Complicated Grief: Treating Life Trauma Issues & Death

Answers:
A. They are difficulty participating in social gatherings, perceived outcast status, blaming the victim, and the "Just World" philosophy.
B. Three assumptions are the loss of invulnerability, the loss of an orderly world, and the loss of a positive self-image.
C. They are the appreciation of life, strengthening of family ties, and finding meaning in suffering. 
D. They are the mind-body connection, acute stress reactions, and emotional triggers.
E. Take steps to uncover the client’s true motivation.
F. The three types of relationships are pre-trauma relationships, relationships during the trauma, and post-trauma relationships.  
G. The Three ‘D’s of Grief are dissociation, de-realization, and depersonalization.
H.  Unrealistic Guilt and Realistic Guilt
I. They are considering grief neutrally, identifying needs, and identifying strengths.
J. They are absolutist thinking, intolerance of mistakes, and denial of personal difficulties. 
K. They are disbelief, discounting, ignorance, labeling, and cruelty.
L. Aspects of this concept are the three myths of success, new sets of values, and true success. 
M. The three goals are to emphasize individuality, to reestablish equilibrium, and to help reconstruct client’s lives.
N. The three ways in which clients may try to avoid self-awareness are busyness, killing time, and noise.

Answers:
A.  The therapist might say, "Tell me about why this song means so much to you." Some patients find reassurance and comfort by teaching the melody to the therapist.
B.  Four tasks of mourning are (1) accepting the death and the loss  (2) experience the pain (3) adapting to the environment where the deceased is missing (4) reinvestment of emotional energy in relationships with the living.
C. Critical Incident Stress Debriefing
D. The two categories organize symptomatic responses to traumatic events are intrusion and denial responses
E.  In the past female grief has been much more studied.  The grief work hypothesis does not take adequate account of preferred masculine ways of going about grieving, which are typically less confrontive with respect to the emotion of grief, and less overtly expressive of distress and depression than those found among females.
F.  retarding a child's psychosocial maturation 
G.  Loss-oriented coping involves focusing on and processing aspects of the loss (e.g., visiting the grave, looking at photographs, emoting related to the death), while restoration-oriented coping involves focusing on the secondary Stressors that must be dealt with (e.g., financial problems) and determining how to tackle them (e.g., selling one's house).
H.  Separation anxiety is a key element in traumatic grief.
I.  (1) numbness, detachment or absence of emotional responsiveness, (2) difficulty acknowledging the death, (3) feeling that life is empty or meaningless, (4) difficulty imagining a fulfilling life, (5) feeling part of oneself has died, (6) harmful symptoms or behavior related to the deceased, and a shattered worldview
J.  Six "R" processes of mourning are (a) recognize the loss, (b) react to the separation, (c) recollect and reexperience the deceased and the relationship, (d) relinquish the old attachments to the deceased and the old assumptive world, (e) readjust to move adaptively into the new world without forgetting the old, and (f) reinvest.
K.  Criterion A specifies that the symptoms of the disorder occur after the death of a significant other and include intrusive, distressing separation distress. Criterion B includes eleven marked and persistent symptoms that reflect the bereaved person's feelings of devastation as a result of the death.  Criterion C specifies that the duration of symptoms must be at least two months. Criterion D requires that the symptomatic disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning.
L.  38% of recipients of grief counseling theoretically would have fared better if assigned to the no-treatment condition; in strong contrast, only 5% of clients in a broad range of psychotherapies for other problems showed such deterioration.