for the Lord is with them. There was
a wonderful expression of the comfort flowing from Christ’s assurance,
made by the Reverend Peter Marshall – a Scot – who became chaplain to
the United States House of Representatives in the 1950’s. In that role,
he was asked to address a graduating class at a military academy. Everyone
was aware that the graduates would soon be engaged in the battles in
Korea. In the anteroom just before giving his address Peter Marshall
stopped and explained to the commandant, who was about to introduce him,
that he felt his prepared speech was not right for the occasion – and
that he would, instead, speak from the heart. He looked
out over the sea of young faces and spoke directly of the situation they
faced and the fear he knew they must be facing. He asked them to cast
their minds back to when they were children. “Do you
remember being allowed to stay up late and falling asleep in the family
lounge – maybe in your parent’s arms? And do you remember waking up,
warm, comfortable and peaceful in your own bed and yet being puzzled about
how you got there. Then you learnt that it was your loving parent who had
carried you gently from one room to the other.” He concluded his address
saying: “And I believe that is what death is like – our loving
heavenly parent carrying us, with tender care, from one room to
another.” I would
like to conclude with a prayer for us all. It is part of a prayer that
sustains me very much in the day to day Hospice work. It is from the
prayer of St Francis: Loving
Lord, Please
make us instruments of Your peace. May we
seek not so much to be understood – as to understand. Nor to
seek so much to be consoled – as to console. Nor
even to be loved – as to love all mankind. For it
is in giving that we receive. And it
is in forgiving that we are forgiven. And in
dying – that we are born to eternal life.
AMEN
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