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Critique of an Model of Bereavement

Grief is the reaction to loss, which can have been aroused through the loss of someone or something that you have established a relationship with. Loss of life of friend, relative, or companion can trigger grief which is common to real human experience. Grief is an unavoidable human being experience more prevalent in women than men (Love, 2007). Studies have shown that specific thoughts play a central role in dealing with the grief process of late pregnancy reduction, such as guilt and lack of self esteem (Forray et al. 2009).

This article will explore the eight-state model called the procedure of Grieving that was developed by Schneider (1984). The eight-state holistic model will be utilized to illustrate my personal experience of loss and grief whenever i acquired a six-month miscarriage. The article will also discuss and critique the relevance of Schneider's process of grieving to Sociable Care experts.

Professor John M. Schneider is a psychologist at the Psychiatry Department in the School of Michigan. Schneider is considering how the procedure for grief can result in creativity, expansion, and forgiveness. Schneider's grief process endeavors to incorporate an individual's physical, psychological, behavioural and religious manifestation into a circumstance of nurture and development. Schneider stated that his eight-state holistic model of grief helps personal progress (Metzger, 2008). My very own personal experience of grief is in comparison to Schneider's model.

The eight levels of the Process of Grieving are the following:

1. Initial Knowing of Loss

2. Makes an attempt at Limiting Understanding by Holding on

3. Look at at Limiting Awareness by Allowing go

4. Awareness of the Magnitude of the Loss

5. Gaining Perspective on the Loss

6. Resolving the Loss

7. Reforming Loss in the Context of Growth

8. Transforming of Damage into New Degrees of Achievement

The initial knowing of loss or the awareness of an imminent loss will switch on various responses in the body system such as impact, dilemma, disbelief, detachment and numbness (Metzger, 2008).

Relating this to my experience, as i observed that I acquired discharged amniotic substance uncontrollably, worries of imminent lack of another baby gripped me. This acquired already happened 3 x before. WHENEVER I appreciated my tribal belief about crying during miscarriage, I got numb, confused, surprised and disoriented about the next step of thing to do. In my tribe it is assumed that crying after miscarriage will lead to the reincarnation of the miscarried baby, hence, causing another miscarriage. It was difficult to trust that, even though I adhered to my doctor's advice and instructions. My connection with miscarriages was becoming spiritual to me because of the rate of recurrence and the reactions of my in-laws. According to Love (2007) a person may find it difficult agreeing to their loss and this can lead the person to feel numb and stunned. In some instances it might take time or a couple of days prior to the person will consider what had occurred as a result of response of folks around the average person (Love, 2007).

An make an effort at limiting understanding by holding on is a strategy of earning use of the individual's internal advantages to help the situation (Metzger, 2008).

I was exclusively in a shop once i realised the imminent damage. At this stage, I deliberated on what next to do without raising any alarm to the people in the next shop. I compiled my inner durability without being helpless and called my hubby. My husband came over and followed me to a healthcare facility. He was reassuring me but I did not find this helpful.

The second stage is the attempt at limiting recognition by enabling go. The detachment and habit to the individual's damage is divided as of this level. Acknowledgment of one's personal limits based on the loss is flipped loose, by permitting go the needless assumptions in order to create opportinity for future adaptive tendencies and attitudes. The loss reactions associated as of this level are melancholy, rejection, anxiety, shame, self-destructiveness, disgust, ideation, cynicism, ideals and worth (Metzger, 2008).

I had to give up on the six-month motherhood when the physician regretfully confirmed there is nothing that might be done to save lots of the situation. I used to be induced again the fourth time, at this time I put accepted my fate of not being able to have that baby. I became very ashamed and helpless, thinking about a divorce since I couldn't effectively perform the duty of womanhood. It had been my fourth miscarriage; I became very forgetful and I felt rejected within the family based on the reaction of my mother-in-law. Neugebauer and Lok (2007) do a qualitative analysis on mental health morbidity pursuing miscarriage. They found out that 40% of women that experienced miscarriages shown symptoms of grief after miscarriage (Neugebauer and Lok 2007).

The third stage is the awareness of the scope of the loss. The assimilation or acceptance that losing had happened is well-known at this level. With regards to the extent of damage, the individual reflects on the relationship and association with what one has lost. It is the period of mourning, where in fact the individual feels fragile in acknowledging the certainty of losing that has occurred. Reactions at this stage include; weakness, emptiness, existential damage and preoccupation. Others are pain, silence, loneliness, helplessness, sadness, and exhaustion.

After the beginning of the fetus - an infant young man - I became fatigued, empty and very weakened because the happiness of experiencing a live baby was just dashed away. On realising this, I got worn out, pain occupied my physical system and I preferred to be alone. I considered the improvement of the pregnancy up to that day as being part of me. Bronquet (1999) investigated the psychological thought of pregnancy damage. She stated that women see the fetus within them somewhat than as a separate being growing in their uterus. In the event the pregnancy ended up in miscarriage, a lot of women feel part of them has been lost. This may lead to the feeling of loneliness and worthlessness (Bronquet, 1999).

Gaining point of view on losing is the stage at which acceptance of the loss is cognitive and accepted. The average person that is bereaved will be given time and energy to make peacefulness with the past and the reality of the problem. Matching to Schneider (1984:190), the reactions associated to the stage of damage are endurance, separation, approval, mercy, honesty, recollection, healing and serenity (Metzger, 2008).

When I had been discharged from a healthcare facility, I was puzzled. People emerged around to sympathize with me. This time my mind divide in two: one side blaming myself for the miscarriage and the other side blaming the lack of facilities available in Nigeria for such late miscarriages. I weighed my damage and my future chances of getting another pregnancy. I forgave my in-laws for his or her utterances through the healing process so as to allow tranquility to prevail. A study of 46 women conducted on grief lately pregnancy loss showed that emotions have an impact in coping with late miscarriage such as guilt and lack of confidence (Forray et al. , 2009).

Resolving losing is not the level when the bereaved is seen to be doing things or activities that are not linked nor have any mention of the loss. The bereaved must have 'let go' at this stage, by accepting responsibilities for activities and saying goodbye to grief in order to forge in advance in to the future. Some characteristics of this stage may include self treatment, relinquishing, forgiveness of home and others, willpower, and tranquility.

I kept home one evening and made a decision to try to escape. I left an email for my hubby, who was simply away at that time, that they can continue with his life without me. However for me personally, he attained me at the bus train station, which was about 450km from your home. When he realised my intentions, he counseled me and made me appreciate that I was required to forget about days gone by, forgive him, myself yet others and be driven to start again. He rekindled my anticipation and aspiration and made me get back to my normal life. Mary (1992) cited in Payne et al. (2000) explained that grief is a subconscious process of integration in order to flee from painful reminders of the loss.

Reforming reduction in a context of growth is the seventh stage. This stage is resolving the grief over a period of time and it entails realization of potential rather than limitation; agreeing to problems as difficulties; becoming inquisitive again; and buying a balance among the different aspects of self applied. The characteristics of this level include genuineness, strength, truthfulness, the knowing of illusion, and interest (Schneider, 1984 cited in Metzger, 2008).

I realized that life must go on, and weighing the support accorded to me by my hubby, I accepted the loss as an effort to be a mother in my own marital life, and I investigated into causes and preventions of miscarriages. I got afraid of looking my innermost personal in case the problem repeated itself for the fifth time. I heightened my interest for womanhood and was very aware of any changes in my physical system. Anxiousness is a common response to bereavement because an individual will be worried of how to cope with it in the foreseeable future (rch. org).

The final stage is the transforming of damage into new degrees of achievement. This level is the mixture of physical, psychological, cognitive, behavioral and spiritual aspects. Transformation following the loss happened and can create a fresh person capable of doing things she was not capable of before the damage. The characteristics of this stage include knowing of inspiration, fulfillment, understanding, unconditional love and commitment (Metzger, 2008).

I became a fresh being; I got pregnant and moved to Ireland. I decided to live individually from my husband whom I am highly fond of. The transformation of losing transformed me for the better; I now have children of my own; I am more 3rd party than before; I delivered to school to change my job; and the level of commitment and creativity of whatever I do is higher compared to before.

I agree with Schneider's process of grief and damage because it relates to my own activities of miscarriage. However, Schneider's eight-state models of procedure for grieving has been criticized. Schneider does not consider cultural results on the procedure of grief. That is evidenced in my experience because it is not only the news of the loss that can cause you to numb but ethnical beliefs may also contribute. Furthermore, some people might not exactly grow due to their loss experience because it depends on individual perceptions to grief and reduction.

It is important for Social Care personnel to study the procedure of grieving because they use vulnerable people in contemporary society. The client's vulnerability may be as a result of loss of a family member, cherished one or friend. The study of grief and reduction empowers practitioners to support people in making choices about placing a child for adoption, and pre-bereavement support. In addition, it helps Social Health care workers to aid clients experiencing damage. For instance, it helps in supporting people who have chronic disability, people who are mentally ill and palliative health care support for the dying (Machin, 2009)

In summary, Schneider's eight-stage model for the procedure of Grieving can be of great reassurance. Considering the behaviour and personas displayed in this technique will help in understanding ourselves and folks around us. The process of grief if you ask me helps me to understand my husband's family better, especially my mother-in-law. Grief also brings awareness, freedom, and a big change of attitude to life.

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