2018 hope conference phoenix, arizona frank r. campbell ...€¦ · 2018 hope conference phoenix,...
TRANSCRIPT
AnapproachtoTreatingComplicated
Bereavement©
2018HopeConferencePhoenix,Arizona
FrankR.Campbell,Ph.D.,LCSW,C.T.SeniorConsultant,
CampbellandAssociatesConsulting,LLCWWW.Lossteam.com
Expectations?
Weshallnotceasefromexploration
AndtheendofallourexploringWillbetoarrivewherewestarted
Andknowtheplaceforthefirsttime
fromtheFourQuartets,T.S.Eliot
Post-Intervention
American Association of Suicidology A
merican A
ssociation of Suicidology
July 2014 - JLMcIntosh
2011 Data 4
Suicide in the USA: Statistics
Four ways to consider Suicide Behavior
INTENT=DIE AND THEY DIE SUICIDE
INTENT = DIE AND THEY LIVE SUICIDE ATTEMPT
INTENT=LIVE AND
THEY DIE ACCIDENTAL SUICIDE
INTENT=LIVE AND THEY LIVE PARASUICIDE
Psychologicallyunpreparedforwhatyouareaboutto
experience
• Psychologicalvulnerability• Emotionalconnection• Sensoryexposure
WhatweknowaboutSuddenandTraumaticLoss
GRIEF TRAUMA
RESOLVETHETRAUMA
• Explainthetriggerstothetrauma• Theyincludesight,smell,taste,touch,andsound• HelpthesurvivortocopewithDreams,Flashbacks,TraumaticImagesandIntrusiveThoughts
• Talkit,Drawit,Writeit,• EMDR,systematicdesensitizationetc.
Remember that what you see in a person is just the tip of the iceberg – there’s more going on underneath
Feeling what is below the surface is the first step to releasing what is frozen
Wouldyouagreethesetwotripsaredifferentinthelevelofchallenge?
Ifyouarepackingforajourneyofanunknownlengthoftime,whatwould
youtakewithyou?andwhy?
Whowouldyoutakealong?Andwhy?
• Whatwillyouneedtoknowinordertoknowwhattotake?
• Whowouldyoutalktoforadviceonwhattotake?
Whatisthegoalofthegriefprocess?
• Fortheindividual?• Forafamily?
• Foracommunity?
• Whatisacommunity?
Barriersforthejourney(forprovidersandsurvivors)?
InternalandExternalBarriers
• AccesstootherSurvivors• Permissiontospeak(imposedinternallyandexternally)
• Whattosaytothesurvivors(alsoimposedinternallyandexternally)– Whatguidelinesdoyoufollow?(aretheyrealorassumed?)
– Ethicalchallenges?
Basicorcorefeelings
• Angry• Sad• Scared• Happy• Morecognitive:
• Guilt(goalhereistoreframetoRegret)
• Relief
TheoreticalConstructPast Present Future
EmotionalAllfeelings Sad/anger Hopeless
PhysicalHealthy Somatic/ADLs BadHealth
CognitiveVariety Intrusive Confusion
SpiritualIntact Scared Apart
Howtoreallyhearastoryaboutloss?
v ContentVs.Affect
TraumaticLossInterview(PleaseSeehandoutforthissection)
TraumaticLossInterviewCampbellandAssociatesConsulting©
Takenby:_______________Date_________Time(begin&end)__________am/pm
Referredby__________________________________
GeneralInformationAboutSurvivior
Survivor’sName_____________________________Race/Ethnicity___________
Address_______________________________Phone_______________(Home)
______________________________________________(Work)
EMail________________________________ County___________________
DateofBirth__________Age______Gender_____LivingSituation____________
MaritalStatus____________________MarriageHistory____________________
Religion_____________active/passive.Religiouscounselor_________________
Occupation_____________________________Howlong?__________________
Currentlyworking/student:yes/noNumberofhours/week___________
InformationAbouttheDeceased
Wheredothese“rules”comefrom
• Institutional• Governmental(apologylaws)
• Malpracticeinsurancelimitations
• Peers,warstories,worstcasescenarios• Internalfearofbeingwiththosewhohavesuchaloss
• Fearofbeingblamed,helpless,guilty
CaregiverAmbivalence(Potentialethicalissues)
“Firstplacethemaskonyourselfbeforeattemptingtohelpothers!”
Barriers
• Whatdoyouthinkarethebarriersforselfcare?
Level of coping is indicated by:
a) Participation in a supportive community
b) Physical well-being
c) Control over daily activities
d) Productive and creative life
TakeCareofYou!
Couldthisbethegoalofsupportforthosewhoareinyourcare?
Weshallnotceasefromexploration
AndtheendofallourexploringWillbetoarrivewherewestarted
Andknowtheplaceforthefirsttime
fromtheFourQuartets,T.S.Eliot
AnapproachtoTreatingComplicated
Bereavement©
2018HopeConferencePhoenix,Arizona
FrankR.Campbell,Ph.D.,LCSW,C.T.SeniorConsultant,
CampbellandAssociatesConsulting,LLCWWW.Lossteam.com