2018 Hope Conference Phoenix, Arizona Frank R. Campbell ...€¦ · 2018 Hope Conference Phoenix,...
Transcript of 2018 Hope Conference Phoenix, Arizona Frank R. Campbell ...€¦ · 2018 Hope Conference Phoenix,...
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AnapproachtoTreatingComplicated
Bereavement©
2018HopeConferencePhoenix,Arizona
FrankR.Campbell,Ph.D.,LCSW,C.T.SeniorConsultant,
CampbellandAssociatesConsulting,LLCWWW.Lossteam.com
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Expectations?
Weshallnotceasefromexploration
AndtheendofallourexploringWillbetoarrivewherewestarted
Andknowtheplaceforthefirsttime
fromtheFourQuartets,T.S.Eliot
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Post-Intervention
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American Association of Suicidology A
merican A
ssociation of Suicidology
July 2014 - JLMcIntosh
2011 Data 4
Suicide in the USA: Statistics
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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
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Psychologicallyunpreparedforwhatyouareaboutto
experience
• Psychologicalvulnerability• Emotionalconnection• Sensoryexposure
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WhatweknowaboutSuddenandTraumaticLoss
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GRIEF TRAUMA
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RESOLVETHETRAUMA
• Explainthetriggerstothetrauma• Theyincludesight,smell,taste,touch,andsound• HelpthesurvivortocopewithDreams,Flashbacks,TraumaticImagesandIntrusiveThoughts
• Talkit,Drawit,Writeit,• EMDR,systematicdesensitizationetc.
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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
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Wouldyouagreethesetwotripsaredifferentinthelevelofchallenge?
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Ifyouarepackingforajourneyofanunknownlengthoftime,whatwould
youtakewithyou?andwhy?
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Whowouldyoutakealong?Andwhy?
• Whatwillyouneedtoknowinordertoknowwhattotake?
• Whowouldyoutalktoforadviceonwhattotake?
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Whatisthegoalofthegriefprocess?
• Fortheindividual?• Forafamily?
• Foracommunity?
• Whatisacommunity?
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Barriersforthejourney(forprovidersandsurvivors)?
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InternalandExternalBarriers
• AccesstootherSurvivors• Permissiontospeak(imposedinternallyandexternally)
• Whattosaytothesurvivors(alsoimposedinternallyandexternally)– Whatguidelinesdoyoufollow?(aretheyrealorassumed?)
– Ethicalchallenges?
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Basicorcorefeelings
• Angry• Sad• Scared• Happy• Morecognitive:
• Guilt(goalhereistoreframetoRegret)
• Relief
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TheoreticalConstructPast Present Future
EmotionalAllfeelings Sad/anger Hopeless
PhysicalHealthy Somatic/ADLs BadHealth
CognitiveVariety Intrusive Confusion
SpiritualIntact Scared Apart
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Howtoreallyhearastoryaboutloss?
v ContentVs.Affect
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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
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Wheredothese“rules”comefrom
• Institutional• Governmental(apologylaws)
• Malpracticeinsurancelimitations
• Peers,warstories,worstcasescenarios• Internalfearofbeingwiththosewhohavesuchaloss
• Fearofbeingblamed,helpless,guilty
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CaregiverAmbivalence(Potentialethicalissues)
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“Firstplacethemaskonyourselfbeforeattemptingtohelpothers!”
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Barriers
• Whatdoyouthinkarethebarriersforselfcare?
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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!
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Couldthisbethegoalofsupportforthosewhoareinyourcare?
Weshallnotceasefromexploration
AndtheendofallourexploringWillbetoarrivewherewestarted
Andknowtheplaceforthefirsttime
fromtheFourQuartets,T.S.Eliot
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AnapproachtoTreatingComplicated
Bereavement©
2018HopeConferencePhoenix,Arizona
FrankR.Campbell,Ph.D.,LCSW,C.T.SeniorConsultant,
CampbellandAssociatesConsulting,LLCWWW.Lossteam.com