From vulnerability to resilience: where should research priorities lie?
Keywords:
Mental health, physical health, risk, resilience, vulnerabilityAbstract
AbstractRecent decades have seen a shift in the focus of bereavement research from the mental and physical health consequences of bereavement to the exploration of the protective qualities that help people cope with loss. In this paper Margaret Stroebe reviews the literature produced by both camps and concludes that the pendulum may have swung too far. The literature indicates that the vast majority of bereaved people are, indeed, resilient and will cope without intervention. But policy-makers and health and social care practitioners need also to know that bereavement is associated with excess risk of early death and physical and psychological health problems. Psycho-social intervention should focus on such 'at-risk’ groups.
References
American Psychiatric Association. 1994. Diagnostic and statistical manual of mental disorders, 4th ed, Washington, DC: APA.
Bonanno, G. 2004. Loss, trauma, and human resilience: have we underestimated the human capacity to thrive after extremely aversive events?. American Psychologist, 59: 20–28.
Bonanno, G. 2008. Grief, trauma, and resilience. Grief Matters: The Australian Journal of Grief and Bereavement, 11: 11–17.
Bonanno, G, Boerner, K and Wortman, C. 2008. “Trajectories of grieving”. In Handbook of bereavement research and practice: advances in theory and intervention, Edited by: Stroebe, MS, Hansson, RO, Schut, H and Stroebe, W. 287–307. Washington, DC: American Psychological Association.
Byrne, G and Raphael, B. 1999. Depressive symptoms and depressive episodes in recently widowed older men. International Journal of Geriatric Psychiatry, 12: 241–251.
Carnelley, K, Wortman, C and Kessler, R. 1999. The impact of widowhood on depression: findings from a prospective survey. Psychological Medicine, 29: 1111–1123.
Costa, R and McCrae, P. 1988. Psychological resilience among widowed men and women: a10-year follow-up of a national sample. Journal of Social Issues, 44: 129–142.
Currier, J, Neimeyer, R and Berman, J. 2008. The effectiveness of psychotherapeutic interventions for the bereaved: a comprehensive, quantitative review. Psychological Bulletin, 134: 648–661.
Friborg, O, Hjemdal, O, Rosenvinge, J, Martinussen, M, Aslaksen, P and Flaten, M. 2006. Resilience as a moderator of pain and stress. Journal of Psychosomatic Research, 61: 213–219.
Hansson, RO and Stroebe, MS. 2007. Bereavement in later life: coping, adaptation, and developmental influences, Washington, DC: American Psychological Association Press.
Middleton, W, Raphael, B, Martinek, N and Misso, V. 1993. “Pathological grief reactions”. In Handbook of bereavement, Edited by: Stroebe, M, Stroebe, W and Hansson, RO. 44–61. New York: Cambridge University Press.
Mikulincer, M. 2008. An attachment perspective on disordered grief reactions and the process of grief resolution. Grief Matters: The Australian Journal of Grief and Bereavement, 11: 34–37.
Mikulincer, M and Shaver, P. 2008. “An attachment perspective on bereavement”. In Handbook of bereavement research and practice: advances in theory and intervention, Edited by: Stroebe, MS, Hansson, RO, Schut, H and Stroebe, W. 87–112. Washington, DC: American Psychological Association.
Murphy, S, Lohan, J, Braun, T, Johnson, L, Caiin, K, Beaton, R and Baugher, R. 1999. Parents’ health, health care utilization, and health behaviors following the violent deaths of their 12 to18-year-old children: a prospective, longitudinal analysis. Death Studies, 2: 589–616.
Murphy, S, Johnson, L, Chung, I and Beaton, R. 2003. The prevalence of PTSD following the violent death of a child and predictors of change five years later. Journal of Traumatic Stress, 16: 17–25.
Parkes, CM. 1972/1996. Bereavement: studies of grief in adult life, 1st/3rd ed, Harmondsworth/London: Penguin/Routledge.
Prigerson, H and Jacobs, S. 2001. “Traumatic grief as a distinct disorder: a rationale, consensus criteria, and a preliminary empirical test”. In Handbook of bereavement research: consequences, coping, and care, Edited by: Stroebe, MS, Hansson, RO, Stroebe, W and Schut, H. 613–645. Washington, DC: American Psychological Association Press.
Prigerson, H, Vanderwerker, L and Maciejewski, P. 2008. “A case for inclusion of prolonged grief disorder in DSMIV”. In Handbook of bereavement research and practice: advances in theory and intervention, Edited by: Stroebe, MS, Hansson, RO, Schut, H and Stroebe, W. 165–186. Washington, DC: American Psychological Association.
Prigerson, H, Silverman, G, Jacobs, S, Maciejewski, P, Kasl, S and Rosenheck, R. 2001. Traumatic grief, disability and the underutilization of health services: a preliminary look. Primary Psychiatry, 8: 61–69.
Raphael, B. 1983. The anatomy of bereavement, New York: Basic Books.
Raphael, B, Minkov, C and Dobson, M. 2001. “Psychotherapeutic and pharmacological intervention for bereaved people”. In Handbook of bereavement research: consequences, coping, and care, Edited by: Stroebe, MS, Hansson, RO, Stroebe, W and Schut, H. 587–612. Washington, DC: American Psychological Association Press.
Schut, H and Stroebe, M. 2005. Interventions to enhance adaptation to bereavement. Journal of Palliative Medicine, 8: s140–147.
Schut, H, de Keijser, J, van den Bout, J and Dijkhuis, J. 1991. Post-traumatic stress symptoms in the first years of conju-gal bereavement. Anxiety Research, 4: 225–234.
Schut, H, Stroebe, M, van den Bout, J and Terheggen, M. 2001. “The efficacy of bereavement interventions: determining who benefits”. In Handbook of bereavement research: consequences, coping, and care, Edited by: Stroebe, MS, Hansson, RO, Stroebe, W and Schut, H. 705–738. Washington, DC: American Psychological Association Press.
Stroebe, M, Schut, H and Stroebe, W. 2007. Health consequences of bereavement: a review. The Lancet, 370: 1960–1973.
Stroebe, M, Stroebe, W and Schut, H. 2001. Gender differences in adjustment to bereavement: an empirical and theoretical review. Review of General Psychology, 5: 62–83.
Stroebe MS , Hansson RO , Schut H , Stroebe W 2008 . Handbook of bereavement research and practice: advances in theory and intervention . Washington, DC : American Psychological Association .
Stroebe, W and Stroebe, M. 1993. “Determinants of adjustment to bereavement in younger widows and widowers”. In Handbook of bereavement, Edited by: Stroebe, M, Stroebe, W and Hansson, RO. 208–226. New York: Cambridge University Press.
Thompson, L, Breckenridge, J, Gallagher, D and Peterson, J. 1984. Effects of bereavement on self-perceptions of physical health in elderly widows and widowers. Journal of Gerontology, 39: 309–314.
Walter, T. 1999. On bereavement: the culture of grief, Buckingham: Open University Press.
Zisook, S and Shuchter, S. 2001. Treatment of the depressions of bereavement. American Behavioral Scientist, 44: 782–797.
