Loss Models

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  • Topic: Death, Grief, REFER
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  • Published : April 30, 2013
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Loss Models

Models/patterns of loss
Dual Process Model by Stroebe and Schut I found was interesting as it recognises that you can sway from Loss-orientated to a Restoration-orientated state. This is very practical as life goes on and some of the roles that we undertake just can’t stop because we have had a bereavement. William Wordens Tasks of Mourning makes sense as I can see that there is a process or in this case tasks that we have to do go through in order to grieve however my most significant loss, being the loss of my daughter, doesn’t help me with doing Task 3 as we didn’t get to know her and therefore didn’t have to adjust to an environment where she was missing as she was not quite here when she died.

Elizabeth Kuber Ross
Studied thanatology, the study of death and dying
5 stages on diagnosis
Denial - its not me, mixed up results, I feel fine
Anger - why me, it's not fair, people are hard to help at this stage. Some people project their anger onto others, eg their cairer - Kim with Dave Bargaining - I would give my life savings for a cure

-perhaps if I changed my diet
- sometimes find faith
Depression
- reality hits them
- don't go out
- give up on life
- beginning of disconnection
At this point you need to be supportive but do not try to cheer the person up. Acceptance
Last stage when they come to terms with their mortality
Typical quote, It's ok, I'm not afraid
Circular diagram, numbness, disorganised, organised,
end of grief, acceptance and morning balanced memories
Initial grief, idolisation of the dead, don't speak ill of the dead

Look at your own mortality
James Bowlby studied the impact on evacuees during the war.
On death and dying

Moving
Not compatible
Competence
Conflict of interest - erotic transferrence
- know someone connected to the case
Too busy

4.2 Outline the different types of endings and why they occur and ? 2.4 Summarise the process of endings

Types:
Someone goes missing
Something, earrings attachment

4.3 Identify your own and your clients feelings and reactions to endings What words or images come to mind?
Happy sad void worry
What happens, something new begins

4.4 Explore opportunities for the client to obtain further support once the helping relationship has ended Being prepared, know number of sessions or length of course. other support agencies, support groups

4.5Explain the impact of beginnings on endings
Warn client
Review work
Being prepared, know number of sessions or length of course. Client could take a step back in their treatment to
4.6 Work towards an ending that supports client autonomy
(independance)
Learn how to think not tell them what to think

2.1 Identify and answer common client questions about referral, referral processes, and referral agencies What about me
Anger
Indifference, make sure it's genuine
Cost
Access to other services

2.2 Summarise the types of service that organisations can offer on a range of issues Clients also have limits and they may not be ready for counselling if they have other issues to deal with for example being homeless. In this instance you could refer them to Shelter. Once they have found a home then the client may be able to return to the helper for counselling.

Shelter helps to find emergency accommodation but also gives long term help. They can put you in touch with your local council and social services. They offer specialist help to people being released from prison, ex-forces personnel and young people.

A parent suffering from the loss of a baby may have Kent SANDS recommended to them. They are not counsellors, only befrienders so bereavement counselling should also be undertaken if that’s not what the client is with you for. They can however offer support in the form of monthly support groups and one-to-one befriender visits. Sometimes it is just good to speak to someone you know has been through a similar situation.

2.3 Evaluate ways to manage resistance...
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