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1 Introduction
Pages 1-12

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From page 1...
... in production
From page 2...
... :: . Me Influence of bereavement con be found the works of many~eat artists, inc~udingpainters,poets, sculptors, and!
From page 3...
... His spirit was troubled; he shrank within himself; his benumbed brain made him blunder in his business, so that the final of Castorp and Son suffered sensible financial losses; and the next spring, while inspecting warehouses on the windy landing-stage, he got inflammation of the lungs. The fever was too much for his shaken heart, and in five days, notwithstanding all Dr.
From page 4...
... Only those who themseIves die young escape the pain of losing someone they love through death. Every year an estimated eight million Americans experience the death of an immediate family member.
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... appointed a committee to study the factors that affect the bereavement process and its impact on general and mental health. This study is related to a series of recent activities in the Division of Mental Health and Behavioral Medicine of the IOM clearing with the relationship between psychosocial stress and physical disease and the place of behavioral interventions within general health care.23 5 6 The particular framework of the bereavement study grew out of the Institute's report on stress and human health.2 Almost uniformly researchers and the public identify death of a close family member as the most potent stressor in ordinary life.
From page 6...
... The sites were not selected as models to emulate, nor were they in any sense representative of the universe of programs, although an attempt was made to visit programs with various distinguishing characteristics.* REPORT OVERVIEW While recognizing the similarities between bereavement and other stressful events and acknowledging that many different kinds of losses occasion grief, this report focuses principally on reactions to the death of a closely related family member.
From page 7...
... Human bereavement has been studied in parents anticipating the death of a child, in recently bereft parents and spouses, and in sub jects who have acute grieving responses revived in laboratory settings. In all these situations, alterations in cardiovascular, endocrine, and immune system functioning have been recorded.
From page 8...
... Chapter 10 examines several of the more formal approaches to bereavement interventions. The goals and methods of four major types of interventions are described mutual support groups, hospices, various professional psychotherapeutic approaches, and drug therapies.
From page 9...
... Although both the reliability and validity of the original scale {and numerous other life-events scales modeled after itJ have been challenged,8 the findings from hundreds of studies have generally supported the proposition that life stressors of all types place individuals at greater risk for a variety of physical illnesses and mental disorders.2 Viewed in this context, bereavement represents one specific type of a life-event stressor. Though usually considered to have the most powerful impact of all stressful life events, in many respects bereavement is not unique.
From page 10...
... Wherever possible, the text specifies particular affects in order to avoid confusion between grief and mourning and also couples these basic terms with adjective modifiers to make their meaning clearer in the context of particular discussions.
From page 11...
... This particular hospice was chosen for a site visit because of its extensive attention to the care of bereaved relatives, and its leadership role in developing educational materials and in training professionals and lay hospice volunteers around the country. · Palliative Care Service, Royal Victoria Hospital Montreal, CanadaJ.


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