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1

Shear, M. Katherine, and Elizabeth Mulhare. "Complicated Grief." Psychiatric Annals 38, no. 10 (October 1, 2008): 662–70. http://dx.doi.org/10.3928/00485713-20081001-10.

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Shear, M. Katherine. "Complicated Grief." New England Journal of Medicine 372, no. 2 (January 8, 2015): 153–60. http://dx.doi.org/10.1056/nejmcp1315618.

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3

Prigerson, Holly. "Complicated grief." Bereavement Care 23, no. 3 (December 2004): 38–40. http://dx.doi.org/10.1080/02682620408657612.

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Zisook, Sidney, and Charles F. Reynolds. "Complicated Grief." FOCUS 15, no. 4 (October 2017): 12s—13s. http://dx.doi.org/10.1176/appi.focus.154s14.

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5

Shamaskin-Garroway, Andrea M. "Complicated grief, complicated goodbyes." Families, Systems, & Health 38, Suppl 1 (2020): 3. http://dx.doi.org/10.1037/fsh0000557.

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6

Zisook, Sidney, Naomi M. Simon, Charles F. Reynolds, Ronald Pies, Barry Lebowitz, Ilanit Tal Young, Jennifer Madowitz, and M. Katherine Shear. "Bereavement, Complicated Grief, and DSM, Part 2: Complicated Grief." Journal of Clinical Psychiatry 71, no. 08 (August 15, 2010): 1097–98. http://dx.doi.org/10.4088/jcp.10ac06391blu.

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7

Shear, M. Katherine. "Complicated grief treatment." Bereavement Care 29, no. 3 (December 2010): 10–14. http://dx.doi.org/10.1080/02682621.2010.522373.

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8

Claxton, René, and Charles F. Reynolds. "Complicated Grief #254." Journal of Palliative Medicine 15, no. 7 (July 2012): 829–30. http://dx.doi.org/10.1089/jpm.2012.9577.

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9

Wortman, Camille B., and David Womack. "Complicated Grief Observed." Contemporary Psychology: A Journal of Reviews 39, no. 8 (August 1994): 812–13. http://dx.doi.org/10.1037/034565.

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10

Simon, Naomi M. "Treating Complicated Grief." JAMA 310, no. 4 (July 24, 2013): 416. http://dx.doi.org/10.1001/jama.2013.8614.

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11

Blackman, Noelle. "Supporting people with learning disabilities through a bereavement." Tizard Learning Disability Review 21, no. 4 (October 3, 2016): 199–202. http://dx.doi.org/10.1108/tldr-07-2016-0020.

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Purpose There remains a lack of clarity regarding what constitutes “normal” or “complicated” grief within this client group. The purpose of this paper is to identify the factors that complicate grief and considers interventions which would be beneficial. Design/methodology/approach The paper draws on previous research by the author and others to comment on some of the issues discussed by Hannah Young in her article. Findings Three domains contribute to complicated grief in people with learning disabilities. These are the learning disability itself, environmental factors and the impact of disability on attachment. Practical implications A relational approach to support is important in preventing complicated grief. If the grief becomes complicated, a relational psychotherapy is recommended as the preferable intervention. Originality/value This paper gives important consideration to practical factors that can lower vulnerability to complicated grief for this client group.
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O’Connor, Mary-Frances, Christian R. Schultze-Florey, Michael R. Irwin, Jesusa M. G. Arevalo, and Steven W. Cole. "Divergent gene expression responses to Complicated Grief and Non-complicated Grief." Brain, Behavior, and Immunity 37 (March 2014): 78–83. http://dx.doi.org/10.1016/j.bbi.2013.12.017.

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13

Bui, Eric, Arielle Horenstein, Riva Shah, Natalia A. Skritskaya, Christine Mauro, Yuanjia Wang, Naihua Duan, et al. "Grief-related panic symptoms in Complicated Grief." Journal of Affective Disorders 170 (January 2015): 213–16. http://dx.doi.org/10.1016/j.jad.2014.08.028.

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14

Nam, Ilsung. "Trajectories of complicated grief." European Journal of Psychiatry 29, no. 3 (September 2015): 173–82. http://dx.doi.org/10.4321/s0213-61632015000300002.

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15

Solano, Joao Paulo Consentino. "Traumatic and complicated grief?" Ciência & Saúde Coletiva 16, no. 10 (October 2011): 4337–38. http://dx.doi.org/10.1590/s1413-81232011001100029.

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16

Rosner, Rita, Gabriele Pfoh, and Michaela Kotoučová. "Treatment of complicated grief." European Journal of Psychotraumatology 2, no. 1 (January 2011): 7995. http://dx.doi.org/10.3402/ejpt.v2i0.7995.

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17

Parkes, Colin Murray. "Symposium on Complicated Grief." OMEGA - Journal of Death and Dying 52, no. 1 (February 2006): 1–7. http://dx.doi.org/10.2190/fqmx-qhjv-138x-nv6c.

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18

Hawton, Keith. "Complicated grief after bereavement." BMJ 334, no. 7601 (May 10, 2007): 962–63. http://dx.doi.org/10.1136/bmj.39206.507488.be.

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19

Horowitz, Mardi, Constance Milbrath, George A. Bonanno, Nigel Field, Charles Stinson, and Are Holen. "Predictors of complicated grief." Journal of Personal and Interpersonal Loss 3, no. 3 (July 1998): 257–69. http://dx.doi.org/10.1080/10811449808409703.

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20

Doering, Bettina K., and Maarten C. Eisma. "Treatment for complicated grief." Current Opinion in Psychiatry 29, no. 5 (September 2016): 286–91. http://dx.doi.org/10.1097/yco.0000000000000263.

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21

Shear, Katherine, Ellen Frank, Patricia R. Houck, and Charles F. Reynolds. "Treatment of Complicated Grief." JAMA 293, no. 21 (June 1, 2005): 2601. http://dx.doi.org/10.1001/jama.293.21.2601.

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22

Ginzburg, Karni, Yael Geron, and Zahava Solomon. "Patterns of Complicated Grief among Bereaved Parents." OMEGA - Journal of Death and Dying 45, no. 2 (October 2002): 119–32. http://dx.doi.org/10.2190/xuw5-qgq9-kcb8-k6ww.

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This study assessed patterns of grief reactions and their adaptiveness, among bereaved parents, who had lost an adult child during military service. The prevalence of the various reactions and their associations with psychosocial adjustment and risk-related factors were examined. Eighty-five bereaved parents filled out a battery of questionnaires 2.5 years after their loss. Type of grief reaction (absence, delayed, prolonged, and resolved) was identified utilizing the Texas Revised Inventory of Grief (TIG). In addition, psychiatric symptomatology, psychosocial functioning, and sociodemographic background were examined. Results indicated that prolonged grief reactions and absence of grief were the most prevalent variants. Absent and delayed grief reactions were associated with lower levels of psychosocial adjustment compared with prolonged grief reaction. Level of education, religious attitudes, and the circumstances of the loss were associated with the type of grief reaction. The findings of this study demonstrate the complexity of defining certain reactions as complicated. The identification of absence of grief and delayed grief reactions as being complicated is supported, but the inclusion of prolonged grief reaction as a complicated maladaptive reaction should be reconsidered.
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23

Boelen, Paul A., and Jan van den Bout. "Complicated grief and uncomplicated grief are distinguishable constructs." Psychiatry Research 157, no. 1-3 (January 2008): 311–14. http://dx.doi.org/10.1016/j.psychres.2007.05.013.

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24

Mitchell, Ann M., Yookyung Kim, Holly G. Prigerson, and MaryKay Mortimer-Stephens. "Complicated Grief in Survivors of Suicide." Crisis 25, no. 1 (January 2004): 12–18. http://dx.doi.org/10.1027/0227-5910.25.1.12.

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Summary: Complicated grief is a newly defined and distinctive psychiatric disorder that occurs in response to a significant loss through death. New findings suggest that survivors who were close to the deceased are at heightened risk for complicated grief. Little is known about whether close kinship (spouses, parents, children, siblings, vs. in-laws, aunts/uncles, nieces/nephews, friends, or coworkers) to a suicide victim also represents a heightened risk for complicated grief. Assessing for complicated grief is important, especially with survivors of suicide, because of the potential for associated health risks. This report contains preliminary data from an exploratory, descriptive pilot study examining complicated grief in adult survivors of suicide. Sixty bereaved subjects, within one month after the suicide of a family member or significant other, were assessed for complicated grief symptoms. Statistically significant differences, as measured with the Inventory of Complicated Grief, were noted between closely related and distantly related survivors of the suicide victim. These preliminary results indicate that health care professional's assessments and interventions for complicated grief should take into consideration the bereaved's familial and/or social relationship to the deceased. The closely related survivors of suicide had higher levels of complicated grief and could be at risk of developing physical and/or mental health problems, including suicidal ideation, in the future.
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25

Ngesa, Maureen O., Sylvia Tuikong, and Kennedy Ongaro. "Treating Complicated Grief among Orphaned Children in Kenya: Effectiveness of Complicated Grief Therapy." Open Journal of Social Sciences 08, no. 04 (2020): 461–78. http://dx.doi.org/10.4236/jss.2020.84034.

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26

Burke, Laurie A., and Robert A. Neimeyer. "Complicated Spiritual Grief I: Relation to Complicated Grief Symptomatology Following Violent Death Bereavement." Death Studies 38, no. 4 (November 11, 2013): 259–67. http://dx.doi.org/10.1080/07481187.2013.829372.

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27

Nam, I. S. "Effects of psychoeducation on helpful support for complicated grief: a preliminary randomized controlled single-blind study." Psychological Medicine 46, no. 1 (October 22, 2015): 189–95. http://dx.doi.org/10.1017/s0033291715001658.

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Background.Complicated grief is a distinct psychological response of individuals facing the loss of a loved one and can lead to many types of adverse health outcomes. Although social support may be beneficial, few studies have examined the beneficial effects of helpful support on complicated grief following bereavement.Method.A randomized controlled trial was conducted. Bereaved participants and supporters were randomized to psychoeducation on complicated grief and helpful social support or psychoeducation on complicated grief. The primary outcome was the Inventory of Complicated Grief.Results.The results showed that psychoeducation of supporters of bereaved individuals has significant beneficial effects. Particularly, symptoms of complicated grief were decreased in bereaved individuals with supporters that received psychoeducation.Conclusions.The results highlight the potential of psychoeducation to facilitate helpful social support and reduce complicated grief.
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28

Hogan, Nancy S., J. William Worden, and Lee A. Schmidt. "An Empirical Study of the Proposed Complicated Grief Disorder Criteria." OMEGA - Journal of Death and Dying 48, no. 3 (May 2004): 263–77. http://dx.doi.org/10.2190/gx7h-h05n-a4dn-rlu9.

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Diagnostic criteria for complicated grief have been proposed as a pathological disorder for inclusion into the next edition of the DSM. However, to date, little empirical testing of the criteria to support or refute the diagnostic claims has been completed. Since the original criteria were developed based on work with widows and widowers, further testing with other bereft groups is needed before advancing complicated grief to a diagnosis worthy of inclusion in diagnostic systems. The present study was undertaken to empirically test the complicated grief disorder criteria. The basic criteria of the complicated grief disorder, formerly called traumatic grief, separation distress, and traumatic distress, were not isolated as distinct constructs in confirmatory factor analyses, and conceptualization as a unitary construct did not provide an adequate fit of the model to the data. Further analyses did not support the distinctness between complicated grief and depression, or complicated grief and normal grief. Based on these findings, both further investigation into the validity of complicated grief disorder as a diagnosis and verification of the validity of the diagnostic criteria is warranted before declaring this phenomenon appropriate for inclusion in diagnostic systems.
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29

Saavedra Pérez, H. C., M. A. Ikram, N. Direk, H. G. Prigerson, R. Freak-Poli, B. F. J. Verhaaren, A. Hofman, M. Vernooij, and H. Tiemeier. "Cognition, structural brain changes and complicated grief. A population-based study." Psychological Medicine 45, no. 7 (November 3, 2014): 1389–99. http://dx.doi.org/10.1017/s0033291714002499.

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BackgroundSeveral psychosocial risk factors for complicated grief have been described. However, the association of complicated grief with cognitive and biological risk factors is unclear. The present study examined whether complicated grief and normal grief are related to cognitive performance or structural brain volumes in a large population-based study.MethodThe present research comprised cross-sectional analyses embedded in the Rotterdam Study. The study included 5501 non-demented persons. Participants were classified as experiencing no grief (n = 4731), normal grief (n = 615) or complicated grief (n = 155) as assessed with the Inventory of Complicated Grief. All persons underwent cognitive testing (Mini-Mental State Examination, Letter–Digit Substitution Test, Stroop Test, Word Fluency Task, word learning test – immediate and delayed recall), and magnetic resonance imaging to measure general brain parameters (white matter, gray matter), and white matter lesions. Total brain volume was defined as the sum of gray matter plus normal white matter and white matter lesion volume. Persons with depressive disorders were excluded and analyses were adjusted for depressive symptoms.ResultsCompared with no-grief participants, participants with complicated grief had lower scores for the Letter–Digit Substitution Test [Z-score −0.16 v. 0.04, 95% confidence interval (CI) −0.36 to −0.04, p = 0.01] and Word Fluency Task (Z-score −0.15 v. 0.03, 95% CI −0.35 to −0.02, p = 0.02) and smaller total volumes of brain matter (933.53 ml v. 952.42 ml, 95% CI −37.6 to −0.10, p = 0.04).ConclusionsParticipants with complicated grief performed poorly in cognitive tests and had a smaller total brain volume. Although the effect sizes were small, these findings suggest that there may be a neurological correlate of complicated grief, but not of normal grief, in the general population.
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30

Hogan, Nancy S., J. William Worden, and Lee A. Schmidt. "Considerations in Conceptualizing Complicated Grief." OMEGA - Journal of Death and Dying 52, no. 1 (February 2006): 81–85. http://dx.doi.org/10.2190/8565-3t0t-6jud-4xkh.

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31

Khoury, Brigitte, Oscar Barbarin, Germán Gutiérrez, Martina Klicperova-Baker, Prakash Padakannaya, and Ava Thompson. "Complicated Grief During COVID-19." International Perspectives in Psychology 11, no. 3 (July 2022): 214–21. http://dx.doi.org/10.1027/2157-3891/a000055.

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Abstract. Cultures across the globe have evolved time-tested rituals to honor those who die and offer solace and support to survivors with the goal of helping them to accept the reality of the death, cope with the feelings of loss, adjust to life without the deceased, and find ways to maintain a connection to the memory of the deceased. The COVID-19 pandemic has disrupted these rituals and brought significant changes to the way we mourn. Specifically, public health responses to COVID-19 such as social distancing or isolation, delays or cancellations of traditional religious and cultural rituals, and shifts from in-person to online ceremonies have disrupted rituals and thus made it more difficult to access support and complete the psychological tasks typically associated with bereavement. This paper conceptualizes the common bereavement tasks including emotion-focused coping, maintaining a connection to the deceased, disengagement and reframing death and loss, and problem-focused coping. It provides examples of how the COVID-19 pandemic has altered mourning rituals across several cultures and religions and contributed to prolonged grief disorder as defined by the ICD-11 that includes depressive symptoms and post-traumatic stress. Early evidence suggested that the suddenness of loss, the social isolation, and the lack of social support often associated with COVID-19-related death are salient risk factors for complicated grief. As a consequence, psychological assessments, grief counseling, and mental health support are needed by families of patients who died from COVID-19. These services must be essential components of any comprehensive public health response to the pandemic.
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32

Curran, Joseph. "Treatments for complicated grief compared." Mental Health Practice 10, no. 9 (June 2007): 27. http://dx.doi.org/10.7748/mhp.10.9.27.s28.

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33

Boerner, Kathrin, and Richard Schulz. "Caregiving, bereavement and complicated grief." Bereavement Care 28, no. 3 (December 2009): 10–13. http://dx.doi.org/10.1080/02682620903355382.

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34

Smid, Geert E., and Paul A. Boelen. "Performance of Complicated Grief Criteria." American Journal of Psychiatry 173, no. 11 (November 2016): 1149. http://dx.doi.org/10.1176/appi.ajp.2016.16060704.

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35

Hall, Charles A., Charles F. Reynolds, Meryl Butters, Sidney Zisook, Naomi Simon, Jody Corey-Bloom, Barry D. Lebowitz, Amy Begley, Christine Mauro, and M. Katherine Shear. "Cognitive functioning in complicated grief." Journal of Psychiatric Research 58 (November 2014): 20–25. http://dx.doi.org/10.1016/j.jpsychires.2014.07.002.

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36

Maccallum, Fiona, and Richard A. Bryant. "Attentional bias in complicated grief." Journal of Affective Disorders 125, no. 1-3 (September 2010): 316–22. http://dx.doi.org/10.1016/j.jad.2010.01.070.

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37

Shear, M. Katherine, Charles F. Reynolds, Naomi M. Simon, Sidney Zisook, Yuanjia Wang, Christine Mauro, Naihua Duan, Barry Lebowitz, and Natalia Skritskaya. "Optimizing Treatment of Complicated Grief." JAMA Psychiatry 73, no. 7 (July 1, 2016): 685. http://dx.doi.org/10.1001/jamapsychiatry.2016.0892.

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38

Germain, Anne, Krissa Caroff, Daniel J. Buysse, and M. Katherine Shear. "Sleep quality in complicated grief." Journal of Traumatic Stress 18, no. 4 (2005): 343–46. http://dx.doi.org/10.1002/jts.20035.

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39

Shear, Katherine, and Harry Shair. "Attachment, loss, and complicated grief." Developmental Psychobiology 47, no. 3 (November 2005): 253–67. http://dx.doi.org/10.1002/dev.20091.

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40

Kersting, Anette, K. Kroker, J. Steinhard, K. Lüdorff, U. Wesselmann, P. Ohrmann, V. Arolt, and T. Suslow. "Complicated grief after traumatic loss." European Archives of Psychiatry and Clinical Neuroscience 257, no. 8 (July 14, 2007): 437–43. http://dx.doi.org/10.1007/s00406-007-0743-1.

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41

Bierhals, Andrew J., Holly G. Prigerson, Amy Fasiczka, Ellen Frank, Mark Miller, and Charles F. Reynolds. "Gender Differences in Complicated Grief among the Elderly." OMEGA - Journal of Death and Dying 32, no. 4 (June 1996): 303–17. http://dx.doi.org/10.2190/437w-edwj-lmql-0cb9.

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The resolution of grief has been frequently posited to progress through stages. Seventy-one widows and twenty-six widowers bereaved from five months to thirty-seven years were studied to determine if their resolution of grief-related symptoms could be mapped onto a stage theory of grief and to examine if men and women follow the same temporal course. An analysis of variance was used to test for differences in complicated grief symptoms over time and between widows and widowers. Widowers bereaved three years or longer were found to have increased bitterness. By contrast, widows who were bereaved three years and beyond were found to have lower levels of complicated grief. These preliminary findings suggest that grief may not resolve in stages and that symptoms of complicated grief may not decline significantly over time. Rather symptoms of complicated grief appear to remain stable at least for the first three years of bereavement for both men and women but, thereafter, among widowers tend to increase and among widows to decrease.
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42

Supiano, Katherine P., and Marilyn Luptak. "Complicated Grief in Older Adults: A Randomized Controlled Trial of Complicated Grief Group Therapy." Gerontologist 54, no. 5 (July 25, 2013): 840–56. http://dx.doi.org/10.1093/geront/gnt076.

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43

Walter, Tony. "What is Complicated Grief? A Social Constructionist Perspective." OMEGA - Journal of Death and Dying 52, no. 1 (February 2006): 71–79. http://dx.doi.org/10.2190/3lx7-c0cl-mnwr-jkkq.

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Research into complicated grief assumes that it is a psychological disorder of the grieving individual. This article suggests seven other things that complicated grief may also be: a normalizing construct of psychiatric medicine, an operational requirement of bereavement agencies, a concept by which society as a whole and families can discipline mourning members, a label applied to those who actively resist cultural norms about grief, a product of a society obsessed with risk, and the result of negotiation between various parties in the bereavement field. If complicated grief exists, it is much more multi-faceted than is usually acknowledged. Grief, like death itself, is undisciplined, risky, wild. That society seeks to discipline grief, as part of its policing of the border between life and death, is predictable, and it is equally predictable that modern society would medicalize grief as the means of policing (Foote & Frank, 1999, p. 170).
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Ronen, Rama, Wendy Packman, Nigel P. Field, Betty Davies, Robin Kramer, and Janet K. Long. "The Relationship between Grief Adjustment and Continuing Bonds for Parents Who Have Lost a Child." OMEGA - Journal of Death and Dying 60, no. 1 (February 2010): 1–31. http://dx.doi.org/10.2190/om.60.1.a.

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This article presents findings from a study on the impact of a child's death on parents. We explored the prominence and adaptiveness of parents' continuing bonds expressions, psychological adjustment, and grief reactions. A qualitative case study methodology was used to describe six cases. Participants were classified into two groups based on scores on the Inventory of Complicated Grief. Commonalities in themes on the Continuing Bonds Interview and projective drawings were assessed. Those in the Non-Complicated Grief Group reported internalization of positive qualities and identification with the deceased child as a role model, whereas participants in the Complicated Grief Group did not report these experiences. In addition, the drawings of those in the Non-Complicated Grief Group were evaluated as more adaptive than those in the Complicated Grief Group.
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45

Caglar Nazali, H. P., and E. A. Yildirim. "The relationship between grief process and attachment styles in the cases with the treatment of complicated grief: A prospective study." European Psychiatry 41, S1 (April 2017): S354. http://dx.doi.org/10.1016/j.eurpsy.2017.02.337.

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The attachment style is one of the significant factors affecting the grief process and complicated grief. This study aims to research the relation between the factors determining the sociodemographic features, the reactions of grief, the suicidal behaviour and the grief process on the patients who are followed and treated with the complicated grief diagnosis and the features of attachment. The study includes 45 patients directed to a therapy unit and meet the criterions of complicated grief diagnosis. 33 of those patients have completed their treatment. Sociodemographic and clinical data form applied to the patients at the beginning, to evaluate for comorbid psychiatric disorders structured clinical interview for DSM-IV axis I disorders, adult attachment style questionnaire (AASQ), grief scale, hamilton rating scale for depression (HDRS), suicide behaviors questionnaire (SBQ), suicide probability scale (SPS), experiences in close relationships inventory (ECRI) are applied on the participants and compared the results of the scales prior to and following the treatment. In the dimensional evaluation of attachment, ECRI avoidance score is high over the patients diagnosed with comorbid psychiatric disorders with complicated grief. During the first application of the treatment, while evaluating the attachment categorically, in the complicated grief patients attached with avoidance grief scale, behavioural base scale and SPS negative self base scale are higher compared to the group whose HDRS scores attached with secure. The results show that in complicated grief cases the avoidance attachment is both dimensionally and categorically related with the strength of grief reaction and additional psychiatric problems.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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46

Thacker, Nancy E., and Melinda M. Gibbons. "Complicated Grief in Rural Appalachia: Using Feminist Theory to Reconcile Grief." Journal of Mental Health Counseling 41, no. 4 (October 1, 2019): 297–311. http://dx.doi.org/10.17744/mehc.41.4.02.

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Rural Appalachians make up a unique cultural group that shares common values of egalitarianism, familism, religiosity, and neighborliness. These values impact cultural norms and expectations for grieving after experiencing loss. Complicated grief, an enduring and impairing grief response to the loss of a loved one, can develop when individuals are unable to reconcile grief within cultural expectations and norms of grieving. Thus, rural Appalachians are at risk for developing complicated grief when their experiences conflict with common cultural values. A systemically focused theoretical framework, such as feminist therapy, can offer a culturally appropriate approach to address the etiology and manifestation of complicated grief with this group. The authors review complicated grief and rural Appalachian culture, provide a brief description of feminist therapy, and demonstrate the use of feminist therapy with rural Appalachians through a case illustration.
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47

Drenth, Cornelia, Alida Herbst, and Herman Strydom. "A COMPLICATED GRIEF INTERVENTION PROGRAMME (CGIP) FOR SOCIAL WORKERS." Southern African Journal of Social Work and Social Development 26, no. 3 (March 3, 2017): 309–30. http://dx.doi.org/10.25159/2415-5829/2256.

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Grief is a well-described concept in the literature, but complicated grief only recently became the concern of professionals working in this field. The necessity for a complicated grief intervention programme became evident after a fruitless search to find South African literature and interventions on the topic. This article describes the Complicated Grief Intervention Programme (CGIP) with the Complicated Grief Intervention Model (CGIM) as framework for intervention. The focus is on intervention techniques such as desensitisation, visualisation, use of the client-log, miracle questions, metaphors, rituals and humour. The CGIP is a time-limited intervention programme and consists mainly of interventions implemented during the three steps of the CGIM namely, assessment, implementation and evaluation/termination. Although the CGIP has not been widely tested, it holds the potential to serve as a guideline for social workers and other professionals working in the field of grief and bereavement.
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48

Dyregrov, Atle, and Kari Dyregrov. "Complicated Grief in Children—The Perspectives of Experienced Professionals." OMEGA - Journal of Death and Dying 67, no. 3 (November 2013): 291–303. http://dx.doi.org/10.2190/om.67.3.c.

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A total of 39 very experienced clinicians and researchers worldwide responded to a survey consisting of both structured and open-ended questions on complicated grief in children. The questions assessed their opinion on: a) what constitutes complicated grief in children; b) whether to develop a diagnosis for children as suggested for adults and, if so, would adult criteria be sufficient for children; and c) other aspects of normal and complicated grief in children. The analyses showed that the professionals struggled with defining complicated grief in children, although they agreed that the major defining aspects were intensity, duration, and longevity of reactions. They identified traumatic and delayed or inhibited grief as major types, and also agreed that adult criteria were inappropriate for children.
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49

Maciejewski, Paul K., and Holly G. Prigerson. "Prolonged, but not complicated, grief is a mental disorder." British Journal of Psychiatry 211, no. 4 (October 2017): 189–91. http://dx.doi.org/10.1192/bjp.bp.116.196238.

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SummaryThe DSM and ICD have taken steps to introduce a grief disorder as a new diagnostic entity. Evidence justifies the inclusion of prolonged grief disorder, but not complicated grief, as a new mental disorder.
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50

Rando, Therese A., Kenneth J. Doka, Stephen Fleming, Maria Helena Franco, Elizabeth A. Lobb, Colin Murray Parkes, and Rose Steele. "A Call to the Field: Complicated Grief in the DSM-5." OMEGA - Journal of Death and Dying 65, no. 4 (December 2012): 251–55. http://dx.doi.org/10.2190/om.65.4.a.

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While complicated grief has been addressed in part through some recommendations for modifications in the upcoming fifth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), there remain reasons for substantial concern about its scope therein and within clinical practice. The authors issue a call to the field, reiterating that complicated grief is complicated and cannot be confined to just one syndrome or disorder. Continued research is urged, and specific caveats are identified for exploring the complex dimensions of loss and grief. The authors advocate for ongoing dialogue about and investigation of various potential forms of complicated grief.
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