NUR117: Bereavement  Counseling

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NUR117: Bereavement  Counseling

NUR117: Bereavement  Counseling

10. A hospice nurse is visiting a parent on the 1-year anniversary of the death of his child from leukemia. Which of the following reactions by the parent would indicate to the nurse the need for bereavement counseling referral?

Bereavement Counseling

Bereavement Counseling

n his seminal paper, ‘Mourning and melancholy’, Sigmund Freud4 identied two forms of grief:

Trauer (mourning) and Melancholie (melancholy).

According to Freud, mourning is a normal reaction to the loss of a loved person, or to the loss of some abstraction (for example, ‘home’ or ‘liberty’).

He identied that this is normal response to loss and should not considered to be an illness, and, following a period of grieving, a person will overcome their sorrow and become free and unburdened.


In contrast to mourning, Freud suggested that, although melancholy derives from the same circumstances, it can present in more extreme and damaging ways, where the individual experiences profoundly painful dejection, loss of self-esteem, and loss of interest in the outside world.

He sug-gests that in melancholia, the loss suered can be of a real person or an idealized entity and the person sometimes does not know what they have lost; therefore melancholy can be related to the unconscious loss of a love object.  Shock and numbness. In this phase, there is a sense that the loss is not real and is not easy to accept.

Here can be physical distress during this phase, which can result in physical symptoms.

Yearning and searching. Here, the person is aware of the gap in their life le by the loss, with a loss of the imag ined future that included the person. At this time, attempts to ll this void are made and the person may appear preoc-cupied with the deceased.• . •

Re-organization and recovery. In this phase the person begins to rebuild their life without their loved one and move on.Elizabeth Kübler-Ross was strongly inuenced by Bowlby and Parkes and her well-known model of grief

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