Unspoken Loss: Mixed Method Examination on Grief and Post-Traumatic Growth in Relationship Loss
Kayester Kate San Luis | Clarissa F. Delariarte
Discipline: others in psychology
Abstract:
This study employs a concurrent mixed methods design to explore the complexities of grief and post-traumatic growth (PTG) following non-death losses, with a particular focus on relationship loss. Two hundred adults were recruited for quantitative data collection, complemented by qualitative insights from 10 participants. Quantitative data, obtained through questionnaires that measured grief severity and growth, were analyzed using descriptive statistics and Pearson's correlation coefficient. Qualitative data, gathered via semi-structured interviews, underwent thematic analysis. The study utilized concurrent triangulation to compare and integrate findings from both methodologies. Key findings indicate that respondents reported low to moderate levels of grief severity, yet demonstrated a relatively high level of PTG, particularly in appreciation for life and improved relationships. Statistical analysis revealed a weak yet significant relationship between grief severity and some aspects of PTG, suggesting that experiencing grief may contribute to personal growth. Coping mechanisms such as seeking social support were prevalent, highlighting the resilience of individuals navigating non-death losses. The study contributes to the understanding of grief in non-death losses, emphasizing the significance of acknowledging and validating these experiences. Themes of personal growth, self-discovery, and enhanced resilience emerged, aligning with existing literature on PTG. Additionally, the study highlights the importance of tailored interventions and support systems in empowering individuals who navigate such losses. By integrating quantitative and qualitative data, this research provides a comprehensive perspective on the nuanced interplay between grief and growth in the aftermath of non-death losses. The findings hold implications for clinical psychology, workplace policies, educational practices, and future research endeavors, emphasizing the need for holistic approaches to address the multifaceted aspects of grief and loss experiences.
References:
- Aftyka, A., Rozalska, I., & Milanowska, J. (2020). Is post-traumatic growth possible in the parents of former patients of neonatal intensive care units? Annals of Agricultural and Environmental Medicine, 27(1), 106-112.
- American Psychological Association. (2021, March 11). Speaking of psychology: Ambiguous loss and the “myth of closure,” with Pauline Boss, PhD. [Audio podcast]. Retrieved October 2, 2023, from https://www.apa.org/news/podcasts/speaking-of-psychology/ambiguous-loss
- American Psychological Association. (2022, January 1). Grief: Coping with the loss of your loved one. Retrieved from https://www.apa.org/topics/families/grief
- Baker, K. R. (2013). The effects of loss on the creative writing of women (Master's thesis, Belmont University). Retrieved from https://repository.belmont.edu/cgi/viewcontent.cgi?article=1002&context=english_creative_theses
- Barrett, M. S., & Fraser, J. (2023). Rewriting grief: The impact of a writing intervention for adults who have experienced loss. Journal of Loss and Trauma, 28(8), 865-879.
- Barrett, R. P., & Fraser, K. (2023). Rebuilding a sense of self after loss. American Psychologist, 78(11), 1139-1151.
- Bernhard, B. (2021). Ambiguous Loss. American Association for Marriage and Family Therapy. Retrieved from https://www.aamft.org/Consumer_Updates/Ambiguous_Loss.aspx
- Bernhard, M. (2021, December 15). What if there's no such thing as closure? The New York Times Magazine. Retrieved October 3, 2023, from https://www.nytimes.com/2021/12/15/magazine/grieving-loss-closure.html
- Boss, P., Prigerson, H. G., & Doka, K. J. (2021). Identity reconstruction after non-death losses: A narrative review. Frontiers in Psychology, 12, 638874. https://doi.org/10.3389/fpsyt.2021.638874
- Buscho, A. G. (2022, December 6). How to manage the big emotions of divorce and stay calm. Psychology Today. Retrieved from https://www.psychologytoday.com/us/blog/better-divorce/202212/how-manage-the-big-emotions-divorce-and-stay-calm
- Calhoun, L. G., & Tedeschi, R. G. (2006). The Post-traumatic Growth Inventory (PTGI): A measure of positive life changes following trauma. In R. G. Tedeschi, C. L. Park, & J. M. Calhoun (Eds.), Handbook of positive psychology and spirituality (pp. 233-250). American Psychological Association.
- Chowdhury, M. R. (2020). Coping theory. PositivePsychology.com. Retrieved from https://positivepsychology.com/coping-theory/
- Cleveland Clinic. (2022, February 16). What ambiguous loss is and how to deal with it. Retrieved from https://health.clevelandclinic.org/ambiguous-loss-and-grief
- Cleveland Clinic. (2022, September 26). Ambiguous loss and grief. Retrieved from https://health.clevelandclinic.org/ambiguous-loss-and-grief/
- Comtesse, H., Killikelly, C., Hengst, S. M. C., Lenferink, L. I. M., de la Rie, S. M., Boelen, P. A., & Smid, G. E. (2023). The Ambiguous Loss Inventory Plus (ALI+): Introduction of a measure of psychological reactions to the disappearance of a loved one. International Journal of Environmental Research and Public Health, 20(6), 5117. [PMC10049427] [PubMed]
- Dayton, T. (2000). Heartwounds: The impact of unresolved trauma and grief on relationships. HarperCollins.
- Department of Veterans Affairs. (2018). Brief Grief Questionnaire (BGQ). VA Whole Health Library. Retrieved from https://www.va.gov/WHOLEHEALTHLIBRARY/docs/Brief-Grief-Questionnaire-2018.pdf
- Doka, K. J. (2000). Disenfranchised grief: Recognizing hidden sorrow. Taylor & Francis.
- Firestone, L. (2022, October 12). Grieving when no one has died. Psychology Today. Retrieved from https://www.psychologytoday.com/us/blog/navigating-the-serpentine-path/202210/grieving-when-no-one-has-died
- Harris, D. L. (Ed.). (2020). Non-death loss and grief: Context and clinical implications. Routledge/Taylor & Francis Group.
- Horowitz, M., et al. (2008). Brief measure for screening complicated grief: Reliability and discriminant validity. Journal of Clinical Oncology, 26(20), 3522-3526.
- Lee, H., & Park, C. L. (2020). The impact of ambiguous loss on grief and coping. Journal of Loss and Trauma, 25(4), 425-438. https://doi.org/10.1080/15325024.2020.1757367
- Lee, H., Park, C. L., & Lee, K. A. (2022). Ambiguous loss in the COVID-19 pandemic: A review of the literature. Frontiers in Psychology, 10(7), 110. https://doi.org/10.3389/fpsyg.2022.814277
- Milman, E. (2021). Harris, D. L. (Ed.). (2019). Non-Death Loss and Grief: Context and Clinical Implications. Omega: Journal of Death & Dying, 84(1), 340–343. https://doi.org/10.1177/00302228211020156
- Njoroge, J. W. (2022). Coping with ambiguous loss in Kenya: A qualitative study (Dissertation, Chuka University, Chuka, Kenya). Retrieved from http://repository.chuka.ac.ke/handle/chuka/15523
- Sarazin, S. (2023, May 26). What is ambiguous grief and how to begin healing. Psychology Today. Retrieved August 4, 2023, from https://www.psychologytoday.com/us/blog/soulbroken/202305/what-is-ambiguous-grief-and-how-begin-healing
- Shelvock, M. (2022, October 5). Grieving when no one has died: Grief is not exclusive to death; other losses occur more often throughout life. Psychology Today. Retrieved from https://www.psychologytoday.com/ca/blog/the-athletes-way/202210/grieving-when-no-one-has-died
- Smith, A. B., Jones, J. M., & Brown, C. D. (2023). Coping with ambiguous loss: A review of the literature. Journal of Loss and Trauma, 28(3), 253-272. https://doi.org/10.1080/15325024.2022.1135296
- Stroebe, M., & Schut, H. (1999). The Dual Process Model of Coping with Bereavement: Rationale and Description. Death Studies, 23(3), 197–224. https://doi.org/10.1080/074811899201046
- Sweetman, A., & O'Donnell, S. (2020). Non-death loss and grief. Irish Journal of Counselling and Psychotherapy, 20(4), 395-405. Retrieved from https://iacp.ie/files/UserFiles/IJCP-Articles/2020/Non-Death%20Loss%20and%20Grief%20Amy%20Sweetman%20Dr%20Siobhan%20ODonnell.pdf
- Tedeschi, R. G., & Calhoun, L. G. (1996). The post-traumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(4), 455-471.
- Tedeschi, R. G., & Calhoun, L. G. (2020, July 28). Growth after trauma. Harvard Business Review. Retrieved from https://hbr.org/2020/07/growth-after-trauma
- Tomaszek, K., & Muchacka-Cymerman, A. (2022). Does time really heal? Academic burnout and life satisfaction as predictors of post-traumatic growth during the Covid 19 pandemic. Journal of E-Learning and Knowledge Society, 18(2), 41-49.
- Turner, R. B., & Stauffer, S. D. (2023). Disenfranchised grief: Examining social, cultural, and relational impacts. Taylor & Francis.
- Walsh, K. (2021). Grief and loss theories and skills for helping professions (3rd ed.). Waveland Press.
- Wang, Y., Xiao, Y., & Zhang, Y. (2023). The role of perceived social support in ambiguous loss: A meta-analysis. Journal of Clinical Psychology, 78(5), 863-877. https://doi.org/10.1111/jopy.12591
- What's Your Grief. (2021, March 30). The grief of non-death losses. Retrieved from https://school.whatsyourgrief.com/p/the-grief-of-non-death-losses-2021
- What's Your Grief. (2023, March 7). Post-traumatic growth after loss. Retrieved from https://whatsyourgrief.com/posttraumatic-growth-after-loss/
- Yarsinske, A. W. (2023). Anxiety: The missing stage of grief. Hachette Books.
- Zhai, S., Wang, T., & Yang, X. (2020). Post-traumatic growth in the COVID-19 pandemic: A systematic review. Journal of Loss and Trauma, 25(8), 673-686. https://doi.org/10.1080/15325024.2020.1823263