This is the first book to focus specifically on complicated mourning, often referred to as pathological, unresolved, or abnormal grief. It provides caregivers with practical therapeutic strategies and specific interventions that are necessary when traditional grief counseling is insufficient. "The goal is to turn 'complicated' into 'uncomplicated' mourning." Dr. Rando examines the unique issues in bereavement situations that put mourners at high risk for complicated mourning. She synthesizes the literature and integrates it with specific treatment approaches. --- from the publisher Reviews: Author Therese A. Rando provides both students and practitioners with extensive information relative to the complications of loss, grief, and mourning. Her style is methodical and compelling in maintaining the reader's interest in an increasingly demanding area of mental health needs." -- Regina V. Rexroat, The Family Journal "This volume reflects her expertise, her scholarship, and her ability to clarify rather than obscure. Over 700 pages of text are supplemented by an unusually extensive reference list and a thorough subject index." -- Child & Family Behavior Therapy "Any reader will have a greater appreciation of the complexities in the universal experience of loss, a fuller understanding of the process of grief and mourning, and an enhanced ability to make appropriate and timely referrals for further assistance in resolivng loss when it has become complicated for those involved." -- Rebecca Fogel Downs, Journal of Case Management Table of Contents: Figures and Tables Acknowledgments Part 1 Fundamentals Chapter 1 Introduction Growing Interest in the Topic Prevalence and Costs of Complicated Mourning Factors Contributing to Increased Complicated Mourning Problems in the Field Content and Organization of This Book Chapter 2 A Perspective on Loss, Grief, and Mourning Definitions Inevitability of Loss Myths and Realities of Mourning Factors Influencing Grief and Mourning Three Phases of Grief and Mourning The Six "R" Processes of Mourning Perspectives on the Duration and Course of Mourning Subsequent Temporary Upsurges of Grief Chapter 3 Theories of Complicated Mourning: A Historical Review Sigmund Freud Karl Abraham Helene Deutsch Melanie Klein Erich Lindemann Otto Fenichel Charles Anderson Samuel Lehrman John Bowlby George Engel Colin Murray Parkes Lorraine Siggins Charles Wahl Vamik Volkan George Krupp Beverley Raphael Aaron Lazare Mardi Horowitz Sidney Zisook and Colleagues Chapter 4 Complicated Outcomes of Loss: Symptoms and Syndromes Definition of Complicated Mourning Symptoms of Complicated Mourning Syndromes of Complicated Mourning Chapter 5 Complicated Outcomes of Loss: Mental Disorders, Physical Disorders, and Death Mental Disorders Physical Disorders Death Part 2 Assessment and Treatment Chapter 6 Clinical Assessment of Grief and Mourning Assessment Issues Four Assessment Situations Specific Areas of Assessment: Using the Grief and Mourning Status Interview and Inventory (GAMSII) Chapter 7 Formal Therapeutic Approaches to Complicated Mourning Focal Psychotherapy Re-Grief Therapy Behavioral, Cognitive, and Social Approaches Gestalt Therapy Time-Limited Dynamic Psychotherapy for Phase-Oriented Treatment of the Stress Response Syndrome Worden's Treatment Procedures for Resolving Pathological Grief Rando's Schema for Creating Therapeutic Bereavement Rituals Chapter 8 Generic Issues in the Treatment of Complicated Mourning Efficacy of Intervention in Mourning Philosophical Perspectives on Treatment Generic Guidelines for Treatment Chapter 9 Intervening in the Six "R" Processes of Mourning Recognize the Loss React to the Separation Recollect and Reexperience the Deceased and the Relationship Relinquish the Old Attachments to the Deceased and the Old Assumptive World Readjust to Move Adaptively Into the New World Without Forgetting the Old Reinvest Part 3 Specific Clinical Problems Chapter 10 Risks and Therapeutic Implications Associated With Individual, Relationship, and System Factors Interrelationship Among High-Risk Factors Mourner Liabilities Anger Ambivalence Guilt Dependency and Codependency Social Support Chapter 11 Risks and Therapeutic Implications Associated With Mode of Death Natural Versus Unnatural Death Natural Death Accidental Death Suicide Homicide Chapter 12 Risks and Therapeutic Implications Associated With Sudden and Unexpected, Multiple, and Traumatic Death Sudden, Unexpected Death Multiple Death Traumatic Death Chapter 13 Risks and Therapeutic Implications Associated With Death of a Child and AIDS-Related Death Death of a Child Aids-Related Death Chapter 14 Caregiver Concerns in the Treatment of Complicated Mourning Caregiver Characteristics Common Therapeutic Errors Caregiver Stressors Strategies for Reducing Caregiver Stress Appendix: Grief and Mourning Status Interview and Inventory (GAMSII) References Author Index Subject Index About the Author: Therese A. Rando, Ph.D., is the Clinical Director of The Institute for the Study and Treatment of Loss, which provides advanced training, supervision, and consultation to professionals working with the dying and the bereaved. She is also the Clinical Director of Therese A. Rando Associaties, Ltd., a multidisciplinary team providing outpatient psychotherapy, specializing in loss and grief, traumatic stress, and the psychosocial care of the chronically and terminally ill. Since 1970, she has consulted, conducted research, provided therapy, written, appeared as an expert witness, and lectured internationally in areas related to loss, grief, dying, and death. For information about workshop or conference presentations, and other professional services, please contact: Therese A. Rando, Ph.D. The Institute for the Study and Treatment of Loss 33 College Hill Road - Bldg. 30A Warwick, Rhode Island 02886 U.S.A. Phone: 401-823-5410 Fax: 401-823-1805 E-Mail: [email protected]
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