Trauma, Grief & Loss
Factors Influencing Recovery in Crisis and Trauma:
- The event itself: nature and intensity
- Meaning: how it is perceived
- Supports: existence and perception of supports
Warning Signs of Suicide:
- Long-term, unrelieved anxiety
- Giving away belongings
- Talking about it
- Unrelenting symptoms (voices)
- Putting affairs in order
- Use of Alcohol/Drugs
- Stockpiling medications
- Reckless behaviour
- Sudden state of calm
- Sleeplessness (chronic)
- Talkers rarely attempt/die by it: False: 70% verbal clue
- Improvement means risk is over: False : <90days
- Suicidal person always wants to die: False: ambivalent
- Asking question leads to encouragement: False
- Previous actions when they felt that way?
- Who do they know that makes them feel better?
- Is there a friend or relative willing to come over?
- Can they picture someone of importance right now?
- Are there hopes and dreams after this is over?
- How important are these hopes and dreams?
- Who relies on them for support?
- What plans can keep them busy and supported?
Grief and Loss: accompanies the loss of something significant. It is a collection of feelings to bereavement (state of suffering loss). Mixture of thoughts, feelings, physical symptoms, spiritual issues and behaviours.
3 Stages of Grief: SARR
- Shock and Disbelief
- Acute grief and Suffering
- Reorganization and Reoccupation
Complications in Grief:
- Lack of expression
- Closure problems
Trauma: comes from Greek verb ‘to wound’. Occurs when internal and external resources are inadequate to cope with external threat.
BioPsychoSocial Framework: All symptoms and responses such as fleeing, freezing, fighting are seen as adaptive coping strategies.
Transmission of Trauma:
- Interference in normal physical, psychological, social and moral development
- Biological, psychological, social effects can be contagious throughout generations
- Symptoms can become coping mechanisms
- Exhibit core defenses such as dissociation and repression
- Feelings of helplessness and/or lack of control
- Inability to regulate emotional experiences
- Identification with perpetrators
Healing From Trauma:
- Awareness – recognition of trauma
- Safety – genuine physical and psychologically
- Telling the Story – connecting with others, normalizing
- Reconnection – recognizing and changing old patterns
Mourning: Conscious and unconscious process of undoing psycho-social binding ties and adapting to loss. It is trans-formative and can be for the better by learning to forgive self and others over time. Crying is important as it completes the process.
Six R’s of Mourning: