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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 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

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