Abnormal Grief: Should We Consider a More Patient-Centered Approach?
| Autor: | Babak Moayedoddin, John C. Markowitz |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
Nosology Psychotherapist medicine.medical_treatment media_common.quotation_subject Psychological intervention Interpersonal communication Patient-Centered Care medicine Humans Depression (differential diagnoses) Aged media_common Depressive Disorder Major General Medicine medicine.disease humanities Complicated grief Psychotherapy Clinical Psychology Interpersonal psychotherapy Major depressive disorder Grief Psychology Clinical psychology |
| Zdroj: | American Journal of Psychotherapy. 69:361-378 |
| ISSN: | 2575-6559 0002-9564 |
| DOI: | 10.1176/appi.psychotherapy.2015.69.4.361 |
| Popis: | Grief, the psychological reaction to the loss of a significant other, varies complexly in its cause, experience, evolution, and prognosis. Although most bereaved individuals experience a normal grieving process, some develop complicated grief (CG) or major depressive disorder (MDD). The DSM-5, which controversially altered the nosology, recognizes grief-related major depression (GRMD) as a diagnostic subtype if a patient meets MDD criteria two weeks post bereavement. The (DSM-5) tries to distinguish between grief and MDD, but remains a symptom-based, centered approach to grief that is not patient centered. This article reviews grief in its normal and abnormal dimensions. Using an illustrative clinical case in which interpersonal psychotherapy (IPT) was employed, we discuss the need for a more patient-centered approach to treating abnormal grief, considering the patient's personal history, perceptions, experiences of bereavement, and interpersonal environment. Clinical studies need to better identify subgroups of individuals susceptible to abnormal grief and to evaluate their response to early interventions. |
| Databáze: | OpenAIRE |
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