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COURSE A302
ICASSI 2019
SIBUI, ROMANIA
COURSE LEADER:
MARION BALLA, M.ED., M.S.W., R.S.W.
1729 Bank St., Suite 205, Ottawa, Ontario, Canada K1V 7Z5
Phone: (613) 737-5553, Fax: (613) 523-7148, e-mail: info@adleriancentre.com
www.adleriancentre.com
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Some losses are trivial in the
grand scheme of things…
In grief the world looks poor and empty while in depression the person feels poor
and empty
Sigmund Freud
Grief as a life-long process is not abnormal but something that is dipped into and
out throughout life, always present at every level.
We are frequently triggered into an unresolved grief response when faced with a
new response.
Grief work requires an enormous amount of energy therefore, it spreads out over
time.
Grief work is a process of neutralizing each hope and memory, not forgetting.
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The Experience of Loss
GRIEF is the process that helps people work through the pain of separation and
loss.
Separation, loss and grief are painful experiences to think about and to share with
others.
Other people’s experiences can trigger our own personal losses which can help or
hinder the way we may respond to the situation.
It is helpful to understand our own losses and assess how much of our own grief
work has been completed.
(P.R.I.D.E. Training Manual
Child Welfare League of America
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Expressions of Grief and Loss
Depression
Shock Fatigue
Disorganization Hope
Anger Bargaining
Denial Numbness
Rage Physical
Symptoms
Release
Acceptance
Panic
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Your Life Losses
Make a list of all the significant losses you have experienced in your life. Note, as
closely as you can, the year in which each occurred. There are many ways to chart
or draw your lifetime experience with loss so that you will be able to see it over
your whole lifetime. Be creative and feel free to choose a way that works best for
you. Your chart might look something like this:
When you are finished, look for patterns on your chart. What is the first loss you
remember? Notice if there are any periods when more than one loss occurred
about the same time or were grouped in the same segment? You also might like to
add any major decisions or changes in your life at the time of, or as a result of, a
particular loss.
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Two Losses
Loss #1
Losses:
Gains:
Loss#2
Losses:
Gains:
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Picturing Your Loss
To prepare for this exercise, find a quiet place and comfortable position. If you
find it difficult to concentrate, try spending some time with your eyes closed. Let
your mind empty of thoughts.
What image comes to you when you think of your loss? Use the space below to
draw your image. Feel free to use words, pictures, lines, coloured pencils, or
markers to draw what your loss looks like to you.
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Picturing Your Loss
To prepare for this exercise, find a quiet place and comfortable position. If you
find it difficult to concentrate, try spending some time with your eyes closed. Let
your mind empty of thoughts.
What image comes to you when you think of your loss? Use the space below to
draw your image. Feel free to use words, pictures, lines, coloured pencils, or
markers to draw what your loss looks like to you.
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Exercise
Loss # 1
What positive action have I taken or could I take as a result of this lesson?
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Exercise
Loss #2
What positive action have I taken or could I take as a result of this lesson?
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Loss & Grief Exercise
A. Think of one of your family members/clients/friends. Outline all the losses you
know this person has experienced throughout his/her life.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
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Life Tasks
Intimate
Relationships
(Love)
Spiritual Occupation
(Meaning SELF (Work)
of Life)
Social
Relationships
(Social)
Shock
Panic
Denial
Release
Depression
Guilt
Anger
Hope
Acceptance
Physical Symptoms
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The Pathway Through the Grieving Process
Loss
Shock/Denial
Bargaining
Anger
Understanding
Coping
Managing Loss
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THE CRUCIAL C’S
CONNECT
I need to believe I have a place. I Belong.
CAPABLE
I need to believe I can do it.
COUNT
I need to believe I can make a difference.
COURAGE
I need to believe I can handle what comes.
(Copyright© 1998 Amy Lew and Betty Lou Bettner. The authors grant permission to reproduce this
chart for educational purposes only, providing that the authors and publisher are15
credited.)
William Worden’s Tasks and Goals of Grieving
(Linked to Social Interest and 4C’s)
To accept the loss - How can I make meaning of my life without the person?
To experience grief - How can I work through all the emotions of grief which
distance me from life?
How can I connect to adjust to without the deceased? How can I learn new
patterns of living?
To withdraw energy from the past and reinvest in relationships – How can I move
towards social interest again? How can I have the courage to engage with life
again?
Grief and Loss Course
ICASSI 2011
Margaret Nimmo-Smith
A person has the ability to help another only when there is a constant willingness
to feel one’s pain and suffering knowing that this rises from the depth of the
human condition which all of us share.
Ruth Swain
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Children’s Bereavement – 0 – 3 years
3 – 7 years
7 – 12 years
Black and white thinking but becoming able to understand the permanence of death
May appear to cope well but may have psychosomatic symptoms of depression
Helped by taking symptoms seriously
Allow expression of feeling, inform the school
Teenager
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Unresolved Grief
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Some Things to Think About
When Working with Grief and Loss
Self-awareness:
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Rituals Which Can Help You to Resolve Grief
Telling the untold story in detail, noting the feelings as the story
unfolds, and recording thoughts and feelings in a journal.
Visiting the cemetery to say goodbye or to talk things over with the
deceased.
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Supporting Through the Stages of Grief
Shock
Be near the person and available to help. Do not take away tasks that she can do herself.
Encourage her when this experience recurs from time to time. Remember, complete acceptance
is a slow process.
Griever I don’t know what’s wrong with me. I just don’t feel anything.
Helper: Perhaps it’s good not to feel so much right now.
Panic
Assure the griever that his feelings of panic are normal, that he is not “cracking up.” Answer
only the necessary requests - keep everything simple. Encourage him in his movement toward
the reality that grief work is hard but that he will survive. It may be necessary in time of panic to
simply tell the person what to do with clear instructions. Talking things over may need to come
at a later time.
Denial
Stand by and help the person face the reality in small doses. Be observant of times when
readiness appears on the surface. While denial should not continue for a lengthy period, we don’t
want to force the griever through this stage before she is ready. And remember, denial is often
mistaken for bravery.
Sit quietly and allow the person to release pent-up feelings. Show approval for this display. Do
not try to stop this natural expression with “you mustn’t cry, your loved one wouldn’t want to see
you this way
Griever: I’m so tired, but I just can’t seem to give up my morning run.
Depression
Help the griever accept the naturalness of this feeling. Remind her that “this too will pass.”
Express genuine concern but confidence in her ability to make it through this difficult time.
Permission to experience depression in itself can make this stage of grieving more bearable.
Helper: Feeling depressed is normal when you have lost something so important.
Guilt
Encourage the person to talk about her feelings of guilt. Let the griever know that these are
natural feelings. Avoid any judgment such as “you shouldn’t feel that way.”
Griever: If I had just studied harder, I might have passed that last test.
Help the person realize that these feelings are part of the grieving process. Create an atmosphere
of acceptance in which the griever can comfortably ‘talk out’ his anger and resentment. Avoid
implying that he shouldn’t be angry, and try not to defend the person or thing which is lost.
Griever: I am so angry. I don’t understand why this had to happen this way.
Helper: Sometimes it’s okay to be angry, really angry, about things we cannot control.
Returning
Allow the person to continue to talk about the loss. Do not avoid mention of the loss as though it
never happened. Demonstrate a personal interest in the returning process. welcome the person
“back”.
Hope
Give warm affection, encouragement and support as the person begins experiencing life as
meaningful again.
Griever: It’s been tough, but I think I’m going to make it.
People should not try to carry the burden of grief alone. They must be encouraged to grieve.
Commend the person who has gotten to this stage of acceptance and discovered that he can live
again and love again. Walk with him as he discovers the rays of sunshine becoming steadier.
Affirm his grasping of reality and movement toward wholeness.
Griever: I wish it had never happened, but now that I have made it through, I have really
learned a lot about life.
Griever: If I could have changed things, I would have. But I’ve learned that I can’t
control everything.
Helper: You will never forget the experience, but you have certainly taken it and made
it meaningful to yourself.
Physical Symptoms
Although not one of the 10 stages, you will want to be aware of this. Accept the reality of the
illness. The body does break down under excessive stress. Encourage medical care. Keep
listening as the person works his way through the barriers. Counselling may be indicated.
Griever: I feel so sick. I. I just don’t know what to do. I have a headache all the time.
Helper: Your body may be telling you that it’s time to take care of yourself right now.
You may want to see your doctor.
Helper: You have been under a lot of stress. Perhaps you need to give your body some
time off.
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The Grieving Letter
I resent…
I’m outraged by…
I’m fed up with…
I can’t stand…
I hate…
I can’t forgive…
I needed…
I am anxious because…
I am afraid that…
What scares me is…
I’m worried about…
I want…
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4. GUILT AND RESPONSIBILITY
I regret…
I may be to blame for…
I feel sympathy for…
I didn’t mean to…
Forgive me for…
I wish…
I appreciate…
I realize…
I forgive…
I value…
I love…
I want…
I hope…
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The Value of Time
Unknown
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Bibliography
Stephen Jenkinson. How It Could All Be: A workbook for dying people and for those who
love them. Impression Printing, Canada. 2009.
Doreen Virtue and James Van Praagh. How to Heal a Grieving Heart. Hay House, Inc.
Carlsbad, California. USA. 2013.
Judith R. Bernstein. When the Bough Breaks: Forever after the death of a son or daughter.
Andrews McMeel Publishing: Kansas City. 1998.
John W. James and Russell Friedman. The Grief Recovery Handbook: The Action Program
for Moving Beyond Death, Divorce, and other Losses (Rev. ed.). Harper Perennial: New
York. 1998.
J. William Worden. Grief Counselling and Grief Therapy, Fourth Edition: A Handbook for
the Mental Health Practitioner. August 2008.
Elisabeth Kubler-Ross and David Kessler. On Grief and Grieving : Finding the Meaning of
Grief Through the Five Stages of Loss. June 2007.
Elisabeth Kubler-Ross and David Kessler. Life Lessons : Two Experts on Death and Dying
Teach Us About the Mysteries of Life and Living. November 2001.
Elisabeth Kubler-Ross and Todd Gold. The Wheel of Life : A Memoir of Living and Dying.
June 1998.
Elisabeth Kubler-Ross. Questions and Answers on Death and Dying. June 1997.
John Bowlby. A Secure Base: Parent Child Attachment and Healthy Human Development.
1988.
John Bowlby. Separation: Anxiety And Anger (Basic Books Classics) Volume Two.
December 1976
John Bowlby. A Secure Base: Clinical Applications of Attachment Theory. August 1998
Colin Murray Parkes, Pittu Laungani and William Young. Death and Bereavement Across
Cultures. January 1997
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