Raphael B
Aust N Z J Psychiatry. 1975 Sep;9(3):173-80. doi: 10.3109/00048677509159845.
Earlier descriptions of pathological grief are reviewed. From the study of recently bereaved widows major forms of pathological grief are outlined. These are suppressed or inhibited grief and distorted grief, including forms with extreme anger or extreme guilt. Other grief variants are noted. The management of pathological grief is outlined; specifically the encouragement of the expression of suppressed affects especially sadness, anger and guilt; as well as the going over of memories and feelings to do with the lost relationship. Consideration is given to: the establishment of the therapeutic contract; the specific exploration of the response to the death and the pre-existing relationship; resistances; interpretation of defences; assessment of progress of mourning; social network factors; termination; and transference and counter-transference.
回顾了早期对病理性哀伤的描述。通过对近期丧偶寡妇的研究，概述了病理性哀伤的主要形式。这些形式包括被抑制的哀伤或抑制性哀伤以及扭曲性哀伤，后者包括极端愤怒或极端内疚的形式。还提到了其他哀伤变体。概述了病理性哀伤的处理方法；特别是鼓励表达被抑制的情感，尤其是悲伤、愤怒和内疚；以及重温与逝去关系相关的记忆和感受。还考虑了以下方面：治疗契约的建立；对死亡及既往关系反应的具体探索；阻抗；防御机制的解释；哀伤进程的评估；社会网络因素；治疗的结束；以及移情和反移情。
