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Index
Cover
Contents
About the Book
About the Author
Dedication
Title Page
Preface
Part I: Observations, Concepts and Controversies
1. The Trauma of Loss
Prelude
Grief in Infancy and Early Childhood
Do Young Children Mourn? A Controversy
Detachment
2. The Place of Loss and Mourning in Psychopathology
A Clinical Tradition
Ideas Regarding the Nature of Mourning Processes, Healthy and Pathological
Ideas to Account for Individual Differences in Response to Loss
3. Conceptual Framework
Attachment Theory: An Outline
Stressors and States of Stress and Distress
4. An Information Processing Approach to Defence
A New Approach
Exclusion of Information from Further Processing
Subliminal Perception and Perceptual Defence
Stages at Which Processes of Defensive Exclusion May Operate
Self or Selves
Some Consequences of Defensive Exclusion
Conditions that Promote Defensive Exclusion
Defensive Exclusion: Adaptive or Maladaptive
5. Plan of Work
Part II: The Mourning of Adults
6. Loss of Spouse
Sources
Four Phases of Mourning
Differences Between Widows and Widowers
Note: Details of Sources
7. Loss of Child
Introduction
Parents of Fatally Ill Children
Parents of Infants Who Are Stillborn or Die Early
Affectional Bonds of Different Types: A Note
8. Mourning in Other Cultures
Beliefs and Customs Common to Many Cultures
Mourning a Grown Son in Tikopia
Mourning a Husband in Japan
9. Disordered Variants
Two Main Variants
Chronic Mourning
Prolonged Absence of Conscious Grieving
Mislocations of the Lost Person’s Presence
Euphoria
10. Conditions Affecting the Course of Mourning
Five Categories of Variable
Identity and Role of Person Lost
Age and Sex of Person Bereaved
Causes and Circumstances of Loss
Social and Psychological Circumstances Affecting the Bereaved
Evidence from Therapeutic Intervention
11. Personalities Prone to Disordered Mourning
Limitations of Evidence
Disposition to Make Anxious and Ambivalent Relationships
Disposition Towards Compulsive Caregiving
Disposition to Assert Independence of Affectional Ties
Tentative Conclusions
12. Childhood Experiences of Persons Prone to Disordered Mourning
Traditional Theories
The Position Adopted
Experiences Disposing Towards Anxious and Ambivalent Attachment
Experiences Disposing Towards Compulsive Caregiving
Experiences Disposing Towards Assertion of Independence of Affectional Ties
13. Cognitive Processes Contributing to Variations in Response to Loss
A Framework for Conceptualizing Cognitive Processes
Cognitive Biases Affecting Responses to Loss
Biases Contributing to Chronic Mourning
Biases Contributing to Prolonged Absence of Grieving
Biased Perceptions of Potential Comforters
Biases Contributing to a Healthy Outcome
Interaction of Cognitive Biases with Other Conditions Affecting Responses to Loss
14. Sadness, Depression and Depressive Disorder
Sadness and Depression
Depressive Disorder and Childhood Experience
Depressive Disorders and Their Relation to Loss: George Brown’s Study
The Role of Neurophysiological Processes
Part III: The Mourning of Children
15. Death of Parent during Childhood and Adolescence
Sources and Plan of Work
When and What a Child is Told
Children’s Ideas About Death
16. Children’s Responses when Conditions are Favourable
Mourning in Two Four-Year-Olds
Some Tentative Conclusions
Differences Between Children’s Mourning and Adults’
Behaviour of Surviving Parents to Their Bereaved Children
17. Childhood Bereavement and Psychiatric Disorder
Increased Risk of Psychiatric Disorder
Some Disorders to Which Childhood Bereavement Contributes
18. Conditions Responsible for Differences in Outcome
Sources of Evidence
Evidence from Surveys
Evidence from Therapeutic Studies
19. Children’s Responses when Conditions are Unfavourable
Four Children Whose Mourning Failed
Peter, Eleven When Father Died
Henry, Eight When Mother Died
Visha, Ten When Father Died
Geraldine, Eight When Mother Died
20. Deactivation and the Concept of Segregated Systems
21. Disordered Variants and Some Conditions Contributing
Persisting Anxiety
Hopes of Reunion: Desire to Die
Persisting Blame and Guilt
Overactivity: Aggressive and Destructive Outbursts
Compulsive Caregiving and Self-Reliance
Euphoria and Depersonalization
Identificatory Symptoms: Accidents
22. Effects of a Parent’s Suicide
Proportion of Parents’ Deaths Due to Suicide
Findings from Surveys
Findings from Therapeutic Studies
23. Responses to Loss during the Third and Fourth Years
Questions Remaining
Responses When Conditions are Favourable
Responses When Conditions are Unfavourable
24. Responses to Loss during the Second Year
A Transitional Period
Responses When Conditions are Favourable
Responses When Conditions are Unfavourable
25. Young Children’s Responses in the Light of Early Cognitive Development
Developing the Concept of Person Permanence
The Role of Person Permanence in Determining Responses to Separation and Loss
Epilogue
Acknowledgements
Bibliography
Author Index
Subject Index
Copyright
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