by Alan D. Wolfelt, Ph.D.
Many people have a real desire to learn more about the
experience of death and grief. Without a doubt we have witnessed an
upsurge in interest in bereavement caregiving. However, many
well-intentioned, yet misinformed people are still victims of widely help
myths regarding grief.
The purpose of this article is to identify, describe, and dispel five common
myths about grief. Providing quality care to the bereaved requires
that we as society work to dispel these myths outlined below. People
who have internalized these myths become incapable of helping grievers
move toward healing.
These myths are not intended to be all-inclusive or mutually exclusive.
Observation suggests that may people who believe in any one of these will
also believe in many, if not all, of the others. Our joint task is not
to condemn these people, but supportively encourage them to broaden their
understanding of the complex experiences of grief and mourning.
Identifying The Myths
Myth #1 Grief and mourning are the same experience;
Myth #2 There is a predictable and orderly stage-like
progression to the experience of mourning;
Myth #3 It is best to move away from grief instead of
toward it;
Myth #4 Following the death of someone significant to
you, the goal is to "get over" your grief;
Myth #5 Tears expressing grief are only a sign of
weakness.
Myth #1: Grief and mourning are the same experience.
The majority of people tend to use the words grief and mourning
synonymously. However, there is an important distinction between them.
We have learned that people move toward healing not by just grieving, but
through mourning.
If we want to help the bereaved we can work to understand the semantic
distinctions of these commonly used terms. Simply stated, grief is the
thoughts and feelings that are experienced within oneself upon the death of
someone loved. In other words, grief is the internal meaning given to
the experience of bereavement.
Mourning is taking the internal experience of grief and expressing
it outside of oneself. The specific ways in which people express
mourning are influenced by customs of their culture. Another way of
defining mourning is to state that it is "grief gone public" or "sharing
one's grief outside of oneself."
In reality, many people in our culture grieve, bu the do not mourn. As
opposed to being encouraged to express their grief outwardly they are often
greeted with messages along the lines "carry on," "keep your chin up, " and
"keep busy." So, they end up grieving within themselves in isolation,
instead of mourning outside of themselves in the presence of loving
companions.
Now that these terms have been defined in a more formal sense, lets take a
moment to acknowledge that grief and mourning are much more personal
experiences than their words describe. Actually, this author finds
words inadequate to convey what grief and mourning are all about.
Grief and mourning are much more than words. Experiencing the thoughts
and feelings of grief is often movement through an unknown territory that is
embraced by an overwhelming sense of pain and loss. Only through
encouraging ourselves and others to mourn outside of ourselves will we
become a catalyst for healing.
Don't just grieve, mourn, too and be proud of your capacity to do so!
Myth #2: There is a predictable and orderly
stage-like progression to the experience of mourning.
Stage-like thinking about both dying and mourning has been appealing to
many people. Somehow the "stages of grief" have helped people try to
make sense out of an experience that isn't so orderly and predictable as we
would like it to be.
Attempts have been made to replace fear and lack of understanding with the
security that everyone grieves by going through the same stages. If
only it were so simple!
The concept of "stages" was popularized in 1969 with the publication of
Elizabeth Kubler-Ross' landmark text On Death and Dying.
Kubler-Ross never intended for people to literally interpret her five
"stages of dying." However, many people have done just that and the
consequences have often been disastrous.
One such consequence is when people around the grieving person adopt a rigid
system of beliefs about grief that do not allow for the natural unfolding of
the mourner's personal experience. We have come to understand that
each person's grief is uniquely his or her own. As helpers we only get
ourselves in trouble when we try to prescribe what someone's grief
experience should be.
Just as different people die in different ways, people mourn in different
ways. Expecting anything less would be to demonstrate a lack of
respect for uniqueness of the person. This author prefers a helping
attitude that conveys the following: "teach me about your grief and I
will be with you. As you teach me I will follow the lead you provide
me and attempt to be a stabilizing and empathetic presence."
To think that one's goal as a caregiver is to move people through the stages
of grief would be a misuse of counsel. A variety of unique thoughts
and feelings will be experienced as part of the healing process. For
example, disorganization, fear, guilt, and anger may or many not occur.
Often, regression occurs along the way and invariably some overlapping.
Sometimes emotions follow each other within a short period of time; at other
times, two or more emotions are present in the grieving person
simultaneously.
Do not prescribe how someone should grieve, but allow them to teach you
where they are in the process.
Myth #3: It is best to move away from grief
instead of toward it.
The unfortunate reality is that many grievers do not give themselves
permission or receive permission from others to mourn, to express their many
thoughts and feelings. We continue to live in a society that often
encourages people to prematurely move away from their grief instead of
toward it. The result is that many people either grieve in isolation
or attempt to run away from their grief through various means.
During ancient times, stoic philosophers encouraged their followers not to
mourn, believing that self-control was the appropriate response to sorrow.
Still today, well intentioned but uninformed people carry on this long-held
tradition. A vital task of the helper is to encourage and support the
movement toward an outward expression of grief.
One of the reasons for many people's preoccupation with the very question
"how long does grief last?" often related to society's impatience with grief
and the desire to move people away from the experience of mourning.
Shortly after the funeral (if a funeral is held) the grieving person is
expected to "be back to normal."
Persons who continue to express their grief outwardly are often viewed as
"weak," "crazy" or "self-pitying." The common message is "shape up and
get on iwth your life." The reality is that may people view grief as
something to be overcome rather than experienced.
The result of these kinds of messages is to encourage the repression of the
griever's thoughts and feelings. Refusing to allow tears, suffering in
silence, and "being strong," are thought to be admirable behaviors.
Many people in grief have internalized society's message that mourning
should be done quietly, quickly, and efficiently.
Returning to the routine of work shortly after the death of someone loved,
the bereaved person relates, "I'm fine," in essence saying, "I'm not
mourning." Friends, family and co-workers often encourage this stance
and refrain from talking about the death. The bereaved person having
an apparent absence of mourning (having moved away from their grief instead
of toward it) tends to be more socially accepted by those around him or her.
However, this type of collaborative pretense surrounding grief does not meet
the emotional needs of the bereaved person. Instead, the survivor is
likely to feel further isolated in the experience of grief, with the
eventual onset of "going crazy syndrome." Attempting to mask or move
away from the grief results in internal anxiety and confusion. With
little, if any, social recognition related to the pain of the grief, the
person often begins to think their thoughts and feelings are abnormal.
As a matter of fact, the most frequent initial comment of grieving persons
at our Center for Loss and Life Transition in Colorado is the statement, "I
think I'm going crazy."
Our society encourages people to prematurely move away from their grief
instead of toward it. If we want to help bereaved people we must
remember that it is through the process of moving toward pain that we move
toward eventual healing.
Myth #4: Following the death of someone
significant to you, the goal is to "get over" your grief.
We have all had the unfortunate experience of hearing people inquire of
the bereaved person, "Are you over it yet?" Or, even worse yet, we
hear people comment, "well, they should be over it by now." To think
that we as human beings "get over" our grief is ludicrous!
The final dimension of grief in a number of proposed models is often
referred to as resolution, recovery, reestablishment, or reorganization.
This dimension often suggests a total return to "normalcy" and yet in my
personal, as well as professional experience, everyone is changed by the
experience of grief.
For the mourner to assume that life will be exactly as it was prior to the
death is unrealistic and potentially damaging. Recovery as understood
by some person, mourners and caregivers alike, is all too often seen
erroneously as an absolute, a perfect state of reestablishment.
Reconciliation is a term this author believes to be more expressive of what
occurs as the person works to integrate the new reality of moving forward in
life without the physical presence of the person who has died. What
occurs is a renewed sense of energy and confidence, an ability to fully
acknowledge the reality of the death, and the capacity to become re-involved
with the activities of living. Also, an acknowledgment occurs that
pain and grief are difficult yet necessary parts of life and living.
As the experience of reconciliation unfolds, the mourner recognizes that
life will be different without the presence of the significant person who
has died. A realization occurs that reconciliation is a process, not
an event. Beyond an intellectual working knowledge is an emotional
working through. What has been understood at the "head" level is now
understood at the "heart" level-the person who was loved is dead.
The pain changes from being ever-present, sharp and stinging to an
acknowledged feeling of loss that has given rise to renewed meaning and
purpose. The sense of loss does not completely disappear yet softens
and the intense pangs of grief become less frequent. Hope for a
continued life emerges as the griever is able to make commitments to the
future, realizing that the dead person will never be forgotten, yet knowing
that one's own life can and will move forward.
We never "get over" our grief but instead become reconciled to it.
Those people who think the goal is to "resolve" grief become destructive to
the healing process.
Myth #5: Tears expressing grief are only a sign
of weakness.
Unfortunately, many people associate tears of grief with personal
inadequacy and weakness. Crying on the part of the mourner often
generates feelings of helplessness in friends, family, and caregivers.
Out of a wish to protect the mourner from pain, those people surrounding the
mourner may serve to inhibit the experience of tears. Comments similar
to, "tears won't bring him back" and "he wouldn't want you to cry"
discourage the expression of tears. Yet crying is nature's way of
releasing internal tension in the body and allows the mourner to communicate
a need to be comforted.
Another function of crying is postulated in the context of attachment theory
wherein tears are intended to bring about reunion with the lost person.
While the reunion cannot occur, crying is thought to be biologically based
and a normal way of attempting to reconnect with the person who has died.
The frequency and intensity of crying eventually wanes as the hoped-for
reunion does not occur.
While research in this area is still limited, some investigators have
suggested that suppressing tears may increase susceptibility to
stress-related disorders. This would seem to make sense in that crying
is an exocrine process, one of the excretory processes. In reviewing
other excretory processes, such as sweating and exhaling, the fact is that
they all involve the removal of waste product from the body. Crying
may serve a similar function.
In this author's clinical experience with thousands of people in grief,
changes in physical expression have been observed following the expression
of tears. While this is purely a subjective observation, seemingly not
only do people feel better after crying, they also look better.
Expressions of tension and agitation seem to flow out of their body.
The capacity to express tears appears to allow for a genuine healing.
The expression of tears is not a sign of weakness. The capacity of the
mourner to share tears is an indication of the willingness to do the "work
of mourning."
Final Thoughts
Again, be aware that the above myths are not intended to be
all-inclusive. This author suggests the reader develop a list of
any additional "grief myths" observed in our society.
Being surrounded by people who believe in these myths invariably results in
a heightened sense of isolation and aloneness in the grieving person.
The inability to be supported in the "work of mourning" destroys much of the
capacity to enjoy life, living and loving.
Only when we as a society are able to dispel these myths will grieving
people experience the healing they deserve!
References
Kubler-Ross, E. (1969). On Death and Dying. New
York: Macmillan.
Wolfelt, A. (1987). "Understanding Common Patterns of Avoiding Grief".
THANATOS, Vol.12:2 pp. 2-5.
Wolfelt, A. (1988). "Resolution Versus Reconciliation: The
Importance of Semantics". THANATOS, Vol. 12:4, pp. 10-13.
Glick, I.O., Weiss, R.S., & Parkes, C.M. (1974). "The First Year of
Bereavement".
Used with permission by
Alan D. Wolfelt, Ph.D.
Director, Center for Loss & Life Transition
Fort Collins, Colorado
www.centerforloss.com