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Home Up Introduction Stages Loss Events Denial Bargaining Anger Despair Acceptance Letting Go Death
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Tools
for Handling Loss
Stages
of the Loss Process
Content:
What are the stages of the loss
process?
A loss experience involves the
following five stages of emotional response:
(1) denial, (2) bargaining, (3) anger, (4)
despair, (5) acceptance.
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These five stages can occur in either the sequence presented or in any
variety of sequence.
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The stages can recur during a loss experience.
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One stage can last a long time, uninterrupted.
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These five stages can occur in either the sequence
presented or in any variety of sequence.
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The loss process can last anywhere from three months
to three years.
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These stages of grief are normal and are to be
expected.
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It is healthier to accept these stages and recognize
them for what they are rather than to fight them off or to ignore them.
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Working out each stage of the loss response ensures
a return to emotional health and adaptive functioning.
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Getting outside support and help during the grieving
process will assist in gaining objectivity and understanding.

Stage 1.
Denial
We
begin to use:
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Magical thinking believing
by magic this loss will go away
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Excessive fantasy believing nothing is wrong; this loss is just
imagined; when I wake up everything will be OK.
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Regression believing that
if we act
childlike and want others to reassure us that nothing is wrong.
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Withdrawal believing we
can avoid facing the loss and avoid those people who confront us with the
truth.
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Rejection believing we
can reject the truth and those who bring us the news of our loss to avoid
facing the loss.

Stage 2.
Bargaining
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We
bargain or strike a deal with God, ourselves
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We bargain or strike a deal with God, ourselves, or
others to make the loss go away
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We bargain or strike a deal with God, ourselves, or
others to make the loss go away.
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We promise to do anything to make this loss go away.
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We agree to take extreme measures in order to make
this loss disappear.
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We lack confidence in our attempts to deal with the
loss, looking elsewhere for answers.
We begin to:
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Shop around believing we
look for the ``right'' agent with the ``cure'' for our loss.
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Gamble believing we
can take chances on ``cures'' for our loss.
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Take risks believing we can
put ourselves in jeopardy financially, emotionally, and physically to get
to an answer or ``cure'' for our loss.
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Sacrifice believing in
our pursuit of a ``cure'' to change the loss we can ignore our real needs.

Stage 3. Anger
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We become angry with God, with ourselves, or with
others over our loss.
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We become outraged and incensed over the steps that
must be taken to overcome our loss.
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We pick out ``scapegoats'' on which to vent our
anger, e.g., the doctors, hospitals, clerks, helping agencies,
rehabilitation specialists, etc.
We begin to use:
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Self-blaming believing we
should blame ourselves for this loss.
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Switching blame believing we
should blame others for this loss.
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Blaming the victim believing we
should blame the victim for leaving us.
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Aggressive
anger believing we
have a right to vent our blame and rage aggressively on the closest
target.
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Resentment believing our
hurt and pain is justified to turn into resentment toward involved in our
loss event including the victim.
Anger is
a normal stage. It must be expressed and resolved; if it is suppressed and
held in, it will become "Anger in" leading to a maladaptive condition
of depression that drains our emotional energy.
Stage 4.
Despair
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We become overwhelmed by the anguish, pain, and hurt
of our loss; we are thrown into the depths of our emotional response.
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We can begin to have uncontrollable spells of
crying, sobbing, and weeping.
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We can begin to go into spells of deep silence,
morose thinking, and deep melancholy.
We can begin to experience:
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Guilt believing we
are responsible for our loss.
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Remorse believing we should feel
sorry for our real or perceived ``bad past,'' deeds for which this loss is
some form of retribution or punishment.
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Loss
of hope believing that
because the news of our loss becomes so overwhelming that
we have no hope of being able to return to the calm and order our life
held prior to the loss.
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Loss of faith and trust believing that
because of this loss we
can no longer trust our belief in the goodness and mercy of God and
mankind.
We need
support to assist us in gaining the objectivity to reframe and regroup our
lives. If we are not able to work through our despair, we risk experiencing
events such as mental illness, divorce/separation,
suicide, inability to cope with the aftermath of our loss, rejection of the
family member who has experienced the loss, and detachment, poor bonding, or
unhealthy interaction with the parties involved in our loss.
Stage 5.
Acceptance
We can now:
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describe the terms and conditions involved in our
loss.
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fully describe the risks and limitations involved in
the treatment or rehabilitation for the loss involved.
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cope with our loss.
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test the concepts and alternatives available to us
in dealing with this loss.
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handle the information surrounding this loss
in a more appropriate way.
We begin to use:
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Rational thinking believing we
are able to refute our irrational beliefs or fantasy thinking in order to
address our loss from a rational perspective.
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Adaptive behavior believing we
can begin to adjust our lives to incorporate the changes necessary after our
loss.
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Appropriate emotion believing we
begin to express our emotional responses freely and are better able to
verbalize the pain, hurt, and suffering we have experienced.
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Patience and self-understanding believing we
can recognize that it takes time to adjust to the loss and give ourselves
time to ``deal'' with it. We set a realistic time frame in which to learn to
cope with our changed lives.
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Self-confidence believing, as
we begin to sort things out and recognize the stages of loss as natural and
expected, that we gain the confidence needed for personal growth.
We can be
growing in acceptance and still experience denial, bargaining, anger, and
despair.
To come
to full acceptance we need support to gain objectivity and clarity of thinking.
It is often useful to gain such assistance from those who have experienced a
similar loss. For example, groups of parents who have experienced the death of a
child or who have had a child with a developmental disability.
Peer
support from strangers is often the best way for a person to deal with the
grieving process.

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