Relevant bibliographies by topics / Bereavement

Academic literature on the topic 'Bereavement'

Author: Grafiati
Published: 4 June 2021
Last updated: 29 July 2024

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Journal articles on the topic "Bereavement"

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Murrell, Stanley A., Samuel Himmelfarb, and James F. Phifer. "Effects of Bereavement/Loss and Pre-Event Status on Subsequent Physical Health in Older Adults." International Journal of Aging and Human Development 27, no. 2 (September 1988): 89–107. http://dx.doi.org/10.2190/fhjw-d447-y5wl-2m98.

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Males and females aged fifty-five and older were interviewed before and after three types of bereavement/loss: attachment bereavement (child, spouse, parent), nonattachment bereavement (sibling, grandchild, close friend), and other losses (nonbereavements). Five measures of health were used. Before pre-event health was accounted for on self-report measures of health status and medical conditions, pre-event measures of environmental factors and impact measures of bereavement/loss events had significant but modest effects on post-event health. However, after pre-event health was taken into account, the effects of bereavement and other losses were pale in comparison. Bereavement/loss events were not related to subsequent deaths, health events, or the use of medical services. Environmental factors were modestly predictive of nonattachment bereavements and other losses. An unexpected finding was that other losses had stronger effects on health than bereavements. Trend analysis over eighteen months showed a modest decline in health status immediately after a loss event, followed by an improvement in health. In general, this older adult sample handled bereavements and other losses with minimal morbidity and mortality.
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Mahardhika, Bintang Alam, Dias Andris Susanto, and Siti Nur'Aini. "Analysis of Amir�s defense mechanisms projected upon his bereavement in The Kite Runner." EduLite: Journal of English Education, Literature and Culture 8, no. 1 (February 27, 2023): 1. http://dx.doi.org/10.30659/e.8.1.1-20.

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This study discusses the bereavement of Amir, the main character of The Kite Runner, and analyzes the defense mechanisms projected toward the bereavement. This study uses a psychological approach to identify and analyze Amir�s bereavement and defense mechanisms. The qualitative descriptive nature of this study allows data to be presented in the form of texts or descriptions. Data were mined from the novel through the character�s feelings, thoughts, and dialogues. This analysis shows that Amir experiences five stages of bereavement: denial, anger, bargaining, depression, and acceptance. To cope with the bereavements, he performs several defense mechanisms; displacement, rationalization, projection, repression, regression, undoing, and denial. This study is conducted upon the elements within the novel through a psychological perspective to better understand the story as well as to provide multi-dimension literature understanding.
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Galway, K., S. Mallon, G. Leavey, and J. Rondon-Sulbaran. "Understanding the Role of Bereavement in the Pathway to Suicide." European Psychiatry 41, S1 (April 2017): S293—S294. http://dx.doi.org/10.1016/j.eurpsy.2017.02.166.

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IntroductionBereavement is considered to be a common precursor of death by suicide. Studies suggest those bereaved by suicide may be particularly vulnerable to suicide themselves. Recently, there has been a concern over the number of deaths by suicide across UK and Europe. As a result, an increasing number have been exposed to bereavement by suicide. It remains unclear how these deaths might impact on future suicide rates.ObjectivesTo examine a two-year cohort of all suicides in Northern Ireland, in order to report on bereavements recorded in the records of those who died by suicide. To assess the bearing of these deaths on those left behind.AimsTo provide an estimate of the prevalence and types of bereavements that may have contributed towards the suicide.MethodsFollowing the sociological autopsy approach to studying death by suicide, data was collected from a range of sources, including GP records and Coroner records and interviews with bereaved relatives. The analyses draw on relatives’ accounts in order to increase our understanding of the impact of suicide bereavement. Interviews took place between 18 months and 5 years after the death by suicide.ResultsOf the 403 deaths by suicide, 15% of the individuals experienced bereavement and 9% bereavement by suicide. The results support the assertion in the literature that bereavement by suicide increases the risk of suicide through a process of suicide contagion.ConclusionsThe conclusion explains how the findings will be fed into knowledge translation processes, to provide future programs of suicide prevention research and changes to practice.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Weisman, Avery D. "Bereavement and Companion Animals." OMEGA - Journal of Death and Dying 22, no. 4 (June 1991): 241–48. http://dx.doi.org/10.2190/c54y-ugmh-qgr4-cwtl.

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Loss of a companion animal accompanied by intense grief and mourning is seldom recognized as an important and authentic occasion for bereavement. While pet ownership is praised and its virtues celebrated, corresponding grief is often trivialized and not recognized as truly significant. The author established a bereavement counseling program at a humane society and reports findings that confirm parallels between human and animal bonding and bereavements. The act of consenting to euthanasia was particularly disturbing, as if the owner had betrayed a trust by opting for death over life. Most of the bereaved owners reported depths of feeling that were unique and in most cases beyond those experienced in other deaths.
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Paul, Sally, and Nina Vaswani. "The prevalence of childhood bereavement in Scotland and its relationship with disadvantage: the significance of a public health approach to death, dying and bereavement." Palliative Care and Social Practice 14 (January 2020): 263235242097504. http://dx.doi.org/10.1177/2632352420975043.

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Background and Method: There is an absence of research on the prevalence of bereavement during early childhood and the relationship between childhood bereavement and socioeconomic status (SES) and this poses a challenge in both understanding and supporting children’s bereavement experiences. Using longitudinal data from the Growing Up in Scotland study, which tracks the lives of three nationally representative cohorts of children, this paper aimed to address these gaps in research. It specifically drew on data from Birth Cohort 1 to document the recorded bereavements of 2,815 children who completed all 8 sweeps of data collection, from age 10 months to 10 years. Findings: The study found that 50.8% of all children are bereaved of a parent, sibling, grandparent or other close family member by age 8 and this rises to 62% by age 10. The most common death experienced was that of a grandparent or other close relative. The study also found that children born into the lowest income households are at greater risk of being bereaved of a parent or sibling than those born into the highest income households. Discussion and Conclusion: Given the prevalence of childhood bereavement and its relationship with disadvantage, this paper argues that there is an important need to understand bereavement as a universal issue that is affected by the social conditions in which a child becomes bereaved, as well as an individual experience potentially requiring specialist support. This paper thus seeks to position childhood bereavement more firmly within the public health approach to palliative and bereavement care discourse and contends that doing so provides a unique and comprehensive opportunity to better understand and holistically respond to the experience of bereavement during childhood.
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Barrett, Terence W., and Thomas B. Scott. "Suicide Bereavement and Recovery Patterns Compared with Nonsuicide Bereavement Patterns." Suicide and Life-Threatening Behavior 20, no. 1 (March 1990): 1–15. http://dx.doi.org/10.1111/j.1943-278x.1990.tb00650.x.

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ABSTRACT: This study compared bereavement experiences of suicide survivors with those of other survivors. The primary focus of investigation was upon grief reactions suggested to be unique to suicide bereavement and upon quality of grief resolution 2–4 years after death. Fifty‐seven women and men, between the ages of 24 and 48, who had experienced the death of a marital partner were interviewed. Subjects were assigned to one of four groups by mode of death (suicide, accident, unanticipated natural, and expected natural).Analyses of variance and Scheffe procedures indicated no significant differences among survivors on frequencies of grief reactions considered common to all bereavements. The suicide survivors were significantly different from all others on certain grief measures, including rejection and unique grief reactions. On various other grief measures, significant differences were indicated among the groups of survivors.Four primary conclusions, implications of the findings, and limitations of the study are discussed.
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Kelly, Brian, Beverley Raphael, Dixie Statham, Michael Ross, Heather Eastwood, Susan McLean, Bill O'Loughlin, and Kim Brittain. "A Comparison of the Psychosocial Aspects of AIDS and Cancer-Related Bereavement." International Journal of Psychiatry in Medicine 26, no. 1 (March 1996): 35–49. http://dx.doi.org/10.2190/puwy-n3al-kk3t-b89l.

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Objective: This study compares the psychological symptoms and bereavement distress of individuals bereaved by AIDS with a group bereaved by a cancer death, and addresses the question of whether an AIDS death is associated with a higher rate of adverse psychosocial factors that may increase risk of psychological morbidity in the bereaved individuals. Method: AIDS ( n = 28) and cancer ( n = 30) bereaved individuals (all within 3 months of the bereavement) completed measures of psychological morbidity and measures addressing a range of other adverse factors, e.g., number of losses, levels of social support and stigma. Results: The cancer and AIDS bereaved were essentially similar on all psychological symptom measures. The AIDS group reported lower levels of social support in response to the bereavement than cancer bereaved individuals; a greater number of bereavements, were more likely to conceal the cause of death from significant others including their own family and perceived, in some instances, a greater level of rejection from others. The AIDS group reported higher levels of social support from friends than from family. Conclusions: At three months following bereavement, AIDS and cancer bereaved were similar in levels of distress. While this may change with the progress of grief over time, it suggests essentially similar early bereavement responses. Those bereaved by AIDS reported a range of other adverse factors such as a greater number of losses, lower social support, stigma, and less open disclosure of the cause of death.
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DEMI, ALICE S., and MARGARET SHANDOR MILES. "Bereavement." Annual Review of Nursing Research 4, no. 1 (September 1986): 105–23. http://dx.doi.org/10.1891/0739-6686.4.1.105.

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PANOSH, WANDA K. "Bereavement." Pediatrics 90, no. 5 (November 1, 1992): 779–80. http://dx.doi.org/10.1542/peds.90.5.779a.

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To the Editor.— I applaud the Academy's insightful report on "The Pediatrician and Childhood Bereavement."1 Despite training culminating in board certification in Pediatrics and Internal Medicine, I received no effective formal guidance in the area of grief and bereavement. Only since the sudden death of my 7-year-old son and the painful readjustment my family has been forced to undergo since, has it been obvious how deficient we physicians are in this area of caring. Thus I would like to add the following comments:
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Fratterm, Joan. "Bereavement." Adoption & Fostering 16, no. 3 (October 1992): 59–60. http://dx.doi.org/10.1177/030857599201600321.

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Dissertations / Theses on the topic "Bereavement"

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Huang, Feng-Ying. "Bereavement and culture." Thesis, University of Manchester, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.498811.

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This thesis investigates the various coping experiences during bereavement by conducting ethnomethodological research involving bereaved individuals from three different countries: Taiwan, the UK and Australia. The main purpose of the research is to determine how one's socio-cultural background contextualises the process of grief and mourning, as part of bereavement, in order to subsequently gain a better understanding of how bereaved individuals from various cultures can best be assisted during bereavement, either through counselling or in a general sense.
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Valentine, Christine. "Bereavement and identity : making sense of bereavement in contemporary British society." Thesis, University of Bath, 2007. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.512285.

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This thesis examines the narrative reconstructions taken from extended conversations with 25 bereaved individuals, who volunteered their experiences of losing a loved one. By considering the interaction between self and other to be the source of knowledge, these interview conversations provided a vehicle through which the human encounter with death and loss not only found expression but came into being. Bereavement is approached as a ‘cultural object’, so as to capture prevailing ideas, norms and beliefs about how this should be handled and provide further insight into the place of death in contemporary British Society. Such ‘norms’ are taken to be co-constructed through discursive practice, and continually evolving through negotiation between the individual and social processes. Attention is therefore drawn to the way people use available cultural forms to construct and express meanings that are particular and personal to them. This study demonstrates the value of an interactive approach for gaining a fuller understanding of the complexity of social life, thereby contributing to methodological and ethical debates on the implications of using qualitative, interactive methods, particularly with sensitive topics. It highlights the co-constructed nature of the data and the crucial role of self-reflexivity in managing the emotional impact of the research on the researcher as well as the participants. An analysis of interview narratives has revealed how deceased loved ones retained a significant social presence in the life of survivors regardless of other social factors. It has highlighted the diversity of meanings people gave to their experiences, which convey how bereavement interacted with other agendas and priorities to shape their day to day social life and sense of identity. Such findings revise and extend current understandings of the ‘continuing bonds’ people forge with their dead and the nature of ‘personhood’ in contemporary British society.
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Roberts, Jonathan. "Wordsworth's poetry of bereavement." Thesis, University of Oxford, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.365584.

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Walters, Geoffrey. "Resurrection immortality and bereavement." Thesis, University of Exeter, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.357909.

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Chow, Yin-man Amy. "The development of a practice model for working with the bereaved relatives of cancer patients : the single system study of the "walking through the road of sorrow" /." Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19469974.

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Relf, E. Marilyn. "The effectiveness of volunteer bereavement care : an evaluation of a palliative care bereavement service." Thesis, Goldsmiths College (University of London), 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.482119.

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Abdelnoor, Adam Simon Edward. "Childhood bereavement and academic achievement." Thesis, St George's, University of London, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.266581.

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Deeming, Jack, and Jack Deeming. "Religious Coping in Traumatic Bereavement." Thesis, The University of Arizona, 2017. http://hdl.handle.net/10150/624954.

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Traumatic bereavement as the result of homicide, suicide, or accident has been shown to be a risk factor for Complicated Grief (CG). Religious belief is often cited as a source of comfort during times of loss. This study examined whether traumatically bereaved individuals were more likely to engage in positive or negative religious coping, and whether religious coping style was associated with the severity of grief symptoms. To assess these questions, 42 traumatically and non-traumatically bereaved individuals completed the ICG and the RCOPE. It was found that the traumatically bereaved were significantly more likely to utilize positive religious coping strategies than negative religious coping strategies. However, when either group utilized negative religious coping strategies, this was strongly correlated with higher measures of grief severity.
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Wise, Joan Catherine. "Bereavement interventions a meta-analysis /." Online full text .pdf document, available to Fuller patrons only, 2003. http://www.tren.com.

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Abbott, Rachel L. "The comparison of suicide bereavement with accidental death and natural death (anticipated and sudden) bereavement." Thesis, University of Sunderland, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.391925.

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Books on the topic "Bereavement"

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Parkes, Colin Murray. Bereavement. [Preston: Lancashire Polytechnic, 1986.

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Pilgrim, Dee. Bereavement. Richmond: Trotman, 2006.

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Aged, Help the, ed. Bereavement. London: Help the Aged, 2001.

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Alexander, Helen Mae. Experiencing bereavement. 3rd ed. Boston: Pauline Books & Media, 2002.

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Council, Gloucestershire Community Health. Bereavement support services in Gloucestershire: Bereavement forum. Gloucester: GCC, 1995.

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Parkes, Colin Murray. Recovery from bereavement. Northvale, N.J: J. Aronson, 1995.

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Wilson, Janet. Working With Bereavement. London: Macmillan Education UK, 2014. http://dx.doi.org/10.1007/978-1-137-41371-0.

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Relf, Marilyn. Grief and bereavement. Oxford: Sobell, 1991.

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Donna, Dickenson, and Johnson Malcolm Lewis, eds. Death, dying & bereavement. London: Sage Publications in association with the Open University, 1993.

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G, Phillips Shelagh, and Lisa Sainsbury Foundation, eds. Loss and bereavement. London: Austen Cornish in association with the Lisa Sainsbury Foundation, 1988.

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Book chapters on the topic "Bereavement"

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Green, Jennifer, and Michael Green. "Bereavement." In Dealing with Death, 124–29. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4899-7216-3_14.

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Levesque, Roger J. R. "Bereavement." In Encyclopedia of Adolescence, 253–54. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-1695-2_512.

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Hensley, Paula A., and Paula J. Clayton. "Bereavement." In Encyclopedia of Women’s Health, 136–38. Boston, MA: Springer US, 2004. http://dx.doi.org/10.1007/978-0-306-48113-0_46.

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Hidalgo, Benjamin. "Bereavement." In Encyclopedia of Behavioral Medicine, 246. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39903-0_629.

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Wideman, Timothy H., Michael J. L. Sullivan, Shuji Inada, David McIntyre, Masayoshi Kumagai, Naoya Yahagi, J. Rick Turner, et al. "Bereavement." In Encyclopedia of Behavioral Medicine, 214–15. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_629.

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Friedman, Susan Hatters. "Bereavement." In Encyclopedia of Immigrant Health, 268–69. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4419-5659-0_74.

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Schonfeld, David. "Bereavement." In Encyclopedia of Quality of Life and Well-Being Research, 368–72. Dordrecht: Springer Netherlands, 2014. http://dx.doi.org/10.1007/978-94-007-0753-5_176.

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Lazare, Aaron. "Bereavement." In The Medical Interview, 324–30. New York, NY: Springer New York, 1995. http://dx.doi.org/10.1007/978-1-4612-2488-4_27.

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Tavares, Hannah M. "Bereavement." In Pedagogies of the Image, 37–57. Dordrecht: Springer Netherlands, 2016. http://dx.doi.org/10.1007/978-94-017-7619-6_3.

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Brooks, Morgan. "Bereavement." In Encyclopedia of Child Behavior and Development, 234–35. Boston, MA: Springer US, 2011. http://dx.doi.org/10.1007/978-0-387-79061-9_323.

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Conference papers on the topic "Bereavement"

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Baglione, Anna N., Maxine M. Girard, Meagan Price, James Clawson, and Patrick C. Shih. "Modern Bereavement." In CHI '18: CHI Conference on Human Factors in Computing Systems. New York, NY, USA: ACM, 2018. http://dx.doi.org/10.1145/3173574.3173990.

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Nolan, Steve. "P-1 Bereavement café: more with less in bereavement support." In Transforming Palliative Care, Hospice UK 2018 National Conference, 27–28 November 2018, Telford. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-hospiceabs.26.

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Fourie, Ina. "Contextual information behaviour analysis of grief and bereavement: temporal and spatial factors, multiplicity of contexts and person-in-progressive situation." In ISIC: the Information Behaviour Conference. University of Borås, Borås, Sweden, 2020. http://dx.doi.org/10.47989/irisic2003.

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Introduction. Grief and bereavement include cognitive, affective and physical dimensions. Pre- and post-grief manifest at different times of coping with loss and bereavement. Contextualisation of information behaviour studies and comprehension of contextual components e.g. temporal and spatial factors, progression and phenomenal contexts of grief is essential for information interventions. Although agreement on the meaning of context might continue to escape information behaviour researchers, widely cited interpretations of context might be used to analyse a selective body of literature to direct grief and bereavement information behaviour studies. Method. Interpretations of context and situation by Savolainen (temporal and spatial factors), Fourie (multiplicity) and Dunne (person-in-progressive-situation) are, selectively applied to a thematic content analysis of papers on grief and bereavement. Phenomenal context is analysed in more detail. Analysis. A thematic content analysis matrix was developed. Results. The analysis revealed a minimum of ten contextual components to consider in information behaviour studies of grief and bereavement. Conclusion. Information behaviour studies on grief and bereavement should acknowledge the diversity of contexts and contextual components that impact on information needs, unique requirements for information such as memorabilia, information processing and sharing of information.
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Poštuvan, Vita. "Bereavement in Difficult Times." In Intuition, Imagination and Innovation in Suicidology Conference. University of Primorska Press, 2021. http://dx.doi.org/10.26493/978-961-293-068-4.10.

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Hayes, Gillian. "Session details: Death & bereavement." In CHI '11: CHI Conference on Human Factors in Computing Systems. New York, NY, USA: ACM, 2011. http://dx.doi.org/10.1145/3249000.

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Davidson, Julia, Donna Oakes, and Tessa Stacey. "P-12 Teens bereavement group." In Thinking Differently Hospice UK National Conference, 06–08 November 2023, Liverpool. British Medical Journal Publishing Group, 2023. http://dx.doi.org/10.1136/spcare-2023-hunc.34.

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Longo, Mirella, Hannah Scott, Kathy Seddon, Jim Fitzgibbon, Fiona Morgan, Sara Pickett, Anthony Byrne, Stephanie Sivell, Annmarie Nelson, and Emily Harrop. "P-11 Recruitment of bereavement services users via hospices: reflections from the bereavement study." In Transforming Palliative Care, Hospice UK 2018 National Conference, 27–28 November 2018, Telford. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-hospiceabs.36.

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Grimley, Catherine Elizabeth, and John MacArtney. "18 Accessing bereavement support: a secondary analysis of UK commission on bereavement (UKCB) evidence." In Marie Curie Research Conference 2023, Monday 6 February – Friday 10 February 2023. British Medical Journal Publishing Group, 2023. http://dx.doi.org/10.1136/spcare-2023-mcrc.17.

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Brocklehurst, Tania, and Jan Cooper. "P-3 The potentials of regional bereavement alliances for promoting best practice in bereavement care." In People, Partnerships and Potential, 16 – 18 November 2016, Liverpool. British Medical Journal Publishing Group, 2016. http://dx.doi.org/10.1136/bmjspcare-2016-001245.27.

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Massimi, Michael. "Thanatosensitively designed technologies for bereavement support." In the 28th of the international conference extended abstracts. New York, New York, USA: ACM Press, 2010. http://dx.doi.org/10.1145/1753846.1753893.

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Reports on the topic "Bereavement"

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Cozza, Stephen. Impact of Service Member Death on Military Families: A National Study of Bereavement. Fort Belvoir, VA: Defense Technical Information Center, March 2012. http://dx.doi.org/10.21236/ada567827.

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Malenkovich, Ilona. Grief Lives Online: An Empirical Study of Kübler-Ross' Categories of Bereavement on MySpace Profiles. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.1440.

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Mellencamp, Kagan. Parental Bereavement in Mid- to Late-Life: The Death of a Child After Age 50. National Center for Family and Marriage Research, August 2019. http://dx.doi.org/10.25035/ncfmr/fp-19-18.

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CHEKALINA, ELENA STANISLAVOVNA. THE EFFECTIVENESS OF THE AUTHOR’S PROGRAM TO IMPROVE THE COMPETENCE OF PSYCHOLOGISTS WHO ACCOMPANY PEOPLE WITH BEREAVEMENT. DOI СODE, 2022. http://dx.doi.org/10.18411/doicode-2023.122.

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Tognela, Josephine, Breen Lauren, Daniel Rudaizky, and Kylie Robinson. A scoping review of informal social support in bereavement: Provider and recipient perspectives of helpful and unhelpful interactions. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, August 2023. http://dx.doi.org/10.37766/inplasy2023.8.0067.

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Snyder, Mallika, Diego Alburez-Gutierrez, Iván Williams, and Emilio Zagheni. Estimates from 11 countries show the significant impact of COVID-19 excess mortality on the incidence of family bereavement. Rostock: Max Planck Institute for Demographic Research, February 2022. http://dx.doi.org/10.4054/mpidr-wp-2022-010.

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Hills, Thomas, Gus O'Donnell, Andrew Oswald, Eugenio Proto, and Daniel Sgroi. Understanding Happiness: A CAGE Policy Report. Edited by Karen Brandon. The Social Market Foundation, January 2017. http://dx.doi.org/10.31273/978-1-910683-21-7.

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Everyone wants to be happy. Over the ages, tracts of the ancient moral philosophers – Plato, Aristotle, Confucius – have probed the question of happiness. The stirring words in the preamble to the Declaration of Independence that established ‘Life, Liberty and the pursuit of Happiness’ as ‘unalienable Rights’ served as the inspiration that launched a nation, the United States of America. Yet, more than 240 years later, the relationship between government’s objectives and human happiness is not straightforward, even over the matters of whether it can and should be a government aim. We approach this question not as philosophers, but as social scientists seeking to understand happiness through data. Our work in these pages is intended to enhance understanding of how the well-being of individuals and societies is affected by myriad forces, among them: income, inflation, governance, genes, inflation, inequality, bereavement, biology, aspirations, unemployment, recession, economic growth, life expectancies, infant mortality, war and conflict, family and social networks, and mental and physical health and health care. Our report suggests the ways in which this information might be brought to bear to rethink traditional aims and definitions of socioeconomic progress, and to create a better – and, yes, happier – world. We explain what the data say to us: our times demand new approaches. Foreword by Richard Easterlin; Introduced by Diane Coyle.
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8

MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, July 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.

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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.
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9

Cox, Jeremy. The unheard voice and the unseen shadow. Norges Musikkhøgskole, August 2018. http://dx.doi.org/10.22501/nmh-ar.621671.

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The French composer Francis Poulenc had a profound admiration and empathy for the writings of the Spanish poet Federico García Lorca. That empathy was rooted in shared aspects of the artistic temperament of the two figures but was also undoubtedly reinforced by Poulenc’s fellow-feeling on a human level. As someone who wrestled with his own homosexuality and who kept his orientation and his relationships apart from his public persona, Poulenc would have felt an instinctive affinity for a figure who endured similar internal conflicts but who, especially in his later life and poetry, was more open about his sexuality. Lorca paid a heavy price for this refusal to dissimulate; his arrest in August 1936 and his assassination the following day, probably by Nationalist militia, was accompanied by taunts from his killers about his sexuality. Everything about the Spanish poet’s life, his artistic affinities, his personal predilections and even the relationship between these and his death made him someone to whom Poulenc would be naturally drawn and whose untimely demise he would feel keenly and might wish to commemorate musically. Starting with the death of both his parents while he was still in his teens, reinforced by the sudden loss in 1930 of an especially close friend, confidante and kindred spirit, and continuing throughout the remainder of his life with the periodic loss of close friends, companions and fellow-artists, Poulenc’s life was marked by a succession of bereavements. Significantly, many of the dedications that head up his compositions are ‘to the memory of’ the individual named. As Poulenc grew older, and the list of those whom he had outlived lengthened inexorably, his natural tendency towards the nostalgic and the elegiac fused with a growing sense of what might be termed a ‘survivor’s anguish’, part of which he sublimated into his musical works. It should therefore come as no surprise that, during the 1940s, and in fulfilment of a desire that he had felt since the poet’s death, he should turn to Lorca for inspiration and, in the process, attempt his own act of homage in two separate works: the Violin Sonata and the ‘Trois Chansons de Federico García Lorca’. This exposition attempts to unfold aspects of the two men’s aesthetic pre-occupations and to show how the parallels uncovered cast reciprocal light upon their respective approaches to the creative process. It also examines the network of enfolded associations, musical and autobiographical, which link Poulenc’s two compositions commemorating Lorca, not only to one another but also to a wider circle of the composer’s works, especially his cycle setting poems of Guillaume Apollinaire: ‘Calligrammes’. Composed a year after the ‘Trois Chansons de Federico García Lorca’, this intricately wrought collection of seven mélodies, which Poulenc saw as the culmination of an intensive phase in his activity in this genre, revisits some of ‘unheard voices’ and ‘unseen shadows’ enfolded in its predecessor. It may be viewed, in part, as an attempt to bring to fuller resolution the veiled but keenly-felt anguish invoked by these paradoxical properties.
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10

Identifying and responding effectively to Traumatic Bereavement. ACAMH, March 2023. http://dx.doi.org/10.13056/acamh.23092.

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