Family Focused Grief Therapy: A Randomized, Controlled Trial in Palliative Care and Bereavement

Abstract

Family focused grief therapy has the potential to prevent pathological grief. Benefit is clear for intermediate and sullen families. Care is needed to avoid increasing conflict in hostile families.

Underutilization of Mental Health Services Among Bereaved Caregivers With Prolonged Grief Disorder

“…These results should not imply that mental health services are needed in every case; to the contrary, research suggests that grief interventions are most efficacious among high-risk or psychiatrically symptomatic individuals (3,14,15). Most bereaved are not in need of mental health services, but as these data show, those who meet criteria for prolonged grief disorder are in need of services and may find them helpful.…”

“…Interventions that begin while the patient is still alive and facilitate preparedness for the patient’s death can have a prophylactic effect and prevent negative bereavement outcomes (14). Our finding that intense grief experienced before the patient dies predicts prolonged grief disorder suggests that connection with mental health providers during the caregiving phase may be especially important for caregivers exhibiting severe grief symptoms before the patient’s death.…”

Role of Clinical Ethicists in Making Decisions About Levels of Care in the Intensive Care Unit

“…6 At the same time as a loved one is receiving ICU care with a grim prognosis, families are struggling to come to terms with impending loss. Family functioning or experience in coping with loss, 14 unrealistic expectations regarding health outcome, within a societal context of diverse religious or cultural beliefs, can markedly influence families' decision making about end-of-life care. Such formidable contributing factors further emphasize that effective communication strategies, as well as an appropriate level of sensitivity, ought to be used in ICUs when dealing with patients' families.…”

Family focused grief therapy: The therapy of choice in palliative care

“…U zavisnosti od potreba porodice, FFGT se može sprovoditi u bolnici, u hospisu ili u kućnim uslovima, tj. u domu pacijenta i porodice (Kissane et al, 2006).…”

“…Istraživanja su pokazala da psihocijalni problemi i individualna disfunkcija članova porodice (depresivnost, anksioznost,opsesivni poremećaji i zloupotreba alkohola) pozitivno koreliraju s lošijim porodičnim funkcionisanjem,što posebno dolazi do izražaja u stresnoj porodičnoj situaciji koja se odnosi na tešku bolest s neminovnim smrtnim ishodom (Kissane, McKenzie, McKenzie, Forbes, O'Neill, & Bloch, 2003;Kissane, McKenzie, Bloch, Moskowitz, & McKenzie, 2006). Porodični konflikti utiču na prolongiranje komplikovanog tj.…”