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New Content Added: To update the content we have added Trauma-Focused CBT, Complex Trauma, Grief and Deployment information found at the end of the Table of Contents.
On this track, we will discuss denial. Three important
aspects of denial regarding children are: how imagination leads
to denial in children, death is overwhelming, and natural
vs. non-productive denial. We will also discuss techniques for coping
with denial. As you listen to this track, consider playing it
for the parents of grieving clients you are treating.
Aspect #1 - How Imagination Leads to Denial in Children
Therefore, blocking out the unpleasant circumstances surrounding her father’s death became a natural way for Miranda to cope with her father’s death. Have you found that children may be able to focus on a particular object so well that they block out what is going on around them? For example, Miranda couldn’t remember much regarding her father’s funeral, however she was able to draw the casket in minute detail.
Would you agree that children who deny their grief by blocking out painful images are prolonging their grief? I have found that a productive way to bring such children back to reality is by gently providing them with factual information. Later, we will discuss coping techniques which were productive in helping Miranda face the pain of her grief.
Aspect #2 - Death is Overwhelming
When Beth explained Miranda’s denial, she stated, "Miranda doesn’t seem like she is willing to accept that her father is dead. She often tells people that even though her father is gone, he’ll be back soon." I stated to Beth, "The finality of death is overwhelming. The idea that her father is ‘never coming back’ may be difficult for Miranda to grasp."
Are you treating a grieving client like Miranda who is in denial regarding the death of a loved one? If so, the following techniques for coping with denial may be useful to help your grieving client.
Technique: Coping with Denial
--Step #1 - The first technique is talking to the child. I stated to Beth, "You may find that talking is the best tool to use when working with Miranda. Remember to use precise vocabulary. For example, dead is dead, not ‘gone on a trip’. Also, be honest when answering Miranda’s questions, even if that honesty is painful. Asking Miranda questions will help you to uncover her feelings and share your own feelings."
-- Step #2 - The second technique I use for coping with denial is education. In order to educate Miranda, Beth took her to Jay’s grave. This cemetery visit gave Miranda the opportunity to mourn and accept the death of her father. Beth also checked out some children’s books about death from the library to read with Miranda. Finally, Beth took Miranda on a nature walk. During their nature walk, Beth and Miranda happened on a dead field mouse. Beth used this opportunity to educate Miranda on the differences between being alive and dead.
-- Step #3 - In addition to talking to the child and education, the third technique for coping with denial is play acting. I stated to Beth, "Observing Miranda at play can provide insight into what she is thinking. Children often play out life situations. If you see Miranda planning a doll funeral, you know she is starting to accept the finality of death. On the other hand, if Miranda is playing out the return of her father from the dead, more work may need to be done to help her accept the finality of death."
Think of your Miranda. Is her denial a natural response to death or a prolonged, non-productive effect of negative grief? What other techniques have you seen parents implement to educate children about death?
Aspect #3 - Natural vs. Non-Productive Denial
As you know, natural denial is generally displayed as a state of shock that someone is really gone. Evelyn states that this state of shock varies from two days to several weeks depending on a number of factors. Some of these factors include suddenness of death, the cause of death, interpersonal communications and changes in routine. In grieving children, the onset of fictitious or imaginary friends may indicate non-productive denial.
Also, children who leave the room whenever the deceased person’s name is mentioned, may be experiencing a non-productive form of denial. I encourage parents of children in denial to talk privately to their children and ask them questions regarding why they left the room, what they missed about the person who died, and painful emotions.
I also encourage parents of grieving children in denial to present caring displays of reassurance. Of course, you already know how important it is to children to feel needed and secure. Think of your grieving client. Is he or she experiencing denial as a prolonged and non-productive effect of negative grief? Could the implementation of the techniques on this track benefit the child? Would it help to play this track in an individual or group setting with the parents of a grieving child?
On this track we have discussed denial. Three important aspects of denial in children are how imagination leads to denial in children, death is overwhelming, and natural vs. non-productive denial.
On the next track, we will discuss anger. Three important
aspects of anger are anger as a manifestation of grief,
anger history, and identifying triggers. We
will also discuss two techniques for coping with anger.
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