Dissertations / Theses on the topic 'Death of sibling'

The purpose of the study is to fill the gap in the literature regarding sibling bereavement. This study explored how sibling bereavement from unnatural causes of death affects surviving siblings. Bereavement affects millions of Americans every year. Most grieve naturally, but some experience complicated grief or depression. Many studies address parental and spousal bereavement, but few focus on sibling bereavement. This study fills that gap in the literature so that mental health care professionals and the general public understand what bereaved siblings experience after the death of a sibling. The study was a phenomenological study using social constructivism as a theoretical lens to explore how sibling bereavement affects surviving siblings. Open-ended interviews were collected from 10 bereaved siblings. Those interviews were then transcribed and categorized using a 7 step process to review and organize all relevant statements. Results of this study shows that sibling bereavement can be a life changing event for surviving siblings affecting all aspects of life and leaving unanswered questions and feelings of guilt. Participants also state they felt overlooked after the death leading to delayed grief. Participants concluded that sibling grief is subjective, so any treatment plan should be catered to the individual based on their relationship to the deceased sibling and the role the sibling played. This study can bring about positive social change by helping mental health care workers understand sibling bereavement better so that they may help those suffering from complicated grief following the loss of a sibling.

Death of a child is a very painful experience for parents and remaining siblings who experience physiological and emotional symptoms as described by the parents. There are few reports from the remaining siblings on their physical and emotional health and even less data on their treatments and associated health care costs after sibling loss. The purpose of this study in children who have lost a sibling in the NICU/PICU, ER or those who have been sent home on technology dependent equipment to die, is to compare parents’ and children’s perceptions of the surviving sibling’s health, identify factors related to these perceptions, and describe treatments for the sibling’s physical and mental health at 2 and 4 months after a sibling’s death. Sixty four surviving siblings and their parents reported on the siblings’ mental and overall health. Available treatment charges (visits to the emergency room, physician office, hospitalization, and any health services (mental & physical) since the sibling death were collected from bills and insurance receipts. Cause of child death (acute or chronic) was collected from the deceased child’s hospital record. The relationship between parent and sibling’s perception of the surviving sibling’s health, and anxiety and depression at 2 and 4 months post the death were measured using the Children’s Depression Inventory and the Spence Anxiety Scales. Data were analyzed using: T-Tests, ANOVA, Pearson correlations, frequencies and descriptive statistics. Findings indicated that at 2 and 4 months parent’s perceived their surviving siblings’ health to be better than the child perceived his/her health to be. At 4 months fathers rated the siblings’ health compared to their peers lower than the siblings. Greater child anxiety was related to lower father’s ratings of the child’s health now and compared to peers. Treatments and charges increased from 2 months to 4 months with males having more treatments than females. The majority of the treatments consisted of routine physician visits, non-routine physician visits, emergency room/urgent care visits and counseling. Study findings can help guide healthcare providers and educators in identifying those children that are at high risk for negative health effects after the death of a sibling.

Up to 90% of adolescents in the U.S. experience a loss of a family member or friend. However, prior research on loss of a family member has focused predominantly on the adult experience (e.g., loss of a spouse), parental bereavement (loss of a child), or grief counseling as an intervention for dealing with loss. Little is known about the sibling loss experience, particularly from the point of view of the surviving sibling who suffered the loss when they were young. Thus, the purpose of this qualitative study was to explore the narratives of young adults who experienced the loss of a sibling during adolescence, and to understand the role of family, friends, and resources. This research utilized three theoretical models: Erik Erickson's theory of Psychosocial Development, Murray Bowen's theory of Family Systems, and Theresa Rando's 6 R's theory of loss. Eight participants (all female) between 18 and 30 years who lost a sibling between 13 and 18 years were invited through posting in 4 closed sibling loss groups on Facebook. Using Reissman's thematic analysis, data from semi-structured interviews revealed five themes: returning to school (refuge vs. struggle); being there (sources of support); emotional separation (family, friends, and the lost sibling); identification of self/moving forward (turning points following the loss); and family dynamics with departed and surviving (maintaining the lost connection). Future research should intentionally sample other demographics to broaden the understanding of sibling bereavement across age, gender, ethnicity, and religion. Positive social change implications include efforts to promote training and programs sensitive to the unique needs of bereaved young adults in secondary school and college settings.

Parental death can have a negative impact on children’s lives with changes in economic resources, and lead to change in residence, loss of contact with friends and neighbors, change in caretakers, and loss of time with the surviving parent. Research on the effects of a grandparent’s death on children is limited. Death of a sibling signifies the loss of a role model, friend, confidante, and playmate. The purpose of this correlational study was to identify: 1) differences in the spiritual coping strategies used by children across age groups, gender, race/ethnicity, participation in religious rituals and practices, and the relationship of the deceased to the child (parent, grandparent or sibling), and 2) the relationship between children’s use of spiritual coping strategies and grief, personal growth, anxiety, and depression after the death, with and without controls for child’s age, gender, race/ethnicity, participation in religious rituals and practices, and relationship of the deceased to the child. A sample of 97 children, 8 to 18 years old and 64% Hispanic completed the Spiritual Coping Strategies Scale, Hogan Inventory of Bereavement, Spence Children’s Anxiety Scale, and Child Depression Inventory, and their parents completed a demographic form. Children who participated in religious rituals after the death used less religious coping strategies than children who did not participate. When child’s age, gender, race/ethnicity, participation in religious rituals and practices, and relationship of the deceased were controlled, greater use of spiritual coping, but not religious coping, and greater grief were significantly related to greater personal growth and greater anxiety. Younger children and Black children had significantly greater anxiety. Only grief was significantly related to depression. Children who experienced the death of a parent, grandparent, or sibling had similar outcomes. The results of this pioneer study will add knowledge to the state of the science regarding the effects of children’s spiritual coping after parent, grandparent, or sibling death on their grief, personal growth, and mental health which is a subject area were very little is known.

Thesis (MPhil)--Stellenbosch University, 2013.<br>ENGLISH ABSTRACT: This study explores the needs of sibling-bereaved adolescents in high schools in the Western Cape, South Africa. A grounded theory approach was used to examine unexpected sibling bereavement with specific focus on participant perceptions and experiences regarding support provided by their high school. Interviews and focus groups were conducted with siblings who were in high school when their brother or sister died suddenly. An argument is developed for why high schools need insight into effective ways of supporting sibling-bereaved adolescents as they attempt to fit in and function at school. As this study was conducted in a multi-language environment, attention is given to the differing abilities of adolescents to articulate their bereavement experience. The effectiveness of focus groups with this population and the importance of providing psycho-education support during the interviewing process are emphasised. The scarcity of studies on adolescent bereavement in South Africa can be attributed to a combination of the emotional painfulness of the subject for adolescents and gatekeeping by school personnel and parents. Understandably, concerns about disclosure and fresh trauma/grief triggering may be given precedence over research. Themes grounded in the data uncovered a psychosocial journey involving disruption, transition and changed self. Bereaved siblings felt singled out as different from their peers when they return to school. Hence discreet acknowledgement and disclosure of the death is important to them. A key finding is that accomplishment plays a significant role in boosting the flagging morale of bereaved adolescents. Accomplishment aids their inviduation and stimulates them to regain interest in their own life goals. While individual teachers and other school personnel were considered helpful, there was an absence of a structured plan of support for bereaved adolescents in the schools examined. Attachment theory foregrounded an explanation of why the loss of a sibling during adolescence can have a lasting influence on the future of those left behind. Most adolescents in the study evidenced a desire for an on-going connection with their sibling who died while they simultaneously took on new roles to try and fill the void created by their death. Findings from this study are intended to provide richer insight into the complexity of adolescent sibling bereavement and may also serve to inform educational and health care interventions for bereaved learners in South Africa.<br>AFRIKAANSE OPSOMMING: Hierdie studie verken die behoeftes van adolessente in hoërskole in die Wes-Kaap, Suid-Afrika, ná die verlies van ’n broer of suster. ’n Gegronde-teorie-benadering is gebruik om ondersoek in te stel na adolessente wat onverwags ’n broer of suster verloor het, met bepaalde klem op deelnemers se opvattings oor, en ervarings van, die steun wat hulle van hul onderskeie hoërskole ontvang het. Onderhoude en fokusgroepe is dus gehou met adolessente wat op hoërskool was toe hul broer of suster skielik gesterf het. Die studie beredeneer waarom hoërskole insig moet hê in die doeltreffende ondersteuning van adolessente wat ’n broer of suster aan die dood moes afstaan, namate hulle weer op skool probeer inpas en funksioneer. Aangesien hierdie studie in ’n meertalige omgewing uitgevoer is, word adolessente se wisselende vermoëns om hul ervaring van verlies te verwoord, in ag geneem. Die doeltreffendheid van fokusgroepe met hierdie populasie, sowel as die belang van psigo-opvoedkundige steun gedurende die onderhoudproses, word beklemtoon. Die seldsaamheid van Suid-Afrikaanse studies oor adolessente wat broers of susters verloor, kan toegeskryf word aan ’n kombinasie van die emosionele pyn wat die onderwerp by adolessente oproep, en skoolpersoneel en ouers wat adolessente teen sodanige navorsing beskerm. Uiteraard is dit te verstane dat kommer oor openbaarmaking en die vars trauma/hartseer wat dit kan ontlok, dikwels voorrang kry bo navorsing. Die temas wat in die data vasgelê was, bring ’n psigososiale reis van ontwrigting, oorgang en verandering van die self aan die lig. Adolessente wat broers of susters aan die dood moes afstaan, het met hul terugkeer skool toe uitgesonder en anders as hul portuur gevoel. Dus is oordeelkundige erkenning en openbaarmaking van die sterfgeval vir hulle belangrik. Een van die belangrikste bevindinge is dat prestasie ’n beduidende rol speel om die verswakte moreel van sodanige adolessente ’n hupstoot te gee. Prestasie help met hulle individuasie, en stimuleer hulle om opnuut in hul eie lewensdoelwitte belang te stel. Hoewel individuele onderwysers en ander skoolpersoneel as tegemoetkomend beskou is, was daar geen gestruktureerde ondersteuningsplan vir die adolessente in die betrokke skole nie. Die gehegtheidsteorie doen ’n verklaring aan die hand van waarom die verlies van ’n broer of suster gedurende adolessensie ’n blywende invloed kan hê op die toekoms van die kinders wat agterbly. Die meeste adolessente in die studie het ’n begeerte getoon na ’n voortgesette band met hul oorlede broer of suster, terwyl hu lle terselfdertyd nuwe rolle aanvaar het om die leemte van die oorledene te probeer vul. Bevindinge uit hierdie studie is bedoel om dieper insig te bied in die kompleksiteit van adolessente wat broers of susters verloor, en kan ook opvoedkundige en gesondheidsorgintervensies vir sodanige leerders in Suid-Afrika rig.

SammanfattningVid en förlust av en nära anhörig kan ett barns livsvärld förändras, vilket kan innebära ett lidande för barnet. Beroende på barnets ålder, utvecklingsstadium och tidigare erfarenheter reagerar alla barn olika. Sjuksköterskan kan möta barn i sorg inom vården och därför behöver denne veta hur barnet reagerar på förlusten av en nära anhörig.Syftet med studien är att belysa hur barn upplever förlusten av en nära anhörig. Vi gjorde en litteraturstudie mellan årtalen 1999-2011, där vi använde oss av åtta artiklar i vårt resultat. Där framkom fyra ämnen: barnets sätt att hantera sorgen, omständigheter kring dödsfallet, förståelsen av döden utifrån ålder och utveckling och genusperspektiv. Barnen behöver rak och ärlig information anpassat till dess ålder och utvecklingsnivå. Vidare framkom att sjuksköterskan behöver mer kunskap inom området.

<p>The aim of this study was to explore the role of death in the Swedish family. How do parents and families cope with the loss of a child/sibling? How do the remaining children in a family fare after loss of sibling? The study was caused out partially through a selective review of the literature on children loss in families and partially through interviews with families who had experienced death of a child. The results were analysed with help of Family system theory, Emotional theory and with an Esoteric perspective. The findings of the study were that although families do eventually cope with the situation the majority is struggling to adjust. Open communication between family members is important and will depend on how parents cope with their own grief. How the remaining children are treated also depends on how parents cope. Sometimes communication is lacking due to fear of facing their children’s pain. The study concludes that the way we are socialized in Sweden may alienate us from death and loss. Another conclusion is that philosophy of life seems important to be able to cope with loss.</p>

This doctoral thesis provides a set of studies of social influences on fertility timing. Swedish register data are used to link individuals to their parents and siblings, thereby allowing the study of impacts of family of origin, social background, and parental death on fertility. The Swedish Medical Birth Register is used to investigate the effect of mode of delivery on higher order births. The thesis consists of an introductory chapter with an overview of the consequences and predictors of the timing of childbearing, and a theoretical framework to explain these relationships. This chapter also includes a section where the contribution to existing knowledge, the relation of the findings to life course theory, and suggestion for further research are discussed. This chapter is followed by four original empirical studies. The first study applies sister and brother correlations to investigate and estimate the impact of family of origin on fertility. It shows that family of origin matters for fertility timing and final family size. The study also shows that the overall importance of family of origin has not changed over the approximately twenty birth cohorts that were studied. The second study introduces three dimensions of social background - occupational class, status, and education - into fertility research. It suggests that social background, independent of individuals’ own characteristics, matters for the timing of first birth and the risk of childlessness. The study also shows that different dimensions of social background should not be used interchangeably. The third study uses the Swedish Medical Birth Register to investigate the effect of mode of delivery on the propensity and birth interval of subsequent childbearing. It demonstrates that mode of delivery has an impact on the progression to the second and third births but that a first delivery by vacuum extraction does not reduce the propensity of subsequent childbearing to the same extent as a first delivery by emergency or elective caesarean section. The fourth study explores the effects of parental death on adult children's fertility. The findings reveal that parental death during reproductive ages can affect children’s fertility. The effects are moderated by the gender of the child and when in the life course bereavement occurs. The combined output of these four studies provides evidence that human fertility behavior is embedded in social relationships with kin and friends throughout life. Family of origin, social background, an older sibling's birth, and bereavement following parental death influence the adult child's fertility. These findings add knowledge to previous research on intergenerational and social network influences in fertility.

Thesis (D.N.S.)--State University of New York at Buffalo, 2008.<br>Title from PDF title page (viewed on Feb. 12, 2009) Available through UMI ProQuest Digital Dissertations. Thesis adviser: Shipkey, Nancy A. Includes bibliographical references.

碩士<br>國立臺灣師範大學<br>教育心理與輔導學系<br>105<br>This study adopted the narrative research method for data collection and analysis with the aim to understand how those losing their siblings responded to and were faced with such sad experience when the tragedy happened. Besides, finding out the subsequent impacts through narration of life stories and the researcher’s apprehension and interpretation is the goal of this study as well. Three subjects were invited to share the experiences of losing their siblings through purposive sampling and applied semi-structured interview outlines to conduct in-depth interviews. After transcribing the interview content, the researcher wrote their life stories with first person and conducted analysis through the “overall - content” form of the narration analysis to present the perspectives of the subjects. This study found that when faced the unexpected death of their siblings, the subjects were at a loss as to what to do or had unrecoverable mental trauma, left with sorrow and unfinished business. The three subjects all experienced the process of being shocked and sad, finding it hard to believe at the beginning of their siblings’ death. As time passes, their sadness went on and off while adapting their loss. Gradually, these feelings transformed into inspiration about the meaning of life. Furthermore, the result showed the impacts of their loss included changes of the values of life, attitudes towards life and death, personalities, and the emotional connections with the deceased triggered when faced with the scenarios reminding them of the death of the siblings. To sum up, based on the above mentioned results and findings, the researcher make recommendations for professional psychologists, those who lost their siblings and companions, as well as on future research.

M.A.<br>This study explores the grief experiences of young adult siblings in the aftermath of murder. This research was motivated, firstly, by the perceived lack of focus on siblings, often referred to as the ‘disenfranchised grievers’ and, secondly, by the vulnerability of the young adult population who bear the scars of South Africa’s high levels of crime and violence. Three young adults were recruited to participate in interviews, in which they described their lived experience of loss. Data collection and the analysis were guided by a phenomenological research design resulting in the identification of five major themes: 1) Shock, disbelief and horror, 2) Intent and rage, 3) Recollecting and withdrawal, 4) Rupture and fragmentation, and 5) Resilience, healing and growth. These themes are discussed in relation to the research literature on sibling grief and homicide bereavement. In the concluding chapter, the key strengths and limitations of this study are reviewed and the implications of the findings of this research for further investigations are discussed

This diploma thesis is conceived as theoretical and empirical. The theoretical part has two objectives. The first of these objectives is to explore options to help the surviving siblings in the family and society. The second objective is to describe the principles of educational work with traumatized children. This work introduces the specifics of early age and possible consequences of acting trauma in this life period. It outlines briefly the development of frequency of children's mortality and it considers whether death pertains among the taboos of the postmodern society. There are described manifestations of grief and mourning and factors, which determine the ability to accept a bereavement of a loved one. The findings are used to formulate the principles of education of the traumatized children. The practical part contains five case studies that provide information about factors which affected the lives of the surviving siblings. Keywords Early age, sorrow, trauma, mourning, death of a sibling

M.A. (Psychology)<br>Sudden Infant Death Syndrome is the most prevalent cause of death in infants between one and twelve months of age. Most deaths attributed to Sudden Infant Death Syndrome occur between 1 and 4 months of age. There is a marked decrease after this age in the number of deaths classified as Sudden Infant Death Syndrome. It is usually defined as the sudden death of any infant usually during sleep which is unexpected by history and in which a thorough postmortem examination tails to demonstrate an adequate cause tor death (Foundation for the Study of Infant Deaths, 1989) • Epidemiologic, pathologic and physiologic data suggest the mechanism ot Sudden Infant Death Syndrome is complex, characterized by interaction at many levels ot the neural axis, between the organism and the environment and spanning both pre- and post-natal lite. Observations suggest that the Sudden Infant Death Syndrome infant has experienced adverse influences prenatally Which may make him peculiarly vulnerable to postnatal environmental stress (Valdes Dapena, 1988). However, the specific nature and cause of this condition continues to elude both scientists and practitioners. In the last few years research has shed some light on various epidemiologic aspects of the problem, on pathologic anatomy and on clinical issues such as the relative importance of spontaneous, prolonged, idiopathic apnea. Some Sudden Infant Death Syndrome victims showed evidence of neonatal brain dysfunction, including abnormalities in respiration, feeding and temperature regulation and have been shown to have pathologic abnormalities consistent with chronic hypoxia (Kelly' Shannon, 1982). Once again, however, the research appears not to be conclusive, leaving many unanswered questions...

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