Brice C W
Psychology Department, Duquesne University, Pittsburgh, PA 15282.
Psychiatry. 1991 Feb;54(1):1-12. doi: 10.1080/00332747.1991.11024526.
It has been customary to conceptualize mourning as a phasic or stage phenomenon (Lindemann 1944; Parkes 1972; Bowlby 1980; Knapp 1986). Such a conceptualization has proved to be of tremendous didactic value, especially in terms of succinctly organizing and communicating the major affects, behaviors, and reactions of mourning. It is, however, my belief, based upon clinical experience with many forms of bereavement, that the phenomenon of mourning is not comprised of clearly delineated stages and phases. I have come to conceptualize the phenomenon of mourning the death of a loved person as involving the bereaved's struggle with a series of more or less unresolvable paradoxes rather than as a progression through stages that possess relatively distinct and predictable beginning and ending points. The specific paradoxes encountered by a bereaved person differ, of course, in accordance with the relationship that was lost (mother, father, spouse, child, or sibling), the developmental stage of the bereaved (childhood, adolescence, adulthood, or maturity), the type of death (sudden or prolonged), and the cause of death (illness, murder, suicide, or accident). In this paper, I will address those paradoxes that seem specific to maternal mourning - that is, to mothers who are mourning the death of a child.
人们习惯上将哀悼视为一种阶段性现象(林德曼,1944年;帕克斯,1972年;鲍尔比,1980年;克纳普,1986年)。事实证明,这种概念化具有巨大的教学价值,特别是在简洁地组织和传达哀悼的主要情感、行为和反应方面。然而,基于对多种丧亲形式的临床经验,我认为哀悼现象并非由清晰界定的阶段组成。我开始将哀悼所爱之人的死亡这一现象概念化为,丧亲者与一系列或多或少无法解决的矛盾作斗争,而非经历具有相对明确和可预测起点与终点的阶段。当然,丧亲者遇到的具体矛盾会因失去的关系(母亲、父亲、配偶、孩子或兄弟姐妹)、丧亲者的发展阶段(童年、青少年、成年或成熟)、死亡类型(突然或长期)以及死亡原因(疾病、谋杀、自杀或事故)而有所不同。在本文中,我将探讨那些似乎特定于母亲哀悼的矛盾——即哀悼孩子死亡的母亲所面临的矛盾。