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								Helping 
survivors
who have lost loved ones, assisting them through stages of mourning
to offset future difficulties.									 
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Lindeman’s 4
Stages of Grief:									 
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1.  
Disturbed
equilibrium
2.  Grief work
3. Working through
the grief
4.  Restoration
of equilibrium									 
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Worden’s 4
Goals of Grief Counseling:									 
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Worden’s
Overall Goal of Grief Counseling:
 
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								Helping the 
survivor
complete any unfinished business with the deceased, and to be able to
say a final goodbye.									 
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Kubler-Ross 5
Stages of Grief:									 
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Stage 1:
Denial, which at first may be a healthy way to cope with painful news
Stage 2:
Anger, usually an attempt to gain attention, demand respect and
understanding, regain a measure of control
Stage 3:
Bargaining:
normal
 attempt to postpone death
Stage 4:
Depression, client confronted with loss(es) suffered
Stage 5:
Acceptance, quiet, peaceful resignation.
Not everyone goes
through all the stages, or at same pace, or in same sequence.									 
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Schneider
8-Stage Model of Loss:
a holistic “process of grieving”:									 
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Stage 1:
Initial awareness of loss, high stressor, may constitute a threat to
body’s homeostasis
Stage 2: 
Attempts to limit awareness by holding on: trying to limit feelings
of hopelessness and despair.
Stage 3: 
Attempts at limiting awareness by letting go (recognizes personal
limits to coping with loss)
Stage 4:
Awareness of the extent of loss, stage most readily recognized as
mourning
Stage 5:
Gaining perspective on the loss, acceptance
Stage 6:
Resolving the loss—a time of forgiveness, farewell, finishing
business
Stage 7: 
Reformulating loss in a context of growth, an outgrowth of resolving
grief
Stage 8: 
Transforming loss into new levels of attachment—reintegration of
physical, emotional, cognitive, behavioral, and spiritual aspects of
a person.									 
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Six Techniques
of Grief Counseling									 
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Evocative
language:
using words to evoke feelings (not “You lost your husband,” but
“Your husband died”), speaking of person in past tense to help
client realize loss is real.
Role playing:
Acting
the part of someone else or oneself (usually in a conversation with
someone else).Role play is used for many purposes in various
orientations.
Cognitive
restructuring:
learning
to
 replace irrational, self-defeating or self-destructive beliefs
with more accurate and beneficial ones.
Drawing and/or
writing:
may facilitate expression of thoughts, feelings, experiences in
relation to the loss
Guided or
directed imagery:
creating pictures in the mind to envision options for a more hopeful
future, discover alternative ways of thinking and feeling.
Symbols and
memory book: 
Can consist of pictures, letters, tapes, clothing, jewelry that
belonged to the deceased.  Memory book constructed by the
family.									 
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