Banner
    Mono-a-mano: Thoughts on Illness, Loss, and Letting Go of Stage Models of Grief
    By Kim Wombles | February 9th 2012 07:09 AM | 4 comments | Print | E-mail | Track Comments
    About Kim

    Instructor of English and psychology and mother to three on the autism spectrum.

    Writer of the site countering.us (where most of these

    ...

    View Kim's Profile
    It's been a rough two weeks--tears galore, bright spots, strep, then mono, and days passed in bed, sleeping hour after hour, as if in a week, I managed to make up for 22 years of child-created sleep debt. I'm pretty sure there's still some sleep debt remaining, as I remain wiped out, with a shower and getting dressed this afternoon taking all the energy I had and depleting it.

    Two weeks ago we had to put Frankie, our giant orange tabby, to sleep. Although he had been ill since before Christmas, we weren't expecting to make that decision as suddenly as we had to, and there's a part of me that remains mystified that he's really gone, so great was his presence. The fact that I can replay the scene where we pet him, crooning to him, as he fell asleep and died seems to have no real impact on that desire to wish it weren't so. If I feel this, after all the deaths I've dealt with, it's no wonder that Rosie can be reduced to inconsolable tears at being told we'd brought Frankie's ashes home today.

    It's been a weird two weeks--being sick and spending a lot of it separated from everyone else, in bed and asleep has made it doubly so--I feel disconnected, disjointed, out of it. Bobby and Lily deal with death differently--they bounced back resiliently, and neither had made any mention of Frankie in the last two weeks. After the other losses this past year, I understand that they hurt, they care, they haven't really forgotten, but that it's easier for them to not think of it  and not dwell there. I hadn't raised it because it seems incredibly tacky to bring something up just to check and see if they are feeling something--to impose sadness for one's own reassurance is cruel. Besides, Rick hasn't talked about it, either, and I would never presume he isn't in pain over it simply because he doesn't talk about it.

    In our culture, we don't tend to talk about death, bring up our feelings about it, share in any great detail with others that we are hurting. Grief is something we are taught to wall off, distance ourselves from, and mourning, something our culture once took seriously, is not something we tend to engage in if we can avoid it. We gloss over it all, wanting to return to the normal rhythm--to experience grief-that peculiar pang of the heart that leaves us gasping for breath and certain our heart has shattered--this is too hard an emotion, and we have taught ourselves to find some way to distract ourselves, numb ourselves from the loss we feel.

    So we replace pets--which is not a bad thing--we brought Daniel and Jack home four days after losing Frankie--so that we will not be alone, will have a distraction. Why should we be surprised when people enter into new relationships soon after losing a mate? Replace, distract, move on as fast as possible. That's not all bad, but it's certainly not all good if we do it to numb ourselves from our loss, as a way to avoid the tasks we must perform to integrate the loss into our continuing existence.


    Jack and Daniel--wonderful distractions


    Kubler-Ross has us, as a culture, certain that we have but to move through the stages as fast as possible and we'll be good as new (not her fault, of course, that people took her stages too literally). We wonder at people who seem to linger in their loss, their pain always visible, and we grow impatient, but the reality is that although we may be sure our job is to move on with our lives, our dead left behind, we are far better off if we find a way to remain in relationship with our dead, to carry them with us, our love for them remaining in the present.

    Death may separate us, make it harder, cause tremendous pain, but it does not mean we must go on without our loved ones. We just have to find a way to carry them on with us. A favorite perfume, a watch, a piece of jewelry, a favorite meal, a sweater: so many ways we can carry our loved ones along with us, honor them and their continuing impact and influence in our lives. Task models of grief are more helpful, both to the individual, and those who are in support roles.

    Frankie's gone, and I miss that giant orange cat. Bringing his ashes home today hurt, caused the tears to flow, but there's still humor to be found. His ashes were lovingly placed in a gift bag with a poem and tissue paper. I pulled his box out, and saw in gold-plate "Fannie" and busted out laughing. To think of my Frankie, that giant of a cat with a soul as wide as the world, as a Fannie was just the thing I needed. The vet will get us a new plate with the right spelling and in the meantime, Frankie's on top of the fridge waiting, but instead of crying when I see the bag, I will smile and think of him as a Fannie.


    Nothing "Fannie" about him.










    Comments

    rholley
    What an imposing tabby!  And are Jack and Daniel named in relation to the famous sour mash Tennessee whiskey?
     
    If you would like some further cat comedy, I think this next story is true.  I first read about it in a book about how higher elements are generated in stars, titled The Magic Furnace by Marcus Chown.
     
    Here is the fullest version I can find on the web (link):

    “I had prepared the paper, now called Hetherington and Willard, and was rather proud of the work, considering it suitable for rapid publication in Phys. Rev. Lett. Before I submitted it I asked a colleague to read it over and he said “It’s a fine paper but they will send it right back”. He explained that this is because of the Editor’s rule that the word “we” should not be used in a paper with only a single author. Changing the paper to the impersonal seemed to difficult now that it was all written and typed; therefore, after an evening’s thought I simply asked the secretary to change the title page to include the name of the family cat, a Siamese called Chester, sired one summer by Willard (one of the few unfixed male Siamese cats in Aspen, Colorado). I added the initials F D in front of the name to stand for Felix Domesticus and thus created F D C Willard” (Weber, Robert. Droll Science, p.110).
    I think there was some follow up with the publishers trying to contact the second author (I would guess in order to sign a copyright declaration, or something like that).

    Reference

    J. H. Hetherington and F. D. C. Willard,“Two-, Three-, and Four-Atom Exchange Effects in bcc 3He”, Phys. Rev. Lett. 35, 1442–1444 (1975)
    Robert H. Olley Quondam Physics Department University of Reading England
    Bonny Bonobo alias Brat
    Kubler-Ross has us, as a culture, certain that we have but to move through the stages as fast as possible and we'll be good as new (not her fault, of course, that people took her stages too literally). 
    Actually Kim that's not really true, in her defence Kübler-Ross herself rebutted the concept of clear stages of grief in the opening paragraph of her book 'On Grief and Grieving': 
    “The stages have evolved since their introduction, and they have been very misunderstood over the past three decades. They were never meant to help tuck messy emotions into neat packages. They are responses to loss that many people have, but there is not a typical response to loss, as there is no typical loss. Our grief is as individual as our lives. Not everyone goes through all of them or goes in a prescribed order.” 
    The 'stages of grief' that Kubler-Ross identified were originally derived from her 5 stages of dying that dying people might experience — Denial, Anger, Bargaining, Depression, and Acceptance (DABDA), 

    As Russell Friedman and John James also pointed out in their article 'The Myth of the Stages of Dying, Death and Grief' which can be found at www.skeptic.com :- 
    The stages allegedly represent what a dying person might experience upon learning he or she had a terminal illness. “Might” is the operative word, because Kübler-Ross repeatedly stipulated that a dying person might not go through all five stages, nor would they necessarily go through them in sequence. It would be reasonable to ask: if these conditions are this arbitrary, can they truly be called stages?
    If there are no typical responses to loss and no typical losses, and not everyone goes through them or in order, how can there possibly be stages that universally represent people’s reactions to loss? The fact is, no study has ever established that stages of grief actually exist, and what are defined as such can’t be called stages. Grief is the normal and natural emotional response to loss. Stage theories put grieving people in conflict with their emotional reactions to losses that affect them. No matter how much people want to create simple, iron clad guidelines for the human emotions of grief, there are no stages of grief that fit every person or relationship.
    I personally much prefer your observation that 'Death may separate us, make it harder, cause tremendous pain, but it does not mean we must go on without our loved ones. We just have to find a way to carry them on with us.'  And I also believe that this way varies for each of us just as our individual journeys through life and death vary enormously from one person to the next.





    Make love not war
    Helen
    You have the uncanny ability to come up with some profound stuff. It's a pity some in the science community don't appreciate this or don't have the patience to try to see this. When the opportunity arises a few (nice) words about ego wouldn't go astray. Are you staying dry there?

    Bonny Bonobo alias Brat
    You have the uncanny ability to come up with some profound stuff. It's a pity some in the science community don't appreciate this or don't have the patience to try to see this. When the opportunity arises a few (nice) words about ego wouldn't go astray. Are you staying dry there?
    Thanks for the flowers Martin and also for your kind concern, sorry it took me so long to reply. I'm afraid I'm rather wet most of the time but it is by choice, I could get dry if I wanted to :) Working for a crisis line means that we are always surrounded by grief and crisis and a lot of tears. From a slightly different angle, Australia like England also has a lot of April showers and right now we are experiencing them daily and have been for weeks, fortunately because they are intermittent with sunny spells we are still flood free which is good. I also have three rather sad dogs, I think they are suffering from seasonal affective disorder (SAD) as their walks are getting seriously curtailed.
    Make love not war