I am replying to a peer’s post on Assessing for grief

NU-665C-06-23PCFA FamilyPsychiatricMent.Hlth II

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Week 14 Discussion 1: Assessing for Grief

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NU-665C-06-23PCFA

Week 14: Grief and Bereavement

Week 14 Discussion 1: Assessing for Grief

Completion requirements

 Done: Make forum posts: 1

Value:100 points

Due: Create your initial post by Day 4, and reply to at least two of your peers by Day 7.

Grading Category:Discussions

Note: In this type of discussion, you will not see the responses of your classmates until afteryou have posted your own response to the following question.

For this discussion, watch the videos and complete the readings. Select one of the videos to focus on for the discussion.

Initial Post

  • Identify the symptoms of grief in the individual(s) in the video that you watched, taking culture into consideration.
  • Assess if the individual(s) in the video that you watched has a psychiatric illness or if their symptoms are within an adaptive range for grieving for that group/culture.
  • Support and substantiate your information with evidence.

Replies

Reply to at least twoof your peers. In your reply posts, debate with at least two peers regarding their decisions. Provide other evidence that suggests their conclusions may be correct or incorrect.

Please refer to the Grading Rubricfor details on how this activity will be graded.

The described expectations meet the passing level of 80%. You are directed to review the Discussion Grading Rubric for criteria which exceed expectations.

 

This is my peer’s post

 

 

Re: Week 14 Discussion 1: Assessing for Grief

by Cindy Faraguna – Monday, 27 November 2023, 12:46 PM

Grief presents differently from one person to the next. There are various stages of grief one will experience. The five stages of grief are denial, anger, bargaining, depression, and acceptance (Regis College, 2023). When caring for clients while they are grieving, not all clients will go through each stage or follow them in order (Avis et al., 2021). The importance of the five stages is the ability to provide a critical appraisal of each stage to prevent harmful outcomes for the bereaved individual (Avis et al., 2021). In the videos we watched this week, I witnessed different stages of grief. Liam Neeson’s character, Ottway, in The Grey, was in the depression stage. In the movie Minari, Jacob is in the denial stage and Monica is in the anger stage.

Ottway was grieving the loss of his loved one. His presentation was almost as if he was numb and demonstrated that he could not continue life without her when he attempted to kill himself. The clip I watched hinted at him having feelings of guilt when he said” I feel like it’s me, bad luck, poison, and I’ve stopped doing this world any real good.” There are significant correlations found between guilt and depression, prolonged grief, and post-traumatic stress syndrome (PTSD) (Wagner et al., 2021).

Jacob in Minari was in denial of the tornado and his current situation. He was trying to pretend there was nothing wrong. The denial stage is a defense mechanism one will use in order to protect oneself from hardship and accept the upsetting reality (Tyrrell et al., 2023). Monica on the other hand was angry. She was not in denial of their hardship but upset by its reality. A part of Monica’s grief stems from cultural customs. Her husband is the eldest and he felt obligated to care for his family financially resulting in her and the kids struggling.

Ottway’s grieving process is one I would be concerned about. He was showing signs of the depression stage of grief. He was isolating himself, drank heavily, and attempted to kill himself. This behavior is not a normal grieving process, and I would have concerns about Ottway’s suspected psychiatric illness. I would monitor for major depressive disorder, PTSD, mood disorder, and substance use disorder. He is unable to manage his feelings and cope with the loss of his wife. The loss of a spouse is recognized as one of the most stressful life events one could encounter (Seiler et al., 2020). The death of a loved one is challenging and often linked to loss of regulation (O’Connor, 2019).

Jacob and Monica are demonstrating symptoms that are within an adaptive range for grieving. Healthy grieving is important to allow one to process their emotions during a challenging time of tragedy. They both expressed their grief without inflicting harm to themselves or others and continued to function in their daily lives/activities. Jacob and Monica’s situation appears to be more resilient to their tragedy affecting their process of grief. This may be why they are still able to function. In a study, a group resilient group of individuals who had been grieving for six months showed no increase in depressive symptoms or functional impairment (O’Connor, 2019). This group did experience short waves of grief, but it did not cause functional impairment (O’Connor, 2019).

References

Avis, K. A., Stroebe, M., & Schut, H. (2021). Stages of grief portrayed on the internet: A systematic analysis and critical appraisal. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.772696

O’Connor, M.-F. (2019). Grief: A brief history of research on how body, mind, and brain adapt. Psychosomatic Medicine, 81(8), 731–738. https://doi.org/10.1097/psy.0000000000000717

Regis College. (2023). Week 14 lesson: Grief and bereavement.

Seiler, A., von Känel, R., & Slavich, G. M. (2020). The psychobiology of bereavement and health: A conceptual review from the perspective of social signal transduction theory of depression. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.565239

Tyrrell, P., Harberger, S., Schoo, C., & Siddiqui, W. (2023, February 26). Kubler-Ross stages of dying and subsequent models of grief. In StatPearls. StatPearls Publishing. Retrieved November 26, 2023 from https://www.ncbi.nlm.nih.gov/books/NBK507885/

Wagner, B., Hofmann, L., & Grafiadeli, R. (2021). The relationship between guilt, depression, prolonged grief, and posttraumatic stress symptoms after suicide bereavement. Journal of Clinical Psychology, 77(11), 2545–2558. https://doi.org/10.1002/jclp.23192

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