Dysvik Elin, Furnes Bodil
Department of Health Studies, Faculty of Social Sciences.
Patient Prefer Adherence. 2010 Jul 21;4:163-70. doi: 10.2147/ppa.s10582.
This paper, the second of two, represents a theoretical framework for interventions related to loss by death of someone close, or chronic pain. This work is based on our previous understanding where grief is considered an integrated experience which involves movements on several continua.
We have performed a comparison between two interventions dealing with grief and chronic pain using different designs. Interrelated experiences and processes were identified.
Life phenomena like grief and loss caused by death and chronic pain, seem to have many qualities in common and may overlap each other. A common core containing emptiness, vulnerability and exhaustion is identified.
Despite advances in research and thinking in recent years, several issues related to grief caused by death or chronic pain remain a challenge in clinical settings and research. When preparing interventions, we must pay attention to the relearning process, the common core and the interplay between these bodily expressions.
We believe there is a value in future research and practice to consider losses caused by death and chronic pain, together as well as separately. Our comprehensive approach indicates that understanding the processes involved in one sort of grief may help understand the processes involved in the other.
本文是两篇系列文章中的第二篇，提出了一个理论框架，用于指导与因亲近之人离世或慢性疼痛导致的丧失相关的干预措施。这项工作基于我们之前的认识，即悲伤被视为一种综合体验，涉及多个连续体上的动态变化。
我们采用不同的设计，对两种针对悲伤和慢性疼痛的干预措施进行了比较。确定了相互关联的体验和过程。
诸如因死亡和慢性疼痛导致的悲伤和丧失等生活现象，似乎有许多共同特征，且可能相互重叠。识别出了一个包含空虚、脆弱和疲惫的共同核心。
尽管近年来研究和思考取得了进展，但与因死亡或慢性疼痛导致的悲伤相关的几个问题在临床环境和研究中仍然是挑战。在准备干预措施时，我们必须关注重新学习过程、共同核心以及这些身体表现之间的相互作用。
我们认为，未来的研究和实践将因死亡和慢性疼痛导致的丧失放在一起或分别考虑都有价值。我们的综合方法表明，理解一种悲伤所涉及的过程可能有助于理解另一种悲伤所涉及的过程。
