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How Children Cope
Helping a Child
Helping a Teen
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Helping a Friend
Facing the Holidays
Bibliography |
How Children Cope -
Children's understanding of death and dying
Children's understanding of death and dying changes as they grow and
mature. Age parameters vary for each individual child, but most children
pass through a sequence of developmental stages.
Preschoolers (Age 3 to 5)
These children see death as temporary and reversible. They believe
the dead live on under changed circumstances - either on a cloud in
a city called heaven or in a box under the ground connected to other
boxes by tunnels. Preschoolers ask many questions about how one lives
on. No matter how well death is explained, many will persist in their
belief about its reversibility. These children are likely to be literal
and concrete in their thinking.
Latency/Early Elementary (Ages 6 to 8)
Children in this developmental stage see death as a person or spirit
that comes to get you if you aren't fast or clever enough to escape.
From their perspective, three groups of people die: the elderly and
the handicapped (because they can't run fast enough) and the klutzes.
Klutzes are people who die, who are neither elderly nor handicapped.
In an effort to make themselves feel different, and therefore safe,
children will often find some specific way, frequently negative, to
differentiate themselves from people who die.
Preadolescents (Age 9-11)
These children have more adult understanding of death, seeing it as
final, universal, and irreversible. They are interested in rituals
and concerned about how the world will change because of the death
of a particular person. This age group is frequently described as
having the easiest time dealing with death and dying because they
tend to intellectualize as a way of coping with the experience. They
can sometimes sound crass and uncaring.
Adolescents (12+)
Just when adolescents are being asked to take responsibility for their
own lives, they are confronted by experiences that challenge their
belief in their own immortality. They often engage in risk-taking
behavior, seeming to test the limits of that immortality. Most adolescents
are embarrassed when a parent or brother or sister dies; they don't
want to be different from their friends. Their grief at times of death
and dying tends to be expressed with peers rather than with family
members, often causing family members to believe that the adolescent
is not grieving.
Written by The Good Grief Program, Judge Baker Children's
Center
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Helping a Child -
Ways parents can help bereaved children
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Recognize your own feelings. Think about your own experiences
with loss, separation and death. They may well have an impact
on your comfort in helping children and adolescents with their
grief.
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Share the fact of the death. Provide age-appropriate information
about what happened and what rituals will occur. Be aware of the
four psychological tasks youngsters must accomplish if their grief
is to be good grief.
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Be aware of issues that make a specific child vulnerable. These
include things such as many recent losses, knowing someone with
the same illness, being the best friend or worst enemy of the
person who died or having had some actual responsibility for the
death. Consider a prompt referral to a mental health center or
professional for preventative services.
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Address the children's fears and fantasies. Be particularly
aware of those that grow out of magical thinking and reflect an
inappropriate sense of responsibility for the death.
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Discuss issues specific to the situation. Every death is unique
and raises specific issues. Children may want to talk about an
illness, violence or suicide, alcohol and drug use or troubled
adults who hurt children. They may want to know about wakes and
funerals, cremation and burial or ethnic and cultural diversity
in death rituals.
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Support children and adolescents as they grieve. Provide an
environment where grieving is accepted. Talk specifically about
the appropriateness of sadness and anger. Share your own grief
with your children, being sure they know they have not caused
tears or anger.
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Remember the person who died and help children and adolescents
participate in that commemoration. Young people can often make
suggestions about the content of a funeral or memorial service,
flowers or what to do with particular belongings of the person
who died. Commemorative activities may go on over a period of
time.
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Use teachable moments to help children and adolescents learn
about death and dying. Daily activities and dramatic life events
provide many opportunities to talk about death, dying, grief and
loss. For example, a dead bird on the side of the road can open
discussion about what death is and feelings when something or
someone dies. News programs sometimes feature tragic stories on
death. Children may raise questions for which we have no answers.
It is perfectly acceptable to say that their questions are good
ones and we wish we knew the answer, too.
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Helping a Teen -
Fourteen Ways to Assist Grieving Teens
- Listen, care for and accept them as they are
- Tell the truth and answer their questions honestly
- Encourage them to make healthy and creative choices in dealing
with their pain and healing process
- Invite them to view the body, participate in the memorial and
burial, or see the cremated remains
- Suggest that they create memory rituals, talk about the person
and recall memories
- Discuss their perceptions, experiences and beliefs
- Acknowledge their loss of focus and interest
- Be steady and stable during this turbulent period
- Seek help for your own grief process through appropriate means
such as peers, support groups, or a professional therapist
- Affirm and appreciate your children during this difficult time
- Assure the adolescent of your love and respect
- Use words and expressions of comfort and affections
- Express that you appreciate and value the uniqueness and differences
between them and the others in the family or school
- Accept each teen's unique grief process
From Helping Teens Cope with Death, published by The Dougy Center
Helping Your Grieving Adolescent
Parenting teenagers…it's a tough job under the best of circumstances.
But when a teenager is grieving as well, four dynamics place additional
stress on the situation.
First, grieving families often feel a need to pull together for
support. Since adolescence is increasingly a time for breaking away
and relying on peer support, these conflicting needs can place parents
and teens at odds with one another.
Second, adolescents are keenly aware of parental reactions and
when parents are grieving often try to protect them from further
pain. Most commonly, this takes the form of not talking about it.
Third, simply because they've experienced the death of a loved
one, grieving teens tend to feel different from their peers. In
an attempt to fit in, they may try to ignore their own grief reactions.
Nevertheless, their normal grief reactions seethe beneath the surface,
waiting for expression…healthy or unhealthy, at appropriate
or inappropriate times.
Fourth, the stress of bereavement adds to the physical and emotional
swings already common in adolescence.
So what's a caring parent or caregiver to do? Here are four strategies
for helping your adolescent through bereavement.
1. Provide an environment the adolescent perceives as safe. Like
adults, if they don't feel safe, young people can't do the necessary
grief work. They need to know that they can trust themselves as
having grief reactions that are normal, their peers and adults to
be supportive, and parents to be a dependable safety net.
You can help through structure, discipline, and education. Structure
and maintaining routines provide adolescents with a subtle, daily
sense of continuity and permanence at a time when everything else
seems up for grabs.
Discipline…reasonable and caring but consistent and firm…reassures
adolescents that someone is in control and will save them from serious
harm.
Education can transform a neutral environment into a healing one
for your teen. Make sure the adults in his or her world (school
personnel, coaches, bosses, clergy, ete.) know that a death has
occurred. Share with them printed materials about normal grief responses
and what grieving people need. Use health classes and all-school
assemblies to educate peer groups about bereavement.
And educate your child about normal reactions to grief so that
he knows he is not going crazy and can trust the way his body, mind
and emotions are responding. If he pulls back from discussion, provide
books or movies that illustrate normal grieving.
2. Encourage your teen to express what the grief experience is
like for him or her. Recognize and affirm that her experience is
likely to be different from everyone else's in the family. Provide
"emotional coaching" for your child by modeling appropriate
emotional reactions to loss.
If your teenager is a quiet or private person, encourage other
methods of expression. Helpful ways of expressing emotion include
playing music or musical instruments, writing (songs, poetry, diaries,
letters to the person who died), sports (including the martial arts
and punching bags), and art and photography.
3. Facilitate an ongoing connection with the person who died. Tell
stories about the person who died. Give your adolescent a photo
of him or her with the person. Support him in visiting the gravesite
if that is meaningful to him. Make sure he has a memento of the
person who died...a favorite tool or sports or hobby item, a piece
of jewelry, a book, a sweater or robe…by which to stay connected.
And make sure you remember (in discussion, in prayer, by way of
a small gift) to include the memory of the person who died in your
celebration of important events m your child's life, events such
as graduations, getting a driver's license, participating in his
or her first school play or first varsity sporting event.
4. Encourage your teenager to participate in normal adolescent
life as she feels able. Grieving takes enormous energy, so your
child may need to slow down a bit while she works on her grief.
However, it's important for her to know that you don't expect her
to take on an adult role now that someone important has died. Let
her know you love and accept and support her…just as she is
now, with all the normal living and loving and learning she has
yet to do.
Resources
Straight Talk About Death for Teenagers:
How to Cope with Losing Someone you Love
Earl A. Grollman, Beacon Press, Boston, MA.
Facing Change:
Falling Apart and Coming Together Again in the Teen Years
Donna O'Toole, Mountain Rainbow Publications, Burnsville, NC.
Death is Hard to Live With:
Teenagers Talk About How They Cope with Loss
Janet Bode, Bantam Doubleday, New York, NY.
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Helping a Friend -
Five things to help a grieving friend
1. Acknowledge What Has Happened
Say something ("I am so sorry about your loss"), write something (a
card or a note means a great deal), do something (a kind gesture or
helpful deed is always welcome).
2. Listen, Listen, Listen
Make time to be with the friend and listen to their thoughts and feelings.
Don't ever assume that you know what they are going through. Just
let them know that you are there for them to listen and care.
3. Accept the Other as He or She Is
Don't try to offer advice on how the person should act or feel. If
the person seems different, remember that THEY ARE. Something big
has happened to them.
4. Offer to Help, and Make Your Offers Specific
Don't just say, "I am here for you." Tell the person HOW you are here
for them. Examples are: "I will get the homework assignments for you,"
or "I will check in on how you are doing everyday this week, ok?"
or "I want to sit with you at lunch for awhile until you are feeling
better."
5. Relate to the Other as a Whole Person
No one wants to be seen as a victim all the time. Remember that the
person is more than what they have lost. To forget who the person
is will not help their recovery. To forget that they have had a sad
thing happen, will make them feel invisible. So try to keep both things
in mind.
GRIEF IS A CONTINUAL PROCESS. WHAT MIGHT ASSIST YOU?
TALKING
GETTING INVOLVED IN SCHOOL AND OTHER ACTIVITIES
HAVING TIME ALONE CRYING
WRITING DOWN YOUR THOUGHTS
BEING WITH FRIENDS
EATING HUGGING SCREAMING PRAYING
HELPING OTHERS GETTING COUNSELING
JOINING A SUPPORT GROUP
EXERCISING
LISTENING TO MUSIC
DRAWING OR PAINTING
E-MAILING
Resources
Straight Talk About Death for Teenagers:
How to Cope with Losing Someone You Love
Earl A. Grollman, Beacon Press, Boston, MA.
Facing Change:
Falling Apart and Coming Together Again in the Teen Years
Donna O'Toole, Mountain Rainbow Publications, Burnsville, NC.
Death is Hard to Live With:
Teenagers Talk About How They Cope with Loss
Janet Bode, Bantam Doubleday, New York, NY.
Written by The Good Grief Program, Judge Baker Children's
Center
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Facing the Holidays -
Facing the Holidays When Someone You Love Has Died
Be kind to yourself. Do only as much as you can comfortably manage.
Express you feelings. The surest road through grief is to feel
it, not deny it.
Create support for yourself. Sharing your pain eases it.
Appreciate your loved ones. Enjoy the people you love. Other people
need your love, too, and their love can nourish you and help you
begin to heal.
Ask for what you need. Other people don't know how you feel unless
you tell them. If you want privacy say so. Ask for help planning,
shopping, or getting through the day.
Don't compare your life with anyone else's. Embracing what you
have gives you more power than regretting what is missing.
Don't be a victim of your pain. Avoid sitting around, isolating
yourself. Even a walk or trip to the library can feel better than
sitting alone inside of your thoughts.
Resolve to use your learning to help someone else. Although you
may have been through the most difficult year of your life, you
have also grown in compassion and understanding for others'. By
using that knowledge to help someone else, you give meaning to your
loss.
We don't have to use our grief as a testimonial to our love. Perhaps
the best testimonials we can give is to live our lives wholeheartedly.
Death teaches us that every day of life is precious and worth living
to the fullest.
Excerpts from:
Hospice Foundation of America, Judy Tatelbawn, MSW
and Healing Hearts News, Joanie Overbeck
How to Remember a Loved One at the Holidays
Holidays can create feelings of dread and anxiety in those who
are bereaved. The cliched images of family togetherness and the
often unrealistic expectations of a season filled with picture perfect,
joyful gatherings can cause tremendous stress for those who are
not grieving —let alone those in the midst of the painful,
isolating experience of loss.
How does one celebrate the holidays when a loved one is so sorely
missed? Creating new rituals and new traditions that pay tribute
to the memory of the deceased is one way to survive, and perhaps
even embrace the holidays when a loved one has died. Here are some
suggestions of what you can do.
Decorate a wreath with pictures and items that were loved by the
person who died and place the wreath at his or her grave.
Wrap a favorite keepsake of the deceased or a framed picture of
your loved one, and give it as a gift to another grieving family
member.
Tell the stories behind the ornaments on the Christmas tree and
the role your loved one played in making those memories. Create
a special ornament labeled with the name of the deceased and hang
it on the tree.
Decorate a candle and light it at meal time in memory of your loved
one. If you celebrate Chanukah, recall a memory of the deceased
on each of the eight nights that you light the Menorah.
Make a book of pictures and memorabilia about the deceased to give
or simply to share with one another. This is a good activity for
children as well.
Make a donation to a favorite charity in the person's honor. Create
a scholarship to keep the memory of the deceased alive and announce
it at a holiday gathering of family and friends.
Purchase a holiday book —perhaps a favorite of the deceased—
and donate it to your local library or school. Ask your librarian
to place a label in the front cover inscribed, "In memory of
(your loved ones name)."
Bring your loved one's favorite food to share at a holiday dinner.
Mention their name in the blessing over the food or propose a toast
to their memory.
Share anecdotes and favorite stories about the person who died.
Sometimes others need permission to talk about the deceased. Let
them know you would rather keep the memory of your loved one alive
than pretend nothing has changed.
Encourage grieving children to draw pictures and create gifts inspired
by their memories of the deceased to give to other family members.
Decorate and hang a cut-out star in your home with your hopes and
dreams for the future. Thinking about tomorrow is part of your healing.
Then once you've remembered your loved one, make sure you remember
yourself. Take care of yourself. Be gentle. Do what you can do —no
more and no less.
If it's too hard to be in the same place where you spent holidays
together with your loved one, opt for a change of scene and go somewhere
new. If you can't afford a vacation, go to a restaurant, or a friend
or family member's home that doesn't have painful associations with
previous holidays. Although you can't erase thoughts and memories
of the deceased, it may help to create a new holiday experience.
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Bibiography -
Books for Adults
Guiding Your Child Through Grief, Mary Ann and
James Emswiler, Bantam, 2000
Never The Same: Coming to Terms with the Death of a Parent, Donna Schuurman, St. Martins Press, NY, 2003
Talking with Children About Loss, Maria Trozzi,
Perigee, NY, 1999
Good Grief: Helping Groups of Children When a Friend Dies. Sandra Fox, Boston, 1988
How Do We Tell The Children? D. Schaefer and Christine Lyons.
Newmarket Press, New York, updated 1993.
Helping Children Grieve - When Someone They Love Dies. Theresa
Huntley. Augsburg Fortress, Minneapolis, 1991.
The Grieving Child (A Parent's Guide). Helen Fitzgerald.
Simon and Schuster, New York, 1992.
Helping Children Cope with Grief - For Caregivers. Alan Wolfelt.
Accelerated Development Inc., Indiana, 1983.
A Child's View of Grief. Alan Wolfelt. Center for Loss and
Life Transition. Colorado, 1991.
Helping Children Cope with Grief - Facing a Death in the Family. Rosemary Wells. Sheldon Press, London, 1992.
They Need to Know. Audrey Gordon. N.J., Prentice-Hall Inc.,
1979.
How to Go On Living When Someone You Love Has Died. Theresa
Rando. Bantam Books, New York, 1991.
Straight Talk About Death For Teenagers. Earl Grollman. Beacon
Press, Boston, 1993.
How it Feels When a Parent Dies. Jill Krementz. Knopf, New
York, 1983.
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