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Care at the Close of Life: Evidence and Experience
Stephen J. McPhee, Margaret A. Winker, Michael W. Rabow, Steven Z. Pantilat, Amy J. Markowitz
Part E Psychological, Social, and Spiritual Issues
Chapter 25. Caring for Bereaved Patients: “All the Doctors Just Suddenly Go”
Holly Gwen Prigerson, PhD, Selby C. Jacobs, MD, MPH
Anger


Topics Discussed: bereavement, clinician behavior, communication, criterion standard comparisons (diagnostic tests), denial stage of grief, diagnostic process, grief, grief, complicated

Excerpt: "Normal, or uncomplicated, grief reactions are those that, though painful, move the survivor toward an acceptance of the loss and an ability to carry on with his/her life.17-21 Indicators of normal adjustment include the capacity to feel that life still holds meaning, a sustained sense of self, self-efficacy, trust in others, and an ability to reinvest in interpersonal relationships and activities.17-21 Despite her distress over her husband's death, Mrs A's grief appears uncomplicated: she accepts her husband's death, her grief symptoms have attenuated, she is involved with her family and has made new friends, she is engaged in civic pursuits, and she works to maintain her health...."
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