Anticipatory grief and psychological adjustment to grieving in middle-aged children

Abstract

This study examines the effect of anticipatory grief on personal adjustment in middle-aged adult children following the death of their last surviving elderly parent. Data were analyzed from a study of adult children’s perspectives of an elderly parent’s death conducted by the Philadelphia Geriatric Center, Philadelphia, Pennsylvania. ¹ The results of this study indicate that adult children who experienced anticipatory grief were likely to report feeling better adjusted to the death of their elderly parent, yet the composite measure used to assess degree of personal adjustment indicates a negative relationship between the anticipation of death and personal adjustment following the actual loss. This finding was consistent across gender and racial and ethnic distinctions among adult children who participated in this study. The significance of this finding for grief work and its implications for future research are discussed.

Keywords

bereavement psychological adjustment anticipatory grief adult children

References

O’Donnell M , Safford F: Death, bereavement, loss, and growth: Two perspectives. In Safford F , Krell G (eds.): Gerontology for Health Professionals: A Practice Guide (2nd ed.). Washington, DC: NASW Press, 1991: pp. 179-204.

Lindemann E: Symptomatology and management of acute grief. Am J Psychiatr. 1944; 101: 141-148.

Rando T: Loss and anticipatory grief. Lexington, MA: D. C. Heath, 1986.

Parkes C , Weiss, R: Recovery from bereavement. Omega. 1983; 6: 303-323.

Wiener J: Reaction of the family to the fatal illness of a child. In Shoenberg B , Carr A , Peretz D , et al. (eds.): Loss and Grief: Psychological Management in Medical Practice. New York: Columbia University Press, 1970: pp. 87-101.

Clayton P , Desmarais L , Winokur G: A study of normal bereavement. Am J Psychiatr. 1968; 125: 64-74.

Maddison D , Walker W: Factors affecting the outcome of conjugal bereavement. Br J Med Psychol. 1967; 113: 1057-1067.

Siegel K , Weinstein L: Anticipatory grief reconsidered. J Psychosoc Oncol. 1983; 1:61-73.

Boss P: Ambiguous loss. In Walsh F , McGoldrick M (eds.): Living beyond Loss. New York: W. W. Norton & Company, 1991: pp. 160-186.

10.

Rolland J: Helping families with anticipatory loss. In Walsh F , McGoldrick M (eds.): Living beyond Loss. New York: W. W. Norton & Company, 1991: pp. 144-163.

11.

Greenwell L , Bengtson VL: Geographic distance and contact between middle-aged children and their parents: The effects of social class over 20 years. J Gerontol B Psychol Sci Soc Sci. 1997; 52(1): S13-S26.

12.

Moss M , Moss S: The impact of parental death on middle-aged children. Omega. 1983; 14(1): 65-75.

13.

Worden J: Grief Counseling and Grief Therapy. New York: Springer, 1991.

14.

Bowlby J: Attachment and Loss. New York: Basic Books, 1980.

15.

Freud S: Mourning and melancholia. In Strachey J (ed.): Standard Edition of the Complete Psychological Works of Sigmund Freud. London: Hogarth Press, 1957.

16.

Klass D , Silverman P , Nickman S: Continuing Bonds: New Understandings of Grief. Washington, DC: Taylor & Francis, 1996.