WAYS PEOPLE RESPOND TO CHANGE OR LOSS

Model for Responding Focus Major Concerns Time Applicable Therapeutic Response Internal
Resources
Available
Resources
Inaccessible
awareness of change/loss
Denial,
distortion,
destruction
Self protection
Mental illness
Destructive behaviors
As long as reality is not powerful enough & safety is absent. Reality has to be powerful enough.
Create safety.
Find safety. Life experiences.
Overwhelming change/loss/
trauma Shock
Paralysis
Panic
Fight or flight
Will to live
Reality
Vulnerability
As long as a one
is a victim.
As long as the change lacks meaning.
Contain
Validate
Trauma team treatment
Hold hope
Protection
Nurturance
Feedback
Agencies, social
services: crisis teams
Defend
against
change/loss
Stressful:
Can create mental & physical illness
Breakdown:
health -- function -- pleasure
Addictions
Not self-correcting Distract
Intervene
Contain
Validate
Enhance ways
to cope or
limit awareness
Homeopathic
Psychiatric
Counseling
Religion
Adapt to change/loss by surviving & coping Gain respite or delay from responding to loss Reduce fear of “craziness.”
Survive until grief can resume or progress.
As long as intense feelings, thoughts & behaviors dominate the grieving process Learn ways to cope
Normalize
Validate
Will to live
Self awareness
Recuperation
Self-help groups
Hospice
bereavement
Stories of loss
Existential choice: Living or existing? Face the full
extent &
implications of the change
Awareness of (e.g.):
• loneliness
• despair
• mortality
• emptiness
•helplessness
Until choices are made or hope is found. Validate choices
Hold hope
Experience loneliness
Self awareness
Discern:
What is lost
Connecting
beyond self
Grief groups, Existential
therapy
Identify defining
moments
Reframe
change as
challenge
Grow/self
empower/
reformulate
Make choices
Make restoration
Surrender control

Usually years
after the change
Discipline
Challenge
Reframe
Restore
Model integrity
Discern:
What is left
Forgiveness
Self love
Solitude
Humanistic &
Spiritual
disciplines
Transform
loss
Integrity of mind, body and spirit Living fully Present moment Make connections Inclusive Love
Discern: What is possible?
Transpersonal
Psychology
Spirituality
Those facing Loss and Change Home Those Caring for others