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Guided Mourning for Morbid Grief: A Controlled Study

Published online by Cambridge University Press:  29 January 2018

D. Mawson
Affiliation:
The Maudsley Hospital, London SE5
I. M. Marks
Affiliation:
Institute of Psychiatry, London SE5
L. Ramm
Affiliation:
Institute of Psychiatry and The Maudsley Hospital
R. S. Stern
Affiliation:
St George's Hospital, London SW17

Summary

During 2 weeks on a waiting list 12 patients with morbid grief did not improve significantly. They were then randomly allocated either to guided mourning treatment, in which they were encouraged to face cues concerning their bereavement or to control treatment in which they were asked to avoid such cues. Each treatment comprised six 1½ hour sessions over 2 weeks. At week 4 guided mourning patients had improved significantly more than had controls on 3 measures, with a supportive trend on 4 measures. Improvement though modest was maintained to 10–28 weeks follow-up. Control patients did not improve significantly or show any trend to do so.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1981 

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References

Averill, J. R. (1968) Grief: Its nature and significance. Psychological Bulletin, 70, 721748.CrossRefGoogle Scholar
Bowlby, J. (1960) Grief and mourning in infancy and early childhood. Psychoanalytic Study of the Child, 15, 952.Google Scholar
Faschingbauer, T. R. Derant, R. A. & Zisook, S. (1977) Development of the Texas inventory of grief. American Journal of Psychiatry, 134, 696698.Google ScholarPubMed
Fried, M. (1962) Grieving for a lost home. In The Environment of the Metropolis (ed. L. J. Duhl). New York: Basic Books.Google Scholar
Freud, S. (1917) Mourning and Melancholia. In The Standard Edition of the Complete Works of Sigmund Freud (Vol. 14). (ed. J. Strachey). London: Hogarth.Google Scholar
Gauthier, J. & Marshall, W. L. (1977) Grief: A cognitive-behavioural analysis. Cognitive Therapy and Research, 1, 3944.Google Scholar
Gauthier, J. & Pye, C. (1979): Graduated self-exposure in the management of grief. Behaviour Analysis and Modification, 3, 202208.Google Scholar
Lieberman, S. (1978) Nineteen cases of morbid grief. British Journal of Psychiatry, 132, 159163.Google Scholar
Lindemann, E. (1974) Symptomatology and management of acute grief. American Journal of Psychiatry, 101, 141148.Google Scholar
Maddison, D. & Viola, A. (1968) The health of widows in the year following bereavement. Journal of Psychosomatic Research, 12, 297.Google Scholar
Marks, I. M. (1978) Living with Fear. New York: McGraw-Hill.Google Scholar
Marks, I. M. (1978) Chapter 7: Conceptual issues. Chapter 8: Clinical applications. In Behavior Modification. 2nd Ed. (ed. W. S. Agras). Boston: Little, Brown.Google Scholar
Marks, I. M. & Mathews, A. M. (1979) Brief standard self-rating for phobic patients. Behaviour, Research and Therapy, 17, 263267.CrossRefGoogle ScholarPubMed
Marks, I. M. Hallam, R. S. Philpott, R. & Connolly, J. (1977) Nursing in Behavioural Psychotherapy. London: Royal College of Nursing.Google Scholar
Marks, I. M. Stern, R. S. Mawson, D. Cobb, J. & McDonald, R. (1980) Clomipramine and exposure for obsessive-compulsive rituals. I. British Journal of Psychiatry, 136, 125.Google Scholar
Parkes, C. M. (1964) Recent bereavement as a cause of mental illness. British Journal of Psychiatry, 110, 198204.Google Scholar
Parkes, C. M. (1972) Bereavement: Studies of Grief in Adult Life. Harmondsworth: Penguin Books.Google Scholar
Philpott, R. (1975) Recent advances in the behavioural measurements of obsessional illness. Scottish Medical Journal, 20, 3340.Google Scholar
Ramsay, R. W. (1976) A case study in bereavement therapy. In Case Studies in Behaviour Therapy (ed. H. J. Eysenck). London: Routledge, Kegan and Paul.Google Scholar
Ramsay, R. W. (1977) Behavioural approaches to bereavement. Behaviour Research and Therapy, 15, 131135.Google Scholar
Ramsay, R. W. (1979) Bereavement: A behavioural treatment of pathological grief. In Trends in Behaviour Therapy, (eds. P. O. Sjöden, S. Bates and W. S. Dochens, III). New York: Academic Press.Google Scholar
Rees, W. D. & Lutkins, S. G. (1967) Mortality of bereavement. British Medical Journal, 4, 1316.CrossRefGoogle ScholarPubMed
Snaith, R. P. Ahmed, S. M. Mehta, S. & Hamilton, M. (1971) Assessment of the severity of primary depressive illness. Psychological Medicine, 1, 143149.Google Scholar
Watson, J. P. & Marks, I. M. (1971) Relevant vs. irrelevant flooding in the treatment of phobias. Behavior Therapy, 2, 275.Google Scholar
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