The dual process model of coping is a
model
A model is an informative representation of an object, person or system. The term originally denoted the Plan_(drawing), plans of a building in late 16th-century English, and derived via French and Italian ultimately from Latin ''modulus'', a mea ...
for
coping
Coping refers to conscious strategies used to reduce unpleasant emotions. Coping strategies can be cognitions or behaviours and can be individual or social.
Theories of coping
Hundreds of coping strategies have been proposed in an attempt to ...
with
grief
Grief is the response to loss, particularly to the loss of someone or some living thing that has died, to which a bond or affection was formed. Although conventionally focused on the emotional response to loss, grief also has physical, cogni ...
developed by Margaret Stroebe and Henk Schut. They studied grief in their work "The Dual Process Model of Coping with Bereavement: A Decade On". It examines this model of coping and how it could be of benefit compared to others.
The authors came up with a dual process model to represent human grief. They explain coping with
bereavement
Grief is the response to loss, particularly to the loss of someone or some living thing that has died, to which a bond or affection was formed. Although conventionally focused on the emotional response to loss, grief also has physical, cogniti ...
, a state of loss, can be a combination of accepting and confronting it. It informs on how the combination of healthy emotional
catharsis
Catharsis (from Greek , , meaning "purification" or "cleansing" or "clarification") is the purification and purgation of emotions through dramatic art, or it may be any extreme emotional state that results in renewal and restoration. In its lite ...
and changing perspective can be a good and healthy process to cope. Being able to confront the situation and also deal with everyday life events allows the person to live their lives with desired states of stability in a
subjective post-loss world in which bereaved persons find themselves (Parkes, 1993).
Coping
Bereavement and the adjective 'bereaved' are derived from a verb, 'reave', which means "to despoil, rob, or forcibly deprive" according to the ''
Oxford English Dictionary
The ''Oxford English Dictionary'' (''OED'') is the first and foundational historical dictionary of the English language, published by Oxford University Press (OUP). It traces the historical development of the English language, providing a com ...
''. Thus, a bereaved person is one who has been deprived, robbed, plundered, or stripped of someone or something that they valued. Reaction to this state or impact of loss is called grief. According to Lazarus and Folkman (1984), coping strategies are the "constantly changing cognitive and behavioural efforts to manage specific external and/or internal demands that are appraised as taxing on or exceeding the resources of the person".
People vary in the ways they grieve and in the ways they cope. But acknowledging it and allowing themselves to go through the motions will allow them to cope in a healthy way. To cope with the loss, the person requires to relearn the world around them and simultaneously make a multifaceted transition from loving in presence to loving in absence (Attig, 2001). A healthy relocation of the deceased internally and maintaining a healthy dynamic connectedness/relationship is observed to provide solace to the grieving, but the weightage differed in
pluralistic cultural settings. Grievers will go through times of extreme
sadness
Sadness is an emotional pain associated with, or characterized by, feelings of disadvantage, loss, despair, grief, helplessness, disappointment and sorrow. An individual experiencing sadness may become quiet or lethargic, and withdraw thems ...
and also times where they are numb to what has happened.
Lack of appropriate coping can bring many ailments to a person, mental and physical. Coping through
mourning
Mourning is the expression of an experience that is the consequence of an event in life involving loss, causing grief, occurring as a result of someone's death, specifically someone who was loved although loss from death is not exclusively ...
in a state of bereavement is advised in the
Bible
The Bible (from Koine Greek , , 'the books') is a collection of religious texts or scriptures that are held to be sacred in Christianity, Judaism, Samaritanism, and many other religions. The Bible is an anthologya compilation of texts of a ...
as "Blessed are those who mourn, for they will be comforted." Because it helps to achieve growth through thorough acceptance of loss, the transforming capacity of profound human experiences.
Freud
Sigmund Freud ( , ; born Sigismund Schlomo Freud; 6 May 1856 – 23 September 1939) was an Austrian neurologist and the founder of psychoanalysis, a clinical method for evaluating and treating pathologies explained as originating in conflicts in ...
, in 1959, in an article, called this a process of "working through" the grief. Healthy coping is achieved when the bereaved person is enabled to go forward with healthy, productive living by effortfully developing "new normals" to guide that living which is characterized by lesser stressful demands compared to the initial phase of grief.
Greenblatt has reviewed spousal mourning as being essential for transition. He describes four phases of mourning: the initial reaction of shock, numbness, denial and disbelief; followed by pining, yearning, depression then in a healthy environment resolution phase begins with emancipation from the loved one and readjustment to the new environment.
Dual process model
Loss oriented
The loss oriented process focuses on coping with bereavement, the loss itself, recognizing it and accepting it. In this process a person will express feelings of grief with all the losses that occur from losing their loved one. There will be many changes from work to family and friendships. There might also be
demographic
Demography () is the statistical study of populations, especially human beings.
Demographic analysis examines and measures the dimensions and dynamics of populations; it can cover whole societies or groups defined by criteria such as edu ...
changes and even
economic
An economy is an area of the Production (economics), production, Distribution (economics), distribution and trade, as well as Consumption (economics), consumption of Goods (economics), goods and Service (economics), services. In general, it is ...
ones. During this time, people either acknowledge these changes head on or
ruminate on feelings of loss which might lead to distorted,
complicated or
prolonged grief.
The loss oriented process will bring on a lot of yearning,
irritability
Irritability (also called as crankiness) is the excitatory ability that living organisms have to respond to changes in their environment. The term is used for both the physiological reaction to stimuli and for the pathological, abnormal or excessi ...
, despair,
anxiety
Anxiety is an emotion which is characterized by an unpleasant state of inner turmoil and includes feelings of dread over anticipated events. Anxiety is different than fear in that the former is defined as the anticipation of a future threat wh ...
and
depression. During this process they are only concentrated on their pain that this loss has caused. Lack or denial of early adaptive acknowledgement that they will no longer speak to deceased or see them again might instigate compulsive and
self-destructive behavior
Self-destructive behavior is any behavior that is harmful or potentially harmful towards the person who engages in the behavior.
Self-destructive behaviors have been shown by many people throughout the years. It is on a continuum, with one extr ...
s. People attached with the deceased have to reconfigure their
identity
Identity may refer to:
* Identity document
* Identity (philosophy)
* Identity (social science)
* Identity (mathematics)
Arts and entertainment Film and television
* ''Identity'' (1987 film), an Iranian film
* ''Identity'' (2003 film), ...
as an autonomous being. These processes in a non-resilient griever can appear overwhelming, and associated guilt can be exported over friends and family in an assumptive effort which might affect
interpersonal relationship
The concept of interpersonal relationship involves social associations, connections, or affiliations between two or more people. Interpersonal relationships vary in their degree of intimacy or self-disclosure, but also in their duration, in t ...
s.
In the context of disaster related losses or anticipated losses, such as climate change related losses, there is evidence that engaging with these emotional experiences in order to make meaning of them is a necessary step. Research indicates that without this process of reflecting on emotional experiences, it is not possible to transform them into more adaptive expressions, leading to poor mental health.
Restoration oriented
In restoration-oriented process, the loss of the loved one is accepted and attachments with the deceased are relinquished. These include focusing on the new roles in their post loss reality and responsibilities in lives. The restoration-oriented process incorporates
endurance
Endurance (also related to sufferance, resilience, constitution, fortitude, and hardiness) is the ability of an organism to exert itself and remain active for a long period of time, as well as its ability to resist, withstand, recover from a ...
through reconstruction of perspective by taking over grief; grieving thoughts are adjusted adaptively by creating new meanings with the deceased.
The restoration process is a
confrontation
Confrontation is an element of conflict wherein parties confront one another, directly engaging one another in the course of a dispute between them. A confrontation can be at any scale, between any number of people, between entire nations or cult ...
process that allows the person to adjust to a world without the deceased. People in this process can feel subjective oscillations of
pride
Pride is defined by Merriam-Webster as "reasonable self-esteem" or "confidence and satisfaction in oneself". A healthy amount of pride is good, however, pride sometimes is used interchangeably with "conceit" or "arrogance" (among other words) wh ...
and grief related
stressor
A stressor is a chemical or biological agent, environmental condition, external stimulus or an event seen as causing stress to an organism. Psychologically speaking, a stressor can be events or environments that individuals might consider demandin ...
s in the avoidance
mentalization
In psychology, mentalization is the ability to understand the mental state – of oneself or others – that underlies overt behaviour.
Mentalization can be seen as a form of imaginative mental activity that lets us perceive and interpret human be ...
. This process allows the person to live their daily life as a changed individual without being consumed by the grieving they are facing.
William Worden calls this the four tasks of grief. Therese A. Rando calls the letting go process as emancipation from bondage due to the strength required for change and recovery.
Again, in the context of disaster related losses or anticipated losses due to climate change, the process of reflecting on and making meaning of emotional experiences leads to growth in resilience, psychological flexibility, increased community engagement and greater solidarity. It is the emotional processing component of this grief that supports the action and restoration that occurs in responses to these losses.
Conclusion
The dual process model of coping takes into consideration that everyone will have stressful life events while they are coping with bereavement. Their lives will continue and so will the problems associated with it. There will be many situations that will take them away from grieving. These situations can either benefit them or affect them negatively if they allow them to. Being aware and prepared to change can allow them to continue and deal with post-loss life events.
See also
*
Death anxiety
Death anxiety is anxiety caused by thoughts of one's own death, and is also referred to as thanatophobia (fear of death). Death anxiety differs from necrophobia, which is the fear of others who are dead or dying.
Psychotherapist Robert Langs ...
*
Survivor guilt
Survivor guilt (or survivor's guilt; also called survivor syndrome or survivor's syndrome and survivor disorder or survivor's disorder) is a mental condition that occurs when a person believes they have done something wrong by surviving a traumati ...
*
Terminal respiratory secretions
References
Further reading
*
*
* {{cite book, author=Don Rosenstein & Justin Yopp, title=The Group: Seven Widowed Fathers Reimagine Life, url=https://books.google.com/books?id=RXI8DwAAQBAJ, date=2 January 2018, publisher=Oxford University Press, isbn=978-0-190-64956-2
Grief
Counseling