Intervention for Grief and Bereavement
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4/1/2026
Introduction to Grief Concepts
Bereavement: Objective state of loss, guiding assessment of risk factors and social changes
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Models of Grief
- Kรผbler-Ross Stages: Non-linear emotional markers (denial, anger, bargaining, depression, acceptance)
- Wordenโs Tasks: Active mourning process (accept loss, process pain, adjust, reinvest)
- Dual Process Model: Oscillation between loss-orientation and restoration-orientation
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Clinical Interventions
- Prolonged Grief Disorder Therapy (PGDT): 16-session manualized treatment for persistent grief
- Grief-Focused CBT: Targets avoidance, negative beliefs, and behavioral activation
- Narrative Therapy: Reconstructs meaning through storytelling and identity re-authoring
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Special Populations
- Children: Use play, drawing, and family programs like Family Bereavement Program (FBP)
- Perinatal Loss: Memory-making (photos, handprints) and follow-up screening for delayed grief
- Traumatic Bereavement: Phased approach (stabilization, trauma processing, grief integration)
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Conclusion & Key Takeaways
- Grief is multifaceted; interventions must match individual needs and cultural contexts
- Effective therapies include PGDT, CBT, and narrative approaches for meaning reconstruction
- Special populations (children, perinatal loss) require tailored, sensitive interventions
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