Showing posts with label Child-Loss Grief Complications. Show all posts
Showing posts with label Child-Loss Grief Complications. Show all posts

Wednesday, November 9, 2011

Thursday's Therapy - Why Going to a Grief Counselor May Not Help… - Part Two






Thursday's Therapy


Why Going to a Grief Counselor May Not Help…

Part Two





Today's post is referring to some of the statements made by Dr. M. Katherine Shear (M.D., Marion E. Kenworthy Professor of Psychiatry at Columbia University School College of Physicians and Surgeons, New York City, New York) in the article referred to last week called, "Loss of a Baby Linked to Increased Mortality in Parents."



Dr. Shear states that "Complicated Grief" is being considered for inclusion in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.


Okay, I guess that is good in that psychiatrists and psychologists are recognizing that grief can become complicated, so it will help the world get beyond the "Get Over It" mentality, over time anyway (this could take decades if not a lifetime, for old patterns of thought die hard). The downside is that they are now "pathologizing" the normal process of "Child-Loss Grief," as Therese A. Rando, Ph.D., whom I greatly respect, declares that All Child-Loss Grief IS Complicated Grief (although she calls it Complicated Mourning), so the NORM for Child-Loss Grief is, by its very nature, extremely complicated. Just the Trauma alone makes Child-Loss Grief extremely complicated because of the uniquely bonded relationship between a parent and child.


(Now what I am about to say makes me so angry, that I am screaming. As my hubby said, I had to clear me out a place to throw a good fit! So bear with me. I am just SO angry at those who call themselves helping professionals when they are so CLUELESS about what Child-Loss Grief entails FOR ALL OF US CHILD-LOSS GRIEVERS.)


These are Dr. Shear's words,


"Some people who experience the loss of a loved one get 'stuck in acute grief' and fail to come to terms with their loss," said Dr. Shear. She cited "a study of parents who had lost a child in the pediatric intensive care unit that found that 18 months after the death — a period well beyond the time we think parents would take to make peace with their loss — 60% of parents reported experiencing complicated grief."
(italics, mine)


STUCK in acute grief???


18 MONTHS AFTER THE DEATH IS "A PERIOD WELL BEYOND THE TIME WE THINK PARENTS WOULD TAKE TO MAKE PEACE WITH THEIR LOSS"???


THEN SHE NOTES THAT AT LEAST "60% of parents reported experiencing complicated grief after 18 months of their child's death."



WELL, CAN THE PROFESSIONALS NOT HEAR WHAT IS THE NORM FOR ALL OF US CHILD-LOSS GRIEVERS THEN? I SAY IT IS, IN ACTUALITY, 100% OF CHILD-LOSS GRIEVERS THAT HAVE COMPLICATED GRIEF AFTER 18 MONTHS, BUT EVEN IF SHE FOUND ONLY 60%, CAN SHE NOT TELL THAT THAT IS THE MAJORITY OF US???? BUT NO, SHE THINKS WE SHOULD BE "DONE" BY THEN!!! LISTEN TO YOUR OWN RESEARCH STATISTICS WOMAN!!!



Their whole premise is flawed. If they (the helping professionals) are expecting us to be "over" child-loss grief within 18 months, how can the helping profession do us any good??? They are no better than the lay people in our environments who expect us to be "DONE" already!


In fact, they can do MORE DAMAGE --- THEY DO SECONDARY HARM* (see distinction below of The First Injury vs. The Second Injury) TO US, WHICH RESEARCHERS SAY CAN HURT WORSE THAN OUR PRIMARY HARM OF LOSING OUR CHILD --(As Tommy characterizes it, it's like stomping on a broken leg) -- BECAUSE WE MAKE OURSELVES VULNERABLE TO SOMEONE WE SHOULD BE ABLE TO TRUST -- THEY ARE THE PROFESSIONALS WHO SHOULD KNOW WHAT THEY ARE DOING IF THEY TAKE ON OUR CASE, BUT THEY DON'T!!!


WITH UNREALISTIC EXPECTATIONS LIKE THESE, THEY ARE GOING TO BE PILING ON TO OUR FRIENDS AND FAMILY MEMBERS WHO WANT IT TO BE DONE, OVER, KAPUT, ENDED ALREADY, SILENCED, SHUT UP, GET OVER IT! AND TO HAVE A PROFESSIONAL PILE ON CAN BE EXTREMELY HURTFUL BECAUSE THEN WHERE DO WE GO??? WE ARE ALREADY SECOND-GUESSING OURSELVES, AND YOU JUST MADE IT WORSE!


AS HIPPOCRATES SAID TO THE MEDICAL PROFESSION CENTURIES AGO, FIRST DO NO HARM! IF YOU AS A MEDICAL PROFESSIONAL ADD TO OUR HARM, THIS IS TOTALLY INEXCUSABLE AS IT GOES AGAINST THE HIPPOCRATIC OATH EVERY HEALTH-CARE GIVER SWEARS BY. YOU SHOULD NEVER MAKE OUR LOSS WORSE; IT IS ABSOLUTELY UNFORGIVABLE TO STOMP ON ONE WHO, ADMITTEDLY BY YOU, IS AT THEIR ALL-TIME LOWEST PERIOD OF THEIR LIFE.


*The First Injury, the loss of our child, has bowled us over.


The Second Injury is a loss piled on our already Huge Loss.


Is it possibly the loss that becomes
"The Straw that Breaks the Camel's Back"?

Sometimes. The current grief research finds it IS often harder to grapple with than our original loss and trauma. . .



Dr. Shear's philosophical bias is getting in the way of her seeing the truth! And SHE is one of the TOPS in the psychological profession's opinion! SHE is the one trying to get "Complicated Grief" into the DSM 5, and yet SHE doesn't even recognize COMPLICATED GRIEF IS THE NORM FOR A CHILD-LOSS PARENT, THE NORM, NOT A SICK SPECIMEN, IT IS NORMAL FOR US TO HAVE COMPLICATED GRIEF. IF YOU TREAT IT AS ABNORMAL for Child-Loss Grievers, NOW YOU ARE PATHOLOGIZING 100% OF US GRIEVERS. WE ARE NOT PATHOLOGICAL. WE ARE NORMAL.


BUT YES, THIS GRIEF IS A BEAR, AND WE SHOULD EXPECT IT TO BE A BEAR TO DEAL WITH. BUT IF YOU, THE SO-CALLED PROFESSIONAL SAY IT SHOULDN'T BE A BEAR, THEN YOU ARE TRYING TO TREAT CANCER WITH COLD-MEDICINE, AND YOU WILL DO US ABSOLUTELY NO GOOD!


All indications are showing these health-care professionals the earth is round, but they are still insisting that it is flat.


...To be continued...










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Wednesday, February 23, 2011

Thursday's Therapy - TRAUMA Therapy Toolbox - Understanding Community Reaction to Trauma or, Dropped








Thursday's Therapy


TRAUMA Therapy Toolbox


Understanding Community Reaction to Trauma


or


Dropped


~


Causes for Some of Our Child-Loss Grief Complications...




I awakened sad this morning. Thinking about a family member and the disharmony between us. I don't understand. I am so hurt. She doesn't understand either. And she is so hurt. I've lost my baby girl. This family member and I had always been so close ~ in heart anyway, both of us tenderhearted, both of us having children and hubbies and all. But not now. Grief has separated us. She doesn't understand me, and she can't "get it." She doesn't "do" emotions. If we have a disagreement, she can't talk about it. How do you have any depth with a person when you can't work through the differences?


I've been praying about it because I feel consumed by it. Today I feel like God has given me some HUGE hints. Clues He's left lying around. Some I had guessed at before, but I never really knew the depth of their implications. Now, I'm getting a glimpse...





Most children are amazingly resilient as long as they have a caregiver who's emotionally & physically available.

~van der Kolk



My mother and daddy were always there for me. And when my mother was busy in taking care of Daddy and all six of us kids, this family member was available and nurturing. She would teach me some of the major things I needed to learn in my childhood developmental stages. I write just like she does because she taught me to write. To this day I love my penmanship because it reminds me of hers. Neat, but feminine and flowing.




Emotional attachment is probably the primary protection against feelings of helplessness & meaninglessness; it is essential for biological survival in children, and without it, existential meaning is unthinkable in adults.

~van der Kolk




At a time when I need this other family member the most, she is absent? I couldn't understand.


Well, I do and I don't. How can you even begin to climb into another's pain over the loss of her daughter when you still have your own daughter with you? It's too painful for her to imagine.


And yet, not visiting my pain, she forgets I have it, and then she gets mad because I insist I do. She gets mad when I don't come "home" when she thinks I should.( ("Home" is 4 1/2 to 5 hours away, and I am barely functioning?!)


She doesn't try to "get it," and that hurts me.




Mature people also rely on their families, colleages, & friends to provide such a protective membrane (against trauma).



When people's own resources are depleted, outside help needs to be mobilized to compensate for their helplessness.



During acute trauma, the social environment tends to respond with generosity...(with) social and religious structures that are geared to helping acutely distressed people until they can resume looking after themselves.



External validation about the reality of a traumatic experience in a safe and supportive context is a vital aspect of preventing and treating posttraumatic stress. However, the creation of such a context for recovery can become very complicated when the psychological needs of victims and the needs of their social network conflict.



When victims' helplessness persists... the trauma is unlikely to result in the mobilization of external resources.

~van der Kolk




My father was gone before Merry Katherine was killed. He had died two years earlier. My mother (who had also experienced child-loss) was available, but her dementia was making her mind come and go, and yet she could climb into my grief from time to time, and when she did she was incredibly sweet and nurturing.


But this other family member, who had been such a nurturing person in my childhood, was essentially absent to me emotionally in my grief. She would make herself available at the critical beginning, and loved me more by "doing," all of which was so needed as I was rendered so helpless in my early, acute grief.


But in the days beyond those early days, my pain continued. And after one or two years, the shock wore off, and the reality set in. Abject pain. And my body started to react to the continual downloading of pain and agony by secreting stress hormones. The bottom was dropping out emotionally.


My family member? I sensed she was scared of such intense pain; I could never really blame her for that. I sensed it was more than she could bear.


...But she couldn't try, just a little bit?


I am supported in my early, acute grief, but when I am overwhelmed by severe helplessness and trauma over the years as I struggle with the world's most severe form of grief and trauma, she's nowhere to be found? Incredible! And yet, I know, the pain IS unbearable.




In recognition of this need for affiliation as a protection against trauma,... the central issue in disaster management is (therefore) the provision and restoration of social support.


~van der Kolk



(Two trauma experts) have called the social support that surrounds victims "the trauma membrane."


~van der Kolk, writing about Lindy and Titchener




Here's where I feel everybody has dropped the ball. At the very time you need your family, your community, and your community of faith, it seems they all disappeared. Not God though. He is my Rock, my Gentle Shepherd, my Father God who too lost His Child. But the rest? Where did they go?


How cruel not even to try to climb into my pain.


Even more cruel to try to talk me out of my pain.


And even more cruel to expect me to jump back into old activities as if my world hasn't Ended in so many ways.





Because of the lack of validation and support, traumatic memories are more likely to continue to prey on the victims' minds, and to be expressed as anger, withdrawal, or otherwise disrupted and disrupting behaviors....



For many, one of the most painful lessons trauma brings is they often feel God-forsaken AND betrayed by their fellow human beings.


~van der Kolk, highlight mine




I don't feel God-forsaken, but I feel very much betrayed by my fellow human-beings. Really, they don't seem very human at all...


And I become hurt, mad, disappointed, and I feel the need to withdraw... And that is interpreted by this family member as a direct affront to all the "love" she supposedly has available to offer me, offered mind you, in her terms, in essence,


"Get down here and party with us, and I'll eek out a little bit of love to you."




But when I do spend time with her, she is critical and aloof...



And she calls that love?! Sorry, my aching, broken heart is tender, and I cannot handle any more of your insensitivity, manipulation, and hurtfulness.




Traumas provoke emotional reactions in proportion to the degree of threat and horror accompanying them. One way of dealing with these intense emotions is to look for scapegoats who can be held responsible for the tragic event. Family members and other sources of social support can be so horrified at being reminded of the fact that they, too, can be struck by tragedies beyond their control that they start shunning the victims and blame them for what has happened--a phenomenon that has been called "the second injury"


~van der Kolk



Many trauma survivors' testimonies indicate that not being supported by the people they counted on, and being blamed for bringing horrendous experiences upon themselves, have left deeper scars than the original trauma itself.


~Lifton



This is hard to understand.


How could anything be more painful than the loss of your child?!


But you certainly think you can count on some people to be there in the pain with you, at least from time to time. Ah, there's the biggest rub.


Feeling dropped by those you thought you could count on has been devastating.


I have had to avoid these people because now they hurt me, and I cannot afford to be hurt further. Even their disinterest hurts. But their downright meanness is inexcusable. Nothing can hurt more than losing my baby... And yet, the scars of their callousness do run deep. All the way down into my already broken heart.












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