Rethinking Ways to Think About Grief — Part II

In yesterday’s post, Rethinking Ways to Think About Grief — Part I, I discussed some of the opinions about grief mentioned in the Time Magazine article of January 2011 “New Ways to Think About Grief.” Today’s post continues my evaluation of that Time Magazine article.

Supposedly, researchers have identified specific patterns to grief’s intensity and duration. (Sounds like “the stages of grief” all over again, doesn’t it?) “And what they have found is that the worst of grief is usually over within about six months. In a study published in the Journal of Personality and Social Psychology in 2002, Bonanno tracked 205 elderly people whose spouses died, and the largest group — about 45% of the participants — showed no signs of shock, despair, anxiety or intrusive thoughts six months after their loss.”

First, you can’t extrapolate a defining pattern of grief from 205 people, let alone a group of elderly people. Though there are some similarities in how those of us who lost a mate feel, grief is specific to each person. To make any generalities, especially with such a small group (and one that is not reflective of the population in general) is like telling us there are stages we go through when we know very well we didn’t go through any stages.

Second, the age of the person who died affects your grief. One of the things that has driven my grief is that my mate died when he was only 63. I could not comfort myself by saying that he’d lived out his full lifespan. I couldn’t comfort myself by saying at least he accomplished all he wanted. His dreams died with him. Another thing that drove my grief in the first year after my life mate’s death was my age. I come from long-lived people. I might have twenty-five or even thirty-five years to live without him. If we were both old, then we would already have grown old together, but I am now left to grow old alone. I’m not saying the elderly don’t grieve as much or feel as much as younger people. Nor am I denying that they have their own particular challenges to face. All I’m saying is that a study of elderly people has little relevance to the challenges the rest of us face. So much of my grief and that of my bereft friends stems from the relative youth of our mates and the long, lonely years stretching out before us, both facets of grief the elderly do not have to face.

Third, so what if 45% of the participants showed no signs of shock, despair, anxiety, or depression six months after their loss. That means a lot of people continued to suffer with these symptoms. And just because you’ve gotten over your shock and anxiety by six months, that does not mean you got over your grief. There are other facets of grief that do continue — bursts of grief, upsurges of sadness, missing your mate, yearning for him.

And Bonnano agrees: “That didn’t mean they didn’t still miss or think about their spouse, but by about half a year after their husband or wife died, they had returned to normal functioning.”

As for normal functioning (whatever that is) — I do not know of a single person who lost their mate who wasn’t functioning normally after a month or so. Generally, we functioned normally from the beginning. We felt our grief, we wept, we screamed, we cried out to our dead mates, but all of that was about relieving the incredible stress the death of one’s mate, one’s way of life, one’s dreams, all put on a person’s psyche. It was about making sense of the totally senseless. Coming to grips with how terribly gone the person is. But we continued to do everything we had to do despite how we felt.

Still, according to Bonnano’s study, some people’s grief left them earlier than other people’s grief. (I wonder how much grant money he spent trying to figure out that little gem.) His conclusion was that some people were simply more resilient than others, and the resilient ones handled their grief better.

Resilient? Resilient? I’ll tell you about resilient. While dealing with the horrendous loss of their mates, while still grieving well into their second year, women have travelled the world alone to honor their husband’s dream. By themselves, they have closed up the house they lived in for twenty years and moved halfway across the country. They have put in irrigation systems, have finished building a house, have written books, have taken up painting, have gone back to school, have started businesses, have blogged about their journey. They have made new friends. They have worked to support themselves and their families, and to pay the bills their husbands left behind. They have welcomed grown children back into their homes, helped take care of newborns and elderly parents. All while dealing with active grief. These women sound pretty resilient to me!

The article continues; “Only about 15% of the participants in Bonanno’s study were still having problems at 18 months. This small minority might be suffering from a syndrome clinicians are starting to call Prolonged Grief Disorder.” Perhaps some of those 15% needed help, but perhaps some of them had an added depth to their grief that not everyone feels. Grief depends in part on how many roles your spouse played in your life, perhaps best friend, lover, companion, support group, home, business partner, teacher/student, the one person who understood you, the one person who loved you no matter what. If your spouse played a single role, and other people played other roles, then your grief is considerably less complicated. But if your spouse was your soul mate, and he played all the roles, then each role has to be grieved and processed. Which could take a lifetime, especially since the one person who could help you through your grief is the very person you are grieving

For a small percentage of grievers, there is an additional shock to the system. If you were deeply connected to your mate in some mystical way, then part of you went with him when he died. You feel the breath of the eternal, the awesomeness of life and death. You feel — or almost feel — the driving force of the universe. This is something we humans are not equipped to handle, and so we grieve. And we yearn. And we search for new meaning.

But this mystical aspect of prolonged grief is not one that shows up in any study.

Bonnano concluded “What we do know is that while loss is forever, acute grief is not.” Sounds like a contradiction to me. Nowhere in the Time Magazine article, except for that last sentence, was there any mention of “acute grief.” Because yes, there are variations of grief, perhaps even vague stages, just not the typical stages that have been rammed down our throats.

One final contradiction. The woman who wrote the article spent many words telling us that talking about our grief or going to grief support groups didn’t help, but that “perhaps just the knowledge that our survival instinct is strong and that a great many people have not only endured terrible losses but also thrived can be a source of hope, something in scarce supply in our grief culture.” That is exactly true. But without grief support groups, without talking about it, without sharing what we are experiencing, how would anyone ever know there is hope?

Rethinking Ways to Think About Grief — Part I

A few months ago, another woman who had lost her mate and I were talking about how unstoic we’ve been about our grief. We cried when we needed to, screamed it to the heavens, flung it into the blogosphere. We admitted to feeling a bit childish, because in earlier days, people just accepted death and moved on. We decided that if we had lived in an earlier age — pioneer times, for example — we might have acted the same as they did, but since we live in the times we do, we have the luxury of letting grief take its course.

This conversation niggled at me. How do we know pioneer women just accepted death and moved on? How do we know they didn’t cry themselves to sleep when they lost a child or a their husband? How do we know they didn’t scream their loss to the heavens or suffer a crisis of faith?

So much of what we know about earlier times is from men — probably sociopathic men who have no feelings or sense of empathy for another’s suffering. (Not all sociopaths are serial killers. Some psychologists estimate that there are thirty thousand psychopaths who are not serial killers for every one who is. What makes a sociopath is lack of empathy, conscience, and remorse.) Most pioneer women didn’t read or write. (Which could be another myth?) If so how would they ever be able to convey to future women (us) how they felt?

Last night online I tried to find out the truth about the way early American women grieved, not just as dictated by their societal and religious mores, but how they really coped.

I didn’t find out much. Since grief is such an individual process, I would presume they grieved much like anyone today who has to work from morning to dawn. In other words, they found themselves crying at odd moments of privacy when no one could see them. Grief at the loss of a child or a partner is endemic. The show of grief is what changes from culture to culture.

In my online search, I came across an article in Time Magazine that had been published at the beginning of the year: “New Ways to Think About Grief.” The article started out great, debunking Elisabeth Kübler-Ross’s stages of grief. They agreed with what I’ve been saying all along, that what we bereft mostly feel is a yearning to see our loved ones again. The Kübler-Ross grief model doesn’t hold true for most of us, and why should it? Those stages were conceived as a way of showing how people came to accept their own dying, not how people learned to deal with the death of others.

Then the article entered a gray area: One study of 66 people by George Bonanno, a professor at Columbia University’s Teachers College who specializes in the psychology of loss and trauma, suggests that tamping down, not expressing, or avoiding negative feelings, known as “repressive coping,” actually has a protective function.

Another 60 person “study conducted by the husband-and-wife research team Wolfgang and Margaret Stroebe of Utrecht University found that widows who avoided confronting their loss were not any more depressed than widows who “worked through” their grief. As to the importance of giving grief a voice, several other studies done by the Stroebes indicated that talking or writing about the death of a spouse did not help people adjust to that loss any better.”

I don’t know who those people in the studies are or how they were chosen. All I know is that in life and on the internet, every one of the bereft I have encountered found comfort in talking about their grief, or in writing a grief journal or letters to their mates. But what really helped all of us was listening to others tell their story. Grief is so isolating that it’s important to know we are not alone. It’s possible some of those people in the study weren’t deeply connected to their spouse — not every spouse is a soul mate — and so it didn’t feel as if they’d had part of them amputated. It’s possible some of those in the studies had young families to care for. Like the pioneer women mentioned above, they would have no time for grief. It’s also possible those in the study had large families or many friends to surround them with love and give them needed hugs. Those at the grief support group I went to were mostly alone and lost, with no one to hang on to. So we hung on to each other. That is the benefit of grief groups. The connection.

Interestingly enough, in not a single discussion, online or offline, did any of the bereft I encountered indulge in negative thinking. We were all trying to find a way through the morass of physical pain and emotional shock. We were bewildered by what had happened to us and our mates, and though some had unresolved issues with their mates, they never gave in to bad mouthing their relationship. It was all about the love that once was there and now is gone.

(This rant of mine was so long, I’ll post the other half tomorrow.)