Research Unit for General Practice, Institute for Public Health, Aarhus University, Denmark. Center for Grief and Existential Values, Aarhus, Denmark.
University of Humanistic Studies, Utrecht, The Netherlands.
Death Stud. 2024;48(7):738-752. doi: 10.1080/07481187.2023.2272960. Epub 2023 Oct 26.
Despite the vast developments in research on loss and grief, dominant grief models fall short in reflecting the comprehensive issues grieving persons are facing. Three causes seem to be at play: grief is usually understood to be connected to death and other types of loss are under-researched; the majority of research is done from the field of psychology and on pathological forms of grief, hardly integrating research from other disciplines; and the existential suffering related to grief is not recognized or insufficiently integrated in the dominant models. In this paper, we propose an integrated process model (IPM) of loss and grief, distinguishing five dimensions of grief: physical, emotional, cognitive, social, and spiritual. The integrated process model integrates therapies, tools, and models within different scientific theories and paradigms to connect disciplines and professions. The comprehensive and existential understanding of loss and grief has relevance for research, clinical settings and community support.
尽管在损失和悲伤研究方面取得了巨大进展,但占主导地位的悲伤模型在反映悲伤者所面临的全面问题方面存在不足。有三个原因似乎在起作用:悲伤通常被理解为与死亡有关,而其他类型的损失则研究不足;大多数研究是从心理学领域和病理性悲伤形式进行的,几乎没有整合来自其他学科的研究;占主导地位的模式没有认识到或充分整合与悲伤相关的存在性痛苦。在本文中,我们提出了一个损失和悲伤的综合过程模型(IPM),区分了悲伤的五个维度:身体、情感、认知、社会和精神。综合过程模型将不同科学理论和范式中的疗法、工具和模型整合在一起,以连接学科和专业。对损失和悲伤的全面和存在性理解与研究、临床环境和社区支持有关。