Document Detail


Attachment, loss, and complicated grief.
MedLine Citation:
PMID:  16252293     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bereavement is a highly disruptive experience that is usually followed by a painful but time-limited period of acute grief. An unfortunate minority of individuals experience prolonged and impairing complicated grief, an identifiable syndrome that differs from usual grief, major depression, and other DSM IV diagnostic entities. Underlying processes guiding symptoms are not well understood for either usual or complicated grief. We propose a provisional model of bereavement, guided by Myron Hofer's question "What exactly is lost when a loved one dies?" We integrate insights about biobehavioral regulation from Hofer's animal studies of infant separation, research on adult human attachment, and new ideas from bereavement research. In this model, death of an attachment figure produces a state of traumatic loss and symptoms of acute grief. These symptoms usually resolve following revision of the internalized representation of the deceased to incorporate the reality of the death. Failure to accomplish this integration results in the syndrome of complicated grief.
Authors:
Katherine Shear; Harry Shair
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Developmental psychobiology     Volume:  47     ISSN:  0012-1630     ISO Abbreviation:  Dev Psychobiol     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-11-02     Completed Date:  2006-04-03     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0164074     Medline TA:  Dev Psychobiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  253-67     Citation Subset:  IM    
Copyright Information:
Copyright 2005 Wiley Periodicals, Inc.
Affiliation:
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh, Pennsylvania, USA. shearmk@upmc.edu
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adult
Animals
Bereavement*
Depressive Disorder, Major / psychology
Grief*
Humans
Infant
Infant, Newborn
Maternal Deprivation
Motivation
Object Attachment*
Rats
Grant Support
ID/Acronym/Agency:
MH-30915/MH/NIMH NIH HHS; MH-52247/MH/NIMH NIH HHS; MH-60783/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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