Deck 11: When Grief Goes Awry: Complicated Grief

Question 1

__________ was the first modern grief expert to raise concerns about the possible health consequences of complicated grief.

A) Parkes
B) Freud
C) Bonanno
D) Lindemann

Answer 1

Parkes

Question 2

Researchers feel it is important to distinguish complicated grief from __________.

A) major depression
B) anxiety disorder
C) social bereavement
D) chronic grief

Answer 2

major depression

Question 3

Scholars have advocated for bereavement-related disorders to be included in __________.

A) medical directories
B) bereavement counseling
C) the DSM-V
D) the APA manual

Answer 3

the DSM-V

Question 4

After the death of her favorite movie star Stacey was ridden with grief. She found her family and friends to be unsupportive in helping her cope with her feelings of loss. They constantly told her she was being 'too hysterical' mourning for someone she didn't even know personally. What type of grief is Stacey likely experiencing?

A) chronic grief
B) sudden grief
C) PTSD grief
D) disenfranchised grief

Question 5

While working with 100 bereft families after the Coconut Grove fire in Boston, Lindemann and colleagues identified __________.

A) four styles of mourning
B) six key traumatic grief reactions
C) twenty two survivors
D) two key elements of grief

Question 6

Somatic grief is characterized by __________.

A) bodily distress
B) preoccupation with an image of the deceased
C) hostility
D) taking on characteristics of the deceased

Question 7

When a person experiences a(n) __________ they may develop post-traumatic stress disorder.

A) brain injury
B) traumagenic event
C) complicated grieving process
D) acute feeling of distress

Question 8

Individuals with PTSD often experience nightmares and flashbacks; also referred to as __________.

A) intrusive reexperiencing
B) somatic response
C) hostility
D) traumagenic events

Question 9

According to DSM-IV-TR, __________ is when a person develops short-term anxiety, dissociative, or other symptoms as a result of experiencing trauma.

A) post-traumatic stress disorder
B) acute stress disorder
C) avoidance
D) somatic response

Question 10

When a person experiences a disruption in the usually integrated functions of consciousness, memory, identity, or perception of the environment they are experiencing __________.

A) a complicated grieving process
B) hyperarousal
C) a traumagenic event
D) a dissociative disorder

Question 11

Sandy could not remember the day that her car accident resulted in her brother's death. She is likely to be experiencing __________.

A) depersonalization disorder
B) dissociative fugue
C) dissociative identity disorder
D) dissociative amnesia

Question 12

A treatment for PTSD that progressively helps an individual confront distressing thoughts and memories called __________.

A) disclosure therapy
B) exposure therapy
C) virtual reality therapy
D) stress inoculation therapy

Question 13

What is the most common approach used to treat dissociative disorders?

A) individual psychodynamically oriented psychotherapy
B) exposure therapy
C) stress inoculation therapy
D) dissociative amnesia

Question 14

Research suggests that the difference between a survivor experiencing separation distress and traumatic distress is __________.

A) traumagenic event exposure
B) dependent on personal mental health
C) mourning process variation
D) the cause of the deceased's death

Question 15

Parkes points out that chronic complicated grief is largely caused by __________.

A) traumatic stress
B) denial of the deceased
C) excessive dependency on the deceased
D) numbness and anger

Question 16

The yearning of chronic grief tends to be focused on one thing: _________.

A) finding the lost beloved
B) suicide
C) forgetting the lost loved one
D) returning to normalcy

Question 17

When grief is not openly acknowledged, socially accepted, or publically mourned it is referred to as __________.

A) attachment theory
B) an interpersonal factor
C) disenfranchised grief
D) a personal risk factor

Question 18

In her study of terminally ill gay men and their partners, Folkman identified a problem-oriented focus, positive reappraisal, and using religious/spiritual beliefs to cope with death as __________.

A) positive forms of coping
B) negative forms of coping
C) dissociative disorders
D) disenfranchised grief

Question 19

The multidimensional process whereby one restructures one's self, relationships, and world to the reality of loss is referred to as __________.

A) grieving
B) bereavement
C) coping
D) PTSD

Question 20

Complicated grief treatment has a two-pronged approach that focuses on __________ and __________.

A) the bereft, the deceased
B) guiding the patient's focus on the loss, rebuilding life
C) using psycho-pharmaceutical therapy, intensive psychotherapy
D) changing the relationship to the deceased, to others

Question 21

Neimeyer and his colleagues believe that complicated grief is mediated by __________.

A) how we find meaning in our experiences of grief
B) how our grief is acknowledged by others
C) how the deceased died
D) when the grieving process begins

Question 22

The dual process grief model demonstrates that healthy coping is a process in which people deal with their grief by using a strategy that __________.

A) alternates between counseling and wellness therapies to deal with grief
B) alternates between avoidance and ignoring therapies to deal with mourning
C) focuses on many approaches that are fused into one plan for dealing with grief
D) alternates between using avoiding and confronting strategies to deal with grief

Question 23

Narrative therapy in counseling involves __________.

A) storying
B) therapeutic instruction
C) journaling
D) group sessions

Question 24

Therapy focused on caring for and being there with the client is referred to as __________ therapy.

A) palliative
B) storying
C) narrative
D) collaborative

Question 25

Explain some of the criteria for bereavement-related disorders put forth by scholars for the DSM-V. Why have scholars been unsuccessful getting bereavement related disorders into the book?

Question 26

Despite past controversies regarding dissociation, trauma and its treatment, the International Society for the Study of Dissociation (ISSD) has acknowledged a consensus for treating these disorders. What are the elements of this treatment and what does each stage focus on?

Question 27

In studies of long-term adjustment and grief, researchers found both positive and potentially adverse effects that are influenced by gender and social context. Explain some of these long-term adjustment effects, how they vary by gender, and the social contexts that influence them.

Question 28

Write an essay that presents and explains Doka's five basic types of disenfranchised grief. What are the reasons for disenfranchised grief and the negative consequences for bereft individuals?

Question 29

Why have traditional therapies been ineffective for treating complicated grief? What are some of the protocols/approaches researchers have proposed for treating complicated grief?