Working with Grieving Children After Violent Death: A ...

132
) 4"5914 NATIONAL ORGANIZATION FOR VICTIM Working with Grieving Children After Violent Death: A Guidebook for Crillle Victilll Assistance Professionals Marlene A.Young, Ph.D., J.D. Executive Director National Organization for Victim Assistance Prepared August, 1996 Under Cooperative Agreement Number 95-VF-GX-KOOI, for Office for Victims of Crime ove Blank Pages Removed If you have issues viewing or accessing this file contact us at NCJRS.gov.

Transcript of Working with Grieving Children After Violent Death: A ...

• ~

~

) 4"5

914

NA

TIO

NA

L O

RG

AN

IZA

TIO

N F

OR

VIC

TIM

ASSISTANC~

Wor

kin

g w

ith

Gri

evin

g C

hild

ren

Aft

er V

iole

nt D

eath

:

A G

uid

eboo

k fo

r C

rill

le V

icti

lll

Ass

ista

nce

Pro

fess

iona

ls

Mar

lene

A.Y

oung

, Ph.

D.,

J.D

. E

xecu

tive

Dire

ctor

N

atio

nal O

rgan

izat

ion

for V

ictim

Ass

ista

nce

Prep

ared

Aug

ust,

1996

U

nder

Coo

pera

tive

Agr

eem

ent

Num

ber 9

5-V

F-G

X-K

OO

I, fo

r

Offi

ce fo

r Vic

tims o

f Crim

e

ove

-

Advo

cRtta

g/or

tbeF

,ur -;;

;;-:=

====

====

====

====

= Tf

fiIlII

Iftt 0

/ CrIm

e Vl

ct/n

u

Uni

ted

Sta

tes

Dep

artm

ent

of J

usti

ce

Off

ice

of J

usti

ce P

rogr

ams

Off

ice

for

Vic

tims

of C

rim

e

NC

J 16

5814

Blank Pages Removed

If you have issues viewing or accessing this file contact us at NCJRS.gov.

Ack

now

led

gmen

ts

The

aut

hor i

s gra

tefu

l for

the

sign

ific

ant c

ontr

ibut

ions

to th

is p

ublic

atio

n m

ade

by o

ur a

dvis

ors:

R

ober

t Pyn

oos,

Ph.

D.,

ofth

e U

nive

rsity

of C

ali f

omi a

at L

os A

ngel

es, a

nd K

aren

Tho

ben,

Ed.

D.,

ofth

e Pr

ince

Geo

rges

Cou

nty

Publ

ic S

choo

l Sys

tem

in s

ubur

ban

Mar

ylan

d. W

e ap

prec

iate

the

crea

tive

ef

fort

s of

Hr P

rodu

ctio

ns, W

ashi

ngto

n, D

.C.,

prod

ucer

s of

the

vide

o th

at a

ccom

pani

es th

is G

uide

book

. Sp

ecia

l tha

nks

to C

OPS

Kid

s, a

nat

iona

l org

aniz

atio

n w

hich

sup

port

s ch

ildre

n o

f sla

in la

w e

nfor

cem

ent

offi

cers

, for

allo

win

g N

OV

A to

"pi

lot t

est"

man

y of

the

activ

ities

in th

is G

uide

book

at t

heir

ann

ual

mee

ting

in M

ay o

f 199

6 at

the

FBI T

rain

ing

Aca

dem

y in

Qua

ntic

o, V

A.

Als

o co

ntri

butin

g m

any

usef

ul s

ugge

stio

ns to

the

final

dra

ft w

ere

Mar

ti Sp

eigh

ts, D

irec

tor o

f the

Sp

ecia

l Pro

ject

s D

ivis

ion

at O

VC

, and

Dua

ne R

agan

, PhD

., a

Pro

gram

Spe

cial

ist i

n th

at D

ivis

ion.

N

OV

A, o

f cou

rse,

ass

umes

full

resp

onsi

bilit

y fo

r the

Gui

de a

nd th

e ac

com

pany

ing

vide

o, a

nd a

ny

opin

ions

exp

ress

ed h

erei

n ar

e no

t nec

essa

rily

thos

e of

OV

C.

Our

than

ks to

all

ofth

e in

divi

dual

s an

d to

the

man

y pr

ogra

ms

who

resp

onde

d to

our

requ

est f

or

info

rmat

ion

abou

t ser

vice

s ava

ilabl

e th

roug

hout

the

Uni

ted

Stat

es fo

r gri

evin

g ch

ildre

n. M

any

peop

le

took

the

time

to s

end

us e

xtre

mel

y us

eful

wri

tten

mat

eria

l and

man

y al

so s

pent

tim

e w

ith u

s on

the

phon

e to

mak

e su

re w

e ha

d th

e in

form

atio

n w

e ne

eded

. T

heir

ent

husi

asm

for t

he p

roje

ct w

as in

spir

atio

nal.

Abo

ut t

he O

rgan

izat

ions

N

atio

nal

Org

aniz

atio

n fo

r V

icti

m A

ssis

tanc

e T

he N

atio

nal O

rgan

izat

ion

for V

ictim

Ass

ista

nce

is a

pri

vate

, non

-pro

fit m

embe

rshi

p or

gani

zatio

n o

f vi

ctim

and

witn

ess a

ssis

tanc

e pr

actit

ione

rs, v

ictim

serv

ice

prog

ram

s, c

rim

inal

just

ice

prof

essi

onal

s,

rese

arch

ers,

form

er v

ictim

s, h

ealth

and

men

tal h

ealth

pro

fess

iona

ls, c

lerg

y m

embe

rs, a

nd o

ther

s com

mit­

ted

to th

e re

cogn

ition

and

impl

emen

tatio

n o

f vic

tim ri

ghts

. N

OV

A's

activ

ities

are

gui

ded

by fo

ur p

ur­

pose

s: n

atio

nal a

dvoc

acy,

pro

vidi

ng d

irec

t cri

sis

serv

ices

to v

ictim

s, s

ervi

ng a

s an

edu

catio

nal r

esou

rce

to v

ictim

ass

ista

nce

and

allie

d pr

ofes

iona

ls, a

nd p

rom

otin

g be

tter c

omm

unic

atio

n am

ong

its m

embe

rshi

p.

For

info

rmat

ion

abou

t NO

VA

or o

ther

NO

VA

pub

licat

ions

, con

tact

: N

atio

nal O

rgan

izat

ion

for V

ictim

Ass

ista

nce

1757

Par

k R

oad,

N.W

. (2

02)

232-

6682

no

va@

dige

x.ne

t W

ashi

ngto

n, D

.C.

2001

0

(202

) 46

2-22

55 f

ax

http

://w

ww

.acc

ess.

dige

x.ne

tJ.-n

ova

Off

ice

for

Vic

tim

s o

f Cri

me

The

Off

ice

for V

ictim

s o

f Cri

me

was

est

ablis

hed

by th

e V

ictim

s o

f Cri

me

Act

(VO

CA

) to

serv

e as

th

e Fe

dera

l gov

ernm

ent's

chi

ef ad

voca

te fo

r Am

eric

a's c

rim

e vi

ctim

s. O

VC

adm

inis

ters

man

y fo

rmul

a an

d di

scre

tiona

ry g

rant

s fo

r pro

gram

s des

igne

d to

ben

efit

vict

ims,

pro

vide

s tra

inin

g fo

r div

erse

pro

fes­

sion

als w

ho w

ork

with

cri

me

vict

ims,

and

dev

elop

s pr

ojec

ts to

enh

ance

vic

tims'

rig

hts

and

serv

ices

. It

s m

issi

on is

to p

rovi

de v

ictim

s w

ith ju

stic

e an

d he

alin

g. T

o ob

tain

add

ition

al c

opie

s o

f thi

s G

uide

book

or

for m

ore

info

rmat

ion

abou

t OV

C, c

onta

ct:

Off

ice

for V

ictim

s of C

rime

Off

ice

of J

ustic

e Pr

ogra

ms

U.S

. Dep

artm

ent o

fJus

tice

63

3 In

dian

a A

venu

e, N

.W.

Was

hing

ton,

D.C

. 20

531

(202

) 51

4-64

44

(202

) 61

4-63

83 f

ax

(800

) 627

-687

2 O

ffic

e fo

r Vic

tims

of C

rim

e R

esou

rce

Cen

ter

Thi

s pr

ojec

t was

sup

port

ed b

y C

oope

rati

ve A

gree

men

t Num

ber 9

5-V

F-G

X-K

OO

I aw

arde

d by

the

Off

ice

for

Vic

tim

s o

f C

rim

e, O

ffic

e o

f Jus

tice

Pro

gram

s, U

.S.

Dep

artm

ent o

f Jus

tice

. T

he A

ssis

tant

Att

orne

y G

ener

al, O

ffic

e o

f Jus

tice

P

rogr

ams,

coo

rdin

ates

the

acti

viti

es o

f the

fol

low

ing

prog

ram

off

ices

and

bur

eaus

: B

urea

u o

f Jus

tice

Ass

ista

nce,

B

urea

u o

f Jus

tice

Sta

tist

ics,

Nat

iona

l In

stit

ute

of J

usti

ce, O

ffic

e o

f Juv

enil

e Ju

stic

e D

elin

quen

cy a

nd P

reve

ntio

n, a

nd

the

Off

ice

for

Vic

tim

s o

f Cri

me.

Poi

nts

of v

iew

in t

his

docu

men

t are

thos

e o

f the

aut

hor

and

do n

ot n

eces

sari

ly

repr

esen

t the

off

icia

l po

siti

on o

r pol

icie

s o

f the

U. S

. D

epar

tmen

t of J

usti

ce.

2

'. • ~\

Wor

king

wit

h G

riev

ing

Chi

ldre

n A

fter

Vio

lent

Dea

th:

A G

uide

book

for

Cri

me

Vic

tim

Ass

ista

nce

Pro

fess

iona

ls

Tab

le o

f Con

tent

s

I.

Intr

oduc

tion

...

....

...

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 9

II.

Bac

kg

rou

nd

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

11

III

Pre

para

tion

of t

he C

areg

iver

..

....

....

....

....

....

....

....

....

....

. 13

A

. G

rief

an

d L

oss

....

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

13

B.

Tra

um

a an

d V

iole

nce

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 15

C

. A

lpha

bet o

f Pos

itive

Car

egiv

er A

ttri

bute

s an

d S

kill

s fo

r W

orki

ng W

ith

Gri

evin

g C

hil

dre

n.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 17

IV

. T

he G

riev

ing

Chi

ld .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

..

21

A.

Dev

elop

men

t Sta

ges

Aff

ect t

he T

raum

a an

d G

rief

Rea

ctio

ns o

f Chi

ldre

n ..

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

21

B.

Chi

ldho

od D

evel

opm

enta

l S

tage

s ..

....

....

....

. . .

. . .

. . .

. . .

. . .

. 22

1.

In

fant

s an

d T

oddl

ers

(0-2

) ..

....

....

....

....

....

....

....

. 22

2.

P

re-S

choo

l(2-

6) ..

....

....

....

....

....

....

....

....

....

22

3.

S

choo

l-A

ge (

6-10

) ..

....

....

....

....

....

....

....

....

..

23

4.

Ear

ly A

dole

scen

ce (

10-1

3 G

irls

, 12

-15

Boy

s). ..

....

....

....

..

24

5.

Ado

lesc

ence

(13

-18)

..

....

....

....

....

....

....

....

....

. 25

C

. C

hild

ren'

s R

eact

ions

to T

raum

a at

Any

Dev

elop

men

t Sta

ge

are

Aff

ecte

d by

the

Im

pact

of "

Par

ent L

oss"

. . .

. . .

. . .

. . .

. . .

. . .

. . .

26

1.

A

ctua

l L

oss

ofP

aren

t(s)

...

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

26

2.

P

erce

ived

Los

s of

Par

ent(

s) ..

....

....

....

....

....

....

....

26

3.

A

ctua

l or P

erce

ived

Par

ent L

oss

Can

be

Mor

e T

raum

atic

Tha

n th

e T

raum

a E

vent

Its

elf

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 26

D

. C

hild

and

Adu

lt G

rief

Rea

ctio

ns a

re E

xace

rbat

ed

by V

iole

nt T

raum

atic

Los

s. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 27

1.

In

tens

ity

of E

mot

ion

Incr

ease

s . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

27

2.

D

urat

ion

of G

rief

May

be

Ext

ende

d fo

r Y

ears

. . .

. . .

. . .

. . .

. . .

. . .

27

E

. T

rau

ma

and

Gri

ef P

atte

rns

of C

hild

ren

are

Sim

ilar

to

Adu

lts

But

are

Man

ifes

ted

Dif

fere

ntly

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

27

I.

L

engt

h o

f Gri

evin

g, A

long

With

Act

s ofM

oum

ing

and

Rem

embr

ance

, Ext

end

Thr

ough

out t

he

Dev

elop

men

tal

Sta

ges

...

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

..

27

2.

Gri

evin

g is

Int

erru

pted

by

Cur

rent

Nee

ds o

r E

vent

s. .

. . .

. . .

. . .

. ..

28

3.

Chi

ldre

n's C

omm

unic

atio

n St

yles

Dif

fer f

rom

the

Com

mun

icat

ion

Sty

les

of A

dult

s. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

..

28

4.

Som

e A

dults

Hav

e Sp

iritu

al B

elie

fs T

hat H

elp

The

m to

Cop

e W

ith

Tra

uma

and

Gri

ef.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

..

28

F.

Tra

umat

ic G

rief

Rea

ctio

ns .

....

.. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 28

1.

L

oss

and

Dea

th .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

28

2.

D

enia

l ..

....

....

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 29

3.

L

osse

s C

ause

d by

Dea

th a

re C

oncr

etel

y Id

enti

fied

in

a C

hild

's L

i fe; E

xpla

natio

ns A

bout

Dea

th a

nd

Los

s ar

e O

ften

Int

erpr

eted

Lit

eral

ly.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 29

3

Tab

le o

f Con

tent

s (C

ontin

ued)

4.

Tra

uma

Rea

ctio

ns a

re R

elat

ed to

Gri

ef R

eact

ions

..

....

....

....

30

a.

P

rote

st o

r Ang

er O

ver

the

Los

s or

Dea

th

....

....

....

. 30

b.

S

orro

w a

nd S

adne

ss A

bout

the

Los

s or

Dea

th

....

....

. 30

c.

G

uilt

or

Sel

f-B

lam

e ..

....

....

....

....

....

....

....

31

5.

C

hild

ren

Face

Add

ition

al R

isks

Whi

ch In

crea

se

the

Tra

umat

ic G

rief

Rea

ctio

n . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 31

V

. In

terv

enti

ons

for

Gri

evin

g C

hild

ren

...

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 33

A

. C

areg

iver

Com

mun

icat

ion

....

....

....

....

....

....

....

....

...

33

B.

Goa

ls o

f Ass

ista

nce

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

..

33

I. E

stab

lish

Saf

ety

and

Sec

urit

y. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 33

2.

A

llow

Chi

ldre

n to

Tel

l Wha

t Hap

pene

d an

d to

Tal

k A

bout

Dea

th.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

34

3.

Pred

ict W

hat W

ill H

appe

n an

d Pr

epar

e C

hild

ren

for

the

Futu

re .

....

....

....

....

....

....

....

....

. 34

C

. M

etho

ds o

f Int

erve

ntio

n ..

....

....

....

....

....

....

....

....

...

35

1.

Ora

l S

tory

tell

ing

....

....

....

....

....

....

....

....

....

..

35

2.

Gui

ded

Free

Pla

y ..

....

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

35

3.

Sti

mul

atin

g D

iscu

ssio

n ..

....

....

....

....

....

....

....

....

35

4.

C

reat

ive

Wri

ting

....

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

36

5.

Cre

ativ

e A

rt .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

36

6.

Dra

mat

ic E

nact

men

ts.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

36

7.

Mu

sic.

. . .

. ..

. ..

..

. ..

. . .

. . .

. . .

. . .

. ..

. ..

. ..

. . .

. . .

. . .

..

37

8.

Pray

er, R

epet

itiv

e M

edit

atio

ns, a

nd C

hant

s. .

. . .

. . .

. . .

. . .

. . .

. ..

37

D.

Sam

ple

Que

stio

ns, E

xerc

ises

and

Act

ivit

ies

Use

ful

in W

orki

ng W

ith

Ch

ild

ren

.. .

. . .

. . .

. . .

. . .

. . .

.. .

. . .

.. .

. . .

. . .

. . ..

37

1.

Fin

ding

Out

the

Chi

ld's

Ver

sion

of W

hat H

appe

ned.

. . .

. . .

. . .

. . .

. 39

2.

E

xplo

ring

the

Dif

fere

nce

Bet

wee

n L

ife

and

Dea

th .

.. .

. . .

. . .

. . .

..

40

3.

Exp

lori

ng W

hat H

appe

ns to

a P

erso

n A

fter

He

Die

s. .

. . .

. . .

. . .

..

41

4.

Exp

lori

ng W

hy a

Sud

den

Dea

th h

as O

ccur

red

....

.. .

. . .

. . .

. . .

. 42

5.

Id

enti

fyin

g T

raum

a or

Gri

ef R

eact

ions

..

....

....

....

....

....

. 43

6.

C

opin

g W

ith T

raum

a or

Gri

ef R

eact

ions

...

....

....

.. .

. . .

. . .

..

44

7.

Mem

oria

ls a

nd R

emem

bran

ce .

...

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . ..

45

E.

Su

pp

ort

Gro

up

Act

ivit

ies

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 49

1.

A

ges

2-6

(Six

Ses

sion

s) .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

50

2.

Age

s 7-

11 (

Six

Sess

ions

) . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 63

3.

A

ges

12-1

8 (S

ix S

essi

ons)

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

..

77

F.

Th

e N

eed

for

Pro

fess

iona

l Hel

p W

ith

Gri

evin

g C

hil

dre

n.

. . .

. . .

. . .

..

93

VI.

P

roto

cols

for

Wor

king

Wit

h G

riev

ing

Ch

ild

ren

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

95

A.

Bac

kgro

und

Con

side

rati

ons.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 95

B

. D

efin

itio

ns.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

96

C.

Vic

tim

Ass

ista

nce

Pro

fess

iona

l's R

espo

nsib

ilit

ies

. . .

. . .

. . .

. . .

. . .

..

97

D.

Pro

toco

lfo

r W

orki

ng W

ith

Chi

ldre

n 0

-6

....

....

....

...

. . .

. . .

. ..

101

E.

Pro

toco

l for

Wor

king

Wit

h C

hild

ren

7-11

..

....

....

....

....

....

..

105

F.

Pro

toco

lfo

r W

orki

ng W

ith

Chi

ldre

n 12

-18

....

.. .

. . .

. . .

. . .

. . .

. . .

. 10

9

4

Tab

le o

f Con

tent

s (C

ontin

ued)

App

endi

x I:

App

endi

x II

:

App

endi

x II

I:

App

endi

x IV

:

App

endi

x V

:

App

endi

x V

I:

App

endi

x V

II:

App

endi

x V

III:

Tra

um

a an

d G

rief

..

....

....

....

....

....

....

....

....

...

113

Dir

ge W

itho

ut M

usic

. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. ..

115

Wor

kshe

et:

Fea

rs A

bout

Dea

th.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . ..

117

Wor

kshe

et:

Fea

r A

ctio

n P

lan

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 11

9

(Exc

erpt

) A

nger

: T

he M

isun

ders

tood

Em

otio

n ..

....

....

....

121

Wor

kshe

et:

Ang

er ...

....

....

....

....

....

....

....

....

.. 1

25

Wor

kshe

et:

Ang

er A

ctio

n P

lan

....

....

....

....

....

....

...

127

(Exc

erpt

) G

ivin

g So

rrow

Wor

ds .

....

....

....

....

....

....

.. 1

29

Bib

liog

rapy

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 14

1

Chi

ldre

n's

Boo

ks A

bout

Dea

th ...

....

....

....

....

....

....

....

....

....

....

...

153

For

m f

or E

valu

atin

g G

uide

book

...

....

....

....

....

....

....

....

....

....

....

.. 15

5

5

Wor

king

wit

h G

riev

ing

Chi

ldre

n A

fter

Vio

len

t D

eath

:

A G

uid

eboo

k fo

r C

rim

e V

icti

m A

ssis

tan

ce P

rofe

ssio

nal

s

Jim

was

tw

elve

yea

rs o

ld a

nd T

erry

was

nin

e w

hen

thei

r si

ngle

-par

ent

mot

her

was

sho

t an

d ki

lled

on

the

way

hom

efro

m w

ork.

Shel

ley

was

eig

ht y

ears

old

and

Bob

by w

as t

wo

whe

n th

eir

mot

her

was

sho

t an

d ki

lled

by

thei

r fat

her

b€!fo

re h

e ki

lled

him

self

.

Van

essa

was

four

teen

whe

n sh

e w

as s

tabb

ed a

nd

kill

ed b

y an

old

er te

enag

e bo

y in

her

sch

ool y

ard.

H

erfr

iend

s w

ere

witn

esse

s.

Ken

ny w

as s

ix w

hen

his

olde

r br

othe

r M

ason

was

ki

lled

alo

ng w

ith t

hree

oth

er k

ids

in a

dru

nk d

rivi

ng c

rash

.

Tim

e st

oppe

d fo

r th

em a

ll w

hen

viol

ent d

eath

tor

e th

eir

youn

g liv

es a

part

in a

pai

n th

at w

ill l

ive

fore

ver.

7

I. In

trod

ucti

on

Jim

, Ten

y, S

helle

y, B

obby

, Van

essa

and

Ken

ny a

re r

epre

sent

ativ

e of

the

hund

reds

of t

hous

ands

o

f chi

ldre

n w

ho e

xper

ienc

e tr

aum

atic

dea

th e

ach

year

. It

is e

stim

ated

that

as

man

y as

twen

ty p

erce

nt o

f to

day'

s ch

ildre

n w

ill h

ave

surv

ived

the

deat

h o

f a p

aren

t by

the

end

of h

igh

scho

ol; e

leve

n ch

ildre

n a

day

are

kille

d by

gun

s in

acc

iden

ts, s

uici

des,

and

mur

ders

; an

aver

age

offo

ur st

uden

ts a

yea

r die

in a

sch

ool

syst

em o

f6,0

00 st

uden

ts; a

nd th

at a

chi

ld b

y th

e ag

e o

f 14

will

hav

e w

itnes

sed

18,0

00 d

eath

s-m

ost

ly

viol

ent m

urde

rs o

n te

levi

sion

. (L

inda

Gol

dman

, Lif

e an

d L

oss:

A G

uide

to G

riev

ing

Chi

ldre

n, 1

994)

T

hese

figu

res

do n

ot b

egin

to a

ccou

nt fo

r the

add

ition

al d

eath

s o

f fri

ends

or l

oved

one

s ca

used

by

drun

k dr

ivin

g cr

ashe

s or

vio

lent

dea

ths

witn

esse

d in

the

stre

ets

of o

ur c

ities

.

Vic

tim a

ssis

tanc

e pr

ofes

sion

als d

eal w

ith c

rim

e, v

iole

nce

and

trau

ma

rout

inel

y as

par

t oft

heir

ev

eryd

ay w

ork.

Man

y re

spon

d to

cri

sis

calls

at t

he s

cene

s o

f cri

me

and

mos

t hav

e ca

se lo

ads

in th

e cr

imin

al ju

stic

e sy

stem

. T

rain

ing

and

educ

atio

n is

cri

tical

in o

rder

to p

rovi

de th

em w

ith th

e kn

owle

dge

and

skill

s th

ey n

eed

in o

rder

to p

rovi

de q

ualit

y se

rvic

e. I

t is a

lso

impo

rtan

t for

thei

r ow

n m

enta

l hea

lth

as th

ey c

onfr

ont t

he p

ain

and

angu

ish

caus

ed b

y cr

ime.

Perh

aps

som

e o

f the

mos

t dif

ficu

lt ca

ses

for v

ictim

ass

ista

nce

prof

essi

onal

s are

thos

e in

whi

ch

they

pro

vide

ass

ista

nce

to c

hild

ren

and

adol

esce

nts.

Cri

me

seem

s pa

rtic

ular

ly c

ruel

whe

n it

is p

erpe

­tr

ated

on

the

youn

g. T

he d

evas

tatio

n le

ft in

its

wak

e af

ter t

he m

urde

r of a

frie

nd, f

amily

mem

ber o

r ac

quai

ntan

ce o

f chi

ldre

n ca

n la

st a

life

time.

Vic

tim a

ssis

tanc

e pr

ofes

sion

als

are

not e

xpec

ted

to p

rovi

de

ther

apy

or lo

ng-t

erm

gri

ef co

unse

ling

for c

hild

ren

who

hav

e su

rviv

ed tr

aum

atic

dea

th, b

ut so

me

help

w

ith d

eath

not

ific

atio

n an

d m

any

prov

ide

guid

ance

and

com

fort

as c

hild

ren

talk

abo

ut th

eir r

eact

ions

, be

gin

the

mou

rnin

g pr

oces

s and

dev

elop

way

s of r

emem

beri

ng th

eir l

oved

one

s.

Thi

s gui

debo

ok is

not

a tr

aini

ng m

anua

l.

• It

is d

esig

ned

to s

erve

as

a qu

ick r~ference

for v

ictim

ass

ista

nce

prof

essi

onal

s in

thei

r wor

k w

ith c

hild

ren,

par

ents

, sch

ool t

each

ers

and

coun

selo

rs, c

lerg

y m

embe

rs a

nd o

ther

s as

they

add

ress

the

need

s of g

riev

ing

child

ren.

• It

sum

mar

izes

the

stat

e o

f kno

wle

dge

ongr

ieJ a

nd tr

aum

a re

acti

ons o

j chi

ldre

n, s

ugge

sts

met

hods

and

act

iviti

es fo

r int

erve

ntio

n an

d su

ppor

tive

coun

selin

g, a

nd p

rese

nts

sam

ple

age-

spec

ific

su

ppor

t gro

up c

urri

cula

.

• It

out

line

s a s

ampl

e pr

otoc

ol fo

r vic

tim a

ssis

tanc

e pr

ogra

ms

and

othe

rs w

ho w

ork

with

ch

ildre

n to

use

to e

stab

lish

guid

elin

es fo

r res

pond

ing

dire

ctly

to g

riev

ing

child

ren.

• It

incl

udes

abi

blio

grap

hyof

furt

her

reso

urce

s fo

r vic

tim a

ssis

tanc

e pr

ofes

sion

als

and

thei

r al

lies a

s w

ell a

s a

bibl

iogr

aphy

of u

sefu

l rea

ding

s fo

r chi

ldre

n.

The

term

"ca

regi

ver"

is u

sed

thro

ugho

ut th

is g

uide

book

to d

enot

e a

pers

on p

rovi

ding

sup

port

to

the

chil

d, b

ecau

se w

hile

vic

tim

ass

ista

nce

prQ

fess

iona

ls a

re it

s pr

imar

y au

dien

ce,

its

mes

sage

is

desi

gned

Jor

thos

e w

ho w

ork

in c

oope

rati

on w

ith

them

as

wel

l.

9

II.

Bac

kgro

und

"Nob

ody

is b

orn

with

a g

enet

ic d

iath

esis

to

psyc

hic

trau

ma.

If

you

sc

are

a ch

ild

badl

y en

ough

, he

wil

l be

tra

um

ati

zed

-pla

in a

nd

si

mpl

e.

But

if yo

u co

mbi

ne t

he t

raum

a w

ith a

dea

th o

r a

new

di

sabi

lity

, th

en y

ou w

ill s

ee d

epre

ssio

n, p

aran

orm

al th

inki

ng,

an

d/

or c

hara

cter

cha

nge

-co

unt o

n it.

"-

Len

ore

Ter

r

Dea

th is

a d

iffi

cult

con

cept

to u

nder

stan

d an

d ac

cept

for a

dults

and

chi

ldre

n al

ike.

The

end

of

life

can

be c

once

ptua

lized

in m

any

way

s, b

ut th

e pe

rman

ency

ofl

oss

and

the

dyin

g pr

oces

s ca

nnot

be

expl

aine

d un

til it

is e

xper

ienc

ed.

Whe

n a

natu

ral d

eath

occ

urs

at th

e en

d o

f a lo

ng li

fe, i

t may

be

ex­

pect

ed a

nd p

repa

ratio

ns m

ade

to a

djus

t to

the

ultim

ate

loss

. G

rief

over

the

dece

ased

may

be

pain

ful

and

prol

onge

d, b

ut th

ere

has

been

tim

e be

fore

dea

th to

con

side

r its

con

sequ

ence

s fo

r tho

se w

ho

cont

inue

to li

ve.

Whe

n de

ath

is s

udde

n an

d co

mpl

icat

ed b

y tr

aum

a, th

ere

is n

o tim

e to

ada

pt to

the

shoc

k an

d pa

in o

f sep

arat

ion

and

final

ity.

Sorr

ow m

ay b

e a

fund

amen

tal e

xper

ienc

e bu

t the

exp

erie

nce

of e

xtra

ordi

nary

cri

sis m

ay b

e eq

ually

ove

rwhe

lmin

g. T

he in

abili

ty to

mak

e se

nse

out o

f the

dea

th, t

o un

ders

tand

why

it h

appe

ned,

and

to c

ompr

ehen

d ho

w it

has

inte

rrup

ted

1 ife

can

frus

trat

e, a

nger

and

dr

ive

surv

ivor

s to

des

pair

.

Chi

ldre

n ar

e pa

rtic

ular

ly su

scep

tible

to th

e im

pact

of t

raum

atic

dea

th fo

r sev

eral

reas

ons.

Chi

l­dr

en d

o no

t den

y tr

aum

a; ra

ther

, the

y te

nd to

rec

ord

its fu

ll ho

rror

and

impa

ct.

Tra

uma

is te

rror

izin

g to

th

em, r

ende

ring

them

hel

ples

s an

d un

prot

ecte

d. D

eath

is u

nfam

iliar

. T

heir

cop

ing

skill

s ar

e of

ten

unde

rdev

elop

ed.

The

y ar

e st

ill in

the

proc

ess

of d

evel

opin

g th

eir o

wn

pers

onal

ities

and

iden

titie

s. T

hey

ofte

n do

not

hav

e sp

iritu

al re

sour

ces

on w

hich

to re

ly.

Adu

lt ca

regi

vers

are

cri

tical

in h

elpi

ng c

hild

ren

thro

ugh

the

trau

ma

of vi

olen

t dea

th a

s w

ell a

s th

e gr

ievi

ng p

roce

ss.

Yet

, man

y ad

ults

are

unp

repa

red

for v

iole

nt d

eath

them

selv

es.

Adu

lt ca

regi

vers

mus

t co

nsid

er th

eir o

wn

reac

tions

to d

eath

and

trau

ma

care

fully

bef

ore

wor

king

with

gri

evin

g ch

ildre

n.

Aft

er c

areg

iver

s co

nsid

er th

eir o

wn

reac

tions

, the

y sh

ould

lear

n as

muc

h as

they

can

abo

ut th

e re

actio

ns o

f chi

ldre

n, a

nd e

xplo

re re

sour

ces

and

tech

niqu

es to

pro

vide

ass

ista

nce

to th

e gr

ievi

ng c

hild

.

11

III.

Pre

par

atio

n o

f the

Car

egiv

er

Thi

s se

ctio

n is

not

des

igne

d as

a p

rim

er o

n gr

ief a

nd tr

aum

a re

actio

ns.

It is

exp

ecte

d th

at

care

give

rs w

ho a

re w

orki

ng w

ith c

hild

ren

will

hav

e ba

sic

educ

atio

n an

d tr

aini

ng o

n gr

ief a

nd tr

aum

a is

sues

. R

athe

r, th

e se

ctio

n is

incl

uded

in th

is g

uide

book

to a

ssis

t car

egiv

ers

in c

larif

Yin

g th

eir o

wn

resp

onse

s to

gri

ef an

d tr

aum

a.

A.

Gri

ef a

nd L

oss

Mos

t adu

lts h

ave

lived

thro

ugh

the

deat

h o

f som

eone

they

kno

w.

The

y re

aliz

e th

e sh

ock

of r

ecog

nitio

n th

at th

ey w

ill n

ever

see

that

per

son

agai

n an

d of

ten

have

end

ured

dis

turb

ing

thou

ghts

con

cern

ing

the

dyin

g pr

oces

s. B

ut m

any

cons

ciou

sly

put a

side

thei

r sor

row

in o

rder

to "

go o

n"

with

life

and

to m

aint

ain

ever

yday

func

tioni

ng.

As a

resu

lt, m

any

adul

ts c

arry

with

them

the

pain

of

unre

solv

ed g

rief

. Su

ch g

rief

may

eru

pt u

nexp

ecte

dly

whe

n an

indi

vidu

al is

exp

osed

to s

ituat

ions

that

re

min

d hi

m o

r her

oft

he d

eath

and

the

loss

. E

ven

whe

n in

divi

dual

s ha

ve m

ade

an e

ffor

t to

conf

ront

pas

t de

aths

and

act

ivel

y m

ourn

thei

r los

ses,

pot

ent m

emor

ies

may

be

resu

rrec

ted

whe

n th

ey e

ncou

nter

oth

er

deat

hs.

It is

bot

h un

real

istic

and

und

esir

able

to tr

y to

ext

ingu

ish

such

mem

orie

s an

d th

eir c

onse

quen

ces.

T

he w

isdo

m o

f Dei

tric

h B

onho

effe

r is c

ompe

lling

on

this

po

int-

"Not

hing

can

mak

e u

pfo

r th

e ab

senc

e o

f som

eone

who

m w

e lo

ve,

and

it w

ould

be

wro

ng to

try

to

fin

d a

sub

stit

ute;

we

mus

t si

mpl

y ho

ld o

ut a

nd s

ee it

thro

ugh.

Th

at s

ound

s ve

ry h

ard

atfi

rst,

bu

t at t

he s

ame

time

it is

a g

reat

con

sola

tion

. fo

r th

e ga

p, a

s lo

ng

as i

t rem

ains

unf

illed

, pre

serv

es th

e bo

nds

betw

een

us.

It is

non

­se

nse

to s

ay th

at G

odfi

ll th

e ga

p; h

e do

es n

otf

ill i

t, bu

t on

the

cont

rary

, he

kee

ps i

t em

pty

and

so h

elps

us

to k

eep

aliv

e ou

r fo

rmer

com

mun

ion

with

eac

h ot

hel~

eve

n at

the

cos

t of p

ain.

"

Car

egiv

ers

shou

ld ta

ke th

e tim

e an

d ef

fort

to e

xplo

re th

eir o

wn

loss

es a

nd th

e co

nseq

uent

gri

ef

in o

rder

to b

e ab

le to

con

trol

pos

sibl

e in

trus

ive

reco

llect

ions

whi

ch m

ay in

terf

ere

with

thei

r abi

lity

to b

e he

lpfu

l to

thos

e th

ey a

re tr

ying

to h

elp

in th

e pr

esen

t. To

faci

litat

e th

is e

xplo

ratio

n, th

e fo

llow

ing

proc

ess

may

be

usef

ul.

The

pro

cess

can

be

used

with

car

egiv

ers

in tr

aini

ng a

s a

grou

p or

by

indi

vidu

al

care

give

rs in

pri

vate

. C

areg

iver

s sh

ould

try

to p

ut th

eir t

houg

hts

or m

emor

ies

into

ver

bal o

r wri

tten

resp

onse

s be

caus

e it

help

s gi

ve c

oncr

ete

fonn

to th

eir e

mot

ions

and

reac

tions

.

I.

Rem

embe

r at l

east

one

of t

he m

ost s

igni

fica

nt d

eath

s in

you

r lif

etim

e. [

It is

use

ful f

or

care

give

rs to

iden

tifY

all

sign

ific

ant d

eath

s th

ey h

ave

surv

ived

, ift

hey

rem

embe

r mor

e th

an o

ne.]

With

ea

ch d

eath

, try

to: a.

Rem

embe

r whe

re y

ou w

ere

whe

n yo

u w

ere

notif

ied

ofth

e de

ath.

Des

crib

e th

e pl

ace.

b.

Rem

embe

r how

you

wer

e to

ld o

r how

you

lear

ned

of t

he d

eath

. D

escr

ibe

the

wor

ds y

ou r

ead

or h

eard

.

13

c.

Rem

embe

r rea

ctio

ns y

ou h

ad w

hen

you

lear

ned

of t

he d

eath

. D

escr

ibe

thos

e re

acti

ons.

d.

Rem

embe

r wha

t you

and

oth

ers

did

in th

e fi

rst t

wen

ty-f

our h

ours

aft

er y

ou le

arne

d o

f the

dea

th.

Try

to d

evel

op a

chr

onol

ogy

of w

hat h

appe

ned.

Des

crib

e an

y pa

rtic

ular

ly p

ower

ful

mem

orie

s an

d th

e im

pact

oft

hose

eve

nts.

e.

Rem

embe

r wha

t you

did

fro

m th

e ti

me

of n

otif

icat

ion

unti

l the

fun

eral

, bur

ial o

r m

emor

ial s

ervi

ce.

Try

to d

evel

op a

chr

onol

ogy

of w

hat h

appe

ned.

Des

crib

e an

y pa

rtic

ular

ly p

ower

ful

mem

orie

s an

d th

e im

pact

oft

hose

eve

nts.

f R

emem

ber w

hat h

as h

appe

ned

sinc

e th

e de

ath

and

how

that

dea

th a

ffec

ts y

our l

ife

toda

y.

2.

As

you

thin

k o

r tal

k ab

out y

our m

emor

ies,

ask

you

rsel

fhow

thos

e m

emor

ies

rela

te to

w

hat i

s kn

own

as a

com

mon

pat

tern

of g

rief

.

a.

Den

ial-

Did

you

or o

ther

s fi

nd t

he d

eath

har

d to

bel

ieve

or a

ccep

t?

b.

Con

fusi

on a

nd P

rote

st-

Did

you

or o

ther

s be

com

e an

gry

abou

t the

dea

th o

r try

to

arg

ue a

bout

its

real

ity?

Did

you

or o

ther

s be

com

e an

gry

wit

h w

hat h

appe

ned

afte

r the

dea

th?

Did

yo

u o

r oth

ers

feel

ang

er a

t you

rsel

ves

beca

use

of h

ow o

r why

the

pers

on d

ied,

or b

ecau

se o

f gui

lt o

r re

lief

at th

e pe

rson

's d

eath

?

c.

Des

pa

ir-W

as

ther

e a

tim

e w

hen

you

or o

ther

s w

ere

so s

ad th

at li

fe d

idn

't s

eem

w

orth

livi

ng?

d.

Det

ach

men

t-W

as

it d

iffi

cult

to fi

nd e

nerg

y to

do

thin

gs o

r to

beco

me

emot

iona

lly

invo

lved

wit

h ot

her p

eopl

e or

cur

rent

eve

nts

in y

our l

ife?

e.

Inte

grat

ion

or R

eso

luti

on

-Do

you

rem

embe

r a ti

me

whe

n yo

u re

aliz

ed th

at y

ou

coul

d ac

know

ledg

e w

hat h

appe

ned

and

knew

that

you

wer

e go

ing

to g

o o

n w

ith

life

? D

id y

ou m

ake

chan

ges

in y

our a

ttit

udes

, val

ues,

goa

ls, b

ehav

iors

, or l

ifes

tyle

bec

ause

oft

he

pers

on's

dea

th?

3.

Des

crib

e w

ays

you

mou

rned

for t

he d

ecea

sed.

4.

Iden

tifY

thou

ghts

, rea

ctio

ns, o

r fee

ling

s ab

out t

he d

eath

that

bot

her y

ou n

ow.

a.

Are

ther

e re

gret

s th

at y

ou h

ave

abou

t how

the

pers

on d

ied?

b.

Are

ther

e re

gret

s th

at y

ou h

ave

abou

t you

r rel

atio

nshi

p w

ith

the

pers

on a

t the

tim

e of

deat

h?

c.

Did

the

deat

h he

lp to

aff

inn

or ra

ise

ques

tion

s ab

out b

elie

fs y

ou h

ad a

bout

life

and

de

ath

befo

re th

e pe

rson

die

d?

5.

Des

crib

e ho

w th

e de

ath

of t

hat p

erso

n af

fect

s yo

u to

day.

14

toda

y.

a.

Poss

ible

neg

ativ

e eff

ects

.

• Anx

iety

abo

ut y

our o

wn

deat

h or

the

deat

hs o

flov

ed o

nes.

• Fea

r for

or o

ver-

prot

ectiv

enes

s o

f you

r chi

ldre

n.

• Nig

htm

ares

, tho

ught

s or

day

drea

ms

of d

eath

.

• A se

nse

that

you

or o

ther

s w

ill d

ie s

oon.

• Avo

idan

ce o

f dea

th-r

elat

ed th

ough

ts, i

mag

es o

r ritu

als.

• With

draw

al fr

om r

elat

ions

hips

with

oth

ers.

b. P

ossi

ble

posi

tive

effe

cts.

• A re

new

ed s

ense

oft

he m

eani

ng o

flif

e an

d its

con

tinui

ty.

• Inc

reas

ed e

njoy

men

t of e

very

day

life

and

expe

rien

ce.

• A se

nse

of c

onne

ctio

n w

ith th

e de

ceas

ed p

erso

n.

• Com

forti

ng m

emor

ies.

• Inc

reas

ed d

esir

e to

bec

ome

invo

lved

with

oth

ers.

6.

Des

crib

e yo

ur u

nder

stan

ding

of d

eath

-yo

ur b

elie

fs, c

once

rns

or fe

ars.

7.

Des

crib

e ho

w y

ou h

ave

plan

ned

for y

our o

wn

deat

h.

8.

Des

crib

e ho

w y

our e

xper

ienc

e o

f dea

th a

ffec

ts th

e w

ay y

ou li

ve y

our e

very

day

life

B. T

raum

a an

d V

iole

nce

"Tra

umat

ic e

vent

s ar

e ex

trao

rdin

ary,

not

bec

ause

the

y oc

cur

rare

ly,

but r

athe

r be

caus

e th

ey o

verw

helm

the

ord

inar

y hu

man

ad

apta

tion

s to

l([

e. "

-J

ud

ith

Hem

lan

Whi

le m

ost a

dults

hav

e ex

perie

nced

dea

th in

thei

r life

times

, man

y bu

t not

all

adul

ts h

ave

expe

rien

ced

a vi

olen

t, tra

umat

ic e

vent

or s

erie

s of e

vent

s. V

iole

nt tr

aum

a ru

ptur

es a

n in

divi

dual

's ps

ychi

c eq

uilib

rium

and

soc

ial e

nviro

nmen

t. It

frac

ture

s ev

eryd

ay e

xist

ence

and

leav

es th

e in

divi

dual

in a

st

ate

of ch

aos

and

fear

. It

requ

ires

indi

vidu

als

to g

o be

yond

thei

r nor

mal

res

ourc

es to

rega

in a

sens

e o

f or

der a

nd e

quili

briu

m a

nd to

rest

ore

valu

e an

d m

eani

ng to

thei

r liv

es.

15

Car

egiv

ers w

ho h

ave

expe

rien

ced

trau

ma

may

hav

e so

ught

hel

p or

foun

d in

tern

al re

sour

ces

that

ga

ve th

em th

e st

reng

th to

reco

nstr

uct t

heir

sens

es o

f saf

ety,

aut

onom

y, tr

ust,

self

-est

eem

, and

abi

lity

to

esta

blis

h re

latio

nshi

ps w

ith o

ther

s. C

areg

iver

s who

hav

e no

t exp

erie

nced

trau

ma

may

yet

hav

e th

eir

lives

test

ed.

In e

ither

case

, bef

ore

care

give

rs b

egin

to h

elp

trau

ma

surv

ivor

s, it

is im

port

ant t

o re

view

th

eir u

nder

stan

ding

of t

he im

pact

of t

raum

a an

d th

e pr

oces

ses

of r

ecov

ery.

For

thos

e ca

regi

vers

who

ha

ve e

xper

ienc

ed tr

aum

a, it

is a

lso

criti

cal t

o id

entif

Y v

estig

es o

fthe

trau

mat

ic e

xper

ienc

e th

at m

ay

inte

rfer

e w

ith th

eir a

bilit

y to

pro

vide

car

e or

non

-jud

gmen

tal s

uppo

rt to

vic

tims.

The

follo

win

g ex

erci

se c

an b

e he

lpfu

l in

unde

rsta

ndin

g an

d id

entif

Yin

g tra

uma

issu

es w

hich

may

co

ncer

n th

e ca

regi

ver.

As

indi

cate

d ab

ove,

the

exer

cise

can

be

used

with

car

egiv

ers

in tr

aini

ng a

s a

grou

p or

by

indi

vidu

al c

areg

iver

s in

pri

vate

. C

areg

iver

s sh

ould

try

to p

ut th

eir t

houg

hts

or m

emor

ies

into

ve

rbal

or w

ritte

n re

spon

ses

beca

use

it he

lps

give

con

cret

e fo

rm to

thei

r em

otio

ns a

nd r

eact

ions

.

1. R

emem

ber a

vio

lent

eve

nt th

at w

as tr

aum

atic

for y

ou o

r som

eone

you

love

d. A

s yo

u re

mem

ber,

try

to: a.

D

escr

ibe

whe

re y

ou w

ere,

who

you

wer

e w

ith, a

nd w

hat y

ou r

emem

ber s

eein

g,

hear

ing,

sm

ellin

g, to

uchi

ng, o

r doi

ng in

you

r im

med

iate

reac

tion

to th

e tra

uma.

b.

Des

crib

e wha

t hap

pene

d im

med

iate

ly fo

llow

ing

the

traum

atic

eve

nt a

nd y

our

reac

tions

and

thou

ghts

.

c.

Dev

elop

a c

hron

olog

y of

wha

t hap

pene

d an

d de

scri

be a

ny p

artic

ular

ly p

ower

ful

mem

orie

s and

the

impa

ct o

f tho

se e

vent

s.

d.

Des

crib

e w

hat h

as h

appe

ned

sinc

e th

e tr

aum

a an

d ho

w th

ose

even

ts h

ave

affe

cted

yo

ur li

fe to

day.

2.

As

you

thin

k or

talk

abo

ut y

our m

emor

ies,

ask

your

self

how

thos

e m

emor

ies

rela

te to

w

hat i

s kn

own

as a

com

mon

pat

tern

oft

raum

a re

actio

ns.

a.

Shoc

k an

d disbeli~

f-D

id y

ou im

med

iate

ly u

nder

stan

d w

hat h

ad h

appe

ned?

Did

yo

ur s

ense

oft

ime

chan

ge; e

.g.,

did

thin

gs s

eem

to h

appe

n sl

owly

or v

ery

quic

kly?

b.

A n

ger-

Wer

e yo

u an

gry

at w

hat h

appe

ned,

who

did

it, p

eopl

e w

ho c

ame

to h

elp

you,

or o

ther

s? c.

F

ear-

Wer

e yo

u fr

ight

ened

? D

id y

ou fe

ar fo

r you

r lif

e or

the

lives

of o

ther

s?

Was

ther

e a

part

icul

ar p

oint

in ti

me

whe

n yo

u w

ere

mos

t fea

rful

? W

as th

ere

a pa

rtic

ular

poi

nt in

tim

e w

hen

you

belie

ved

you

wer

e sa

fe a

gain

?

d.

Con

fusi

on o

rfru

stra

tion

-D

id y

ou b

ecom

e co

nfus

ed a

bout

wha

t to

do?

Was

th

ere

a pe

riod

oft

ime

that

wen

t by

whe

n yo

u di

dn't

know

wha

t had

hap

pene

d, h

ow it

had

hap

pene

d or

w

hy it

had

hap

pene

d?

16

e.

Gui

lt or

self-

blam

e -

Was

ther

e ev

er a

tim

e w

hen

you

thou

ght t

hat s

omet

hing

you

ha

d do

ne o

r had

n't d

one

had

cont

ribu

ted

to th

e tr

aum

atic

eve

nt?

Did

you

eve

r wor

ry th

at y

ou h

ad

surv

ived

or b

een

less

inju

red

than

som

eone

els

e?

£ S

ha

me-D

id y

ou e

ver t

hink

that

som

ehow

the

even

t mad

e yo

u a

bad

or u

ndes

ir­

able

per

son?

Did

you

eve

r thi

nk th

at so

meo

ne e

lse

wou

ld th

ink

less

of y

ou fo

r bei

ng tr

aum

atiz

ed?

g.

Gri

ef-

Wer

e yo

u ve

ry s

ad a

bout

wha

t hap

pene

d?

Wer

e yo

u un

happ

y an

d so

rrow

ful b

ecau

se o

f wha

t you

lost

?

3.

Des

crib

eway

s th

at h

elpe

d yo

u ge

t thr

ough

eve

ryda

y lif

e.

4.

Des

crib

e th

ings

you

did

or t

houg

hts

you

had

that

hel

ped

you

to b

egin

to h

elp

othe

rs

agam

.

5.

Jden

t(1Y

thou

ghts

, rea

ctio

ns, o

r fee

lings

abo

ut th

e tr

aum

a th

at b

othe

r you

now

.

a.

Are

ther

e si

tuat

ions

that

you

avo

id o

r abo

ut w

hich

you

hav

e an

xiet

y be

caus

e th

ey

rem

ind

you

of t

he tr

aum

a?

b.

Are

ther

e pe

ople

who

m y

ou a

void

or a

bout

who

m y

ou h

ave

anxi

ety

beca

use

they

re

min

d yo

u o

f the

trau

ma?

c.

Are

ther

e tim

es w

hen

the

mem

orie

s of

the

even

t are

par

ticul

arly

dif

ficu

lt to

live

with

?

6.

Des

crib

e ho

w th

e tr

aum

a af

fect

s yo

u to

day.

7.

Des

crib

e ho

w th

e tr

aum

a af

fect

s yo

ur v

iew

of t

he fu

ture

.

C.

Alp

habe

t o

f Pos

itiv

e C

areg

iver

Att

ribu

tes

for

Wor

king

Wit

h G

riev

ing

Chi

ldre

n

The

follo

win

g lis

t of c

areg

iver

attr

ibut

es a

nd s

kills

is p

rese

nted

alp

habe

tical

ly to

hel

p ca

regi

vers

re

mem

ber c

ritic

al e

lem

ents

of s

uppo

rtive

cou

nsel

ing

for c

hild

ren.

• A

-A

dvoc

acy

-

• B

-B

elie

f-

The

will

ingn

ess

to a

dvoc

ate

on b

ehal

f oft

he b

est i

nter

est o

f the

ch

ildre

n th

roug

hout

thei

r tra

uma

and

grie

f.

The

will

ingn

ess

to b

elie

ve w

hat c

hild

ren

say

and

thin

k.

• C

-C

omm

unic

atio

n -T

he sk

ills t

o co

mm

unic

ate

with

chi

ldre

n th

roug

h ex

pres

sive

and

ve

rbal

tech

niqu

es in

lang

uage

app

ropr

iate

to th

eir a

ges.

• D

-D

esir

e-T

he d

esire

to le

arn

from

the

child

ren

and

thei

r exp

erie

nces

and

pe

rcep

tions

.

17

• E

-E

mpa

thy

-

• F

-F

eedb

ack

-

• G

-G

uida

nce

-

• H

-H

ones

ty -

• I

-Im

agin

atio

n -

• J

-Ju

dgm

ent -

• K

-K

now

ledg

e -

• L

-L

augh

ter-

• M

-M

emor

y-

The

abi

lity

to re

cogn

ize

and

sym

path

ize

with

feel

ings

of

child

ren.

The

abi

lity

resp

ond

to c

hild

ren

with

val

idat

ing

reas

sura

nce.

The

abi

lity

to g

uide

chi

ldre

n as

they

cla

rifY

thei

r tho

ught

s an

d co

ncer

ns.

The

com

mitm

ent t

o an

swer

the

ques

tions

of c

hi ld

ren

as

hone

stly

and

fact

ually

as

poss

ible

and

nev

er to

mak

e pr

omis

es th

at c

an't

be k

ept.

The

abi

lity

to jo

in in

the

fant

asy

and

play

of c

hild

ren.

The

abi

lity

to m

ake

good

com

mon

sen

se d

ecis

ions

and

to

judi

ciou

sly

solv

e pr

oble

ms t

hat c

hild

ren

may

face

.

The

det

erm

inat

ion

to s

eek

new

kno

wle

dge

and

info

rmat

ion

abou

t chi

ldho

od tr

aum

a an

d gr

ief.

The

cap

acity

to e

xpre

ss a

sen

se o

f hum

or a

nd jo

in in

the

laug

hter

of c

hild

ren.

The

abi

lity

to r

emem

ber o

ne's

ow

n ch

ildho

od, t

raum

as, a

nd

grie

fs in

ord

er to

bet

ter u

nder

stan

d th

e re

actio

ns o

f chi

ldre

n.

• N

-N

on-j

udgm

enta

l-T

he a

bilit

y to

put

bia

ses,

pre

judi

ces,

and

per

sona

l val

ues

asid

e in

ord

er to

sup

port

chi

ldre

n an

d th

eir f

amili

es.

• 0

-O

rgan

izat

ion

-

• P

-Pa

tienc

e -

• Q

-Q

uiet

-

• R

-R

elia

ble

-

• S

-S

ecur

e-

• T

-T

houg

htfu

l-

The

abi

lity

to p

rovi

de c

hild

ren

with

org

aniz

ed ro

utin

es a

nd

stru

ctur

es to

hel

p th

em s

tabi

lize

thei

r wor

ld.

The

cap

acity

to b

e pa

tient

as c

hild

ren

tend

to g

riev

e sp

orad

ical

ly.

The

will

ingn

ess

to u

se s

ilenc

e as

a m

etho

d o

f com

mun

icat

ion

and

to li

sten

qui

etly

and

atte

ntiv

ely.

The

com

mitm

ent t

o be

ing

on ti

me

and

true

to y

our w

ord

to h

elp

child

ren

rebu

ild th

eir a

bilit

y to

trus

t.

To

have

sel

f-es

teem

and

a p

erso

nal s

ense

of s

ecur

ity in

ord

er to

co

nvey

safe

ty a

nd s

ecur

ity to

chi

ldre

n.

The

will

ingn

ess

to th

ink

thro

ugh

new

situ

atio

ns a

nd p

robl

ems

with

a c

hild

-cen

tere

d ph

iloso

phy.

18

• U

-U

nder

stan

ding

-

• V

-V

alue

s-

• W

-W

atch

ful-

·x-

xxx-

• y

-Y

outh

ful-

• Z

-Z

est-

The

cap

acity

to lo

ok a

t thi

ngs

and

unde

rsta

nd th

em b

oth

in a

br

oad

cont

ext a

s w

ell a

s in

the

narr

ow p

ersp

ectiv

e o

f the

m

omen

t.

A c

lear

kno

wle

dge

of o

ne's

ow

n pu

rpos

e in

life

and

the

cons

eque

nt v

alue

s be

hind

one

's w

ork.

The

abi

lity

to b

e at

tent

ive

to th

e ne

eds

and

reac

tions

of

child

ren.

The

abi

lity

to k

now

whe

n ch

ildre

n ne

ed p

hysi

cal c

omfo

rt (h

ugs

and

kiss

es) a

nd b

eing

com

fort

able

with

reac

hing

out

to c

hild

ren

phys

ical

ly (a

nd k

now

ing

prop

er b

ound

arie

s in

pro

vidi

ng p

hysi

cal

com

fort)

.

The

mai

nten

ance

of y

outh

ful a

ttitu

des a

nd b

ehav

iors

in re

spon

se

to s

ugge

stio

ns a

nd th

ough

ts o

f chi

ldre

n.

A c

apac

ity

for

expe

rien

cing

the

zest

ofH

fe w

ith

its

joys

an

d

sorr

ows

and

mos

t of a

ll it

s ho

pe!

19

IV. T

he

Gri

evin

g C

hil

d

Tra

uma

over

whe

lms

a pe

rson

's se

nse

of c

ontr

ol, c

onne

ctio

n an

d m

eani

ng in

life

. It

caus

es a

n in

divi

dual

to e

xper

ienc

e fe

ar, h

elpl

essn

ess

and

isol

atio

n. F

or th

is re

ason

, any

dea

th m

ay b

e tr

aum

atic

for

a ch

ild.

The

dea

th o

f an

elde

rly

gran

dfat

her w

ho w

as th

e so

urce

of n

urtu

ring

, car

egiv

ing,

and

pro

tect

ion

may

be

a tr

aum

atic

eve

nt a

nd so

urce

of g

rief

for a

gra

ndch

ild w

hile

it m

ay b

e an

exp

ecte

d m

omen

t of

sorr

ow in

the

chil

d's

pare

nt's

life

. V

iole

nt d

eath

is e

xper

ienc

ed a

s a d

oubl

e tr

aum

a. T

here

is th

e tr

aum

a o

f dea

th a

nd th

ere

is th

e vi

olen

t tra

uma

that

cau

sed

the

deat

h.

Thi

s se

ctio

n ex

plor

es th

e ty

pica

l dev

elop

men

tal s

tage

s o

f chi

ldre

n an

d th

eir r

eact

ions

to tr

aum

a,

and

conc

lude

s w

ith a

look

at h

ow tr

aum

a re

actio

ns a

re r

elat

ed to

gri

ef re

actio

ns.

A. D

evel

opm

ent S

tage

s A

ffec

t the

Tra

uma

and

Gri

ef

Rea

ctio

ns

of C

hild

ren

Rea

ctio

ns te

nd to

mir

ror g

row

th s

tage

s an

d fo

cus

on th

e le

vel a

nd n

atur

e o

f the

pri

mar

y ne

eds

at th

e tim

e o

f the

trau

ma

as w

ell a

s th

e ab

ility

to a

bsor

b in

form

atio

n an

d re

mem

ber.

Chi

ldre

n ne

ed to

pro

cess

thei

r tra

umas

and

gri

efth

roug

h ea

ch d

evel

opm

enta

l sta

ge.

Ifth

e tr

aum

a an

d gr

ief

inhi

bit,

dela

y, o

r cau

se a

chi

ld to

"sk

ip"

a de

velo

pmen

tal s

tage

, the

re w

ill b

e a

need

to g

o ba

ck a

nd

revi

sit t

hat s

tage

in li

ght o

f the

trau

mat

ic g

rief.

Chi

ldre

n al

so p

roce

ss th

eir g

rief

mor

e sl

owly

than

adu

lts.

Thi

s m

ay b

e du

e to

sev

eral

asp

ects

re

latin

g to

thei

r rea

ctio

ns to

dea

th.

Chi

ldre

n do

not

fully

gra

sp th

e pe

rman

ence

of d

eath

. C

hild

ren

are

unab

le to

sus

tain

con

scio

us s

adne

ss fo

r lon

g pe

riod

s oft

ime.

Chi

ldre

n do

not

usu

ally

den

y th

e tr

aum

a o

f de

ath

but t

hey

may

den

y th

e re

ality

oft

he d

eath

. Fu

rther

, the

y do

not

hav

e an

alte

rnat

ive

real

ity th

at

assu

res

them

oft

he p

ossi

bilit

y o

f fin

ding

new

rela

tions

hips

to re

ly u

pon.

Chi

ldre

n m

ay b

ecom

e "s

tuck

" in

one

pha

se o

f the

mou

rnin

g pr

oces

s fo

r mon

ths

or y

ears

at a

tim

e.

Den

ial o

f dea

th's

per

man

ence

may

resu

lt in

dre

ams,

day

drea

ms

and

nigh

tmar

es o

fthe

de­

ceas

ed, w

aitin

g fo

r the

dec

ease

d's

retu

rn, v

isio

ns o

f reu

nifi

catio

n w

ith th

e de

ceas

ed, b

elie

fin

rein

carn

a­tio

ns a

nd p

aran

orm

al b

ehav

iors

(eve

nts t

hat c

anno

t be

expl

aine

d ra

tiona

lly o

r log

ical

ly).

Ang

er a

nd

prot

est a

t dea

th is

oft

en d

ispl

aced

on

pare

nts,

pee

rs, o

r adu

lts in

aut

hori

ty.

Pare

nts

who

hav

e "f

aile

d to

pro

tect

" ch

ildre

n or

are

per

ceiv

ed to

hav

e be

en n

eglig

ent i

n th

eir d

utie

s m

ay b

e th

e ta

rget

s fo

r rag

e. T

hey

may

als

o be

com

e th

e fo

cus

of a

nger

whe

n th

ey fa

il to

exh

ibit

open

gri

efbe

caus

e ch

ildre

n so

met

imes

thin

k th

at s

uch

failu

re m

eans

that

the

pare

nts

didn

't ca

re a

bout

the

deat

h. C

hild

ren

ofte

n m

anif

est t

heir

ang

er a

t sch

ool o

r in

the

neig

hbor

hood

bec

ause

par

ents

see

m to

o bu

sy to

take

no

tice.

Des

pair

may

be

man

ifes

ted

thro

ugh

extr

aord

inar

y se

lf-b

lam

e an

d bT

Uilt b

y ch

ildre

n ov

er th

e de

ath.

Som

ethi

ng th

ey d

id c

ause

d so

meo

ne e

lse

to d

ie-e

ven

ifth

e su

ppos

ed c

ause

is r

oote

d in

ev

eryd

ay b

ehav

iors

or c

hild

hood

thou

ghts

. D

espa

ir c

an a

lso

be a

con

sequ

ence

of e

mot

iona

l num

bing

su

ch th

at th

e ch

ild s

ees

no re

ason

to li

ve w

hen

life

has

no jo

y or

mea

ning

.

21

Eve

ntua

l res

olut

ion

of g

rief

in c

hild

ren

is o

ften

impe

ded

beca

use

they

do

not k

now

how

to th

ink

abou

t or p

lan

for a

futu

re.

The

y do

not

kno

w h

ow to

dev

elop

new

rel

atio

nshi

ps a

nd e

stab

lish

conn

ec­

tions

with

oth

ers.

B. C

hil

dh

ood

Dev

elop

men

tal S

tage

s

1. I

nfan

ts a

nd T

oddl

ers

(Age

s 0-

2)

• In

fant

s ha

ve li

mite

d ve

rbal

cap

acity

to e

xpre

ss th

eir n

eeds

or e

mot

ions

. H

owev

er,

they

exh

ibit

sign

ific

ant p

hysi

cal d

istr

ess

if da

ily n

eeds

are

not

met

. T

hey

also

reta

in p

hysi

cal m

emor

ies o

f tr

aum

atic

eve

nts

even

thou

gh th

ey m

ay n

ever

be

able

to a

rtic

ulat

e th

ese

mem

orie

s or

retr

ieve

cle

ar

imag

es o

fthe

eve

nts.

A p

hysi

cal m

emor

y (o

r "im

prin

t") o

ccur

s w

hen

the

body

reca

lls s

enso

ry p

erce

p­tio

ns o

ftra

umat

ic e

vent

s. M

uch

late

r, un

expl

aine

d ph

ysic

al p

ains

can

occ

ur th

at a

re r

elat

ed to

thes

e ph

ysic

al m

emor

ies.

• In

fant

s in

itial

ly e

xper

ienc

e th

eir m

othe

rs a

s ex

tens

ions

oft

hem

selv

es w

ith n

o cl

ear

dist

inct

ion

betw

een

self

and

othe

r. A

s th

ey g

row

old

er, t

hey

may

bec

ome

mor

e aw

are

of d

iffe

rent

iatio

n bu

t the

y st

ill s

ee th

eir p

rim

ary

care

take

rs a

s ex

istin

g so

lely

to m

eet t

heir

nee

ds.

• In

fant

s la

ck a

sens

e o

f obj

ect p

erm

anen

ce u

ntil

arou

nd o

ne y

ear o

f age

. W

hen

peop

le le

ave

the

imm

edia

te p

rese

nce

of i

nfan

ts, i

nfan

ts fe

ar th

at th

ey a

re g

one

fore

ver.

As

infa

nts g

row

to

two

year

s ol

d th

ey b

egin

to e

xplo

re th

eir o

wn

inde

pend

ence

and

aut

onom

y. H

owev

er, t

hey

need

co

nsta

nt re

assu

ranc

e th

at th

eir a

dult

care

give

rs w

ill b

e av

aila

ble

whe

n ne

eded

.

• D

eath

of a

par

ent i

s exp

erie

nced

as

a cr

itica

l los

s an

d le

aves

an

infa

nt fe

arfu

l and

an

xiou

s. I

t may

als

o be

exp

erie

nced

as

abse

nce

-th

e de

ath

is d

efin

ed n

ot b

y th

e ex

iste

nce

of a

par

ent

who

is n

ow g

one

but b

y th

e no

nexi

sten

ce o

f a p

aren

t who

sho

uld

be th

ere.

Dea

ths o

f sig

nifi

cant

oth

ers

may

als

o be

exp

erie

nced

as

loss

ifth

e ch

ild re

tain

s a

sens

ory

or e

mot

iona

l mem

ory

of t

hat p

erso

n's

pres

ence

. If

the

infa

nt o

r tod

dler

is e

xpos

ed to

the

trau

mat

ic e

vent

that

cau

sed

deat

h, th

e ex

posu

re m

ay

leav

e th

e ch

ild n

umb

and

mut

ed.

It m

ay im

pede

the

initi

al g

row

th o

f aut

onom

y an

d in

depe

nden

t fun

c­tio

ning

.

• T

he c

hild

will

hav

e lit

tle c

onsc

ious

und

erst

andi

ng o

fthe

loss

or t

raum

a, b

ut a

s th

e ch

ild g

row

s ol

der m

ay p

ut w

ords

to th

e ev

ent a

s th

ey s

eek

to u

nder

stan

d th

eir i

mpr

essi

ons.

2. P

re-S

choo

l (A

ges

2 to

6)

• C

hild

ren

usua

lly b

ecom

e ve

rbal

bet

wee

n tw

o an

d fo

ur.

Pres

choo

l chi

ldre

n of

ten

talk

wel

l. T

hey

can

tell

abou

t wha

t the

y ea

t and

toys

they

pla

y w

ith, b

ut d

o no

t und

erst

and

less

tang

ible

co

ncep

ts.

Dea

th m

ay b

e th

ough

t of a

s a

diff

eren

t sta

te b

ut n

ot p

erm

anen

t. C

hild

ren

ofte

n be

lieve

in a

nd

expe

rien

ce v

isita

tions

from

the

dead

per

son

thro

ugh

ghos

ts, s

piri

ts o

r rei

ncar

natio

ns.

• T

hey

may

not

be

able

to d

iscu

ss e

vent

s or

inci

dent

s in

term

s o

f tim

e an

d sp

ace,

be

caus

e th

eir u

nder

stan

ding

of t

hose

con

cept

s ar

e re

late

d on

ly to

con

cret

e or

per

sona

l con

cern

s. I

f ch

ildre

n ar

e as

ked

whe

n so

met

hing

hap

pene

d -

in te

rms

of a

mon

th, d

ay, o

r yea

r, th

ey m

ay n

ot b

e ab

le

22

to a

nsw

er.

But

ifth

ey a

re a

sked

whe

ther

an

even

t hap

pene

d be

fore

or a

fter

thei

r bir

thda

ys, s

peci

fic

holid

ays,

the

begi

nnin

g o

f sch

ool o

r oth

er si

gnif

ican

t eve

nts,

they

are

like

ly to

pro

vide

a re

ason

able

re

spon

se.

• T

he fo

cus

for c

hild

ren

ofth

is a

ge is

on

thei

r im

med

iate

life

. N

ones

sent

ial d

etai

ls, f

or

them

, are

oft

en fo

rgot

ten

or p

erha

ps in

tegr

ated

with

thei

r ow

n pe

rcep

tion

of i

mpo

rtan

t eve

nts.

• C

hild

ren

at th

is a

ge a

re a

ctiv

ely

enga

ged

in d

isco

veri

ng a

larg

er w

orld

than

the

hom

e or

the

imm

edia

te fa

mily

. T

his

role

of d

isco

vere

r is

need

ed to

ach

ieve

gre

ater

inde

petid

ence

in p

hysi

cal

abili

ties a

nd re

latio

nshi

ps, b

ut it

is q

uite

cha

lleng

ing.

Chi

ldre

n m

ust l

earn

that

they

can

trus

t the

ir e

nvir

on­

men

t and

thei

r rel

atio

nshi

ps to

sta

y so

mew

hat s

tabl

e if

they

are

goin

g to

ven

ture

into

new

wor

lds.

T

raum

a an

d lo

ss in

terf

ere

with

the

deve

lopm

ent o

f an

unde

rsta

ndin

g of

trus

t and

sec

urity

.

• T

he m

ost c

omm

on c

omm

unic

atio

n de

vice

for t

he p

resc

hool

chi

ld is

pla

y. P

layi

ng

rem

ains

a k

ey fo

rm o

f com

mun

icat

ion

for o

lder

chi

ldre

n as

wel

l. It

is a

nont

hrea

teni

ng la

ngua

ge w

hich

ca

n m

ask

dire

ct c

onfr

onta

tion

with

non

thre

aten

ing

issu

es.

But

whi

le p

layi

ng is

an

impo

rtan

t mod

e o

f co

mm

unic

atio

n fo

r all

child

ren,

it is

ext

raor

dina

rily

impo

rtan

t in

pre-

scho

oler

s. T

heir,

verb

al a

bilit

y ca

n be

goo

d, b

ut th

eir s

ecur

ity re

mai

ns m

ore

inta

ct th

roug

h "a

ctin

g-ou

t" th

an th

roug

h la

ngua

ge.

• Fa

ntas

y is

an

inte

gral

par

t of p

lay.

It s

erve

s a

usef

ul p

urpo

se in

pro

vidi

ng c

hild

ren

with

an

outle

t for

thei

r fea

rs, h

opes

and

dre

ams.

Fan

tasy

invo

lves

mag

ical

thin

king

and

viv

id im

agin

ings

bu

t suc

h th

ough

ts a

re g

roun

ded

in o

bser

ved

real

ity.

Lac

k o

f con

cept

ual d

evel

opm

ent m

eans

that

you

ng

child

ren

can'

t ext

rapo

late

wel

l fro

m c

oncr

ete

to a

bstr

act t

houg

ht.

Hen

ce, m

any

ofth

eir f

anta

sies

invo

lve

mim

icry

, ant

hrop

omor

phis

ms,

and

var

iatio

ns o

n pe

rcei

ved

real

ity.

• T

hey

may

als

o be

lieve

that

wha

t the

y th

ink

abou

t som

ethi

ng c

an c

ause

it to

hap

pen.

Su

ch e

goce

ntri

c th

ough

ts m

ay c

ause

you

ng c

hild

ren

to b

elie

ve th

at s

omet

hing

they

did

or s

aid

caus

ed

the

deat

h o

f a lo

ve o

ne.

Chi

ldre

n m

ay u

se m

agic

al th

inki

ng to

con

stru

ct a

ltern

ativ

e re

aliti

es w

hen

the

wor

ld a

roun

d th

em is

pai

nful

. M

ost c

an d

istin

guis

h co

ncre

te fa

ct fr

om f

anta

sy b

ut m

ay h

ave

mor

e di

ffic

ulty

und

erst

andi

ng re

al v

ersu

s im

agin

ary

caus

es fo

r eve

nt.

In to

day'

s w

orld

, som

etim

es th

ey m

ay

beco

me

conf

used

with

wha

t is "

real

" on

tele

visi

on a

nd w

hat i

s re

al li

fe.

3. S

choo

l-A

ge C

hild

ren

(Age

s 6-

10)

• Sc

hool

-age

is m

arke

d by

rapi

d co

gniti

ve a

nd c

ompe

tenc

y de

velo

pmen

t. C

hild

ren

tend

to b

e ab

le to

form

ulat

e an

d ar

ticul

ate

conc

epts

, as

wel

l as

unde

rsta

nd m

ultid

imen

sion

al id

eas,

eve

n th

ough

they

may

not

be

able

to in

depe

nden

tly id

entif

Y s

uch

dim

ensi

ons.

For

exa

mpl

e, th

ey u

sual

ly h

ave

been

exp

osed

to d

eath

and

hav

e th

ough

ts a

bout

it, b

ut m

ay s

till t

hink

of i

t as

reve

rsib

le.

Dea

th m

ay b

e ex

tern

aliz

ed in

con

cret

e fe

ars

and

imag

es o

f mon

ster

s, s

cary

ani

mal

s or p

eopl

e, o

r ani

mat

ed in

anim

ate

obje

cts.

The

ir th

ough

ts a

lso

may

be

shap

ed b

y m

ispe

rcep

tions

and

myt

hs o

verh

eard

from

oth

ers

or

seen

in th

e m

edia

. • C

hild

ren

beco

me

less

ego

cent

ric

and

deve

lop

an a

bilit

y to

see

thin

gs fr

om a

noth

er

pers

on's

per

spec

tive.

How

ever

, thi

s ab

ility

may

incr

ease

con

flic

ted

feel

ings

abo

ut a

noth

er p

erso

n's

deat

h. T

he d

eath

of a

sib

ling

may

cau

se a

chi

ld to

fear

his

or h

er o

wn

mor

talit

y, fe

el b

ad b

ecau

se th

e si

blin

g is

gone

, fee

l ang

ry w

ith p

aren

ts fo

r the

ir p

reoc

cupa

tion

with

gri

evin

g to

the

excl

usio

n of

the

surv

ivin

g ch

ild, o

r fee

l gui

lty a

bout

wis

hing

the

sibl

ing

dead

at s

ome

time.

.,>

23

• Sc

hool

-age

chi

ldre

n re

late

muc

h be

tter t

o tim

e an

d sp

ace.

In

par

t thi

s oc

curs

be

caus

e th

ey b

egin

to d

evel

op re

latio

nshi

ps w

ith o

ther

peo

ple

and

thin

gs o

utsi

de o

fthe

ir o

wn

hom

e.

The

fact

that

they

mus

t be

at s

choo

l at c

erta

in ti

mes

and

day

s gi

ves

them

a m

ore

prec

ise

fram

e o

f re

fere

nce.

Wee

kday

s no

w b

ecom

e di

stin

guis

habl

e fr

om w

eeke

nds.

• C

hild

ren

beco

me

incr

easi

ngly

abl

e to

sus

tain

em

otio

nal a

ffec

t but

may

find

it d

iffic

ult

to to

lera

te th

e pa

in o

f gri

effo

r any

leng

th o

ftim

e. A

dults

may

vie

w c

hild

ren'

s nat

ural

nee

d to

spo

radi

­ca

lly d

ista

nce

them

selv

es fr

om s

adne

ss a

s an

abs

ence

of g

rief

Chi

ldre

n ra

rely

for

get t

heir

sorr

ow b

ut

visi

t and

revi

sit i

n sh

ort,

inte

nse

peri

ods

of t

ime

punc

tuat

ed b

y a

dete

rmin

atio

n to

dis

trac

t the

mse

lves

w

ith o

ther

thin

gs. •

As

child

ren

grow

old

er th

ey o

ften

bec

ome

mor

e co

nsci

ous

of r

ight

and

wro

ng.

Thi

ngs

seem

to b

e bl

ack

or w

hite

. T

here

is li

ttle

room

in th

eir t

houg

hts

for t

he g

rays

. If

they

thin

k th

at

they

did

som

ethi

ng w

rong

, gui

lt m

ay b

e ov

erw

helm

ing.

I ft

hey

thin

k th

at o

ther

s ha

ve d

one

som

ethi

ng

wro

ng, a

nger

and

bla

me

char

acte

rize

thei

r atti

tude

s to

war

d th

ose

pers

ons.

• Pl

ay is

an

impo

rtan

t par

t of c

omm

unic

atio

n fo

r sch

ool-

age

child

ren;

how

ever

, the

y ne

ed to

be

able

to e

xpla

in th

e pu

rpos

e of

thei

r pla

yas

they

bec

ome

mor

e ve

rbal

. Sc

hool

-age

chi

ldre

n of

ten

crea

te "

savi

or"

endi

ngs

whe

n th

ey re

tell

stor

ies

of t

raum

a in

an

effo

rt to

ree

stab

lish

a se

nse

of

safe

ty a

nd m

aste

ry o

ver a

n ev

ent.

As

they

gro

w o

lder

, the

y m

ay b

ecom

e m

ore

inte

rest

ed in

gam

es o

r pl

ay th

at is

gov

erne

d by

rule

s an

d co

nven

tions

. T

his

is a

par

t oft

heir

dev

elop

men

tal e

ffor

ts to

inte

rnal

ize

cont

rol a

nd b

ecom

e in

crea

sing

ly in

depe

nden

t fro

m a

dults

.

4. E

arly

Ado

lesc

ence

(10

-13

for

girl

s, 1

2-15

for

boy

s)

• T

his

stag

e o

f dev

elop

men

t may

wel

l be

one

ofth

e m

ost a

wkw

ard

and

diff

icul

t for

m

ost c

hild

ren.

The

abr

uptn

ess o

f phy

sica

l cha

nge

alon

g w

ith th

e re

late

d em

otio

nal u

phea

vals

that

ac

com

pany

incr

easi

ng n

eeds

for

inde

pend

ence

and

gre

ater

feel

ings

of i

nsec

urity

are

maj

or so

urce

s o

f st

ress

to c

hild

ren.

Mor

e ch

ildre

n in

this

age

gro

up ta

lk a

bout

str

ess-

rela

ted

sym

ptom

s: n

ause

a, h

ead­

ache

s, s

leep

dis

turb

ance

s, fr

eque

nt c

ryin

g sp

ells

, and

so

on.

• Pr

eado

lesc

ence

and

ado

lesc

ence

bri

ngs

with

it a

sol

id c

once

pt o

f dea

th. B

ut su

dden

de

ath

may

und

erm

ine

an e

mer

ging

sens

e o

f aut

onom

y at

the

sam

e tim

e as

it m

ay p

rope

l chi

ldre

n in

to

earl

y ad

ulth

ood.

Dea

th is

not

equ

ated

with

imag

inar

y m

onst

ers

or in

carn

atio

ns b

ut ra

ther

is p

erce

ived

as

a bi

olog

ical

pro

cess

. Fe

ars

abou

t dea

th m

ay f

ocus

on

the

dyin

g pr

oces

s an

d th

e co

nseq

uenc

es o

fthe

de

ath

for t

he li

ving

.

• T

he e

mot

iona

l rol

ler-

coas

ter t

hat a

chi

ld d

eals

with

at t

his

age

is m

anif

este

d in

wid

e m

ood

swin

gs.

The

ir o

wn

iden

tity

is n

ot c

lear

ly e

stab

lishe

d an

d th

eir s

elf-

este

em is

sha

ky.

Bra

vado

and

ag

gres

sive

beh

avio

rs m

ay b

e us

ed to

dis

guis

e th

eir v

ulne

rabi

litie

s.

• In

ear

ly a

dole

scen

ce, c

hild

ren

beco

me

mor

e pr

eocc

upie

d w

ith p

eer r

elat

ions

hips

an

d be

gin

to d

istr

ust a

dult

inte

rpre

tatio

ns o

fthe

wor

ld.

• T

here

is a

tend

ency

to in

vest

em

otio

nal i

nten

sity

in a

ll ph

ases

oft

heir

live

s. E

vent

s ar

e of

ten

perc

eive

d sy

mbo

lical

ly.

Incr

ease

d ab

ilitie

s to

und

erst

and

abst

ract

ions

may

resu

lt in

intr

ospe

c­tiv

e se

arch

es fo

r the

mea

ning

ofl

ife

and

deat

h.

24

• •

• Id

eals

and

com

mitm

ents

are

vie

wed

as

a sa

cred

trus

t. B

etra

yal o

f pro

mis

es, v

ows,

or

rela

tions

hips

is ra

rely

tole

rate

d ev

en w

hen

bein

g fa

ithfu

l to

them

may

be

hann

ful t

o th

e ch

ildre

n w

ho

hold

them

.

• W

ords

mea

n a

grea

t dea

l to

the

prea

dole

scen

t and

the

adol

esce

nt c

hild

. St

orie

s,

play

s, p

oetr

y, a

nd m

usic

lyri

cs o

ften

ser

ve a

s a

basi

s fo

r ex

pre

ssio

n-b

oth

thos

e w

ritte

n by

oth

ers

and

thos

e cr

eate

d by

the

child

.

5. A

dole

scen

ce (

13-1

8)

• N

orm

ally

, ado

lesc

ence

tend

s to

incr

ease

the

emot

iona

l uph

eava

l of p

read

oles

cenc

e.

Thi

s adj

ustm

ent p

erio

d se

ems

desi

gned

bio

logi

cally

to h

elp

us m

ove

to a

dulth

ood;

how

ever

, the

wor

ld is

so

com

plex

that

suc

h gr

owth

stil

l may

see

m to

com

e to

o fa

st.

Chi

ldre

n of

ten

wan

t ind

epen

denc

e bu

t in

real

ity a

re u

nabl

e to

wor

k w

ithin

suc

h in

depe

nden

ce a

nd h

ence

may

sim

ulta

neou

sly

wan

t mor

e gu

idan

ce

and

stru

ctur

e in

thei

r liv

es.

Thi

s m

ay b

e pa

rtic

ular

ly tr

ue i

f the

chi

ld h

as b

een

abus

ed a

nd fe

els

out o

f co

ntro

l.

• T

heir

beh

avio

r ten

ds to

see

m in

cons

iste

nt.

Ado

lesc

ents

oft

en lo

ve a

nd h

ate

the

sam

e pe

rson

at t

he s

ame

mom

ent.

Ang

er m

ay m

anif

est i

tsel

f as

rage

, and

sor

row

may

bec

ome

suic

idal

. A

s a

coro

llary

to th

eir n

eed

for

inde

pend

ence

they

oft

en h

ave

a gr

eat n

eed

for p

riva

cy a

nd h

ence

be

com

e ve

ry s

ecre

tive.

Con

fide

nces

may

be

offe

red

spor

adic

ally

and

may

be

pepp

ered

with

unt

ruth

ful­

ness

whe

n sh

ared

with

adu

lts.

• T

he im

med

iacy

of d

eath

whe

n it

affe

cts

teen

ager

s is

in s

tark

con

tras

t to

thei

r des

ire

to s

ee d

eath

as

a pa

rt o

f a fa

r dis

tant

futu

re.

Som

etim

es th

eir a

ctiv

ities

cen

ter a

roun

d pr

ovin

g th

em­

selv

es m

ore

pow

erfu

l tha

n de

ath.

Inv

olve

men

t in

risk

-tak

ing

activ

ities

may

be

exac

erba

ted

by th

e lo

ss

of r

isk-

inhi

bitio

ns d

ue to

trau

mat

izat

ion.

• T

hey

ofte

n ex

pres

s th

emse

lves

by

actin

g ou

t and

thro

ugh

expe

rim

entin

g w

ith n

ew

beha

vior

s. V

iole

nce

may

be

used

as

an e

xpre

ssio

n o

f man

hood

by

som

e yo

ung

mal

es.

Subs

tanc

e us

e an

d vi

olat

ion

ofth

e la

w m

ay b

e pe

rcei

ved

as a

stat

emen

t aga

inst

adu

lt st

anda

rds

or a

s ad

mis

sion

to th

e ad

ult w

orld

.

• M

ost a

dole

scen

ts a

re c

reat

ive

and

ener

getic

and

wan

t con

trol

ove

r how

thos

e en

ergi

es a

re c

hann

eled

. T

hey

are

likel

y to

que

stio

n ad

ult a

utho

rity

and

dec

isio

n-m

akin

g in

whi

ch th

ey

are

not a

ctiv

e pa

rtic

ipan

ts.

• T

heir

cre

ativ

ity in

crea

sing

ly is

man

ifes

ted

thro

ugh

thec

reat

ion

of t

heir

ow

n sy

mbo

ls,

activ

ities

and

wor

ds to

exp

ress

them

selv

es.

Slan

g, fa

shio

n fa

ds, d

ance

fads

and

alte

rnat

ive

mus

ic s

tyle

s ar

e al

l exa

mpl

es o

fthi

s ne

ed fo

r cre

ativ

e ex

pres

sion

.

25

C. C

hil

dre

n's

Rea

ctio

ns t

o T

raum

a at

An

y D

evel

opm

ent

Stag

e ar

e A

ffec

ted

by

the

Imp

act

of "

Par

ent L

oss"

1. A

ctu

al L

oss

ofP

aren

t(s)

A v

iole

nt, t

raum

atic

eve

nt m

ay c

ause

the

deat

h o

f a p

aren

t. C

hild

ren

then

mus

t cop

e w

ith th

e sh

ocko

fthe

eve

nt b

ut a

lso

with

the

sudd

en lo

ss o

f one

of t

he m

ost i

mpo

rtan

t peo

ple

in th

e w

orld

to th

em.

Pare

nts

are

norm

ally

the

sour

ce o

f nur

turi

ng, c

are,

and

sta

bilit

y. T

hey

are

the

focu

s o

f a

chil

d's

sens

e o

f sec

urity

and

pro

tect

thei

r chi

ldre

n fr

om h

arm

. If

a pa

rent

sud

denl

y di

es, t

he c

hild

is le

ft

feel

ing

scar

ed a

nd v

ulne

rabl

e. I

nfan

ts a

nd to

ddle

rs m

ay o

nly

rem

embe

r fle

etin

g im

ages

or f

eelin

gs

asso

ciat

ed w

ith th

e pa

rent

, but

they

may

exp

erie

nce

the

abse

nce

of a

fath

er o

r mot

her a

s a

loss

thro

ugh

adul

thoo

d. S

ome

olde

r chi

ldre

n m

ay re

gres

s to

infa

nt b

ehav

iors

in a

n ef

fort

to r

ecap

ture

the

time

whe

n th

ey fe

lt sa

fe.

How

ever

, man

y ol

der c

hild

ren

seem

to a

ccel

erat

e th

eir m

atur

atio

n pr

oces

s, ta

king

on

adul

t rol

es a

nd b

ehav

iors

.

Som

etim

es tr

aum

atic

eve

nts

sepa

rate

par

ents

from

thei

r chi

ldre

n or

cau

se th

em to

aba

ndon

a

child

. If

child

ren

can'

t und

erst

and

why

or h

ow th

e se

para

tion

occu

rred

, the

loss

of a

par

ent u

nder

suc

h ci

rcum

stan

ces

harm

s chi

ldre

n's a

bilit

ies

to tr

ust o

ther

s, a

nd a

lso

thei

r sel

f-es

teem

.

If a

pare

nt is

the

caus

e of

the

trau

ma,

thro

ugh

acci

dent

al o

r cri

min

al b

ehav

ior,

the

loss

of t

he

pare

nt m

ay b

e co

mpl

icat

ed b

y fe

elin

gs o

f alie

natio

n, b

etra

yal,

and

even

hat

e. R

age

may

bec

ome

a do

min

ant r

eact

ion

tow

ard

the

pare

nt a

s w

ell a

s ot

hers

that

the

child

vie

ws

as c

onsp

irat

ors

with

the

pare

nt.

Chi

ldre

n m

ay b

lam

e th

emse

lves

for t

heir

par

ent's

act

ions

and

car

ry a

bur

den

of g

uilt

into

ad

ulth

ood.

2. P

erce

ived

Los

s o

f Par

ent(

s)

Chi

ldre

n te

nd to

look

to s

igni

fica

nt a

dult

figur

es in

thei

r liv

es fo

r rea

ssur

ance

abo

ut th

eir

own

reac

tions

and

to le

arn

how

to g

riev

e. P

aren

ts a

nd te

ache

rs a

re n

atur

al m

odel

s o

f beh

avio

r. H

ow­

ever

, oft

en p

aren

ts a

nd o

ther

sig

nifi

cant

adu

lts in

a c

hild

's li

fe a

re u

nava

ilabl

e to

the

child

aft

er a

trau

­m

atic

eve

nt b

ecau

se p

aren

ts a

re s

o in

volv

ed w

ith o

ther

con

cern

s. T

hey

may

als

o be

per

ceiv

ed to

be

unav

aila

ble

beca

use

they

don

't un

ders

tand

chi

ldre

n's

reac

tions

, avo

id o

r den

y th

at s

uch

reac

tions

are

of

ten

inte

nse

and

com

plex

, or s

impl

y do

n't o

bser

ve th

e re

actio

ns.

Pare

nt lo

ss m

ay b

e ex

peri

ence

d w

hen

pare

nts

beco

me

cons

umed

with

thei

r ow

n lo

sses

or

reac

tions

to a

trau

ma.

It i

s of

ten

diff

icul

t to

cope

with

the

impa

ct o

f vio

lenc

e an

d to

off

er c

omfo

rt to

ch

ildre

n at

the

sam

e tim

e. S

ome

pare

nts m

ay e

ven

fall

into

beh

avio

rs in

whi

ch th

ey a

ssum

e a

child

like

role

whi

le th

eir c

hild

ren

take

on

adul

t rol

es in

thei

r rel

atio

nshi

ps.

3. A

ctu

al o

r P

erce

ived

Par

ent

Los

s C

an b

e M

ore

Tra

umat

ic T

han

the

Tra

uma

Eve

nt I

tsel

f

Pare

nt lo

ss c

an a

ffec

t how

chi

ldre

n la

ter c

ope

with

adu

lthoo

d. S

ince

chi

ldre

n te

nd to

m

odel

thei

r ow

n be

havi

ors

on p

aren

t beh

avio

rs, p

aren

t los

s m

ay h

ave

an im

pact

on

a ch

ild'

s ow

n

26

pare

ntin

g sk

ills.

It m

ay h

ave

an im

pact

on

how

the

child

dea

ls w

ith o

ther

adv

ersi

ties

and

how

chi

ldre

n co

pe w

ith tr

aum

a w

hen

they

are

adu

lts.

D. C

hil

d a

nd A

du

lt G

rief

Rea

ctio

ns a

re E

xace

rbat

ed

by V

iole

nt T

raum

atic

Los

s

1. I

nte

nsi

ty o

f Em

otio

n In

crea

ses

Sinc

e m

ost g

rief

reac

tions

are

sim

ilar t

o tr

aum

a re

actio

ns, t

raum

a an

d gr

ief h

ave

a m

ultip

lier e

ffec

t on

emot

iona

l res

pons

es.

Ang

er a

t the

trau

mat

ic e

vent

or t

he p

erpe

trat

ors

ofth

e ev

ent

are

mad

e m

ore

com

plex

by

grie

ving

pro

test

ove

r los

s. F

ear o

r ter

ror a

bout

the

vuln

erab

ility

of o

ne's

ow

n lif

e is

com

plic

ated

by

the

real

kno

wle

dge

ofth

e de

ath

of o

ther

s. C

onfu

sion

abo

ut w

hat h

appe

ned,

ho

w it

hap

pene

d, o

r why

it h

appe

ned,

mir

rors

con

fusi

on a

bout

the

mea

ning

ofl

ife

and

the

mea

ning

of

deat

h. T

here

is a

lso

grie

f ove

r the

trau

ma,

com

poun

ded

by th

e gr

ief o

ver t

he c

onse

quen

t dea

th.

2. D

ura

tion

of G

rief

May

be

Ext

end

ed f

or Y

ears

Gri

evin

g re

actio

ns fo

llow

ing

expe

cted

dea

th m

ay la

st fo

r a y

ear o

r tw

o. G

rief

spas

ms

-w

hen

peop

le a

re r

emin

ded

ofth

e de

ath

of s

omeo

ne w

hom

they

love

d -

ofte

n ar

e fe

lt fo

r a Ii

fetim

e.

Gri

evin

g re

actio

ns fo

llow

ing

an u

nexp

ecte

d de

ath

may

be

unre

solv

ed fo

r fiv

e or

ten

year

s.

The

trau

ma

of t

he lo

ss m

ust b

e de

alt w

ith b

efor

e no

rmal

gri

evin

g m

ay b

egin

. T

his

mea

ns a

n in

divi

dual

end

ures

the

cris

is re

actio

n o

f sho

ck, d

isbe

lief,

ange

r, fe

ar, f

rust

ratio

n, s

ham

e, g

uilt

or g

rief

in re

spon

se to

the

trau

ma

and

may

suf

fer l

ong-

term

str

ess

reac

tions

due

to th

e im

pact

oft

he tr

aum

a. O

ften

, in

the

proc

ess

of

copi

ng w

ith th

e tr

aum

a, p

eopl

e ha

ve li

ttle

abili

ty to

face

the

fina

lity

and

impa

ct o

f dea

th.

The

ir a

bilit

ies

may

be

impe

ded

beca

use

trau

ma

issu

es a

re f

orce

d to

be

reex

peri

ence

d re

peat

edly

bec

ause

of i

nvol

ve­

men

t in

the

crim

inal

just

ice

syst

em, c

ivil

litig

atio

n, o

r ref

lect

ions

by

the

med

ia.

Gri

ef m

ay a

lso

be c

onfu

s­in

g be

caus

e of

the

exte

nt o

flos

ses.

Som

eone

love

d ha

s di

ed, b

ut th

e tr

aum

atic

eve

nt m

ay a

lso

have

ca

used

the

surv

ivor

to s

uffe

r a lo

ss o

f fai

th o

r tru

st in

the

wor

ld, a

loss

of i

nnoc

ence

or b

elie

fin

cert

ain

valu

es, a

loss

oft

heir

ow

n se

nse

of i

dent

ity o

r pur

pose

, a lo

ss o

f mea

ning

ofl

ife.

Eac

h o

f the

se lo

sses

ne

ed to

mou

rned

and

mar

ked

by c

onsc

ious

rem

embr

ance

of w

hat e

xist

ed a

nd n

ow is

gon

e. T

his

grie

ving

pro

cess

is s

epar

ate

and

diff

eren

t fro

m th

e gr

ief t

hat w

ill b

e ex

peri

ence

d as

one

real

izes

the

full

impa

ct o

fthe

loss

of a

love

d on

e.

E. T

raum

a an

d G

rief

Pat

tern

s o

f Chi

ldre

n ar

e S

imil

ar

to A

du

lts

Bu

t Are

Man

ifes

ted

Dif

fere

ntly

1. L

engt

h o

f Gri

evin

g, A

lon

g W

ith

Act

s o

f Mou

rnin

g an

d R

emem

bra

nce

, Ext

end

Th

rou

ghou

t th

e D

evel

opm

enta

l Sta

ges

As

child

ren

mat

ure,

they

sho

uld

repr

oces

s th

e im

pact

oft

he tr

aum

a an

d lo

ss in

the

cont

ext o

f the

ir d

evel

opm

ent.

The

loss

of a

fath

er fo

r a y

oung

todd

ler m

ay b

e gr

ieve

d ov

er in

term

s o

f

27

the

loss

of a

lovi

ng c

aret

aker

. T

he lo

ss o

f tha

t fat

her f

or th

e sc

hool

-age

chi

ld m

ust b

e gr

ieve

d ov

er in

te

rms

of t

he a

bsen

ce o

f a te

ache

r, an

aut

hori

ty fi

gure

, as

wel

l as

how

the

fath

er w

ould

hav

e be

en p

er­

ceiv

ed b

y ne

w fr

iend

s an

d pe

ers.

The

loss

of t

he f

athe

r for

the

prea

dole

scen

t may

take

on

new

mea

ning

in

the

abse

nce

of a

mod

el fo

r sex

role

s or

in th

e co

nstr

uctio

n o

f the

chi

ld's

gro

win

g se

nse

of i

dent

ity.

The

loss

oft

he fa

ther

for t

he a

dole

scen

t can

aff

ect h

is o

r her

und

erst

andi

ng o

f sta

bilit

y an

d th

e gr

owth

of

inde

pend

ence

. A

you

ng a

dult

may

gri

eve

over

the

loss

of t

he fa

ther

in te

rms

of a

lovi

ng c

ompa

nion

and

so

urce

of f

riend

ship

. T

he m

eani

ng o

fthe

trau

mat

ic e

vent

may

cha

nge

as w

ell t

hrou

gh d

evel

opm

ent.

Mem

orie

s o

f a su

dden

trau

ma

are

repr

oces

sed

in a

ctiv

ities

and

atti

tude

s.

2. G

riev

ing

is I

nter

rupt

ed b

y C

urr

ent N

eed

s or

Eve

nts

Chi

ldre

n m

ust t

ake

time

out f

rom

gri

evin

g to

mee

t new

cha

lleng

es in

life

, cop

e w

ith

ongo

ing

chan

ges,

est

ablis

h ne

w re

latio

nshi

ps, p

artic

ipat

e in

sch

ool a

nd to

pla

y.

3. C

hil

dre

n's

Com

mu

nic

atio

n S

tyle

s D

iffe

r fr

om

the

Com

mu

nic

atio

n S

tyle

s o

f Adu

lts

Chi

ldre

n en

gage

in a

ctiv

ities

to d

eal w

ith tr

aum

a an

d gr

ief.

With

you

ng c

hild

ren,

thes

e ac

tiviti

es in

volv

e sp

onta

neou

s pla

y, u

sual

ly w

ith o

bjec

ts o

r oth

er c

hild

ren

who

are

read

ily a

vaila

ble.

O

lder

chi

ldre

n an

d ad

oles

cent

s al

so e

ngag

e in

act

iviti

es to

exp

ress

thei

r rea

ctio

ns.

The

se a

ctiv

ities

may

in

clud

e sp

orts

, dra

ma,

dan

ce o

r son

g. T

raum

a or

gri

ef-r

elat

ed a

ctiv

ities

may

be

spor

adic

and

repe

titiv

e.

4. S

ome

Adu

lts

Hav

e Sp

irit

ual B

elie

fs T

hat

Hel

p

Th

em to

Cop

e W

ith

Tra

uma

and

Gri

ef

Chi

ldre

n ha

ve n

ot fu

lly d

evel

oped

suc

h be

liefs

, and

trau

ma

or g

rief

intr

ude

upon

thei

r co

ncep

tions

ofl

ife

and

deat

h.

F. T

raum

atic

Gri

ef R

eact

ions

1. L

oss

and

Dea

th

The

exp

erie

nces

and

con

cept

s of

loss

and

dea

th a

re c

lose

ly in

tert

win

ed.

Dea

th is

oft

en

expr

esse

d as

the

loss

ofl

ife.

Som

eone

who

has

die

d ha

s be

en "

lost

" to

his

or h

er s

urvi

vors

. T

he e

nd o

f re

latio

nshi

ps o

r cer

tain

tim

es in

life

are

oft

en ta

lked

abo

ut th

roug

h de

ath

imag

ery:

div

orce

may

be

expe

rien

ced

as th

e de

ath

of a

mar

riag

e; m

emor

ies

ofth

e pa

st m

ay b

e th

ough

t of a

s ol

d, f

aded

or d

ead.

G

rief

reac

tions

are

nor

mal

whe

n an

ythi

ng h

as b

een

lost

. W

hen

som

eone

or s

omet

hing

is g

one

fore

ver,

the

grie

f may

see

m o

verp

ower

ing.

The

con

cept

of d

eath

for c

hild

ren

may

be

mor

e di

ffic

ult t

o un

der­

stan

d w

hen

ther

e is

no

tang

ible

or p

hysi

cal e

vide

nce

of f

inal

ity.

It is

als

o di

ffic

ult f

or c

hild

ren

to c

ompr

e­he

nd o

r acc

ept t

he p

erm

anen

ce o

f dea

th.

28

2. D

enia

l

Adu

lts

ofte

n re

act t

o no

tifi

cati

on o

f tra

umat

ic d

eath

wit

h de

nial

. T

hey

can

't b

elie

ve th

at

som

eone

they

love

is d

ead

or t

hat t

hey

died

due

to v

iole

nce

or t

raum

a. D

enia

l occ

urs

beca

use

the

deat

h do

es n

ot fi

t int

o th

e ad

ult's

per

spec

tive

of n

orm

al e

very

day

life.

Tra

uma

may

not

be

extr

aord

inar

viol

ence

and

dea

th h

appe

n ro

utin

ely

in to

day'

s w

orld

-b

ut

trau

mat

ic d

eath

in a

par

ticu

lar i

ndiv

idua

l's

life

is e

xtra

ordi

nary

to th

at p

erso

n.

Chi

ldre

n la

ck th

e ab

ilit

y to

den

y tr

aum

a an

d de

ath

beca

use

they

do

n't

hav

e a

full

y fo

rmed

pe

rspe

ctiv

e o

f nor

mal

life

. T

hey

live

in a

tem

pora

l wor

ld th

at is

the

pres

ent.

Wha

t occ

urs

toda

y is

re

alit

y ev

en if

it is

an

awfu

l rea

lity.

Ift

hey

have

had

littl

e ex

peri

ence

wit

h lo

ss o

r dea

th, t

hey

have

litt

le

expe

rien

ce in

dea

ling

wit

h th

e em

otio

ns th

at a

ccom

pany

loss

or d

eath

. T

hey

do

n't

den

y it,

but

they

may

be

una

ble

to s

usta

in th

e sa

dnes

s o

r the

fea

rs t

hat t

hey

face

.

Fan

tasy

may

be

used

to c

ope

wit

h th

ose

reac

tion

s an

d to

esc

ape

from

thei

r int

ensi

ty.

Imag

inar

y o

r mag

ical

thin

king

is a

key

sou

rce

of e

mot

iona

l and

men

tal p

roce

ssin

g. C

hild

ren

tend

to r

epla

y th

e tr

aum

a o

r dea

th th

roug

h da

ydre

ams

as w

ell a

s ni

ghtd

ream

s. T

hey

may

not

be

as li

kely

to e

xper

ienc

e in

trus

ive

thou

ghts

or f

lash

back

s ab

out t

he e

vent

as

adul

ts.

Rat

her,

they

let t

heir

min

ds w

ande

r int

o th

ough

ts o

fth

e ev

ents

and

imag

ine

way

s to

rest

ore

the

past

or t

o tr

y to

rec

reat

e re

lati

onsh

ips

that

mig

ht

no

w e

xist

but

for t

he e

vent

. S

omet

imes

fant

asie

s ar

e sc

arie

r tha

n re

ality

. Im

ages

of a

lov

ed o

ne b

urie

d al

ive

in a

cof

fin,

con

fusi

on o

ver t

he s

tate

of s

leep

wit

h de

ath,

con

cern

ove

r whe

re th

e lo

ved

one

is n

ow

are

exam

ples

of s

ourc

es o

f sca

ry fa

ntas

ies.

On

the

othe

r han

d, y

oung

er c

hild

ren

may

cre

ate

imag

inar

y pl

aym

ates

or s

ubst

itut

e pa

rent

figu

res

in t

heir

dre

ams

to h

elp

cope

wit

h th

eir l

onel

ines

s. O

lder

chi

ldre

n m

ay id

eali

ze m

emor

ies

oft

he

pers

on w

ho h

as d

ied.

Oft

en d

ream

s an

d fa

ntas

ies

focu

s on

pos

sibl

e re

unio

ns. S

ome

chil

dren

may

exp

erie

nce

"vis

itat

ions

" by

gho

sts

or sp

irit

s o

fth

e de

ad.

Oth

ers

may

de

velo

p a

beli

efin

rei

ncar

nati

on o

fth

e de

ceas

ed.

Som

etim

es fa

ntas

y is

use

d to

exp

lore

alt

erna

tive

rol

es

that

they

mig

ht h

ave

play

ed in

res

pond

ing

to th

e tr

aum

a o

r in

prev

enti

ng a

dea

th.

Fan

tasy

may

als

o be

us

ed to

imag

ine

diff

eren

t end

ings

to th

e tr

aum

atic

eve

nt th

at c

ould

hav

e ha

ppen

ed a

nd w

ould

hav

e ha

d m

ore

posi

tive

con

sequ

ence

s.

3. L

osse

s C

ause

d b

y D

eath

are

Con

cret

ely

Iden

tifi

ed

in a

Ch

ild

's L

ife;

Exp

lana

tion

s A

bou

t Dea

th a

nd

Los

s ar

e O

ften

Int

erpr

eted

Lit

eral

ly

Som

eone

has

die

d. I

f a c

hild

see

s th

e pe

rson

who

is d

ead,

they

not

ice

the

abse

nce

of

acti

vity

. H

owev

er, t

he d

iffe

renc

e be

twee

n li

fe a

nd d

eath

may

not

be

othe

rwis

e ob

viou

s. T

heir

con

cern

ab

out t

he p

hysi

cal a

spec

t of d

eath

may

be

man

ifes

ted

thro

ugh

ques

tion

s ab

out h

ow s

omeo

ne e

ats,

br

eath

es, o

r goe

s to

the

bath

room

whe

n s/

he is

dea

d. S

ince

they

do

n't

com

preh

end

deat

h's

perm

a­ne

nce,

they

may

wor

ry a

bout

wha

t wil

l hap

pen

to th

e pe

rson

whe

n th

ey li

ve a

gain

. C

areg

iver

s ne

ed to

be

ale

rt to

beh

avio

rs o

r cas

ual c

omm

ents

that

mig

ht in

dica

te c

hild

ren

have

uns

poke

n qu

esti

ons.

Sim

ple,

st

raig

htfo

rwar

d an

swer

s o

r ack

now

ledg

men

ts th

at th

e ca

regi

ver h

as s

imil

ar q

uest

ions

is h

elpf

ul to

ch

ildre

n. Bec

ause

chi

ldre

n's

pers

pect

ives

are

tied

to c

oncr

ete,

fact

ual o

bser

vati

ons,

it is

par

ticu

larl

y im

port

ant t

o in

volv

e th

em in

act

ivit

ies

that

ack

now

ledg

e th

e m

ourn

ing

proc

ess

and

prov

ide

them

wit

h

29

ritu

als ~n

d sy

mbo

ls th

at h

elp

to m

emor

iali

ze w

hat h

as h

appe

ned.

Chi

ldre

n so

met

imes

thin

k th

at a

dult

s d

on

't c

are

wha

t hap

pene

d to

the

dece

ased

bec

ause

adu

lts

do n

ot in

volv

e th

e ch

ildr

en in

fune

ral a

rran

ge­

men

ts o

r mem

oria

ls a

nd m

ay b

e un

com

fort

able

wit

h de

mon

stra

ting

thei

r ow

n gr

ief i

n fr

ont o

f chi

ldre

n.

Chi

ldre

n of

ten

rese

nt w

hat t

hey

perc

eive

as

atte

mpt

s to

rep

lace

love

d on

es o

r to

forg

et th

em.

Whe

n th

e de

ceas

ed's

clo

thes

or p

rope

rty

are

rem

oved

qui

ckly

, chi

ldre

n m

ay s

ee th

at a

s a

betr

ayal

of t

he d

ecea

sed.

As

chil

dren

bec

ome

mor

e aw

are

of t

he fa

ct th

at th

e de

ceas

ed w

ill n

ot re

turn

to th

eir l

ife,

they

als

o be

com

e m

ore

awar

e o

fth

e co

nseq

uenc

es o

f the

dea

th.

The

y m

iss

the

beha

vior

of t

he d

ecease

habi

ts, r

outi

nes,

act

ivit

ies

that

they

had

lear

ned

to e

xpec

t in

thei

r liv

es.

The

y m

ay m

iss

phys

ical

rem

inde

rs

of t

he d

ecea

sed,

par

ticu

larl

y if

adul

ts h

ave

rem

oved

clo

thes

, per

sona

l pro

pert

y, o

r pho

togr

aphs

from

the

chil

d's

hom

e o

r sch

ool.

The

y al

so m

iss

the

dece

ased

whe

n th

ey a

re n

ot a

par

t of t

heir

life

. If

a ch

ild'

s fa

ther

has

die

d, d

inne

r tim

e m

ay b

e pa

rtic

ular

ly tr

aum

atic

bec

ause

the

fath

er d

oesn

't si

t in

his

usua

l pla

ce.

Chi

ldre

n m

ay lo

ng fo

r opp

ortu

niti

es to

dis

cuss

ong

oing

life

eve

nts

wit

h a

pers

on w

ho

has

die

d bu

t who

se

rved

as

an a

dvis

or o

r cou

nsel

or fo

r chi

ldre

n du

ring

thei

r lif

e.

Los

s m

ay a

lso

be

mar

ked

by in

crea

sed

expe

ctat

ions

in a

chi

ld's

life

, suc

h as

rol

e ch

ange

s o

r the

ne

ed to

bec

ome

mor

e m

atur

e. S

omet

imes

thes

e ex

pect

atio

ns a

re d

rive

n by

chi

ldre

n's

own

inte

rpre

tati

on

oft

he

deat

h an

d th

eir n

eed

to a

ct o

r beh

ave

diff

eren

tly

in o

rder

to b

ecom

e sa

fer o

r to

subs

titu

te th

eir o

wn

life

for

the

one

that

has

bee

n lo

st.

Som

etim

es th

e ex

pect

atio

ns a

re d

efin

ed b

y fa

mil

y o

r soc

ial c

onne

c­ti

ons.

A g

riev

ing

mot

her m

ay tu

m to

her

son

aft

er th

e de

ath

of h

er h

usba

nd a

nd w

ant h

im to

ass

ume

the

role

oft

he

"man

in th

e fa

mily

."

4. T

raum

a R

eact

ions

are

Rel

ated

to

Gri

ef R

eact

ions

Tra

umat

ic d

eath

com

poun

ds g

rief

but r

eact

ions

to th

e tr

aum

a of

ten

take

pre

cede

nce

over

gr

ief.

T

here

is s

hock

and

dis

beli

ef ab

out t

he n

atur

e o

fth

e tr

aum

atic

eve

nt.

Em

otio

nal r

eact

ions

suc

h as

an

ger,

fear

, fru

stra

tion

, gui

lt, s

ham

e an

d gr

ief o

ver t

he tr

aum

atic

eve

nt p

rolo

ng e

ffor

ts to

beg

in li

fe a

gain

. G

rief

may

be

post

pone

d ov

er a

nd o

ver a

gain

, but

it is

als

o a

part

of t

he tr

aum

atic

rea

ctio

n. W

hile

ther

e ar

e co

mm

on e

lem

ents

of g

rief-

just

as

ther

e ar

e co

mm

ent e

lem

ents

oft

rau

ma

reac

tio

ns-

ever

y c

hild

is

dif

fere

nt.

Som

e re

acti

ons

may

be

illu

stra

ted

in th

e fo

llow

ing.

a. P

rote

st o

r A

nger

Ove

r th

e L

oss

or D

eath

Ang

er m

ay b

e di

rect

ed a

t the

per

son

wh

o d

ied

-Ho

w c

ould

he

do t

his

to m

e? H

ow

coul

d he

leav

e m

e? I

t may

be

dire

cted

at p

aren

ts o

r adu

lt c

aret

aker

s w

ho f

aile

d to

pro

tect

them

selv

es

or

the

chil

d. I

t may

be

addr

esse

d to

Go

d o

r th

e su

pem

atu

ral-

Why

did

he

have

to d

ie a

nd

som

eone

el

se is

sti

ll a

live

? S

omet

imes

it is

dir

ecte

d in

tern

ally

by

chil

dren

them

selv

es a

s th

ey w

orry

abo

ut w

hat

they

mig

ht h

ave

done

to c

ause

the

deat

h.

b. S

orro

w a

nd S

adne

ss A

bout

the

Los

s or

Dea

th

Chi

ldre

n ne

ed to

kno

w th

at c

ryin

g is

a n

orm

al w

ay to

exp

ress

sad

ness

. T

hey

need

to

know

that

feel

ing

leth

argi

c o

r uni

nter

este

d in

thin

gs a

roun

d th

em is

als

o a

sign

of t

heir

gri

ef.

Som

e ch

ildr

en m

isbe

have

or w

ithd

raw

from

ord

inar

y ac

tivi

ties

. It

is o

ften

impo

rtan

t to

reas

sure

chi

ldre

n th

at it

is

oka

y to

laug

h an

d pl

ay, a

nd th

at it

do

esn

't m

ean

they

did

n't l

ove

the

pers

on w

ho

die

d.

30

c. G

uilt

or

Self

-bla

me

Chi

ldre

n of

ten

belie

ve th

at th

eir t

houg

hts

or fe

elin

gs c

an c

ause

thin

gs to

hap

pen.

If

they

wis

h th

at s

omeo

ne w

as d

ead

and

then

that

per

son

dies

, the

y m

ay fe

el t

heir

thou

ghts

mad

e de

ath

happ

en.

The

y m

ay fe

el th

at i

f the

y ha

d be

en b

ette

r peo

ple,

God

wou

ldn'

t hav

e le

t thi

s ha

ppen

to th

em.

The

y m

ay h

ave

deep

regr

ets

and

guilt

ove

r tim

es w

hen

they

wer

e an

gry

or b

ehav

ed b

adly

tow

ards

the

dece

ased

.

5. C

hild

ren

Fac

e A

ddit

iona

l Ris

ks W

hich

Inc

reas

e th

e T

raum

atic

Gri

ef R

eact

ion

The

y m

ay e

xper

ienc

e ch

ange

s in

the

prim

ary

adul

t or a

dults

who

are

res

pons

ible

for

thei

r car

etak

ing.

The

y m

ay b

e fo

rced

to r

eloc

ate

thei

r hom

e or

to a

ttend

a d

iffe

rent

sch

ool b

ecau

se o

f th

e im

pact

oft

he tr

aum

a.

Som

etim

es th

ey a

re s

ent a

way

to h

omes

of r

elat

ives

or f

rien

ds f

or a

tem

po­

rary

tim

e to

giv

e pa

rent

s or

sign

ific

ant a

dults

a c

hanc

e to

org

aniz

e th

eir l

ives

. E

xclu

ding

chi

ldre

n fr

om

tran

sitio

n ac

tiviti

es a

nd e

vent

s ad

ds to

thei

r sen

se o

f aba

ndon

men

t and

isol

atio

n. P

artic

ular

act

iviti

es

whi

ch c

hild

ren

had

enjo

yed

befo

re th

e tr

aum

a m

ay n

ow c

ease

bec

ause

the

pers

on w

ho d

ied

was

the

one

resp

onsi

ble

for p

rom

otin

g th

ose

activ

ities

or i

nvol

ving

the

child

ren

in th

ose

activ

ities

.

31

V.

Inte

rven

tion

s fo

r G

riev

ing

Chi

ldre

n

A. C

areg

iver

Com

mu

nic

atio

n

Initi

al e

ffor

ts a

t int

erve

ntio

n sh

ould

focu

s on

com

mun

icat

ion

tech

niqu

es th

at a

re a

ge-a

ppro

­pr

iate

. C

hild

ren

shou

ld b

e en

cour

aged

to e

xpre

ss th

emse

lves

in p

lay,

art

wor

k, m

usic

, dan

ce o

r dra

ma.

V

erba

l com

mun

icat

ion

thro

ugh

whi

ch c

hild

ren

expl

ain

thei

r act

iviti

es sh

ould

als

o be

sou

ght.

• A

ttent

ion

shou

ld b

e pa

id to

hel

ping

chi

ldre

n de

velo

p a

narr

ativ

e or

a st

ory

of t

he tr

au­

mat

ic d

eath

. K

ey c

ompo

nent

s o

f suc

h a

stor

y in

cl u

de p

laci

ng th

e de

ath

in th

e co

ntex

t of t

ime,

spa

ce,

unde

rsta

ndin

g cl

earl

y w

hat t

hey

obse

rved

and

cla

rifY

ing

any

part

icul

arm

ispe

rcep

tions

, and

ass

istin

g ch

ildre

n as

they

see

k to

find

a m

eani

ng o

r pur

pose

in w

hat h

appe

ned.

• C

areg

iver

s sh

ould

rem

embe

r tha

t chi

ldre

n ne

ed to

take

the

lead

in d

efin

ing

the

para

eter

s o

f dis

cuss

ion

or e

xpre

ssio

n. A

chi

ld's

ques

tions

sho

uld

be a

nsw

ered

fact

ually

and

sim

ply

whe

n po

ssib

le.

Car

egiv

ers

shou

ld li

sten

car

eful

ly to

que

stio

ns s

o th

at th

ey d

on't

mak

e as

sum

ptio

ns a

bout

w

hat t

he c

hild

kno

ws

or w

hat h

e w

ants

to k

now

. O

ften

care

give

rs fa

ll in

to th

e tr

ap o

f pro

vidi

ng to

o m

uch

info

rmat

ion

in re

spon

se to

a q

uest

ion.

• B

ehav

iors

sho

uld

be n

on-j

udgm

enta

l with

rega

rd to

the

trau

mat

ic e

vent

, the

trau

mat

ic

grie

f rea

ctio

n, a

nd th

e ch

ild's

age

-rel

ated

beh

avio

rs.

B. G

oals

of A

ssis

tanc

e

1. E

stab

lish

Saf

ety

and

Secu

rity

<:)..

Res

pond

to a

nd p

rovi

de o

ppor

tuni

ties

for c

hild

ren

to re

ceiv

e po

sitiv

e hu

man

ph

ysic

al c

onta

ct to

reaf

firm

nee

ds fo

r sen

sory

com

fort

and

car

e.

b.

Hel

p ch

ildre

n ge

t eno

ugh

slee

p. T

his m

ay in

volv

e re

spon

ding

to a

chi

ld's

con

cern

ab

out t

he s

afet

y o

f his

bed

room

or h

ome,

ens

urin

g th

at s

omeo

ne is

read

ily a

vaila

ble

to p

rovi

de a

ssur

­an

ce a

fter

nig

htm

ares

or s

leep

dis

turb

ance

s, o

r pro

vidi

ng a

soot

hing

and

cal

min

g en

viro

nmen

t bef

ore

bedt

ime.

c.

Hel

p ch

ildre

n de

velo

p pr

otec

tive

plan

s of

actio

n if

anot

her t

raum

atic

eve

nt w

ere

to

occu

r. T

his

may

incl

ude

educ

atin

g th

em o

n w

hat t

hey

mig

ht d

o if

som

ethi

ng h

appe

ned

agai

n an

d pr

ovid

­in

g th

em o

ppor

tuni

ties

to p

ract

ice

thei

r tra

uma

resp

onse

.

d.

Prov

ide

them

with

phy

sica

l sym

bols

of n

urtu

ring,

love

or r

emem

bran

ce.

Ted

dy

bear

s or

stuf

fed

anim

als

are

ofte

n a

sour

ce o

f gre

at c

omfo

rt to

chi

ldre

n o

f all

ages

. R

eest

ablis

hing

ro

utin

es a

nd h

abitu

al a

ctiv

ities

giv

es c

hild

ren

reas

sura

nce

that

life

has

retu

rned

to a

kin

d o

f ord

er.

Ritu

als

such

as

pray

ers,

a re

gula

r "m

emor

y tim

e", o

r spe

cial

cer

emon

ies

may

als

o be

a so

urce

of s

ecur

ity.

33

2. A

llow

Chi

ldre

n to

Tel

l Wh

at H

app

ened

and

to

Tal

k A

bou

t Dea

th

a.

Enc

oura

ge th

em to

tell

or d

evel

op s

torie

s th

at h

elp

them

exp

lore

inte

nse

reac

tions

su

ch a

s an

ger o

r fea

r.

b.

Ens

ure

that

chi

ldre

n un

ders

tand

dif

fere

nces

bet

wee

n lif

e an

d de

ath.

c.

Rea

ssur

e th

em th

at s

adne

ss a

nd g

rief

are

a ne

cess

ary

part

of s

urvi

ving

the

deat

h o

f so

meo

ne th

ey lo

ved.

Hel

p th

em to

des

crib

e an

d un

ders

tand

reac

tions

to tr

aum

a an

d re

actio

ns to

the

deat

h.

d.

Tal

k w

ith th

em a

bout

wha

t the

y ob

serv

ed in

the

reac

tions

of p

aren

ts, p

eers

, or o

ther

si

gnifi

cant

adul

ts.

3. P

red

ict

Wh

at W

ill H

app

en a

nd P

rep

are

Ch

ild

ren

for

th

e F

utu

re

a.

Enc

oura

ge th

e re

esta

blis

hmen

t of c

omfo

rting

rout

ines

.

b.

Edu

cate

chi

ldre

n ab

out t

raum

a, d

eath

, and

loss

.

c.

Hel

p th

em d

evel

op re

ason

s fo

r liv

ing.

d.

Hel

p th

em ta

ke ti

me

to th

ink

abou

t the

ir fu

ture

.

e.

Supp

ort a

dult

care

give

rs in

thei

r eff

orts

to re

act a

ppro

pria

tely

.

f W

ork

to h

elp

child

ren

solv

e pr

oble

ms t

hey

face

bec

ause

of t

he tr

aum

a.

• A

ddre

ss w

hat c

an a

nd c

an't

be d

one.

• H

elp

miti

gate

oth

er c

hang

es in

thei

r liv

es.

• A

ddre

ss e

stra

ngem

ent f

rom

pee

rs.

• H

elp

child

ren

fram

e th

eir l

oss

in th

e co

ntex

t of a

ll o

f the

ir re

latio

nshi

ps

and

thei

r life

as

a w

hole

.

• H

elp

child

ren

focu

s on

the

futu

re.

g.

Giv

e co

ncre

te a

id a

nd fa

ctua

l inf

orm

atio

n.

34

c. M

etho

ds o

f Int

erve

ntio

n

Muc

h o

f wha

t car

egiv

ers

do w

hen

inte

rven

ing

is to

try

to h

elp

chil

dren

tell

the

stor

y o

f wh

at

happ

ened

and

how

they

feel

abo

ut it

. T

he fo

llow

ing

met

hods

can

hel

p ch

ildr

en fe

el c

omfo

rtab

le te

llin

g ab

out t

heir

thou

ghts

, em

otio

ns a

nd c

once

rns.

1. O

ral

Stor

ytel

ling

Car

egiv

ers

enco

urag

e ch

ildr

en to

tell

a sh

ort s

tory

abo

ut th

e tr

aum

atic

dea

th, t

he p

erso

n w

ho

die

d or

abo

ut th

emse

lves

. C

areg

iver

s ca

n su

gges

t the

fol

low

ing

type

s o

f int

rodu

ctor

y se

nten

ces

or

phra

ses:

• "O

nce

upon

a ti

me

ther

e w

as a

litt

le g

irl n

amed

Mar

y w

ho

was

ver

y,

very

sad

bec

ause

... ";

• "A

few

day

s ag

o I w

oke

up a

nd it

was

bri

ght a

nd s

unny

and

I w

as

very

hap

py, b

ut th

en ...

";

• "I

'd li

ke to

tell

you

a st

ory

abou

t my

mot

her w

ho

was

kil

led

in a

n au

tom

obil

e cr

ash.

"

With

you

nger

chi

ldre

n, c

areg

iver

s m

ay n

eed

to m

odel

tell

ing

a sh

ort s

tory

. It

may

be

usef

ul f

or

care

give

rs to

con

side

r tel

ling

a s

tory

abo

ut th

eir o

wn

life

whe

n so

meo

ne th

ey lo

ved

died

. W

hile

this

te

chni

que

is n

ot u

sual

ly s

ugge

sted

for u

se w

ith

adul

ts, c

hild

ren

are

ofte

n ex

ceed

ingl

y cu

riou

s ab

out a

dult

s w

ho

hav

e su

ffer

ed tr

aum

as s

imil

ar to

thei

r ow

n.

2. G

uide

d F

ree

Pla

y

Tra

umat

ized

chi

ldre

n w

ill o

ften

aut

omat

ical

ly u

se to

ys to

ree

nact

thei

r tra

uma

and

thei

r co

ncer

ns.

If ca

regi

vers

hav

e a

rang

e o

fto

ys

avai

labl

e in

a s

peci

al b

ox, s

helf

, or a

bag

, chi

ldre

n ca

n p

ick

and

cho

ose

thei

r fav

orit

e m

od

e o

f exp

ress

ion.

You

ng c

hild

ren

wil

l run

to th

e to

ys o

r im

med

iate

ly a

sk

wh

at is

in t

he b

ag s

o th

ey c

an s

tart

to p

lay

as s

oon

as p

ossi

ble.

Car

egiv

ers

can

obse

rve

chil

dren

beg

in

to p

lay

wit

hout

pro

mpt

ing

whi

le d

oing

pre

para

tory

thin

gs s

uch

as p

utti

ng o

ut re

fres

hmen

ts, o

r han

ging

up

coat

s. T

hey

can

join

the

chil

dren

wit

h ne

utra

l que

stio

ns s

uch

as, "

Tha

t loo

ks in

tere

stin

g. W

hat a

re y

ou

pl

ayin

g?"

Toy

s th

at a

re o

ften

hel

pful

sto

ry te

ller

s ar

e: b

uild

ing

bloc

ks, c

ars,

truc

ks, a

irpl

anes

, hum

an

figu

res,

dol

ls, s

tuff

ed a

nim

als,

sim

ple

puzz

les

of p

eopl

e or

peo

ple'

s fa

ces.

3. S

tim

ulat

ing

Dis

cuss

ion

For

chi

ldre

n w

ho a

re a

rtic

ulat

e an

d ve

rbal

, dis

cuss

ions

can

hav

e a

heal

ing

effe

ct s

imil

ar

to th

at e

xper

ienc

ed b

y m

any

adul

ts w

ho "

talk

out

" th

eir c

once

rns

and

reac

tion

s. C

areg

iver

s ca

n he

lp

chil

dren

beg

in to

dis

cuss

the

trau

mat

ic d

eath

by

show

ing

phot

ogra

phs

oft

he

dece

ased

, sho

win

g a

vide

o st

ory

abo

ut d

eath

and

trau

ma,

rea

ding

a s

hort

sto

ry, p

oem

or p

arab

le re

lati

ng to

dea

th a

nd tr

aum

a, o

r pr

esen

ting

a n

ews

stor

y o

r med

ia a

rtic

le a

bout

the

even

t for

cri

tiqu

e.

35

The

vid

eota

pe th

at a

ccom

pani

es th

is g

uide

book

is d

esig

ned

to s

timul

ate

disc

ussi

on a

bout

ch

ildr

en's

reac

tions

, but

oth

er v

ideo

s co

uld

be u

sed

as w

ell.

4. C

reat

ive

Wri

ting

Scho

ol a

ge c

hild

ren

and

adol

esce

nts

ofte

n fin

d it

help

ful t

o w

rite

abo

ut w

hat c

once

rns

them

. O

utle

ts fo

r cre

ativ

e w

ritin

g in

clud

e jo

urna

ls, l

ette

rs to

love

d on

es, p

rose

, poe

try,

art

icle

s, o

r m

emor

y bo

oks.

Car

egiv

ers

can

help

sug

gest

title

s fo

r pag

es in

mem

ory

book

s th

at m

ay h

elp

child

ren

expr

ess

pote

nt fe

elin

gs.

Som

e id

eas

are:

• "M

ary'

s N

ame"

[the

chi

ld sp

ells

Mar

y ve

rtic

ally

dow

n th

e pa

ge a

nd a

ttach

es

a w

ord

to e

ach

lette

r tha

t ref

lect

s w

hat M

ary

mea

nt to

the

child

].

1

• "T

he th

ing

I lov

ed m

ost a

bout

Mar

y is

... "

• "M

y sa

ddes

t mem

ory

of M

ary

is .. .

'''

• "M

y ha

ppie

st m

emor

y o

f Mar

y is

... "

• "M

y fu

nnie

st m

emor

y o

f Mar

y is

... "

• "M

ary'

s fa

vori

te h

obby

, col

or, b

ird,

mus

ic, f

ood,

spo

rt w

as ...

"

• "I

f you

had

bee

n ab

le to

say

goo

d by

e to

Mar

y, w

hat w

ould

you

hav

e sa

id?"

5. C

reat

ive

Art

Chi

ldre

n lo

ve to

dra

w, p

aint

, pla

y w

ith c

lay,

and

do

craf

ts.

All

can

serv

e as

use

ful m

edia

fo

r exp

ress

ing

the

mes

sage

of g

rief

and

trau

ma.

Fin

ger p

aint

ing

and

wor

king

with

cla

y ar

e bo

th m

essy

ar

ts b

ut c

an b

e pa

rtic

ular

ly h

elpf

ul b

ecau

se th

ey s

eem

to o

ffer

chi

ldre

n a

mor

e in

tera

ctiv

e, v

isce

ral s

ense

o

f exp

ress

ion.

Cla

y is

oft

en s

ooth

ing

to th

e to

uch

alth

ough

som

e ch

ildre

n lik

e to

pou

nd o

r sta

b it

in

ange

r. O

ne im

agin

ativ

e ca

regi

ver o

ffer

ed c

hild

ren

the

oppo

rtun

ity to

fin

ger p

aint

sho

wer

sta

lls in

the

scho

ol lo

cker

room

s. T

hey

had

plen

ty o

f roo

m a

nd th

e fi

nish

ed p

rodu

ct c

ould

be

was

hed

away

eas

ily.

The

neg

ativ

e si

de o

f usi

ng im

perm

anen

t art

is th

at s

ome

child

ren

wan

t to

keep

thei

r cre

atio

ns b

ecau

se

the

expr

essi

on o

fthe

ir fe

elin

gs is

so

mea

ning

ful t

o th

em.

Whe

n w

orki

ng w

ith g

roup

s, c

areg

iver

s mig

ht

sugg

est t

hat t

he g

roup

cre

ate

a co

mm

unity

mur

al.

6. D

ram

atic

Ena

ctm

ents

Mos

t chi

ldre

n lik

e to

pla

y-ac

t, pa

rtic

ular

ly i

f pro

ps, c

ostu

me

or m

akeu

p ar

e av

aila

ble

to

enab

le th

em to

bec

ome

tota

lly in

volv

ed in

bei

ng a

noth

er p

erso

n. P

uppe

ts c

an a

lso

be u

sed.

You

ng

child

ren

may

sim

ply

use

the

oppo

rtun

ity to

reen

act f

uner

als

or p

ortio

ns o

f the

trau

ma

stor

ies.

Old

er

child

ren

and

adol

esce

nts

may

wan

t to

crea

te th

eir o

wn

"min

i" p

lays

. A

dole

scen

ts m

ay a

lso

find

play

ing

part

s or r

eadi

ng s

crip

ts fr

om c

lass

ic a

nd m

odem

trag

edie

s he

lpfu

l in

expr

essi

ng th

eir c

once

rns

over

de

ath.

36

7. M

usi

c

Lis

teni

ng to

, pla

ying

or s

ingi

ng m

usic

can

be

a w

onde

rful

rel

ease

for c

hild

ren.

It p

ro­

vide

s a

reco

nnec

tion

to th

e se

nse

of r

hyth

m a

s w

ell a

s th

e fa

ct th

at c

erta

in m

usic

al in

stru

men

ts m

ay e

cho

soun

ds o

f gri

ef re

actio

ns: a

nger

mig

ht b

e ex

pres

sed

thro

ugh

the

soun

d o

f dru

ms

or a

bla

ring

trum

pet;

reed

and

str

ing

inst

rum

ents

mig

ht re

min

d ch

ildre

n o

f wee

ping

or f

eelin

gs o

flon

elin

ess;

dru

m ro

lls a

nd

cym

bals

may

refl

ect t

ensi

ons,

anx

ietie

s an

d fe

ars;

har

ps, f

lute

s, a

nd p

icco

los

ofte

n so

und

like

spir

its

talk

ing,

and

so

forth

. D

eath

-rel

ated

lyri

cs a

re f

ound

in m

usic

as

dive

rse

as c

ount

ry-w

este

rn, r

ap, o

pera

, or

hym

ns.

8. P

raye

r, R

epet

itiv

e M

edit

atio

ns, a

nd C

han

ts

The

pow

er o

f pra

yers

for m

any

child

ren

rest

s in

the

affi

rmat

ion

of s

piri

tual

bel

iefs

, but

al

so in

ass

ocia

ted

rela

xatio

n re

spon

ses

trig

gere

d by

the

repe

titio

n of

fam

ilia

r and

com

fort

ing

wor

ds.

The

y ad

d an

air

of s

olem

nity

and

gra

vity

to ri

tual

s an

d m

emor

ial a

ctiv

ities

.

D. S

ampl

e Q

uest

ion

s, E

xerc

ises

and

Act

ivit

ies

Use

ful

in W

orki

ng W

ith

Chi

ldre

n

The

follo

win

g qu

estio

ns, e

xerc

ises

and

act

iviti

es h

ave

been

use

d w

ith in

divi

dual

chi

ldre

n an

d w

ith g

roup

s o

f chi

ldre

n w

ho a

re g

riev

ing

afte

r vio

lent

dea

th.

The

y dr

aw u

pon

the

met

hods

ofi

nter

ven­

tion

desc

ribe

d ab

ove

and

illus

trat

e ho

w th

ese

inte

rven

tions

can

be

used

to a

ddre

ss c

omm

on c

once

rns

chil

dren

may

hav

e. T

o th

e ex

tent

pos

sibl

e, c

hild

ren

shou

ld b

e al

low

ed to

cho

ose

exer

cise

s an

d ac

tiviti

es

they

wan

t to

do o

r to

sugg

est a

ltern

ativ

es.

It is

use

ful f

or c

areg

iver

s w

ho w

ork

with

gri

evin

g ch

ildre

n to

ke

ep to

ys, a

rt s

uppl

ies

and

light

refr

eshm

ents

read

ily a

vaila

ble.

If c

areg

iver

s are

res

pond

ing

imm

edia

tely

af

ter a

vio

lent

dea

th, t

hey

shou

ld ta

ke p

aper

and

col

ored

mar

kers

or c

rayo

ns w

ith th

em to

use

in ta

lkin

g to

sur

vivi

ng c

hild

ren.

Mos

t chi

ldre

n ta

lk m

ore

read

ily w

hen

thei

r han

ds a

re b

usy.

Whe

n w

atch

ing

a vi

deot

ape

or li

sten

ing

to a

stor

y, m

any

child

ren

also

wan

t to

have

som

ethi

ng to

do

with

thei

r han

ds.

Whi

le c

areg

iver

s w

ant t

o lis

ten

to c

hild

ren'

s st

orie

s an

d as

sist

them

to u

nder

stan

d th

at s

omeo

ne th

ey

love

d di

ed in

the

imm

edia

te a

fter

mat

h o

f vio

lent

dea

th, m

ost q

uest

ions

and

act

iviti

es w

ill b

e ad

dres

sed

or

used

in th

e da

ys o

r wee

ks fo

llow

ing

viol

ent d

eath

.

37

1. F

indi

ng O

ut th

e C

hild

's V

ersi

on o

f Wha

t H

appe

ned

Und

erly

ing

Que

stio

ns:

How

did

[pe

rson

(s) n

ame(

s)]

die?

Wha

t hap

pene

d w

hen

s/he

die

d?

Act

ivit

ies

that

Hel

p A

ddre

ss t

he Q

uest

ions

:

• D

raw

ing

or p

aint

ing

imag

es o

f wha

t ha

ppen

ed.

Hin

t:

If ch

ildre

n ar

e re

luct

ant t

o be

gin

draw

ing

or p

aint

ing,

car

egiv

ers

may

beg

in to

dra

w

and

enco

urag

e th

e ch

ildre

n to

add

to th

eir d

raw

ings

. U

sefu

l sta

rtin

g po

ints

incl

ude

draw

ing

a fa

ce o

r a

pers

on, a

hou

se, o

r the

wea

ther

for t

he d

ay.

Hin

t:

Chi

ldre

n sh

ould

be

enco

urag

ed to

des

crib

e th

eir d

raw

ings

as

they

tell

wha

t hap

­pe

ned.

Oft

en, c

hild

ren

will

add

wri

tten

wor

ds to

thei

r dra

win

gs th

at h

elp

them

to a

rtic

ulat

e th

eir f

ears

.

• G

uide

d fr

ee p

lay:

in

wor

king

wit

h gr

ievi

ng c

hild

ren

who

hav

e su

rviv

ed o

r w

it­ne

ssed

vio

lent

dea

th,

toys

tha

t giv

e th

em a

n op

port

unit

y to

pla

y or

act

ou

t the

eve

nt m

ay

be

help

ful.

Hin

t:

Toy

s m

ight

incl

ude

child

and

adu

lt fig

ures

, pol

icem

en, f

irem

en, d

octo

rs, a

mbu

lanc

es,

fire

truc

ks, c

ars,

bui

ldin

gs, p

ets.

Hin

t:

Car

egiv

ers

shou

ld a

sk th

e ch

ildre

n ho

w th

ey m

ight

pla

y w

ith th

em.

Oft

en c

hild

ren

have

car

egiv

ers

play

the

"bad

guy

" or

som

eone

with

who

m th

ey a

re u

pset

so th

ey c

an e

xpre

ss th

eir

dist

ress

at a

real

per

son.

Hin

t:

Chi

ldre

n of

ten

have

an

acut

e m

emor

y o

f the

trau

mat

ic e

vent

and

can

repl

ay v

ivid

ly

the

mos

t fri

ghte

ning

par

t oft

hat e

vent

. It

may

invo

lve

loud

sou

nds,

ang

ry re

spon

ses,

or s

pora

dic

activ

ity.

Car

egiv

ers

shou

ld b

e pr

epar

ed to

cop

e w

ith s

uch

reac

tions

and

pro

vide

imm

edia

te n

urtu

ring

to

child

ren

to h

elp

them

feel

saf

e ag

ain.

• D

ram

atic

ree

nact

men

ts:

olde

r ch

ildr

en m

ay

wan

t to

deve

lop

a pl

ay to

des

crib

e w

hat

happ

ened

, par

ticu

larl

y in

the

wee

ks o

r m

onth

s fo

llow

ing

the

deat

h.

Hin

t:

With

old

er c

hild

ren,

car

egiv

ers

shou

ld b

e pr

epar

ed to

cla

rify

any

mis

conc

eptio

ns th

e ch

ildre

n m

ay h

ave

abou

t wha

t hap

pene

d w

hen

the

viol

ent d

eath

was

a su

icid

e, h

omic

ide

or a

n ac

cide

nt.

Hin

t:

Dra

mat

ic re

enac

tmen

ts m

ay b

e tr

aum

atic

eve

nts

for c

hild

ren

and

care

give

rs s

houl

d be

pre

pare

d to

pro

vide

cri

sis

assi

stan

ce i

f the

dra

ma

is o

verw

helm

ing.

39

2.

Exp

lori

ng t

he D

iffe

renc

e B

etw

een

Lif

e an

d D

eath

Und

erly

ing

Que

stio

n: H

ow d

o y

ou k

now

that

som

eone

or s

omet

hing

is d

ead?

Act

ivit

ies

that

Hel

p A

ddre

ss th

e Q

uest

ion:

• T

ouch

ing

a de

ad p

erso

n o

r a

nim

al m

ay

help

chi

ldre

n co

mpa

re b

ody

war

mth

an

d

iden

tifY

a d

iffe

renc

e in

th

e fe

el o

f th

e sk

in o

f som

eone

livi

ng.

• L

iste

nin

g fo

r th

e he

artb

eat o

f a d

ead

pers

on o

r a

nim

al m

ay

help

chi

ldre

n to

com

­p

are

th

e he

artb

eat o

f so

meo

ne

livi

ng.

Hin

t: L

ooki

ng a

t wha

t hap

pens

whe

n ey

egla

sses

or a

mir

ror a

re p

lace

d cl

ose

to th

e m

outh

o

f a d

ead

pers

on o

r ani

mal

and

com

pare

the

resu

lts

to w

hat h

appe

ns w

hen

the

sam

e th

ings

are

pla

ced

clos

e to

som

eone

livi

ng.

Bre

ath

cont

ains

moi

stur

e th

at w

ill c

ause

a f

og w

hen

it co

mes

into

con

tact

wit

h a

cool

pan

e o

f gla

ss.

Hin

t: S

ome

chil

dren

nev

er h

ave

the

oppo

rtun

ity

to s

ee th

e de

ad b

ody

of a

lov

ed o

ne o

r ac

quai

ntan

ce b

ecau

se th

ey a

re n

ot p

enni

tted

to a

tten

d th

e w

ake

or g

o to

the

fune

ral

hom

e o

r fun

eral

se

rvic

e. H

owev

er, i

t is

not u

ncom

mon

for c

hild

ren

to s

ee a

dea

d an

imal

, eit

her a

pet

or a

n an

imal

who

ha

s di

ed o

utsi

de (

baby

bir

ds th

at h

ave

fall

en o

ut o

ftre

es, f

or e

xam

ple)

.

Hin

t: I

t may

be

extr

emel

y di

ffic

ult f

or th

e pa

rent

or o

ther

car

egiv

er to

ass

ist a

chi

ld to

ex

plor

e th

e m

eani

ng o

f dea

th b

y vi

ewin

g th

e bo

dy o

f a d

ead

love

d on

e. I

t mig

ht b

e ea

sier

for

som

eone

w

ho

wor

ks in

the

fun

eral

hom

e to

hel

p th

e ch

ild

see

and

touc

h th

e bo

dy.

• U

se a

n i

llus

trat

ive

anal

ogy

thro

ugh

a gl

ove

exer

cise

.

Hin

t: H

ave

the

chil

dren

put

on

a gl

ove

and

then

mov

e th

eir h

an

d-p

ick

up

an o

bjec

t,

shak

e ha

nds

wit

h an

othe

r per

son,

or p

lay

wit

h a

toy.

The

glo

ve m

oves

wit

h th

e ha

nd b

ecau

se th

e ha

nd

is th

e li

fe f

orce

wit

hin

the

glov

e. H

ave

the

chil

dren

take

off

the

glov

e an

d la

y it

on

the

tabl

e. E

xpla

in th

at

whe

n th

e li

fe f

orce

is r

emov

ed, t

he g

love

is s

imil

ar to

a d

ead

body

whi

ch h

as n

o Ii

fe i

n it.

It c

an n

o lo

nger

mov

e, f

eel,

touc

h, o

r pla

y.

• S

om

e ch

ildr

en m

ay

wan

t to

see

the

body

of t

he

love

d o

ne

wh

o d

ied.

Hin

t: I

fth

e de

ath

was

vio

lent

, thi

s m

ay n

ot b

e po

ssib

le d

ue to

law

enf

orce

men

t pol

icy

or

pare

ntal

obj

ecti

on.

A v

iew

ing

of t

he b

ody

is u

sefu

l, if

chil

dren

are

pro

perl

y pr

epar

ed fo

r w

hat t

hey

wil

l se

e. l

fth

ey c

anno

t see

the

body

, it m

ay b

e im

port

ant t

o le

t par

ents

kno

w th

at it

may

take

som

e ti

me

for

chil

dren

to a

bsor

b th

e co

ncep

t tha

t the

per

son

is d

ead

and

wil

l not

retu

rn.

40

3. E

xplo

ring

Wha

t H

appe

ns t

o a

Per

son

Aft

er H

e D

ies

Und

erZy

ing

Que

stio

n: W

hat h

appe

ns to

a p

erso

n af

ter h

e di

es?

Act

ivit

ies

that

Hel

p A

ddre

ss th

e Q

uest

ion:

• R

ead

a po

em o

r st

ory,

or

show

a v

ideo

tape

abo

ut s

omeo

ne o

r so

met

hing

dyi

ng.

Ask

th

e ch

ildr

en t

o co

mm

ent o

n th

e en

ding

. W

hat

are

thei

r be

lief

s or

thou

ghts

abo

ut w

hat

hap­

pene

d?

Hin

t:

Exa

mpl

es o

f sho

rt s

tori

es in

clud

e: A

ny A

ardv

arkf

inds

Hop

e, a

bo

ok

by

Do

nn

a 0

' Too

le.

Mor

e ex

cell

ent s

tori

es w

ill b

e in

the

loca

l lib

rary

.

Hin

t:

Che

ck th

e lo

cal l

ibra

ry o

r vid

eo s

tore

s fo

r vi

deos

that

add

ress

dea

th th

at w

ould

be

appr

opri

ate

for c

hild

ren

of v

aryi

ng a

ges.

Hin

t:

If ch

ildr

en a

re s

choo

l-ag

e o

r abo

ve, t

he c

areg

iver

may

ask

them

to h

elp

read

the

stor

y.

Hin

t:

Car

egiv

ers

shou

ld e

ncou

rage

chi

ldre

n to

wri

te th

eir o

wn

stor

ies

abou

t wha

t hap

­pe

ned

to th

e bo

dy o

f the

ir lo

ved

one

and

wha

t the

y be

liev

e ha

ppen

s to

the

spir

it o

f the

ir lo

ved

one.

• D

raw

ing

or p

aint

ing

imag

es o

f wha

t ha

ppen

s.

Com

mon

pic

ture

them

es i

nclu

de:

-D

epic

tion

of b

uria

l or f

uner

al p

roce

edin

gs.

-Sp

irit

ual

conc

epts

suc

h as

a p

erso

n go

ing

to h

eave

n or

bei

ng in

hea

ven,

gh

osts

, go

od o

r ev

il s

piri

ts.

-T

houg

hts

on w

here

the

per

son

is o

r w

hat h

e lo

oks

like

aft

er d

eath

.

Hin

t:

Car

egiv

ers

shou

ld b

e al

ert t

o fr

ight

enin

g im

ages

, sel

f-de

pict

ions

oft

he

chil

d w

here

th

e ch

ild

mig

ht b

e sh

own

in h

idin

g o

r wit

hout

impo

rtan

t bod

y pa

rts,

dep

icti

ons

oft

he

dece

ased

that

are

di

stor

ted

or p

arti

ally

dra

wn,

etc

.

Hin

t:

Car

egiv

ers

shou

ld e

ncou

rage

chi

ldre

n to

des

crib

e th

e pi

ctur

es a

nd a

sk q

uest

ions

ab

out a

ny im

ager

y th

at is

dis

turb

ing.

41

4. E

xplo

ring

Why

a S

udde

n D

eath

has

Occ

urre

d

Und

erly

ing

Que

stio

n: W

hy d

o yo

u th

ink

[per

son(

s) n

ame(

s)]

died

?

Act

ivit

ies

that

Hel

p A

ddre

ss th

e Q

uest

ion:

• L

ife

Cyc

les

Dis

cuss

ion

Tak

e ch

ildre

n on

a fi

eld

trip

to o

bser

ve li

fe a

nd d

eath

in th

e na

tura

l wor

ld.

In a

par

k,

child

ren

mig

ht b

e ab

le to

look

at a

livi

ng tr

ee, a

dyi

ng tr

ee, a

nd a

tree

kill

ed b

y a

stor

m o

r fire

. In

sect

s m

ay b

e ob

serv

ed li

ving

and

dea

d-s

om

e su

dden

ly b

ecau

se a

chi

ld s

tepp

ed o

n th

em.

A y

oung

ani

mal

m

ay b

e vi

ewed

and

con

tras

ted

with

a v

ery

old

anim

al.

Hin

t:

Thi

s di

scus

sion

is m

ost h

elpf

ul a

s an

edu

catio

nal t

ool i

n pr

epar

atio

n fo

r dea

th;

how

ever

, it c

an b

e us

ed in

the

afte

rmat

h o

f sud

den

deat

h to

try

to p

lace

all

deat

h in

per

spec

tive.

Hin

t:

Car

egiv

ers

shou

ld b

e pr

epar

ed fo

r que

stio

ns a

bout

the

diff

eren

ces

betw

een

vari

ous

kind

s of

life

, how

it is

dec

ided

whe

n lif

e sh

ould

end

, why

doe

s so

meo

ne I

love

die

, etc

.

• "F

indi

ng A

nsw

ers"

Gam

e W

ith D

iscu

ssio

n

Inst

ruct

ions

: Pr

ovid

e a

larg

e sh

eet o

f con

stru

ctio

n pa

per t

hat i

s di

vide

d in

to a

mat

rix

of

thre

e la

rge

squa

res

by s

ix la

rge

squa

res.

Chi

ldre

n ar

e as

ked

to w

rite

or d

raw

six

reas

ons

they

bel

ieve

he

lped

to c

ause

the

deat

h of

the

pers

on th

ey lo

ved

in th

e fi

rst s

et o

f ver

tical

squ

ares

. C

areg

iver

s th

en

verif

Y o

r cor

rect

eac

h o

f tho

se re

ason

s in

the

seco

nd s

et o

f ver

tical

squ

ares

. In

the

thir

d se

t of v

ertic

al

squa

res,

car

egiv

ers a

nd c

hild

ren

toge

ther

agr

ee o

n th

e as

sess

men

t tha

t it w

as n

ot th

e ch

ild'

s fa

ult.

Hin

t:

Thi

s exe

rcis

e ex

plor

es m

agic

al th

inki

ng a

nd th

e po

ssib

ility

that

chi

ldre

n bl

ame

them

selv

es fo

r thi

ngs

they

do,

thin

k or

feel

pri

or to

the

deat

h o

f a lo

ved

one.

Car

egiv

ers

can

reas

sure

ch

ildre

n th

at th

eir j

ob in

life

is to

be

a ch

ild a

nd th

at li

fe a

nd d

eath

dec

isio

ns a

re n

ot u

nder

thei

r con

trol

.

Hin

t:

Thi

s ex

erci

se a

lso

help

s ch

ildre

n to

lear

n ab

out t

he f

acts

that

sur

roun

d th

e de

ath

of a

lo

ved

one

and

to c

larif

Y m

isco

ncep

tions

and

rum

ors.

• "I

f I C

ould

Say

Goo

d-by

e" E

xerc

ise

With

Dis

cuss

ion

Inst

ruct

ions

: A

sk c

hi ld

ren

to w

rite

or t

o de

pict

wha

t the

y th

ink

thei

r lov

ed o

ne w

ould

wan

t th

em to

kno

w i

f tha

t per

son

wou

ld h

ave

had

an o

ppor

tuni

ty to

tell

them

they

wer

e go

ing

to d

ie s

udde

nly.

A

fter

chi

ldre

n ex

pres

s th

is id

ea, t

hey

are

then

ask

ed to

wri

te o

r dep

ict w

hat t

hey

wou

ld h

ave

wan

ted

thei

r lov

ed o

ne to

kno

w.

Hin

t:

Thi

s exe

rcis

e he

lps

child

ren

expl

ore

issu

es o

f aba

ndon

men

t, an

ger o

r gri

ef ov

er th

e su

dden

loss

of a

love

d on

e. I

t als

o he

lps

child

ren

to e

xpre

ss th

eir c

onfu

sion

ove

r why

dea

th h

appe

ns.

Hin

t:

The

sec

ond

part

oft

he e

xerc

ise

help

s ch

ildre

n th

ink

thro

ugh

how

they

mig

ht re

solv

e th

ese

issu

es a

nd g

o on

livi

ng.

42

5. I

dent

ifyi

ng T

raum

a or

Gri

ef R

eact

ions

Und

erly

ing

Que

stio

n: W

hat d

o yo

u re

mem

ber f

eelin

g af

ter y

ou k

new

or f

ound

out

that

[per

son(

s)

nam

e( s)

] was

dea

d?

Act

ivit

ies

that

Hel

p A

ddre

ss th

e Q

uest

ion:

• "C

olor

Me

Blu

e" E

xerc

ise

and

Dis

cuss

ion

Inst

ruct

ions

: D

istr

ibut

e pa

per a

nd c

olor

ed m

arke

rs a

nd a

sk c

hild

ren

to m

ake

a se

ries

of

self

-por

trai

ts id

entif

Yin

g ho

w th

ey fe

el w

hen

they

are

ang

ry, a

frai

d, c

onfu

sed,

ash

amed

, gui

lty, l

onel

y,

sad,

exc

ited,

hap

py, f

eelin

g lo

ved.

The

se c

an b

e do

ne o

n on

e pa

ge o

r a s

erie

s o

f sep

arat

e p

ag

es­

one

for e

ach

type

of f

eelin

g. A

sk c

hild

ren

to u

se a

spec

ial c

olor

for e

ach

feel

ing.

Aft

er th

ey h

ave

draw

n th

ose

pict

ures

, chi

ldre

n ar

e as

ked

to id

entif

Y w

hich

feel

ing

they

rem

embe

r hav

ing

first

aft

er le

arni

ng o

f th

eir l

oved

one

's d

eath

. T

hen

they

are

ask

ed to

iden

tifY

oth

er p

ictu

res t

hat i

llust

rate

add

ition

al fe

elin

gs.

Hin

t:

In th

e in

itial

sta

ges

ofth

is e

xerc

ise,

car

egiv

ers

shou

ld u

se s

impl

e, n

onth

reat

enin

g ill

ustr

atio

ns w

ith y

oung

er c

hild

ren

of w

hat t

he v

ario

us e

mot

ions

mig

ht m

ean.

Fo

r exa

mpl

e, g

uilt

mig

ht

be d

escr

ibed

as

"dra

win

g ho

w y

ou m

ight

look

if yo

u fe

lt ba

d be

caus

e yo

u di

d so

met

hing

wro

ng b

ut

didn

't w

ant t

o te

ll an

yone

."

Hin

t:

Car

egiv

ers

and

child

ren

may

wan

t to

keep

thes

e ill

ustr

atio

ns to

use

as

they

con

tinue

to

mee

t and

talk

abo

ut tr

aum

atic

gri

ef.

The

y ca

n be

com

e a

usef

ul r

efer

ence

poi

nt.

How

ever

, car

egiv

ers

shou

ld n

ote

that

chi

ldre

n m

ay w

ant t

o ch

ange

the

colo

r of d

iffe

rent

em

otio

ns a

s th

eir f

eelin

gs c

hang

e.

Hin

t:

Old

er c

hild

ren

may

not

wan

t to

take

the

time

to d

raw

pic

ture

s; h

owev

er, m

any

may

be

abl

e to

thin

k in

term

s o

f col

ors

that

cor

resp

ond

to th

eir r

eact

ions

mor

e ea

sily

than

nam

ing

thei

r re

actio

ns.

The

y m

ight

be

aske

d if

they

can

thin

k o

f a c

olor

that

fits

how

they

felt.

Som

etim

es a

vid

eo

proj

ectio

n of

the

colo

r whe

el m

ight

ass

ist t

hem

in id

entif

Yin

g th

e nu

ance

s o

f the

ir fe

elin

gs.

• R

oadm

ap o

f Tra

uma

Exe

rcis

e an

d D

iscu

ssio

n

Inst

ruct

ions

: A

sk c

hild

ren

to d

raw

a li

ne fr

om th

e tim

e th

at th

eir l

oved

one

die

d un

til th

e pr

esen

t. H

ave

them

mar

k im

port

ant e

vent

s th

at h

ave

happ

ened

dur

ing

that

tim

e on

the

line

and

indi

cate

w

heth

er th

ey w

ere

thin

gs th

at fe

lt sa

d, b

ad, m

ad, o

r gla

d.

Hin

t:

Eve

nts

may

incl

ude

the

first

tim

e th

ey re

turn

ed to

sch

ool,

the

fune

ral,

an in

terv

iew

by

the

polic

e, a

life

cha

nge

such

as

a di

vorc

e o

f par

ents

or t

he b

irth

of a

new

sib

ling,

and

so

forth

.

Hin

t:

Mos

t eve

nts

will

rela

te d

irec

tly to

the

trau

mat

ic d

eath

or b

e in

terp

rete

d in

ligh

t of

that

trau

ma.

Hin

t:

Car

egiv

ers

shou

ld b

e pr

epar

ed to

talk

abo

ut th

e on

goin

g im

pact

of t

he tr

aum

a,

clar

ifY a

ny m

isco

ncep

tions

, and

hel

p w

ith c

hild

ren'

s und

erst

andi

ng o

f ord

inar

y lif

e ch

ange

s tha

t tak

e pl

ace

and

thos

e th

at m

ight

hav

e be

en p

reci

pita

ted

by th

e im

pact

oft

he tr

aum

a.

Hin

t:

Man

y th

ings

in a

chi

ld's

life

will

cha

nge

as a

resu

lt o

f tra

umat

ic d

eath

. T

he c

areg

iver

m

ay s

eek

to fi

nd p

ositi

ve re

solu

tions

in th

ose

chan

ges,

but

som

e ne

gativ

e ch

ange

s may

take

pla

ce.

Car

egiv

ers

shou

ld b

e pr

epar

ed to

hel

p ch

ildre

n co

pe w

ith c

onse

quen

t and

suc

ceed

ing

trau

mas

.

43

6.

Cop

ing

Wit

h T

raum

a or

Gri

ef R

eact

ions

Und

erly

ing

Que

stio

n: H

ow c

an y

ou li

ve w

ith y

our f

eelin

gs?

Act

ivit

ies

that

Hel

p A

ddre

ss th

e Q

uest

ion:

• C

lay-

thro

win

g -

to A

ddre

ss A

ng

er

Ang

er a

nd ra

ge a

re th

e m

ost v

olat

ile a

nd p

oten

tially

vio

lent

em

otio

nal r

eact

ions

to tr

aum

a an

d gr

ief.

Old

er c

hild

ren

may

be

able

to e

xpre

ss a

nger

in w

ritin

g, v

erba

lly o

r thr

ough

con

stru

ctiv

e so

cial

ac

tion.

You

nger

chi

ldre

n m

ay fi

nd it

mor

e di

ffic

ult t

o fin

d w

ays

to a

dequ

atel

y al

levi

ate

thei

r fur

y. C

lay­

thro

win

g ha

s be

en u

sed

by s

ome

care

give

rs to

ass

ist t

hem

. A

larg

e pl

astic

she

et o

r gar

bage

bag

is

plac

ed o

n th

e gr

ound

or f

loor

. U

nmol

ded

soft

cla

y is

giv

en to

chi

ldre

n. T

hey

may

sha

pe it

or s

impl

y ro

ll it

in a

bal

l. T

hey

are

then

allo

wed

to th

row

the

clay

on

the

shee

t as

hard

as

they

can

. E

ach

time

they

th

row

it d

own,

they

are

enc

oura

ged

to e

xpre

ss w

hat t

hey

are

thro

win

g it

for.

Hin

t:

If do

ne in

gro

ups,

this

act

ivity

nee

ds to

be

clos

ely

mon

itore

d so

that

chi

ldre

n do

not

th

row

the

clay

at e

ach

othe

r.

Hin

t:

A m

odif

icat

ion

ofth

is e

xerc

ise

invo

lves

usi

ng d

iffe

rent

col

ors

of c

lay

and

havi

ng

child

ren

iden

tity

diff

eren

t fee

lings

with

eac

h co

lor a

nd th

row

ing

the

colo

rs a

s th

ey e

xpre

ss d

iffe

rent

fe

elin

gs.

Hin

t:

Ven

tilat

ion

of a

nger

is a

use

ful e

xerc

ise

so lo

ng a

s it

is fo

llow

ed b

y re

laxa

tion

and

defu

sing

exe

rcis

es so

that

the

ange

r doe

s no

t esc

alat

e in

em

otio

nal i

nten

sity

.

• P

repa

ring

Sa

fety

Pla

ns -

to A

ddre

ss F

ear

Chi

ldre

n w

ho h

ave

been

trau

mat

ized

by

viol

ent d

eath

nee

d to

hav

e id

eas

abou

t how

they

ca

n pr

otec

t the

mse

lves

in th

e fu

ture

. Pr

actic

al s

afet

y pl

ans

may

not

be

fool

proo

f but

they

can

pro

vide

ch

ildre

n w

ith a

mea

sure

of r

eass

uran

ce.

Car

egiv

ers

shou

ld ta

lk to

chi

ldre

n ab

out t

heir

fear

s an

d tr

y to

pr

ovid

e th

em w

ith s

kills

to a

ddre

ss b

asic

pro

blem

s. F

or in

stan

ce, a

chi

ld m

ay h

ave

hear

d th

at th

ey

shou

ld c

all t

he p

olic

e in

an

emer

genc

y, b

ut th

ey d

o no

t kno

w w

hat t

he n

umbe

r is

or h

ow to

dia

l it.

Tha

t is

a s

impl

e le

sson

. T

he d

isas

ter e

duca

tion

prov

ided

to c

hild

ren

in e

arth

quak

e an

d hu

rric

ane

zone

s ar

e ex

ampl

es o

f edu

catio

n pr

ogra

ms

that

hel

p ch

ildre

n fe

el m

ore

com

pete

nt w

hen

thre

aten

ed w

ith th

ose

disa

ster

s. C

rim

e pr

even

tion

and

educ

atio

n pr

ogra

ms

can

help

chi

ldre

n fe

el m

ore

com

pete

nt w

hen

thre

aten

ed w

ith v

iole

nce.

Car

egiv

ers

shou

ld a

lso

wor

k w

ith si

61J1i f

ican

t adu

lts to

ens

ure

that

chi

ldre

n kn

ow w

hat w

ill h

appe

n to

them

if a

noth

er tr

aum

atic

dea

th o

ccur

s in

thei

r I iv

es.

Whe

re w

i 11 t

hey

go?

Who

will

they

live

with

? H

ow m

ight

they

con

tinue

to b

e in

con

tact

with

thei

r fri

ends

if t

hey

mus

t mov

e to

ano

ther

nei

ghbo

rhoo

d?

Hin

t:

Chi

ldre

n sh

ould

be

allo

wed

to p

ract

ice

safe

ty s

kills

ove

r and

ove

r aga

in u

ntil

they

re

spon

d au

tom

atic

ally

to p

erce

ptio

ns o

fthr

eats

.

-C

on

tin

ued

-

44

Hin

t:

Chi

ldre

n sh

ould

be

allo

wed

to d

evel

op th

eir o

wn

safe

ty te

chni

ques

and

try

them

out

to

see

if t

hey

wor

k. [

fthe

ir su

gges

tions

or a

ttem

pts

refl

ect g

ood

thin

king

but

nee

d re

fine

men

t, ca

regi

vers

sh

ould

rein

forc

e th

eir e

ffor

ts.

[fth

eir s

ugge

stio

ns a

re d

ange

rous

or w

ould

be

futil

e, th

ey s

houl

d be

en

cour

aged

to c

onsi

der a

ltern

ativ

es.

Hin

t:

Safe

ty p

lans

sho

uld

have

rea

listic

cha

nces

of s

ucce

ss.

Car

ryin

g a

good

luck

cha

rm

may

pro

vide

reas

sura

nce,

but

will

not

pro

vide

a c

hild

with

safe

ty.

• Jo

urna

l-w

riti

ng -

to A

ddre

ss C

onfu

sion

Kee

ping

a re

gula

r jou

rnal

is s

omet

hing

that

all

scho

ol a

ge c

hild

ren

can

do.

For y

oung

ch

ildre

n th

is m

ay in

volv

e ke

epin

g a

scra

pboo

k of

thin

gs w

ith a

few

pri

nted

wor

ds th

at d

escr

ibe

feel

ings

an

d th

ough

ts.

Old

er c

hild

ren

can

expa

nd th

eir i

deas

and

reac

tions

. T

he v

alue

ofj

oum

al-w

riti

ng is

that

it

give

s ch

ildre

n a

chan

ce to

nar

rate

thei

r sto

ry o

ver a

nd o

ver a

gain

as

wel

l as

to e

xpre

ss th

eir r

eact

ions

. E

ach

narr

atio

n m

ay h

elp

them

sor

t thr

ough

fact

s an

d em

otio

ns th

at c

onfu

se th

em.

Hin

t:

Car

egiv

ers

shou

ld a

ssur

e ch

ildre

n th

at th

eir j

ourn

als c

an b

e ke

pt p

riva

te b

ut e

ncou

r­ag

e th

em to

sha

re th

em v

olun

taril

y.

Hin

t:

Chi

ldre

n m

ay fi

nd it

eas

ier t

o sh

are

the

cont

ents

of t

heir

jour

nals

ifth

ey th

ink

that

th

eir e

xper

ienc

es w

ill h

elp

othe

rs w

ho fa

ce s

imila

r tra

uma

or g

rief.

• I'

m O

K A

ffir

mat

ions

-to

Add

ress

Sh

am

e

Car

egiv

ers

can

talk

to c

hild

ren

who

feel

ash

amed

of w

hat t

hey

did

duri

ng a

trau

mat

ic e

vent

, ha

ving

sur

vive

d a

trau

ma,

or h

ow th

eir l

oved

one

die

d to

thin

k ab

out t

he g

ood

thin

gs th

ey d

o an

d th

e go

od th

ings

thei

r lov

ed o

nes

have

don

e. C

hild

ren

may

be

aske

d to

list

the

thin

gs th

at th

ey a

re p

roud

est

of-

in th

emse

lves

or t

heir

love

d on

es -

and

to k

eep

a ch

art o

f eac

h tim

e th

ey d

o so

met

hing

or

rem

embe

r som

ethi

ng th

at re

affi

rms

that

qua

lity

or a

ttrib

ute.

Chi

ldre

n m

ay a

lso

feel

ash

amed

of t

hing

s th

at h

appe

n to

them

aft

er a

trau

ma.

Som

etim

es c

hild

ren

who

hav

e be

en p

erce

ived

by

adul

ts to

hav

e be

en "

hero

es"

duri

ng a

trau

ma

feel

par

ticul

arly

ash

amed

bec

ause

they

"kn

ow"

insi

de th

at th

ey w

ere

scar

ed a

nd fe

lt he

lple

ss.

Car

egiv

ers

can

talk

to c

hild

ren

and

deve

lop

plan

s fo

r ho

w to

res

pond

to

emba

rras

sing

que

stio

ns, c

omm

ents

or s

ituat

ions

. W

ritin

g ou

t "cu

e ca

rds"

that

chi

ldre

n ca

n ca

rry

with

th

em to

rem

ind

them

of h

ow th

ey p

lan

to r

espo

nd c

an p

rovi

de e

xtra

sec

urity

.

• W

orry

Bea

ds -

to A

ddre

ss G

uilt

an

d A

nxi

ety

Wor

ry b

eads

are

com

mon

obj

ects

use

d in

pra

yer a

nd m

edita

tion

in m

any

part

s of

the

wor

ld.

In a

n ad

apta

tion

of t

his

use,

car

egiv

ers

may

ask

chi

ldre

n to

mak

e a

set o

f bea

ds o

ut o

f pap

ier-

mac

he,

oldj

ewel

ry, g

lue

and

pape

r or o

ther

mat

eria

ls.

Eac

h be

ad c

an b

e us

ed to

sym

boliz

e sp

ecif

ic w

orri

es,

guilt

feel

ings

or a

nxie

ties

a ch

ild m

ay h

ave.

The

y st

ring

and

kee

p th

em to

touc

h an

d fe

el w

hene

ver t

hey

are

thin

king

anx

ious

thou

ghts

. T

hey

sym

boliz

e th

at th

ese

thou

ghts

are

with

in th

eir c

ontr

ol a

nd c

an b

e so

othe

d an

d ca

lmed

by

thei

r fin

gers

.

-C

on

tin

ued

-

45

• R

itua

l: T

he B

urde

n B

aske

t

Thi

s ri

tual

, dra

wn

from

Nat

ive

Am

eric

an T

ribe

s, w

here

bur

den

bask

ets

wer

e co

nstr

ucte

d ou

t of c

edar

to a

bsor

b an

ger a

nd te

ars

to c

arry

eve

ryda

y bu

rden

s, in

volv

es c

reat

ing

a ba

sket

out

of t

he

child

's c

hoic

e o

f mat

eria

l. T

he c

hild

then

wri

tes

or d

epic

ts fe

elin

gs th

at a

re o

verw

helm

ing

and

depo

sits

th

em in

the

bask

et.

The

bas

ket t

hen

is b

urne

d an

d th

e as

hes

scat

tere

d to

hel

p de

fuse

the

inte

nsity

oft

he

imm

edia

te fe

elin

gs.

Hin

t:

Chi

ldre

n sh

ould

be

supe

rvis

ed c

lose

ly if

the

bask

et is

bur

ned.

Hin

t:

Som

etim

es c

hild

ren

wan

t to

disp

ose

of t

he b

aske

t in

a di

ffer

ent w

ay

-su

ch

as

thro

win

g it

in a

bod

y o

f wat

er.

Hin

t:

Som

etim

es c

hild

ren

mig

ht w

ant t

o ke

ep th

e ba

sket

and

its

cont

ents

and

pic

k a

spec

ific

tim

e ea

ch d

ay o

r wee

k to

look

at t

heir

bur

dens

and

ree

xam

ine

the

issu

es in

a n

ew c

onte

xt.

• R

itua

l: T

he H

eali

ng C

ircl

e

The

sha

man

i (na

tura

l med

icin

e) tr

aditi

on th

roug

hout

the

wor

ld s

ugge

sts

that

a h

ealin

g ci

rcle

ca

n he

lp u

s co

nnec

t with

spi

rit a

nd a

ffir

m o

ur p

lace

in th

e un

iver

se.

The

Hea

ling

Cir

cle

uses

eac

h o

f the

fo

ur d

irec

tions

in n

atu

re-S

ou

th, W

est,

Nor

th a

nd E

ast t

o id

entif

y sp

ecif

ic ta

sks

and

proc

esse

s o

f de

velo

pmen

t for

indi

vidu

als a

nd c

omm

uniti

es to

atte

nd to

in th

eir l

ives

. C

hild

ren

may

par

ticip

ate

in a

rit

ual a

dapt

ed fr

om th

e sh

aman

i tra

ditio

n th

at u

ses

thes

e di

rect

ions

to a

ddre

ss th

eir n

eeds

. Mus

ic a

nd

rhyt

hm c

an b

e us

ed to

acc

ompa

ny th

is ri

tual

.

A c

ircl

e is

dra

wn

on th

e gr

ound

and

the

child

sta

nds

faci

ng S

outh

. T

his

is th

e di

rect

ion

of t

he

heal

er.

The

chi

ld a

sks

the

win

ds o

f the

Sou

th to

hel

p hi

m d

eal w

ith h

is tr

aum

a an

d gr

ief.

The

chi

ld te

lls

the

sout

h w

inds

of h

is s

orro

w a

nd lo

ss a

s w

ell a

s an

y se

nse

of a

band

onm

ent b

y th

e on

e he

love

d. A

rh

ythm

ic d

rum

beat

acc

ompa

nies

the

stor

y.

The

chi

ld th

en fa

ces

Wes

t. It

is in

this

dir

ectio

n th

at th

e ch

ild is

ask

ed to

talk

abo

ut h

is f

ears

and

hi

s lo

nelin

ess.

Thi

s is

the

dire

ctio

n o

f cou

rage

. H

e ca

lls u

pon

the

spir

its o

fthe

Wes

t to

help

him

fac

e th

ose

fear

s. A

tim

e o

f sile

nce

is u

sed

to h

elp

the

child

gat

her h

is c

oura

ge.

The

chi

ld th

en f

aces

Nor

th to

ask

for

the

abili

ty to

cop

e w

ith h

is a

nger

, fea

r, an

d sa

dnes

s. H

e as

ks th

e sp

irits

oft

he N

orth

to h

elp

him

rec

onne

ct w

ith f

amily

and

co

mm

un

ity

-to

bre

ach

the

gap

the

trau

ma

has

caus

ed.

A d

ance

of r

emem

bran

ce a

nd o

utre

ach

to o

ther

s is

use

d to

beg

in th

is p

roce

ss.

The

chi

ld fi

nally

fac

es E

ast t

o fin

d a

visi

on to

gui

de h

im in

the

futu

re.

The

task

of d

ecid

ing

how

to

go

on in

volv

es fr

eein

g on

esel

ffro

m th

e pa

st s

o th

at o

ne c

an b

e fu

lly c

omm

itted

to th

e pr

esen

t and

the

futu

re v

isio

n. S

ongs

of h

ope

acco

mpa

ny th

e ch

ild a

s he

face

s th

is d

irec

tion.

Hin

t:

Thi

s rit

ual s

houl

d be

pla

nned

in a

dvan

ce a

nd in

volv

e pa

rtic

ipat

ion

and

assi

stan

ce o

f ca

regi

vers

. It

may

be

mos

t app

ropr

iate

for o

lder

chi

ldre

n be

caus

e o

f the

com

plex

ity o

fthe

sym

bolis

m.

Ado

lesc

ents

may

wan

t to

crea

te th

eir o

wn

rhyt

hm a

nd m

usic

al a

ccom

pani

men

t.

Hin

t:

Thi

s rit

ual m

ay b

e us

ed in

four

dif

fere

nt d

iscu

ssio

n se

ssio

ns w

ith th

e ch

ildre

n in

-vo

lved

.

46

7. M

emor

ials

and

Rem

embr

ance

Unde

r~vi

ng Q

uest

ion:

How

can

you

rem

embe

r the

one

you

love

d an

d ex

pres

s yo

ur lo

ss?

Act

ivit

ies

that

Hel

p A

ddre

ss th

e Q

uest

ion:

• F

uner

als

an

d F

orm

al M

emor

ial S

ervi

ces

Con

sist

ent w

ith th

e sp

iritu

al b

elie

fs o

fthe

fam

ily, c

areg

iver

s sh

ould

enc

oura

ge p

aren

ts to

in

clud

e ch

ildre

n in

fune

rals

and

mem

oria

l ser

vice

s so

they

can

exp

ress

thei

r ow

n gr

ief,

say

good

-bye

to

thei

r lov

ed o

ne a

nd b

e m

ore

conn

ecte

d w

ith th

e gr

ief o

f the

ir pe

ers

and

sign

ific

ant a

dults

. C

hild

ren

may

w

ant t

o br

ing

"gif

ts"

to s

uch

serv

ices

or d

epos

it le

tters

or m

emen

tos

in th

e co

ffin

or a

t the

bur

ial s

ite.

Ofte

n tr

aditi

onal

spi

ritu

al a

nd m

ourn

ing

ritua

ls h

elp

to a

ccom

plis

h th

e ac

know

ledg

men

t of d

eath

and

the

reaf

firm

atio

n of

life.

• C

hild

-cen

tere

d M

emor

ial S

ervi

ces

Man

y tim

es c

hild

ren

need

to h

ave

thei

r ow

n m

emor

ial s

ervi

ces

in a

dditi

on to

the

ones

pl

anne

d by

and

for a

dult

grie

vers

. Su

ch p

lans

sho

uld

be e

ncou

rage

d an

d su

ppor

ted.

• C

ultu

rall

y-sa

ncti

oned

Rit

ual:

All

Sai

nts

Day

In M

exic

o, A

ll Sa

ints

Day

is a

tim

e to

hon

or th

e de

ad.

It ce

nter

s ar

ound

feas

ting

and

offe

ling

food

to th

e de

ad a

s w

ell a

s gi

ft e

xcha

nges

and

fam

ily r

euni

ons.

Car

egiv

ers

coul

d su

gges

t tha

t ch

ildre

n an

d th

eir f

amili

es a

dopt

a si

mila

r rit

ual-

perh

aps

on th

e bi

rthd

ay o

fthe

dec

ease

d lo

ved

one

or

on a

day

with

spe

cial

mea

ning

for t

he fa

mily

.

• C

ultu

rall

y-sa

ncti

oned

Rit

ual:

Bud

dhis

t a

nd

Shi

nto

Tra

diti

ons

Man

y ho

mes

hav

e an

alta

r hon

orin

g de

ceas

ed a

nces

tors

. Pi

ctur

es m

ight

be

plac

ed th

ere

and

even

an

urn

cont

aini

ng c

rem

atio

n as

hes.

Fam

ily m

embe

rs m

ay m

ake

offe

ring

s to

thei

r lov

ed o

nes,

as

k ad

vice

, or s

tate

opi

nion

s. T

he c

onne

ctio

n w

ith th

e pa

st li

ves

in th

e pr

esen

t. C

hild

ren

may

wan

t to

choo

se a

spec

ial p

lace

in th

eir o

wn

hom

e w

here

they

feel

esp

ecia

lly c

lose

to a

dec

ease

d fa

mily

mem

ber

and

mak

e a

habi

t of c

omm

unic

atin

g th

eir i

deas

and

feel

ings

to th

at p

erso

n.

Bec

ause

chi

ldre

n te

nd to

grie

ve a

nd m

ourn

spo

radi

cally

ove

r lon

g pe

riod

s of t

ime,

indi

vidu

aliz

ed

mem

oria

l act

iviti

es s

houl

d al

so b

e su

ppor

ted.

-C

on

tin

ued

-

47

• Tr

easu

re M

ap

Car

egiv

ers

can

supp

ly c

hild

ren

wit

h a

larg

e st

ack

of o

ld m

agaz

ines

, sci

ssor

s, g

lue

and

a la

rge

piec

e o

f con

stru

ctio

n pa

per.

Ins

truc

t chi

ldre

n to

go

thro

ugh

the

mag

azin

es q

uick

ly a

nd f

ind

pic­

ture

s, w

ords

, or c

apti

ons

that

rem

ind

them

of t

heir

love

d on

e. A

sk th

em to

cut

out

thos

e th

at c

atch

thei

r ey

es.

Aft

er th

ey h

ave

asse

mbl

ed a

pil

e o

f cut

outs

, tel

l the

m to

wri

te th

e na

me

or d

raw

a p

ictu

re o

f the

ir

love

d on

e in

the

mid

dle

of t

he c

onst

ruct

ion

pape

r and

then

glu

e th

e ot

her i

tem

s ar

ound

in w

hate

ver o

rder

th

ey w

ant.

The

y m

ay w

ant t

o dr

aw li

nes

from

eac

h it

em to

the

pict

ure

or n

ame

in t

he c

ente

r. O

r the

y m

ay w

ant t

o d

raw

line

s th

at c

onne

ct a

ll th

e it

ems

to e

ach

othe

r and

then

en

d in

the

cen

ter.

Wha

teve

r the

or

der,

the

chil

dren

hav

e cr

eate

d a

trea

sure

map

oft

hei

r tho

ught

s an

d fe

elin

gs o

f the

love

d on

e.

Hin

t:

A v

aria

tion

oft

his

exe

rcis

e fo

r old

er c

hild

ren

is to

take

a p

iece

of p

aper

, and

in th

e m

iddl

e o

f the

pap

er p

ut th

e na

me

oft

he

pers

on.

The

n, th

ey s

houl

d be

inst

ruct

ed to

wri

te w

ords

aro

und

that

per

son'

s na

me

that

they

ass

ocia

te w

ith

them

.

Hin

t:

Chi

ldre

n m

ay u

se th

is a

s a

way

to m

emor

iali

ze a

lov

ed o

ne.

It m

ay a

lso

be u

sed

to

expl

ore

unre

solv

ed fe

elin

gs o

fth

e ch

ild

abou

t the

dec

ease

d.

• A

Mem

ory

Bo

x

Chi

ldre

n m

ay w

ant t

o sa

ve it

ems

that

rem

ind

them

oft

hei

r lo

ved

one

in a

spe

cial

box

that

ca

n b

e lo

oked

at w

hen

they

feel

sad

or w

hen

they

wan

t to

feel

the

pre

senc

e o

fth

eir

love

d on

e. C

on­

stru

ctin

g an

d de

cora

ting

an

old

ciga

r box

or s

hoe

box

for

this

pur

pose

can

be

crea

tive

and

com

fort

ing

wor

k.

• V

isits

to

Cem

eter

y

Car

egiv

ers

mig

ht s

ugge

st r

egul

ar m

onth

ly v

isit

s to

the

cem

eter

y w

here

the

love

d on

es o

f ch

ildr

en a

re.

Chi

ldre

n ca

n w

rite

lett

ers

abou

t the

ir c

urre

nt a

ctiv

itie

s in

life

, poe

ms

of r

emem

bran

ce, o

r ch

oose

son

gs to

sin

g. T

his

acti

vity

hel

ps c

hild

ren

keep

a s

ense

of c

omm

unio

n an

d co

nnec

tion

wit

h th

e sp

irit

oft

he

love

d on

e.

48

E. S

up

por

t Gro

up

Act

ivit

ies

The

fol

low

ing

page

s co

ntai

n sa

mpl

e su

ppor

t gro

up s

essi

on to

pics

that

can

be

used

wit

h gr

ievi

ng c

hild

ren,

bro

ken

dow

n in

to a

ge b

YfO

UP

S b

y de

velo

pmen

tal l

evel

s. W

hile

som

e ca

regi

vers

may

fe

el m

ore

com

fort

able

if g

roup

s ar

e li

mit

ed to

chi

ldre

n o

f sim

ilar

dev

elop

men

tal l

evel

s, o

ther

car

egiv

ers

have

fou

nd m

ixed

age

s m

anag

eabl

e in

one

gro

up.

Gro

ups

shou

ld b

e li

mit

ed to

no

mor

e th

an 2

0 ch

ildr

en

to f

acil

itat

e co

mm

unic

atio

n. I

t is

best

to h

ave

at le

ast t

wo

trai

ned

care

give

rs in

att

enda

nce.

Sup

port

gr

oups

wit

h ol

der c

hild

ren

can

be f

acil

itat

ed b

y pe

ers

or g

roup

mem

bers

but

sho

uld

have

adu

lts

avai

l­ab

le f

or re

sour

ce a

nd c

ouns

el.

You

nger

gro

ups

may

be

faci

lita

ted

by a

dole

scen

ts in

par

tner

ship

wit

h ad

ults

.

Gro

up s

essi

ons

shou

ld u

sual

ly la

st n

o lo

nger

than

112

to I

hou

r wit

h gr

oups

age

s 2-

6; I

hou

r fo

r gr

oups

age

s 7-

11; a

nd

1 1

/2 h

ours

to 2

hou

rs f

or g

roup

s ov

er th

e ag

e o

f 12

. R

efre

shm

ents

sho

uld

be

prov

ided

, ifp

ossi

ble.

It i

s pr

efer

able

if g

roup

s m

eet w

eekl

y fo

r 6 w

eeks

and

then

take

a b

reak

bef

ore

star

ting

aga

in, i

f nee

ded.

Thi

s al

low

s ti

me

for

the

grou

p m

embe

rs to

get

to k

now

and

trus

t eac

h ot

her,

bu

t als

o al

low

s gr

oup

mem

bers

an

opp

ortu

nity

to d

rop

out a

fter

the

firs

t cyc

le, i

f the

ses

sion

s ar

e no

lo

nger

nee

ded

or d

o no

t fit

into

thei

r sch

edul

e.

Sup

port

gro

ups

may

cen

ter a

roun

d on

e pa

rtic

ular

trau

mat

ic e

vent

that

aff

ecte

d a

sign

ific

ant

popu

lati

on o

f chi

ldre

n su

ch a

s a

sudd

en d

eath

in a

sch

ool s

etti

ng o

r on

the

gri

ef o

f chi

ldre

n w

ho h

ave

surv

ived

the

deat

h o

f a lo

ved

one

in a

var

iety

of t

raum

atic

eve

nts.

The

pur

pose

oft

he

grou

p is

:

• T

o he

lp th

e ch

ildr

en p

roce

ss th

e tr

aum

atic

exp

erie

nce,

its

afte

nnat

h an

d th

eir r

eact

ions

.

• T

o id

enti

i)r t

roub

ling

thou

ghts

or e

mot

ions

sur

roun

ding

the

expe

rien

ce a

nd th

e de

ath.

• T

o pr

ovid

e ed

ucat

ion

for c

hild

ren

on tr

aum

a, g

rief

, and

hea

lthy

cop

ing

stra

tegi

es.

• T

o pr

ovid

e to

ols

and

skil

ls f

or c

hild

ren

to u

se in

eve

ryda

y li

fe a

s th

ey c

ope

wit

h tr

aum

atic

gr

ief.

49

1. A

ges

2-6

Sett

ing:

Whe

n yo

ung

chil

dren

mee

t in

a gr

oup

it is

bes

t ift

he

faci

lita

tors

arr

ange

for

a c

omfo

rt­

able

env

iron

men

t whe

re th

ey c

an s

it o

n th

e fl

oor

in a

cir

cle.

Chi

ldre

n m

ay b

e en

cour

aged

to b

ring

a

favo

rite

stu

ffed

ani

mal

to th

e gr

oup.

Alt

erna

tive

ly, f

acil

itat

ors

mig

ht p

rovi

de th

e ch

ildr

en w

ith

such

a

stuf

fed

toy

to h

old

on to

whi

le th

ey p

arti

cipa

te in

the

gro

up.

Par

ents

may

be

pres

ent b

ut s

houl

d no

t pa

rtic

ipat

e in

the

sess

ions

. P

aren

ts s

houl

d be

kep

t inf

orm

ed o

f the

sub

ject

mat

ter o

f eac

h gr

oup

and

any

re

ques

ts fo

r chi

ldre

n to

do

acti

viti

es a

t hom

e o

r bri

ng th

ings

from

hom

e. R

efre

shm

ents

suc

h as

coo

kies

an

d ju

ice

shou

ld b

e pr

ovid

ed a

t the

end

of t

he s

essi

on.

Tool

s: P

aper

, cra

yons

, glu

e st

icks

, pic

ture

s cu

t fro

m m

agaz

ines

, hou

sepl

ants

or f

low

ers,

a

pitc

her a

nd

pap

er c

ups,

rib

bon,

and

a b

all.

50

Sess

ion

On

e (2

-6):

Int

rodu

ctio

n; D

iscu

ssio

n of

Vio

lent

Dea

th

A.

Fac

ilit

ator

s In

trod

uce

The

mse

lves

an

d E

xpla

in t

he

Pur

pose

of t

he

Gro

up s

essi

ons.

"Goo

d af

tern

oon.

I

am S

uzie

Wils

on a

nd th

is i

s Ju

dy M

artin

. W

e ar

e lo

okin

gfor

war

d to

tal

king

and

pla

ying

wit

h yo

u to

day.

D

id e

very

one

brin

g a

toy

wit

h th

em?

[Alt

erna

tive

: D

id

ever

yone

get

a t

oy a

s th

ey a

rriv

ed?}

C

an y

ou a

ll h

old

your

toy

up fo

r us

to

see?

T

hank

you

. Ju

dy a

nd

I ar

e go

ing

to p

lay

wit

h yo

u ev

ery

wee

k un

til

Than

k'lg

ivin

g.

[Fac

ilit

ator

s sh

ould

id

entif

j; a

hol

iday

or

seas

on t

hat c

orre

spon

ds to

whe

n th

e si

x w

eek'

! w

ill e

nd

} E

very

one

here

has

kn

own

som

eone

the

y lo

ved

who

die

d re

cent

ly.

That

is

wha

t w

e w

ant

to t

alk

abou

t -w

hat y

ou

thin

k ab

out

that

an

d h

ow y

ou

feel

. W

e al

so w

ant

to g

et to

kno

w y

ou a

ll a

lit

tle

bette

r.

So w

e w

ant y

ou

to t

ell

us y

ou

r na

me

an

d a

lit

tle

bit a

bout

the

per

son

you

know

who

die

d

To h

elp

us d

o th

at,

we

are

goin

g to

pla

ya b

all g

ame.

B.

Lis

t B

asic

Rul

es;

Tape

The

m t

o th

e W

all

to R

efer

to T

hrou

ghou

t th

e Se

ssio

n.

Rul

es f

or G

rou

p P

arti

cip

atio

n

• O

nly

one

pers

on ta

lks

at a

tim

e.

• E

very

one

has

a ch

ance

to ta

lk b

ut n

o on

e ha

s to

. •

No

one

shou

ld m

ake

fun

of a

nyon

e el

se in

the

grou

p.

• It

's o

kay

to b

e up

set a

nd fe

el f

eeli

ngs.

It's

not

oka

y to

hit

or s

hove

som

eone

els

e.

• A

ny q

uest

ion

can

be a

sked

, not

all

que

stio

ns c

an b

e an

swer

ed.

C.

Ba

ll G

ame

Fac

ilit

ator

s ho

ld a

bal

l in

thei

r han

ds a

nd g

ive

the

foll

owin

g in

stru

ctio

ns.

"We

are

goin

g to

rol

l th

is b

all t

o on

e o

f you

. Yo

u w

ill c

atch

it.

Whe

n yo

u c

atch

it,

we

wan

t you

to

tell

eve

rybo

dy y

ou

r na

me,

the

nam

e o

f you

r st

ufle

d an

imal

, an

d th

e na

me

of t

he

pers

on w

ho d

ied

Th

en,

we

wan

t you

to t

ell

us w

hen

the

pers

on d

ied

and

how

she

or

he d

ied

W

hen

you

aref

inis

hed

talk

ing,

you

get

to r

oll

the

ball

bac

k to

us

and

we

wil

l rol

l it

to s

omeo

ne

else

. W

hen

you

hav

e th

e ba

l!,

you

get

to t

alk;

whe

n so

meo

ne e

lse

has

the

ball,

you

get

to l

iste

n. "

Mod

el th

is a

ctiv

ity

by ro

llin

g th

e ba

ll to

ano

ther

faci

lita

tor a

nd te

llin

g yo

ur n

ame,

the

nam

e o

f yo

ur s

tuff

ed a

nim

al, a

nd th

e na

mes

of p

erso

ns w

hom

you

hav

e kn

own

who

hav

e di

ed.

Whe

n th

e ba

ll is

ro

lled

to th

e ch

ildr

en, f

acil

itat

ors

shou

ld b

e pr

epar

ed to

hel

p th

e ch

ildr

en re

mem

ber t

he q

uest

ions

by

as

king

aga

in,

"Wha

t:'!

you

r na

me?

W

ho i

s yo

ur fr

iend

[in

dica

te t

he s

tuff

ed a

nim

al}?

W

ho d

id y

ou

kn

ow w

ho d

ied?

Can

you

tell

me

whe

n or

how

it h

appe

ned?

" F

acil

itat

ors

shou

ld r

espo

nd b

y

sayi

ng th

ey a

re s

orry

the

pers

on d

ied

and

reas

sure

chi

ldre

n th

at b

eing

sad

is o

kay.

D.

Th

inki

ng

Ab

ou

t L

ife

an

d D

eath

• B

egin

this

exe

rcis

e by

say

ing,

-C

on

tin

ued

-

51

.. Whe

n so

meo

ne d

ies,

the

y ar

e de

ad.

They

don

i m

ove,

eat

, sl

eep,

or

brea

the.

Th

eir

hear

t doe

sn i

bea

t. W

hen

they

die

, th

ey c

an t

com

e ba

ck to

life

. W

hat

do y

ou t

hink

bei

ng d

ead

mea

ns?"

• A

sk th

e ch

ildr

en to

cho

ose

a pi

ece

of p

aper

and

som

e cr

ayon

s.

• A

sk th

e ch

ildr

en to

dra

w a

pic

ture

of d

eath

on

one

side

of t

he p

aper

.

• A

sk th

em to

dra

w a

pic

ture

ofl

ife

on th

e ot

her s

ide.

• A

sk e

ach

oft

he

chil

dren

to e

xpla

in th

eir p

ictu

res.

• C

lari

fy m

isco

ncep

tion

s an

d be

pre

pare

d to

ans

wer

que

stio

ns.

E.

Con

clu

sion

• T

han

k th

em fo

r be

ing

a pa

rt o

f the

gro

up a

nd fo

r pl

ayin

g to

geth

er.

• S

erve

refr

eshm

ents

.

• E

nco

ura

ge th

e ch

ildr

en to

take

thei

r pic

ture

s ho

me.

• R

emin

d th

em th

at th

ey m

ight

thin

k ab

out d

eath

or t

he p

erso

n th

ey lo

ved

duri

ng th

e ne

xt

wee

k an

d if

they

wan

t to

draw

mor

e pi

ctur

es a

bout

wha

t the

y th

ink

or fe

el, t

he f

acil

itat

ors

wou

ld li

ke to

se

e th

ose

pict

ures

at t

he n

ext g

roup

ses

sion

.

52

Sess

ion

Tw

o (2

-6):

Fee

ling

s

A.

Illt

rodu

ctio

lls

alld

Pur

pose

of G

roup

Ses

siol

l

Faci

litat

ors

shou

ld b

egin

by

revi

ewin

g th

ough

ts th

e ch

ildre

n m

ight

hav

e ha

d du

ring

the

wee

k.

"Hi.

It s

grea

t to

see

you

all a

gain

. I

hope

you

all

bro

ught

you

r.f;

·iend

s (t

he s

tufT

ed

anim

als)

. D

id a

nyon

e dr

aw a

ny p

ictu

res

last

wee

k th

at y

ou w

ould

like

to s

hare

? D

oes

anyo

ne

have

a s

tory

q[s

omet

hing

that

hap

pene

d du

ring

the

wee

k th

at y

ou w

ould

like

to

tell

?" [

If th

e ch

ildr

en a

nsw

er y

es, f

acil

itat

ors

shou

ld a

sk e

ach

one

who

wan

ts to

sho

w s

omet

hing

or

tell

som

e­th

ing

to d

o so

.}

"Thi

s w

eek,

we

wan

t to

lea

rn m

ore

abou

t th

e pe

ople

you

kno

w w

ho d

ied

-w

hat

they

w

ere

like

an

d h

ow y

ou

feel

now

that

the

y ar

e go

ne. "

B.

Mem

ory

Pic

ture

s

• A

sk th

e ch

ildre

n to

dra

w p

ictu

res

of t

hing

s th

eir l

oved

one

like

d or

that

rem

ind

them

of

thei

r lov

ed o

ne.

• S

ugge

st th

at th

e ch

ildre

n se

lect

som

e pi

ctur

es fr

om m

agaz

ines

or o

ther

pub

licat

ions

of

com

mon

item

s su

ch a

s ca

ndy,

flow

ers,

hou

seho

ld a

pplia

nces

, car

s, a

nim

als

or fu

rnitu

re th

at re

min

d th

em

of t

heir

love

d on

e an

d gl

ue th

em o

n th

e pi

ctur

e pa

per.

[Pre

-cut

pic

ture

s ca

n sa

ve ti

me.

]

• A

sk ea

ch c

hild

to ta

lk a

littl

e bi

t abo

ut th

e m

emor

y pi

ctur

e.

C.

Fee

lill

g P

ictu

rebo

ok

Ask

the

child

ren

to d

raw

one

pic

ture

eac

h o

f how

they

look

whe

n th

ey e

xper

ienc

e th

e fo

llow

ing

feel

ings

.

"How

do

you

loo

k w

hen

you

feel

hap

py?"

"H

ow d

o yo

u l

ook

whe

n yo

u fe

el m

ad

?"

"How

do

you

look

whe

n yo

u fe

el a

frai

d?"

"How

do

you

look

whe

n yo

u fe

el li

ke y

ou d

id s

omet

hing

wro

ng?

" "H

ow d

o yo

u l

ook

whe

n yo

u fe

el s

ad?

"

• H

elp

the

child

ren

stap

le o

r tap

e th

em to

geth

er in

a b

ook

with

a c

over

on

it th

at s

ays"

[C

hild

's N

ame]

's Fe

elin

gs B

ook"

.

• E

xpla

in th

at:

"Fee

ling

s ar

en ~

wro

ng o

r ri

ght

but t

hey

can

mak

e u

sfee

l goo

d or

bad

. "

"Eve

ryon

e ha

s di

ffer

entf

eeli

ngs

at d

!fTer

ent

tim

es b

ut m

ost

qfu

s ha

ve s

imil

ar

feel

ings

to

each

oth

er a

t som

e tim

e. "

-

Co

nti

nu

ed-

53

"Som

etim

es i

t is

har

d to

tal

k ab

out

wha

t w

e ar

efee

ling

bec

ause

we

don'

t th

ink

othe

r pe

ople

can

und

erst

and.

but

it o

fien

hel

ps to

tal

k ab

out

wha

t w

e ar

efee

ling

bec

ause

it

mak

es u

sfee

lles

s lo

nely

. ..

• E

xp

lain

that

thes

e bo

oks

can

be u

sed

ever

y ti

me

the

grou

p m

eets

to s

how

eac

h ot

her

how

eac

h ch

ild

feel

s th

at d

ay.

• A

sk ea

ch c

hild

whi

ch fe

elin

g th

ey h

ave

righ

t now

whe

n th

ey th

ink

abou

t the

ir lo

ved

one.

• U

se th

e ba

ll g

ame

to h

elp

chil

dren

take

turn

s ta

lkin

g an

d li

sten

ing.

D.

Con

clus

ion

• T

han

k th

e ch

ildr

en fo

r com

ing

to th

e se

ssio

n.

• S

erv

e re

fres

hmen

ts.

• A

sk th

e ch

ildr

en to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k

so th

at th

ey c

an b

ring

them

to th

e ne

xt s

essi

on.

54

Sess

ion

Thr

ee (

2-6)

: F

ear

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

Faci

litat

ors s

houl

d be

gin

by re

view

ing

thou

ghts

the

child

ren

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It s g

reat

to s

ee y

ou a

ll a

gain

. 1

hope

you

all

bro

ught

you

rfri

ends

(th

e st

uffe

d an

imal

s).

Did

any

one

draw

any

pic

ture

s la

st w

eek

that

you

wou

ld li

ke to

sha

re?

Doe

s an

yone

ha

ve a

sto

ry o

f som

ethi

ng th

at h

appe

ned

duri

ng t

he w

eek

that

you

wou

ld li

ke t

o te

ll?"

aft

he

chil

dren

ans

wer

yes

, fac

ilit

ator

s sh

ould

ask

eac

h on

e w

ho w

ants

to s

how

som

ethi

ng o

r te

ll s

ome­

thin

g to

do

so.}

R

emem

ber

ourf

eeli

ng b

ooks

tha

t you

mad

e la

st w

eek

[dis

trib

ute

thef

eeli

ng

book

s}?

Can

eac

h o

f you

pic

k ou

t the

pic

ture

tha

t sho

ws

how

you

are

feel

ing

righ

t now

? [A

s th

e ch

ildr

en p

ick

out t

heir

pic

ture

s, a

sk th

em t

o te

ll w

hy t

hey

aref

eeli

ng th

at w

ay.}

"Thi

s w

eek,

we

wan

t to

talk

abo

ut t

hing

s th

at w

e ar

e af

,-aid

of

Lots

o.l

tim

es w

hen

som

eone

we

love

die

s, w

e ge

t sca

red

abou

t th

e w

ay th

ey d

ied,

how

oth

er p

eopl

e tr

eat

us,

or

may

be w

heth

er w

e're

goi

ng to

die

soo

n, t

oo.

Eve

ryon

e is

saf

e he

re r

ight

now

, bu

t 1 k

now

whe

n 1

get s

care

d o.

fsom

ethi

ng s

omet

imes

I w

ant t

o cu

rl u

p in

to a

lit

tle

teen

y ba

ll a

nd h

ide.

"

B.

Scar

y P

ictu

res

• A

sk th

e ch

ildre

n to

dra

w a

pic

ture

of a

sca

ry th

ing.

• A

sk ea

ch c

hild

to e

xpla

in w

hat i

t is

that

is s

cary

in th

e pi

ctur

e.

• A

sk th

e ch

ildre

n to

try

to c

hang

e th

e pi

ctur

e to

mak

e it

less

sca

ry.

Thi

s ac

tivity

allo

ws

child

ren

to re

aliz

e th

at th

ey h

ave

som

e po

wer

ove

r sca

ry th

ings

.

C.

Stu

ffed

An

ima

l Pla

y

• A

sk th

e ch

ildre

n to

pre

tend

that

thei

r stu

ffed

ani

mal

s are

ver

y fr

ight

ened

of s

omet

hing

.

• A

llow

each

chi

ld to

des

crib

e w

hat t

heir

ani

mal

is a

frai

d of

.

• A

sk ea

ch c

hild

to s

how

the

grou

p w

hat t

heir

ani

mal

mig

ht d

o if

it w

ere

afra

id o

r how

th

ey m

ight

mak

e th

e an

imal

fee

l saf

e ag

ain.

D.

Hou

sepl

ant

Act

ivit

y

• F

ill a

larg

e pi

tche

r with

wat

er a

nd la

bel t

he p

itche

r with

a m

arke

r as

"Fea

rs".

• G

ive

each

chi

ld a

pap

er c

up.

• A

sk ea

ch c

hild

to n

ame

som

ethi

ng th

ey a

re a

frai

d of

. W

hile

the

child

is ta

lkin

g ab

out i

t, th

e fa

cilit

ator

s sh

ould

:

• P

ou

r the

ir "

fear

s" fr

om th

e pi

tche

r int

o th

eir p

aper

cup

s. W

hen

each

chi

ld h

as a

cup

full

of f

ears

: -

Co

nti

nu

ed-

55

• A

sk th

e ch

ildr

en to

pou

r the

ir fe

ars

into

a h

ouse

plan

t.

• E

xpla

in th

at w

hen

we

keep

ou

r fea

rs to

our

selv

es, t

hey

ofte

n m

ake

us m

ore

afra

id.

Whe

n w

e ar

e ab

le to

po

ur t

hem

out

, we

can

feel

str

onge

r and

they

can

hel

p us

gro

w -ju

st

like

the

wat

er w

ill h

elp

the

plan

t to

grow

.

E.

Con

clus

ion

• T

han

k th

e ch

ildr

en fo

r com

ing

to th

e se

ssio

n.

• S

erv

e re

fres

hmen

ts.

• A

sk th

e ch

ildr

en to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k so

that

they

can

bri

ng th

em to

the

next

ses

sion

.

56

Sess

ion

Fou

r (2

-6):

Ang

er

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

Faci

litat

ors

shou

ld b

egin

by

revi

ewin

g th

ough

ts th

e ch

ildre

n m

ight

hav

e ha

d du

ring

the

wee

k.

"Hi.

It s

grea

t to

see

you

all a

gain

. I

hope

you

all

bro

ught

you

rfri

ends

(th

e st

uffe

d an

imal

s).

Did

any

one

draw

any

pic

ture

s la

st w

eek

that

you

wou

ld li

ke to

sha

re?

Doe

s an

yone

ha

ve a

sto

ry o

f som

ethi

ng th

at h

appe

ned

duri

ng th

e w

eek

that

you

wou

ld li

ke t

o te

ll?"

[I

f the

ch

ildr

en a

nsw

er y

es, f

acil

itat

ors

shou

ld a

sk e

ach

one

who

wan

ts to

sho

w s

omet

hing

or

tell

som

e­th

ing

to d

o so

.]

Rem

embe

r ou

r fee

ling

boo

k'!

[dis

trib

ute

thef

eeli

ng b

ooks

]?

Can

eac

h o

f you

pi

ck o

ut th

e pi

ctur

e th

at s

how

s ho

w y

ou a

refe

elin

g ri

ght n

ow?

[As

the

chil

dren

pic

k ou

t the

ir

pict

ures

, as

k th

em t

o te

ll w

hy th

ey a

refe

elin

g th

at w

ay.]

"Thi

s w

eek,

we

wan

t to

tal

k ab

out

times

whe

n w

e ar

e an

g'y.

L

ots

qf t

imes

whe

n so

meo

ne w

e lo

ve i

s ki

lled,

we

get

mad

at

the

pers

on w

ho k

ille

d th

em,

at p

eopl

e w

ho s

houl

d ha

ve

help

ed th

em,

at o

ther

peo

ple

who

don

i u

nder

stan

d.

Som

etim

es p

eopl

e te

ll u

s w

e sh

ould

n i b

e an

gly,

but

no

one

can

help

it (

[the

y fe

el a

ngry

som

etim

es w

hen

som

eone

die

s su

dden

ly. ,

.

B.

Wor

king

With

Cla

y

• P

lace

pla

stic

gar

bage

bag

s in

fron

t of e

ach

child

and

giv

e th

e ch

ildre

n ba

lls o

f cla

y.

• A

sk th

em to

mak

e so

met

hing

that

mak

es th

em a

ngry

.

• M

ake

som

ethi

ng th

at a

nger

s yo

u as

wel

l. It

help

s sm

all c

hild

ren

to s

ee f

acili

tato

rs d

o th

e sa

me

thin

gs th

at th

ey d

o.

• A

sk e

ach

child

to d

escr

ibe

wha

t the

y ha

ve m

ade

and

why

.

• A

sk th

em w

hat t

hey

wou

ld li

ke to

do

with

thei

r cla

y-s

om

e m

ay s

mas

h it,

oth

ers

may

th

row

it o

n th

e pl

astic

as

hard

as

they

can

, or o

ther

s m

ay ju

st ro

ll it

up.

C.

Phy

sica

l A

ctiv

ity

• G

uide

angr

y ac

tivity

and

teac

h ch

ildre

n to

con

nect

thei

r fee

lings

with

saf

e ph

ysic

al

expr

eSSI

on.

• A

dapt

the

chil

dren

's so

ng, "

If Y

ou 'r

e H

appy

and

You

Kno

w It

Cla

p Y

our H

ands

" to

pr

ovid

e a

safe

out

let f

or a

nger

. T

each

the

child

ren

the

song

usi

ng "

If Y

ou 'r

eAng

ry a

nd Y

ou K

now

It"

as

a s

ubst

itute

for

"Hap

py".

Enc

oura

ge c

hild

ren

to c

lap

thei

r han

ds, s

tom

p th

eir f

eet,

and

sing

loud

ly in

an

ger.

D.

Stu

ffed

An

ima

l Pla

y

• E

xpla

in to

chi

ldre

n th

at it

is o

kay

to b

e an

gry

at s

omeo

ne, b

ut it

is n

ot o

kay

to h

urt o

r hi

t som

eone

with

who

m w

e ar

e an

gry.

-C

on

tin

ued

-

57

• A

sk th

e ch

ildre

n to

pre

tend

they

are

ver

y an

gry

at th

eir s

tuff

ed a

nim

al a

nd th

en to

de

mon

stra

te w

hat t

hey

mig

ht d

o to

sho

w th

eir p

et th

ey a

re a

ngry

.

• E

xpla

in th

at h

ittin

g or

thro

win

g is

not

a g

ood

way

to b

e an

gry.

• E

nco

ura

ge th

em to

alte

rnat

ivel

y de

al w

ith a

nger

by

not p

layi

ng w

ith th

e an

imal

, dra

win

g a

pict

ure

ofth

eir a

nger

and

sho

win

g it

to th

e an

imal

, or b

y pi

ckin

g up

thei

r cla

y, m

akin

g an

ani

mal

lik

enes

s and

sm

ashi

ng it

.

E.

Con

clu

sion

• T

han

k th

e ch

ildre

n fo

r com

ing

to th

e se

ssio

n.

• S

erve

refr

eshm

ents

.

• A

sk th

e ch

ildre

n to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k so

that

they

can

bri

ng th

em to

the

next

ses

sion

.

58

• •

Sess

ion

Fiv

e (2

-6):

Gri

ef a

nd M

ourn

ing

A.

Intr

oduc

tion

s an

d P

urpo

se o

f Gro

up S

essi

on

Faci

litat

ors s

houl

d be

gin

by re

view

ing

thou

ghts

the

child

ren

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It:')

grea

t to

see

you

all a

gain

. I

hope

you

all

bro

ught

you

rfri

ends

(th

e st

ufTe

d an

imal

s).

Did

any

one

draw

any

pic

ture

s la

st w

eek

that

you

wou

ld li

ke to

sha

re?

Doe

s an

yone

ha

ve a

sto

ry o

f som

ethi

ng th

at h

appe

ned

duri

ng t

he w

eek

that

you

wou

ld li

ke t

o te

ll?"

a

lth

e

chil

dren

ans

wer

yes

, fac

ilit

ator

s sh

ould

ask

eac

h on

e w

ho w

ants

to

show

som

ethi

ng o

r te

ll s

ome­

thin

g to

do

so.}

R

emem

ber

ourf

eeli

ng b

ook<

> [d

istr

ibut

e th

efee

ling

boo

ks}?

C

an e

ach

of y

ou

pick

out

the

pict

ure

that

sho

ws

how

you

are

feel

ing

righ

t now

? [A

s th

e ch

ildr

en p

ick

out

thei

r pi

ctur

es,

ask

them

to

tell

why

the

y ar

efee

ling

that

way

.]

"We'

ve t

alke

d a

lot

abou

t th

e w

ay w

efee

l a.ft

er s

omeo

ne w

e lo

ve i

s ki

lled

, bu

t of

ten

the

mai

n th

ing

wef

eel

is s

adne

ss.

Ther

e ar

e a

lot o

lrea

sons

to b

e sa

d an

d m

ost o

f the

m h

ave

to

do w

ith m

issi

ng th

e pe

rson

who

is

gone

. To

day

we

are

goin

g to

tal

k ab

out h

ow w

e ca

n re

mem

ber

the

pers

on w

e lo

ve s

o th

at t

heir

mem

Ol:Y

can

be

with

us

alw

ays.

"

B.

Fun

eral

Act

ivit

y

• E

xpla

in to

chi

ldre

n th

at m

any

adul

ts p

artic

ipat

e in

mem

oria

l ser

vice

s and

fun

eral

s to

re

mem

ber t

he p

erso

n w

ho d

ied.

• F

ind

out f

rom

the

child

ren

if th

ey a

ttend

ed s

uch

a se

rvic

e or

fune

ral

for t

heir

love

d on

e .

• A

sk th

em i

fthe

y ha

ve a

ny q

uest

ions

abo

ut th

e fu

nera

l and

try

to c

lari

fy a

ny m

isco

ncep

­tio

ns o

r con

cern

s.

• A

sk th

em to

dra

w a

pic

ture

oft

hing

s th

ey r

emem

ber a

t the

fun

eral

or m

emor

ial.

• A

sk th

em to

tell

the

stor

y o

f the

pic

ture

.

C.

Mem

ory

Stor

ies

• E

xpla

in to

the

child

ren

that

one

way

of r

emem

beri

ng s

omeo

ne th

ey lo

ve is

to te

ll st

orie

s ab

out t

hem

to p

eopl

e th

ey m

eet.

• E

ncou

rage

them

to p

ract

ice

telli

ng s

tori

es a

bout

the

pers

on th

ey lo

ve b

y te

lling

a st

ory

to th

eir s

tuff

ed a

nim

al f

or th

e gr

oup.

D.

Col

or M

emor

ies

• E

xpla

in to

the

child

ren

that

oft

en c

erta

in c

olor

s re

min

d us

of o

ther

peo

ple.

Som

etim

es

the

colo

r was

the

favo

rite

col

or o

f the

per

son

who

die

d. S

omet

imes

the

colo

r is

a co

lor t

hat y

ou s

aw o

n th

e da

y of

the

fune

ral.

• S

how

the

child

ren

a co

lor c

hart

or b

ox o

f col

ored

mar

kers

and

ask

them

to p

ick

the

colo

r tha

t rem

inds

them

of t

he p

erso

n w

ho h

as d

ied.

59

-C

on

tin

ued

-•

Ask

the

chil

dren

to e

xpla

in w

hy th

e co

lor r

emin

ds th

em o

fth

e de

ceas

ed.

Ifth

e co

lor i

s as

soci

ated

wit

h go

od m

emor

ies,

the

chil

d sh

ould

be

enco

urag

ed to

do

an e

ntir

e pi

ctur

e in

mem

ory

oft

he

love

d on

e in

that

col

or.

Ifth

e co

lor i

s as

soci

ated

wit

h ba

d m

emor

ies,

the

faci

lita

tor

shou

ld ta

lk to

the

chil

d ab

out h

ow th

e co

lor m

ight

be

chan

ged

and

the

mem

ory

mig

ht b

e sh

aded

in f

avor

of a

goo

d m

emor

y. E

xam

ple:

A c

hild

may

pic

k a

red

mar

ker b

ecau

se h

e sa

w h

is m

othe

r kil

led

and

rem

embe

rs

the

bloo

d. T

he fa

cili

tato

r may

be

able

to e

ncou

rage

the

chil

d to

thin

k ab

out a

goo

d m

emor

y o

f his

m

othe

r suc

h as

whe

n th

ey p

laye

d in

the

sun

. T

he fa

cili

tato

r can

then

take

a y

ello

w m

arke

r and

sho

w th

e ch

ild

ho

w to

cha

nge

red

to o

rang

e to

rep

rese

nt th

e su

n ra

ther

than

the

bloo

d.

E.

Con

clus

ion

• T

han

k th

e ch

ildr

en fo

r com

ing

to th

e se

ssio

n.

• S

erv

e re

fres

hmen

ts.

• A

sk th

e ch

ildr

en to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k so

that

they

can

bri

ng th

em to

the

next

ses

sion

. S

ince

the

next

ses

sion

wil

l be

the

last

ses

sion

, ask

the

chil

dren

to lo

ok a

roun

d du

ring

the

wee

k fo

r so

meth

ing

-a m

emor

y o

bje

ct-

that t

hey

can

brin

g to

the

grou

p th

at re

min

ds th

em o

f the

ir lo

ved

one.

60

Sess

ion

Six

(2-6

): G

oing

on

Wit

h L

ife

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

Faci

litat

ors s

houl

d be

gin

by re

view

ing

thou

ghts

the

child

ren

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It:\,

grea

t to

see

you

all a

gain

. I

hope

you

all

bro

ught

yourFiend~· (

the

stuf

Ted

anim

als)

. D

id a

nyon

e dr

aw a

ny p

ictu

res

last

wee

k th

at y

ou w

ould

like

to s

hare

? D

oes

anyo

ne

have

a s

tory

o.f

som

ethi

ng th

at h

appe

ned

duri

ng t

he w

eek

that

you

wou

ld li

ke t

o te

ll?"

af t

he

chil

dren

ans

wer

yes

, fac

ilit

ator

s sh

ould

ask

eac

h on

e w

ho w

ants

to s

how

som

ethi

ng o

r te

ll s

ome­

thin

g to

do

so.}

R

emem

ber

ourf

eeli

ng b

ook\

' [di

stri

bute

the

feel

ing

book

s}?

Can

eac

h o.

fyou

pi

ck o

ut th

e pi

ctur

e th

at s

how

s ho

w y

ou a

refe

elin

g ri

ght n

ow?

[As

the

chil

dren

pic

k ou

t th

eir

pict

ures

, as

k th

em t

o te

ll w

hy t

hey

are

feel

ing

that

way

.}

"Tod

ay is

the

las

t ti

me

that

we

wil

l mee

t bef

ore

Than

ksgi

ving

. It

: ... b

een ve

~v s

peci

al

gett

ing

to k

now

eac

h o.

fyou

. B

ut it

:\, t

ime

to s

ay g

ood-

bye

for

a w

hile

. So

tod

ay w

e w

ant

to t

alk

abou

t w

hat e

ach

o.fu

s is

goi

ng to

do

as y

ou c

onti

nue

to g

row

up

and

get o

lder

. F

irst

, I

wan

t to

se

e w

hat

mem

ory

obje

ct y

ou b

roug

ht to

sho

w u

s. "

B.

Mem

ory

Obj

ects

• B

ring

to th

e gr

oup

a ro

ll o

f ri

bbon

and

pre

-cut

hea

rts

at le

ast t

wo

inch

es in

siz

e.

(Hea

rt d

oilie

s ca

n al

so b

e us

ed.)

• A

llow

eac

h ch

ild to

sho

w th

e m

emor

y ob

ject

, des

crib

e it

and

tell

why

it is

impo

rtan

t.

• C

ut a

pie

ce o

f rib

bon

and

atta

ch it

to a

hea

rt.

As

the

child

say

s th

e na

me

of t

he p

erso

n w

ho d

ied:

• W

rite

the

nam

e in

blo

ck le

tters

on

the

hear

t. (A

llow

the

child

to d

o th

is i

fhe

or s

he

know

s ho

w to

pri

nt.)

• A

tta

ch th

e he

art t

o th

e m

emor

y ob

ject

.

• T

ell t

he c

hild

ren

that

in m

any

cultu

res,

peo

ple

keep

mem

ory

obje

cts

in th

eir h

ome

or

carr

y th

em w

ith th

em to

con

tinue

to fe

el t

hat t

hey

can

talk

to th

eir l

oved

one

s.

C.

Loo

king

Int

o th

e F

utur

e

• A

sk th

e ch

ildre

n to

dra

w a

pic

ture

of w

hat t

hey

wan

t to

be w

hen

they

gro

w u

p.

• A

sk th

em to

tell

the

stor

y o

f the

pic

ture

.

• P

rovi

de th

em w

ith e

ncou

rage

men

t and

val

idat

ion

of p

ositi

ve p

erso

nalit

y at

trib

utes

that

ar

e re

flec

ted

in th

eir d

ream

.

-C

on

tin

ued

-

61

D.

Con

clus

ion

• T

han

k th

e ch

ildre

n fo

r com

ing

to th

e se

ssio

ns.

• G

ive

each

chi

ld a

spec

ial m

emen

to to

take

hom

e fr

om th

e gr

oup

(Exa

mpl

es: a

larg

e go

ld s

tar w

ith th

e gr

oup'

s na

me

and

the

chil

d's

nam

e, a

cer

tific

ate,

a se

t of c

olor

cra

yons

and

pap

er, a

sm

all t

oy, a

nd s

o fo

rth).

• S

erve

refr

eshm

ents

.

62

2.

Age

s 7-

11

Sett

ing:

Chi

ldre

n sh

ould

be

seat

ed in

cha

irs

arou

nd a

tabl

e in

a c

omfo

rtab

le e

nvir

onm

ent w

ith

the

faci

lita

tors

. P

aper

, cra

yons

, and

mar

kers

sho

uld

be a

vail

able

on

the

tabl

e.

Ref

resh

men

ts s

uch

as

chip

s, c

ooki

es, f

ruit

and

juic

e o

r sod

a sh

ould

be

prov

ided

at t

he e

nd o

fth

e se

ssio

n.

Tool

s: P

aper

, cra

yons

, mar

kers

, nam

e ba

dge

mak

er w

ith

colo

red

pape

r, a

nd a

ssem

bly

mat

eri­

als

(alt

erna

tive

ly: n

ame

tags

wit

h pl

asti

c ho

lder

s), s

tick

ers,

old

mag

azin

es. p

aper

bag

s, g

lue

stic

ks, f

lip

char

t.

Sess

ion

One

(7-

11):

Int

rodu

ctio

n;

63

Dis

cuss

ion

of V

iole

nt D

eath

A.

Intr

oduc

e Yo

urse

lves

to

the

Chi

ldre

n a

nd

Exp

lain

Pur

pose

of t

he G

roup

Ses

sion

s.

"Goo

d af

tern

oon.

I

am S

uzie

Wils

on a

nd th

is i

s Ju

dy M

artin

. W

e ar

e lo

okin

gfor

war

d to

tal

king

with

you

toda

y.

Judy

and

I ar

e go

ing

to b

e he

re o

n T

hurs

day

afte

rnoo

n ev

e/~V

wee

kfo

r th

e ne

xt s

ix w

eeks

. E

very

one

here

has

kno

wn

som

eone

the

y lo

ved

who

was

kil

led

rece

ntly

. V

iole

nt d

eath

is

a te

rrib

le t

hing

and

we'

re s

on

y th

at it

has

hap

pene

d in

you

r liv

es.

That

is

wha

t w

e w

ant

to t

alk

abou

t -w

hat y

ou t

hink

abo

ut h

omic

ide

and

mur

der

and

how

yo

u'v

e be

en

feel

ing.

D

urin

g th

ese

sess

ions

ther

e ar

e so

me

basi

c ru

les

tofo

llow

so

that

eve

(von

e.le

e!s

com

-fo

rtab

le a

nd h

as a

n op

port

uni~

y to

tal

k !l

they

wis

h. "

B.

Lis

t Bas

ic R

ules

; Ta

pe T

hem

to

the

Wal

l to

Ref

er to

Thr

ough

out

the

Sess

ion.

Rul

es f

or G

roup

Par

tici

pati

on

• O

nly

on

e pe

rson

talk

s at

a ti

me.

Eve

ryon

e ha

s a

chan

ce to

talk

but

no

one

has

to.

• N

o o

ne s

houl

d m

ake

fun

of a

nyon

e el

se in

the

gro

up.

• It

's o

kay

to b

e up

set a

nd fe

el f

eeli

ngs.

It's

no

t ok

ay to

hit

or s

hove

som

eone

els

e.

• A

ny

que

stio

n ca

n be

ask

ed, n

ot a

ll q

uest

ions

can

be

answ

ered

.

C.

Nam

e G

ame

"We

also

wan

t to

get

to k

now

you

all

a l

ittl

e he

tte/:

So

we

wan

t you

to t

ell

us y

our

nam

e, s

omet

hing

abo

ut th

e pe

ople

who

die

d an

d ho

w th

ey d

ied.

To

hel

p us

get

acq

uain

ted,

we

have

han

ded

out t

wo

nam

e si

gns

-on

e is

a h

adge

for

you

to w

ear

and

the

othe

r is

a s

ign

to

plac

e in

fro

nt o

f you

at

the

tabl

e.

We

wan

t you

to w

rite

you

r na

me

on e

ach.

but

we

also

wan

t you

to

thi

nk a

bout

a p

ictu

re o

r sy

mbo

l tha

t you

thi

nk d

escr

ibes

you

or

your

love

d on

e an

d to

dra

w i

t or

cho

ose

a st

icke

r or

cut

out

a p

ictu

re t

hat

repr

esen

ts i

t and

put

that

on

the

badg

e an

d si

gn a

s w

ell .

..

Aft

er th

e ch

ildr

en d

o th

is, g

o a

roun

d th

e ci

rcle

and

ask

eac

h ch

ild

to s

ay th

eir n

ame,

an

d d

e­sc

ribe

the

sym

bol o

r pic

ture

.

D.

Vid

eota

pe

• T

ell t

he c

hild

ren:

"Man

y ch

ildr

en h

ave

had

pare

nts.

sib

ling

s o

rfh

end

s w

ho w

ere

kille

d.

The

sefa

cts

don'

t mak

e it

any

eas

ier

to l

ive

with

a p

erso

nal l

oss

but i

t m

ay h

elp

to h

ear

how

oth

er c

hild

ren

have

tho

ught

abo

ut v

iole

nt d

eath

. Th

e vi

deot

ape

was

pre

pare

d to

hel

p ch

ildr

en t

ell o

ther

chi

l­dr

en w

hat

they

ha

vefe

lt a

fter

som

eone

the

y lo

ved

had

been

kill

ed.

"

-C

on

tin

ued

-

65

• Sh

ow

the

vide

otap

e.

"You

hav

e se

en s

ome

of t

he r

eact

ions

of k

ids

who

hav

e su

ffer

ed a

vio

lent

dea

th a

mon

g th

eirf

amil

ies

orfr

iend

s.

Eve

rybo

dy r

eact

s d(

ffere

ntly

. E

ach

of y

ou h

ave

your

ow

n st

orie

s.

We

wan

t to

hea

r th

ose

stor

ies

to l

earn

mor

e ab

out h

ow w

e ar

e d(

ffer

ent

and

how

muc

h w

e ar

e th

e sa

me.

E.

Tel

ling

the

Stor

y o

f V

iole

nt D

eath

• A

sk th

e ch

ildr

en to

take

a p

iece

of p

aper

and

som

e co

lore

d m

arke

rs.

Ask

them

to

thin

k ab

out t

he d

ay th

eir l

oved

one

was

kil

led,

and

wha

t the

y re

mem

ber.

Fac

ilit

ator

s ca

n pr

ompt

thei

r th

inki

ng b

y as

king

som

e o

f the

foll

owin

g qu

esti

ons

depe

ndin

g up

on th

e ev

ent(

s) g

roup

mem

bers

hav

e ex

peri

ence

d.

-W

here

wer

e yo

u w

hen

it h

appe

ned?

-

How

did

you

fin

d o

ut w

hat h

appe

ned?

-

Wha

t do

you

rem

embe

r se

eing

? -

Wha

t do

you

rem

embe

r he

arin

g?

-W

hat

do y

ou r

emem

ber

smel

ling

? -

Wha

t di

d yo

u do

?

As

they

are

thin

king

abo

ut th

e da

y, a

sk th

em to

dra

w a

pic

ture

oft

he

wor

st m

emor

y th

ey h

ave

abou

t tha

t day

. A

fter

they

hav

e co

mpl

eted

thei

r dra

win

gs, a

sk fo

r vo

lunt

eers

to s

how

thei

r pic

ture

s o

r to

tell

the

stor

y o

fth

ose

bad

mem

orie

s.

• A

sk th

e gr

oup

try

to r

emem

ber i

fth

ere

was

any

goo

d pa

rt o

f the

day

.

• A

sk th

em to

dra

w a

pic

ture

of t

he b

est m

emor

y th

ey h

ave

abou

t the

day

.

• A

sk fo

r vo

lunt

eers

to s

how

or t

ell t

hose

sto

ries

.

F.

Thi

nkin

g A

bo

ut L

ife

an

d D

eath

Fac

ilit

ator

s sh

ould

beg

in th

is e

xerc

ise

by

say

ing,

"W

hat d

oes

it m

ean

to b

e de

ad?"

The

n as

k th

e ch

ildr

en to

cho

ose

a pi

ece

of p

aper

and

som

e cr

ayon

s. A

sk th

em to

dra

w a

pic

ture

of d

eath

on

on

e si

de o

fth

e pa

per.

Aft

er th

ey a

re f

inis

hed,

ask

them

to d

raw

a p

ictu

re o

flif

e on

the

othe

r sid

e.

Whe

n th

ey a

re th

roug

h dr

awin

g, a

sk e

ach

of t

he c

hild

ren

to e

xpla

in th

eir p

ictu

res.

Fac

ilit

ator

s sh

ould

he

lp to

cla

rify

mis

conc

epti

ons

and

be p

repa

red

to a

nsw

er q

uest

ions

.

G.

Con

clus

ion

• T

han

k th

em fo

r be

ing

a pa

rt o

fth

e gr

oup.

• S

erv

e re

fres

hmen

ts.

• E

nco

ura

ge

chil

dren

to ta

ke th

eir p

ictu

res

hom

e.

• R

emin

d th

em th

at th

ey m

ight

thin

k ab

out d

eath

or t

he p

erso

n th

ey lo

ved

duri

ng th

e ne

xt

wee

k an

d if

they

wan

t to

draw

mor

e pi

ctur

es a

bout

wha

t the

y th

ink

or fe

el, t

he f

acil

itat

ors

wou

ld li

ke to

se

e th

ose

pict

ures

at t

he n

ext g

roup

ses

sion

.

66

Sess

ion

Tw

o (7

-11)

: F

eeli

ngs

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

• R

evie

w th

ough

ts th

e ch

ildre

n m

ight

hav

e ha

d du

ring

the

wee

k.

"Hi.

It s

grea

t to

see

you

all a

gain

. D

id a

nyon

e dr

aw a

ny p

ictu

res

last

wee

k th

at

you

wou

ld li

ke to

sha

re?

Doe

s an

yone

hav

e a

stm

y o.

fsom

ethi

ng th

at h

appe

ned

duri

ng t

he w

eek

that

you

wou

ld li

ke to

tel

l?"

[{lt

he c

hild

ren

answ

er y

es, f

acil

itat

ors

shou

ld a

sk e

ach

one

who

w

ants

to

show

som

ethi

ng o

r te

ll s

omet

hing

to d

o so

.}

"Thi

s w

eek,

we

wan

t to

lea

rn m

ore

abou

t th

e pe

ople

you

kno

w w

ho d

ied

-w

hat

they

wer

e li

ke a

nd

how

yo

u fe

el n

ow th

at t

hey

are

gone

. "

B.

Mem

ory

Pic

ture

s

• A

sk th

e ch

ildre

n to

cre

ate

pict

ures

of t

hing

s th

eir l

oved

one

like

d or

that

rem

ind

them

of

thei

r lov

ed o

ne.

• S

ugge

stth

at ch

ildre

n lo

ok th

roug

h th

e m

agaz

ines

and

cut

out

pic

ture

s of

thin

gs th

at

rem

ind

them

oft

heir

love

d on

e an

d gl

ue th

em o

n th

e pi

ctur

e pa

per.

• A

sk ea

ch c

hild

to ta

lk a

bout

the

mem

ory

pict

ure.

C.

Fee

ling

Pic

ture

Boo

k

• A

sk th

e ch

ildre

n to

dra

w o

ne p

ictu

re e

ach

of ho

w th

ey lo

ok w

hen

they

exp

erie

nce

the

follo

win

g fe

elin

gs. "H

ow d

o yo

u l

ook

whe

n yo

u fe

el h

appy

? "

"How

do

you

loo

k w

hen

you

feel

mad

? "

"How

do

you

look

whe

n yo

u fe

el a

frai

d? "

"H

ow d

o yo

u lo

ok w

hen

you

feel

like

you

did

som

ethi

ng w

rong

? "

"How

do

you

look

whe

n yo

u fe

el s

ad?

"

• H

elp

the

child

ren

stap

le o

r tap

e th

e fe

elin

g pi

ctur

es to

geth

er in

a b

ook

with

a c

over

on

it th

at s

ays

"[C

hild

's N

ame]

's F

eelin

gs B

ook"

.

• E

xpla

in th

at:

-F

eeli

ngs

aren

't w

rong

or

righ

t but

the

y ca

n m

ake

usf

eel g

ood

or b

ad.

-E

very

one

has

d(ff

eren

tfee

ling

s at

d(f

fere

nt t

imes

but

mos

t o.f

us h

ave

sim

ilar

fe

elin

gs t

o ea

ch o

ther

at s

ome

time.

-

Som

etim

es i

t is

har

d to

tal

k ab

out

wha

t w

e ar

e fe

elin

g be

caus

e w

e do

n't

thin

k ot

her

peop

le c

an u

nder

stan

d, b

ut it

oft

en h

elps

to t

alk

abou

t w

hat

we

are

feel

ing

beca

use

it

mak

es u

s fee

l le

ss l

onel

y.

-C

on

tin

ued

-

67

• E

xpla

in th

at th

ese

book

s ca

n be

use

d ev

ery

tim

e th

e gr

oup

mee

ts to

sho

w e

ach

othe

r ho

w e

ach

chil

d fe

els

that

day

.

• A

sk ea

ch c

hild

to d

emon

stra

te a

fee

ling

that

they

hav

e n

ow

whe

n th

ey th

ink

abou

t the

ir

love

d on

e.

D.

Con

clus

ion

• T

han

k th

e ch

ildr

en fo

r com

ing

to th

e se

ssio

n.

• S

ugg

est t

hat t

hey

take

thei

r mem

ory

pict

ures

hom

e.

• K

eep

the

"Fee

ling

Boo

ks"

until

the

next

sess

ion.

• S

erve

refr

eshm

ents

.

• A

sk th

e ch

ildr

en to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k

so th

at th

ey c

an b

ring

them

to th

e ne

xt s

essi

on.

68

Sess

ion

Thr

ee (

7-11

): F

ear

A.

Intr

oduc

tions

an

d P

urpo

se o

f Gro

up S

essi

on

• R

evie

w th

ough

ts th

e ch

ildr

en m

ight

hav

e ha

d du

ring

the

wee

k.

"Hi.

It:~

gre

at to

see

you

all

aga

in.

Did

any

one

draw

any

pic

ture

s la

st w

eek

that

yo

u w

ould

like

to s

hare

? D

oes

anyo

ne h

ave

a st

ory

o/so

met

hing

that

hap

pene

d du

ring

the

wee

k th

at y

ou w

ould

like

to t

ell?

"

• A

sk fo

r vol

unte

ers

who

wan

t to

show

or t

ell s

omet

hing

.

• D

istr

ibu

te th

e F

eeli

ng B

ooks

.

• A

sk ch

ildr

en to

pic

k ou

t a p

ictu

re th

at s

how

s ho

w th

ey fe

el r

ight

now

.

• A

sk fo

r vo

lunt

eers

to te

ll a

bout

the

pict

ure

they

cho

se.

• In

trod

uce

the

topi

c fo

r th

e da

y.

"Thi

s w

eek,

we

wan

t to

tal

k ab

out

thin

gs t

hat

we

are

a/ra

id o

f L

ots

o/t

imes

w

hen

som

eone

we

love

die

s, w

e ge

t sca

red

abou

t the

way

the

y di

ed,

how

oth

er p

eopl

e tr

eat

us,

or

may

be w

heth

er w

e're

goi

ng to

die

soo

n, t

oo.

Eve

ryon

e is

saf

e he

re r

ight

now

, bu

t I k

now

whe

n I

get s

care

d o/

som

ethi

ng s

omet

imes

I w

ant t

o cu

rl u

p in

to a

lit

tle

teen

y ba

ll a

nd h

ide.

"

B.

Wha

t Mak

es Y

ou S

care

d?

• A

sk e

ach

chil

d to

nam

e so

met

hing

that

sca

res

them

and

to te

ll w

hy

it s

care

s th

em.

C.

Let

ter

Wri

ting

• A

sk th

e ch

ildr

en to

wri

te a

let

ter t

o so

meo

ne w

ho

m th

ey th

ink

is v

ery

impo

rtan

t or

pow

erfu

l and

tell

them

in th

e le

tter

wha

t the

y sh

ould

do

abou

t the

sca

ry th

ing.

(E

xam

ples

of p

eopl

e to

w

rite

to in

clud

e: T

he P

resi

dent

, God

, a p

olic

eman

, a te

ache

r, th

eir p

aren

ts.)

D.

Act

ion

Pla

nn

ing

• D

ivid

e th

e ch

ildr

en in

to s

mal

l gro

ups

of3-

5.

• T

ell t

hem

to ta

lk a

nd th

ink

abou

t thr

ee th

ings

they

wan

t to

know

ho

w to

do

that

wou

ld

mak

e th

em fe

el s

afer

.

• A

sk e

ach

grou

p to

list

thos

e th

ree

thin

gs o

n a

piec

e o

f pap

er.

• A

sk ea

ch g

roup

to r

epor

t the

ir li

st to

the

full

grou

p.

-C

on

tin

ued

-

69

• Id

enti

fy th

ings

that

chi

ldre

n ca

n le

arn

in o

rder

to f

eel s

afer

.

• D

emon

stra

te h

ow to

do

sim

ple

thin

gs.

Exa

mpl

es in

clud

e:

-Ho

w to

use

afi

re e

xtin

guis

her.

-H

ow

to c

all t

he p

olic

e or

em

erge

ncy

serv

ices

. -

Wha

t to

do

(lth

ere

is a

n ea

rthq

uake

(or

tor

nado

or

hurr

ican

e or

floo

d. e

tc.)

.

E.

Con

clus

ion

• T

han

k th

e ch

ildre

n fo

r com

ing

to th

e se

ssio

n.

• S

erve

refr

eshm

ents

.

• A

sk th

e ch

ildr

en to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k so

that

they

can

bri

ng th

em to

the

next

ses

sion

.

70

Sess

ion

Fou

r (7

-11)

: A

nge

r

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

• R

evie

w th

ough

ts c

hild

ren

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It s

grea

t to

see

you

all

aga

in.

Did

any

one

draw

any

pic

ture

s la

st w

eek

that

yo

u w

ould

like

to

shar

e? D

oes

anyo

ne h

ave

a st

ory

of s

ome t

hing

tha

t hap

pene

d du

ring

the

wee

k th

at y

ou w

ould

like

to

tell

? "

• A

sk fo

r vol

unte

ers

to s

how

or t

ell s

omet

hing

.

• D

istr

ibut

e th

e Fe

elin

g B

ooks

.

• A

sk fo

r vol

unte

ers

to c

hoos

e a

pict

ure

to s

how

how

they

feel

rig

ht n

ow.

• In

trod

uce

the

topi

c fo

r the

day

.

"Thi

s w

eek.

we

wan

t to

tal

k ab

out

tim

es w

hen

we

are

angl

y.

Lot

s o

f tim

es w

hen

som

eone

we

love

is

kille

d. w

e ge

t m

ad a

t th

e pe

rson

who

kil

led

them

. at

peo

ple

who

sho

uld

have

he

lped

them

. at

oth

er p

eopl

e w

ho d

on't

unde

rsta

nd.

Som

etim

es p

eopl

e te

ll u

s w

e sh

ould

n't b

e an

gry.

but

no

one

can

help

it ~r t

heyf

eel a

ngly

som

etim

es w

hen

som

eone

die

s su

dden

ly.

..

B.

Pup

pet

Pla

y

• D

istr

ibut

e pa

per b

ags,

mar

kers

, col

ored

pap

er, s

ciss

ors

and

glue

to th

e ch

ildre

n.

• A

sk th

em to

mak

e a

pape

r bag

pup

pet o

f the

ir fa

vorit

e an

imal

.

• A

sk th

e ch

ildre

n to

nam

e th

e pu

ppet

.

• M

ake

a pa

per b

ag p

uppe

t of y

ours

elf o

r an

anim

al.

• U

se y

our p

aper

bag

pup

pet t

o as

k th

e qu

estio

n o

f eac

h ch

ild'

s p

up

pet­

"Wha

t mak

es y

ou r

eally

, re

ally

mad

? ! "

• A

sk th

e pu

ppet

s: "

Wha

t do

you

do w

hen

you

get m

ad?"

• L

ist a

ll th

e w

ays

that

the

pupp

ets

resp

ond

on th

e fli

p ch

art.

• D

istr

ibu

te h

ando

ut o

n go

od w

ays

to b

e m

ad a

nd b

ad w

ays

to b

e m

ad.

• T

alk

to th

e ch

ildre

n ab

out g

ood

way

s to

be

mad

and

bad

way

s to

be

mad

.

-C

on

tin

ued

-

71

C.

Ph

ysic

al A

ctiv

ity

Ang

er c

reat

es e

nerg

y th

at n

eeds

to b

e re

leas

ed.

Fac

ilit

ator

s ca

n gu

ide

that

act

ivit

y an

d te

ach

chil

dren

to c

onne

ct th

eir f

eeli

ngs

wit

h sa

fe p

hysi

cal e

xpre

ssio

n.

• G

ive

the

chil

dren

a p

iece

of p

aper

and

a p

enci

l or m

arke

r.

• A

sk th

e ch

ildr

en to

wri

te o

r dra

w a

bout

the

thin

g th

at m

akes

them

ang

ry.

• T

ape

a la

rge

piec

e o

f pap

er w

ith

a bi

g re

d ci

rcle

on

the

wal

l.

• A

sk th

e ch

ildr

en to

wad

thei

r ang

er [p

aper

] in

to a

bal

l.

• A

sk th

e ch

ildr

en to

thro

w th

eir a

nger

at t

he c

ircl

e on

the

wal

l.

• A

llow

them

to p

ick

up th

e pa

per b

alls

and

thro

w th

em a

gain

and

aga

in.

D.

Con

clu

sion

• T

han

k th

e ch

ildr

en fo

r com

ing

to th

e se

ssio

n.

• Se

rve

refr

eshm

ents

.

• A

sk th

e ch

ildr

en to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k so

that

they

can

bri

ng th

em to

the

next

ses

sion

.

72

Sess

ion

Fiv

e (7

-11)

: G

rief

and

Mou

rnin

g

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

• R

evie

w th

ough

ts th

e ch

ildre

n m

ight

hav

e ha

d du

ring

the

wee

k.

"Hi.

It s g

reat

to s

ee y

ou a

ll a

gain

. D

id a

nyon

e dr

aw a

ny p

ictu

res

last

wee

k th

at

you

wou

ld li

ke t

o sh

are?

Doe

s an

yone

hav

e a

stor

y o

f som

ethi

ng th

at h

appe

ned

duri

ng th

e w

eek

that

you

wou

ld li

ke to

tel

l?"

• A

sk fo

r vol

unte

ers

to s

how

or t

ell s

omet

hing

.

• D

istr

ibut

e Fe

elin

g B

ooks

.

• A

sk fo

r vol

unte

ers

to c

hoos

e a

pict

ure

to s

how

how

they

are

fee

ling

righ

t now

.

• In

trod

uce

topi

c fo

r the

day

.

"We'

ve t

alke

d a

lot

abou

t th

e w

ay w

efee

l af

ter

som

eone

we

love

is

kille

d, b

ut

ofte

n th

e m

ain

thin

g w

efee

l is

sadn

ess.

Th

ere

are

a lo

t of r

easo

ns t

o be

sad

and

mos

t of t

hem

ha

ve to

do

wit

h m

issi

ng th

e pe

rson

who

is

gone

. To

day

we

are

goin

g to

tal

k ab

out

how

we

can

rem

embe

r th

e pe

rson

we

love

so

that

the

ir m

emor

y ca

n be

with

us

alw

ays.

"

B.

Fun

eral

Act

ivit

y

• E

xpla

in to

chi

ldre

n th

at m

any

adul

ts p

artic

ipat

e in

mem

oria

l ser

vice

s an

d fu

nera

ls to

re

mem

ber t

he p

erso

n w

ho d

ied.

• A

sk th

e ch

ildre

n if

they

atte

nded

suc

h a

serv

ice

or fu

nera

l for

thei

r lov

ed o

ne.

• A

sk th

em if

they

hav

e an

y qu

estio

ns a

bout

fune

rals

.

• C

lari

fy an

y m

isco

ncep

tions

or c

once

rns.

• D

ivid

e th

e ch

ildre

n in

to s

mal

l gro

ups.

• A

sk ea

ch g

roup

to p

lan

a fu

nera

l or m

emor

ial.

• R

econ

vene

the

child

ren

as a

larg

e gr

oup

and

ask

each

gro

up to

tell

or d

emon

stra

te th

e fu

nera

l or m

emor

ial t

hey

plan

ned.

C.

Mem

ory

Stor

ies

• E

xpla

in to

the

child

ren

that

one

way

to re

mem

ber s

omeo

ne th

ey lo

ve is

to te

ll st

orie

s ab

out t

hem

to p

eopl

e th

ey m

eet.

-C

on

tin

ued

-

73

• R

ead

a sh

ort s

tory

abo

ut s

omeo

ne w

ho h

as d

ied.

• A

sk th

e ch

ildr

en to

wri

te a

sho

rt s

tory

abo

ut th

e pe

rson

they

love

d.

• A

sk fo

r vol

unte

ers

to re

ad th

eir s

tori

es w

hen

they

are

fin

ishe

d.

E.

Con

clus

ion

• T

han

k th

e ch

ildr

en fo

r com

ing

to th

e se

ssio

n.

• Se

rve

refr

eshm

ents

.

• A

sk th

e ch

ildr

en to

rem

embe

r to

draw

pic

ture

s o

f wha

t the

y m

ight

feel

dur

ing

the

wee

k so

that

they

can

bri

ng th

em to

the

next

ses

sion

. S

ince

the

next

ses

sion

wil

l be

the

last

ses

sion

, ask

the

chil

dren

to l

ook

arou

nd d

urin

g th

e w

eek

for so

meth

ing

-a m

emor

y o

bje

ct-

that t

hey

can

brin

g to

the

grou

p th

at re

min

ds th

em o

fth

eir l

oved

one

.

74

Sess

ion

Six

(7-1

1):

Goi

ng o

n W

ith

Lif

e

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

• R

evie

w th

ough

ts th

e ch

ildr

en m

ight

hav

e ha

d du

ring

the

wee

k.

"Hi.

It s g

reat

to s

ee y

ou a

ll a

gain

. D

id a

nyon

e dr

aw a

ny p

ictu

res

last

wee

k th

at

you

wou

ld li

ke t

o sh

are?

Doe

s an

yone

hav

e a

stD

ly o

.[so

met

hing

that

hap

pene

d du

ring

the

wee

k th

at y

ou w

ould

like

to

tell

? "

• A

sk fo

r vol

unte

ers

to s

how

or t

ell s

omet

hing

that

hap

pene

d.

• D

istr

ibut

e th

e F

eeli

ng B

ooks

.

• A

sk fo

r vo

lunt

eers

to c

hoos

e a

pict

ure

and

desc

ribe

thei

r fee

ling

s ri

ght n

ow.

• In

trod

uce

topi

c fo

r th

e da

y.

"Tod

ay is

the

las

t tim

e th

at w

e w

ill

mee

t bef

ore

Tha

nksg

ivin

g.

It s

been

ver

y .\p

ecia

l get

ting

to k

now

eac

h o.

[you

. B

ut it

:5 t

ime

to s

ay g

ood-

bye

for

a w

hile

. So

tod

ay w

e w

ant

to t

alk

abou

t w

hat

each

o.[

us i

s go

ing

to d

o as

you

con

tinu

e to

gro

w u

p an

d ge

t ol

der.

F

irst

, I

wan

t to

see

wha

t m

emor

y ob

ject

you

bro

ught

to s

how

us.

"

B.

Mem

ory

Obj

ects

• H

ave

a ro

ll o

f ri

bbon

and

pre

-cut

hea

rts

at le

ast t

wo

inch

es in

siz

e. (

Hea

rt d

oili

es c

an

also

be

used

.)

• A

llow

eac

h ch

ild

to s

how

the

mem

ory

obje

ct, d

escr

ibe

it an

d te

ll w

hy it

is i

mpo

rtan

t.

• A

fter

eac

h ch

ild

tell

s ab

out t

he m

emor

y ob

ject

, the

fac

ilit

ator

s sh

ould

cu

t a p

iece

of

ribb

on a

nd

att

ach

it to

a h

eart

.

• A

llow

eac

h ch

ild

to w

rite

the

nam

e o

f the

love

d on

e on

the

hear

t.

• T

ie o

r gl

ue th

e ri

bbon

and

hea

rt to

the

mem

ory

obje

ct.

• E

xpla

in th

at in

man

y cu

ltur

es, p

eopl

e ke

ep m

emor

y ob

ject

s in

thei

r hom

e o

r car

ry th

em

wit

h th

em to

con

tinu

e to

feel

tha

t the

y ca

n ta

lk to

thei

r lov

ed o

nes.

C.

Loo

king

Int

o th

e F

utur

e

• A

sk th

e ch

ildr

en to

thin

k ab

out w

hat t

hey

wan

t to

be w

hen

they

gro

w u

p.

-C

on

tin

ued

-

75

• D

ivid

e th

e ch

ildr

en in

to s

mal

l gro

ups

and

ask

them

to ta

lk w

ith

each

oth

er a

bout

wha

t th

ey w

ant t

o be

and

pla

n ho

w to

"ac

t out

" th

eir f

utur

e fo

r th

e w

hole

gro

up.

• R

econ

ven

e th

e ch

ildr

en a

s a

larg

e gr

oup.

Ask

eac

h sm

all g

roup

to "

act o

ut th

e dr

eam

s" o

f eac

h gr

oup

mem

ber.

D.

Con

clus

ion

• T

han

k th

e ch

ildr

en fo

r com

ing

to th

e se

ssio

ns.

• G

ive

each

chi

ld a

spe

cial

mem

ento

to ta

ke h

ome

from

the

grou

p (e

xam

ples

: a

phot

o­gr

aph

of t

he g

roup

toge

ther

, a c

ard

wit

h au

togr

aphs

fro

m e

ach

grou

p m

embe

r, a

poe

m o

r quo

tati

on.)

• S

erve

refr

eshm

ents

.

76

• •

3. A

ges

12-1

8

Sett

ing:

You

th s

houl

d be

sea

ted

in c

hair

s ar

ound

a ta

ble

in a

com

fort

able

env

iron

men

t wit

h th

e fa

cili

tato

rs.

Pap

er a

nd p

enci

ls s

houl

d be

ava

ilab

le o

n th

e ta

ble.

R

efre

shm

ents

suc

h as

chi

ps, c

ooki

es,

frui

t and

juic

e o

r sod

a sh

ould

be

prov

ided

at t

he e

nd o

f the

ses

sion

.

Tool

s: P

aper

, cra

yons

, mar

kers

, nam

e ba

dge

mak

er w

ith

colo

red

pape

r, a

nd a

ssem

bly

mat

eri­

als

(alt

erna

tive

ly: n

ame

tags

wit

h pl

asti

c ho

lder

s), s

tick

ers,

old

mag

azin

es, s

mal

l not

eboo

ks, g

lue

stic

ks,

fiip

char

t.

77

Sess

ion

One

(12

-18)

: In

trod

ucti

on;

Dis

cuss

ion

of V

iole

nt D

eath

A.

Intr

odu

ce Y

ours

elve

s an

d E

xpla

in P

urpo

se o

f the

Gro

up S

essi

ons.

"Goo

d af

tern

oon.

I

am S

uzie

Wils

on a

nd th

is i

s Ju

dy M

artin

. W

e ar

e lo

okin

gfor

war

d to

tal

king

wit

h yo

u to

day.

Ju

dy a

nd I

are

goin

g to

be

here

on

Thu

rsda

y aj

iern

oon

ever

y w

eekf

or

the

next

six

wee

ks.

Eve

ryon

e he

re h

as k

now

n so

meo

ne t

hey

love

d w

ho w

as k

ille

d re

cent

ly.

Vio

lent

dea

th i

s a

terr

ible

thi

ng a

nd w

e're

so

ny

that

it h

as h

appe

ned

in y

our

lives

. Th

at i

s w

hat

we

wan

t to

tal

k ab

out -

wha

t you

thi

nk a

bout

hom

icid

e an

d m

urde

r an

d ho

w y

ou

've

been

fe

elin

g.

Dur

ing

thes

e se

ssio

ns th

ere

are

som

e ba

sic

rule

s to

/all

ow s

o th

at e

very

onef

eels

com

-fo

rtab

le a

nd

has

an

oppo

rtun

ity

to t

alk

([ th

ey w

ish.

'.'

B.

Lis

t B

asic

Rul

es;

Tap

e to

th

e W

all

to R

efer

to T

hrou

ghou

t th

e Se

ssio

n.

Rul

es fo

r G

roup

Par

ticip

atio

n

• O

nly

one

pers

on ta

lks

at a

tim

e.

• E

very

one

has

a ch

ance

to ta

lk b

ut n

o on

e ha

s to

. •

No

one

shou

ld m

ake

fun

of a

nyon

e el

se in

the

grou

p.

• It

's o

kay

to b

e up

set.

It's

not

oka

y to

hur

t som

eone

els

e.

• A

ny q

uest

ion

can

be a

sked

, not

all

que

stio

ns c

an b

e an

swer

ed.

• N

othi

ng s

aid

in th

e gr

oup

shou

ld b

e re

peat

ed to

oth

ers

exce

pt fo

r ge

nera

l ide

as.

C.

Nam

eGam

e

"We

also

wan

t to

get

to k

now

you

all

a l

ittl

e be

tter.

So

we

wan

t you

to t

ell

us y

ou

r na

me,

som

ethi

ng a

bout

the

peop

le w

ho d

ied

and

how

they

die

d.

To h

elp

us g

et a

cqua

inte

d, w

e ha

ve h

ande

d ou

t tw

o na

me

sign

s -

one

is a

ba

dg

e/o

r yo

u to

wea

r an

d th

e ot

her

is a

sig

n to

pl

ace

infr

on

t o

f yo

u a

t th

e ta

ble.

W

e w

ant y

ou to

wri

te y

our

nam

e on

eac

h, b

ut w

e al

so w

ant y

ou

to t

hink

abo

ut a

pic

ture

or

,\ym

bol t

hat y

ou t

hink

des

crib

es y

ou o

r yo

ur l

oved

one

an

d to

dra

w i

t or

cho

ose

a st

icke

r o

r cu

t ou

t a p

ictu

re t

hat

repr

esen

ts i

t and

put

that

on

the

badg

e an

d si

gn a

s w

ell.

"

Aft

er th

e yo

uth

do th

is, g

o ar

ound

the

circ

le a

nd a

sk e

ach

pers

on to

say

thei

r nam

e, d

escr

ibe

the

sym

bol o

r pic

ture

.

D.

Vid

eota

pe

• T

ell t

he y

outh

:

"Man

y ki

ds h

ave

had

pare

nts,

sib

ling

s or

.fi-i

ends

who

wer

e ki

lled.

T

hese

fact

s do

n i m

ake

it a

ny e

asie

r to

liv

e w

ith a

per

sona

l lo

ss b

ut it

may

hel

p to

hea

r ho

w o

ther

s ha

ve

thou

ght

abou

t vi

olen

t de

ath.

Th

e vi

deot

ape

was

pre

pare

d to

hel

p ki

ds t

ell

othe

r ki

ds w

hat

they

ha

ve fe

lt a

.fier

som

eone

the

y lo

ved

had

been

kill

ed.

"

-C

on

tin

ued

-

79

• S

ho

w th

e vi

deot

ape.

"You

hav

e se

en s

ome

of t

he r

eact

ions

of p

eopl

e w

ho h

ave

suff

ered

a v

iole

nt d

eath

am

ong

thei

rfam

ilie

s or

/rie

nds.

E

very

body

rea

cts

d(fJ

eren

tly.

Eac

h o

f you

hav

e yo

ur

own

stor

ies.

W

e w

ant

to h

ear

thos

e st

orie

s to

lea

rn m

ore

abou

t how

we

are

d(ff

eren

t an

d ho

w m

uch

we

are

the

sam

e. "

E.

Tel

ling

the

Stor

y o

f V

iole

nt D

eath

• A

sk th

e yo

uth

to c

lose

thei

r eye

s an

d th

ink

abou

t the

per

son

who

has

die

d an

d w

hen

th

ey fi

rst l

earn

ed a

bout

the

deat

h.

• A

sk th

em to

thin

k ab

out t

he f

ollo

win

g qu

esti

ons:

-W

here

wer

e yo

u w

hen

it h

appe

ned?

-

How

did

you

fin

d o

ut w

hat h

appe

ned?

-

Wha

t do

you

rem

embe

r se

eing

? -

Wha

t do

you

rem

embe

r he

arin

g?

-W

hat

do y

ou r

emem

ber

smel

ling

? -

Wha

t di

d yo

u do

?

• A

sk th

em to

ope

n th

eir e

yes

and

ask

for

volu

ntee

rs to

tell

wha

t the

y th

ough

t abo

ut.

• R

ecor

d co

rnm

on c

risi

s re

acti

ons

on th

e fl

ip c

hart

.

• E

xp

lain

the

patt

ern

oftr

aum

a an

d gr

ief r

eact

ion.

• D

istr

ibut

e ha

ndou

ts o

n tr

aum

a an

d gr

ief r

eact

ions

(see

App

endi

x I)

.

• A

sk th

e yo

uth

to ta

ke a

pie

ce o

f pap

er a

nd d

raw

a s

trai

ght h

oriz

onta

l lin

e ac

ross

it.

Tel

l th

em to

mar

k th

e st

art o

fth

e li

ne a

nd in

dica

te th

at th

e st

art o

fth

e li

ne w

ill s

ymbo

lize

whe

n th

e de

ath

happ

ened

. T

he e

nd o

fth

e li

ne w

ill s

ymbo

lize

toda

y. N

ow a

sk th

em to

mar

k on

the

line

any

sig

nifi

cant

ev

ents

that

hav

e ta

ken

plac

e si

nce

the

death

-in

dica

te th

ose

thin

gs th

at w

ere

unha

ppy

even

ts o

r sad

ti

mes

und

erne

ath

the

line

and

thos

e th

at w

ere

posi

tive

or g

ood

even

ts a

bove

the

line

.

• S

ho

w th

e yo

uth

an e

xam

ple

of s

uch

a li

ne o

n th

e fl

ip c

hart

.

• A

sk fo

r vo

lunt

eers

to d

escr

ibe

wha

t the

y ha

ve d

raw

n on

thei

r pap

er.

F.

Thi

nkin

g A

bo

ut

Lif

e a

nd

Dea

th

• B

egin

this

exe

rcis

e by

ask

ing

-"W

hat d

oes

it m

ean

to b

e de

ad?

" "W

hat h

appe

ns w

hen

you

die?

"

-C

on

tin

ued

-

80

• D

istr

ibu

te p

oem

, "D

irge

wit

hout

Mus

ic"

by E

dna

St. V

ince

nt M

illa

y (s

ee A

ppen

dix

II).

• R

ead

the

po

em a

nd a

sk th

e gr

oup

for c

omm

ents

and

thou

ghts

on

thei

r ow

n pe

rspe

c­ti

ves o

f dea

th. •

Ask

the

grou

p to

hel

p yo

u li

st th

e m

ost c

omm

on c

once

ptio

ns o

f dea

th.

Incl

ude:

-D

eath

as

an u

ltim

ate

fina

lity

-w

ith

no a

fter

lfle

. -B

iolo

gic

al d

ecay

of t

he b

ody.

-D

ea

th a

s a

rele

ase

o.lt

he s

piri

t. -

Dea

th w

ith

an a

fter

/ffe

in w

hich

the

re i

s a

heav

en,

purg

ator

y a

nd

hel

l. -

Dea

th w

ith

an a

fier

l(fe

thr

ough

rei

ncar

nati

on.

-D

eath

wit

h an

aft

erl(

fe i

n he

aven

.

G.

Rec

ordi

ng Y

our

Tho

ught

s a

nd

Rea

ctio

ns

• D

istr

ibu

te sm

all n

oteb

ooks

to e

ach

pers

on.

• A

sk th

em to

wri

te o

r dra

w a

bout

thou

ghts

or r

eact

ions

they

hav

e ab

out t

he p

erso

n w

ho

w

as k

ille

d du

ring

the

next

wee

k. T

ell t

hem

that

the

note

book

s ar

e to

be

conf

iden

tial

but

eve

ryon

e w

ill

be g

iven

an

oppo

rtun

ity

to r

ead

or s

how

wha

t the

y ha

ve r

ecor

ded

if th

ey c

hoos

e to

do

so.

F.

Con

clus

ion

• A

sk th

e gr

oup

to e

ach

brin

g a

phot

ogra

ph o

r pic

ture

of t

he p

erso

n w

ho

was

kil

led

to

the

next

gro

up s

essi

on.

• T

han

k th

em fo

r bei

ng a

par

t of t

he g

roup

.

• S

erv

e re

fres

hmen

ts.

81

Ses

sion

Tw

o (1

2-18

): T

raum

a an

d G

rief

Rea

ctio

ns

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

• R

evie

w th

ough

ts th

e yo

uth

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It:\,

grea

t to

see

you

all a

gain

. D

id a

nyon

e m

ake

any

jour

nal e

ntri

es l

ast

wee

k th

at y

ou w

ould

like

to

shar

e? "

• In

tro

du

ce to

pic

for

the

wee

k.

"Thi

s w

eek,

we

wan

t to

lear

n m

ore

abou

t th

e pe

ople

you

kno

w w

ho w

ere

kil

led

­w

hat t

hey

wer

e li

ke a

nd h

ow y

ou h

ave

been

rea

ctin

g si

nce

thei

r de

ath.

"

B.

Pic

tllr

e C

ol/a

ge

• A

sk th

e yo

uth

to c

reat

e a

coll

age

ofth

ings

thei

r lov

ed o

ne li

ked

or t

hat r

emin

d th

em o

f th

eir l

oved

one

.

• H

ave

grou

p m

embe

rs s

elec

t a p

iece

of c

olor

ed c

onst

ruct

ion

pape

r.

• G

lue

the

phot

ogra

ph o

r pic

ture

of t

he l

oved

one

on

the

pape

r.

• S

ug

ges

tth

at g

roup

mem

bers

look

thro

ugh

the

mag

azin

es a

nd c

ut o

ut p

ictu

res

ofth

ings

th

at re

min

d th

em o

fth

eir l

oved

one

and

glu

e th

em a

roun

d th

e pi

ctur

e.

• A

sk e

ach

youn

g pe

rson

to ta

lk a

bout

the

pict

ure

coll

age

and

desc

ribe

thei

r lov

ed o

ne.

C.

Rea

ctio

n E

xerc

ise

• T

ape

six

shee

ts o

f col

ored

con

stru

ctio

n pa

per w

ith

di ff

eren

t rea

ctio

ns w

ritt

en o

n th

em in

di

ffer

ent l

ocat

ions

aro

und

the

room

. T

he s

ix r

eact

ions

sho

uld

be:

Red

-An

ger

Y

ello

w -

Fea

r G

reen

-G

uilt

O

rang

e -

Sha

me

Blu

e -

Sad

ness

P

ink

-Hap

py

• E

xp

lain

that

:

-N

one

of t

hese

rea

ctio

ns a

re w

rong

or

righ

t but

d~f

rere

nt r

eact

ions

can

mak

e us

fe

el g

ood

or b

ad.

-C

on

tin

ued

-

83

-E

vel:

vone

has

d(f

fere

nt r

eact

ions

at d

(ffe

rent

tim

es t

o d(

ffer

ent

thin

gs b

ut m

ost

~lus h

ave

sim

ilar

rea

ctio

ns to

oth

ers

at s

ome

time.

-So

met

imes

it

is h

ard

to t

alk

abou

t ho

w w

e re

act

or w

hat

we

are

thin

king

be

caus

e w

e do

n't

thin

k ot

her

peop

le c

an u

nder

stan

d, b

ut it

~/i

en h

elps

to t

alk

abou

t ou

r re

acti

ons

beca

use

it m

akes

usf

eell

ess

lone

ly.

• A

sk th

e gr

oup

to c

hoos

e on

e o

f the

se r

eact

ions

to th

ink

abou

t and

then

to g

o to

the

loca

tion

mar

ked

by th

e ap

prop

riat

e pa

per.

• A

sk g

roup

mem

bers

to te

ll th

e re

st o

f the

gro

up:

-w

hat

they

tho

ught

abo

ut w

hen

they

pic

ked

the

part

icul

ar r

eact

ion.

-

how

the

y re

act

whe

n th

e.v.

/eel

angry,fea~/ul,

guil~v,

asha

med

, sa

d, o

r ha

ppy.

-

wha

t th

ey u

sual

ly d

o or

wha

t th

ey w

ould

like

to

do w

hen

the,

yfee

l ang

~v,

few

ful,

gui

lty,

asha

med

, sa

d o

r ha

ppy.

• A

fter

eac

h pe

rson

has

res

pond

ed, a

sk th

e gr

oup

mem

bers

to s

elec

t ano

ther

col

or a

nd

reac

tion

-and

mov

e to

it.

• R

epea

t the

exe

rcis

e un

til e

ach

grou

p m

embe

r has

com

men

ted

on e

ach

reac

tion

.

• A

sk th

e gr

oup

to s

it d

own.

D.

Cop

ing

With

Rea

ctio

ns

• E

xp

lain

that

reac

tion

s ca

n be

exp

ress

ed in

pos

itiv

e or

neg

ativ

e w

ays.

• A

sk th

e gr

oup

to h

elp

you

crea

te a

list

of p

osit

ive

and

nega

tive

way

s o

f dea

ling

wit

h an

ger,

fea

r, g

uilt

, sha

me,

sad

ness

and

hap

pine

ss.

• L

istt

hei

r res

pons

es o

n th

e fl

ip c

hart

.

E.

Con

clus

ion

• T

han

k th

e gr

oup

mem

bers

for c

omin

g to

the

sess

ion.

• S

ug

ges

t tha

t the

y ta

ke th

eir p

ictu

re c

olla

ge h

ome.

• R

emin

d th

em to

con

tinu

e to

wri

te o

r dra

w in

the

ir jo

urna

ls o

ver t

he n

ext w

eek.

• S

erv

e re

fres

hmen

ts.

84

Sess

ion

Thr

ee (

12-1

8):

Fea

r

A.

Intr

oduc

tion

s a

nd

Pur

pose

of G

roup

Ses

sion

• R

evie

w th

ough

ts th

e yo

uth

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It:~

gre

at to

see

you

all

aga

in.

Did

any

one

reco

rd s

omet

hing

in y

our j

our­

nals

tha

t you

wou

ld li

ke to

sha

re?

..

• A

sk fo

r vo

lunt

eers

to r

espo

nd.

• In

trod

uce

the

topi

c fo

r th

e da

y.

"Thi

s w

eek.

we

wan

t to

tal

k ab

out

thin

gs t

hat

we

are

afra

id o

f L

ots

0/ tim

es

whe

n so

meo

ne is

kill

ed.

peop

le b

ecom

e sc

ared

abo

ut th

e w

ay th

ey d

ied.

how

oth

er p

eopl

e re

act.

wha

t is

expe

cted

o/u

s, o

r m

aybe

whe

ther

we

wil

l be

kill

ed o

r di

e so

on.

too.

M

any

peop

le a

re

afra

id 0

/ lot

s 0/

thin

gs a

bout

dea

th ..

.

B.

Fea

rs A

bo

ut D

eath

• D

istr

ibut

e w

orks

heet

s o

n fe

ars

abou

t dea

th (s

ee A

ppen

dix

III)

.

• A

sk e

ach

grou

p m

embe

r to

spen

d te

n m

inut

es th

inki

ng a

bout

var

ious

fear

s an

d co

plet

e th

e w

orks

heet

s.

• In

stru

ct th

em n

ot to

put

thei

r nam

es o

n th

e w

orks

heet

.

• C

olle

ct th

e w

orks

heet

s, m

ix th

em u

p, a

nd d

istr

ibut

e th

em b

ack

to th

e gr

oup

mak

ing

sure

that

no

one

gets

thei

r ow

n w

orks

heet

bac

k.

• T

akin

g ea

ch fe

ar, o

ne a

t a ti

me,

ask

eac

h gr

oup

mem

ber t

o re

ad w

hat i

s w

ritt

en o

n th

e w

orks

heet

he

or s

he n

ow

has

.

• D

iscu

ss th

e di

ffer

ence

bet

wee

n pr

acti

cal,

real

isti

c fe

ars

and

impr

obab

le fe

ars.

C.

Act

ion

Pla

nnin

g

• D

ivid

e th

e yo

uth

into

sm

all g

roup

s of

3-5.

• D

istr

ibut

e fe

ar a

ctio

n pl

anni

ng w

orks

heet

s (s

ee A

ppen

dix

IV).

• T

ell t

hem

to id

entif

Y th

ree

prac

tica

l thi

ngs

that

they

wor

ry a

bout

or a

re a

frai

d o

f in

thei

r ev

eryd

ay li

fe.

-C

on

tin

ued

-

85

• A

sk th

em to

wor

k to

geth

er to

dev

elop

a p

lan

for

wha

t the

y ca

n do

to m

ake

them

selv

es

feel

saf

er.

• E

mph

asiz

e th

at th

e pl

an s

houl

d in

clud

e pr

actic

al a

ctio

n st

eps

that

they

can

impl

emen

t by

them

selv

es o

r with

the

help

of o

ther

mem

bers

in th

e co

mm

unity

.

• A

sk th

em to

iden

tify

wha

t act

ion

that

they

will

take

dur

ing

the

next

wee

k to

beg

in to

im

plem

ent t

heir

pla

n.

• A

sk ea

ch g

roup

to r

epor

t the

ir g

roup

pla

n to

the

full

grou

p.

D.

Con

clu

sion

• T

han

k th

e gr

oup

mem

bers

for c

omin

g to

the

sess

ion.

• S

erve

refr

eshm

ents

.

• R

emin

d th

e gr

oup

to c

ontin

ue to

rec

ord

thou

ghts

and

rea

ctio

ns in

thei

r jou

rnal

s.

86

Sess

ion

Fou

r (1

2-18

): A

nger

A.

Intr

oduc

tion

s an

d P

urpo

se o

f Gro

up S

essi

on

• R

evie

w th

ough

ts th

at g

roup

mem

bers

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It s

grea

t to

see

you

all a

gain

. D

id a

nyon

e re

cord

any

thin

g in

yo

ur j

ourn

al

duri

ng t

he l

ast

wee

k?"

• A

sk fo

r vol

unte

ers

to s

how

or t

ell s

omet

hing

.

• A

sk fo

r sm

all g

roup

repo

rts

on w

hat t

hey

acco

mpl

ishe

d on

thei

r act

ion

plan

s de

velo

ped

last

wee

k.

• In

trod

uce

the

topi

c fo

r the

day

.

"Thi

s w

eek,

we

wan

t to

tal

k ab

out

tim

es w

hen

we

are

ang,

:v.

Lot

s o

f tim

es w

hen

som

eone

we

love

is

kille

d, w

e ge

t mad

at

the

pers

on w

ho k

ille

d th

em,

at p

eopl

e w

ho s

houl

d ha

ve

help

ed th

em,

at o

ther

peo

ple

who

don

't un

ders

tand

. So

met

imes

peo

ple

tell

us

we

shou

ldn'

t be

angr

y, b

ut n

o on

e ca

n he

lp i

t ([t

hey/

eel a

ngry

som

etim

es w

hen

som

eone

die

s su

dden

ly. "

B.

Dis

cuss

ion

of t

he P

hysi

olog

y o

f An

ger

• R

ead

and

dist

ribu

te ex

cerp

t fro

m A

nger

: Th

e M

isun

ders

tood

Em

otio

n, b

y C

arol

T

avris

(see

App

endi

x V

).

• D

istr

ibut

e ang

er w

orks

heet

s (s

ee A

ppen

dix

VI)

.

• A

sk th

e gr

oup

mem

bers

to fi

ll ou

t the

wor

kshe

ets.

• A

sk fo

r vol

unte

ers

to r

ead

the

com

men

ts th

ey m

ade

on th

e w

orks

heet

s to

the

grou

p.

C.

Bur

ning

up

Your

An

ger

• G

ive

the

grou

p m

embe

rs a

pie

ce o

f pap

er a

nd a

pen

cil o

r mar

ker.

• A

sk th

e gr

oup

to li

st th

e th

ings

that

mak

e th

em m

ost a

ngry

abo

ut th

e de

ath

ofth

eir

love

d on

e.

• In

stru

ct th

em to

che

ck o

ff th

ings

that

they

can

do

som

ethi

ng a

bout

.

• D

ivid

e th

e gr

oup

into

sm

all g

roup

s of

3-5.

• D

istr

ibut

e an

ger a

ctio

n pl

anni

ng w

orks

heet

s (s

ee A

ppen

dix

VII

).

-C

on

tin

ued

-

87

• T

ell t

hem

to w

ork

toge

ther

to c

reat

e a

pers

onal

act

ion

plan

for e

ach

mem

ber t

o ad

dres

s th

e is

sues

ove

r whi

ch th

ey h

ave

som

e co

ntro

l.

• E

mph

asiz

e th

at th

e pl

an s

houl

d in

clud

e pr

actic

al a

ctio

n st

eps

that

they

can

impl

emen

t by

them

selv

es o

r with

the

help

of o

ther

mem

bers

in th

e co

mm

unity

.

• A

sk th

em to

iden

tifY

wha

t act

ion

that

they

will

take

dur

ing

the

next

wee

k to

beg

in to

im

plem

ent t

heir

plan

.

• P

ass a

met

al w

aste

can

or b

ucke

t aro

und

the

room

and

ask

the

grou

p m

embe

rs to

th

row

the

rem

aini

ng li

st o

f ang

ry th

ings

that

they

can

't co

ntro

l int

o th

e ca

n or

buc

ket.

• S

et fi

re to

the

pape

r to

sym

bolic

ally

bum

aw

ay th

e an

ger.

D.

Phy

sica

l A

ctiv

ity

Ang

er c

an a

lso

be "

burn

ed u

p" o

r def

used

thro

ugh

phys

ical

act

ivity

.

• A

sk ea

ch m

embe

r oft

he g

roup

to th

ink

of a

spec

ific

type

of p

hysi

cal a

ctiv

ity w

hich

they

en

joy

that

they

can

use

to b

um u

p an

ger w

hen

they

bec

ome

upse

t. So

me

exam

ples

mig

ht b

e:

-ru

nnin

g or

jogg

ing

-pla

yin

gfo

otb

all

-p

layin

g a

mus

ical

inst

rum

ent

-da

ncin

g

-ro

win

g a

boat

E.

Con

clus

ion

• G

ive t

he g

roup

the

read

ing

assi

gnm

ent o

f "Fu

nera

l and

Mou

rnin

g C

usto

ms"

, fro

m

Giv

ing

Sorr

ow W

ords

by

Can

dy L

ight

ner a

nd N

ancy

Hat

haw

ay, a

nd d

istr

ibut

e co

pies

of t

he c

hapt

er

(see

App

endi

x V

III)

.

• T

han

k th

e gr

oup

for c

omin

g to

the

sess

ion.

• S

erve

refr

eshm

ents

.

• R

emin

d th

e gr

oup

to c

ontin

ue to

rec

ord

entr

ies

in th

eir j

ourn

als a

nd to

impl

emen

t the

ir

fear

and

ang

er a

ctio

n pl

ans.

88

Sess

ion

Fiv

e (1

2-18

): G

rief

and

Mou

rnin

g

A.

Intr

oduc

tion

s an

d P

urpo

se o

f Gro

up S

essi

on

• R

evie

w th

ough

ts th

e yo

uth

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It:S'

grea

t to

see

you

all a

gain

. D

id a

nyon

e dr

aw a

ny p

ictu

res

last

wee

k th

at

you

wou

ld li

ke to

sha

re?

"

• A

sk fo

r vol

unte

ers

to s

how

or t

ell s

omet

hing

.

• A

sk fo

r gro

up re

port

s on

wha

t peo

ple

have

don

e to

impl

emen

t the

ir fe

ar o

r ang

er

actio

n pl

ans.

• In

trod

uce

topi

c fo

r the

day

.

.. We'

ve t

alke

d a

lot

abou

t th

e w

ay w

efee

l aft

er s

omeo

ne w

e lo

ve i

s ki

lled,

but

of

ten

the

mai

n th

ing

wef

eel

is s

adne

ss.

Ther

e ar

e a

lot o

f rea

sons

to

be s

ad

an

d m

ost o

f the

m

have

to d

o w

ith m

issi

ng th

e pe

rson

who

is

gone

. To

day

we

are

goin

g to

tal

k ab

out

how

we

can

rem

embe

r th

e pe

rson

we

love

so

that

the

ir m

emO

lY c

an b

e w

ith u

s al

way

s. "

B.

Fun

eral

s an

d M

emor

ials

Act

ivit

y

• E

xpla

in to

the

grou

p th

at fu

nera

ls a

nd m

emor

ials

are

a w

ay o

f say

ing

good

-bye

to

peop

le w

ho h

ave

died

and

oft

en h

elp

peop

le to

gri

eve

thei

r los

s. F

uner

als

and

mem

oria

ls c

an b

e pa

infu

l an

d gr

im f

or s

ome

surv

ivor

s.

• A

sk th

e gr

oup

how

man

y at

tend

ed s

uch

a se

rvic

e or

fune

ral f

or th

eir l

oved

one

.

• A

sk th

em i

f the

y ha

ve a

ny q

uest

ions

abo

ut w

hat t

hey

saw

or h

eard

.

• C

lari

fy an

y m

isco

ncep

tions

or c

once

rns.

• A

sk th

em to

hel

p yo

u lis

t exa

mpl

es o

f fun

eral

or m

emor

ial c

usto

ms

that

are

use

d in

di

ffer

ent c

ultu

ral g

roup

s or d

iffe

rent

par

ts o

f the

cou

ntry

.

• D

ivid

e th

e yo

uth

into

sm

all g

roup

s.

• A

sk ea

ch g

roup

to p

lan

a fu

nera

l or

mem

oria

l the

way

they

wou

ld li

ke to

see

one

hel

d.

• R

econ

vene

the

yout

h as

a la

rge

grou

p an

d as

k ea

ch g

roup

to r

epor

t on

the

fune

ral

or

mem

oria

l the

y pl

anne

d.

-C

on

tin

ued

-

89

C.

Vid

eo a

nd

Mem

ory

Stor

ies

• E

xp

lain

to th

e gr

oup

that

one

way

to r

emem

ber s

omeo

ne th

ey lo

ve is

to te

ll s

tori

es

abou

t the

m to

peo

ple

they

mee

t.

• S

ho

w th

e vi

deo,

"S

hado

w o

fth

e D

ream

". (

Con

tact

NO

VA

for

inf

orm

atio

n on

how

to

obta

in a

cop

y o

f thi

s vi

deo.

)

• E

xp

lain

that

Bet

ty J

ane

Spe

ncer

agr

eed

to d

o th

e vi

deo

as a

mem

oria

l to

her b

oys.

• A

sk th

e gr

oup

mem

bers

to w

rite

a s

hort

sto

ry a

bout

the

pers

on th

ey lo

ved.

• A

sk fo

r vol

unte

ers

to re

ad th

eir s

tori

es w

hen

they

are

fin

ishe

d.

D.

Con

clus

ion

• A

ssig

n th

e gr

oup

mem

bers

to b

ring

a m

emor

y ob

ject

to th

e ne

xt a

nd la

st s

essi

on.

• A

ssig

n th

e gr

oup

mem

bers

to w

rite

a le

tter

to th

e pe

rson

who

was

kil

led

tell

ing

them

an

ythi

ng th

ey w

ould

esp

ecia

lly

like

them

to k

now

.

• T

han

k th

e gr

oup

for c

omin

g to

the

sess

ion.

• S

erv

e re

fres

hmen

ts.

• R

emin

d th

e gr

oup

to c

onti

nue

to r

ecor

d en

trie

s in

the

ir jo

umal

s.

90

Sess

ion

Six

(12-

18):

Goi

ng o

n W

ith

Lif

e

A.

Intr

oduc

tion

s an

d P

urp

ose

of G

roup

Ses

sion

• R

evie

w th

ough

ts th

e gr

oup

mig

ht h

ave

had

duri

ng th

e w

eek.

"Hi.

It s g

reat

to s

ee y

ou a

ll a

gain

. D

id a

nyon

e dr

aw a

ny p

ictu

res

last

wee

k th

at

you

wou

ld li

ke to

sha

re?"

• A

sk fo

r vol

unte

ers

to s

how

or t

ell s

omet

hing

from

thei

r jou

rnal

s.

• A

sk fo

r gr

oup

repo

rts

on th

e pr

ogre

ss o

fth

eir f

ear

or a

nger

act

ion

plan

s.

• In

trod

uce

topi

c fo

r the

day

.

"Tod

ay is

the

las

t tim

e th

at w

e w

ill

mee

t bef

ore

Tha

nksg

ivin

g.

It ~'1

bee

n ve

ry

spec

ial g

etti

ng to

kno

w e

ach

q[ y

ou.

But

it:"

tim

e to

say

goo

d-by

e fo

r a

whi

le.

So t

oday

we

wan

t to

tal

k ab

out

wha

t eac

h q

[us

is g

oing

to d

o as

you

con

tinu

e to

gro

w u

p an

d ge

t ol

del:

Fir

st,

I w

ant

to s

ee w

hat

mem

ory

obje

ct y

ou b

roug

ht to

sho

w u

s. "

B.

Mem

ory

Obj

ects

• H

ave

a ro

ll o

f ri

bbon

and

pre

-cut

hea

rts

at le

ast t

wo

inch

es in

siz

e. (

Hea

I1 d

oili

es c

an

also

be

used

.)

• A

llow

eac

h gr

oup

mem

ber t

o sh

ow th

e m

emor

y ob

ject

, des

crib

e it

and

tell

wh

y it

is

impo

rtan

t.

• A

fter

eac

h yo

ung

pers

on te

lls

abou

t the

mem

ory

obje

ct, c

ut a

pie

ce o

f rib

bon

and

atta

ch it

to a

hea

rt.

• A

llow

eac

h pe

rson

to w

rite

the

nam

e o

fth

e lo

ved

one

on th

e he

art.

• T

ie o

r gl

ue

the

ribb

on a

nd h

eart

to th

e m

emor

y ob

ject

.

• E

xpla

in th

at in

man

y cu

ltur

es, p

eopl

e ke

ep m

emor

y ob

ject

s in

thei

r hom

e o

r car

ry th

em

wit

h th

em to

con

tinu

e to

fee

l tha

t the

y ca

n ta

lk to

the

ir lo

ved

ones

.

C.

Let

ters

to L

oved

One

s

• A

sk fo

r vo

lunt

eers

to r

ead

the

lett

ers

they

wro

te to

the

pers

on w

ho w

as k

ille

d.

• O

ffer

to c

olle

ct th

e le

tter

s fr

om t

he g

roup

and

mak

e a

book

of a

ll th

e le

tter

s to

be

dist

libu

ted

to a

ll th

e gr

oup

mem

bers

.

-C

on

tin

ued

-

91

• A

sk if

ther

e is

any

thin

g el

se th

ey w

ould

like

to d

o w

ith th

e le

tters

.

D.

Thi

nkin

g A

bou

t th

e F

utu

re

• B

reak

the

grou

p in

to p

airs

of y

oung

peo

ple.

• A

sk ea

ch p

air t

o ta

ke tu

rns

inte

rvie

win

g ea

ch o

ther

abo

ut w

hat t

hey

wan

t to

do w

hen

they

gro

w u

p an

d ho

w th

ey p

lan

to a

ccom

plis

h th

eir g

oals

.

• T

ell t

hem

to b

e sp

ecif

ic b

ecau

se a

fter

they

hav

e ta

lked

for f

ifte

en o

r tw

enty

min

utes

, ea

ch p

erso

n w

ill b

e as

ked

to "

intr

oduc

e" th

eir p

artn

er to

the

grou

p as

i fth

ey w

ere

now

thir

ty-f

ive

year

s ol

d.

• H

ave

the

grou

p m

embe

rs m

ake

thei

r pre

sent

atio

n.

E.

Con

clu

sion

• T

han

k th

e gr

oup

mem

bers

for c

omin

g to

the

sess

ions

.

• G

ive

each

you

ng p

erso

n a

cert

ific

ate

of c

ompl

etio

n of

the

grou

p pr

oces

s.

• T

ake

a pi

ctur

e o

f the

gro

up to

geth

er a

s a

"gra

duat

ion"

pic

ture

.

92

F. T

he

Nee

d f

or P

rofe

ssio

nal H

elp

wit

h G

riev

ing

Chi

ldre

n

Whi

le th

is g

uide

book

can

be

used

by

vict

im a

ssis

tanc

e pr

ofes

sion

als

and

othe

r car

egiv

ers

to

help

gri

evin

g ch

ildr

en, m

any

chil

dren

who

sur

vive

the

trau

mat

ic, v

iole

nt d

eath

of s

omeo

ne w

hom

they

lo

ve m

ay n

eed

prof

essi

onal

men

tal h

ealt

h he

lp.

The

foll

owin

g m

ay b

e sy

mpt

oms o

f the

nee

d fo

r add

itio

nal h

elp:

1.

Whe

n ch

ildr

en d

on

't ta

lk a

bout

the

dece

ased

, do

n't

men

tion

his

or h

er n

ame,

and

avo

id

hear

ing

any

conv

ersa

tion

s ab

out t

he d

ecea

sed.

2.

Whe

n ch

ildr

en b

ecom

e de

stru

ctiv

e to

pro

pert

y, o

ther

peo

ple,

pet

s o

r the

mse

lves

.

3.

Whe

n sc

hool

per

form

ance

goe

s do

wn

and

rem

ains

low

.

4.

Whe

n ch

ildr

en b

ecom

e ov

erly

con

cern

ed w

ith

doin

g an

ythi

ng w

rong

.

5.

Whe

n ch

ildr

en s

how

a p

reoc

cupa

tion

wit

h de

ath.

6.

Whe

n ch

ildr

en re

enac

t the

dea

th e

xper

ienc

e ov

er a

nd o

ver.

(S

ome

reen

actm

ent i

s a

part

o

f ven

tila

tion

, but

obs

essi

ve r

eena

ctm

ent o

ver t

ime

may

indi

cate

ext

raor

dina

ry d

istr

ess.

)

7.

Whe

n ch

ildr

en u

se th

e de

ath

expe

rien

ce a

s an

exc

use

for

unde

sira

ble

beha

vior

.

8.

Whe

n ch

ildr

en o

veri

dent

ifY

wit

h th

e de

ceas

ed a

nd b

egin

to ta

ke o

n a

sim

ilar

per

sona

lity

.

9.

Whe

n ch

ildr

en s

how

sign

s o

f hav

ing

trou

ble

eati

ng o

r sle

epin

g.

10.

Whe

n ch

ildr

en c

ompl

ain

of n

ot fe

elin

g go

od w

itho

ut a

ny e

vide

nt p

hysi

cal s

ympt

oms

for

a lo

ng p

erio

d o

f tim

e.

93

VI.

P

roto

cols

for

Wor

king

wit

h G

riev

ing

Chi

ldre

n

A. B

ackg

roun

d C

onsi

dera

tion

s

1.

Vic

tim

ass

ista

nce

prof

essi

onal

s ar

e of

ten

call

ed u

pon

to r

espo

nd to

chi

ldre

n w

ho h

ave

surv

ived

the

viol

ent d

eath

of s

omeo

ne th

ey k

now

or l

ove,

or w

ho h

ave

wit

ness

ed v

iole

nt d

eath

. S

ome

prof

essi

onal

s ar

e ca

lled

to th

e sc

enes

of v

iole

nce

and

mus

t ass

ist c

hild

ren

in t

he im

med

iate

aft

erm

ath

of a

cr

ime.

Oth

ers

may

be

aske

d to

wor

k w

ith

chil

dren

in th

e pr

oces

s o

f hel

ping

oth

er fa

mil

y m

embe

rs d

eal

wit

h th

e cr

imin

al ju

stic

e sy

stem

. St

ill o

ther

s be

com

e in

volv

ed w

ith

aidi

ng c

omm

unit

ies

or sc

hool

sys

tem

s de

velo

p an

d im

plem

ent p

lans

for

help

ing

chil

dren

cop

e w

ith

the

impa

ct o

f dea

th o

n th

eir d

aily

live

s.

The

se g

uide

line

s de

scri

be a

ppro

pria

te s

teps

for

suc

h as

sist

ance

, and

age

-app

ropr

iate

res

pons

es a

nd

prov

ide

a va

riet

y o

f ski

lls,

tool

s an

d te

chni

ques

.

2.

The

goa

l of v

icti

m a

ssis

tanc

e w

ith g

riev

ing

chil

dren

is:

To h

elp

chil

dren

und

erst

and

and

live

with

the

ir g

rief

in a

he

alth

y a

nd

con

stru

ctiv

e w

ay.

3.

Mos

t chi

ldre

n fe

el a

frai

d an

d is

olat

ed a

fter

exp

osur

e to

vio

lent

dea

th.

Suc

cess

ful

inte

rven

tion

s ar

e pr

edic

ated

on

deve

lopi

ng s

ocia

l net

wor

ks o

f sup

port

for

them

invo

lvin

g fa

mil

y m

em­

bers

, sch

ool p

erso

nnel

, pee

rs, a

nd c

omm

unit

y m

embe

rs.

4.

The

impa

ct o

f dea

th o

n ch

ildr

en a

nd th

eir a

bili

ty to

cop

e w

ith

grie

f in

its a

fter

mat

h is

de

pend

ent u

pon:

a.

The

ir a

ge o

f dev

elop

men

t.

b.

The

att

ribu

tes

of t

he d

eath

-ho

w th

e pe

rson

die

d.

c.

The

rela

tion

ship

of t

he c

hild

to th

e pe

rson

who

die

d.

d.

The

nat

ure

of t

he d

eath

not

ific

atio

n.

e.

Chi

ldre

n's

prev

ious

exp

elie

nce

and

expo

sure

to d

eath

and

loss

.

f T

heir

exis

ting

cop

ing

skill

s.

g.

The

nat

ure

oft

hei

r sup

port

net

wor

k.

h.

The

info

rmat

ion

rece

ived

from

and

the

beha

vior

s an

d at

titu

des

of c

areg

iver

s ar

ound

them

.

5.

The

re a

re fi

ve c

riti

cal a

ctiv

itie

s th

at m

ust b

e ac

com

plis

hed

in o

rder

to li

ve w

ith

grie

f:

a.

Und

erst

andi

ng w

hat h

appe

ned.

95

b.

Exp

erie

ncin

g th

e pa

in o

f the

loss

.

c.

Mou

rnin

g th

e lo

ss.

d.

Com

mem

orat

ing

the

loss

.

e.

Adj

usti

ng to

and

inte

grat

ing

the

loss

into

a n

ew li

fe.

6.

Vio

lent

dea

th c

ompo

unds

gri

ef.

The

re a

re fi

ve is

sues

to b

e ad

dres

sed

in c

opin

g w

ith

the

trau

ma

of v

iole

nce:

a.

Ree

stab

lish

ing

orde

r and

saf

ety.

b.

Add

ress

ing

the

impa

ct o

f the

trau

ma

even

t.

c.

Ack

now

ledg

ing

the

dist

ress

cau

sed

by th

e tr

aum

a.

d.

Ref

ram

ing

the

trau

ma

thro

ugh

mea

ning

, pur

pose

or h

ope.

e.

Rec

onci

ling

trau

ma

and

loss

in a

new

life

.

7.

It is

ess

enti

al to

add

ress

bot

h tr

aum

a is

sues

and

gri

ef o

ver d

eath

whe

n w

orki

ng w

ith

chil

dren

who

hav

e su

rviv

ed v

iole

nt d

eath

.

8.

Mos

t vic

tim

ass

ista

nce

prof

essi

onal

s ha

ve s

urvi

ved

the

deat

h o

f a lo

ved

one

them

selv

es

and

mus

t add

ress

thei

r ow

n is

sues

pri

or to

tryi

ng to

hel

p o

ther

s-p

arti

cula

rly

chi

ldre

n.

B. D

efin

itio

ns

Ch

ild

-Fo

r th

e pu

rpos

es o

f thi

s pr

otoc

ol, a

chi

ld is

def

ined

as

an i

ndiv

idua

l bet

wee

n th

e ag

es o

f 0-1

8. T

hree

dev

elop

men

tal

stag

es a

re a

ddre

ssed

wit

hin

that

def

init

ion:

0-6

, 7-1

1, a

nd 1

2-18

. It

is r

ecog

nize

d th

at s

uch

defi

niti

on a

nd th

e de

velo

pmen

t sta

ges

are

arbi

trar

y; th

at a

per

son

may

be

deve

lopm

enta

lly

a ch

ild

past

the

age

of

18; a

nd th

at a

per

son

who

is u

nder

6 o

r 12

may

be

in a

hig

her

deve

lopm

enta

l sta

ge.

Gri

ef-

Th

e fe

elin

gs a

nd th

ough

ts th

at re

flec

t em

otio

ns in

the

afte

rmat

h of

loss

. F

or th

e pu

rpos

es o

f thi

s pr

otoc

ol, g

rief

wou

ld b

e ca

used

by

viol

ent d

eath

.

Mo

urn

ing

-Th

e b

ehav

iors

and

act

ions

that

an

indi

vidu

al u

ses

to c

ope

wit

h gr

ief.

Gri

evin

g C

hil

d-T

he g

riev

ing

chil

d m

ay b

e a

surv

ivor

of o

r wit

ness

to th

e de

ath

of a

lo

ved

one,

acq

uain

tanc

e, o

r pet

.

Vic

tim

Ass

ista

nce

Pro

gra

m-A

pro

gram

that

pro

vide

s on

e or

mor

e o

f the

fol

low

ing

serv

ic~s

to v

icti

ms

of c

rim

e: c

risi

s in

terv

enti

on, s

uppo

rtiv

e co

unse

ling

and

adv

ocac

y, in

form

atio

n an

d re

ferr

al, a

ssis

tanc

e du

ring

cri

me

inve

stig

atio

n, a

ssis

tanc

e du

ring

any

sta

ge o

f pro

secu

tion

, and

ass

ista

nce

afte

r cas

e di

spos

itio

n. A

pro

gram

may

ser

ve o

ne o

r mor

e ty

pes

of c

rim

e vi

ctim

s su

ch a

s se

xual

ass

ault

96

vict

ims,

vic

tims o

f dom

estic

vio

lenc

e, s

urvi

vors

of h

omic

ide

vict

ims,

chi

ld v

ictim

s, e

lder

ly v

ictim

s or

vict

ims o

f bia

s crim

es.

Vic

tim

Ass

ista

nce

Pro

fess

ion

al-

A p

erso

n w

ho p

rovi

des

any

of t

he s

ervi

ces

liste

d ab

ove

as a

pai

d or

unp

aid

staf

f per

son.

The

per

son

may

be

empl

oyed

by

a vi

ctim

ass

ista

nce

prog

ram

or

be

a te

ache

r or c

ouns

elor

in a

scho

ol, a

law

enf

orce

men

t pro

fess

iona

l, a

law

yer o

r pro

secu

tor,

a ju

dge,

a m

embe

r of t

he c

lerg

y, a

men

tal h

ealth

pro

fess

iona

l, or

any

oth

er in

divi

dual

who

bec

omes

a

care

give

r to

grie

ving

chi

ldre

n.

c. V

icti

m A

ssis

tanc

e P

rofe

ssio

nal'

s R

espo

nsib

ilit

ies

Whe

n w

orki

ng w

ith

grie

ving

chi

ldre

n, th

e vi

ctim

ass

ista

nce

prov

ider

shal

l:

1.

Wor

k w

ith th

e si

gnif

ican

t adu

lts a

nd p

eers

in th

eir l

ives

to c

reat

e a

safe

, com

pass

iona

te,

carin

g en

viro

nmen

t tha

t fos

ters

com

mun

icat

ion

and

ackn

owle

dgm

ent o

f the

gri

ef an

d lo

ss.

2.

Stri

ve to

pro

vide

con

cret

e an

d tim

ely

info

rmat

ion

abou

t the

trau

ma,

the

deat

h, a

nd w

hat

may

hap

pen

to th

e ch

ild o

r aro

und

the

child

in th

e af

term

ath.

3.

Rec

ogni

ze th

at g

rief

and

mou

rnin

g is

a lo

ng-te

rm p

roce

ss a

nd re

quire

s gu

idan

ce

thro

ugho

ut d

evel

opm

enta

l sta

ges.

4.

Util

ize

a ra

nge

of te

chni

ques

and

skill

s in

ord

er to

acc

omm

odat

e di

ffer

ent d

evel

opm

enta

l st

ages

as

wel

l as

to a

ddre

ss d

iffe

rent

lear

ning

cap

aciti

es o

f the

chi

ld.

In o

rder

to a

ccom

pli

sh t

he a

bov

e, a

t the

sce

ne

of a

cri

me,

the

vic

tim

ass

ista

nce

pr

ovid

er sh

all:

I. Ta

lk w

ith a

n ad

ult w

ho h

as a

sign

ifica

nt re

latio

nshi

p w

ith th

e ch

ild, p

rior t

o in

form

ing

the

child

of t

he d

eath

, if p

ossi

ble.

2.

Wor

k w

ith la

w e

nfor

cem

ent t

o fin

d ou

t wha

t inf

orm

atio

n th

e po

lice

may

nee

d fr

om th

e ch

ild.

3.

Est

ablis

h a

safe

pla

ce to

tell

the

child

abo

ut th

e de

ath

or ta

lk w

ith th

e ch

ild in

the

afte

r­m

ath

of n

otifi

catio

n.

4.

Mak

e a

prel

imin

ary

asse

ssm

ent o

fthe

chi

ld th

roug

h:

a. Id

entif

Yin

g an

y po

ssib

le p

hysi

cal i

njur

ies o

r rea

ctio

ns th

at m

ight

nee

d m

edic

al

atte

ntio

n.

b.

Iden

tifY

ing

the

nam

es, a

ges,

gen

ders

, add

ress

es, s

choo

ls, o

r gra

des

of c

hild

ren

witn

essi

ng o

r sur

vivi

ng th

e de

ath.

c.

Iden

tifY

ing

the

rela

tions

hip

of t

he d

ecea

sed

to th

e ch

ild.

97

d.

Obt

aini

ng a

s muc

h in

form

atio

n as

pos

sibl

e ab

out t

he n

atur

e of

the

deat

h.

e.

Obt

aini

ng a

s m

uch

info

rmat

ion

as p

ossi

ble

abou

t the

chi

ld a

nd h

is o

r her

pre

viou

s ex

peri

ence

s w

ith d

eath

.

5.

Ens

ure

that

the

child

is w

arm

and

com

fort

able

, and

off

er p

hysi

cal c

omfo

rt, i

fthe

chi

ld

resp

onds

to it

.

6.

Be

calm

and

reas

suri

ng w

hen

telli

ng th

e ch

ild a

bout

the

deat

h or

talk

ing

abou

t his

or h

er

initi

al re

actio

ns.

7.

Con

vey

sym

path

y to

the

child

abo

ut th

e de

ath.

8.

Ask

the

child

ifhe

or s

he h

as a

ny q

uest

ions

abo

ut th

e de

ath.

9.

Be

prep

ared

to a

nsw

er q

uest

ions

hon

estly

, fac

tual

ly a

nd b

riefly

.

10. W

ork

with

sig

nifi

cant

adu

lts to

arr

ange

for a

safe

and

reas

suri

ng p

lace

for t

he c

hild

to

stay

for

the

next

24-

48 h

ours

.

11.

Spen

d tim

e w

ith s

igni

fica

nt a

dults

pre

pari

ng th

em to

wor

k w

ith th

e ch

ild d

urin

g th

e ne

xt

24-4

8 ho

urs.

12.

Arr

ange

for o

r pla

n to

pro

vide

add

ition

al s

uppo

rt fo

r the

chi

ld w

ithin

the

next

24-

48

hour

s.

Ifvi

ctim

ass

ista

nce

prov

ider

s ar

e re

ques

ted

to p

rovi

de d

eath

not

ific

atio

n to

chi

l­dr

en, t

hey

shal

l:

1.

Tak

e th

em to

a sa

fe p

lace

to d

o so

. If

a tr

uste

d ad

ult i

s av

aila

ble

to b

e th

ere,

enc

oura

ge

parti

cipa

tion.

a.

Eve

n w

hen

a ch

ild h

as w

itnes

sed

a vi

olen

t dea

th, a

not

ific

atio

n is

nec

essa

ry s

ince

de

ath

is n

ot re

adily

com

preh

ende

d.

b.

A sa

fe p

lace

is o

ne w

hich

is c

omfo

rtab

le, s

ecur

e an

d re

mov

ed fr

om o

ther

maj

or

activ

ity.

Whi

le it

may

be

with

in th

eir o

wn

hom

e, it

sho

uld

not b

e th

eir b

edro

om o

r kitc

hen

beca

use

they

m

ay a

ssoc

iate

the

deat

h an

d th

eir a

ccom

pany

ing

reac

tions

with

thes

e pl

aces

and

that

ass

ocia

tion

may

in

terf

ere

with

sle

epin

g or

eat

ing

habi

ts in

the

afte

rmat

h.

2.

Prov

ide

them

, if a

ge-a

ppro

pria

te, w

ith a

bla

nket

, toy

or s

tuff

ed a

nim

al (a

favo

rite

item

, if

avai

labl

e) to

hol

d on

to w

hile

you

tell

them

wha

t hap

pene

d.

3.

Ifth

ey a

re c

ryin

g or

agi

tate

d, h

old

or so

othe

them

unt

il th

ey c

an c

once

ntra

te o

n w

hat

you

have

to s

ay.

98

4.

Sit d

own

with

th

em

-on

the

floor

ifa

ppro

pria

te-a

nd te

ll th

em y

ou h

ave

som

ethi

ng

sad

to ta

lk w

ith th

em a

bout

.

5.

TeJl

them

in s

hort,

fact

ual s

tate

men

ts w

hat h

appe

ned.

"You

r fat

her

was

kil

led

toni

ght.

He

is d

ead.

So

meo

ne s

hot h

im w

ith

a gu

n.

It is

ve

ry s

ad

an

dyo

ur

mot

her i

s ve

ry sa

d. "

If t

he p

erso

n w

ho d

id th

e sh

ootin

g is

alr

eady

iden

tifie

d, n

ame

him

. "M

r. Sm

ith

sho

t him

. "

6.

Ask

them

ifth

ey h

ave

any

ques

tions

, and

list

en c

aref

ully

to th

eir c

once

rns.

It i

s im

por­

tant

to tr

y to

find

out

wha

t is

happ

enin

g in

side

thei

r min

ds.

7.

If ch

ildre

n ha

ve w

itnes

sed

the

viol

ent d

eath

, enc

oura

ge th

em to

rela

te a

ll th

e de

tails

they

sa

w s

o yo

u ca

n fin

d ou

t wha

t the

y th

ink

happ

ened

. T

ry to

rec

onci

le th

eir p

erce

ptio

ns w

ith w

hat y

ou

know

hap

pene

d an

d im

med

iate

ly b

egin

to d

ispe

l any

dis

torti

ons

or fe

elin

gs o

f gui

lt or

self-

blam

e.

Vic

tim a

ssis

tanc

e pr

ovid

ers w

orki

ng w

ith c

hild

ren

in th

e af

term

ath

of a

crim

e sh

all:

I. M

ake

an a

sses

smen

t of t

he g

rievi

ng c

hild

ren'

s nee

ds th

roug

h:

a.

Wor

king

with

adu

lts in

thei

r soc

ial s

uppo

rt ne

twor

k to

iden

tifY

info

nnat

ion

on:

(I)

Eac

h ch

ild in

clud

ing:

nam

es, a

ddre

sses

, gen

ders

, age

s, s

choo

ls, g

rade

s, a

nd

resp

onsi

ble

and

sign

ific

ant a

dults

or p

eers

in th

eir l

ives

.

(2)

The

nat

ure

ofth

e de

ath

and

the

rela

tions

hips

of c

hild

ren

to th

e de

ceas

ed.

(3)

The

soc

ial,

econ

omic

, rel

igio

us, a

nd c

ultu

ral b

ackg

roun

d of

the

child

ren'

s fa

mili

es.

(4)

The

chi

ldre

n's

scho

ol h

isto

ries.

(5)

Oth

er c

ritic

al e

vent

s in

the

child

ren'

s liv

es s

uch

as th

e ex

peri

ence

of p

revi

ous

deat

hs, d

ivor

ce, s

erio

us il

lnes

s or

inju

ry, l

oss

of h

ome,

exp

osur

e to

sub

stan

ce a

buse

, or s

igni

fica

nt

scho

ol o

r com

mun

ity c

hang

es.

b.

Wor

king

with

the

child

ren

to s

olic

it in

fonn

atio

n on

:

(I)

The

mea

ning

oft

he d

eath

to th

em.

(2)

The

ir u

nder

stan

ding

of t

he re

latio

nshi

p o

f the

dec

ease

d to

them

.

(3)

The

ir u

nder

stan

ding

of t

he n

atur

e of

the

deat

h.

(4)

Inte

rest

s and

spec

ial a

bilit

ies

that

may

be

help

ful i

n in

volv

ing

the

child

ren

in

mea

ning

ful a

ctiv

ities

. (5)

Sign

ific

ant a

dults

or p

eers

who

may

be

help

ful t

o th

em.

99

(6)

Atti

tude

s to

war

ds th

emse

lves

and

oth

ers

in th

e pa

st a

nd p

rese

nt.

2.

Ens

ure

that

the

child

ren

have

a sa

fe a

nd re

assu

ring

env

iron

men

t with

in w

hich

to c

ontin

ue

thei

r liv

es.

a.

A sa

fe p

hysi

cal e

nvir

onm

ent i

s one

cha

ract

eriz

ed b

y:

(l)

A la

ck o

f vio

lenc

e.

(2)

A la

ck o

f sub

stan

ce a

buse

.

(3)

Ade

quat

e nu

triti

on, o

ppor

tuni

ties

for r

est o

r sle

ep, a

nd a

dequ

ate

phys

ical

ex

erci

se.

b.

A re

assu

ring

env

iron

men

t is o

ne c

hara

cter

ized

by:

(I)

The

pre

senc

e o

f a c

arin

g ad

ult.

(2)

The

opp

ortu

nity

for e

xpre

ssio

ns o

f grie

f.

(3)

The

pre

senc

e o

f adu

lts w

ho a

re a

cqua

inte

d an

d sy

mpa

thet

ic w

ith th

e gr

ievi

ng

proc

esse

s fo

und

in c

hild

ren.

3.

Dev

elop

a lo

ng-t

erm

pla

n fo

r hel

ping

chi

ldre

n co

pe w

ith g

rief.

It sh

ould

incl

ude:

a.

A co

oper

ativ

e pa

rtne

rshi

p be

twee

n ad

ults

in th

e fa

mily

, sch

ool,

relig

ious

inst

itutio

ns,

crim

inal

just

ice

agen

cies

, and

med

ical

inst

itutio

ns.

b.

Part

icip

atio

n in

fune

ral o

r mem

oria

l pla

ns a

nd e

vent

s.

c.

Opp

ortu

nitie

s fo

r dea

th e

duca

tion.

d.

Opp

ortu

nitie

s fo

r the

exp

lora

tion

and

expr

essi

on o

f gri

ef.

e.

Opp

ortu

nitie

s fo

r edu

catio

n on

trau

ma

and

trau

ma

reac

tions

.

f. O

ppor

tuni

ties

for t

he e

xplo

ratio

n an

d ex

pres

sion

oft

raum

a re

actio

ns.

g.

Opp

ortu

nitie

s fo

r the

dev

elop

men

t of p

eer s

uppo

rt.

h.

Min

imiz

atio

n of

enco

unte

rs w

ith th

e cr

imin

al ju

stic

e sy

stem

.

1. Su

ppor

t dur

ing

the

crim

inal

just

ice

proc

ess.

J. M

onito

ring

for h

ealth

and

men

tal h

ealth

cha

nges

in th

e ch

ild.

k.

Lon

g-te

rm a

ttent

ion

to c

hang

es in

chi

ldre

n's

reac

tions

to d

eath

as

they

gro

w o

lder

.

100

D. P

roto

col f

or W

orki

ng w

ith

Chi

ldre

n 0-

6

1. B

ack

grou

nd

Inf

orm

atio

n

a.

Infa

nts

have

a li

mit

ed u

nder

stan

ding

of t

he w

orld

aro

und

them

. T

hey

do

reac

t to

the

loss

of s

tabi

lity

in th

eir e

nvir

onm

ent a

nd th

e ab

senc

e o

f car

egiv

ers

to w

hom

they

hav

e be

com

e at

tach

ed.

The

y al

so re

act t

o tr

aum

atic

eve

nts

to w

hich

they

hav

e be

en p

hysi

call

y ex

pose

d. S

uch

reac

tion

s us

uall

y in

volv

e m

anif

esta

tion

of h

igh

anxi

ety

thro

ugh

cryi

ng, b

iting

, thr

owin

g ob

ject

s, th

umb

suck

ing

and

othe

r ag

itat

ed b

ehav

iors

. S

ome

may

refu

se to

eat

or b

ecom

e un

able

to s

leep

com

fort

ably

. T

he g

reat

est n

eed

of i

nfan

ts is

for

nurt

urin

g, a

tten

tive

, phy

sica

l con

tact

. A

ris

k in

the

afte

rmat

h o

f a tr

aum

atic

dea

th is

that

in

fant

s re

ceiv

e le

ss p

hysi

cal a

tten

tion

and

car

e be

caus

e th

eir p

rim

ary

care

give

rs a

re tr

aum

atiz

ed.

b.

Chi

ldre

n un

der t

he a

ge o

f six

are

in a

n ag

e o

f exp

lora

tion

. M

ost e

xper

ienc

es a

re n

ew.

The

one

s w

hich

are

bes

t und

erst

ood

are

conc

rete

day

-to-

day

situ

atio

ns.

Con

cept

ual t

hink

ing

is n

ot y

et

deve

lope

d so

that

idea

s ab

out t

ime,

spa

ce, l

ife

and

deat

h ar

e on

ly v

ague

ly u

nder

stoo

d. C

hild

ren

deve

lop

idea

s b

y im

itat

ion,

ass

ocia

tion

, and

obs

erva

tion

. T

heir

imag

inat

ions

pro

vide

fert

ile

grou

nd fo

r dr

awin

g co

nclu

sion

s. T

his

resu

lts

in w

hat s

ome

have

term

ed "

mag

ical

thin

king

".

In t

his

age

grou

p th

ere

is le

ss d

enia

l of t

rage

dy th

an w

ith

olde

r chi

ldre

n o

r adu

lts.

Ift

rau­

mat

ic d

eath

occ

urs

in c

hild

ren'

s li

ves,

it b

ecom

es a

par

t of t

heir

dev

elop

ing

sens

e o

f reali

ty-a

sta

n­da

rd f

or m

easu

ring

futu

re e

xper

ienc

es.

Dea

th is

usu

ally

vie

wed

as

reve

rsib

le, i

mpe

rman

ent,

and

an

exte

nsio

n of

life

. T

he a

bsen

ce o

f som

eone

who

is lo

ved

is g

riev

ed b

ut u

sual

ly in

sho

rt, c

once

ntra

ted

peri

ods

punc

tuat

ed b

y o

ther

inte

rest

s an

d ac

tivi

ties

. If

deat

h an

d lo

ss a

re n

ot e

xpla

ined

or r

espo

nded

to

, chi

ldre

n de

velo

p th

eir o

wn

expl

anat

ions

that

are

oft

en a

com

bina

tion

of m

agic

al th

inki

ng a

nd th

eir

obse

rvat

ions

. Des

pite

thes

e co

gnit

ive

diff

eren

ces

betw

een

a yo

ung

chil

d an

d ol

der c

hild

ren

and

adul

ts, t

he

com

mon

pat

tern

of r

eact

ions

to tr

aum

a an

d lo

ss a

re s

imil

ar: a

nger

, fea

r, c

onfu

sion

, sel

f-bl

ame,

sha

me,

an

d gr

ief.

2. V

icti

m A

ssis

tanc

e P

rofe

ssio

nals

Res

pons

ibil

itie

s

a.

Wor

k w

ith

supp

orti

ve a

dult

s to

pro

vide

them

wit

h ed

ucat

ion

and

unde

rsta

ndin

g co

n­ce

rnin

g th

e ch

ildr

en's

nee

ds.

b.

Com

mun

icat

e w

ith

chil

dren

thro

ugh

age-

appr

opri

ate

exp

ress

ion

-pla

y, a

rt, d

ram

a,

wor

ds, a

nd s

o fo

rth.

c.

At t

he s

cene

of a

vio

lent

dea

th:

(I)

Ens

ure

that

any

infa

nts

invo

lved

are

kep

t war

m, p

icke

d up

, hel

d an

d co

mfo

rted

. E

nsur

e th

at re

!:,ru

lar r

outi

nes

for

infa

nts

such

as

feed

ing,

bat

hing

, and

sle

ep a

re m

aint

aine

d to

the

exte

nt

poss

ible

.

(2)

Hel

p ch

ildr

en b

e re

conn

ecte

d w

ith

supp

orti

ve, c

arin

g ad

ults

as

soon

as

poss

ible

. E

ncou

rage

phy

sica

l, lo

ving

con

tact

.

101

(30

Ifre

ques

ted

or n

eces

sary

, pro

vide

a d

eath

not

ific

atio

n to

chi

ldre

n.

(4)

Exp

lain

wha

t will

hap

pen

nex

t-w

ho

will

take

car

e of

them

ove

r the

nex

t few

da

ys, i

f cha

nges

will

occ

ur in

thei

r im

med

iate

live

s (d

isru

ptio

n of

vaca

tion,

abs

ence

s fr

om d

ay c

are

or

pre-

scho

ol, t

rave

l to

a fr

iend

or r

elat

ive'

s ho

me

for s

ever

al d

ays)

.

(5)

Ens

ure

thei

r saf

ety

and

care

and

reas

sure

them

of i

t.

d.

In th

e af

term

ath

of v

iole

nt d

eath

:

(I)

Ens

ure

that

chi

ldre

n ha

ve a

safe

and

a se

cure

env

ironm

ent.

(2)

Tal

k to

chi

ldre

n ab

out t

he d

eath

and

thei

r und

erst

andi

ng o

f it.

• A

sk th

em to

tell

you

wha

t hap

pene

d.

• R

econ

cile

any

dif

fere

nces

bet

wee

n th

eir s

tory

and

wha

t you

kno

w h

appe

ned.

• L

et c

hild

ren

know

that

sho

win

g em

otio

n is

oka

y.

• E

ncou

rage

and

be

prep

ared

for q

uest

ions

abo

ut d

eath

.

• A

sk th

em to

tell

you

wha

t the

y th

ink

is h

appe

ning

to th

e de

ceas

ed a

fter

dea

th.

• B

e pr

epar

ed to

dis

tingu

ish

betw

een

"mag

ical

thin

king

" an

d ot

her b

elie

fs.

(3)

Be

prep

ared

to e

xpla

in d

isru

ptio

ns in

rout

ine.

(4)

Exp

lain

wha

t will

hap

pen

at fu

nera

ls, i

nves

tigat

ions

, and

in th

e cr

imin

al ju

stic

e sy

stem

.

(5)

Prov

ide

com

fort

whe

n ch

ildre

n se

em s

ad a

nd d

epre

ssed

.

(6)

Hel

p ch

ildre

n th

ink

abou

t the

futu

re a

nd d

evel

op p

ositi

ve th

ough

ts o

f a n

ew a

nd

diff

eren

t life

.

(7)

Rea

ssur

e ch

ildre

n th

at th

eir l

oved

one

will

not

be

forg

otte

n an

d th

at th

ey c

an a

nd

shou

ld re

mem

ber t

hem

.

3. V

icti

m A

ssis

tanc

e P

rofe

ssio

nal'

s Sk

ills

a.

Ass

essm

ent o

f chi

ldre

n's v

ulne

rabi

litie

s.

b.

Kno

wle

dge

of a

nd a

bilit

y to

hel

p ch

ildre

n ac

cess

di f

fere

nt s

ervi

ces

and

reso

urce

s.

c.

Abi

lity

to ta

lk a

nd c

omm

unic

ate

wi t

h ch

ildre

n.

102

d.

Und

erst

andi

ng o

f chi

ldre

n's d

evel

opm

enta

l sta

ges.

e.

U

nder

stan

ding

of c

hild

ren'

s re

actio

n to

trau

ma.

f. K

now

ledg

e an

d sk

ill to

use

chi

ld-o

rien

ted

tech

niqu

es to

resp

ond

to tr

aum

a an

d be

-re

avem

ent.

g.

Abi

lity

to c

omm

unic

ate

effe

ctiv

ely

with

sup

porti

ve a

dults

in o

rder

to p

rovi

de a

dequ

ate

educ

atio

n on

chi

ld b

erea

vem

ent.

103

E. P

roto

col f

or W

orki

ng w

ith

Chi

ldre

n 7-

11

1. B

ackg

roun

d In

form

atio

n

a.

Scho

ol-a

ge c

hild

ren

expa

nd th

eir h

oriz

ons

to in

clud

e di

ffer

ent s

patia

l env

iron

men

ts.

The

y ac

com

mod

ate

soci

al d

efin

ition

s oft

ime,

incr

ease

soci

al r

elat

ions

hips

, and

beg

in to

sol

idifY

con

cep­

tual

idea

s. T

hey

deve

lop

idea

s by

imita

tion,

ass

ocia

tion,

and

obs

erva

tion,

but

they

exa

min

e su

ch id

eas

in th

e co

ntex

t of t

heir

ow

n pa

st e

xper

ienc

es a

s w

ell.

Mem

orie

s ha

ve in

crea

sing

mea

ning

for i

nter

pret

ing

the

pres

ent,

but t

his

incr

ease

d ca

paci

ty fo

r und

erst

andi

ng o

ften

cre

ates

con

fusi

on.

It is

not

unu

sual

for

a

child

of t

his

age

to c

onfu

se w

ords

and

thei

r mea

ning

s.

b.

As

they

gro

w m

ore

inde

pend

ent,

child

ren

in th

is a

ge ra

nge

lear

n to

use

thei

r re­

sour

ces

to a

naly

ze p

robl

ems

or si

tuat

ions

and

mak

e ch

oice

s in

how

to re

spon

d. I

f thi

s de

velo

pmen

t oc

curs

in a

stab

le e

nvir

onm

ent,

child

ren

lear

n to

trus

t the

ir re

actio

ns a

nd ju

dgm

ent a

s w

ell a

s th

e re

­sp

onse

s of t

hose

aro

und

them

. V

iole

nce

or su

dden

dea

th d

isru

pts

that

sta

bilit

y an

d ch

ildre

n of

ten

beco

me

tent

ativ

e, r

adic

ally

cha

nge

beha

vior

s an

d w

ithdr

aw fr

om r

elat

ions

hips

. T

he c

once

pt o

f dea

th a

t th

is a

ge is

oft

en p

erso

nifi

ed.

A d

esir

e to

str

ike

out a

t a "

kille

r" is

oft

en a

des

ire

to o

verc

ome

deat

h its

elf.

c.

Pre-

adol

esce

nts

are

pron

e to

ext

rem

e re

actio

ns p

hysi

cally

and

em

otio

nally

. Su

ch

reac

tions

are

oft

en c

onfl

ictin

g an

d co

nfus

ing.

The

y m

ay e

xhib

it su

dden

moo

d sw

ings

or f

eel b

oth

exhi

lara

ted

and

depr

esse

d by

a tr

aged

y.

The

y ar

e se

lf-o

rien

ted

but t

end

to s

uffe

r low

sel

f-es

teem

as

a re

sult

of t

he p

hysi

cal c

hang

es o

f pub

erty

. T

his,

aug

men

ted

by e

goce

ntri

sm, m

ay re

sult

in s

elf-

criti

cism

. Pr

e-ad

oles

cent

s ten

d to

hav

e an

acu

te s

ense

of m

oral

ity.

Cer

emon

y an

d ri

tual

is v

ery

impo

rtan

t in

man

ifes

ting

this

sen

se o

f rig

ht a

nd w

rong

. R

elat

ions

hips

bec

ome

cent

ral t

o th

eir e

xist

ence

, so

ques

tions

ab

out d

eath

may

shif

t fro

m w

hat d

eath

is to

how

they

will

sur

vive

with

out t

heir

love

d on

e.

2. V

icti

m A

ssis

tanc

e P

rofe

ssio

nal'

s R

espo

nsib

ilit

ies

a.

Wor

k w

ith s

uppo

rtiv

e ad

ults

to p

rovi

de th

em w

ith e

duca

tion

and

unde

rsta

ndin

g co

ncer

ning

the

child

ren'

s nee

ds.

b.

Com

mun

icat

e w

ith c

hild

ren

thro

ugh

age-

appr

opri

ate

expr

essi

on-p

lay,

art,

dram

a,

wor

ds, a

nd s

o fo

rth.

c.

At t

he s

cene

of a

vio

lent

dea

th:

(I)

Hel

p ch

ildre

n be

reco

nnec

ted

with

sup

port

ive,

car

ing

adul

ts a

s so

on a

s po

ssib

le,

but a

llow

them

to r

emai

n in

con

tact

with

thei

r pee

r gro

ups,

if t

hey

are

pres

ent.

Enc

oura

ge p

hysi

cal,

lovi

ng c

onta

ct.

(2)

Ifre

ques

ted

or n

eces

sary

to p

rovi

de a

dea

th n

otif

icat

ion

to c

hild

ren,

take

them

to

a s

afe

plac

e to

do

so.

If a

trus

ted

adul

t is

avai

labl

e to

be

ther

e, e

ncou

rage

par

ticip

atio

n.

(3)

Ask

them

to te

ll yo

u w

hat h

app

ened

-wh

at d

o th

ey re

mem

ber?

105

(4)

Exp

lain

wha

t will

hap

pen

nex

t-w

ho

will

take

car

e o

f the

m o

ver t

he n

ext f

ew

days

, if c

hang

es w

ill o

ccur

in th

eir i

mm

edia

te li

ves

(dis

rupt

ion

of va

catio

n, a

bsen

ces

from

day

car

e or

pr

e-sc

hool

, tra

vel t

o a

frie

nd o

r rel

ativ

e's

hom

e fo

r sev

eral

day

s), o

r wha

t will

be

expe

cted

oft

hem

. D

escr

ibe

in d

etai

l wha

t the

nex

t 24-

48 h

ours

will

hol

d fo

r the

m.

(5)

Ens

ure

thei

r saf

ety

and

care

and

reas

sure

them

of i

t.

d.

In th

e af

term

ath

of v

iole

nt d

eath

:

(1)

Ens

ure

that

chi

ldre

n ha

ve a

safe

and

a se

cure

env

iron

men

t.

(2)

Tal

k to

chi

ldre

n ab

out t

he d

eath

and

thei

r und

erst

andi

ng o

f it.

• A

sk th

em to

tell

you

wha

t hap

pene

d. B

e al

ert f

or a

ny c

onfu

sing

con

cept

s or

wor

ds u

sed

in th

e de

scri

ptio

n.

• H

elp

them

cla

rify

thei

r sto

ries

and

reco

ncile

any

dif

fere

nces

bet

wee

n w

hat

they

say

and

wha

t you

kno

w h

appe

ned.

• L

et c

hild

ren

know

that

sho

win

g em

otio

n is

oka

y.

• E

ncou

rage

and

be

prep

ared

for q

uest

ions

abo

ut d

eath

.

• A

sk th

em to

tell

you

wha

t the

y th

ink

is h

appe

ning

to th

e de

ceas

ed a

fter

de

ath.

• A

sk th

em to

des

crib

e an

y pr

oble

ms t

hat t

hey

mig

ht b

e ha

ving

sin

ce th

e de

ath.

• A

sk th

em to

des

crib

e w

hat t

he n

ext m

onth

, the

tim

e be

fore

an

upco

min

g ho

liday

, or t

he n

ext f

ew m

onth

s w

ill b

e lik

e w

ithou

t the

per

son

who

die

d.

• B

e pr

epar

ed to

dis

tingu

ish

fact

from

fant

asy

and

addr

ess j

udgm

enta

l sel

f-re

flect

ion.

(3)

Arr

ange

for p

eer g

roup

dis

cuss

ions

with

oth

ers

who

hav

e su

rviv

ed a

vio

lent

de

ath.

(4)

Be

prep

ared

to e

xpla

in d

isru

ptio

ns in

rout

ine.

(5)

Exp

lain

wha

t will

hap

pen

at fu

nera

ls, i

nves

tigat

ions

, and

in th

e cr

imin

al ju

stic

e sy

stem

.

(6)

Prov

ide

com

fort

whe

n ch

ildre

n se

em s

ad a

nd d

epre

ssed

.

(7)

Hel

p ch

ildre

n th

ink

abou

t the

futu

re a

nd d

evel

op p

ositi

ve th

ough

ts o

fa n

ew a

nd

diff

eren

t life

.

106

(8)

Rea

ssur

e ch

ildre

n th

at th

eir l

oved

one

will

not

be

forg

otte

n an

d th

at th

ey c

an

and

shou

ld re

mem

ber t

hem

.

3. V

icti

m A

ssis

tanc

e P

rofe

ssio

nal'

s Sk

ills

a.

Ass

essm

ent o

f chi

ldre

n's v

ulne

rabi

litie

s.

b.

Kno

wle

dge

of a

nd a

bilit

y to

hel

p ch

ildre

n ac

cess

dif

fere

nt s

ervi

ces a

nd re

sour

ces.

c.

Abi

lity

to ta

lk a

nd c

omm

unic

ate

with

chi

ldre

n.

d.

Und

erst

andi

ng o

f chi

ldre

n's d

evel

opm

enta

l sta

ges.

e.

Und

erst

andi

ng o

f chi

ldre

n's r

eact

ion

to tr

aum

a.

f. K

now

ledg

e an

d sk

ill to

use

chi

ld-o

rien

ted

tech

niqu

es to

resp

ond

to tr

aum

a an

d be

reav

emen

t.

g.

Abi

lity

to c

omm

unic

ate

effe

ctiv

ely

with

sup

port

ive

adul

ts in

ord

er to

pro

vide

ad­

equa

te e

duca

tion

on c

hild

ber

eave

men

t.

107

F. P

roto

col

for

Wor

king

wit

h C

hild

ren

12-1

8

1. B

ack

grou

nd

Inf

orm

atio

n

a.

Ado

lesc

ents

resp

ond

to th

e w

orld

and

to tr

aum

a in

way

s th

at a

re s

imila

r to

adul

ts;

how

ever

, the

y sh

ould

stil

l be

trea

ted

with

the

kind

of c

are

that

is p

rovi

ded

to y

oung

er c

hild

ren.

b.

For a

dole

scen

ts, t

he w

orld

is c

onst

antly

fluc

tuat

ing.

The

y sh

ift b

ack

and

forth

fro

m

bein

g de

pend

ent a

nd c

hild

like

to b

eing

inde

pend

ent a

nd a

ctin

g as

adu

lts.

As

they

sha

pe th

eir w

orld

s,

they

que

stio

n, c

ritic

ize

and

seek

info

rmat

ion.

The

y un

ders

tand

the

perm

anen

cy o

f dea

th, t

he fa

ct th

at it

is

uni

vers

al, a

nd th

at it

see

ms t

o oc

cur r

ando

mly

. I f

they

hav

e pr

evio

usly

exp

erie

nced

vio

lent

dea

th, t

hey

may

als

o vi

ew d

eath

as

inev

itabl

e an

d as

par

t of t

heir

imm

edia

te fu

ture

. D

eath

, for

som

e, m

ay e

ven

be

rom

antic

ized

as

an a

ltern

ativ

e to

thei

r pai

n in

life

. T

hey

expe

rim

ent w

ith v

alue

s and

beh

avio

rs to

try

to

deve

lop

thei

r ow

n se

nse

of a

n in

depe

nden

t life

sty

le.

The

ir p

rim

ary

rela

tions

hips

are

with

thei

r pee

rs.

The

adu

lt w

orld

may

see

m fo

reig

n an

d ad

ults

may

be

perc

eive

d as

unt

rust

wor

thy.

2. V

icti

m A

ssis

tanc

e P

rofe

ssio

nal'

s R

espo

nsib

ilit

ies

a.

Wor

k w

ith s

uppo

rtiv

e ad

ults

to p

rovi

de th

em w

ith e

duca

tion

and

unde

rsta

ndin

g co

ncer

ning

the

adol

esce

nts'

need

s.

b.

Com

mun

icat

e w

ith a

dole

scen

ts in

adu

lt la

ngua

ge b

ut u

se d

ram

a, a

rt, a

nd p

hysi

cal

activ

ity to

stim

ulat

e th

eir t

houg

hts

and

help

them

to e

xpre

ss th

eir f

eelin

gs.

c.

At t

he s

cene

of a

vio

lent

dea

th:

(1)

Hel

p ad

oles

cent

s re

conn

ect w

ith p

eopl

e th

ey tm

st a

nd fe

el s

afe

with

.

(2)

If re

ques

ted

or n

eces

sary

, pro

vide

a d

eath

not

i fic

atio

n to

ado

lesc

ents

.

(3)

Ask

them

to te

ll yo

u w

hat h

app

ened

-wh

at d

o th

ey re

mem

ber?

(4)

Exp

lain

wha

t will

hap

pen

next

. E

xpla

in w

hy ro

utin

es m

ay v

ary

and

why

thin

gs

will

hap

pen.

(5)

Ens

ure

thei

r saf

ety

and

care

. R

eass

ure

them

that

som

eone

car

es a

bout

them

an

d th

eir l

ives

.

d.

In th

e af

term

ath

of v

iole

nt d

eath

:

(1)

Ens

ure

that

ado

lesc

ents

are

livi

ng in

an

envi

ronm

ent i

n w

hich

they

can

sle

ep, e

at

and

func

tion

com

forta

bly.

(2)

Ask

ado

lesc

ents

abo

ut th

e de

ath

and

how

it a

ffec

ts th

eir l

ives

.

109

• A

sk th

em to

tell

you

wha

t hap

pene

d. B

e al

ert f

or a

ny c

onfu

sing

con

cept

s or

wor

ds u

sed

in th

e de

scri

ptio

n.

• H

elp

them

cla

rifY

thei

r sto

ries a

nd re

conc

ile a

ny d

iffe

renc

es b

etw

een

wha

t th

ey s

ay a

nd w

hat y

ou k

now

hap

pene

d.

• L

et a

dole

scen

ts k

now

that

reac

tions

suc

h as

ang

er, f

ear,

frus

trat

ion,

sel

f­bl

ame,

sha

me,

and

gri

ef ar

e co

mm

on a

nd u

nder

stan

dabl

e.

• E

ncou

rage

and

be

prep

ared

for q

uest

ions

abo

ut d

eath

.

• A

sk th

em to

tell

you

wha

t the

y th

ink

will

hap

pen

to th

em in

thei

r fut

ure.

• A

sk th

em to

des

crib

e an

y pr

oble

ms

that

they

mig

ht b

e ha

ving

sin

ce th

e de

ath.

• A

sk th

em to

des

crib

e w

hat t

he n

ext m

onth

, the

tim

e be

fore

an

upco

min

g ho

liday

, or t

he n

ext f

ew m

onth

s w

ill b

e lik

e w

ithou

t the

per

son

who

die

d.

• B

e pr

epar

ed to

cop

e w

ith e

xpre

ssio

ns o

f ang

er a

nd f

rust

ratio

n di

rect

ed a

t yo

u, in

stitu

tiona

l aut

horit

ies,

or o

ther

s.

(3)

Arr

ange

for p

eer g

roup

dis

cuss

ions

with

oth

ers

who

hav

e su

rviv

ed a

vio

lent

de

ath.

(4)

Exp

lain

wha

t will

hap

pen

and

why

at f

uner

als,

inve

stig

atio

ns, a

nd in

the

crim

inal

ju

stic

e sy

stem

.

(5)

Prov

ide

com

fort

ifth

ey a

re s

ad o

r dep

ress

ed.

(6)

Prov

ide

them

with

tool

s to

deal

with

intru

sive

thou

ghts

and

ove

rwhe

lmin

g em

otio

ns.

(7)

Wor

k w

ith o

ther

adu

lts to

dev

elop

pro

gram

s o

f act

iviti

es th

at d

iver

t ado

lesc

ent

ener

gies

into

con

stru

ctiv

e be

havi

ors a

nd a

llow

for t

he e

xpre

ssio

n o

f grie

f.

(8)

Hel

p ad

oles

cent

s th

ink

abou

t the

futu

re a

nd d

evel

op p

ositi

ve th

ough

ts o

f a n

ew

and

diff

eren

t life

.

(9)

Rea

ssur

e ad

oles

cent

s th

at th

eir l

oved

one

will

not

be

forg

otte

n an

d th

at th

ey c

an

and

shou

ld re

mem

ber t

hem

.

3. V

icti

m A

ssis

tanc

e P

rofe

ssio

nal'

s Sk

ills

a.

Ass

essm

ent o

f ado

lesc

ents

, vul

nera

bilit

ies.

110

b.

Kno

wle

dge

of a

nd a

bili

ty to

hel

p ad

oles

cent

s ac

cess

dif

fere

nt s

ervi

ces

and

re-

sour

ces.

c.

Abi

lity

to ta

lk a

nd c

omm

unic

ate

wit

h ad

oles

cent

s.

d.

Und

erst

andi

ng o

f ado

lesc

ent d

evel

opm

enta

l iss

ues.

e.

Und

erst

andi

ng o

f ado

lesc

ent r

eact

ions

to tr

aum

a.

F.

Kno

wle

dge

and

skil

l to

use

adol

esce

nt-o

rien

ted

tech

niqu

es to

res

pond

to tr

aum

a an

d be

reav

emen

t.

g.

Abi

lity

to c

omm

unic

ate

effe

ctiv

ely

wit

h su

ppor

tive

adu

lts

in o

rder

to p

rovi

de a

d­eq

uate

edu

cati

on o

n ad

oles

cent

ber

eave

men

t.

111

Ap

pen

dix

I -

Tra

uma

and

Gri

ef

Tra

uma

Sho

ck,

disb

elie

f, d

enia

l

Ang

er

Fea

r C

onfu

sion

S

ham

e G

uilt

Gri

ef

113

Gri

ef

Sho

ck,

deni

al

Pro

test

A

nger

G

uilt

B

arga

inin

g

Des

pair

D

etac

hmen

t R

esol

utio

n

Ap

pen

dix

II,

Dir

ge W

ith

out

Mus

ic,

by

Ed

na

St. V

ince

nt M

illa

y

Dir

ge W

ithou

t Mus

ic

I am

not

res

igne

d to

the

shu

ttin

g aw

ay o

f lov

ing

hear

ts in

the

har

d gr

ound

. So

it i

s, a

nd

so

it w

ill b

e, f

or

so i

t has

bee

n, t

ime

out o

f min

d:

Into

the

dar

knes

s th

ey g

o, t

he w

ise

and

the

love

(y.

Cro

wne

d W

ith l

ilie

s a

nd

with

lau

rel t

hey

go;

but I

am

not

res

igne

d.

Lov

ers

an

d th

inke

rs,

into

the

ear

th w

ith

you.

B

e on

e w

ith t

he d

ull,

the

indi

scri

min

ate

dust

. A

frag

men

t o

f wha

t you

felt

, o

f wha

t you

kne

w,

Afo

rmul

a, a

phr

ase

rem

ains

, -

but t

he b

est i

s lo

st.

The

answ

ers

quic

k &

kee

n, t

he h

ones

t loo

k, t

he l

augh

ter.

the

lov

e,

The

y ar

e go

ne.

The

y ha

ve g

one

tofe

ed th

e ro

ses.

E

lega

nt a

nd

cur

led

b th

e bl

osso

m.

Fra

gran

t is

the

blo

ssom

. I

know

. B

ut I

do

not a

ppro

ve.

Mor

e pr

ecio

us w

as t

he l

ight

in y

our

eyes

tha

n al

l the

ros

es in

the

wor

ld.

Dow

n, d

own,

dow

n in

to t

he d

arkn

ess

C?l

the

grav

e G

entl

y th

ey g

o, t

he b

eaut

(lul

, th

e te

nder

. th

e ki

nd;

Qui

etly

they

go,

the

int

elli

gent

, th

e w

itty,

the

bra

ve.

I kn

ow.

But

I d

o no

t app

rove

. A

nd

I am

not

res

igne

d.

-E

dna

St.

Vin

cent

Mil

lay

115

App

endi

x II

I. W

orks

heet

F

ears

Ab

out

Dea

th

Fea

rs a

bou

t Dea

th

The

follo

win

g fe

ars

of d

eath

are

pla

ced

in o

rder

of/

owes

t pri

ority

to h

ighe

st p

rior

ity in

thei

r em

otio

nal c

onte

nt fo

r mos

t peo

ple.

Und

er e

ach

head

ing,

writ

e a

sent

ence

or t

wo

expr

essi

ng

your

reac

tion

or th

ough

ts a

bout

suc

h a

fear

. A

dd o

ther

fear

s if

you

can

thin

k o

f the

m.

1.

Pra

ctic

al F

ears

• Fe

ar fo

r wha

t may

hap

pen

to th

e pe

rson

who

has

die

d

• Fe

ar o

f cha

nges

in ro

les

or e

xpec

tatio

ns

• Fe

ar o

flos

s o

f fam

ily a

nd f

riend

s

• Fea

r of d

ying

pro

cess

2.

Fea

rs o

f Unk

now

n

• Fe

ar o

f God

or s

piri

ts

• Fea

r of j

udgm

ent a

nd fi

nalit

y

• Fea

r of b

eing

alo

ne

3. F

ears

of L

oss

of C

onne

ctio

n w

ith L

ife

• Fe

ar o

flos

s or

des

truc

tion

of b

ody

• F

earo

ffor

gett

ing

or b

eing

forg

otte

n

4. O

ther

Fea

rs?

117

App

endi

x IV

. W

orks

heet

F

ear

Act

ion

Pla

n T

hree

Fea

rs I

Hav

e S

ince

My

Lov

ed O

ne

Die

d:

1.

2.

3.

Thi

ngs

I C

an D

o To

Be

Les

s A

frai

d:

Fea

r#l:

W

hat

I C

an D

o:

Fea

r #2

: W

hat

I C

an D

o:

Fea

r #3

: W

hat

I C

an D

o:

Wha

t W

e C

an D

o To

Mak

e O

ur

Liv

es S

afer

?

1. G

oal:

__

__

__

__

__

__

__

__

__

_ _

Act

ion

Ste

ps

to A

ccom

pli

sh G

oal:

a.

__

__

__

__

__

_ b.

__

__

__

__

__

_ c.

__

__

__

__

__

_ d.

__

__

__

__

__

_ e.

__

__

__

__

__

_ 2.

Goa

l: _

__

__

__

__

__

__

__

__

__

_

Act

ion

Ste

ps

to A

ccom

pli

sh G

oal:

a.

__

__

__

__

__

_ b.

__

__

__

__

__

_ c.

__

__

__

~ _

__

_ d.

__

__

__

__

__

_ e.

__

__

__

__

__

_ 3.

Goa

l: _

__

__

__

__

__

__

__

__

__

__

_

Act

ion

Ste

ps

to A

ccom

pli

sh G

oal:

a.

__

__

__

__

__

_ b.

__

__

__

__

__

_ _

c. _

__

__

__

__

_ _

d. _

__

__

__

__

__

_ e.

__

__

__

__

__

_ _

119

App

endi

x V

. E

xcer

pt

An

ger:

The

Mis

un

ders

tood

Em

otio

n

by C

arol

Tav

ris

Sim

on a

nd S

chus

ter,

New

Yor

k, 1

982

The

follo

win

g ex

cerp

t, fr

om th

e be

ginn

ing

of C

hapt

er 3

of D

r. T

arvi

s's b

ook,

is in

clud

ed fo

r edu

ca­

tiona

l pur

pose

s on

ly, a

s an

exa

mpl

e of

the

kind

s o

f mat

eria

ls th

at c

an b

e us

ed to

dis

cuss

this

topi

c.

Add

ition

al c

opie

s m

ay b

e re

prin

ted

only

for e

duca

tiona

l use

and

are

not

to b

e du

plic

ated

for p

rofi

t.

121

3. T

he

An

atom

y o

f An

ger

"0,

prep

oste

rous

and

fran

tic

outr

age,

end

thy

dam

ned

sple

en!"

-R

ICH

AR

D II

I, II

, iv

Whe

n yo

u ge

t ang

ry, w

hat h

appe

ns to

you

r bod

y? H

ow d

o yo

u fe

el?

Try

to

reca

ll a

rece

nt in

cide

nt

of a

nger

and

com

pare

you

r rea

ctio

ns to

the

follo

win

g lis

t of s

ympt

oms:

--ch

ange

s of m

uscl

e te

nsio

n --

;sco

wlin

g -g

rin

din

g o

f tee

th

-gla

ring

--

clen

chin

g yo

ur fi

sts

--ch

ange

s of a

rn1S

and

pos

ition

of b

ody

-flu

shin

g (g

ettin

g re

d in

face

or b

ody)

-p

alin

g (l

osin

g co

lor)

--

goos

e bu

mps

--

chil

ls an

d sh

udde

rs

-pri

ckly

sens

atio

ns

--nu

mbn

ess

--ch

okin

g -t

wit

chin

g --

swea

ting

--

losi

ng se

lf-co

ntro

l -f

eeli

ng

hot

-f

eeli

ng

cold

The

se a

re a

few

of t

he it

ems

from

the

first

mod

em, s

cien

tific

eff

ort t

o st

udy

ange

r. In

189

4, p

sy­

chol

ogis

t G. S

tanl

ey H

all c

olle

cted

218

4 qu

estio

nnai

res

from

peo

ple

who

ans

wer

ed h

is c

ompl

icat

ed

quer

ies

in re

veal

ing

deta

il, a

nd H

all c

erta

inly

wan

ted

deta

il. H

e as

ked

peop

le to

pro

vide

exa

mpl

es o

f th

eir a

ngri

est e

piso

des-

--w

hat p

rovo

ked

them

, wha

t the

y di

d, h

ow th

ey te

lt la

ter,

any

phys

ical

and

m

enta

l cha

nges

. By

toda

y's

stan

dard

s, H

all's

surv

ey w

as to

o de

man

ding

, uns

yste

mat

ic, a

nd im

prec

ise.

It

was

als

o lo

ts o

ffun

, and

its

findi

ngs

entir

ely

cont

empo

rary

. O

ne o

f Hal

l's m

ost c

urio

us re

sults

was

the p

hysi

cal v

aria

tion

in p

eopl

e's

expe

rien

ces

of an

ger.

Som

e sa

id th

at a

nger

mad

e th

em fe

el g

ood,

and

oth

ers

that

it m

ade

them

feel

sic

k. "

I hav

e fo

und

it a

not

alto

geth

er u

nple

asan

t sen

satio

n to

be

in a

gre

at ra

ge,"

wro

te o

ne in

form

ant;

"It w

akes

me

up a

nd m

akes

m

e fe

el v

ery

muc

h al

ive.

" B

ut a

noth

er sa

id, "

I am

ofte

n fr

ight

ened

that

I ca

n ge

t so

angr

y, a

nd o

ften

hav

e a

nerv

ous

head

ache

late

r." A

nd s

ome

repo

rted

they

had

bot

h re

actio

ns, d

epen

ding

on

circ

umst

ance

:

Whe

n an

gry

I fee

l all

of a

sudd

en b

urni

ng h

ot, s

tifle

d an

d co

mpe

lled

to m

ake

a no

ise.

So

met

imes

1 gr

ow ic

y co

ld a

nd fe

el a

s if

! w

as a

ll bl

ancm

ange

insi

de. T

his

feel

ing

is w

orse

th

an th

e he

at, f

or 1

seem

to b

e a

ston

e.

Hal

l's re

spon

dent

s to

ld h

im th

at a

nger

pro

duce

d "c

ardi

ac s

ensa

tions

, hea

dach

es, n

oseb

leed

, mot

­tli

ng o

f fac

e, d

izzi

ness

," te

ars,

sna

rls, o

r "a

com

plet

e in

abili

ty to

voc

aliz

e."

Thi

s ar

ray

of p

hysi

cal r

eact

ions

to a

nger

was

mat

ched

by

the

arra

y o

f cau

ses

of a

nger

. One

cat

egor

y o

f pro

voca

tion

was

wha

t we

mig

ht c

all t

he S

tupi

d In

anim

ate

Obj

ect,

the

idio

t thi

ng th

at p

rodu

ces

123

imm

edia

te (u

sual

Iy b

rief

) fur

y. "

Our

retu

rns

abou

nd,"

wro

te H

alI c

alm

ly, "

in c

ases

of p

ens a

ngri

ly b

roke

n be

caus

e th

ey w

ould

not

wri

te, b

rush

es a

nd p

enci

ls th

row

n th

at d

id n

ot w

ork

we 1

1 , b

utto

nhol

es a

nd

clot

hes

tom

, mir

rors

sm

ashe

d, s

late

s br

oken

, pap

er c

rush

ed, t

oys

dest

roye

d, k

nive

s, s

hoes

, boo

ks

thro

wn

or in

jure

d, e

tc. "

Whe

n in

anim

ate

obje

cts

don'

t beh

ave

as th

ey "

ough

t,"

said

Hal

l-T

her

e is

th

at m

oral

izin

g ou

ght a

gain

--w

e la

pse

mom

enta

rily

into

the

child

's c

onfu

sion

bet

wee

n ob

ject

s tha

t are

al

ive

and

thos

e th

at a

re n

ot, a

nd a

ct a

s if

the

offe

ndin

g br

ick,

pen

, or t

ool w

ere

capa

ble

offe

elin

g ou

r re

sent

men

t. B

y so

doi

ng, n

atur

ally

, we

com

poun

d th

e injury~s w

hen

you

kick

the

vend

ing

mac

hine

th

at h

as s

wal

low

ed y

our q

uart

er, t

here

by b

reak

ing

your

toe.

You

are

not

alo

ne.

But

ano

ther

cat

egor

y o

f ang

er w

as m

ore

cere

bral

, and

con

sist

ed o

f the

idi

osyn

cras

ies,

the

"spe

cial

av

ersi

ons"

that

irri

tate

us.

The

se a

re th

e ha

bits

and

aff

ecta

tions

that

som

e pe

ople

hav

e, n

o m

atte

r how

ni

ce o

r kin

d th

ey a

re o

ther

wis

e, y

ou w

ant t

o th

rottl

e th

em fo

r. O

ne h

undr

ed a

nd th

irty

wom

en s

pont

ane­

ousl

y to

ld H

alI

that

ear

ring

s on

men

wer

e ab

horr

ent t

o th

em. (

I w

as s

urpr

ised

that

eno

ugh

men

wer

e w

eari

ng e

arri

ngs

in 1

894

for

this

to b

e o

f suc

h co

ncer

n.)

Men

and

wom

en a

like

repo

rted

irri

tatio

n at

"t

hum

b ri

ngs,

ban

gs, f

rizz

es, s

hort

hai

r in

wom

en, h

at o

n on

e si

de, b

aldn

ess,

too

muc

h st

yle

or je

wel

ry,

sing

le e

ye g

lass

, fla

shy

ties,

hea

vy w

atch

cha

ins,

man

y ri

ngs,

" an

d th

e lik

e.

But

it w

as th

e th

ird

cate

gory

of a

ngry

inci

dent

s, a

nger

cau

sed

by o

ne p

erso

n's

trea

tmen

t of a

noth

er,

that

dre

w th

e gr

eate

st n

umbe

rs a

nd th

e gr

eate

st p

assi

on:

Inju

stic

e. S

tupi

dity

(one

's o

wn

or a

noth

er's

).

Che

ater

s. B

ootli

cker

s (th

e m

odem

equ

ival

ent s

tilI

infu

riat

es, a

lthou

gh th

e te

rm h

as a

dvan

ced

up th

e an

atom

y). I

nsul

ts. C

onde

scen

sion

: "T

o be

trea

ted

as if

! w

ere

of n

o ac

coun

t." O

ne w

oman

sum

mar

ized

th

e lo

t: T

he c

hief

caus

es a

re c

ontr

adic

tion,

esp

ecia

lly if

l am

righ

t; sl

ight

s, e

spec

ialI

y to

my

pare

nts

or fr

iend

s, e

ven

mor

e th

an m

ysel

f; to

hav

e m

y ve

raci

ty q

uest

ione

d; th

e si

ght o

f my

olde

r br

othe

r sm

okin

g w

hen

we

are

poor

; inj

ustic

e, d

islik

e or

hat

e fr

om th

ose

who

fear

to s

peak

ri

ght o

ut; b

eing

tire

d an

d ou

t of s

orts

, etc

. In

the

latte

r moo

d th

e le

ast t

hing

[will

mak

e m

e an

gry]

like

find

ing

book

s ou

t of p

lace

... s

tupi

dity

in p

eopl

e w

ho w

ill n

ot u

nder

stan

d--t

hese

m

ake

me

feel

as

a ca

t mus

t whe

n st

roke

d th

e w

rong

way

. T

he a

nger

s th

at fe

ll in

this

cat

egor

y se

emed

to c

ombi

ne b

oth

phys

ical

reac

tions

, in

all t

heir

star

tling

va

riety

, and

men

tal p

erce

ptio

ns o

f ins

ult,

cond

esce

nsio

n, a

nd th

e lik

e, in

all

of t

heir

star

tling

var

iety

.

124

Ap

pen

dix

VI.

Wor

kshe

et

Ang

er

Wha

t si

gns

do y

ou

hav

e w

hen

you

get

ang

ry?

Che

ck t

hose

tha

t app

ly.

_ ch

ange

s of m

uscl

e te

nsio

n _

sco

wli

ng

_

gri

nd

ing

oft

eeth

_

gla

rin

g

_ cl

ench

ing

your

fist

s _

ch

an

ges

ofan

ns a

nd p

ositi

on o

f bod

y _

flus

hing

(ge

tting

red

in f

ace

or b

ody)

_

pali

ng

(los

ing

colo

r)

_g

oo

se b

umps

ch

ills

and

shud

ders

_

pri

ck

ly se

nsat

ions

nu

mbn

ess

_ch

ok

ing

_

twit

chin

g

_sw

eati

ng

_

losi

ng

self

-con

trol

_

feeli

ng

hot

_

feeli

ng

cold

Wha

t kin

ds o

f sit

uati

ons

caus

e yo

u to

bec

ome

angr

y?

Wri

te o

ne o

r tw

o ex

ampl

es.

"Stu

pid

Inan

imat

e O

bjec

ts"

"Spe

cial

Ave

rsio

ns"

"I nj

ust

ice"

Oth

er E

xam

ples

125

App

endi

x V

II.

Wor

kshe

et

Ang

er A

ctio

n P

lan

Wha

t mak

es m

e an

gry?

Lis

t the

top

ten

thin

gs.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Pla

ce a

che

ck a

fter

thos

e th

ings

on

the

list

that

you

can

do

som

ethi

ng a

bout

.

Thi

ngs

I ca

n do

to

redu

ce m

y an

ger:

Ang

ry S

itua

tion

#1:

W

hat

I C

an D

o:

Ang

ry S

itua

tion

#2:

W

hat

I C

an D

o:

Ang

ry S

itua

tion

#3:

W

hat

I C

an D

o:

Ang

ry S

itua

tion

#4:

W

hat I

Can

Do:

Ang

ry S

itua

tion

#5:

W

hat

I C

an D

o:

127

App

endi

x V

III.

Exc

erpt

G

ivin

g S

orro

w W

ords

b

y C

and

y L

ight

ner

and

Nan

cy H

atha

way

W

arne

r B

ooks

, New

Yor

k, 1

990

The

foll

owin

g ex

cerp

t, c

hapt

er 4

of t

he L

ight

ner-

Hat

haw

ay b

ook,

is in

clud

ed f

or e

duca

tion

al

purp

oses

onl

y, a

s an

exa

mpl

e o

fth

e ki

nds

of m

ater

ials

that

can

be

used

to d

iscu

ss th

is to

pic.

Add

itio

nal

copi

es m

ay b

e re

prin

ted

only

for e

duca

tion

al u

se a

nd a

re n

ot to

be

dupl

icat

ed fo

r pr

ofit

.

129

Ch

apte

r 4.

Fun

eral

s an

d M

ourn

ing

Cu

stom

s

I w

ante

d to

dig

my

son

:\' gr

ave,

The

y w

ould

n't l

et m

e. T

hey

used

mac

hine

s to

do

it.

I w

ould

hav

e h

ad

gre

at sati,~faction i

ll co

uld

have

dug

the

gra

ve.

-RA

Y T

AN

GU

AY

Our

atti

tude

s to

war

d de

ath

and

mou

rnin

g ha

ve c

hang

ed d

ram

atic

ally

in th

e la

st tw

o ce

ntur

ies.

In th

e ni

nete

enth

cen

tury

, peo

ple

thre

w th

emse

lves

into

dra

mat

ic, i

mpa

ssio

ned

mou

rnin

g. T

hey

used

par

asol

s,

hand

kerc

hief

s, s

tatio

nery

, and

eve

n te

a se

ts d

esig

ned

excl

usiv

ely

for m

ourn

ing;

they

wor

e m

ourn

ing

ring

s an

d pe

ndan

ts w

hich

mig

ht e

ncas

e a

lock

of h

air o

fthe

dec

ease

d. T

he e

xces

ses

of t

he a

ge c

an b

e se

en

mos

t viv

idly

in Q

ueen

Vic

toria

, who

mou

rned

for h

er h

usba

nd, A

lber

t, no

nsto

p fr

om h

is d

eath

in 1

861

to h

er o

wn

in 1

901.

For

forty

yea

rs, s

he p

ut o

ut h

is s

havi

ng s

uppl

ies

ever

y m

orni

ng a

nd k

ept a

pic

ture

o

f him

pro

pped

up

on h

is s

ide

of t

he b

ed. N

or w

as h

er e

xten

ded

mou

rnin

g fo

r A

lber

t the

onl

y ex

ampl

e o

f her

sen

se o

f pro

prie

ty a

bout

suc

h m

atte

rs. I

n 18

59, w

hen

her g

reat

-gra

ndm

othe

r die

d, V

icto

ria

was

ou

trag

ed to

lear

n th

at o

ne o

f her

gre

at-g

rand

mot

her's

des

cend

ants

in th

e Pr

ussi

an c

ourt

was

not

dr

esse

d in

mou

rnin

g--d

espi

te th

e fa

ct th

at th

e ch

ild w

as o

nly

five

mon

ths

old.

Lila

c an

d w

hite

, she

sug

­ge

sted

, wer

e pr

oper

mou

rnin

g co

lors

for b

abie

s.

Bla

ck, o

f cou

rse,

was

the

pref

erre

d co

lor f

or a

dults

, and

esp

ecia

lly fo

r wom

en, w

ho u

nlik

e m

en

wer

e ex

pect

ed to

be

clad

ent

irel

y in

that

col

or. D

urin

g th

e fir

st y

ear,

wid

ow's

wee

ds w

ere

mad

e o

f dul

l bl

ack

and

acce

ssor

ized

with

vei

ls, h

ats,

and

"w

eepe

r cuf

fs."

Dur

ing

the

seco

nd y

ear,

shin

y bl

ack,

suc

h as

silk

, was

per

mitt

ed. A

fter

war

d, o

ne m

ight

gra

dual

ly lo

ok to

war

d ot

her c

olor

s--b

egin

ning

with

whi

te,

also

a c

olor

ass

ocia

ted

with

mou

rnin

g.

Dur

ing

this

per

iod,

alth

ough

ther

e w

as m

uch

over

t mou

rnin

g, d

eath

was

rom

antic

ized

. Nin

e­te

enth

-cen

tury

nov

els

are

fille

d w

ith te

ar-j

erke

r sce

nes

such

as

the

deat

hs o

f Bet

h in

Lit

tle

Wom

en a

nd

of L

ittle

Nel

l in

Dic

kens

' ser

ializ

ed n

ovel

The

Old

Cur

iosi

ty S

hop-

-an

even

t whi

ch c

ause

d w

eepi

ng

crow

ds to

gat

her i

n th

e po

rt o

f New

Yor

k av

idly

aw

aitin

g th

e ne

xt in

stal

lmen

t in

the

futil

e ho

pe th

at

Dic

kens

wou

ldn'

t let

her

die

. In

the

twen

tieth

cen

tury

, the

re w

as a

rebe

llion

aga

inst

the

mau

dlin

ext

rem

e o

f the

Vic

tori

ans.

In

its

plac

e, p

eopl

e em

brac

ed tw

entie

th-c

entu

ry re

pres

sion

. In

an e

ssay

ori

gina

lly p

ublis

hed

in 1

955

and

title

d "T

he P

orno

grap

hy o

f Dea

th,"

Bri

tish

anth

ropo

logi

st G

eoff

rey

Cor

er e

xpla

ined

that

, dur

ing

the

Vic

tori

an

era,

se~

was

unm

entio

nabl

e bu

t "de

ath

was

no

mys

tery

, exc

ept i

n th

e se

nse

that

dea

th is

alw

ays

a m

ys­

tery

." B

y th

e m

iddl

e o

f the

twen

tieth

cen

tury

, it w

as th

e ot

her w

ay a

roun

d. "

Whe

reas

cop

ulat

ion

has

be­

com

e m

ore

and

mor

e 'm

entio

nabl

e, ' p

artic

ular

ly in

the

Ang

lo-S

axon

soc

ietie

s, d

eath

had

bec

ome

mor

e an

d m

ore

'unm

enti

onab

le,'

" he

wro

te. M

ourn

ing

cost

umes

dis

appe

ared

; hou

ses

wer

e no

long

er d

rape

d in

bla

ck; b

lack

mou

rnin

g w

reat

hs w

ere

no lo

nger

in fa

shio

n (in

par

t bec

ause

, on

the

day

of t

he f

uner

al,

they

pro

vide

d an

eas

y m

ark

for b

urgl

ars)

; dea

th b

ecam

e a

priv

ate

affa

ir.

Tod

ay, a

lthou

gh a

con

side

rabl

e m

ovem

ent i

s con

cern

ed w

ith th

e pr

oces

s of

cons

ciou

s dy

ing

as a

si

gnif

ican

t life

exp

erie

nce,

the

proh

ibiti

on a

gain

st m

ourn

ing

rem

ains

. But

turn

ing

away

from

mou

rnin

g is

ultim

atel

y as

sel

f-de

feat

ing

as d

row

ning

in g

rief.

The

bal

ance

d w

ay to

trav

el th

roug

h gr

ief i

s to

ack

now

l­ed

ge it

s va

ried

em

otio

ns. I

n m

any

way

s, th

at jo

urne

y be

gins

with

the

fune

ral.

The

fune

ral

is th

e fir

st m

ajor

eve

nt o

f the

mou

rner

's li

fe w

ithou

t the

dec

ease

d. M

ore

than

an

un­

happ

y ga

ther

ing,

mor

e th

an a

form

aliz

ed f

arew

ell,

the

fune

ral

is th

e pi

vot b

etw

een

befo

re a

nd a

fter.

Lik

e ot

her r

itual

s, it

is a

rite

of p

assa

ge th

at p

rovi

des

a fr

amew

ork

for c

hang

e. A

t the

fun

eral

, if a

t no

othe

r tim

e, th

e aw

esom

e pa

ssag

e fr

om li

fe to

dea

th is

ser

ious

ly a

ddre

ssed

. The

fune

ral

is a

cer

emon

y o

f sep

a­ra

tion

that

pro

vide

s an

opp

ortu

nity

to e

xpre

ss s

tron

g fe

elin

gs, t

o be

rec

ogni

zed

and

com

fort

ed a

s a

mou

rner

, to

say

fare

wel

l with

str

uctu

re, s

olem

nity

, and

sup

port

, and

to re

alig

n ou

rsel

ves

with

the

com

­m

unity

of m

ourn

ers-

the

livin

g. F

or al

l tho

se re

ason

s, th

e fu

nera

l or m

emor

ial s

ervi

ce c

an h

elp

enor

-

131

mou

sly

in th

e pr

oces

s o

f gri

evin

g.

Thi

s is

true

eve

n un

der t

he w

orst

of c

ircu

mst

ance

s, w

hen

deat

h ha

s co

me

in a

n un

timel

y an

d br

utal

fa

shio

n. E

lizab

eth

Pear

son

is a

Sha

kesp

eare

an a

ctre

ss w

hose

bro

ther

Bill

y di

ed in

197

1 w

hen

he w

as in

th

e ar

med

forc

es.

He

was

sho

t in

the

head

at a

mili

tary

bas

e, a

nd th

e de

tails

of h

is d

eath

wer

e ne

ver e

n­tir

ely

clea

r: M

y br

othe

r was

a b

uddi

ng h

ippi

e,ju

st g

ettin

g in

to h

is o

wn

thou

ghts

abo

ut th

e w

ar. H

e sh

ould

hav

e be

en a

con

scie

ntio

us o

bjec

tor.

He

was

sho

t in

the

head

, and

they

sai

d it

was

su

icid

e. B

ut w

ere

his

fing

erpr

ints

on

the

gun?

I d

on't

even

kno

w. P

eopl

e I'v

e sp

oken

to

sinc

e ha

ve s

aid,

"Y

our b

roth

er w

as fr

agge

d, s

hot b

y on

e o

f his

ow

n m

en. W

ithou

t a d

oubt

. Y

our b

roth

er g

ot w

aste

d."

It w

as m

y m

othe

r's c

hoic

e to

hav

e a

mili

tary

fune

ral

and

it as

­to

unde

d m

e be

caus

e I f

elt i

t was

the

mili

tary

that

kill

ed h

im. I

was

ang

ry a

t the

dec

isio

n.

But

in re

tros

pect

, I fe

el d

iffe

rent

ly. T

here

was

pro

toco

l and

that

com

fort

ed m

e. F

amily

an

d cl

ose

frie

nds

sat i

n ro

ws

unde

r a c

anop

y an

d fa

ced

a br

and-

new

alu

min

um c

offi

n w

ith a

fla

g dr

aped

ove

r it.

The

re w

as a

thir

teen

-gun

sal

ute.

It w

as o

utra

geou

sly

dram

atic

-whi

ch I

thin

k he

lped

, fir

st b

ecau

se th

ere

was

no

deny

ing

that

this

boy

was

dea

d, a

nd s

econ

d be

­ca

use

I kne

w h

e w

as g

oing

to b

e pr

oper

ly la

id to

res

t. T

here

's n

o w

ay to

kno

w w

hat e

lem

ents

of a

fune

ral w

ill m

ake

an e

mot

iona

l im

pact

. The

mos

t rea

s­su

ring

asp

ect o

f a fu

nera

l may

be

the

num

ber o

fpeo

ple

who

app

ear;

it m

ay b

e w

ords

sai

d by

the

min

is­

ter o

r rab

bi o

r a e

ulog

y sp

oken

by

a fr

iend

; or i

t may

be

a sm

all,

sym

bolic

ges

ture

that

pro

vide

s em

o­tio

nal r

elea

se. T

hat's

som

ethi

ng L

ee S

helto

n no

ted

afte

r his

eig

hty-

year

-old

fath

er w

as k

illed

in a

n au

to­

mob

ile c

rash

: I don

't pl

ace

a lo

t of c

rede

nce

in ri

tual

. But

at m

y fa

ther

's fu

nera

l, on

e pa

rt o

fthe

cer

­em

ony

did

affe

ct m

e. I

wen

t out

of m

y w

ay to

toss

the

first

bit

ofso

il o

nto

his

coff

in. T

ossi

ng

that

han

dful

of s

oil o

nto

the

coff

in w

as li

ke th

e fin

al g

ood-

bye.

It b

roug

ht e

very

thin

g in

to

such

focu

s at

that

mom

ent b

ut it

was

free

ing

ther

eafte

r. A

t Car

i's fu

nera

l, I w

as e

spec

ially

touc

hed

whe

n he

r cla

ssm

ates

file

d pa

st th

e ca

sket

and

one

by

one

plac

ed a

sin

gle

rose

on

top.

Tha

t ges

ture

told

me

that

her

dea

th w

ould

be

mou

rned

by

man

y. O

ver

thre

e hu

ndre

d pe

ople

wer

e th

ere;

my

sorr

ow w

as s

hare

d. T

his

is o

ne o

f the

gre

at b

enef

its o

ffun

eral

s:

they

pla

ce th

e de

ath

in a

soci

al c

onte

xt b

y gi

ving

us

an o

ppor

tuni

ty to

mou

rn to

geth

er, a

nd in

so

doin

g,

they

hel

p us

to fe

el l

ess

alon

e.

CU

LT

UR

AL

AN

D R

EL

IGIO

US

TR

AD

ITIO

NS

Whi

le d

eath

is u

nive

rsal

, way

s o

f dea

ling

with

it a

re a

s va

ried

as

the

lang

uage

s pe

ople

spe

ak a

nd th

e w

ays

they

thin

k. S

ome

cultu

res,

suc

h as

thos

e o

f the

Med

iterr

anea

n, e

ncou

rage

str

ong

emot

iona

l rea

c­ti

onsa

t fun

eral

s; o

ther

s fa

vor t

he s

tiff

uppe

r lip

. The

Bal

ines

e, w

ho a

re n

ot k

now

n to

cry

at a

ll, a

t lea

st in

pu

blic

, act

ually

enc

oura

ge la

ught

er a

t fun

eral

s by

dro

ppin

g th

e co

ffin

into

a cr

eek-

--1>

omet

imes

mor

e th

an o

nce.

The

Sam

oans

hav

e an

ext

rem

ely

brie

f per

iod

of m

ourn

ing,

whe

reas

in G

reec

e, w

idow

s ar

e ex

pect

ed to

wea

r bla

ck fo

r the

rest

of t

heir

live

s. I

n So

uthe

ast A

sia,

em

otio

nal r

eact

ions

are

con

side

red

perf

ectly

acc

epta

ble

in p

ublic

but

in p

riva

te g

riev

ers

are

expe

cted

to m

aint

ain

som

e co

ntro

l. T

he E

nglis

h ge

nera

lly ta

ke th

e op

posi

te a

ppro

ach.

Wha

t fee

ls n

atur

al to

one

gro

up m

ay s

eem

dee

ply

unna

tura

l to

anot

her;

wha

t is

mea

nt to

be

com

fort

ing

in o

ne tr

aditi

on m

ay, i

n th

e co

ntex

t of a

noth

er, a

ppea

r dis

re­

spec

tful.

In th

e U

nite

d St

ates

, sty

les o

f mou

rnin

g va

ry w

idel

y. T

he fu

nera

l of a

jazz

mus

icia

n in

New

Orl

eans

w

ith it

s sy

ncop

ated

par

ade

rese

mbl

es v

ery

little

the

subd

ued

fare

wel

l giv

en th

eir l

oved

one

s by

the

Qua

kers

of P

enns

ylva

nia.

At t

he fu

nera

l and

dur

ing

the

peri

od o

f mou

rnin

g th

at fo

llow

s, a

beh

avio

r con

­si

dere

d ut

terl

y na

tura

l and

impo

rtan

t by

one

grou

p, s

uch

as w

eari

ng b

lack

or v

isiti

ng th

e gr

ave,

may

st

rike

ano

ther

gro

up a

s un

nece

ssar

y. A

mon

g A

fro-

Am

eric

ans,

fune

rals

are

occ

asio

ns fo

r lar

ge f

amily

132

• •

and

com

mun

ity g

athe

ring

s, a

nd a

ttend

ance

is g

iven

eno

nnou

s em

phas

is, e

ven

for d

ista

nt re

latio

ns. B

ut

afte

r the

fun

eral

, acc

ordi

ng to

res

earc

h co

nduc

ted

in 1

974

by D

avid

K. R

eyno

lds

and

Ric

hard

A.

Kal

ish

com

pari

ng e

thni

c gr

oups

in th

e U

nite

d St

ates

, Afr

o-A

mer

ican

s pu

t the

leas

t em

phas

is o

n vi

sitin

g th

e gr

ave

of a

dec

ease

d sp

ouse

. Am

eric

ans

of J

apan

ese

and

Mex

ican

des

cent

, on

the

othe

r han

d, o

ver­

whe

lmin

gly

thO

Ugh

t it w

as im

porta

nt to

vis

it fr

eque

ntly

. E

ven

with

in th

e co

ntex

t ofa

sing

le e

thni

c he

rita

ge, p

atte

rns

can

vary

mar

kedl

y as

fam

ilies

dev

elop

th

eir o

wn

styl

es. L

isa

Cur

ran

cont

rast

ed th

e w

ays

the

two

side

s o

f her

fam

ily--

-bot

h Ir

ish

Cat

ho

lic­

cope

with

dea

th:

I've

hear

d w

ild s

tori

es a

bout

wak

es fr

om o

ne s

ide

of m

y fa

mily

. My

grea

t-gr

andf

athe

r ow

ned

a ho

tel t

hat h

ad a

salo

on a

nd m

y U

ncle

Tim

my

told

a s

tory

in w

hich

a d

ead

body

so

meh

ow e

nded

up

prop

ped

up in

the

salo

on. Y

ou h

ear s

tori

es li

ke th

at. A

s fa

r as

I kno

w

they

nev

er a

ctua

lly h

appe

ned.

But

eve

ryon

e dr

inks

a lo

t and

it b

ecom

es a

par

ty.

On

the

othe

r sid

e of

the

fam

ily, t

he w

akes

are

mor

bid,

dow

ntro

dden

, and

dep

ress

ing,

fil

led

with

gui

lt an

d re

mor

se. W

hen

my

gran

dpar

ents

on

that

sid

e of

the

fam

ily d

ied,

we

stay

ed a

t the

fun

eral

hom

e fo

r sev

eral

day

s. S

ince

my

Unc

le D

enny

was

a p

ries

t, ev

eryb

ody

up to

the

bish

op s

aid

the

fune

ral m

ass.

The

re w

ere

may

be fi

ftee

n pe

ople

-def

inat

ely

holie

r th

an th

ou.

The

goa

l in

ever

y er

a an

d in

eve

ry c

ultu

re is

the

sam

e: to

pro

vide

a p

rope

r con

clus

ion

to a

life

and

to

begi

n th

e pr

oces

s of

livi

ng w

ithou

t the

dec

ease

d. T

hose

task

s ar

e ge

nera

lly c

onsi

dere

d to

fall

into

the

real

m o

f rel

igio

n. W

heth

er th

e se

rvic

e ta

kes

plac

e in

a c

hurc

h, s

ynag

ogue

, or f

uner

al h

ome

(as

is in

­cr

easi

ngly

the

case

), th

e so

lem

nity

of t

he p

roce

edin

gs, t

he re

ligio

us tr

appi

ngs,

and

the

pres

ence

of c

lerg

y un

ders

core

the

grav

ity o

fthe

even

t. Pr

otes

tant

cus

tom

s va

ry, d

epen

ding

on

the

deno

min

atio

n. G

ener

ally

, the

re is

a b

rief

serv

ice

at th

e ch

urch

or f

uner

al h

ome

that

incl

udes

a re

adin

g fr

om th

e B

ible

, pra

yers

, org

an m

usic

, pos

sibl

y th

e si

ngin

g o

f hym

ns, a

nd a

fune

ral s

enno

n or

med

itatio

n. S

elec

tions

of p

oetr

y or

pro

se a

re s

omet

imes

read

. The

ca

sket

may

be

open

or c

lose

d, d

epen

ding

on

the

deno

min

atio

n, a

nd th

ere

may

or m

ay n

ot b

e a

eulo

gy.

At t

he g

rave

, the

re is

a b

rief

com

mitt

al s

ervi

ce. A

fter

war

d, a

s in

oth

er g

roup

s, p

eopl

e us

ually

gat

her t

o­ge

ther

for a

mea

l. In

Cat

holic

ism

, the

rite

s id

eally

beg

in p

rior

to d

eath

, whe

n th

e dy

ing

pers

on re

ceiv

es th

e fin

al s

acra

­m

ents

. (W

hen

deat

h is

sud

den,

the

prie

st is

pen

nitt

ed to

giv

e pe

nanc

e an

d ex

trem

e un

ctio

n up

to s

ever

al

hour

s af

ter d

eath

.) T

he fu

nera

l its

elf i

s co

mpr

ised

of t

hree

par

ts: t

he w

ake,

the

fune

ral m

ass,

and

the

grav

esid

e se

rvic

e. T

he w

ake,

whi

ch o

ccur

s th

e ni

ght b

efor

e th

e fu

nera

l, is

cond

ucte

d in

the

pres

ence

of

the

body

, whi

ch is

in a

n op

en c

aske

t. H

eld

eith

er in

the

fune

ral p

arlo

r or i

n th

e m

ourn

er's

hom

e, th

e w

ake

serv

ice

may

incl

ude

psal

ms,

pra

yers

, a ro

sary

, and

a sh

ort h

omily

on

the

mea

ning

ofl

ife,

dea

th,

and

resu

rrec

tion.

For

man

y ho

urs,

fri

ends

and

rel

ativ

es c

ome

to o

ffer

con

dole

nces

, to

pray

, and

to v

iew

th

e bo

dy; i

ndee

d, th

e te

nn "

view

ing"

is s

omet

imes

use

d in

stea

d o

f "w

ake.

" T

he n

ext d

ay, t

here

is a

fu­

nera

l or r

equi

em m

ass.

The

cof

fin

is c

lose

d an

d co

vere

d w

ith a

whi

te p

all u

pon

whi

ch a

cro

ss m

ight

be

plac

ed. H

oly

wat

er, i

ncen

se, a

nd c

andl

es a

ccen

t the

sol

emni

ty o

fthe

hig

hly

stru

ctur

ed s

ervi

ce, w

hich

em

phas

izes

the

conc

ept o

fthe

new

life

the

dece

ased

has

fou

nd w

ith G

od.

Aft

er th

e fu

nera

l mas

s, th

e "f

inal

com

men

datio

n an

d fa

rew

ell"

take

s pl

ace

eith

er in

chu

rch

or a

t the

gr

ave

site

, whi

ch is

ble

ssed

in a

dvan

ce. I

t use

d to

be

that

the

fam

ily w

ould

avo

id w

atch

ing

the

cask

et

bein

g lo

wer

ed in

to th

e ea

rth.

Tod

ay, t

he te

nden

cy is

to s

tay,

so

that

the

real

ity o

fthe

dea

th c

anno

t be

deni

ed.

In J

udai

sm, b

uria

l tak

es p

lace

imm

edia

tely

-wit

hin

twen

ty-f

our h

ours

, ifp

ossi

ble.

The

sim

ple,

w

oode

n co

ffin

is c

lose

d, a

nd th

ere

are

few

flo

wer

s. A

t the

fun

eral

, whi

ch is

a sh

ort o

ne in

clud

ing

pray

ers

and

a eu

logy

, mem

bers

oft

he im

med

iate

fam

ily a

re g

iven

a b

lack

ribb

on w

hich

is th

en c

ut to

indi

cate

th

eir g

rief

l33

Aft

er th

e fu

nera

l, th

ere

is a

bri

ef se

rvic

e at

the

cem

eter

y du

ring

whi

ch th

e ca

sket

is lo

wer

ed in

to th

e gr

ound

and

the

mou

rner

s sh

ovel

dir

t on

it. "

Shov

elin

g th

e di

rt is

an

incr

edib

ly h

ealin

g th

ing

to d

o. A

l­th

ough

I w

ould

nev

er re

quir

e it,

I e

ncou

rage

it v

ery

stro

ngly

bec

ause

I fin

d th

at th

e ac

tual

act

of b

uryi

ng

is th

e be

ginn

ing

ofth

e ac

know

ledg

men

t tha

t thi

s ho

rrib

le th

ing

has

happ

ened

and

the

wor

ld is

for

ever

di

ffer

ent,"

sta

tes

Rab

bi L

aura

Gel

ler,

dire

ctor

of H

illel

at t

he U

nive

rsity

of S

outh

ern

Cal

ifor

nia.

Fol

low

ing

the

buri

al, f

rien

ds a

nd re

lativ

es g

athe

r for

a tr

aditi

onal

"m

eal o

f con

dole

nce.

" Pe

rhap

s the

mos

t dis

tinct

ive

aspe

ct o

f the

Jew

ish

trad

ition

is n

ot th

e fu

nera

l but

the

mou

rnin

g pe

riod

th

at fo

llow

s, w

hen

mou

rner

s re

turn

hom

e fo

r sev

en d

ays

of "

sitti

ng sh

iva"

(shi

vam

eans

"se

ven"

). T

radi

­tio

nally

, the

y lig

ht a

can

dle

that

bum

s fo

r sev

en d

ays,

sit

on w

oode

n st

ools

or b

ench

es, a

nd re

ceiv

e vi

si­

tors

. All

activ

ities

cea

se e

xcep

t for

one

: mou

rnin

g.

The

Isla

mic

relig

ion

spec

ifie

s fiv

e ri

tual

s co

ncem

ing

deat

h: w

ashi

ng th

e bo

dy in

a c

erem

onia

l man

ner;

w

rapp

ing

the

entir

e bo

dy in

cle

an, p

refe

rabl

y w

hite

, clo

th; p

raye

r; th

e fu

nera

l its

elf,

duri

ng w

hich

mus

ic

and

cryi

ng a

re f

orbi

dden

; and

bur

ial.

If po

ssib

le, t

he b

ody

is b

urie

d di

rect

ly in

the

grou

nd, w

ithou

t a c

as­

ket,

and

with

the

face

tur

ned

tow

ard

Mec

ca. A

sto

ne, a

few

bri

cks,

or s

ome

soil

can

be p

ut u

nder

the

head

, but

not

hing

· els

e is

per

mitt

ed in

the

grav

e. A

fter

war

d, p

eopl

e br

ing

food

to th

e fa

mily

. A

ccor

ding

to I

slam

, the

re is

one

God

, kno

wn

as A

llah,

and

man

y pr

ophe

ts, o

f who

m M

oham

med

is

the

last

. "M

osle

ms b

elie

ve A

llah

is a

ll an

d H

e ca

n de

cide

whe

n m

an h

as to

live

and

whe

n ou

r life

sho

uld

be e

nded

," s

tate

s A

bdal

Mag

eed

Nas

ouef

, vic

e-co

ordi

nato

r oft

he Is

lam

ic C

ente

r in

Los

Ang

eles

. D

eath

is e

xpec

ted

to b

e m

et w

ith e

quan

imity

. Con

sequ

ently

, the

mou

rnin

g pe

riod

is s

hort

. For

a

thre

e-da

y pe

riod

aft

er th

e fu

nera

l, kn

own

as A

zah,

mou

rner

s ac

cept

con

dole

nces

. Aft

er th

at, t

alki

ng

abou

t the

dec

ease

d w

ith th

e m

ourn

ers

is n

ot e

ncou

rage

d. "

It is

rem

indi

ng h

im o

f his

sad

ness

," N

asou

ef

expl

ains

. "S

o af

ter t

hree

day

s w

e sh

ould

retu

rn to

nor

mal

life

." (T

he s

ole

exce

ptio

n oc

curs

whe

n a

hus­

band

die

s, in

whi

ch c

ase

the

wif

e is

exp

ecte

d to

sta

y ho

me

for t

hree

mon

ths

and

ten

days

.) M

ourn

ers

are

not s

uppo

sed

to b

ecom

e so

imm

erse

d in

thei

r gri

efth

at it

dis

trac

ts th

em fr

om th

eir r

elat

ions

hip

with

G

od. B

uddh

ists

and

Hin

dus

belie

ve th

at li

fe, d

eath

, and

rebi

rth

are

part

oft

he sa

me

cont

inuu

m, w

aves

on

the

ocea

n o

f exi

sten

ce. T

he b

ody

dies

; con

scio

usne

ss re

mai

ns. T

he tr

aditi

onal

pur

pose

oft

he fu

nera

l, w

hich

incl

udes

cha

ntin

g, p

raye

rs, t

he r

eciti

ng o

f sac

red

text

s, a

nd e

ulog

ies,

is to

hel

p th

e de

ceas

ed a

d­ju

st to

the

afte

r-de

ath

stat

e an

d pr

epar

e fo

r re

birt

h. A

t Bud

dhis

t fun

eral

s, th

e pr

iest

spe

aks

dire

ctly

to

the

dece

ased

. The

fune

ral i

s fo

llow

ed b

y a

fort

y-ni

ne-d

ay p

erio

d du

ring

whi

ch th

e pe

rson

who

die

d th

eore

tical

ly c

ompl

etes

the

jour

ney

from

dea

th to

rebi

rth. D

urin

g th

at ti

me,

mou

rner

s re

peat

pra

yers

in­

tend

ed to

eas

e th

e tr

ansi

tion.

T

he p

hilo

soph

y an

d pr

actic

es o

f Eas

tern

relig

ions

hav

e be

com

e in

crea

sing

ly a

ttrac

tive

to W

este

rner

s du

ring

the

last

seve

ral d

ecad

es. R

on H

amm

es, a

Pen

nsyl

vani

a ar

tist,

spen

t a m

onth

at a

Bud

dhis

t mon

­as

tery

aft

er h

is w

ife,

edi

tor T

obi S

ande

rs, d

ied

in a

car

cra

sh. H

e to

ld u

s ab

out s

ome

of h

is e

xper

ienc

es

ther

e:

The

y of

fere

d a

serv

ice

for T

obi.

The

re w

as a

n al

tar w

ith a

Bud

dha,

flo

wer

s (w

hich

rep­

rese

nt e

arth

), w

ater

, inc

ense

(rep

rese

ntin

g ai

r), a

nd fi

re. S

o it

was

qui

te b

eaut

iful

. The

y al

so

wro

te a

poe

m a

nd g

ave

it to

me

on a

scro

ll w

ith lo

vely

cal

ligra

phy

One

of t

he th

ings

I e

xper

ienc

ed a

t the

mon

aste

ry w

as, y

ou c

an g

et s

uppo

rt, b

ut th

ey

don'

t soo

the.

Ift

here

is s

uch

a th

ing

as th

e da

rk n

ight

of t

he s

oul,

I've

bee

n th

roug

h it.

I

coul

d ha

rdly

spe

ak. W

hen

I was

sitt

ing

Zaz

en, I

was

in p

hysi

cal a

gony

bec

ause

the

tend

ons

in m

y le

gs w

ere

not u

sed

to s

ittin

g fo

r tw

o-ho

ur st

retc

hes.

The

less

on w

as n

ot to

run

fro

m

pain

. It h

ad a

n im

pact

that

car

ried

me

over

. Not

to b

e a

born

-aga

in B

uddh

ist,

but i

t com

es

dow

n to

the

fact

that

with

eve

ry g

reat

relig

ious

mys

tic o

r sea

rche

r, w

heth

er it

was

the

Bud

­dh

a or

whe

ther

it w

as C

hris

t, at

the

hear

t of t

heir

teac

hing

was

thei

r em

path

y fo

r the

suf

fer­

ing

of m

anki

nd a

nd th

eir s

earc

h, n

ot fo

r an

esca

pe fr

om it

, bec

ause

ther

e is

n't a

n es

cape

134

from

it, b

ut fo

r a w

ay to

go

beyo

nd th

at. T

his

is w

hat s

ittin

g Z

azen

is a

ll ab

out i

n m

y lif

e: n

ot

calm

, not

rela

xatio

n, b

ut th

e is

sue

of d

eath

, life

, suf

feri

ng. B

enea

th s

ittin

g is

that

issu

e. I

n si

t­tin

g is

the

reso

lutio

n.

BU

RIA

L C

UST

OM

S T

hrou

ghou

t his

tory

, peo

ple

have

bur

ied

thei

r dea

d in

vas

tly d

iffe

rent

way

s. F

ifty

thou

sand

yea

rs a

go,

the

Nea

nder

thal

s ru

bbed

the

bodi

es o

f the

ir d

ead

with

red

ochr

e an

d bu

ried

them

in th

e fe

tal p

ositi

on.

The

Egy

ptia

ns m

umm

ifie

d th

e de

ceas

ed (i

nclu

ding

thei

r dea

d ca

ts) a

nd, i

n th

e ca

se o

f the

pha

raoh

s,

erec

ted

the

mos

t ela

bora

te a

nd p

erm

anen

t tom

bs th

e w

orld

has

eve

r see

n. T

he S

cand

inav

ian

Vik

ings

pu

t the

ir d

ead

on b

oats

, set

them

afi

re, a

nd s

aile

d th

em o

ut to

sea

. The

Pla

ins

Indi

ans

plac

ed th

e co

rpse

on

a h

igh

woo

den

plat

form

or i

n th

e br

anch

es o

f a tr

ee a

nd o

nly

late

r bur

ied

the

skel

eton

in a

sac

red

buri

al g

roun

d. T

he im

puls

e to

trea

t the

bod

y in

a sp

ecia

l ritu

aliz

ed w

ay s

eem

s to

be

univ

ersa

l; bu

t not

h­in

g el

se is

. In

som

e pl

aces

in E

urop

e w

here

land

is s

carc

e, fo

r in

stan

ce, b

uria

l plo

ts a

re n

ot y

ours

for

eter

nity

. The

y ar

e te

mpo

rary

resi

denc

es, a

nd a

fter

a w

hile

the

bone

s ar

e re

mov

ed a

nd th

e sp

ace

is f

reed

fo

r som

eone

els

e's

use.

I ft

his

soun

ds d

istu

rbin

g, it

mig

ht b

e be

caus

e w

e're

not

acc

usto

med

to th

e id

ea.

Nik

olas

Ste

fani

dis,

Ph.

D.,

a co

unse

lor a

t the

Cen

ter f

or L

ivin

g in

Wes

t Hol

lyw

ood,

Cal

ifor

nia,

de­

scri

bed

his

expe

rien

ce w

hen

he r

etur

ned

to h

is n

ativ

e G

reec

e to

pay

his

res

pect

s to

his

dea

d gr

and­

mot

her:

On

the

Gre

ek is

land

whe

re I

gre

w u

p, b

ecau

se o

f spa

ce li

mita

tions

, we

exhu

me

the

bone

s o

f the

dec

ease

d. T

here

's a

n in

tere

stin

g rit

ual t

hat g

oes

with

it. T

hey

clea

n th

e bo

nes

with

red

win

e an

d ro

sem

ary.

The

y co

unt e

very

bon

e an

d pu

t the

m in

a b

ox w

ith th

e pe

rson

's

nam

e, th

e da

te o

f bir

th, a

nd th

e da

te o

f dea

th. T

hen

they

hav

e a

mem

oria

l ser

vice

. And

then

yo

u pu

t the

bon

es to

res

t in

a co

mm

unal

mau

sole

um, a

big

bui

ldin

g w

here

all

the

bone

s ar

e st

ored

in b

oxes

. Som

e pe

ople

put

pic

ture

s o

f the

dec

ease

d on

the

boxe

s. W

hen

I wen

t ba

ck to

Gre

ece

I wen

t in

and

foun

d m

y gr

andm

othe

r's s

kull,

and

I fe

lt as

in

had

see

n he

r ag

ain.

It w

as a

goo

d ex

peri

ence

. Fo

r mos

t peo

ple

toda

y, th

e ch

oice

is b

etw

een

buri

al a

nd c

rem

atio

n. T

he c

hief

bene

fit o

f bur

ial,

and

it is

an

impo

rtan

t one

, is

that

it p

rovi

des

a sa

fe p

lace

to m

ourn

, a p

lace

that

bel

ongs

to th

e de

ceas

ed. "

I vi

sit m

y hu

sban

d's

grav

e ev

ery

year

on

his

birt

hday

," s

aid

New

Yor

ker A

nna

Shap

iro.

"I p

rune

the

shru

b I p

lant

ed th

ere,

and

I c

lear

aw

ay a

ny w

eeds

that

mig

ht b

e gr

owin

g, a

nd I

feel

as in

am

taki

ng

care

of h

im. I

t's a

con

nect

ion-

-a p

hysi

cal c

onne

ctio

n."

The

re c

an b

e gr

eat s

olac

e in

that

. C

rem

atio

n is

the

pref

erre

d m

ode

in m

any

cultu

res,

incl

udin

g In

dia,

Jap

an, a

nd E

ngla

nd, w

here

it h

as

beco

me

so p

opul

ar si

nce

the

tum

oft

he c

entu

ry th

at it

now

is th

e us

ual c

hoic

e. I

n 19

89, a

ccor

ding

to

Will

iam

Hoc

ker,

form

er p

resi

dent

oft

he N

atio

nal F

uner

al D

irec

tors

Ass

ocia

tion,

cre

mat

ion

was

cho

sen

appr

oxim

atel

y 15

per

cent

oft

he ti

me

in th

e U

nite

d S

tate

s--a

nd in

Sou

ther

n C

alif

orni

a, o

ne d

eath

in

thre

e re

sults

in c

rem

atio

n. W

hat o

nce

seem

ed a

n ex

otic

ritu

al is

bec

omin

g co

mm

onpl

ace.

A

lthou

gh c

rem

atio

n ca

n be

less

exp

ensi

ve th

an b

uria

l, m

ost p

eopl

e w

ho c

hoos

e cr

emat

ion

do s

o fo

r de

eply

per

sona

l rea

sons

that

hav

e lit

tle to

do

with

cos

t. So

me

peop

le, d

istu

rbed

by

the

idea

of t

he b

ody

grad

ually

dec

ompo

sing

, as

it do

es w

ith b

uria

l, fin

d cr

emat

ion

aest

hetic

ally

less

dis

tres

sing

. Cre

mat

ion

may

als

o be

app

ealin

g be

caus

e o

f the

man

y w

ays

of d

ispe

nsin

g th

e as

hes.

Alth

ough

they

may

be

kept

in

a ce

met

ery

vaul

t kno

wn

as a

col

umba

rium

, the

y m

ay a

lso

be s

catte

red

at s

ea o

r in

a ga

rden

. The

idea

of

the

body

bei

ng re

turn

ed to

the

eart

h in

this

man

ner-

-pos

sibl

y in

a sp

ot th

e de

ceas

ed p

erso

n lo

ved

-­br

ings

com

fort

to m

any

peop

le.

Cre

mat

ion

has

draw

back

s to

o. P

eopl

e so

met

imes

hop

e th

at b

ecau

se c

rem

atio

n is

so

quic

k an

d fi­

nal,

it w

ill s

hort

en th

e gr

ievi

ng p

roce

ss.lt

will

not

. Ano

ther

dif

ficu

lty c

an a

rise

whe

n th

e re

mai

ns a

re n

ot

kept

in a

spe

cial

spo

t. W

hen

they

are

sca

ttere

d ov

er a

larg

e ar

ea, t

here

is n

o m

arke

r, no

pla

que,

not

h­m

g--n

ow o

r eve

r.

135

For t

hat r

easo

n, th

e fin

al r

estin

g pl

ace

shou

ld b

e ch

osen

with

car

e. T

here

's n

othi

ng w

rong

with

the

ocea

n, b

ut if

it do

esn'

t hav

e pe

rson

al a

ssoc

iatio

ns fo

r you

, the

situ

atio

n o

f "no

pla

ce to

go"

may

pro

ve

dist

urbi

ng. C

hoos

ing

an a

cces

sibl

e sp

ot c

an a

llevi

ate

that

pro

blem

. Sol

omon

Ber

g bu

ried

his

son

's a

shes

am

ong

the

tree

s an

d bu

shes

in h

is fr

ont y

ard

and

then

mar

ked

the

spot

with

a s

tatu

e tu

cked

in a

mon

g th

e fo

liage

. Mar

cy D

e Je

sus

buri

ed h

er h

usba

nd's

rem

ains

in th

e ba

ckya

rd, w

here

I h

elpe

d he

r pla

nt a

n ol

­iv

e tr

ee. A

nd m

ore

peop

le th

an y

ou m

ight

exp

ect k

eep

the

ashe

s in

side

the

hous

e, a

t lea

st fo

r a w

hile

. Sa

ra a

nd P

aul G

risa

nti p

ut th

e tin

y bo

x co

ntai

ning

thei

r bab

y's

ashe

s in

the

larg

e cl

oset

that

thei

r old

er

child

ren

had

exci

tedl

y tr

ansf

orm

ed in

to a

bri

ghtly

col

ored

nur

sery

--a

room

the

baby

nev

er sa

w. J

oni

Scha

ap p

ut h

er so

n's

rem

ains

on

the

man

tel i

n th

e liv

ing

room

, whe

re it

is s

urro

unde

d by

ath

letic

trop

hies

an

d pi

ctur

es o

fthe

blo

nd te

enag

er. T

he u

rge

to c

reat

e a

spot

dev

oted

sol

ely

to th

e de

ceas

ed is

a d

eepl

y hu

man

one

. In

Japa

n, m

ourn

ers

ofth

e B

uddh

ist a

nd S

hint

o re

ligio

ns ty

pica

lly c

reat

e ho

useh

old

alta

rs

that

incl

ude

the

ashe

s an

d ph

otog

raph

s o

f the

dec

ease

d al

ong

with

oth

er o

bjec

ts s

uch

as ri

ce a

nd fl

ow­

ers.

Cre

mat

ion

not o

nly

perm

its a

wid

e ch

oice

ofl

ocat

ion,

it a

lso

allo

ws

the

mou

rner

s to

cre

ate

that

spo

t in

a v

arie

ty o

f way

s w

hen

they

're re

ady.

With

a s

udde

n de

ath

in p

artic

ular

, tha

t can

be

a be

nefi

t. M

any

peop

le, i

nclu

ding

mys

elf,

like

the

idea

of d

onat

ing

orga

ns to

peo

ple

who

requ

ire

tran

spla

nts.

I

was

una

ble

to d

o so

with

Car

i bec

ause

her

bod

y ha

d be

en s

o se

riou

sly

inju

red

that

it w

as im

poss

ible

, an

d in

any

cas

e, it

did

n't o

ccur

to m

e to

ask

unt

il al

mos

t tw

elve

hou

rs a

fter

she

die

d. B

y th

en, i

t was

too

late

. Org

ans

need

to b

e ha

rves

ted

(yes

, tha

t's th

e w

ord

they

use

) im

med

iate

ly.

Fina

lly, t

here

is th

e op

tion

of d

onat

ing

the

body

to "

scie

nce.

" T

hat,

too,

is a

dec

isio

n th

at m

ust b

e m

ade

quic

kIy-

-and

gen

eral

ly w

ith th

e kn

owle

dge

that

it w

as w

hat t

he d

ecea

sed

wan

ted.

As

a ru

le,

whe

n th

e bo

dy is

don

ated

to a

scho

ol o

r res

earc

h fa

cilit

y, m

ourn

ers

hold

a m

emor

ial s

ervi

ce w

ithou

t the

bo

dy ra

ther

than

a fu

nera

l. B

ut it

is a

lso

poss

ible

to h

ave

a fu

nera

l in

the

pres

ence

oft

he b

ody

if th

e fu

­ne

ral d

irec

tor i

s im

med

iate

ly n

otif

ied

the

body

has

bee

n do

nate

d. T

he u

nder

take

r can

then

pre

pare

the

body

in th

e m

anne

r spe

cifi

ed b

y th

e in

stitu

tion,

and

aft

er th

e fu

nera

l, it

will

be

sent

ther

e.

TH

E C

ASK

ET

: OPE

N O

R C

LO

SED

? A

noth

er q

uest

ion

that

may

ari

se is

whe

ther

to h

ave

an o

pen

or a

clo

sed

cask

et. E

xper

ts in

the

fiel

d o

f dea

th a

nd d

ying

alm

ost u

nive

rsal

ly fa

vor o

pen

cask

et. "

The

re's

a re

al c

atha

rsis

invo

lved

, a k

ind

of r

e­le

ase,

" sa

id W

illia

m H

ocke

r. "A

fter

the

first

tim

e th

ey s

ee th

e bo

dy, t

he te

nsio

n is

bro

ken

and

it's

ver

y th

erap

eutic

. With

som

e pe

ople

, it's

not

hel

pful

. It h

as to

do

with

per

sona

lity

diff

eren

ces.

But

ove

rwhe

lm­

ingl

y, I

wou

ld s

ay it

's b

ette

r for

a p

erso

n to

see

."

The

reas

on to

see

the

body

is n

ot th

at it

will

mak

e yo

u fe

el b

ette

r. It

cert

ainl

y di

d no

t mak

e m

e fe

el

bette

r to

see

my

daug

hter

in a

cas

ket.

But

it d

id h

elp

me

to a

ccep

t the

fin

ality

of h

er d

eath

. See

ing

the

body

will

not

sto

p m

ourn

ers

from

yea

rnin

g fo

r the

ir lo

ved

one

or d

ream

ing

that

the

dece

ased

is s

till a

live.

B

ut w

ith a

n op

en c

aske

t, gr

ieve

rs a

re le

ss li

kely

to h

arbo

r fan

tasi

es in

volv

ing

mis

take

n id

entit

y or

love

d on

es w

ande

ring

aro

und

with

am

nesi

a. S

eein

g th

e bo

dy d

ispe

ls a

ny li

nger

ing

doub

ts, f

or n

o m

atte

r how

sk

illed

the

unde

rtak

er is

with

mak

eup

and

wax

, whe

n yo

u se

e th

e bo

dy, y

ou k

now

. A p

erso

n yo

u lo

ve is

de

ad. T

hat's

the

real

ity.

Som

e pe

ople

wor

ry th

at s

eein

g th

e bo

dy w

ill b

e a

horr

ible

exp

erie

nce;

they

wan

t to

rem

embe

r the

de

ceas

ed a

s vi

bran

t and

hea

lthy

and

they

are

afr

aid

that

the

posi

tive

imag

es w

ill b

e ob

liter

ated

by

the

final

vis

ion.

But

oft

en, t

he w

ay th

e bo

dy lo

oks

in th

e ca

sket

can

act

ually

be

an im

prov

emen

t ove

r how

th

e pe

rson

look

ed w

hile

ill.

Nur

se th

anat

olog

ist S

herr

y G

ibso

n o

f Lou

isvi

lle, K

entu

cky,

des

crib

ed h

er

expe

rien

ce w

hen

her m

othe

r die

d:

Whe

n m

y m

othe

r die

d, s

he w

as fo

rty-

two

year

s ol

d an

d I w

as tw

enty

-six

. I to

ok c

are

of h

er th

roug

h he

r illn

ess.

She

was

a v

ery

beau

tiful

wom

an, a

ver

y pr

oud

wom

an, a

nd w

hen

she

was

in th

e ho

spita

l, sh

e ha

d tu

bes

ever

ywhe

re. S

he lo

st a

ll di

gnity

and

she

lost

so m

uch

wei

ght a

nd lo

oked

terr

ible

. I w

as in

the

med

ical

pro

fess

ion

and

knew

all

abou

t tha

t kin

d o

f

136

stuf

f, bu

t it w

as a

wfu

l for

that

to b

e th

e la

st im

age

of m

y m

othe

r in

my

min

d.

I cou

ldn'

t bel

ieve

it w

hen

I wen

t to

the

fune

ral

hom

e. S

he lo

oked

so g

ood.

Tha

t was

the

wom

an I

rem

embe

r. N

o, it

was

n't t

he s

ame.

Dea

d is

dea

d an

d th

ere

is n

o w

ay th

at a

dea

d bo

dy lo

oks

like

it is

aliv

e. B

ut s

he c

erta

inly

look

ed b

ette

r tha

n sh

e lo

oked

whe

n I l

eft h

er a

t th

e ho

spita

l the

nig

ht sh

e di

ed. A

nd th

at w

as s

o co

mfo

rtin

g to

me.

Se

eing

the

body

pro

vide

s a

final

opp

ortu

nity

to g

aze

at th

e fa

ce o

fthe

per

son

you

love

, to

touc

h th

em, t

o sa

y go

od-b

ye in

thei

r pre

senc

e. I

t can

als

o br

ing

a gr

eat s

ense

of r

elie

fbec

ause

at l

ast t

he p

er­

son

look

s at

pea

ce. B

ooks

elle

r Dia

ne 1

. Will

iam

s o

f Ven

ice,

Cal

ifor

nia,

spe

nt m

any

nigh

ts in

the

hosp

ital

with

her

eig

ht-y

ear-

old

cous

in w

ho w

as d

ying

of c

ance

r. Sh

e de

scri

bes

her r

egre

t at n

ot s

eein

g he

r co

usin

's b

ody

afte

r dea

th:

Lau

ren

had

been

puf

fy a

nd s

he h

ad n

o ha

ir a

nd s

he lo

oked

aw

ful,

but a

s sh

e ap

­pr

oach

ed d

eath

, she

got

her

eye

lash

es b

ack

and

then

she

got

thin

aga

in a

nd h

er h

air g

rew

ba

ck j e

t-bl

ack

and

curl

y-a

dif

fere

nt c

olor

, a d

iffe

rent

text

ure.

She

look

ed lu

min

ous,

bea

u­tif

ul, a

nd p

erfe

ct. B

ut s

he w

as fu

ll o

f rag

e an

d yo

u co

uld

read

her

pai

n in

her

face

. Aft

er sh

e di

ed, m

y au

nt s

aid

it w

as th

e m

ost e

xtra

ordi

nary

thin

g: h

er w

hole

bod

y re

laxe

d an

d th

ere

was

no

pain

and

her

face

was

cle

ar. I

'm so

sor

ry I

didn

't se

e he

r. Se

eing

the

body

doe

sn't

have

to o

ccur

at t

he fu

nera

l. In

deed

, man

y re

ligio

ns o

ppos

e op

en-c

aske

t fu

nera

ls. M

any

peop

le to

day

are

terr

ifie

d by

the

thou

ght o

f see

ing,

no

less

touc

hing

, a d

ead

body

. But

ke

ep in

min

d th

at th

roug

hout

mos

t of h

isto

ry, p

eopl

e di

ed a

t hom

e, a

nd fa

mily

mem

bers

wou

ld h

ave

natu

rally

see

n th

e pe

rson

aft

er d

eath

. See

ing

the

body

, whe

ther

it's

in a

cas

ket o

r on

the

deat

hbed

, can

pr

ovid

e bo

th a

jolt

of r

ealit

y an

d a

degr

ee o

f acc

epta

nce.

It w

on't

be a

won

derf

ul m

omen

t, bu

t in

the

mon

ths

and

year

s to

com

e, it

usu

ally

pro

ves

to b

e be

nefi

cial

. It

also

use

d to

be

cust

omar

y fo

r mou

rner

s to

dre

ss th

e bo

dy. A

lthou

gh th

is is

muc

h le

ss c

omm

on

toda

y, it

doe

s oc

cur.

Whe

n m

y m

othe

r die

d, h

er fr

iend

Dot

ty W

ard,

who

is a

nur

se (a

nd h

ence

was

not

af

raid

of t

he b

ody)

, wan

ted

to d

ress

her

and

bru

sh h

er h

air.

Man

y pa

rent

s w

hose

infa

nts

have

die

d ha

ve

foun

d so

lace

in d

ress

ing

thei

r dea

d ch

ild fo

r the

bur

ial.

And

with

in tr

aditi

onal

Jud

aism

, the

re is

a sp

ecia

l gr

oup

calle

d th

e H

evra

Kad

isha

who

se fu

nctio

n is

to p

repa

re th

e bo

dy fo

r bur

ial.

Rab

bi G

elle

r exp

lain

s,

"The

not

ion

of a

mor

tuar

y th

at y

ou ju

st se

nd th

e bo

dy to

is n

ot a

n es

sent

ial p

art o

f Jew

ish

trad

ition

. You

w

ould

vol

unte

er to

be

a m

embe

r oft

he H

evra

Kad

isha

soc

iety

, and

you

r job

wou

ld b

e to

was

h th

e bo

dy o

f dea

d pe

ople

in a

ritu

aliz

ed w

ay. T

he b

ody

is c

over

ed s

o th

at o

nly

the

part

that

's b

eing

was

hed

is u

ncov

ered

. It

's v

ery

resp

ectf

ul o

f the

bod

y. I

read

an

artic

le in

a m

agaz

ine

calle

d L

ilit

h by

a n

ontr

adi­

tiona

l wom

an w

ho jo

ined

the

Hev

ra K

adis

ha o

f her

non

trad

ition

al s

ynag

ogue

, and

she

talk

s ab

out w

hat

an in

cred

ibly

impo

rtan

t exp

erie

nce

and

priv

ilege

it is

to p

repa

re a

bod

y to

be

buri

ed."

TH

E C

ON

TE

MPO

RA

RY

FU

NE

RA

L

The

pri

mar

y tr

end

in f

uner

als

toda

y is

tow

ard

pers

onal

izat

ion.

Peo

ple

wan

t fun

eral

s th

at re

flec

t the

lif

e of

the

depa

rted

. In

the

past

, tha

t has

n't a

lway

s ha

ppen

ed. I

n a

surv

ey c

ondu

cted

in th

e 19

60s

amon

g 16

9 Pr

otes

tant

min

iste

rs o

f var

ious

den

omin

atio

ns, o

nly

39 p

erce

nt a

ctua

lly re

ferr

ed to

the

de­

ceas

ed b

y na

me

duri

ng th

e fu

nera

l ser

vice

s, a

ccor

ding

to P

aul I

rion

, aut

hor o

f Fun

eral

: V

estig

e o

r V

alue

? In

man

y fu

nera

ls, t

he lo

fty

ques

tions

ofl

ife

and

deat

h an

d lif

e af

ter d

eath

may

hav

e be

en a

d­dr

esse

d, b

ut th

e pe

rson

lyin

g th

ere

in th

e ca

sket

was

bar

ely

men

tione

d. T

he fu

nera

l may

hav

e su

ccee

ded

as a

sta

ged

ritu

al, b

ut a

s a

cere

mon

y m

eant

to c

omfo

rt th

e m

ourn

ers

and

to p

ut th

e lif

e o

f the

dec

ease

d in

to a

con

text

, it f

aile

d m

iser

ably

. (T

he s

ame

mig

ht b

e sa

id fo

r a b

izar

re re

cent

inve

ntio

n: th

e dr

ive-

in fu

­ne

ral.

You

pay

you

r res

pect

s to

the

dece

ased

with

out h

avin

g to

unb

uckl

e yo

ur sa

fety

bel

t.)

Dep

erso

naliz

ing

deat

h m

akes

it e

asie

r for

eve

ryon

e ex

cept

the

mou

rner

s to

bea

r. E

ven

the

cle

rgy

­w

ho m

ay n

ever

hav

e m

et th

e de

ceas

ed o

r the

fam

ily o

fthe

dec

ease

d--m

ay fi

nd it

far e

asie

r to

prea

ch

abou

t dea

th in

som

e gr

and

theo

retic

al s

ense

than

to th

ink

abou

t an

actu

al h

uman

bei

ng w

hose

life

is

137

over

. "T

he fi

rst t

ime

I dea

lt w

ith a

per

son

who

was

gri

evin

g, I

was

a d

eaco

n fr

esh

out o

f sch

ool a

nd I

fe

lt un

prep

ared

," s

aid

the

vene

rabl

e H

arts

horn

Mur

phy,

Jr.,

oft

he E

pisc

opal

Arc

hdio

cese

of L

os A

nge­

les.

"M

any

of u

s co

pe w

ith th

at s

ituat

ion

by h

idin

g be

hind

pra

yers

. In

one

resp

ect,

it's

hea

lthy,

in th

at it

tr

ies

to p

ut d

eath

in a

larg

er p

ictu

re. I

n an

othe

r way

, it's

hid

ing.

I w

ould

put

on

this

aur

a o

f the

pri

est a

nd

so w

as u

ntou

ched

by

the

pain

."

For m

ourn

ers,

that

pai

n is

unav

oida

bly

pres

ent.

Pers

onal

izin

g th

e fu

nera

l or b

eing

invo

lved

in it

s pl

anni

ng c

an o

ffer

a w

ay to

ass

uage

som

e o

f tha

t pai

n by

doi

ng s

omet

hing

for t

he d

ecea

sed.

Bei

ng in

­vo

lved

faci

litat

es m

ourn

ing

by tu

rnin

g th

e gr

ievi

ng in

to a

n ac

tive

rath

er th

an a

pas

sive

pro

cess

. H

owev

er, m

any

mou

rner

s ar

e fa

r too

gri

ef-s

tric

ken

at th

e tim

e of

the

fune

ral t

o do

any

thin

g at

all.

G

ettin

g dr

esse

d is

har

d; w

alki

ng to

the

fron

t doo

r is

hard

; say

ing

"hel

lo"

is h

ard.

For

tuna

tely

, the

re a

re

man

y sm

all w

ays

of p

erso

naliz

ing

the

serv

ice.

Cho

osin

g yo

ur o

wn

mus

ic h

as th

at e

ffec

t. M

y fa

ther

love

d th

e bi

g-ba

nd m

usic

of t

he f

ortie

s an

d fif

ties,

and

that

's w

hat w

e pl

ayed

at h

is f

uner

al. R

eadi

ng fr

om a

fa­

vori

te b

ook

can

also

turn

a st

anda

rd s

ervi

ce in

to s

omet

hing

intim

ate

and

mov

ing.

At C

ari's

fune

ral,

we

read

from

The

Lit

tle

Pri

nce.

Oth

er m

ourn

ers

have

cho

sen

sele

ctio

ns ra

ngin

g fr

om T

.S. E

liot

's F

our

Qua

rtet

s to

poe

try

wri

tten

by th

e de

ceas

ed.

Hav

ing

a eu

logy

is a

n ex

celle

nt w

ay to

mak

e su

re th

e de

ceas

ed is

ref

lect

ed in

the

serv

ice.

"It

's im

­po

rtan

t to

talk

abo

ut th

e pe

rson

," s

tate

s A

rchd

eaco

n M

urph

y. "

We

didn

't us

ed to

do

eulo

gies

. Tha

t's

chan

ging

. Peo

ple

wan

t to

mar

k th

e lif

e th

at h

as p

asse

d."

Mou

rner

s of

ten

feel

inc

apab

le o

f giv

ing

a eu

logy

them

selv

es, w

hich

is o

ne re

ason

why

mos

t of t

he

time,

the

cler

gy d

oes

it. B

ut y

ou m

ight

ask

a fr

iend

or r

elat

ive,

som

eone

who

had

a re

al r

elat

ions

hip

with

th

e de

ceas

ed, t

o sp

eak

a fe

w w

ords

. Tho

se p

erso

nal r

emin

isce

nces

are

goo

d to

hea

r at t

hat t

ime.

Ifi

t's

poss

ible

, you

mig

ht s

peak

a fe

w w

ords

you

rsel

f, as

Dia

ne 1

. Will

iam

s di

d at

her

cou

sin'

s fu

nera

l: O

n th

e da

y sh

e di

ed, L

aure

n's

pare

nts

aske

d m

e to

spe

ak. I

t sca

red

me-

-I'v

e ne

ver

spok

en li

ke th

at b

efor

e. I

talk

ed a

bout

how

Lau

ren

and

I bec

ame

frie

nds

over

a b

ox o

f cr

ayon

s an

d ho

w s

he li

ked

grue

som

e m

ovie

s, a

nd e

very

one

laug

hed.

I ta

lked

abo

ut th

e th

ree

days

Lau

ren

and

I spe

nt to

geth

er w

hen

my

brot

her g

ot m

arri

ed.

I was

gla

d I s

poke

bec

ause

mos

t of t

he ti

me,

nob

ody

wan

ts to

hea

r you

talk

abo

ut

som

eone

who

's d

ead.

It w

as a

reli

efto

say,

this

is w

hy I

love

d he

r, th

is is

why

I'm

goi

ng to

m

iss

her s

o m

uch.

Aft

erw

ard,

ther

e w

as a

n aw

kwar

d sp

ace

and

then

peo

ple

star

ted

com

ing

up a

nd in

trod

ucin

g th

emse

lves

to m

e an

d th

anki

ng m

e. I

t mad

e m

e fe

el g

ood.

A

t man

y fu

nera

ls to

day,

fri

ends

and

fam

ily m

embe

rs a

re in

vite

d to

sha

re a

necd

otes

abo

ut th

e de

­ce

ased

. The

pic

ture

that

em

erge

s ca

n be

trem

endo

usly

mov

ing.

A

noth

er w

ay to

per

sona

lize

the

serv

ice

is to

inco

rpor

ate

phot

ogra

phs

into

the

surr

ound

ings

, pos

sibl

y by

pla

cing

them

aro

und

the

fune

ral c

hape

l or a

t the

gra

ve s

ite d

urin

g th

e bu

rial

ser

vice

. Or s

et u

p a

mem

orab

ilia

tabl

e fil

led

with

pho

togr

aphs

and

obj

ects

rem

inis

cent

oft

he d

ecea

sed-

thin

gs th

at c

an h

elp

the

livin

g fin

d w

ays

to ta

lk a

bout

the

dead

. T

echn

olog

y ha

s al

so a

ffec

ted

the

fune

ral

indu

stry

, and

som

e m

ay b

e su

rpri

sed

that

its

impa

ct h

as

been

bot

h po

sitiv

e an

d pe

rson

al. W

hen

my

frie

nd C

arol

Sha

mha

rt's

hus

band

, Val

Hum

phre

ys, d

ied

of

canc

er, s

he p

laye

d a

cass

ette

tape

in w

hich

he

talk

ed a

bout

his

impe

ndin

g de

ath.

I h

ardl

y kn

ew th

e m

an,

but I

sob

bed,

as

did

ever

yone

els

e.

Vid

eo d

ispl

ays

are

anot

her r

ecen

t inn

ovat

ion.

"A

vid

eo s

cree

n is

plac

ed in

fro

nt o

fthe

fune

ral

chap

el,"

stat

es W

illia

m H

ocke

r. "P

ictu

res o

f the

per

son

who

die

d, b

egin

ning

with

thei

r you

th a

nd c

on­

tinui

ng th

roug

h th

eir m

arri

age

and

into

thei

r old

age

, are

fla

shed

on

the

scre

en in

ters

pers

ed w

ith s

cene

s fr

om th

e pe

rson

's a

rea

or h

is s

tate

. Not

hing

is s

aid

but m

usic

is p

laye

d. I

t can

be

terr

ibly

touc

hing

and

be

autif

ul. "

Pr

obab

ly th

e m

ost c

reat

ive

fune

rals

are

thos

e he

ld fo

r peo

ple

who

se d

eath

s w

ere

antic

ipat

ed, a

llow

­in

g th

e dy

ing

pers

on to

mak

e sp

ecia

l req

uest

s an

d th

e m

ourn

ers

to p

lan

a pe

rson

aliz

ed fu

nera

l. In

som

e

138

• •

case

s, th

e re

ques

ts a

re v

ery

smal

l. Fo

r ins

tanc

e, H

arry

Ros

enzw

eig,

who

was

cha

irm

an o

fthe

Rep

ubli­

can

Part

y in

Ari

zona

for o

ver f

ifte

en y

ears

, was

sur

pris

ed w

hen

he re

ad h

is w

ife

Sand

y's

will

aft

er sh

e di

ed. "

She

had

pic

ked

out e

ight

ver

y cl

ose

wom

en f

rien

ds to

be

her p

allb

eare

rs,"

he

said

. "T

he m

orti­

cian

sai

d he

's n

ever

see

n th

at."

O

ccas

iona

lly, p

eopl

e ar

e ex

trao

rdin

arily

inve

ntiv

e. S

hort

ly b

efor

e hi

s ow

n de

ath,

Los

Ang

eles

art

ist

Ben

jam

in C

ole

atte

nded

the

fune

ral o

f a c

lose

frie

nd in

New

Orl

eans

who

die

d o

f AID

S: "

He

was

cre

­m

ated

. His

frie

nd E

mily

mix

ed h

is a

shes

with

glit

ter a

nd c

onfe

tti a

nd e

very

one

got a

smal

l box

. The

n th

ey

had

a pa

rade

to th

e M

issi

ssip

pi R

iver

and

they

thre

w h

im in

." I

t's c

erta

inly

not

a tr

aditi

onal

ser

vice

; but

be

caus

e it

refl

ects

so

muc

h ab

out t

he d

ecea

sed,

it m

ust h

ave

been

incr

edib

ly m

ovin

g. A

nd s

urel

y th

ose

who

par

ticip

ated

mus

t hav

e fe

lt bo

th c

onne

cted

to th

e de

ceas

ed a

nd b

ound

to e

ach

othe

r.

ME

MO

RIA

L S

ER

VIC

ES

Man

y cu

lture

s, r

ecog

nizi

ng h

ow a

goni

zing

the

first

few

wee

ks o

f mou

rnin

g ar

e al

so h

old

anot

her c

er­

emon

y a

few

wee

ks a

fter

the

fune

ral.

Tra

ditio

nally

, for

exa

mpl

e, th

e G

reek

Ort

hodo

x ha

ve a

fort

y-da

y ce

rem

ony,

as

do m

any

Mus

lims.

Cat

holic

ism

mar

ks th

e fir

st th

irty

day

s w

ith a

"M

onth

's M

ind

Mas

s,"

alth

ough

thos

e ar

e no

t as

prev

alen

t as

they

onc

e w

ere.

Our

dis

com

fort

with

dea

th h

as c

ause

d us

to tu

m

away

from

man

y o

f the

rel

igio

us o

bser

vanc

es th

at tr

aditi

onal

ly p

rovi

ded

a st

ruct

ure

for g

riev

ing

and

a w

ay o

f rel

easi

ng s

ome

of t

hose

feel

ings

. Se

cula

r mem

oria

l ser

vice

s, h

owev

er, o

ften

acc

ompl

ish

the

sam

e go

al o

f rec

ogni

zing

that

initi

al p

e­rio

d. W

eeks

or e

ven

mon

ths

afte

r the

fun

eral

, the

se s

ervi

ces

prov

ide

addi

tiona

l opp

ortu

nitie

s to

mak

e pe

rson

al g

estu

res,

to a

ckno

wle

dge

the

loss

, and

to c

onne

ct w

ith o

ther

mou

rner

s. "

I wen

t to

a m

emor

ial

serv

ice

for

Sam

Pec

kinp

ah,"

sta

tes

actr

ess

Mar

iette

Har

tley.

"Ja

son

Rob

ards

and

I h

ad n

ever

met

be­

fore

, and

we

sobb

ed in

eac

h ot

her's

arm

s. I

t was

an

exte

nsio

n o

f our

live

s. M

emor

ial s

ervi

ces

are

vita

lly

impo

rtan

t bec

ause

you

're

surr

ound

ed b

y fr

iend

s, a

nd w

ords

are

spo

ken,

and

you

can

say

goo

d-by

e w

ith w

itnes

ses.

" B

ecau

se m

emor

ial s

ervi

ces

are

less

rigi

dly

stru

ctur

ed th

an fu

nera

ls, t

hey

can

be c

reat

ed in

a fo

rm th

e de

ceas

ed m

ight

hav

e ap

prec

iate

d. W

hen

twen

ty-n

ine-

year

-old

Ben

jam

in C

ole

died

of A

IDS,

his

be­

reav

ed fr

iend

s he

ld a

mem

oria

l for

him

. One

oft

hem

told

us

abou

t tha

t eve

nt:

I atte

nded

a p

arty

for

Ben

jam

in. I

t was

dif

ficu

lt be

caus

e pe

ople

wer

e dr

unk

and

emo­

tiona

l and

wee

ping

. The

bes

t par

t was

that

a fr

iend

of h

is m

ade

an in

cred

ible

alta

r, co

vere

d w

ith m

irro

rs a

nd c

andl

es a

nd, i

n th

e m

iddl

e, B

en's

han

d-pa

inte

d je

ans j

acke

t. Pe

ople

wer

e as

ked

to b

ring

pho

togr

aphs

and

item

s th

at b

elon

ged

to h

im a

nd to

pla

ce th

em o

n th

e al

tar.

Whe

n w

e le

ft, w

e w

ere

each

invi

ted

to ta

ke s

omet

hing

as

a m

emen

to.

Mem

oria

l ser

vice

s ca

n be

sm

all g

athe

ring

s at

whi

ch p

eopl

e si

mpl

y sh

are

mem

orie

s. "

I atte

nded

a

mem

oria

l ser

vice

for a

n ar

t tea

cher

who

had

ver

y de

vote

d st

uden

ts,"

a L

os A

ngel

es b

iogr

aphe

r sai

d. "

A

form

er s

tude

nt, a

col

leag

ue, a

chi

ldho

od f

rien

d-a

n o

ld m

an h

e gr

ew u

p w

ith-

-and

his

wif

e al

l spo

ke.

His

rec

ent a

rtw

ork

had

been

hun

g on

the

wal

ls, a

nd th

ere

was

a s

tron

g se

nse

of c

ompl

etio

n an

d w

hole

­ne

ss a

bout

them

. The

ser

vice

real

ly w

as a

cel

ebra

tion

of h

is li

fe."

Hea

ring

that

stor

y re

min

ded

me

of t

he

one

regr

et w

e ha

d at

my

fath

er's

fune

ral,

whi

ch w

as th

at w

e ha

dn't

disp

laye

d hi

s ph

otog

raph

s. H

e w

as

a w

onde

rful

pho

togr

aphe

r. It

wou

ld h

ave

been

nic

e to

see

his

pic

ture

s at

the

fune

ral,

and

I bel

ieve

he

wou

ld h

ave

liked

the

gest

ure.

W

hen

the

dece

ased

had

a v

ery

wid

e ne

twor

k o

f fri

ends

and

acq

uain

tanc

es, m

emor

ial s

ervi

ces

can

prov

ide

a m

ore

publ

ic k

ind

of m

ourn

ing.

A fe

w m

onth

s af

ter h

is w

ife d

ied,

Ron

Ham

mes

rece

ived

a c

all

from

the

publ

ishi

ng h

ouse

whe

re s

he h

ad w

orke

d, a

skin

g hi

m to

take

par

t in

plan

ning

a m

emor

ial s

er­

VIce

: I a

rran

ged

for a

ser

vice

to b

e he

ld a

t Bar

nard

Col

lege

, whe

re T

obi w

ent t

o sc

hool

. She

w

as v

ery

fond

of B

arna

rd. T

ryin

g to

do

it in

the

styl

e sh

e w

ould

hav

e lik

ed, I

had

it c

ater

ed

139

with

lots

of h

er fa

vori

te f

oods

. I o

rder

ed c

ham

pagn

e an

d ca

viar

. I g

ot in

touc

h w

ith a

you

ng

wom

an fr

om th

e M

anha

ttan

Scho

ol o

f Mus

ic w

ho c

ame

and

play

ed a

ll th

e w

onde

rful

son

gs

from

the

sixt

ies t

hat T

obi l

oved

so m

uch.

The

re w

ere

a fe

w s

peak

ers,

incl

udin

g re

pres

enta

­tiv

es fr

om B

arna

rd a

nd B

anta

m, a

frie

nd o

fTob

i's w

ho h

as s

ince

die

d o

f AID

S, a

nd T

obi's

w

ritin

g te

ache

r, Jo

y C

hu, w

ho d

ied

only

a m

onth

or t

wo

late

r, an

d T

obi '

s si

ster

. I m

ade

a to

ast t

o T

obi '

s lif

e. O

ver t

hree

hun

dred

peo

ple

wer

e th

ere,

whi

ch I

felt

was

a w

onde

rful

tr

ibut

e to

Tob

i. Pe

ople

wan

ted

to k

now

wha

t to

do, a

nd I

ask

ed th

at c

ontr

ibut

ions

be

mad

e to

the

Am

eric

an F

ound

atio

n fo

r A

IDS

Res

earc

h. T

hat w

as th

e w

ay s

he w

ould

hav

e w

ante

d it.

AN

NIV

ER

SAR

Y R

ITU

AL

S T

he fi

rst a

nniv

ersa

ry o

fthe

dea

th is

reco

gniz

ed a

s im

port

ant i

n m

any

cultu

res.

The

loss

is s

till s

o fr

esh,

the

grie

f so

stro

ng. Y

et th

e de

sire

to m

ove

away

from

gri

evin

g an

d in

to th

e en

joym

ent o

flif

e is

als

o pr

esen

t. F

or th

at re

ason

, the

end

of t

he f

irst

yea

r is

ofte

n m

arke

d by

a ri

tual

obs

erva

nce

of s

ome

kind

. A

mon

g W

este

rn re

ligio

ns, J

udai

sm is

mos

t spe

cific

in it

s gu

idel

ines

for m

ourn

ing.

Eac

h da

y du

ring

th

e fi

rst y

ears

, mou

rner

s re

cite

the

Kad

dish

, a p

raye

r in

prai

se o

flif

e. O

n th

e an

nive

rsar

y, k

now

n as

Y

ahrz

eit,

a ca

ndle

is li

t and

the

Kad

dish

is s

aid.

Aft

erw

ard,

it is

no

long

er sp

oken

dai

ly. "

The

folk

trad

i­tio

n is

that

the

soul

now

find

s pe

ace,

" R

abbi

Lau

ra G

elle

r exp

lain

s. "

Ano

ther

way

to s

ee it

is th

at th

e so

ul n

eeds

you

to le

t go

of i

t. It

's n

ot ju

st fo

r the

mou

rner

s th

at th

ere

need

s to

be

a tim

e w

hen

mou

rnin

g is

less

inte

nse,

but

for t

he d

ead

pers

on a

s w

ell."

Fro

m th

en o

n, K

addi

sh is

spo

ken

only

on

cert

ain

high

ho

ly d

ays

and

on th

e an

nive

rsar

y-fo

r the

res

t of y

our l

ife. "

As

long

as

you'

re a

live

to s

ay K

addi

sh,

you'

re e

ffec

tivel

y sa

ying

in a

ritu

al w

ay th

at th

is re

latio

nshi

p co

ntin

ues,

" R

abbi

Gel

ler s

tate

s. "

It's

dif

fer­

ent n

ow, b

ut it

nev

er e

nds.

" T

he fi

rst a

nniv

ersa

ry is

n't t

he o

nly

one

that

hur

ts. "

Gri

ef re

turn

s w

ith th

e re

volv

ing

year

," w

rote

the

poet

Per

cy B

yssh

e Sh

elle

y, a

nd h

e di

dn't

just

mea

n th

e fir

st y

ear;

it h

appe

ns e

very

yea

r for

a lo

ng, l

ong

time.

Tha

t's w

hy m

any

cultu

res

and

relig

ions

set

asi

de o

ne d

ay in

the

year

whe

n m

ourn

ers

can

take

spe

­ci

al n

ote

ofth

e lo

sses

they

hav

e su

ffer

ed. I

n Ju

dais

m, s

peci

al s

ervi

ces

acco

mpa

ny Y

om K

ippu

r, th

e D

ay

of A

tone

men

t, th

e m

ost i

mpo

rtan

t day

in th

e Je

wis

h ye

ar. I

n C

atho

licis

m, o

n A

ll S

ouls

' Day

, Nov

embe

r 2,

the

nam

es o

ftho

se w

ho h

ave

died

are

read

alo

ud a

nd m

ourn

ers

light

can

dles

. Pos

sibl

y th

e m

ost e

x­te

nsiv

e ye

arly

ritu

al is

a v

aria

tion

of A

ll S

ouls

' Day

: the

Mex

ican

Day

oft

he D

ead.

Pri

or to

the

actu

al

day,

peo

ple

crea

te a

ltars

at h

ome

feat

urin

g ph

otog

raph

s, fl

ower

s, c

akes

, can

dles

, and

the

favo

rite

foo

ds

of t

he d

ecea

sed.

Mem

ento

mor

i, in

clud

ing

little

toy

skel

eton

s doi

ng e

very

thin

g fr

om p

layi

ng in

mar

iach

i ba

nds

to g

ettin

g m

arri

ed, a

re U

biqu

itous

. On

the

Day

of t

he D

ead,

peo

ple

spen

d th

e ni

ght a

t the

cem

­et

ery,

dan

cing

, eat

ing,

dri

nkin

g, a

nd o

ffer

ing

cand

y sk

ulls

and

cof

fins

to th

eir d

ead

rela

tives

and

frie

nds.

T

he id

ea is

not

to d

wel

l on

deat

h in

a m

orbi

d w

ay b

ut to

dem

ystif

y it,

to a

llow

mou

rner

s to

thin

k ab

out

deat

h in

a g

ener

al w

ay, t

o re

mem

ber t

he p

artic

ular

dea

ths

in th

eir o

wn

lives

, to

grie

ve, a

nd to

mov

e on

. T

hose

ritu

al a

ckno

wle

dgm

ents

ser

ve th

e ps

ycho

logi

cal p

urpo

se o

f rec

ogni

zing

the

cont

inue

d gr

ief

that

mou

rner

s m

ay fe

el. T

hose

feel

ings

are

mos

t lik

ely

to a

rise

on

the

anni

vers

ary:

the

anni

vers

ary

syn­

drom

e ca

n ev

en a

ffec

t peo

ple

who

do

not c

onsc

ious

ly re

mem

ber t

he d

ate.

Som

e ye

ars

are

mor

e di

ffi­

cult

than

oth

ers.

One

yea

r whe

n I w

as f

eelin

g pa

rtic

ular

ly s

ad a

bout

Car

i and

was

far f

rom

the

cem

eter

y w

here

she

is b

urie

d, m

y fr

iend

Mic

hael

Bis

sonn

ette

and

I b

ough

t a b

ouqu

et o

f ros

es, w

alke

d to

the

beac

h, a

nd to

ssed

them

into

the

ocea

n. S

ymbo

lic g

estu

res

like

that

can

pro

vide

pow

erfu

l rel

ease

and

a

grea

t dea

l of c

omfo

rt th

at g

oes

beyo

nd w

hat y

ou m

ight

gai

n fr

om c

ryin

g on

you

r bed

(alth

ough

that

's

also

som

ethi

ng y

ou s

houl

d al

low

you

rsel

fto

do).

By

actin

g on

you

r sor

row

, you

beg

in to

rel

ease

it.

140

Bib

liog

raph

y

Allo

di F

. T

he c

hild

ren

of v

ictim

s o

f pol

itica

l per

secu

tion

and

tort

ure:

A p

sych

olog

ical

stu

dy o

f a

Lat

in A

mer

ican

ref

ugee

com

mun

ity.

Inte

rnat

iona

l Jou

rnal

~rMental H

ealt

h 19

89,

18: 3

-15.

A

ltsh

uler

JL

, Rub

le O

N.

Dev

elop

men

tal

chan

ges

in c

hild

ren'

s aw

aren

ess

of s

trat

egie

s fo

r co

ping

wit

h un

cont

roll

able

str

ess.

C

hild

Dev

elop

men

t 19

89, 6

0: 1

337-

1349

. A

ntho

ny S

. Th

e C

hild

ren

s Dis

cove

ry ~fDeath.

New

Yor

k: H

arco

urt,

Bra

ce,

1940

. A

pple

baum

DR

, B

ums

GL

. U

nexp

ecte

d ch

ildh

ood

deat

h: P

ost-

trau

mat

ic s

tres

s di

sord

er in

su

rviv

ing

sibl

ings

and

par

ents

. Jo

urna

l ~r C

lini

cal

Chi

ld P

sych

olog

y 19

91, 2

0: 1

14-1

20.

Arm

swor

th M

W, H

olad

ay M

. T

he e

ffec

ts o

f psy

chol

ogic

al tr

aum

a on

chi

ldre

n an

d ad

oles

­ce

nts.

Jou

rnal

~rCounseling a

nd D

evel

opm

ent

1993

, 71

(4):

49-

56.

Bal

k D

. E

ffec

ts o

f sib

ling

dea

th o

n te

enag

ers.

Jou

rnal

of S

choo

l Hea

lth

1983

,53:

14-

18

Ban

d E

B,

Wei

sz J

R.

How

to f

eel

bett

er w

hen

it fe

els

bad:

C

hild

ren'

s pe

rspe

ctiv

es o

n co

ping

w

ith

ever

yday

str

ess.

D

evel

opm

enta

l Psy

chol

ogy

1988

,24:

247-

253.

B

ened

ek E

D.

Chi

ldre

n an

d di

sast

er:

Em

ergi

ng i

ssue

s.

Psy

chia

tric

Ann

als

1985

, 15

: 168

-172

. B

erli

ner L

, B

arbi

eri

MK

. T

he t

esti

mon

y o

f the

chi

ld v

icti

m o

f sex

ual

assa

ult.

Jour

nal ~

r

Soci

all')

sues

19

84,

40(2

): 1

25-1

37.

__

-',

Con

te J

R.

The

pro

cess

of v

icti

miz

atio

n: T

he v

icti

m's

per

spec

tive

. C

hild

Abu

se

and

Neg

lect

19

90,

14:

29-4

0.

Ber

zons

ky M

D.

A p

reli

min

ary

inve

stig

atio

n o

f chi

ldre

n's

conc

epti

on o

flif

e an

d de

ath.

M

erri

ll-P

alm

er Q

uart

erly

19

87,3

3: 5

05-5

13.

Bir

bace

R,

Wal

sh M

E.

(eds

).

New

Dir

ecti

onsf

or C

hild

Dev

elop

men

t:

Chi

ldre

n 50

Con

cep­

tion

s ~r H

ealth

, Il

lnes

s an

d B

odil

y F

unct

ion.

Sa

n F

ranc

isco

: Jo

ssey

-Bas

s, 1

981.

B

loom

GE

. A

sch

ool d

isast

er-

Inte

rven

tion

and

res

earc

h as

pect

s. J

ourn

al ~rthe A

mer

ican

A

cade

my

of C

hild

Psy

chia

try

1986

,25:

336

-345

. B

owlb

y J.

G

rief

and

mou

rnin

g in

inf

ancy

and

ear

ly c

hild

hood

. P

sych

oana

lyti

c St

udy ~rth

e

Chi

ld

1960

, 15

: 9-

52.

__

_ . C

hild

hood

mou

rnin

g an

d it

s im

plic

atio

ns f

or p

sych

iatr

y. A

mer

ican

Jou

rnal

of

P.\:

vchi

atry

19

61,

18:

481-

498.

_

__

. P

roce

sses

of m

ourn

ing.

Int

erna

tion

al J

ourn

al o

f Psy

choa

naly

sis

1961

,44:

317

. _

__

. Att

achm

ent a

nd L

oss:

Vol

. 3.

Los

s, S

adne

ss a

nd D

epre

ssio

n.

New

Yor

k: B

asic

B

ooks

, 19

80.

__

-,'

On

know

ing

wha

t you

are

not

sup

pose

d to

kno

w a

nd f

eelin

g w

hat y

ou a

re n

ot s

uppo

sed

to f

eel.

Can

adia

n Jo

urna

l of P

sych

iatr

y 19

79; 2

4: 4

03-4

08.

Boy

d-W

ebb

N.

(ed)

. P

lay

The

rapy

with

Chi

ldre

n in

Cri

sis.

N

ew Y

ork,

Gui

lfor

d P

ress

, 19

91.

Bra

dbur

n IS

. A

fter

the

eart

h sh

ook:

Chi

ldre

n's

stre

ss s

ympt

oms

6-8

mon

ths

afte

r a

disa

ster

. A

dvan

ces

in B

ehav

ior

Res

earc

h an

d Th

erap

y 19

91,1

3: 1

73-1

79.

Bra

ssar

d M

R,

Ger

mai

n R

, H

art

SN.

Psy

chol

ogic

al M

altr

eatm

ent ~r

Chii

dren

an

d Y

outh

. N

ew Y

ork:

Per

gam

on,

1987

. B

rodk

in A

M,

Ter

r L

. C

hild

hood

tra

uma.

In

stru

ctor

19

92,

101

(8):

23-2

4.

Bur

key

J, B

orus

J, B

ums

B, M

ills

tein

K,

Bea

slet

M.

Cha

nges

in c

hild

ren'

s be

havi

or a

fter

a

natu

ral

disa

ster

. A

mer

ican

Jou

rnal

~f'Psychiatry

1982

, 13

9: 1

010-

1014

. C

arls

on B

E.

Chi

ldre

n's

obse

rvat

ions

of i

nter

pare

ntal

vio

lenc

e. I

n R

ober

ts A

R. (

ed).

Bat

tere

d W

omen

an

d T

heir

Fam

ilie

s: I

nter

vent

ion

Stra

tegi

es a

nd T

reat

men

t Pro

gram

s.

New

Yor

k:

Spr

inge

r, 1

984:

147

-167

.

141

Car

pent

er B

. (ed

). P

erso

nal C

opin

g: T

heor

y. R

esea

rch

and

App

lica

tion

. N

ew Y

ork:

Pra

eger

, 19

92. Car

ter

SR.

Use

of p

uppe

ts to

tre

at tr

aum

atic

gri

ef:

A c

ase

stud

y. E

lem

enta

ry S

choo

l Gui

danc

e a

nd

Cou

nsel

ing

1987

,21

(3):

210

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C

sapo

M.

Pos

t-tr

aum

atic

str

ess

diso

rder

in c

hild

ren:

R

ecog

niti

on o

f beh

avio

ral

sign

s. B

riti

sh

Col

umbi

a Jo

urna

l o

f Spe

cial

Edu

cati

on

1991

, 15

(2):

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-126

. C

eci

SJ,

Tog

lia

MP,

Ros

s D

F.

Chi

ldre

n: ..

Eye

wit

ness

Mem

ory.

N

ew Y

ork:

Spr

inge

r-V

erla

g,

1987

. Chi

ldre

ss P

, Wim

mer

M.

The

con

cept

of d

eath

in e

arly

chi

ldho

od.

Chi

ldho

od D

evel

opm

ent

1971

, 41:

129

9-13

01.

Chi

lds-

Gow

ell,

Ela

ine.

Goo

d G

rief

Rit

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arry

tow

n, N

Y:

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ss,

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him

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r JA

, K

hali

feh

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ren'

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acti

ons

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ar-r

elat

ed s

tres

s. S

ocia

l Psy

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­tr

y a

nd

Psy

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tric

Epi

dem

iolo

gy

1989

,26:

282

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. C

layt

on P

, Des

mar

alis

L, W

inok

ur G

. A

stu

dy o

fno

nn

al b

erea

vem

ent.

Am

eric

an J

ourn

al ~l

Psy

chia

try

1968

, 12

5(2)

: 16

8-17

8 C

ompa

s B

E.

Cop

ing

wit

h st

ress

dur

ing

chil

dhoo

d an

d ad

oles

cenc

e. P

,\ych

olog

ical

Bul

leti

n 19

87,1

01:

393-

403.

_

__

, Mal

carn

e V

L,

Fon

daca

ro K

M.

Cop

ing

wit

h st

ress

ful

even

ts in

old

er c

hild

ren

and

youn

ger

adol

esce

nts.

Jo

urna

l ~l C

onsu

ltin

g an

d C

lini

cal

Psy

chol

ogy

1988

, 56

:405

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. _

_ -" H

owel

l DC

, Pha

res

V, W

illia

ms

RA

, Led

oux

N.

Pare

nt a

nd c

hild

str

ess

and

sym

ptom

s:

An

inte

grat

ive

anal

ysis

. D

evel

opm

enta

l Psy

chol

ogy

1989

,550

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. _

_ --

', B

anez

GA

, M

alca

rne

VL

, W

orsh

am N

. P

erce

ived

con

trol

and

cop

ing

wit

h st

ress

: A

de

velo

pmen

tal

pers

pect

ive.

Jo

urna

l ~lSocial I

ssue

s 19

91,4

7: 2

3-34

. C

orr

CA

. T

each

ing

a C

olle

ge C

ours

e on

Chi

ldre

n an

d D

eath

-A

13

Yea

r R

epor

t. D

eath

St

udie

s 19

92,

16(4

): 3

43-3

56.

Cot

ton

CR

, Ran

ge L

M.

Chi

ldre

n's

deat

h co

ncep

ts:

Rel

atio

nshi

p to

cog

niti

ve f

unct

ioni

ng,

age,

ex

peri

ence

wit

h de

ath,

fea

r o

f dea

th,

and

hope

less

ness

. Jo

urna

l ~f

Clin

ical

Chi

ld P

sych

olog

y 19

90,

19:

123-

127.

C

rens

haw

, Dav

id A

. B

erea

vem

ent:

Cou

nsel

ing

the

Gri

evin

g th

roug

hout

the

Lif

e C

ycle

. N

ew Y

ork,

N

Y: C

ross

road

Pub

lishi

ng,

1995

. C

urry

SL

, Rus

s S.

Id

enti

fyin

g co

ping

str

ateg

ies

in c

hild

ren.

Jou

rnal

~fC

lini

cal

Chi

ld P

sy­

chol

ogy

1985

,14:

61-

69.

Dav

ies

B. T

he f

amil

y en

viro

nmen

t in

bere

aved

fam

ilie

s an

d its

rel

atio

nshi

p to

sur

vivi

ng s

ibli

ng

beha

vior

. C

hild

ren s H

ealt

h C

are

1988

, 17

: 22

-31.

D

avis

GC

, Bre

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Pos

ttra

umat

ic s

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Som

e ef

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ch

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en o

f the

vio

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des

truc

tion

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com

mun

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In

tern

atio

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ourn

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enta

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h 19

89,

18:

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Dey

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Cor

bin

BA

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elpi

ng e

arly

ado

lesc

ents

tell

-A

gui

ded

exer

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for

trau

ma­

focu

sed

sexu

al a

buse

tre

atm

ent g

roup

s.

Chi

ld W

elfa

re

1994

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2):

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154.

D

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D, S

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d P

(eds

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he P

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s an

d M

ourn

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Psy

choa

naly

tic

Per

spec

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ves.

N

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Int

erna

tion

al U

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8.

Dok

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Gri

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MA

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Boo

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olli

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S1.

The

nee

d fo

r m

eani

ng f

ollo

win

g di

sast

er:

Att

ribu

tion

s an

d em

otio

nal u

pset

. P

erso

nali

ty a

nd

Soc

ial P

sych

olog

y B

ulle

tin

1986

, 12

: 30

0-31

0.

142

__

_ " O

n th

e va

riet

ies

of c

hild

hood

sle

ep d

istu

rban

ce.

Jour

nal o

/Cli

nica

l Chi

ld P

sych

olog

y 19

82,1

1: 1

07-1

15.

__

~. L

ight

ning

-str

ike

disa

ster

am

ong

child

ren.

Bri

tish

Jour

nal o

.lMed

ical

Psy

chol

ogy

1985

,58:

375

-383

. _

__

" T

he m

easu

rem

ent o

f chi

ldre

n's

slee

p di

stur

banc

es a

nd s

omat

ic c

ompl

aint

s fo

llow

ing

a di

sast

er.

Chi

ld P

sych

iatr

y an

d H

uman

Dev

elop

men

t 19

86,

16:

148-

153.

_

_ -',

Cra

mer

P.

Chi

ldre

n's

defe

nsiv

e re

spon

ses

and

emot

iona

l up

set f

ollo

win

g a

disa

ster

: A

pro

ject

ass

essm

ent.

Jou

rnal

o.l

Per

sona

lity

Ass

essm

ent

1990

, 54:

116

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. _

__

, O'D

onne

ll J

P, S

tale

y A

A.

Lig

htni

ng s

trik

e di

sast

er:

Eff

ects

on

chil

dren

's f

ears

and

w

orri

es.

Jour

nal

o.l C

onsu

ltin

g an

d C

lini

cal

Psy

chol

ogy

1984

, 52:

102

8-10

38.

Ear

l W

L.

Per

ceiv

ed t

raum

a: I

ts e

tiol

ogy

and

trea

tmen

t. A

dole

scen

ce

1991

, 26:

97-

104.

E

arls

F, S

mit

h E

, Rei

ch W

, Jun

g K

G.

Inve

stig

atin

g ps

ycho

path

olog

ical

con

sequ

ence

s o

f a

disa

ster

in c

hild

ren:

A

pil

ot s

tudy

inco

rpor

atin

g a

stru

ctur

ed d

iagn

osis

app

roac

h. J

ourn

alo.

lthe

A

mer

ican

Aca

dem

y 0/

Chi

ld a

nd

Ado

lesc

ent P

sych

iatr

y 19

88, 2

7: 9

0-95

. E

ggin

gton

J.

Day

o.lF

ury.

N

ew Y

ork:

Mor

row

, 19

91.

Eli

zur

E, K

aufm

an M

. F

acto

rs in

flue

ncin

g th

e se

veri

ty o

f chi

ldho

od b

erea

vem

ent r

eact

ions

. A

mer

ican

Jou

rnal

o.l

Ort

hops

ychi

atry

19

83,5

3: 6

68-6

76.

Ell

is P

L,

Per

sma

HL

, G

rays

on C

Eo

Inte

rrup

ting

the

reen

actm

ent c

ycle

. A

mer

ican

Jou

rnal

o.l

P.~ychothera

py

1990

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4):

525-

535.

E

th S

, P

ynoo

s R

S. (

eds)

. P

ostt

raum

atic

Str

ess

Dis

orde

r in

Chi

ldre

n.

Was

hing

ton,

DC

: A

mer

ican

Psy

chia

tric

Pre

ss,

1985

. E

vers

tine

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Eve

rsti

ne L

. Se

xual

Tra

uma

In C

hild

ren

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Ado

lesc

ents

. N

ew Y

ork:

B

runn

er/M

azel

, 19

89.

Fam

ular

o R

, K

insc

herf

fR, F

ento

n T.

S

ympt

om d

iffe

renc

es in

acu

te a

nd c

hron

ic p

rese

ntat

ion

of c

hild

hood

pos

t-tr

aum

atic

str

ess

diso

rder

. C

hild

Abu

se a

nd N

egle

ct

1990

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: 43

9-44

4.

Far

bero

w N

L,

Gor

don

NS.

M

an

ua

lfo

r C

hild

Hea

lth

Wor

kers

in

Maj

or D

isas

ters

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, M

D:

Nat

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stit

ute

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enta

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ealt

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986.

F

arre

lly

J, J

osep

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xpre

ssiv

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cri

sis

inte

rven

tion

ser

vice

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e A

rts

in P

sych

o-th

erap

y 19

91,1

8: 1

31-1

37.

Fig

ley

CR

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aum

a an

d it

s W

ake.

New

Yor

k:B

runn

er/M

azel

, 19

85.

__

_ ,. H

elpi

ng T

raum

atiz

ed F

amil

ies.

Sa

n F

ranc

isco

: Jo

ssey

-Bas

s, 1

989.

F

itzg

eral

d, H

elen

. Th

e G

riev

ing

Chi

ld:

A Parent:~

Gui

de.

New

Yor

k, N

Y:

Sim

on &

S

chus

ter,

199

2.

__

_ .

The

Mou

rnin

g H

andb

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N

ew Y

ork,

NY

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imon

& S

chus

ter,

199

4.

Flo

rian

V, K

rave

tz S

. C

hild

ren'

s co

ncep

ts o

f dea

th:

A c

ross

-cul

tura

l co

mpa

riso

n am

ong

Mus

lim

s, D

ruze

, Chr

isti

ans

and

Jew

s in

Isr

ael.

Jour

nal o

.lC

ross

-cul

tura

l Psy

chol

ogy

1985

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: 17

4-18

9.

Fox

SS.

G

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Gri

ef:

Hel

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Gro

ups

o./T

hild

ren

Whe

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Fri

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Die

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Bos

ton,

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Eff

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e up

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icti

ms.

Eva

luat

ion

an

d C

hang

e 19

80, S

peci

al I

ssue

: 71

-75

Fri

edri

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N.

Psy

chot

hera

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xual

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The

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Fry,

Vir

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utto

n C

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ren'

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95.

Fur

man

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A Chi

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Par

ent

Die

s: S

tudi

es in

Chi

ldho

od B

erea

vem

ent.

New

Hav

en:

Yal

e U

nive

rsit

y P

ress

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74.

143

Fur

man

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Chi

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nd

his

Fam

ily:

Th

e Im

pact

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73;

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New

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A.

The

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q{G

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Hel

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Chi

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Thr

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Los

s. N

ew Y

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Plu

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19

88. Gal

ente

R,

Foa

D.

An

epid

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cal s

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of p

sych

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aum

a an

d tr

eatm

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ffec

tive

ness

fo

r ch

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en a

fter

a n

atur

al d

isas

ter.

Jou

rnal

q/'t

he A

mer

ican

Aca

dem

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hild

an

d A

dole

scen

t P

sych

iatr

y 19

86, 2

5: 3

57-3

63.

c

Gam

pel

Y.

Fac

ing

war

, mur

der,

tor

ture

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dea

th i

n la

tenc

y.

Psy

choa

naly

tic

Rev

iew

19

88,

75:

499-

509.

G

arba

rino

J.

Chi

ldre

n in

Dan

ger:

Cop

ing

with

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Con

sequ

ence

s q{

Com

mun

ity

Vio

lenc

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San

Fra

ncis

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199

2.

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no J

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See

ley

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The

Psy

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ogic

al(v

Bat

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d C

hild

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an F

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ass,

198

6.

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fink

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D, C

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A, W

elle

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Dis

orde

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Chi

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n a

nd

Ado

les­

cent

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Phi

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lphi

a: W

.B.

Sau

nder

s, 1

990.

_

_ -" K

oste

lny

K,

Dub

row

N.

Wha

t chi

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n te

ll us

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ut li

ving

in d

ange

r. A

mer

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P

sych

olog

ist.

19

91,4

6(4)

: 37

6-38

3.

Gan

nezy

N,

Rut

ter

M.

(eds

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Stre

ss,

Cop

ing,

and

Dev

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men

t in

Chi

ldho

od.

New

Yor

k:

McG

raw

-Hil

l,19

83.

__

_ , M

aste

n A

S, T

elle

gen

A.

The

stu

dy o

f str

ess

and

com

pete

nce

in c

hild

ren:

A

bui

ld­

ing

bloc

k fo

r de

velo

pmen

tal

psyc

hopa

thol

ogy.

Chi

ld D

evel

opm

ent

1984

,55:

97-

111.

__

_ .

Chi

ldre

n un

der

seve

re s

tres

s:

Cri

tiqu

e an

d co

mm

enta

ry.

Jour

nal q

fth

e A

mer

ican

A

cade

my

q{C

hii

d P

sych

iatr

y 19

86,2

5: 3

84-3

92.

Gil

E.

The

Hea

ling

Pow

er q

{ Pla

y:

Wor

king

with

Abu

sed

Chi

ldre

n.

New

Yor

k: G

uilf

ord,

1991

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dber

ger

L,

Bre

znit

z S.

(ed

s).

Han

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k qf

Stre

ss:

The

oret

ical

and

Cli

nica

l Asp

ects

. N

ew Y

ork:

Fre

e P

ress

, 19

82.

Gol

dman

, L

inda

. L!

{e a

nd

Los

s: A

Gui

de to

Hel

p G

riev

ing

Chi

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n.

Mun

cie,

IN

: A

ccel

er­

ated

Dev

elop

men

t, C

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94.

Gom

es-S

chw

artz

B,

Hor

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z JM

, S

auzi

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ever

ity

of e

mot

iona

l dis

tres

s am

ong

sexu

ally

ab

used

pre

scho

ol, s

choo

l-ag

e, a

nd a

dole

scen

t chi

ldre

n. H

ospi

tal a

nd C

omm

unit

y P

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iatr

y 19

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36:

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G

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A.

Dim

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ons

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sych

olog

ical

trau

ma

in a

buse

d ch

ildre

n. J

ourn

al q

fAm

eric

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Lit

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Boo

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Com

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n: H

arpe

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olli

ns, M

arsh

all

Pic

keri

ng

Pres

s, 1

995.

H

andf

ord

H, M

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S, M

attis

on R

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phre

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Bag

nato

r S, B

ixle

r E, K

ales

J. C

hild

and

par

ent

reac

tion

to th

e T

hree

Mil

e Is

land

nuc

lear

acc

iden

t. Jo

urna

l q{t

he A

mer

ican

Aca

dem

y q

fCh

iid

P

sych

iatr

y 19

86,2

5: 3

46-3

56.

Har

riso

n SI

, D

aven

port

CW

, M

cDen

nott

JF.

C

hild

ren'

s re

acti

ons

to b

erea

vem

ent.

Arc

hive

s q{

Gen

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Psy

chia

try

1967

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: 59

3-59

7.

Har

tman

CR

, B

urge

ss A

W.

Info

nnat

ion

proc

essi

ng o

f tra

uma:

C

ase

appl

icat

ion

ofa

mod

el.

Jour

nal

qf1n

terp

erso

nal

Vio

lenc

e 19

88,

3: 4

43-4

57.

Har

tman

E,

Rus

s D

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fiel

d M

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ivan

I, C

oope

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W

ho h

as n

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mar

es?

Arc

hive

s q{

G

ener

al P

sych

iatr

y 19

87,4

4: 4

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.

144

Haa

sl,

Bet

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nd M

amoc

ha, J

ean.

Ber

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men

t Sup

port

Gro

up P

rogr

amfo

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hild

ren:

Par

tici

­pa

nt W

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M

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men

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axin

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The

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New

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Dut

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Pen

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Pub

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Ele

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Psy

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1979

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Hof

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The

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men

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Stu

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19

85,

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82.

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W, V

alle

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Men

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heal

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onse

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ence

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San

Ysi

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McD

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com

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jour

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St

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89,3

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H

ul C

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D

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Bel

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abo

ut th

e co

nseq

uenc

es o

f dea

th.

jou

rna

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Res

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Per

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19

89,2

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Hor

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mod

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rnin

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sch

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nd

oth

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jou

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mer

i­ca

n M

edic

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ssoc

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__

_ . K

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A.

Mar

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Init

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spon

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Arc

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Psy

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try

1981

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B.

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atin

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36.

__

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Shat

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Tow

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a N

ew P

sych

olog

y rt

f Tra

uma.

N

ew Y

ork:

Fre

e P

ress

, 19

92.

Jew

ett

CL

. H

elpi

ng C

hild

ren

Cop

e w

ith S

epar

atio

n an

d L

oss.

H

arva

rd,

MA

: H

arva

rd

Com

mon

Pre

ss,

1982

. Jo

hnso

n K

. Tr

aum

a in

the

Liv

es r

tf C

hild

ren:

C

risi

s an

d St

ress

Man

agem

ent

Tec

hniq

uesf

or

Cou

nsel

ors

an

d O

ther

Pro

fess

iona

ls.

Cla

rem

ont,

CA

: H

unte

r H

ouse

, 19

89.

John

son

MK

, Fol

ey M

A.

Dif

fere

ntia

ting

fac

t fr

om f

anta

sy:

the

reli

abil

ity

of c

hild

ren'

s m

emor

y.

jou

rna

l rtf

Soc

ial

Issu

es

1984

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33-

50.

John

son

S, M

aile

LJ.

Su

icid

e an

d th

e Sc

hool

s:

A H

andb

ookf

or P

reve

ntio

n, I

nter

vent

ion,

a

nd

Reh

abil

itat

ion.

S

prin

gfie

ld,

IL:

Tho

mas

, 19

87.

Jone

s R

T, R

ibbe

DP.

Chi

ld, a

dole

scen

t, a

nd a

dult

vic

tim

s o

f res

iden

tial

fir

e: P

sych

osoc

ial

cons

eque

nces

. B

ehav

ior

Mod

!fic

atio

n 19

91,

15:

560-

580.

K

affm

an N

, Eli

zur E

. B

erea

vem

ent r

espo

nses

of k

ibbu

tz a

nd n

on-k

ibbu

tz c

hild

ren

foll

owin

g th

e de

ath

of t

he f

athe

r. j

ou

rna

l rtf

Chi

ld P

sych

olog

y a

nd

P.\:

vchi

atry

19

83,2

4: 2

90-2

99.

Kan

e, B

. C

hild

ren'

s co

ncep

ts o

f dea

th.

jour

nal r

tf G

enet

ic P

sych

olog

y 19

79,

13:

141-

153.

K

elle

r PA

, H

eym

an S

R.

(eds

).

Inno

vati

ons

in C

lini

cal P

ract

ice:

A S

ourc

e B

ook

(Vol

. 10

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ota,

FL

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Res

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e E

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Kin

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JD,

Sac

k W

H, A

ngel

l R

H,

Man

son

S, R

ath

B.

The

psy

chia

tric

eff

ects

of m

assi

ve

trau

ma

on C

ambo

dian

chi

ldre

n.

jou

rna

l (?f

"the

Am

eric

an A

cade

my

rtlC

hild

P,\:

ychi

atry

19

86,

25(3

): 3

70-3

76.

Kis

er L

J, A

cker

man

BJ,

Bro

wn

E,

Edw

ards

NB

, M

cCol

gan

E,

Pug

h R

, P

ruit

t D

B.

Pos

t­tr

aum

atic

str

ess

diso

rder

in y

oung

chi

ldre

n:

A r

eact

ion

to p

urpo

rted

sex

ual

abus

e.

jou

rna

l of t

he

Am

eric

an A

cade

my

rtf C

hild

an

d A

dole

scen

t Psy

chia

try

1988

,27(

5):

645-

649.

145

Klin

gman

A.

Pers

uasi

ve c

omm

unic

atio

n in

avo

idan

ce b

ehav

ior:

Usi

ng ro

le s

imul

atio

n as

a s

trat

egy.

Si

mul

atio

n a

nd

Gam

es

1982

, 13

: 37

-50.

_

__

. F

ree

wri

ting

: E

valu

atio

n o

f a p

reve

ntiv

e pr

ogra

m w

ith

elem

enta

ry s

choo

l chi

ldre

n.

Jour

nal

o.f S

choo

l P

sych

olog

y 19

85,

23:

167-

175.

_

_ ---

--'. A

sch

ool-

base

d em

erge

ncy

cris

is in

terv

enti

on in

a m

ass

scho

ol d

isas

ter.

Pro

.fess

iona

l P

sych

olog

y: R

esea

rch

an

d P

ract

ice

1987

, 18

: 60

4-61

2.

__

_ " S

choo

l co

mm

unit

y in

dis

aste

r: P

lann

ing

for

inte

rven

tion

. Jo

urna

l (~lCommunity

Psy

chol

ogy

1988

,16:

205

-216

. _

__

" Sch

ool-

base

d em

erge

ncy

inte

rven

tion

fol

low

ing

an a

dole

scen

t's s

uici

de.

Dea

th

Stud

ies

1989

, 13

: 26

3-27

4.

__

_ " T

he e

ffec

ts o

f par

ent-

impl

emen

ted

cris

is-i

nter

vent

ion:

A r

eal-

life

em

erge

ncy

invo

lv­

ing

a ch

ild'

s re

fusa

l to

use

a g

as-m

ask.

Jou

rnal

o.f

Cli

nica

l C

hild

Psy

chol

ogy

1992

, 21

: 70

-75.

_

__

" S

choo

l psy

chol

ogy

serv

ices

: C

omm

unit

y-ba

sed,

fir

st-o

rder

cri

sis

inte

rven

tion

du

ring

the

Gu

lf W

ar.

Psy

chol

ogy

in t

he S

choo

ls

1992

, 29

: 37

6-38

4.

__

_ . S

tres

s re

acti

ons

ofls

rael

i you

th d

urin

g th

e G

ulf W

ar:

A q

uant

itat

ive

stud

y. P

ro./e

ssio

nal

Psy

chol

ogy:

Res

earc

h a

nd

Pra

ctic

e 19

92,2

3: 5

21-5

27.

__

----

', K

oeni

gsfe

ld E

, Mar

kman

D.

Art

act

ivit

y w

ith

chil

dren

fol

low

ing

disa

ster

: A

pre

­ve

ntiv

e or

ient

ed c

risi

s in

terv

enti

on m

odal

ity.

Art

s in

Psy

chot

hera

py 1

987,

14:

153

-166

. K

ooch

er G

P.

Chi

ldho

od, d

eath

, and

cog

niti

ve d

evel

opm

ent.

D

evel

opm

ent P

sych

olog

y 19

73,

9(3)

: 36

9-37

5.

Kra

nzle

r E

, Sha

ffer

D, W

asse

rman

G, D

avie

s M

. E

arly

chi

ldho

od b

erea

vem

ent.

Jour

nalo

.f

Am

eric

an A

cade

my

o.fC

hild

and

Ado

lesc

ent P

sych

iatr

y 19

90,2

9: 4

13-5

20.

Kry

stal

H.

Trau

ma

an

d A

ffec

ts.

P,\:

vcho

ana(

vtic

Stu

dy o

.('th

e C

hild

19

78,

33:

81-1

16.

Lah

ey B

B,

Kaz

din

AE

. (e

ds).

Adv

ance

s in

Cli

nica

l C

hild

P"y

chol

ogy.

N

ew Y

ork:

Ple

num

Pre

ss,

1982

, Vol

. 5.

L

andg

arte

n H

B.

Cli

nica

l Art

The

rapy

: A

Com

preh

ensi

ve G

uide

. N

ew Y

ork:

Bru

nner

/Maz

el,

1981

. Lan

sdow

n R

, B

enha

min

G.

The

dev

elop

men

t of t

he c

once

pt o

f dea

th i

n ch

ildr

en a

ged

5-9

year

s.

Chi

ld C

are,

Hea

lth,

and

Dev

elop

men

t 19

85,

11:

13-2

0.

Lau

b J,

Mur

phy

S. (

eds)

. P

ersp

ecti

ves

on D

isas

ter

Rec

over

y.

Nor

wal

k, C

T:

App

leto

n­C

entu

ry-C

roft

s, 1

985.

L

azar

us R

S, F

olkm

an S

. St

ress

, A

ppra

isal

and

Cop

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N

ew Y

ork:

Spr

inge

r, 1

984.

L

eavi

tt L

A,

Fox

NA

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ds).

P

sych

olog

ical

Eff

ects

o.f

War

and

Vio

lenc

e on

Chi

ldre

n.

New

Y

ork:

Law

renc

e E

rlba

um,

1994

. L

ifto

n R

, Ols

on E

. T

he h

uman

mea

ning

oft

otal

dis

aste

r. P

sych

iatr

y 19

76, 3

9: 1

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L

onet

to R

. Children:~ C

once

ptio

n o.

lDea

th.

New

Yor

k: S

prin

ger,

198

0.

Lon

igan

CJ,

Sha

nnon

MP,

Fin

ch A

J, D

augh

erty

TK

, Tay

lor

CM

. C

hild

ren'

s re

acti

ons

to

natu

ral

disa

ster

: S

ympt

om s

ever

ity

and

degr

ee o

f exp

osur

e.

Adv

ance

s in

Beh

avio

r R

esea

rch

an

d

The

rapy

19

91,1

3(3)

: 13

5-15

4.

Lor

d. J

H.

No

Tim

e/or

Goo

dbye

,,'.

Ven

tura

, C

A:

Pat

hfin

der

Pub

lish

ing,

198

7.

Lut

har

SS

, Zig

ler

E.

Vul

nera

bili

ty a

nd c

ompe

tenc

e: A

rev

iew

of r

esea

rch

on r

esil

ienc

e in

ch

ildh

ood.

A

mer

ican

Jou

rnal

o.l

Ort

hops

ychi

atlY

19

91,

61(l

): 6

-22.

L

yons

lA

. P

ost-

trau

mat

ic s

tres

s di

sord

er in

chi

ldre

n an

d ad

oles

cent

s:

A r

evie

w o

f the

lit

era­

ture

. D

evel

opm

enta

l and

Beh

avio

ral

Ped

iatr

ics

1987

,8(6

): 3

49-3

56.

Lys

tad

MH

. C

hild

ren'

s re

spon

ses

to d

isas

ter:

Fam

ily

impl

icat

ions

. In

tern

atio

nal J

ourn

al o

.l F

amil

y P

sych

iatr

y 19

84,5

: 41

-60.

146

McC

affr

ey R

J, F

airb

anks

JA.

Post

-tra

umat

ic s

tres

s di

sord

er a

ssoc

iate

d w

ith tr

ansp

orta

tion

acc

i­de

nts:

Tw

o ca

se s

tudi

es.

Beh

avio

r T

hera

py 1

985,

16:

406-

416.

M

cCan

n L

, P

earl

man

LA

. P

sych

olog

ical

Tra

uma

and

the

Adu

lt S

urvi

vor:

Th

eory

, Th

erap

y,

and

Tra

ns/o

rmat

ion.

N

ew Y

ork:

Bru

nner

/Maz

el,

1990

. M

cFar

lane

AC

. Po

sttr

aum

atic

phe

nom

ena

in a

long

itudi

nal s

tudy

of c

hild

ren

follo

win

g a

natu

ral

disa

ster

. Jo

urna

l o/t

he

Am

eric

an A

cade

my

o/C

hil

d a

nd A

dole

scen

t Psy

chia

try

1987

,26:

764

-76

9. M

cFar

lane

AC

, Pol

ican

sky

SK,

Irw

in C

. A

long

itud

inal

stu

dy o

f the

psy

chol

ogic

al m

orbi

dity

in

chi

ldre

n du

e to

a n

atur

al d

isas

ter.

P

sych

olog

ical

Med

icin

e 19

87,

17:7

27-7

38.

McL

eer

SV,

Deb

ling

er E

, A

tkin

s M

S, F

oa E

B,

Ral

phe

DL

. P

ost-

trau

mat

ic s

tres

s di

sord

er in

se

xual

ly a

buse

d ch

ildr

en.

Jour

nal o

/th

e A

mer

ican

Aca

dem

y o

/Ch

ild

and

Ado

lesc

ent P

sych

iatr

y 19

88,

27(5

): 6

50-6

54.

Mal

mqu

ist

CPo

Chi

ldre

n w

ho w

itne

ss p

aren

tal

mur

der:

P

ostt

raum

atic

asp

ects

. Jo

urna

l ~lt

he

Am

eric

an A

cade

my ~lChild P

sych

iatr

y 19

86,2

5: 3

20-3

25.

Mas

ten

AS

, B

est K

M, G

arm

ezy

N.

Res

ilie

nce

and

deve

lopm

ent:

C

ontr

ibut

ions

fro

m t

he

stud

y o

f chi

ldre

n w

ho o

verc

ome

adve

rsit

y.

Dev

elop

men

t and

Psy

chop

atho

logy

19

91, 2

: 42

5-44

4. M

eise

ls S

J, S

honk

off J

P. (

eds)

. H

andb

ook ~l E

ar(v

Int

erve

ntio

n.

New

Yor

k: C

ambr

idge

U

nive

rsit

y P

ress

, 19

90.

Mil

gram

NA

. (e

d).

Stre

ss a

nd C

opin

g in

TIm

e ~lWar:

Gen

eral

izat

ion/

rom

the

Isr

aeli

E

xper

ienc

e.

New

Yor

k: B

runn

er/M

azel

, 19

86.

Mil

gram

NA

, Tou

bian

a Y

, Kli

ngm

an A

, Rav

iv A

, Gol

dste

in I.

S

itua

tion

al e

xpos

ure

and

pers

onal

los

s in

chi

ldre

n's

acut

e an

d ch

roni

c st

ress

rea

ctio

ns to

a s

choo

l di

sast

er.

Jour

nal 0

/ Tr

aum

atic

Str

ess

1988

, I:

339-

352.

M

onah

on C

. C

hild

ren

and

Trau

ma:

A P

aren

t:s-

Gui

de to

Hel

ping

Chi

ldre

n H

eal.

New

Yor

k,

NY

: L

exin

gton

Boo

ks,

1993

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otta

RW

. Id

enti

fica

tion

of c

hara

cter

isti

cs a

nd c

ause

s o

f chi

ldho

od p

ostt

raum

atic

str

ess

diso

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. P

sych

olog

y in

the

Sch

ools

19

94,

31 (

I):

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6.

New

berg

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M, D

e V

os E

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buse

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atio

n: A

Lif

e-sp

an d

evel

opm

ent p

ersp

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ve.

Am

eric

an J

ourn

al ~l O

rtho

psyc

hiat

ry

1988

, 58

(4):

505

-511

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ewm

an C

J. C

hild

ren

of d

isas

ter:

Cli

nica

l ob

serv

atio

ns a

t B

uffa

lo C

reek

. A

mer

ican

Jou

rnal

~l P

sych

iatr

y 19

76,

133(

3):

306-

312.

O

ates

MD

. D

eath

in

the

Scho

ol C

omm

unity

: A

Han

dboo

k/or

Cou

nsel

ors,

Tea

cher

s an

d A

dmin

istr

ator

s. A

lexa

ndri

a, V

A:

Am

eric

an C

ouns

elin

g A

ssoc

iati

on,

1993

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llen

dick

TH

, Kin

g N

J, F

rary

RB

. F

ears

in c

hild

ren

and

adol

esce

nts:

Rel

iabi

lity

and

ge

nera

liza

bili

ty a

cros

s ge

nder

, age

, and

nat

iona

lity

. B

ehav

ior

Res

earc

h an

d T

hera

py

1989

, 27:

19

-26.

_

_ -',

Her

sen

M.

(eds

).

Han

dboo

k o

/Ch

ild

Psy

chop

atho

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New

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Ple

num

Pre

ss,

1989

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_ -" Y

ule

W, O

ilie

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Fea

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Bri

tish

chi

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d th

eir

rela

tion

ship

to m

anif

est a

nxie

ty

and

depr

essi

on.

Jour

nal ~

lChild P

sych

olog

y an

d P

,\ych

iatr

y an

d A

llie

d Pr

~les

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90,3

2:

321-

331.

O

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D,

Fen

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C

arin

g fo

r in

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iron

men

ts:

hurt

, hea

l­in

g, a

nd h

ope.

Z

ero-

to-T

hree

19

94,

13(3

) P

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Cop

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with

Cri

ses.

L

ondo

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riti

sh P

sych

iatr

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ress

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90.

Par

kes

CM

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vem

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Stu

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f par

ent t

hrou

gh v

iole

nce.

Jou

rnal

o

/th

e A

mer

ican

Aca

dem

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Chi

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sych

iatr

y 19

88,2

7(5)

: 56

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6.

Pol

loch

GH

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hild

hood

sib

ling

loss

: A

fam

ily

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Ped

iatr

ic A

nnal

s 19

86,

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51-8

55.

Pri

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d S,

Ept

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F.

Chi

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n an

d de

ath

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ew h

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in t

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d m

easu

rem

ent.

O

meg

a-J

ou

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l q[

Dea

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19

92,

24(4

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88.

Pru

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D.

Hom

e tr

eatm

ent f

or tw

o in

fant

s w

ho w

itne

ssed

thei

r mot

her'

s m

urde

r. J

ourn

al q

[the

A

cade

my

qlC

hil

d P~JJchiatry

1979

, 18

: 64

7-65

7.

Pun

amak

i R.

Fac

tors

aff

ecti

ng th

e m

enta

l he

alth

of P

ales

tini

an c

hild

ren

expo

sed

to p

olit

ical

vi

olen

ce.

Inte

rnat

iona

l Jou

rnal

q[ M

enta

l H

ealth

19

89,

18:

63-7

9.

Pyn

oos

RS,

Eth

S.

The

chi

ld a

s w

itne

ss t

o ho

mic

ide.

Jo

urna

l q

lSo

cia

l Iss

ues

1984

, 40(

2):

87-1

08.

__

----

' __

_ .

Wit

ness

to v

iole

nce:

The

chi

ld i

nter

view

. Jo

urna

l q

lth

e A

mer

ican

A

cade

my

qlC

hil

d P

sych

iatr

y 19

86,2

5(3)

: 30

6-31

9.

Pyn

oos

RS,

Nad

er K

. P

sych

olog

ical

fir

st a

id a

nd t

reat

men

t app

roac

h to

chi

ldre

n ex

pose

d to

co

mm

unit

y vi

olen

ce:

Res

earc

h im

plic

atio

ns.

Jour

nal q

lTra

umat

ic S

tres

s 19

88;

I: 4

45-4

73.

__

----

' __

_ . C

hild

ren

who

wit

ness

the

sexu

al a

ssau

lt o

f the

ir m

othe

rs.

Jour

nal q

l A

mer

ican

Aca

dem

y q

lCh

ild

and

Ado

lesc

ent P

sych

iatr

y 19

87,2

7: 5

67-5

72.

__

---'

__

_ .

Chi

ldre

n's

mem

ory

and

prox

imit

y to

vio

lenc

e. J

ourn

al q

lth

e A

mer

ican

A

cade

my

ql C

hild

an

d A

dole

scen

t Psy

chia

try

1989

, 28

(2):

236

-241

. _

__

" Fre

deri

ck C

, Nad

er K

, Arr

oyo

W, S

tein

berg

A, E

th S

, Nun

ez F

, Fai

rban

ks L

. L

ife

thre

at a

nd p

ost-

trau

mat

ic s

tres

s in

sch

ool-

age

chil

dren

. A

rchi

ves o

f Gen

eral

Psy

chia

try

1987

,44:

10

57-1

063.

_

__

" Nad

er K

. F

rede

rick

C.

Gon

da L

. S

tube

r M

. G

rief

reac

tion

s in

sch

ool-

age

chil

dren

af

ter

a sn

iper

att

ack

at s

choo

l.

Isra

el J

ourn

al q

lPsy

chia

try

and

Rel

ated

Sci

ence

s 19

87;

24 (

1-2)

: 53

-63.

R

ando

TA

. G

riev

ing:

How

to

go

on L

ivin

g w

hen

Som

eone

You

Lov

e D

ies.

L

exin

gton

, M

A:

Lex

ingt

on B

ooks

, 19

88.

Rap

hael

B.

The

Ana

tom

y ql

Ber

eave

men

t.

Lon

don:

Hut

chin

son.

19

84.

Rei

lly

TP,

Has

azi

lE,

Bon

d L

A.

Chi

ldre

n's

conc

epti

ons

of d

eath

and

per

sona

l m

orta

lity

. Jo

urna

l q

l Ped

iatr

ic P

sych

olog

y 19

83,

8: 2

1-31

. R

igam

er E

F.

Psy

chol

ogic

al m

anag

emen

t of c

hild

ren

in a

nat

iona

l cr

isis

. Jo

urna

l qlt

he

Am

eric

an A

cade

my

qlC

hil

d P

sych

iatr

y 19

86,2

5: 3

64-3

69.

Ron

stro

m A

. C

hild

ren

in C

entr

al A

mer

ica:

V

icti

ms

of w

ar.

Chi

ld W

ella

re

1989

,68:

145

-15

3. Rub

onis

AV

, Bic

kman

L. P

sych

olog

ical

impa

irm

ent i

n th

e w

ake

of d

isas

ter:

The

dis

aste

r-ps

ycho

pa­

thol

ogy

rela

tion

ship

. P

sych

olog

ical

Bul

leti

n 19

91, 1

09: 3

84-3

99.

Rut

ter

M.

Res

ilie

nce

in t

he f

ace

of a

dver

sity

. B

riti

sh J

ourn

al q

l Psy

chia

try

1985

; 14

7: 5

98-

611.

Rut

ter

M,

Izar

d C

E,

Rea

d PB

. (e

ds).

D

epre

ssio

n in

You

ng P

eopl

e:

Dev

elop

men

t an

d C

lini

­ca

l P

ersp

ecti

ves.

N

ew Y

ork:

Gui

lfor

d P

ress

, 19

86.

Sai

gh P

. T

he v

alid

ity

of t

he D

SM

-lll

pos

t-tr

aum

atic

str

ess

diso

rder

cla

ssif

icat

ion

as a

ppli

ed to

ch

ildr

en.

Jour

nal q

l Abn

orm

al P

sych

olog

y 19

89, 9

8: 1

89-1

92.

San

dova

l 1.

(ed

).

Res

ourc

es in

Cri

sis

Inte

rven

tion

: Sc

hool

, F

amil

y a

nd

Com

mun

ity

App

lica

­tio

ns.

Sil

ver

Spr

ing,

MD

: N

atio

nal

Ass

ocia

tion

of S

choo

l P

sych

olog

ists

, 19

91.

San

ford

LT.

St

rong

at t

he B

roke

n P

lace

s:

Ove

rcom

ing

the

Trau

ma

qlC

hil

dh

oo

d A

buse

. N

ew

Yor

k: R

ando

m H

ouse

, 19

90.

148

San

dler

IN, G

erst

en J

C, R

eyno

lds

K, K

alig

ren

C, R

amir

ez R

. U

sing

theo

ry a

nd d

ata

to p

lan

supp

ort i

nter

vent

ions

: des

ign

of a

pro

gram

for

bere

aved

chi

ldre

n. I

n G

ottl

ieb

BH

(ed)

. M

arsh

alli

ng

Soci

al S

uppo

rt:

For

mat

s, P

roce

sses

and

Eff

ects

. B

ever

ly H

ills

, Cal

ifor

nia:

Sag

e. 1

988.

S

andl

er 1

. The

bac

kgro

und

of s

afet

y. I

nter

nati

onal

Jou

rnal

0/ P

\:vc

hoan

alys

is 1

960;

41:

352

-35

6. Sar

tore

RL

. P

oetr

y an

d ch

ildh

ood

trau

ma.

Jo

urna

lo.f

Poe

try

The

rapy

19

90,3

(4):

229

-33.

S

aylo

r C

FS

. (e

d).

Chi

ldre

n an

d D

isas

ters

. N

ew Y

ork:

Ple

num

Pre

ss,

1993

. _

_ -',

Sw

enso

n C

C,

Pow

ell

P.

Hur

rica

ne H

ugo

blow

s do

wn

the

broc

coli

: P

re-s

choo

lers

' po

st-d

isas

ter

play

and

adj

ustm

ent.

C

hild

Psy

chia

try

an

d H

uman

Dev

elop

men

t 19

92, 2

2: 1

39-

149.

Sch

afer

D,

Lyo

ns C

. H

ow D

o W

e Te

ll th

e C

hild

ren?

H

elpi

ng C

hild

ren

Und

erst

and

an

d C

ope

Whe

n So

meo

ne D

ies.

New

Yor

k: N

ewm

arke

t Pre

ss,

1986

. S

chon

fiel

d O

J, S

mil

ansk

y S.

A c

ross

-cul

tura

l com

pari

son

ofIs

rael

i and

Am

eric

an c

hild

ren'

s de

ath

conc

epts

. D

eath

Stu

dies

19

89,

13:

593-

604.

S

chum

ache

r JD

. H

elpi

ng c

hild

ren

cope

wit

h a

sibl

ing'

s de

ath.

Fam

ily

The

rapy

Col

lect

ions

19

84,

8: 8

2-94

. S

chw

artz

RE

. C

hild

ren

unde

r fi

re:

The

rol

e o

f the

sch

ools

. A

mer

ican

Jou

rnal

o.f

Ort

hops

ychi

atry

19

82,5

2: 4

09-4

19.

Sch

war

z E

D,

Kow

alsk

i 1M

. P

ostt

raum

atic

str

ess

diso

rder

aft

er a

sch

ool

shoo

ting

: E

ffec

ts o

f sy

mpt

om t

hres

hold

sel

ecti

on a

nd d

iagn

osis

by

DS

M-I

II,

DS

M-I

II-R

, or

Pro

pose

d D

SM-I

Y.

Am

eric

an J

ourn

al o

.fP

sych

iatr

y 19

91,1

48:

592-

597.

S

elig

man

EP.

Lea

rned

Opt

imis

m.

New

Yor

k: A

lfre

d A

. K

nopf

, 19

91.

Ser

oka

CM

, Kna

pp C

, Kin

gth

S, S

iem

on C

R, S

tarb

uck.

A c

ompr

ehen

sive

pro

gram

for

post

disa

ster

cou

nsel

ing.

So

cial

Cas

ewor

k: T

he J

ourn

al o

.fC

onte

mpo

rary

Soc

ial

Wor

k 19

86,6

7:

37-4

4.

Sgr

oi S

. H

andb

ook

o.fC

lini

call

nter

vent

ion

in C

hild

Sex

ual A

buse

. L

exin

gton

, M

A:

Lex

ing­

ton

Boo

ks,

1982

. S

hane

M,

Sha

ne E

. O

bjec

t Los

s an

d S

elf-

obje

ct L

oss:

a

cons

ider

atio

n o

f sel

f psy

chol

ogy'

s co

ntri

buti

on to

und

erst

andi

ng m

ourn

ing

and

the

fail

ure

to m

ourn

. R

epor

t of s

cien

tifi

c m

eeti

ng

(rep

orte

r:

Wil

son

S).

Los

Ang

eles

Psy

choa

naly

tic

Bul

leti

n 19

89:

Sum

mer

: 32

-35.

S

ilve

r R

L, W

ortm

an C

B.

Cop

ing

wit

h un

desi

rabl

e li

fe e

vent

s.

In G

arbe

r 1. S

elig

man

ME

P

(eds

).

Hum

an H

elpl

essn

ess.

N

ew Y

ork:

Aca

dem

ic P

ress

. 19

80.

279-

341.

S

iege

l K

, M

esag

no F

P, C

hris

t G.

A p

reve

ntiv

e pr

ogra

m f

or b

erea

ved

chil

dren

. A

mer

ican

Jo

urna

l o.

f Ort

hops

ychi

atry

19

90,

60:

168-

175.

S

peec

e M

W,

Bre

nt S

B.

Chi

ldre

n's

unde

rsta

ndin

g o

f dea

th:

A r

evie

w o

f thr

ee c

ompo

nent

s o

f a

deat

h co

ncep

t.

Chi

ld D

evel

opm

ent

1984

, 55

: 16

71-1

686.

S

tam

broo

k M

, P

arke

r K

C.

The

dev

elop

men

t o

f the

con

cept

of d

eath

in

chil

dhoo

d:

A r

evie

w

of

the

lite

ratu

re.

Mer

rill

-Pal

mer

Qua

rter

ly

1987

, 33

: 13

3-15

7.

Sta

udac

her,

Car

ol.

Bey

ond

Gri

ef A

Gu

ide/

or

Rec

over

ingf

i·om

the

Dea

th o

.f a

Lov

ed O

ne.

Oak

land

, CA

: N

ew H

arbi

nger

Pub

lica

tion

s, 1

987.

S

ugar

M.

Chi

ldre

n in

a d

isas

ter:

A

n ov

ervi

ew.

Chi

ld P

sych

iatl

y a

nd

Hum

an D

evel

opm

ent

1989

,19:

163

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. S

ulli

van

MA

, Say

lor C

F, F

oste

r KY

. Po

st-h

urri

cane

adj

ustm

ent o

f pre

scho

oler

s an

d th

eir f

amili

es.

Adv

ance

s in

Beh

avio

r R

esea

rch

and

The

rapy

19

91,

13:

163-

171.

T

err L

C.

Chi

ldre

n o

f Cho

wch

illa

: A s

tudy

of p

sych

ic tr

aum

a. P

sych

oana

lyti

c St

udyo

.fth

e C

hild

19

79,3

4: 5

47-6

23.

149

__

_ . T

he c

hild

as

a w

itne

ss.

In S

chet

ky D

, Ben

edek

E, (

eds)

. C

hild

Psy

chia

try

and

the

Law

. N

ew Y

ork:

Bru

nner

/Maz

el,

1980

. 20

7-22

1.

__

_ .

Psy

chic

trau

ma

in c

hild

ren:

Obs

erva

tion

s fo

llow

ing

the

Cho

wch

illa

sch

ool-

bus

kidn

appi

ng.

Am

eric

an J

ourn

al o

f Psy

chia

try

1981

, 13

8(1)

: 14

-19.

_

__

. "F

orbi

dden

gam

es":

Pos

t-tr

aum

atic

chi

ld's

pla

y. J

ourn

al o

f the

Am

eric

an A

cade

my

~r C

hild

Psy

chia

try

1981

, 20

: 74

1-76

0.

__

---'.

Cho

wch

illa

rev

isit

ed:

The

eff

ects

of p

sych

ic t

raum

a fo

ur y

ears

aft

er a

sch

ool b

us

kidn

appi

ng.

Am

eric

an J

ourn

al ~r P

sych

iatr

y 19

83,

140:

154

3-15

50.

__

_ '. L

ife

atti

tude

s, d

ream

s, a

nd p

sych

ic t

raum

a in

a g

roup

of "

norm

al"

chil

dren

. Jo

urna

l ~r A

mer

ican

Aca

dem

y ~r C

hild

Psy

chia

try

1983

, 22

: 22

1-23

0.

__

_ '.

Chi

ldho

od p

sych

ic t

raum

a.

In C

all

JD, C

ohen

RL

, H

arri

son

SI,

Ber

lin

IN,

Sto

ne

LA

. (e

ds).

Bas

ic H

andb

ook ~rChiid P

sych

iatr

y. N

ew Y

ork:

Bas

ic B

ooks

, 19

87.

Vol

. 5,

262-

271.

_

__

. Wha

t hap

pens

to e

arly

mem

orie

s? A

stu

dy o

f tw

enty

chi

ldre

n un

der a

ge fi

ve a

t the

tim

e o

f doc

umen

ted

trau

mat

ic e

vent

s. J

ourn

al ~rt

he A

mer

ican

Aca

dem

y ~rChiid a

nd A

dole

scen

t P

sych

iatr

y 19

88, 2

7( I)

: 96

-104

. To

o Sc

ared

to C

ry.

New

Yor

k: H

arpe

r &

Row

, 19

90.

__

_ .

Unc

hain

ed M

emor

ies.

N

ew Y

ork:

Har

per

& R

ow,

1994

. _

__

. C

hild

hood

trau

mas

: A

n ou

tlin

e an

d ov

ervi

ew.

Am

eric

an J

ourn

al ~fPsychiatry

1991

,148

(1):

10-

19.

Tou

bian

a Y

H,

Mil

gram

NA

, Str

ich

Y, E

dels

tein

A.

Cri

sis

inte

rven

tion

in s

choo

l co

mm

unit

y di

sast

er:

Pri

ncip

les

and

prac

tice

s. J

ourn

al ~rCommul1ity P

sych

olog

y 19

88,

16:

228-

240.

V

ande

n B

os G

R,

Bry

ant

BK

. (e

ds).

C

atac

lysm

s, C

risi

s an

d C

atas

trop

he:

Psy

chol

ogy

in

Act

ion.

Was

hing

ton,

D.C

.: A

mer

ican

Psy

chia

tric

Pre

ss,

1987

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alke

r C

E,

Rob

erts

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(eds

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Han

dboo

k o

f Cli

nica

l C

hild

Psy

chol

ogy.

N

ew Y

ork:

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ey,

1983

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lers

tein

JS.

Pre

vent

ive

inte

rven

tion

s w

ith

divo

rcin

g fa

mili

es:

A re

conc

eptu

aliz

atio

n. I

n G

olds

ton

SE

, Yae

ger J

, et a

l. (e

ds).

M

enta

l Hea

lth D

istu

rban

ces

in C

hild

hood

. W

ashi

ngto

n, D

C:

Am

eric

an

Psy

chia

tric

Pre

ss,

1990

. W

einb

erg

RB

. S

ervi

ng la

rge

num

ber

of a

dole

scen

t vic

tim

sur

vivo

rs:

Gro

up i

nter

vent

ions

fo

llow

ing

trau

ma

at s

choo

l. Pr

~fes

sion

al P

,\ych

olog

y:

Res

earc

h an

d P

ract

ice

1990

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271

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8. W

eiss

man

MM

, Wic

kram

arat

ne P

, War

ner V

, Joh

n K

. P

ruso

ffB

A, M

erik

anga

s K

R, G

amm

on D

. A

sses

sing

psy

chia

tric

dis

orde

rs in

chi

ldre

n. A

rchi

ves ~rGeneral P

sych

iatr

y 19

87,4

4: 7

47-7

53.

Wel

ler E

B, W

elle

r RA

, Fri

stad

MA

. Cai

n SE

. Bow

es J

M.

Sho

uld

chil

dren

att

end

thei

r par

ents

' fu

nera

l? J

ourn

al ~rthe A

mer

ican

Aca

dem

y ~lChiid

and

Ado

lesc

ent P

sych

iatr

y 19

88,2

7: 5

59-

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Stu

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93,

17(2

):

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Wer

tlie

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52.

154

Wor

king

Wit

h G

riev

ing

Chi

ldre

n A

fter

V

iole

nt D

eath

: E

valu

atio

n o

f Gu

ideb

ook

Ple

ase

com

plet

e an

d m

ail t

o:

Nat

iona

l Org

aniz

atio

n fo

r V

ictim

Ass

ista

nce

1757

Par

k R

oad,

N.W

., W

ashi

ngto

n, D

.C.

2001

0 O

r fa

x to

: 20

2-46

2-22

55

Ple

ase

circ

le o

ne o

nly,

usi

ng a

rat

ing

of o

ne (

poor

) to

fiv

e (e

xcel

lent

).

Ov

eral

l E

valu

atio

n o

f Gui

debo

ok:

2 3

4

Sub

stan

tive

Co

nte

nt o

fth

e G

uide

book

: 2

3 4

Com

men

ts:

Org

aniz

atio

n o

fth

e G

uide

book

: 2

3 4

Com

men

ts:

Act

ivit

ies

Rec

omm

ende

d:

2 3

4 C

omm

ents

:

Use

fuln

ess

of G

uide

book

to Y

ou/Y

our J

ob

: 2

3 4

Com

men

ts:

My

expe

ctat

ion

for

this

Gui

debo

ok w

as:

fulf

ille

d un

fulf

ille

d

Wha

t di

d yo

u fi

nd m

ost

bene

fici

al?

Wha

t di

d yo

u fi

nd l

east

ben

efic

ial?

Wha

t im

prov

emen

ts w

ould

you

mak

e?

5 5 5 5 5

Wha

t ad

diti

onal

inf

orm

atio

n/tr

aini

ng r

elat

ed t

o w

orki

ng w

ith

grie

ving

chi

ldre

n w

ould

be

help

ful

to y

ou?

Wha

t el

se w

ould

you

lik

e us

to

know

? U

se r

ever

se i

fmo

re s

pace

is

need

ed.

Num

ber

of y

ears

of e

xper

ienc

e in

vic

tim

ass

ista

nce

or in

wor

king

with

gre

ivin

g ch

ildr

en f

ield

: 0-

3 3-

6 6-

9 9+

Th

ank

you

for

hel

ping

us!

155

·U.S

. G

over

nmen

t Prin

ting

Offi

ce:

1997

·417

·738

1743

13