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We grieve after any sort
of loss, but most powerfully after the death of someone
we love. It is not just one feeling, but a whole
succession of feelings, which take a while to get
through and which cannot be hurried.
We
most often grieve for someone that we have known for
some time. However, it is clear that people who have had
stillbirths or miscarriages, or who have lost very young
babies, grieve in the same way and need the same sort of
care and consideration.
In the few hours or days following the death of a close
relative or friend, most people feel simply stunned, as
though they cannot believe it has actually happened.
They may feel like this even if the death has been
expected.
This sense of emotional numbness can be a help in
getting through all the important practical arrangements
that have to be made, such as getting in touch with
relatives and organising the funeral. However, this
feeling of unreality may become a problem if it goes on
too long. Seeing the body of the dead person may, for
some, be an important way of beginning to overcome this.
Similarly, for many people, the funeral or memorial
service is an occasion when the reality of what has
happened really starts to sink in. It may be distressing
to see the body or attend the funeral, but these are
ways of saying goodbye to those we love. At the time,
these things may seem too painful to go through and so
are not done. However, this can lead to a sense of deep
regret in future years.
Soon though, this numbness disappears and may be
replaced by a dreadful sense of agitation, of pining or
yearning for the dead person. There is a feeling of
wanting somehow to find them, even though this is
clearly impossible. This makes it difficult to relax or
concentrate and it may be difficult to sleep properly.
Dreams can be very upsetting.
Some people feel that they 'see' their loved one
everywhere they go - in the street, the park, around the
house, anywhere they had spent time together. People
often feel very angry at this time - towards doctors and
nurses who did not prevent the death, towards friends
and relatives who did not do enough, or even towards the
person who has, by dying, left them.
Another common feeling is guilt. People find themselves
going over in their minds all the things they would have
liked to have said or done. They may even consider what
they could have done differently that might have
prevented the death. Of course, death is usually beyond
anyone's control and a bereaved person may need to be
reminded of this. Some people may feel guilty if they
feel relieved that their loved one has died after a
painful or distressing illness. This feeling of relief
is natural, understandable and very common.
This state of agitation is usually strongest about two
weeks after the death, but is soon followed by times of
quiet sadness or depression, withdrawal and silence.
These sudden changes of emotion can be confusing to
friends or relatives, but are part of the normal process
of grief.
Although the agitation lessens, the periods of
depression become more frequent and reach their peak
between four and six weeks later. Spasms of grief can
occur at any time, sparked off by people, places or
things that bring back memories of the dead person.
Other people may find it difficult to understand or be
embarrassed when the bereaved person suddenly bursts
into tears for no obvious reason. At this stage it may
be tempting to keep away from other people who do not
fully understand or share the grief. However, avoiding
others can store up trouble for the future, and it is
usually best to start to return to one's normal
activities after a couple of weeks or so.
During this time, it may appear to others as though the
bereaved person is spending a lot of time just sitting,
doing nothing. In fact, they are usually thinking about
the person they have lost, going over again and again
both the good times and the bad times they had together.
This is a quiet, but essential part of coming to terms
with the death.
As time passes, the fierce pain of early bereavement
begins to fade. The depression lessens and it is
possible to think about other things and even to look
again to the future. However, the sense of having lost a
part of oneself never goes away entirely. For bereaved
partners there are constant reminders of their new
singleness, in seeing other couples together and from
the deluge of media images of happy families. After some
time it is possible to feel whole again, even though a
part is missing. Even so, years later you may sometimes
find yourself talking as though he or she were still
here with you.
These various stages of mourning often overlap and show
themselves in different ways in different people. Most
recover from a major bereavement within one or two
years. The final phase of grieving is a letting-go of
the person who has died and the start of a new sort of
life. The depression clears completely, sleep improves
and energy returns to normal. Sexual feelings may have
vanished for some time, but now return - this is quite
normal and nothing to be ashamed of.
Having said all this, there is no 'standard' way of
grieving. We are all individuals and have our own
particular ways of grieving.
In addition, people from different cultures deal with
death in their own distinctive ways. Over the centuries,
people in different parts of the world have worked out
their own ceremonies for coping with death.
In some communities death is seen as just one step in
the continuous cycle of life and death rather than as a
'full stop'. The rituals and ceremonies of mourning may
be very public and demonstrative, or private and quiet.
In some cultures the period of mourning is fixed, in
others not. The feelings experienced by bereaved people
in different cultures may be similar, but their ways of
expressing them are very different.
Children and adolescents
Even though children may not understand the meaning of
death until they are three or four years old, they feel
the loss of close relatives in much the same way as
adults. It is clear that, even from infancy, children
grieve and feel great distress.
However, they have a different experience of time from
that of adults, and may go through the stages of
mourning quite rapidly. In their early school years,
children may feel responsible for the death of a close
relative and so may need to be reassured. Young people
may not speak of their grief for fear of adding extra
burdens to the grown-ups around them. The grief of
children and adolescents, and their need for mourning,
should not be overlooked when a member of the family has
died. They should usually, for instance, be included in
the funeral arrangements.
How can friends and relatives help
You can help by spending time with the person who has
been bereaved. More than words comfort, they need to
know that you will be with them during this time of pain
and distress. A sympathetic arm around the shoulders
will express care and support when words are not enough.
It is important that, if they want to, bereaved people
can cry with somebody and talk about their feelings of
pain and distress without being told to pull themselves
together. In time, they will come to terms with it, but
first they need to talk and to cry.
Others may find it hard to understand why the bereaved
person has to keep talking about the same things again
and again, but this is part of the process of resolving
grief and should be encouraged. If you don't know what
to say, or don't even know whether to talk about it or
not, be honest and say so. This gives the bereaved
person a chance to tell you what he or she wants. People
often avoid mentioning the name of the person who has
died for fear that it will be upsetting. However, to the
bereaved person it may seem as though others have
forgotten their loss, adding a sense of isolation to
their painful feelings of grief.
Remember that festive occasions and anniversaries (not
only of the death, but also birthdays and weddings) are
particularly painful times. Friends and relatives can
make a special effort to be around.
Practical help with cleaning, shopping or looking after
children can ease the burden of being alone. Elderly
bereaved partners may need help with the chores that the
deceased partner used to handle - coping with bills,
cooking, housework, getting the car serviced and so on.
It is important to allow people enough time to grieve.
Some can seem to get over the loss quickly, but others
take longer. So don't expect too much too soon from a
bereaved relative or friend - they need the time to
grieve properly, and this will help to avoid problems in
the future.
Grief that is unresolved
There are people who seem hardly to grieve at all. They
do not cry at the funeral, avoid any mention of their
loss and return to their normal life remarkably quickly.
This is their normal way of dealing with loss and no
harm results, but others may suffer from strange
physical symptoms or repeated spells of depression over
the following years. Some may not have the opportunity
to grieve properly. The heavy demands of looking after a
family or business may mean that there just isn't the
time.
Sometimes the problem is that the loss is not seen as a
'proper' bereavement. This happens often, but by no
means always, to those who have had a miscarriage or
stillbirth, or even an abortion. Again, frequent periods
of depression may follow.
Some may start to grieve, but get stuck. The early sense
of shock and disbelief just goes on and on. Years may
pass and still the sufferer finds it hard to believe
that the person they loved is dead. Others may carry on
being unable to think of anything else, often making the
room of the dead person into a kind of shrine to their
memory.
Occasionally, the depression that occurs with every
bereavement may deepen to the extent that food and drink
are refused and thoughts of suicide arise.
CLICK HERE
for a downloadable booklet and info for widows from the BBC
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