Types of loss, models of grieving: stage, task, continuing bonds and dual process; grief following miscarriage; COVID-19 impact; loss of pets; loss and grief in foster care; grief associated with young people; online grieving; practice approach ideas
This page has three sections:
Background Material that provides the context for the topic
A suggested Practice Approach
A list of Supporting Material / References
Feedback welcome!
Background Material
Loss
Loss can be primary or secondary in nature. Primary loss is often physical, e.g. the termination of an attachment or relationship, body parts amputated, or the death of someone close. Secondary loss flows from primary loss and can be symbolic loss, e.g. foster care placement, children leaving home for independent living, unemployment, and changes in health status, or developmental loss, i.e. loss that is a consequence of life changes/ageing. Both primary and secondary loss usually leads to some form of grieving or mourning. It is important to realise that the grieving process will be different for each person.
Grief & Mourning
Grief is not simply feelings. It is a dis-ease, a discomforting disturbance of everyday equilibrium. Many reactions are associated with grieving, all of which are normal.
Sadness, anger, guilt, anxiety, loneliness, fatigue, helplessness, numbness, shock and even relief
Tightness in the chest or throat, lack of energy, stomach distress
Confusion, inability to concentrate or remember details, auditory or visual experiences that mimic hallucinations
Sleep disturbance, loss of appetite, and restlessness
Over time these reactions should diminish. If intense distress persists for a long period (i.e. a chronic, heightened state of mourning, problems accepting the loss), treatment for complicated grief may be needed.
Disenfranchised Grief
Grief, a natural response to loss, is considered disenfranchised when it is not acknowledged or attended to by society. Disenfranchised grief can occur when (i) the loss is not acknowledged as significant (e.g. the loss of an animal/pet), (ii) the relationship is not recognized (e.g. the loss of a mistress), (iii) the griever is excluded (e.g. a child’s “inability” to grieve), (iv) the loss is disenfranchised (e.g. suicide), and (v) the grieving style is considered socially unacceptable (e.g. a female who is an instrumental griever) (Mitchell, 2018).
Grief and bereavement in a COVID-19 world
Deaths from COVID-19 may occur in hospitals or aged care facilities where the barriers that keep the infection controlled may also isolate the patient, family and loved ones at the end of life. Grieving, bereavement and ritual in the era of COVID-19 will change as a result. As people are dying in the current climate of self-isolation, they are now facing the lack of a traditional funeral or gathering to celebrate that person’s life. Family members are being instructed to avoid any contact with the deceased (such as touching or kissing). People may be buried or cremated quickly as the numbers of those dying increases, and while this is familiar and usual within some cultures and religions, it is not in many others.
If people are unable to say goodbye in the traditional way, then different rituals of mourning and of remembrance will need to be created. One way may be via the online environment (Skype, Facetime) or social media (Facebook) where this has become a more familiar sight in recent years. Even if people are not able to physically attend a funeral, a ritual can be organised to remember that person – perhaps lighting a candle, playing their favourite music while reminiscing about them, spending time in the garden if that was one of the things they loved doing. Even though there are physical restrictions, this does not mean people need to be emotionally cut off from saying goodbye. Many funerals can be recorded via video or audio for those unable to attend. During this pandemic period people all over the world have found creative ways to communicate and stay connected to others – think outside the box and create a personal memorial. Another longer-term possibility is to plan for a memorial service or funeral to be held later, as sometimes the planning itself can help.
In the longer term, some people may suffer the effects of sudden deaths, the inability to say goodbye or from the lack of a traditional funeral or being unable to attend one. The effects of social isolation in grief and loss could also impact on mourning. Grieving and mourning from a distance can also be very hard if people are unable to travel. Health professionals need to be aware that while COVID-19 will come to an end, the effects could be longer term (End of Life Essentials, 2020).
Grieving following the loss of a pet
The death of a pet can be difficult for an owner. Research shows over 80% of dog and cat owners find the companionship and unconditional love offered by their animals as benefits. 92% regarded companion animals as family members. Owning a pet teaches children responsibility and develop an emotional attachment to them; for children support is received from their mothers, their pet and then their fathers (Rujoiu & Rujoiu, 2013).
Pet owners develop three types of bonding relationships: weakly bonded (the owner provides the companion only bare necessities: food and hygiene), moderately bonded (the pet owner spends time with their companion, understanding much more of their needs, but when the death of the animal occurs, the grief is exceeded in a short time) and profoundly bonded (the emotional involvement of the owners is strong and they are convinced that they know what their companion feels and needs). The owners from the last category consider the pet as a family member and they manage with great difficulty the grief when the pet dies because, often, the grief is not understood or accepted by those around. In these kinds of situations, the grief manifested by a bereaved owner is disenfranchised because the person has incurred a loss that is not or cannot be openly acknowledged, publicly mourned, or socially supported. In some situations, the grief manifested by a pet owner can develop into complicated grief (Rujoiu & Rujoiu, 2013).
Choosing to put a pet down can be difficult: the pet owner struggles between the animal’s quality of life versus the owner’s desire to have more time with the pet. Many owners feel guilty that they have not discovered earlier the disease of their companion animal in order to have it treated. On the other hand, that they “are responsible for the death of the animal.” This guilt is profound (deeper guilt). In such situations, social support is very important (Rujoiu & Rujoiu, 2013).
Models of Grieving
There have been a number of models proposed for the grieving process.
Stage or phase models: In 1969 Kubler-Ross proposed an ordered, six-stage model—shock, denial, anger, bargaining, depression and acceptance/resolution. In 1972 Parkes suggested shock and numbness, yearning and searching, disorganisation and despair, and reorganisation.
Task models: In 1991 Worden suggested that people have to accomplish certain tasks to move through the grieving process—(i) Accepting the reality of the loss, (ii) Experiencing and working through the pain of grief, (iii) Adjusting to the new environment without the deceased, (iv) Emotionally relocating the deceased and moving on with life.
Continuing bonds model: In 1996 Silverman and Klass proposed that grieving involved maintaining a continuing bond with the deceased person rather than severing bonds with, or letting go of the deceased. The deceased becomes incorporated into the person’s ongoing life, remains part of it and helps in reconstruction of life.
Dual Process model: In 1999 Strobe and Schut suggested the dual process model—mourning oscillating between two processes: both coping with the loss and moving forward towards healthy living again.
Tonkin—Growing Around Grief: Rather than thinking about grief getting smaller over time, in 1996 Tonkin proposed that grief and loss don’t get smaller, but life slowly gets bigger. Life grows around the loss.
Loss and Grief in Older Adults
As well as adjusting to loss through death, older people are adjusting to symbolic and developmental losses associated with carrying out roles such as spouse, employee, parent, and grandparent. They have to adjust to employment-related loses that include loss of professional identity, potential loss of income and social status as well as more long-term and chronic illness-related losses such as loss of independence and loss of mobility, all of which can impact on wellbeing.
Grief After Pregnancy Loss
Despite research attesting to the intensity of grief after pregnancy loss and plentiful corroborating data from counselors and grief specialists, harmful stereotypes persist. These include a belief that miscarriage and stillbirth are not real losses, grief related to pregnancy loss is short-lived and not as serious as other losses, men are not meaningfully attached to their future children during pregnancy and therefore do not grieve, and/or women are the ones who go through pregnancy loss while men simply observe it from the outside (Janssen, 2024).
Pregnancy loss may leave parents to grieve not only the child they never had the opportunity to know and whose story they had only begun to tell (if only to themselves) but also the loss of a future they’d envisioned. When miscarriage occurs in early pregnancy, those expecting a child may not even have informed family and friends of the pregnancy. Doing so after such a loss can feel painful and awkward. Some feel pressure to remain silent. Others find that their support networks do not know how to provide effective social and emotional support and may not recognize the significance of the loss. This can result in disenfranchised grief, or grief that is not acknowledged or understood by others and for which little or no social support is available, leaving parents feeling isolated without safe places to process complex thoughts, emotions, and beliefs; engage social support; or participate in grief-related rituals (Janssen, 2024).
A study analysing research on the impact of pregnancy loss found that men tend to report less intense and less enduring levels of psychological distress than women do but are more likely to engage in negative “compensatory” behaviors such as increased alcohol consumption. The analysis also found that men often feel that their role is primarily as a ‘supporter’ to their female partner and that this precludes recognition of their own loss. These studies also reported that men may feel overlooked and marginalized in comparison to their female partners, whose pain is typically more visible. This combination of a man dismissing his grief as less important than that of a partner and an overall lack of recognition or support for his loss is a double-disenfranchised grief in relation to the pregnancy/neonatal loss experience (Janssen, 2024).
Some men who seek counselling don’t realize they are struggling with psychological trauma and/or grief. They may show up concerned about new behaviors that have become problematic like increasing fatigue, irritability, difficulty concentrating, or social isolation, and may need help tracing these symptoms back and connecting them with the loss of their unborn child (Janssen, 2024).
Grief in Family Contexts
Family members do not grieve the same, and often do not have the same issues. Grieving by one family member can raise the discomfort or anxiety of others in the family. Each family member has a narrative to tell and should be listened to.
Bereavement Care
Reactions immediately after death
Remember that grief is very individual. Members of the same family may react very differently – so expect anything. Some reactions might surprise, distress, or shock.
Relief: At the end of person’s suffering, or the end of a difficult relationship
Guilt: ‘Our last words were said in anger’, ‘I should have pushed hie more to go to the GP’
Disbelief and shock: ‘You are wrong – she isn’t dead’, ‘I can’t believe this is happening. He was awake and talking yesterday’
Confusion: Give very basic information at this stage; don’t further overwhelm them with medical jargon or too much information
Anger: Directed at staff, the hospital, others, the person who has died, their God, e.g. ‘This shouldn’t have happened’, ‘Why didn’t you treat him sooner?’ Always ensure personal safety when others get angry or lash out.
Tears / no tears
Wish to be alone with the deceased
Walking / running out of room
Wanting to see/hold/interact with the body or not wanting to see the person who has died
Specific cultural or religious activities
Quite prayer / contemplation
Wailing / loud expressions
Words for assisting family and friends immediately after death
I am so sorry for your loss. I can’t imagine what it must be like for you to lose your father.
Are there any questions you have?
Do your know what the next step is?
Do you want to have some time alone with your family member?
Can I tell someone for you?
Is there anything I can get you?
Is there anyone who you would like to be with?
Dos and don’ts of communication with those who are bereaved
It is natural to want to comfort and offer words of consolation to bereaved people. You must be careful with what you say, sometimes what you may think are words of comfort may be offensive or hurtful.
See below some examples of what you should and shouldn’t say.
Do say: I’m so sorry for your loss – Acknowledging that their loved one has died tells the bereaved person you recognise the significance of their loss.
Don’t say: I know how you feel. When my father died … - The existence of someone else's grief has no impact on other’s suffering. The comparison of grief is unnecessary, you can't know exactly what anyone else is going through. You can listen and be empathetic, internally (or silently) understanding what it is like to feel that kind of suffering because you've felt it too.
Don’t say: Time is a great healer. There is no time limit on grief. Everyone will experience grief differently; this includes the length of time and how they grieve.
Some additional points to consider:
If they would like to have some time alone with the family member, ask if you can come back in half-an-hour. Reassure that if they need you, they can press the bell.
Explain the role of the funeral director/coroner if involved
Be aware of the family’s experiences/reactions and get a sense of what might be useful. Always take the lead from the family involved.
Ask the family/friends if there are any specific rituals/cultural/religious activities that need to be performed and facilitate this whenever possible.
If they have questions and you don’t know the answer, let them know you will try and find someone who can speak to them or find the answer and come back to them.
Offer to go with family/friends to the morgue if they wish to accompany the deceased person – this process can be new and frightening for those who are not familiar with what happens after death. Make sure you are familiar with the procedures in your hospital.
Ask the family/friends if they would like to perform the post death care (i.e. washing body) or if they prefer someone ese to do it.
Pre-loss grief experiences
A recent systematic review (Fee et al., 2023) of 13 studies found three overarching themes to describe the pre-loss grief experience: making sense of pre-loss grief, the pre-loss grief process, and the impact of context on pre-loss grief.
1. Making sense of pre-loss grief
People described changes that occurred in their lives in line with the illness trajectory and often as a result of the patient’s increased need for help. One such change was their transition into the role of carer. Although this was viewed by some as limiting their life, it was also important for relatives to feel that they had done their very best for their loved one.
A common perception from relatives was that the period between receiving the poor prognosis and the active dying phase offered a time for planning for the future, such as managing the patient’s financial matters, and a chance for them (patients and relatives) to make the most of their remaining time together.
For some people the patient’s loss of independence often resulted in distress for relatives. For these relatives, overwhelming feelings of loss of the patient as they knew them, consumed their lives, and often defined their pre-loss grief experience.
2. Pre-loss grief process
The pre-loss grief process comprised eight themes:
a spectrum of intense emotions
using physical and cognitive strategies to alleviate stress—physical strategies that were perceived to be important for relatives during the end-of-life period included relaxation or exercise such as getting out for a walk and cognitive strategies included engagement in activities such as reading and journaling
dependence on faith-based strategies, i.e. preexisting religious and spiritual beliefs
managing unpredictability
holding on while letting go—this was central to the process
experiencing different dimensions of preparedness—components of preparedness included informational (having clear information surrounding the patient’s poor prognosis and declining health); cognitive (an awareness that death was the inevitable outcome); behavioral (understanding their loved one’s funeral wishes or having their personal matters organized such as having a will); and affective (spending quality time with their loved one before the death), with these four dimensions having different weights depending on the individual
avoidance strategies
altered family dynamics
3. Impact of context on meaning and process of pre-loss grief
This theme comprised four descriptive factors essential for carer wellbeing:
contextual factors (can have a positive or negative impact depending on a number of factors—characteristics of both the patient and their relative, illness symptoms, relationship between the relative and patient or other family members, and support and circumstances surrounding death)
influence of healthcare practitioners where a lack of support resulted in feelings of being overloaded, uninformed, invisible and isolated
effective communication from healthcare practitioners
emotional support from healthcare practitioners and others
The benefits and challenges of online grieving (thanatechnology)
Cooper (2023) suggests technology and social media have started to change and reshape how people grieve. Technology can now be used to deal with death, grief and loss (referred to as ‘thanatechnology’). This broad category can include online grief groups or memorial pages and even the use of artificial intelligence to help process grief. Digital mourning will probably become even more common now as those who grew up with social media become adults. The younger generations growing up only know technology, technology they will use in different and innovative ways, such as finding a therapist based on their social media marketing and videos.
Because technology is integrated into our daily lives, it has also changed our perception on how we grieve publicly. Younger people in particular feel safer being more and more transparent online.
Public displays of grief online can have benefits. They can decrease the taboo on grief and death and allow people to discuss and share their grief with others more freely. Digital grieving can also increase people’s sense of community and support; they can use the internet and social media to find and connect with others who are experiencing loss and discover grief-related resources.
A sense of community and support
People who are grieving can go online and easily access support and find community, which are two of their biggest needs. Social media sites honouring the deceased can also serve as a digital memory or even allow the person who is grieving space to “talk” with the person they lost, to maintain a bond with the deceased. This can provide people with a sense of emotional release—a space to express thoughts and feelings, reminisce and express care. It can provide a sense of community for people.
The drawbacks of grieving online
Grieving through online platforms also has the potential to be harmful.
Younger generations may feel obligated to share their feelings online when a tragedy happens even if they don’t feel comfortable doing so.
People may be critical of how others mourn online.
Online grieving can also lead people to grieve more passively as well as make them feel more isolated. Rather than interacting with others, they may just scroll through their website feeds. Although this can feel validating, passive scrolling doesn’t help grieving people become more connected.
Online grieving also provides an opportunity for negative, potentially traumatic comments from people with the intent to “troll” or be intentionally (or unintentionally) hurtful and judgmental.
People may also come across misinformation online when searching for support.
Incorporating thanatechnology into counselling
Counselors can incorporate thanatechnology into their work with clients who are grieving.
Counselors can find digital channels that focus on positivity or are designed to comfort grieving people and recommend them to their clients.
Blogging can allow people to share their grief journey publicly, of declaring feelings to the world in a very instant way.
Online support forums can be recommended to clients, although these groups shouldn’t be the sole source of support because it’s more isolating than connecting with people in real life.
At the end of the day, people who are grieving often just want to be seen. This is the origin of funeral services and why people talk about grieving. Social media gives people another platform to be able to do that.
Practice Approach
There is no one model of grieving. People oscillate between loss-oriented feelings (e.g. grief, breaking bonds, denial, anger, depression) and restoration-oriented feelings (doing new things, grieving, new roles / relationships, developing a continuing bond with the past / deceased). As they do this people gradually (i) accept the loss, (ii) experience and work through the pain of grief, (iii) adjust to a new environment without the past / deceased, and (iv) emotionally relocate the past / deceased and move on with life.
A practice approach for people experiencing grief and loss could involve
Preventive interventions Provide information about normal grief reactions and practical and emotional support (e.g. funeral directors, Centrelink, informing others, life insurance claims, property, wills, childcare, finance ).
Monitoring, with social support Ensure people have others who will make regular contact with them so they can discuss the loss if necessary.
Bereavement support groups Link people with these groups to help reduce isolation, relieve psychosocial distress, and enhance coping skills.
Individual or family grief counselling There is nothing magical about grief counselling: Create a strong therapeutic relationship with the client, listen to their pain and loss, and be there for the long haul as they gradually recover and build their lives again. General counselling skills are important: empathy, active listening, reflecting, paraphrasing, minimal encouragers, therapeutic silence, and open-ended questions.
People experiencing complicated grief should be referred to grief therapy.
A psychosocial assessment may be appropriate: family and significant relationships, social relationships, employment, financial status, leisure/recreation interests, substance use history, spiritual beliefs.
Problem-solving and solution-focused models may also be appropriate.
Grief therapy
The reaction of young people to loss can be even more unconventional than those of adults. Young people generally do not effectively process their emotions internally and verbally. As a result, they tend to demonstrate their grieving in external ways, such as aggression and risk-taking behaviours.
The need for attachment is rooted in our brain-body chemistry. A strong attachment to something causes strong positive feelings. When we experience withdrawal from this attachment it can cause anxiety and increase stress hormones to be realised in our bodies causing a range of symptoms including, sleeplessness, nausea, depression, aggression.
When working with adolescents who have experienced major loss it is imperative to create positive warm relationships to help build a healthy brain and improve mental health through contact and connection to caring people during their grieving process. Additionally, the chance to remember the person, and to talk about the loss, will be useful in terms of being able to make a healthy ‘separation’ and to move on (Genito, 2018).
First Thing First (n.d.) offer the following if supporting a child who is grieving the death of a parent:
Be aware of your own grief and emotions. Acknowledge and work through your own grief. Don’t make the loss only about you.
Be careful how you communicate with the child. Avoid well-intentioned phrases like “They are in a better place”, “They just went to sleep”, and “One day, you will get over this.”
Be prepared for the child to express a variety of behaviours. Emotions such as fear, sadness or anger are common. Additionally, the may experience the following regressive behaviours—using baby talk, bedwetting, or waking in the middle of the night. Eating habits may change.
Be age-appropriately honest with them. Honest answers help rebuild trust and security. Under-promise and under-deliver rather than over-promise and over-deliver. Follow through with what you say you will do.
Be aware that grief is an ongoing process. The hard truth is that a child never gets over the death of a parent or stops grieving their loss, though the experience of grief may morph over time. Intensity may lessen, but the parent won’t be there for life milestones.
Be proactive in helping the child find ways to remember their parent. Remembering helps the grieving process. Memories give a chid a picture of who their parent was, what they liked and how they lived. Don’t remove photos or rarely mention or discuss the parent.
As you journey with them be a listening ear, a safe place to land, and a consistent presence in their lives.
Non-death loss and grief in foster care
Because of their “temporary” placement in foster care, children experience multiple non-death losses: ambiguous loss of family and friends (the people are psychologically present even though physically absent), the loss of community, the loss of identity, and the loss of normalcy. If unattended, these losses can result in loneliness, hopelessness, depression and despair. They can challenge a youth’s self-worth and, if not acknowledged, can lead to disenfranchised grief. However, not all youth in foster care experience unattended grief. For some their grief is enfranchised by, for example, case managers, foster parents, other foster children, group home staff and pastors (Mitchell, 2018). Social workers can play an important role in ensuring grief is enfranchised for those in foster care.
For someone experiencing a miscarriage:
Acknowledge miscarriage is a loss, e.g. “I am sorry for your loss.” By doing this you are giving the person reassurance that miscarriage is indeed a loss worthy of grief. Ask the person if they would like to talk about it in any way. Some people will want to talk; others won’t. Remember that each loss is personal, and people will react in different ways. Don’t seek to minimise the grief, e.g. don’t say ‘It happened for a reason’, ‘It wasn’t meant to be’, or ‘Just focus on everything you do have’ (ABC, 2020).
Janssen(2024) suggests social workers can assist individuals or couples after pregnancy loss by doing the following:
• teaching communication skills and supporting the setting of boundaries that allow both partners to feel heard and cared for.
• assessing differing attachment and communication styles while facilitating conversations about how these styles may be influencing the relationship and the grieving processes.
• encouraging compassionate curiosity in both partners to enhance empathy and a better understanding of each other’s needs, limits, and styles.
• identifying possible gender differences in grieving styles.
• helping normalize that a partner may not be able to give an individual all the support they need and that this is okay. It’s okay to seek and accept additional avenues of support like counselling or a support group.
Social workers in settings where pregnancy loss and neonatal death occur are in positions to dispel misconceptions, assess for underlying grief, and provide psychological intervention. When a miscarriage or stillbirth occurs, or if news needs to be delivered during a medical appointment, professional staff should be as inclusive of male partners as possible. Medical and mental health professionals should be conscious about their language so as not to unintentionally imply that a woman’s grief is deeper or more real than a man’s or that it’s a man’s job to place his feelings on hold to focus on supporting his partner (Janssen, 2024).
Supportive Actions in Grief (Cacciatore et al., 2021)
Placement into aged care
Family caregivers who have to place a loved one in an aged care home also experience grief and loss. If involved with this it is important to remember the following strategies.
Recognise the phases that family caregivers will go through.
(i) making the decision, often with a feeling of guilt and shame,
(ii) living with the decision – oscillating between feeling relief and questioning the decision,
(iii) adjusting to the new caring role, i.e. monitoring someone else’s care, and
(iv) forming a new relationship with the family member and staff
At the same time family caregivers need to realise
o not everyone passes through these phases,
o the phases do not occur in a fixed order, and
o the phases can overlap.
Keep occupied.
Engage in physical activity.
Seek professional or informal external support if the process is becoming too much personally or as a family. Informal support often comes from family and friends who have had the same experiences.
Avoid friends who express negative opinions about residential care.
Look at the positives that have occurred or will occur as a result of the family member being placed in care, both for the person concerned and the family as a whole.
If possible, visit the family member regularly.
Create positive relationships with the staff
Be positive with staff, recognising and commenting on efforts to help the family member adjust to changing circumstances.
Engage with staff about family member’s needs in a non-threatening and collaborative manner. If possible, offer to assist in any changes to care.
Remain actively involved with the staff and seek to inform them of the family member’s interests and ongoing needs. Ask to be involved in any review of family member’s needs.
Supporting Material
(available on request)
Cacciatore, J., Thieleman, K., Fretts, R., & Jackson, L. B. (2021). What is good grief support? Exploring the actors and actions in social support after traumatic grief. Plos One, 16(5), 1 – 17. https://doi.org/10.1371/journal.pone.0252324
Crayne, M. P. (2020). The traumatic impact of job loss and job search in the aftermath of COVID-19.Trauma Psychology, 12(S1), S180-182.http://dx.doi.org/10.1037/tra0000852.Retrieved from http://www.cokmed.net/ps-sistem/dosyalar/kutuphane/Traumatic%20Impact%20of%20Job%20Loss%20and%20Job%20Search%20in%20Aftermath%20of%20Covid-19.pdf
End of Life Essentials. (2020). Grief and bereavement for health care professionals COVID-19. Retrieved from https://www.endoflifeessentials.com.au/Portals/14/document/COVID-19/Grief%20Bereavement%20and%20Ritual%20for%20Health%20Care%20Professionals%20COVID-19.pdf This resource includes a list of resources and supporting organisations
around grief and COVID-19.
End of Life Essentials. (2024). Bereavement Care. https://education.endoflifeessentials.com.au/course/about/bereavement-care
Fee, A., Hanna, J., & Hasson, F. (2023). Pre-loss grief experiences of adults when someone important to them is at end-of-life: A qualitative systematic review. Death Studies, 47(1), 30-44. https://doi.org/10.1080/07481187.2021.1998935
First Things First. (n.d.). 6 things you can do to help a child who is grieving the death of a parent. https://www.firstthingsfirst.org/
Grief and Loss – Fact or Myth (2019).
Understanding Grief (Palliative Care, 2015)
Graneheim, U. H., Johansson, A., & Lindgren, B-M. (2014). Family caregivers’ experiences of relinquishing the care of a person with dementia to a nursing home: insights from a meta-ethnographic study. Scandinavian Journal of Caring Science, 28, 215-224.
Genito, T. (2018).Young people’s experience of loss. Social Work Focus, 3(1)
Grief and Bereavement for Health Care Professionals COVID-19
Grief and Loss (University of Tasmania) (2016)
Janssen, S. (2024). Grief After Pregnancy Loss. Social Work Today, 24(4), 14ff . https://www.socialworktoday.com/archive/Fall24p14.shtml
Mitchell, M. B. (2018). “No one acknowledged my loss and hurt”: Non-death loss, grief and trauma in foster care. Child and Adolescent Social Work Journal, 35, 1 – 9. doi: 10.1007/s10560-017-0502-8
Rujoiu, O., & Rujoiu, V. (2013). Human-animal bond: Loss and grief. A review of the literature. Revista de Asistenta Sociala, 12(3), 163-171.
What not to say to someone who’s experiencing a miscarriage (ABC, 2020)
What’s your grief? (2021). https://whatsyourgrief.com/