Trauma, Homicide, and Bereavement. Unexpected Death—Tragic Death Sudden death simultaneously increases the mourners distress wile decreasing the mourners.

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Presentation transcript:

Trauma, Homicide, and Bereavement

Unexpected Death—Tragic Death Sudden death simultaneously increases the mourners distress wile decreasing the mourners ability to cope The unexpected nature of the loss add additional trauma to the loss itself Now the person has to deal with th emastery of the loss and the mastery of the trauma

The Initial News Initial intense anxiety, disbelief Disorganizing out of control emotions Feeling of being out of control can lead to ‘denial,’ emotional shutdown, shock

Series of Secondary Losses Loss of physical or psychosocial losses that coincide with or develop as a consequence of, the death of a loved one

Complicating Issues Associated with the Trauma Capacity to cope is diminished Assumptive world is violated The loss does not make sense Loss of security and confidence in the world Symptoms of acute grief and shock persist for a longer period of time Death leads to PTSD: hallucinations, flashbacks, etc.

Complicating Issues Associated with the Loss There was no chance to say goodbye or to finish unfinished business Person experiences more intense emotions in general Disbelief about the loss interferes with the ability to come to grips with the reality of the death The mourner obsessively reconstructs events in retrospect The loss can highlight negative parts of the relationship which were happening at the time of the death.

Complicating Issues Associated with the Loss contd. Intense search for meaning and often the need to determine responsibility, affix blame, and mete out punishment for the loss. Other complicating factors (I.e., mutilation, violence, suffering, randomness, senselessness, etc.

Treatment Joint focus on working on the trauma and the loss –Help the person gain some sense of control and structure –Determine which is primary: PTSD or loss or are the comingled Help the mourner recognize the loss

Treatment contd. Help the mourner understand the role of psychological pain Deal with issues of guilt Provide vehicles for unfinished business Enable mourner to achieve a more balanced image of the relationship with the person Be aware of the 6 month phenomenon