banner ad
Experts Logo

articles

Facilitation of Mourning During Childhood

Facilitation of Mourning During Childhood

By: Dr. Gilbert Kliman
Tel: (415) 292-7119
Email Dr. Kliman
Website: www.expertchildpsychiatry.com.


Sections of this chapter previously appeared in a chapter by Kliman in Gerber, et al (1979) Perspectives on Bereavement, Arno. NY Times Press.

Here you will meet several children helped by Cornerstone who suffered from tragic losses and tragic circumstances. This chapter is essentially practical in its orientation to technique, describing several forms of treatment of bereaved children, with a minimum of theoretical essay. Probably the best definition of "mourning" for our current purposes is, "the totality of reaction to the loss of a loved object." We omit from this definition any immediate consideration of whether mourning can occur at various stages in childhood, and if so, to what extent one or another investigator judges it has occurred, although such consideration is worthy of volumes. To simplify the task somewhat, because it is actually of extreme complexity, Freud's (1915) definition of the work of mourning will be used, with no detailed reference at this time to the more modern contributions such as those of Bowlby (1960). Since considerable review of literature on childhood mourning, including the few clinical cases reported in the literature in any detail, has been made elsewhere by me (Kliman, 1968), a repetition will be avoided here.

The Center for Preventive Psychiatry (White Plains, New York) was created to assist adults and children in dealing with severe emotional burdens and situational stresses and strains. Over 1000 persons came to the Center during its first 12 years of operation. Many were victims of severe, traumatic sudden crises other than the loss of a loved one (object loss). Some were children who were sexually molested, or who had been badly beaten, or who had witnessed murders in their families. Some were suffering adverse effects of their involvement in highly over-stimulating experiences, such as witnessing romantic involvement with adults of the same sex, or incestuous relations within their own families. Some were severely physically ill. Some had sustained psychological trauma, developmental derailment and loss of home and property due to sudden, mass disasters such as floods or tornadoes. No patients however, attracted more of our systematic professional interest and consumed more of our professional energies than adults and children who suffered the sudden and then chronic strains of bereavement.

Never a momentary injury, loss of a loved person is often a long-enduring pathogenic influence. It deserves preventive intervention whenever the loss has occurred early in life, and especially when the early loss is that of a parent. From its beginning, the Center for Preventive Psychiatry had been interested in helping healthy orphans in order to develop techniques of primary prevention of mental illness. Data concerning a series of 18 untreated orphans show that few orphans are free of neurotic symptomatology. Often we found that even orphans referred to us very soon after bereavement -specifically for preventive support- already presented important neurotic symptoms. In fact, the majority of recently bereaved children suffered recognizable symptoms of neurosis, and in some cases, psychosis.

. . .Continue to read rest of article (PDF).


Dr. Gilbert Kliman, won the International Literary Prize for Best Book concerning the Well Being and Nurture of Children, "Responsible Parenthood" and is the recipient of grants from over 50 private foundations and The National Institute of Mental Health. His research interests include the Psychological Trauma and Treatment of Severely Disturbed Children and their families, in-classroom psychotherapy.

©Copyright - All Rights Reserved

DO NOT REPRODUCE WITHOUT WRITTEN PERMISSION BY AUTHOR.

Related articles

David-Pingitore-Psychology-Expert-Photo.jpg

1/24/2017· Psychiatry

Persons With Depressive Symptoms And The Treatments They Receive: A Comparison Of Primary Care Physicians And Psychiatrists

By: Dr. David Pingitore

Objective: To determine if demographic differences exist in patients with depressive symptoms as the principal reason for visits to primary care physicians (PCP) versus psychiatrists. To estimate the likelihood of these patients receiving a range of mental health services from each provider group. Methods: Review and analysis of all outpatient visits made by patients with depressive symptoms using the National Ambulatory Medical Care Surveys (NAMCS) conducted in 1995 and 1996. Results: A significantly greater proportion of visits by persons with depressive symptoms as the principal reason for visit were made to psychiatrists than to primary care physicians (T = -3.56, P = .000).

gilbert_kilman_photo.jpg

11/19/2011· Psychiatry

The Psychoanalytic Study of the Child: The Cornerstone Treatment of a Preschool Boy from an Extremely Impoverished Environment

By: Dr. Gilbert Kliman

Monroe was the kind of child from whom usually little is expected therapeutically. A member of a disadvantaged ethnic minority, he lived in the poverty of a big-city slum ghetto...

gilbert_kilman_photo.jpg

4/17/2013· Psychiatry

What is Preventive Psychiatry?

By: Dr. Gilbert Kliman

Preventive psychiatry is a branch of preventive or public health medicine. It aims to promote good mental health in individuals and to prevent the occurrence or reduce the incidence of psychiatric disease in a population.

;
Experts.com-No broker Movie Ad

Follow us

linkedin logo youtube logo rss feed logo
;