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Anthony Quintiliani, Ph.D, LADC

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January 22, 2021 By Admin

Loss, Grief and Suffering in America

Loss, Grief and Suffering in America

By Anthony R. Quintiliani, Ph.D., LADC

Other than our nation’s suffering during The Civil War, The Great Depression, and World War II this past year has been one of the most stress-filled, fear-filled times in our history. Here is a list of the reasons behind it all: the COVID-19 pandemic, racial injustice, legal reactivity, massive unemployment, loss of housing, quarantines, closed schools and colleges, powerful political demonstrations, and a “president” who betrayed his trust and incited riotous violence against the Capital of the United States. Also a “president” who has been impeached not once but twice by The U.S. House of Representatives. What a year!

Types of Loss, Grief and Suffering

Along with the above, we have witnessed increased anxiety, depression, fear, anger and traumatic stress. Although death (loss of a loved one) is by far one of the most severe stressors, we also suffer from the virus, separation/divorce, developmental stress, incarceration, and the loss of the way of life in pre-COVID-19. Americans are suffering from various bio-psycho-social-spiritual dimensions of stress, loss and grief. Perhaps the correct words to use are “complicated grief.” Our current experiences with loss and grief go far beyond the stage-based versions of E. Kubler Ross; our current complex grief does not follow neat linear progressions, and includes more serious symptoms. For those who also experienced childhood trauma of various forms or developmental regressions the current experience is more exasperating and dangerous. When loss is catastrophic reactions may include nightmares, shame, guilt, regret, hopelessness and suicide. Cultural differences also play roles in loss and grief as well as its treatment. Therapists must also be aware of the influence of race, gender, sexual orientation, and age.

Treatments for Loss and Complex Grief

Treatments for loss and complex grief are many, but with varying levels of success. Matching treatments to client characteristics, and developing a powerful clinical alliance are important for therapeutic success. Below, I list (only) various treatments, most supported by empirical research and practice. I will leave it you the reader to look more deeply into treatments or interventions they may prefer. Here is the list: Trauma-Informed Cognitive-Behavioral Therapy, Mindfulness-Based therapies/practices (breath work, meditation, yoga, tai chi, qi-gong and MBSR or ACT), Continued Bonds Theory – the changed internal relationship with the lost person, and Attachment-Informed Grief Therapy – utilizing attachment styles of secure, insecure, anxious or avoidant.

Many therapeutic interventions may be helpful: social-emotional support, recovery journaling, music, exercise, imagery, play therapy, and sand tray work. Generally especially strong empathy is required. Self-care of the therapist is a must. Using Maslow’s Hierarchy of Needs may be helpful.  Other active interventions include empty-chair work (sitting in the “worry chair” or the lost person chair), self-talk or out-loud talk using stimulus words like relax, breathe, not me, etc. Social networking with new people in groups is often helpful. Improving client self-care and participating in activities associated with joy or satisfaction moves the mind to other things.

In the end, if so many various interventions fail to meet needs, people should consider joining a formal, therapeutic bereavement group. Loss is emotionally tough, and recovery requires complete emotional activation.

For more information refer to: comments of A. Bodner, Ph.D. in The New England Psychologist, p. 2 (Winter, 2021). Hanlon, P. (2021). The Many Faces of Complicated Grief. The New England Psychologist, pp. 1 & 4 (Winter, 2021). Cormier, S. The Transformative Power of Loss. Psychotherapy Networker,  pp. 17-18 (January-February, 2021). Cacciatore, J. (2020). Grieving is Loving: Compassionate Words for Bearing the Unbearable. Boston, Wisdom Publications, pp. 1-8.

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, VermontChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

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New Edition of Mindful Happiness in Production…Coming soon!

Filed Under: Coping, Covid-19, E.Kubler-Ross, Featured, Grief, Happiness, Healing, Human Needs, Inner Peace, Joy and Suffering, Personal Suffering, Practices, Relational Suffering, Self Care, Suffering, Tools, Treatment Tagged With: AMERICA, COPING, COVID19, E. KUBLER-ROSS, EMOTIONAL, GRIEF, HOPE, JOURNALING, JOY, LOSS, LOVING, MINDFUL, MINDFUL HAPPINESS, MINDFULNESS, PRACTICES, SELF, SOCIAL, SUFFERING, THERAPISTS, TREATEMENTS, TREATMENT

December 24, 2019 By Admin

Journaling and Grief Process

Journaling and Grief Process

Regular brief journaling may be helpful in your grief and horror regarding significant personal losses of self and/or others. Here are the various ways it may be helpful to you.

  1. Writing and reading about your personal loss experience may help you to make sense of the process, and at the same time guide you gently on that path.
  2. Journaling may open up past and present realities – both positive and negative – about your loss experience.
  3. At times anger, resentments, and regrets will come up. These realities open you up to the depth of the grief experience. Do not linger too long there!
  4. S. Kierkegard reminded us that our lived experiences are processed forwardly, but better understood if observed backwards. Journaling helps to focus us on the present but never lets go fully of the past.
  5. It may be important to you to make your personal journal more balanced with both negative and positive experiences. For example, it may be helpful to list all simple pleasures you experienced in any given day. It may also be a good idea not to linger emotionally too long when such experiences trigger negative states.
  6. I have always found it helpful to list my personal gratitudes, even in the midst of painful loss and suffering. It is not uncommon for the most valued experiences to be linked with the lost love-object and your shared life.
  7. If fear and trepidation occur as you move through the grief process, I suggest that you break down the scary moments into smaller, more manageable periods of time, space, and emotions.
  8. Pay attention to and write about both helpful and unhelpful thoughts, emotions, behaviors, and sensations related to your grief process. Be aware keenly of small improvements in all.
  9. You may notice that as you slowly heal you spend less time journaling. This is natural.
  10. You may wish to do “grave worship” practices, or simply write many good things about the lost person.
  11. V. Frankl noted that when we cannot change the reality of a situation, we may have to change ourself.
  12. When you find yourself crying over your loss, that is a very good time to contemplate and do journaling.
  13. Reading related poetry or writing your own may help you.
  14. If and when you experience the emptiness of the void inside, do your best to find words for the experience. And, work to fill that void by re-engaging with your life as it is now.
  15. It is always a good idea to develop and practice personal rituals about your healing. Write about this in your journal.
  16. S. Becket reminded us that we must go on! As painful as it may be, we cannot stop the process.
  17. As P. Chodron noted, we must allow it all to fall apart before we can find the resilience to face what comes next. In most situations, what comes next is slow improvement in your emotional condition.
  18. Rest in peace with your breath, and do more meditation or yoga if that suits you well.
  19. You may wish to visit optionb.org or other sites that support grief work.

Refer to Sandberg, S. and Grant, A. (2017). Option B: Facing Adversity, Building Resilience, and Finding Joy. New York: A. A. Knopf, pp. 58-76.

Anthony R. Quintiliani, PhD., LADC  

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton SanghaChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon

Filed Under: Activities, ANTHONY QUINTILIANI, Calming, Coping, Crisis Resilience Skills, Emotions, Featured, Gratitude Meditation, Grief, Holiday Coping, Inner Peace, Journal Writing, Learning, Letting Go, Meditation, MIndfulness, MIndfulness Activities, Mourning, Natural Healing, Self Care, Spiriuality, Stress Reduction Tagged With: ANTHONY QUINTILIANI, GRATITUDES, GRIEF PROCESS, JOURNALING, MINDFUL HAPPINESS, RESILIENCE

December 18, 2019 By Admin

How to Offer Personal Tribute to Those Who Have Died

How to Offer Personal Tribute to Those Who Have Died

The Four Noble Truths tell us sobering news. There is suffering, and impermanence of all things including us and our loved ones. Below I have listed several thing you can do to HONOR a person you have lost.  Here is the list.

  1. Recall a special time before or at the time of death, and consider it a sacred place in space and time. Honor it and the person with the complete softness of your loving heart.  Do this now if you wish to.
  2. Pray for the person you have lost – and the goodness in that lost relationship.  You can do this if you are agnostic, even atheist. The prayer is to honor the loved person not to one of many gods.
  3. Go to your soft, suffering heart and fill it with joyous remembrances of your time with the person. Yes, the person has moved beyond; however, your internal and emotional memories are quite vibrant. They have made a special place for them self in your soul.
  4. You can carry this to a deeper level by seeing and touching special objects that belonged to the deceased.  Or, you can set up a small shrine in your home to pay respect and honor whenever you wish to do so.
  5. Know that the deceased person would want you to recall your joy, so light up your senses and recall in mild meditative state the pleasant and happy experiences you both shared.  If something happened with them that made you laugh, go there! This is what they wish for you.
  6. Listen to the music the lost person enjoyed, or read something inspirational.
  7. Think carefully of all the ways you could say goodbye again. Do it now if you wish to.
  8. Recall the smile on their face, and smile back. You may be surprised at how powerful this experience may be.
  9. Dedicate meritorious behavior to them. If you wish, set up some special program or fund to champion causes they cared about. The financial level is far less important than the emotional level of actually doing something.
  10. Write a special tribute about them in a journal. Write often, and read what your have written again and again.
  11. Lastly, work carefully to discover some ways to celebrate that person’s life and your relationship. Celebrate often and be calm within the warmth of your love.

For more information refer to Reoch, R. (1997). To Die Well: A Holistic Approach for the Dying and Their Caregivers. New York: Harper. See also Holecek, A. (2013). Preparing to Die: Practical Advice and Spiritual Wisdom from the Tibetan Buddhist Tradition. Boston: Snow Lion, pp. 312-314.

Anthony R. Quintiliani, PhD., LADC  

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton SanghaChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon

Filed Under: ANTHONY QUINTILIANI, Compassion, Coping, Death, Deep Mindfulness, Featured, Gratitude Meditation, Grief, Letting Go, Meditation, Mourning, Rituals, Self Care, Spiriuality, Tributes Tagged With: HONOR, LOVING, OFFERINGS, PRAYER, TRIBUTES

September 20, 2017 By Admin

Pathways for Coping with Loss and Grief

Pathways for Coping with Loss and Grief

Jeanne Cacciatore, a Zen priest and bereavement specialist, offer sound advice on the process of loss and grieving.  In her book, Bearing the Unbearable: Love and the Heart Breaking Path of Grief (2016), she presents the process as a series of contractions and expansions; contractions are the inward path of attention and energy as the physical environment shrinks (vulnerable emotional tightening for self-protection), and expansions are self-compassionate allowing of safety, exploration, curiosity, willingness, and renewed connections.  Over time subtle shifts of improvement occur.  Over time we begin to live again. Breath as a metaphor serve this view well; the earlier short, shallow, chest breathing in and out changes into a slower, longer abdominal breathing in and out. As we normalize expansion, the pain and suffering of loss remains but it is no longer overpowering and overwhelming.  We re-learn how to function and experience hopeful pleasure and joy once again. We notice that we have some gratitude for our life just as it is now.

What are some important things to do when one is in a state of loss and grief?  Here is a list.

  1. No matter what you do, the normal process of loss and grief will occur. The issue is how do you want to experience it.  It can be devastating and long-term, or it can be devastating but less long-term.
  2. We need to stay with the process to find our way through it. This takes time and courage.
  3. Use all spiritual and religious beliefs you have that are helpful. Heaven, reincarnation, no-self may all be helpful to you in your process of grieving. If helpful, seek spiritual support from others.
  4. It may help to use creative rituals, rites, and alters in your personal process. Rituals can be one very powerful healers, but they can also be very powerful reminders of your loss.
  5. Sit in meditation and/or prayer. Use whatever content seems to help you cope better emotionally. Some people find meditation in a cemetery can be both challenging and helpful.  Be with it all.
  6. Share your grief with the right people, at the right times, and in the right places.
  7. When others try to help you, tell them what you need. This often includes combinations of quiet listening, basic presence, kind actions, direct assistance, and social-emotional supports. Pure silence may help.
  8. For those of you who may be more spiritually involved, respectful kneeling and prostrating may help.
  9. Holding a yoga posture in prayer pose can strengthen your capacity to deal with the suffering.
  10. Reading spiritual texts can be helpful and lead to new insights about loss and grief.
  11. Learning to place birth and death into life’s context reminds us of the impermanence of all things.
  12. Spend time in natural environments and allow the soothing power of that environment to heal you.
  13. Practice as much compassionate self-care as possible, although this may be difficult at first.
  14. Do whatever comes to mind to commemorate and respect the loss loved one. Your stronger physical actions in this area (lasting tributes) may reduce the emotional suffering of grief.
  15. Last, allow time to heal, and recognize the thin line between grieving and depression.  If you become stuck in the depressive “dark nights of the soul” get professional help quickly.

For more information refer to Cacciatore, J. (2016) Bearing the Unbearable: Love and the Heart Breaking Path of Grief. Boston: Wisdom Publications. See also Healthbeat (2015). Coping with Grief and Loss. Boston: Harvard Medical School.

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, VermontChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

Filed Under: Coping, DR Jeanne Cacciatore, Featured, Grief Tagged With: COPING, DR JEANNE CACCIATORE, GRIEF, LOSS, MINDFUL HAPPINESS

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