Who am I now? Experiences of widowed baby boomers attending grief support groups
Keywords:
spousal loss, support groups, role change, identity reconstruction, widowhood, baby boomers, grief process, restoration orientationAbstract
AbstractThis qualitative study used a symbolic interactionist approach to explore experiences of widowed baby boomers in the mid-west United States, who attend/ed grief support groups. Results from 38 personal interviews revealed three themes: (a) the importance of a support group as a safe haven coupled with the value of sharing a similar loss; (b) challenges related to group support; and (c) fractured individual and social selves. The evidence supports the idea that grief groups are effective in aiding the widowed in bereavement but also highlights a need to adjust the structure of group programs (specific to spousal loss). Recommendations are given for providers to consider addressing restoration-oriented stress as the group progresses (in lieu of a sole emphasis on loss-oriented tension). The new structure has the potential to recognise a fractured self in widowhood to meet the needs of, provide hope for, and empower widowed survivors in a 21st century landscape.
References
Barrett RK (2001). Death and dying in the Black experience: an interview with Ronald K. Barrett, Ph.D. Innovations in End-of-Life Care 3(5) 173–178.
Bergman EJ, Haley WE, Small BJ (2010). The role of grief, anxiety and depressive symptoms in the use of bereavement services. Death Studies 34(5) 441–458. doi: 10.1080/07481181003697746
Bernard HR (2006). Research methods in anthropology. New York, New York: Alta Mira Press.
Bonanno GA, Wortman CB, Lehman DR et al (2002). Resilience to loss and chronic grief: a prospective study from pre-loss to 18-months post-loss. Journal of Personal Social Psychology 83(5) 1150–64. doi: 10.1037/0022-3514.83.5.1150
Bouleware LE, Cooper LA, Ratner LE et al (2003). Race and trust in the health care system. Public Health Reports 118 358–365. doi: 10.1016/S0033-3549(04)50262-5
Carr D (2006). Good grief: bouncing back from a spouse’s death in later life. Contexts 5(4) 22–27. doi: 10.1525/ctx.2006.5.4.22
Creswell JW, Miller DL (2000). Determining validity in qualitative inquiry. Theory into Practice 39(3) 124–131. doi: 10.1207/s15430421tip3903_2
Denzin N (2006). Sociological methods: a sourcebook (5th edition). Aldine Transaction.
Fauri DP, Ettner B, Kovacs PJ (2000). Bereavement services in acute care settings. Death Studies 24(1) 51–64. doi: 10.1080/074811800200694
Giddens A (1991). Modernity and self-identity: self and society in the late-modern age. Palo Alta California: Stanford University Press.
Harris D (2009–2010). Oppression of the bereaved: a critical analysis of grief in Western society. Omega 60(3) 241–253.
Harrison L, Harrington R (2001). Adolescents’ bereavement experiences: prevalence, association with depressive symptoms and use of services. Journal of Adolescence 24(2) 159–169. doi: 10.1006/jado.2001.0379
Holstein J, Gubrium J (1997). Active interviewing. In: D Silverman (ed) Qualitative research: theory, method and practice. Sage Publications Ltd. 113–129.
Hoyert DL, Kung HC, Smith BL, Jonsen K (2005). Deaths: preliminary data for 2003. National Vital Statistics Reports 53(15).
Jonsen K, Jehn K (2009). Using triangulation to validate themes in qualitative studies. Qualitative Research in Organizations and Management: An International Journal 4(2) 123–150. doi: 10.1108/17465640910978391
Jordan JR, Neimeyer RA (2007). Historical and contemporary perspectives on assessment and intervention. In: D Balk (ed) Handbook of thanatology. Northbook, IL: Association of Death Education and Counseling 213–226.
Kaunonen M, Paivi AK, Paumpmem M, Erjanti H (2000). Death in the Finnish family: experiences of spousal bereavement. International Journal of Nursing Practice 6(3) 127. doi: 10.1046/j.1440-172x.2000.00189.x
Kinderknecht C, Hodges L (1990). Facilitating productive bereavement of widows: an overview of the efficacy of widows. Journal of Women and Aging 2(4) 39–54. doi: 10.1300/J074v02n04_04
Laurie A, Neimeyer R (2008). African Americans in bereavement: grief as a function of ethnicity. Omega 57(2) 173–193.
Levy L, Derby JF (1992). Bereavement support groups: who joins; who does not; and why. American Journal of Community Psychology 20(5) 649–662.
Lund D, Caserta M, Utz R, de Vries B (2010). Experiences and early coping of bereaved spouses/partners in an intervention based on the dual process model (DPM). Omega 61(4) 291–313.
Marris P (1974). Loss and change. New York, New York: Pantheon Books, Knopf Doubleday Publishing Group.
Mead GH (1934). Mind, self and society. Chicago, IL: University of Chicago Press.
Neimeyer RA (2001) (ed). Meaning reconstruction and the experience of loss. Washington, DC: American Psychological Association.
Pai M, Carr D (2010). Do personality traits moderate the effects of spousal loss on psychological adjustment? Journal of Health and Social Behavior 51 183–199. doi: 10.1177/0022146510368933
Parkes CM, Prigerson H (2010). Bereavement: studies of grief in adult life (4th ed). London: Routledge Press.
Patton MQ (2002). Qualitative research & evaluation methods. Thousand Oaks, CA: Sage Publications.
Pizzetti P, Manfredini M (2008). The shock of widowhood? Evidence from an Italian Population (Parma, 1989–2000). Social Indicators Research 85(3) 499–513. doi: 10.1007/s11205-007-9111-9
Rando T (1991). How to go on living when someone you love dies. New York: Bantam Books.
Riches G, Dawson P (1996). Communities of feeling: the culture of bereaved parents. Mortality 1 143–161. doi: 10.1080/713685832
Roberts A, McGilloway S (2008). The nature and use of bereavement support services in a hospice setting. Palliative Medicine 22(5) 612–625. doi: 10.1177/0269216308090071
Smith DE (1987). The everyday world as problematic: a feminist sociology. Boston: Northwestern University Press.
Strauss AL (1987). Qualitative analysis for social scientists. Cambridge Cambridgeshire: Cambridge University Press.
Steiner CS (2006). Grief support groups used by few – are bereavement needs being met? Journal of Social Work in End of Life Palliative Care 2(1) 29–53. doi: 10.1300/J457v02n01_04
Stroebe MS, Schut H (1999). The dual process model of coping with bereavement: rationale and description. Death Studies 23 197–224. doi: 10.1080/074811899201046
Stroebe M, Stroebe W (1987). Bereavement and health. Cambridge, MA: Cambridge University Press.
Utz RL, Lund D, Caserta M (2013). An evaluation of the Living After Loss intervention – part 2: do bereavement-related outcomes vary by the dynamics of support groups? Grief Matters 16(2), 36–40.
Utz RL (2006). Economic and practical adjustments to late life spousal loss. In: D Carr, RM Nesse, CB Wortman (2006) (eds). Spousal bereavement in late life. New York, NY: Springer Publishing Company.
van Manen M (1990). Researching lived experience: human science for an action sensitive pedagogy. Albany, NY: SUNY Press.
Walsh-Burke K (2000). Matching Bereavement Services to level of need. Hospice Journal, 15 77–86. doi: 10.1300/J011v15n01_05
Walter T (1999). On bereavement: the culture of grief. Berkshire, England: Open University Press.
Walter T (2007). Modern grief, postmodern grief. International Review of Sociology 17(1) 123–134. doi: 10.1080/03906700601129798
Wambach JA (1985). The Grief process as a Social Construct. Omega 16(3) 201–11.
Wilkinson S, Croy P, King M, Barnes J (2007). Are we getting it right? Parents’ perceptions of hospice child bereavement support services. Palliative Medicine 21(5) 401–407. doi: 10.1177/0269216307078504
Wolff K, Wortman CB (2006). Psychological consequences of spousal loss among older adults: understanding the diversity of responses. In: D Carr, RM Nesse, CB Wortman (2006) (eds). Spousal bereavement in late life. New York, NY: Springer Publishing Company.
Worden JW (2002). Grief counseling and grief therapy (3rd ed). New York, NY: Springer Publishing Company.
Yopp JM, Rosenstein DL (2013). A support group for fathers whose partners died from cancer. Clinical Journal of Oncology Nursing 17 169–173. doi: 10.1188/13.CJON.169-173
Zisook S, Shuchter SR (1991). Early psychological reaction to the stress of widowhood. Psychiatry: Interpersonal and Biological Processes 54(4) 320.
