Thursday, June 6, 2019

Grief Counseling and Process Intervention Essay Example for Free

tribulation Counseling and Process discussion EssayAbstractGrief comes in different forms and affects each psyche differently. Websters dictionary describes melancholy as deep sadness caused especially by some hotshots death, a cause of deep sadness, and trouble or annoyance. Grief is associated with deprivation outlet of people, place, or thing. It is a universal experience that recovers to all life. In multicultural counseling a counselor should be able to effectively cover up and deal with the issues of sorrowfulness, as they relate to divers sort outs. The boundaries between normal and complicated wo is a process. The factors of cultural, companionable and religious influence, also influences the grief and the level of anxiousness that is produced due to that grief. Different people be squander differently on the same sort of loss, and this makes it important to understand the impact which the loss has on the person. This renewing warrants further research on t he topic of grief counseling and process hitchs which build to be chosen in different circumstances with different people.Grief Counseling and Process InterventionGrief is a common reality of everyones life and almost all pretend to go through a manikin where the loss is too big to handle. Altmaier (2011) states that, the strength of anxiety, stress and grief from a loss depends on the acquaintance and importance of that lost thing in the life of the person. Many researchers (Ober, et al., 2012 Howarth, 2011 Breen, 2011) have highlighted that death is one of the typical forms of complex loss that most people experienced at least once in their lives. The bereavement of loss of life can be far more devastating to an individuals behavior and social functioning than any early(a) type of losses.Such bereavement is common inall cultures and there can seldom be a person who is non disturbed nearly the loss of a loved one (Howarth, 2011). However, the social detachment and the leve l of anxiety and depression later the loss can vary from culture to culture, closeness of relation with the deceased one, and the nature of the person. For this reason group counselors have to study and understand the nature and level of grief in order to use the advance strategy and process hinderance for grief recovery (Altmaier, 2011).DiscussionThe term best practices has been used in relation with group counseling to analyze the practices that ar mostly applicable with people in grief (Kato Mann, 2009). However, several researchers (Baier Buechsel, 2012 Ober, 2011) have canceled out this term and claimed that each case would stand different and unique from the other. Because of this, generalizing the grief counseling process and intervention can be unsuccessful. Understanding the varied state of mind and grief symptoms of yellow bile, depression, loneliness, anxiety and other symptoms atomic number 18 essential for group counseling (Baier Buechsel, 2012).The Impact of L oss and BereavementThe research of Sussman (2011) founds that the grief and bereavement after a loss has different impacts on males, females and children. It has been discovered that men contend with a loss and their state of depression more quickly than women and children. The beginning of this fact can be related to the natural characteristics and the sensitivity of each individual, which is greater in women and children than in men. Stroebe, et al., (2009) separated the impact of loss into tether phases and has illustrated that every individual that has experienced a loss will go through these three phases. The first phase is the instant shock where the person is in a mid-state of contracting the loss.Many people take a long time to accept the fact that a certain loss has occurred (Stroebe, Stroebe, Hansson, 2009). This has been a common view in the cases of deaths of loved ones, particularly with females and immature children. This stage has the first reactions of mourning, yelling, protesting, showing anger and frustration loudly and not welcoming the occurrence of the loss (Howarth, 2011). In the second phase the loss is accepted mentally, just now there remains the aftereffects of the loss, in the form of social impairment and detachment of the person from the social group and/or preferring to be alone (Stroebe, Stroebe, Hansson, 2009). This is the phase where the counselors selects to notice involved and observe the symptoms of the person and the duration of the loss event to know the technique and structure that use ups to be used in such a situation Higgins (2009).The third phase of acceptance, is on in which the person accepts the loss and develops the belief that nothing can change the reality and life has to move on (Stroebe, Stroebe, Hansson, 1999). Allumbach Hoyt (2009) focuses the fact that grief counseling should not be stop early in this phase, as there are chances that the patient could return to the second phase again (Allumbach Hoyt, 2009). The concept of cognitive therapy is introduced to be sure that the complete transaction of the person in grief takes place from the second phase of emotional tribulation and pain to the third phase of recovering and moving on with the life by suppressing the memories of the loss person or thing (Altmaier, 2011).A complex view of the grief loss is in the context of young children. Malkinson (2010) underlines the cognitive learning procedure of humans and explains that children from age two- five do not have a solid understanding of loss or death (Malkinson, 2010). They carry likelihood that whatever is at peace(p) will return back one day. This is typical in the case of their deceased pets, siblings or parents. As they go into adolescence they develop a better understanding of death and that the departed will not return. A loss of loved one at this stage can be very challenging because the child is already dealing with the questions of self-identity and life-directi on. This type of loss can immobilise the mindset, behavior and thought capability of the child Higgins (2009).Process, Intervention, and StructureSeveral theorists have addressed the fact that after a loss people usually see lonely and prefer to be alone as they cannot fill the space made by the loss object or person (Watson West 2006). A person being bankrupted and losing all his life savings in a flash has a high chance of getting isolated from the society and closure up as a depression patient or with physical disorders like brain tumor, high blood pressure or other disorders that happen due to stress and tension (Watson West 2006). If a therapist is consulted in such a scenario because the first thing to do is to understandbeliefs and conjectures which the person is carrying regarding the loss. They may think that people will make fun of them or they will lose their social status. They also may think that they will not be able to take care of their family and children etc .These are the thoughts that the person develops in the second phase of loss. They can become mentally and emotionally weak, not able to look at the brighter side of the scenario or what is left (Baier Buechsel, 2012). In the Task-Oriented Approach forwarded by Doel (2006), Eaton Roberts (2002) shows that the mechanism of motor performance of each individual suffering from losses processed and structured with a technique to make the person believe that the intensity and level of loss is not as big as it is perceived by the person. In his study Doel (2006) defines the practice of using volunteers who can form group with the person to be treated and the volunteers. They will act if they have not had a much greater loss and can share how they have coped with it. This has proved to be a good strategy if conducted in a proper fashion and establishing that the events described by other are similar in nature but unique from one another (Eaton Roberts, 2002).The second project is of he lping the person to erase the old memories related to that person, business or any other object. The motif here is not to separate the person from the loss, but to lessen the grief and bereavement that is closely associated to the memories of the loss (Eaton Roberts, 2002). The task oriented intervention for grief counseling shows great limitations when it is implied for the grief therapy of parents who have lost their young children in an accident or been killed. Such cases were abundant after the devastating event of 9/11 and a lot of parents showed little or no recovery by the use of task oriented process and stayed in their state of depression and emotional pain. Brown (2006) has forwarded the Cognitive Behavioral Therapy (CBT) Model for the grief counseling of people in complicated bereavement like those who have experienced sudden death of a loved one, particularly their children.The ground of this intervention is due to the difference between the perspicacious and the irrat ional thinking of the distressed people. Irrational thinking makes them perceive their lives to be intolerable without the existence of the deceased one (Brown, 2006). In the CBT process, close bonds are developed with such people and they are given the chance to express the effect of such a loss on their present and future.This presumption, usually based on irrational thinking, is first replicated by other irrational support (Malkinson, 2010). For example, if a mother has lost her child then she is made to believe that her child will be remembered as the one who sacrificed his/her life and he/she would have attained a higher state in the heaven.The parallel of the irrational thinking with other irrational belief was carried out in the study of Cigno (2006) on Cognitive-behavioral practice with 18 mothers and 11 fathers whom children became victim of the driveway crimes or terrorist activities. Cigno found out that 72.4% of the parents in this research showed signs of improvement a nd were able to enter the second phase of loss grief to the third phase. At this stage, activities of social engagement and task oriented approach can be available to ensure maximum grief recovery of those people (Cigno, 2006).The Complicated Grief Intervention Model (CGIM)To empower the counselors and the social formers in treating complicated grief, there is a need of a model that can define the approach and plan of counselors when they are dealing with a strip person (Morris, 2006). The grief of loss of the loved one, a major business downfall or other losses which have a great impact on the outlook of ones life can be included in complicated grief. The counselor assesses the need and the present condition of the bereaved one in the first step of the model. This is not limited to the emotional state, but also to the practical side the work and family responsibilities of the bereaved one that are affected by the disposition of the person. These things can be assessed by using th e narrative technique and asking the people about their stories related to the lost person or object.A secondary assessment is also suggested where the friends or family members of the bereaved one are interviewed to know the extent of grief (Altmaier, 2011). When the counselor prescribes activities or medicines to the bereaved person this is the second stage is of intervention. It has been a common observation by many researchers (Watson West, 2006 silverside, 2011 Morris (2006) that counselors are not result-oriented in their intervention. Silversides (2011) discusses that many counselors do not plan the outcome of the activity and they do not regularly evaluate the success of the activity. Because of this practice the recovery is temporary. There have been cases reported to have developed thesame state of depression and grief after the therapy was over (Silversides, 2011).For instance, if a hobby is suggested to the bereaved person to exercise, some of the questions that need t o be answered are what will be the duration of the exercise? What end results it will bring or tend to bring? How will it help the bereaved person to replicate the negative irrational thinking with positive irrational thinking? What will be the consequences of the exercise after it is discontinued for more than 6 months? What will be the approach if the person develops the same state of mind again? Answering these questions prior to starting the intervention strategy will raise the probability of achieving desired results over the anticipated time (Drenth, Herbst, Strydom, 2010).It is evident that some part of the therapy, like counseling sessions and workshops cannot last forever and they need to be stopped after some period, while few of the routine activities can be carried on for a much longer period as the person wants to. It is necessary for the social worker or counselor to understand the significance of the activities and which are for finite period, and analyze if there wo uld be a need to prolong, modify or substitute it with another activity as per the requirement of the person (Johnsen, Dyregrov, Dyregrov, 2012). It is both natural and biblical to grieve. The reality is that no matter how happy those who have gone are, and how much they gain by the move, the loss is suffered , and trying to live in denial of this reality is not heroic but caving in to social or religious pressure that is not of God.There is much evidence that those who confront their inner pain head-on, heal quickest. Inner pain will gradually sack out when we face it, but it will keep haunting us if we run from it. Surely he hath borne our griefs, and carried our sorrows yet we did esteem him stricken, smitten of God, and afflicted. But he was maimed for our transgressions, he was bruised for our iniquities the chastisement of our peace was upon him and with his stripes we are healed. All we like sheep have gone astray we have turned everyone to his own way and the master key hath laid on him the iniquity of us all (Isaiah 534-6, KJV).ConclusionGrief is a natural occurring and almost every human goes through this phenomenon at some point of time in his or her life. The extent of grief is dependent on factors of closeness with the lost person or thing and therational and irrational thinking that the person has developed after the loss. The state of complex grief or bereavement occurs mostly in the case of losing the love ones and entryway into the state of loneliness, anger and depression. The degree of these symptoms is more pronounced in teen agers and women. It is for this reason that counselors have to understand the nature and extent of the grief and the irrational thinking that have been developed as a result to prescribe a therapy or activity that best suits the need of the bereaved one.ReferencesAllumbach, L., Hoyt, W. (2009). Effectiveness of grief therapy A meta-analysis. journal of Counseling Psychology , 46, 370380. Altmaier, E. (2011). Best Practices in Counselling Grief and Loss Finding Benefit From Trauma. Journal of Mental Health Counseling , 33 (1), 33-47. Baier, M., Buechsel, R. (2012). A model to help bereaved individuals understand the grief process. Mental Health Practice, 16(1), 28-32. Breen, L. (2011). Professionals experiences of grief counseling implications for bridging the gap between research and practice. Omega, 62(3), pp. 285-303. Brown, H.C., 2006, Counseling, in R. Adams, L. Dominelli M. Payne (eds.), Social work. Themes, issues and critical debates, pp. 139148, Palgrave, London. Cigno, K., 2006, Cognitive-behavioral practice, in R. Adams, L. Dominelli M. Payne (eds.), Social work. Themes, issues and critical debates, pp. 180190, Palgrave, London. Doel, M., 2006, Task-Centered work, in R. Adams, L. Dominelli M. Payne (eds.), Social work. Themes, issues and critical debates, pp. 191199, Palgrave, London. Drenth, C., Herbst, A., Strydom, S. (2010). A complicated grief intervention model. Journal of interdisciplinary Health sciences , 10 (1), 97-109. Eaton, Y.M. Roberts, A.R., 2002, Frontline crisis intervention Step-by-step practice guidelines with case applications, in A.R. Roberts G.J. Greene (eds.), Social workers desk reference, pp. 8996, University Press, Oxford. Higgins, P. C. (2009). Grief Counseling and Grief Therapy A Handbook for the Mental Health Practitioner, Fourth Edition. Journal of Palliative Medicine, 12(7), 653-654. doi10.1089/jpm.2009.9590 Holland, J. M., Neimeyer, R. A., Boelen, P. A., Prigerson, H. G. (2009). The underlying structure of grief A taxometric investigation of prolonged and normal reactions to loss. Journal of Psychopathology and BehavioralAssessment, 31(3), 190-201. doihttp//dx.doi.org/10.1007/s10862-008-9113-1 Howarth, R. A. (2011). Concepts and controversies in grief and loss. Journal of Mental Health Counseling, 33(1), 4-10. Retrieved from Johnsen, I., Dyregrov, A., Dyregrov, K. (2012). Participants with prolonged grief how do they benefit from grief group participation. Omega, 65(2), pp. 87-105. Kato, P., Mann, T. (2009). A sysnthesis of psychological intervention for the bereaved. Clinical Psychology , 16, 275-296. Malkinson, R. (2010). Cognitive-Behavioral Grief Therapy The ABC Model of Rational-Emotion Behavior Therapy. Psychological Topics , 2, 289-305. Morris, T., 2006, Social work research methods four alternative paradigms, sage-green Publications, Thousand Oaks. Ober, A. M., Granello, D. H., Wheaton, J. E. (2012). Grief counseling An investigation of counselors training, experience, and competencies. Journal of Counseling and Development JCD, 90(2), 150-159. Retrieved from Silversides, A. (2011). When loss leads in new directions. Jane Simington shares hard-won lessons about healing. The Canadian Nurse, 107(6), 34-35. Stroebe, M., Stroebe, W., Hansson, R. (1999). Handbook of Bereavement Theory, Research, and Intervention. tender York Press Syndicate .

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