The Four Stages of Grief and Mourning

 

I.  NUMBNESS

Description:

This is a period of emotional numbness.  

Trauma survivors know something happened but their feelings are shut down and out of reach.  

They may try to deny the extent of the impact of the loss in an effort to make it feel less threatening and more manageable.  

Emotional numbness or shutdown, if unresolved, can become a part of the operating organization of the self, impairing a person's ability to be deeply intimate or to interact with people and situations in a spontaneous and attuned manner.  

Emotional numbness can create what appears to be rigidity or dullness in the personality.  

A person who is numb or shut down has difficulty being emotionally spontaneous and present in a relationship.  

 Inner thoughts and emotions:

"It didn't happen"

"It's not that bad"

"This isn't my life"

"It's all a bad dream"  

Consequences of not working through this stage:

A survivor can shut down apart of themselves, becoming emotionally numb and unavailable for deep feeling on a consistent basis.

 

Deep connection or feelings may occur sporadically, but maintaining a connection with this deeper part of self or a deep connection with others can feel threatening.

Spontaneity may be undermined, and people who have not worked through this stage can seem rigid or unable to react easily and appropriately in the here and now.

They may have difficulty identifying what they are feeling and communicating that to another person they are in relationship with because their feelings are somewhat of a mystery to them.

They need to deny, repress, ignore or skip over their true emotional response so quickly and automatically that they can't feel this feeling and identify it.

Their reactions may take on either a "staged quality" (i.e. "What should I be feeling now?") or a wooden quality showing little affect.

Emotional numbness leaves a person "going through the motions: with little feeling attached.

II. YEARNING AND SEARCHING

Description:

This stage is marked by a yearning for the lost object (person, situation) and searching for it in other people, places and things.

"Ghosting" or the sense of a continuing presence of the lost object may be experienced.

There is a deep yearning for what was lost--be it a stage of life, a part of the self or a person--followed by a searching for a way to replace the lost experience.

In this period, trauma survivors are at risk for rebound relationships and rash attempts to "replace" what was lost rather than process and integrate the loss.

At this stage, it is easy to trade one relationship for another on the rebound.

The unresolved yearning can leave someone literally going through life trying to replace what was lost in childhood, adolescence or adulthood, or in the case of abstinence from addiction to drugs or alcohol, replacing the lost drugs and alcohol with food, sex or compulsive activity.

When trauma survivors lose their self-medication of drugs and alcohol, they need to enter an active program of emotional recovery to resolve their emotional wounds so that they do not either relapse into drugs and alcohol or trade one addiction for another.

Inner thoughts and emotions:

If only I had done something differently"

 "I would give anything for it to be the way it was"

 "Where am I?"

 "What's going on?"

 "Everything feels different"

 "Where is my life?"

Consequences of not working through this stage:

People who have not successfully worked through this stage of the grief process are at risk for spending their lives searching to replace what they feel they lost, "looking for love in all the wrong places."


Yearning and searching for what was lost (while not consciously grieving it) can leave these people feeling as if they have a hole inside them that cannot be filled, a thirst that cannot be quenched or a question that cannot be answered.


They may find an experience or a person that temporarily relieves this deep longing, but unless the original loss is made conscious, grieved and understood, the solution will be a momentary one. The unfelt wound will reassert itself, making the current solution feel inadequate and wanting.


This is different from a human existential yearning. Yearning from an unresolved grief wound throbs beneath the membrane of current experience meant to keep pain at bay.


This is a yearning that needs to be understood for what it is, connected to what it is really about and integrated into the self-system.

III.  DISORGANIZATION, ANGER AND DESPAIR

Description:

In this stage, trauma survivors are disillusioned. Life did not happen as they had planned.


They have feelings of anger, despair and disappointment that come and go and are overwhelming a times.


Their lives can feel as though they no longer belong to them.


Normal routines are disrupted, which can make them feel lost and disconnected from the life they are used to.


Lack of resolution of this stage can lead to depression and an inability to move through life in an organized manner.


They may become hypervigilant in an attempt to keep perceived pain at bay, or avoid situations that arouse or put them in touch with the anger and despair that lie buried within them, which they may wish to unconsciously deny.


It is difficult for people lost in this stage to trust a relationship or to have the faith that if they allow themselves to be intimate and depend on someone, it will not ultimately lead only to more loss and disappointment.

Inner thoughts and emotions:

"Nothing I can do will make it better"

"How can I go on the same way?"

"I'm afraid of my own life, of my future"

"I'll never get over this"

"I'm so angry"

Consequences of not working through this stage:

When people do not work through the stages of disruption, anger and despair, they can go through life feeling they got a "raw deal."


They may have inappropriate displays of anger, or they may turn the anger inward on themselves and become depressed.


They may develop a negative attitude toward life.


They may find that they have trouble organizing and taking methodical steps on their life path or sustaining a healthy relationship because their unresolved grief has left them hanging in an emotionally disorganized internal state.


When someone is stuck in unresolved anger, it can seriously undermine both intimate and professional relationships.


The "free floating" anger will seek periodic relief and may express itself at the expense of current life circumstances, making the person feel life is unmanageable and overwhelming.


That anger will need to be connected to its origins so that it can be worked through in a real and meaningful way; then it can be deactivated within the self, freeing a person from its powerful grip.

IV.  REORGANIZATION/INTEGRATION

Description:

In this stage, trauma survivors call their loss by its right name. They begin accepting the reality of their situation and along with it, the emotional pain they know it inevitably brings.


They accept feelings of disruption, sadness, yearning and fear as part of the loss.


They alternately struggle with and accept their feelings of disorientation, or their sense of being cheated or tricked.


They come to terms with their powerlessness over the situation and restore their emotional equilibrium.


They begin to put the loss into perspective, to reenter their lives and re-engage in their own activities and plans. They begin to integrate the effects of the loss into their sense of who they are and what life contains.


Inner thoughts and emotions:

"Life has ups and downs; it has losses"
"I'm not immune to life's problems"
"Life still has something to offer me" 
My life feels sort of different and sort of the same"

Consequences of not working through this stage: 

When someone does not work through the stage of reorganization and integration, the loss does not get fully resolved and reintegrated into the self-system.


Personal history is lost, and old losses are banished to hidden regions of the mind and heart.


What was bad does not get released, and what was good does not get preserved.


Trauma victims can only deeply and fully reinvent themselves when they have enough pieces of self with which to work. Reinventing half of ourselves means just that.


Moving successfully through losses and transitions impels us to move from disorganization to reorganization, using life problems as grist for the mill of personal change and growth. This enables us to pull wisdom and meaning from pain, which deepens and strengthens our relationship with self and our resilience in living.


From: Heartwounds, Tian Dayton, 1997, adapted from John Bowlby


Tre-Angeli on Grief (Articles on trauma, grief and loss; email support available) [offsite link] 

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