Perinatal loss: problem of experiencing disenfranchised grief
Abstract
The article examines the phenomenon of disenfranchised grief that a woman and her family experiencing perinatal loss may face. The experience of losing an unborn child is a traumatic situation, for parents such loss becomes a loss of hopes, dreams, plans for the future. The aim of the research is to study the problem of experiencing disenfranchised grief that a woman who has experienced perinatal loss faces when communicating with her family, friends, medical workers and other people around her.
According to statistics, every fifth Russian family faces reproductive or perinatal losses, statistical monitoring of perinatal losses in the Russian Federation for 2018 (Loss rate is 7.23 per 1000 of population) shows a downward trend in perinatal losses rates compared to2010 (10.7 per 1000 of population), however, this level remains high.
A theoretical review of the research of domestic and foreign scientists is carried out. The categories of ambiguity and disenfranchised grief arising from perinatal loss are given: attitudes towards perinatal loss in society, information about the viability of pregnancy; physical process of pregnancy loss; the possibility of passing the farewell ritual. The factors influencing the emergence of the phenomenon of disenfranchised grief are considered. The moments, attention to which will help specialists, both perinatal psychologists and medical workers, to carry out competent support of perinatal losses are highlighted.
Perinatal loss is a complex consultative problem that has a strong impact on the emotional state of a woman, which imposes special professional requirements on specialists working in this field – both perinatal psychologists and medical workers, – for the proper and competent accompaniment of perinatal losses.
Keywords
perinatal loss, physical loss, symbolic loss, grief, disenfranchised grief, ambiguous loss, experience
Citation
Citation — Harvard Notation
References
- Boulbi Dzh. Sozdaniye i razrusheniye emotsionalnykh svyazey [Creation and distruction of emotional ties]. Moscow: Academic Project Publ., 2004. 232 p. (In Russian).
- BurinaYe.A. Osnovnyyepodkhody k izucheniyuutraty [Basic approaches to the study of a loss]. Interaktivnaya nauka – Interactive science, 2016, (6), pp. 54-56. (In Russian). Available at: https://cyberleninka.ru/article/n/osnovnye-podhody-k-izucheniyu-utraty (accessed 25.08.2020).
- Vakhrusheva A. S. Vzaimosvyaz emotsionalno-lichnostnykh khrakteristik s osobennostyami perezhivaniy utraty u lits zrelogo vozrasta [The relationship of emotional and personal characteristics with the peculiarities of experiencing loss in adults. Interactive science]. Mezhdunarodnyy nauchno-issledovatelskiy zhurnal – International research journal, 2013,11-3 (18). (In Russian). Available at: https://cyberleninka.ru/article/n/vzaimosvyaz-emotsionalno-lichnostnyh-harakteristik-s-osobennostyami-perezhivaniya-utraty-u-lits-zrelogo-vozrasta (accessed 27.09.2020).
- Volkan V., Zintl E. Zhizn posle utraty: Psikhologiya gorevaniya. [Life after loss: Psychology of grief.] Moscow: Kogito-Centre Publ., 2014, 160 p. (In Russian).
- Vorden V. Konsultirovaniye i terapiya gorya: Posobiye dlya spetsialistov v oblasti psikhicheskogo zdorovya [Grief counselling and therapy: Manual for specialists in the field of mental health]. Moscow: The Centre of Psychological Counselling and Psycho-Therapy Publ., 2020. 329 p. (In Russian)
- VasilyukF.Ye. Psikhologiya perezhivaniya [Psychology of experiencing]. Moscow: Moscow State University Publ., 1984. 240p. (In Russian).
- Gnezdilov A. V. Psikhologiya I psikhoterapiya poter:Posobiye po palliativnoy meditsine dlya vrachey, psikhologov i vsekh, interesuyushchikhsya problemoy [Psychology and psycho-therapy of loss: Manual on palliative medicine for doctors, psychologists, and anyone interested in the problem]. St. Petersburg: Rech Publ., 2002. 162 p. (In Russian).
- Demograficheskiy yezhegodnik Rossii 2019: Statistichskiy sbornik [Demographic Yearbook of Russia2019: Collection of Statistics]. Moscow: Russian Statistical Agency Publ., 2019. 252 p. (In Russian).
- Dobryakov I.V., Blokh M.Ye., Fayerberg L.M. Perinatalnyye utraty: psikhologicheskiye aspekty, spetsifika gorevaniya, formy psikhologicheskoy pomoshchi [Perinatal losses: psychological aspects, specifics of grieving, forms of psychological help]. Zhurnal akusherstva I zhenskikh bolezney –Journal of obstetrics and women’s diseases,2015, 64 (3), pp. 4-10 (in Russian).
- Izard K.E. Psikhologiya emotsiy [Psychology of emotions]. St. Petersburg: Piter Publ., 2008, 464 p. (In Russian).
- Kalshed D. Vnutrenniy mir travmy. Arkhitipicheskiye zashchity lichnostnogo dukha [The inner world of trauma. Archetypal defenses of personal spirit]. Moscow: Kogito-Centre Publ., 2015. 388 p. (In Russian).
- Lindemann E. Klinika ostrogo gorya [Clinic of acute grief]. In Psikhologiya emotsiy [Psychology of emotions].Moscow: Moscow State University, 1984, p. 4 (In Russian).
- Malkina-Pykh I.G. Ekstremalnyye situatsii [Extreme situations]. Moscow: Eksmo Publ., 2005. 960 p. (In Russian).
- Moudi R., Arkendzhel D. Zhizn posle utraty: Kak spravitsya s neschastyem I obresti nadezhdu [Life after loss: How to cope with misery and find hope]. Moscow: Sofiya Publ., 2003, 288 p. (In Russian).
- Pergamenshchik L.A., PetrazhitskayaYe.A. Perinatalnaya poterya kak krizisnoye sobytiye v zhizni zhenshchiny [Perinatal loss as a crisis event in a woman’s life]. Zhurnal Belorusskogo gosudarstvennogo universiteta. Seriya: Filosofiya. Psikhologiya – Journal of Belarussian State University. Series: Philosophy. Psychology, 2020,(1), pp. 77–84 (in Russian).
- Pestrikova T.Yu., Yurasova Ye.A., Butko T.M. Perinatalnyye poteri. Rezervy snizheniya [Perinatal losses. Reserves to reduce]. Moscow: Litterra Publ., 2008. 200p. (In Russian).
- Poluektova O.G. Travma poteri rebenka [Trauma of loosing a child].Vestnik novykh meditsinskikh tekhnologiy – Bulletin of new medical technologies, 2013(1), pp.151-154 (in Russian).
- Reshetnikov M. M. Psikhicheskaya travma [Mental trauma]. St. Peterburg: Eastern Europian Institute of Psychoanalysis Publ., 2006. 322 p. (In Russian).
- Sultanova I.V. Psikhologicheskiye aspekty perinatalnykh utrat. [Psychological aspects of perinatal losses ].Vestnik sovremennykh issledovaniy –Bulletin of modern research, 2019, 3.11 (30), pp. 168-173 (in Russian).
- Freyd Z. Semeynyy roman nevrotikov:sbornik [Family romance of neurotics: collection]. St. Petersburg:Azbuka-Attikus, 2015. 224 p. (In Russian).
- Shefov S.A. Psikhologiya gorya [Psychology of grief].St. Petersburg: Rech Publ., 2006. 144 p. (In Russian).
- Shindyapin S.E. K voprosu o momente priznaniya pravosposobnosti embriona cheloveka [On the issue of the moment of recognition of the legal capacity of human embrio]. Vestnik Tomskogo gosudarstvennogo universiteta – Bulletin of Tomsk State University, 2014,12(140). (In Russian). Available at: https://cyberleninka.ru/article/n/k-voprosu-o-momente-priznaniya-pravosposobnosti-embriona-cheloveka (accessed 28.09.2020).
- Boss P. (2004). Ambiguous loss research, theory, and practice: Reflections after 9/11. Journal of Marriage and Family, 66(3), pp. 551-566. Available at: https://doi.org/10.1111/j.0022-2445.2004.00037.х(accessed 23.08.2020).
- Doka K. J. Disenfranchised grief. In K. J. Doka (Ed.), Disenfranchised grief: Recognizing hidden sorrow(pp.3-11). Lexington, MA: Lexington Books, 1989. Available at: https:// www.researchpress.com/sites/default/files/books/addContent/5160.pdf (accessed 20.08.2020).
- Doka K. J., Aber R. Psychosocial loss and grief.In K. J. Doka (Ed.), Disenfranchised grief: Recognizing hidden sorrow (pр. 187-197). Lexington, MA: Lexington Press, 1989. Available at: https://www.researchpress.com/sites/default/files/books/addContent/5160.pdf (accessed 20.08.2020).
- Lang A., Fleiszer A., Duhamel F. Perinatal Loss and Parental Grief: The Challenge of Ambiguity and Disenfranchised Grief. OMEGA: Journal of Death and Dying, 2011,.63(2), pp.183-196. Available at: https://www.researchgate.net/publication/51572469_ Perinatal_Loss_and_ Parental_Grief_The_Challenge_of_Ambiguity_and_Disenfranchised_Grief (accesed 25.08.2020).
- Leon I.G. Helping families cope with perinatal loss. In Global library of women's medicine, 2008. Available at: https://www.glowm.com/section_view/item/418/recordset/71685/value/418/ (accessed 30.08.2020)
- Rando T. A. The unique issues and impact of the death of a child.In T. A. Rando (Ed.), Parentalloss of a child. Champaign, IL: Research Press Company 1986. Available at: http://www.thereserando.com/ (accessed 25.08.2020).