

Dealing with a loss
Sudden, Accidental or Traumatic Death
Life is can be difficult on a daily bases, with stress, body pain, financial issues and
so on, but when you add the unexpected loss of a loved one life can be a trap, a
place where you thoughts can become confusing and painful. So many people find it
beyond difficult to deal with the understanding of why this happened to them and
the one they lost. We all experience loss in a different way and we all go through the
process of grieving in a very different ways and in our own time. No one knows how
you feel or how painful your experience is compared to theirs. We are so wonderfully
unique and so we should be unique in our healing. So many of my clients are learning
to deal with the pain of a lifetime while also learning to accept it is ok to live, to
breath and to be happy. Life is still meant to live and you have permission to be o.k.
The love of the spirit that was with you will always be with you. Love is forever.
This newsletter is dedicated to Karen Roy, Nearly a year gone, loved by all
and missed with great heartfelt emotion.
I secondly dedicate this to all of us here who loved her and still do.
A prayer for those that are here and have lost someone they loved.
Heavenly spirit on your wings carries the soul of my love.
Watch over them and keep them well until we meet again.
My heart is broken, please heal my pain.
Let my sweetheart know I will be ok
That I am healing and hoping to hold them again.
Please know that every day that passes is a day closer to being closer to you.
I am living here knowing I have to be the best so to be the best with you in spirit.
My life is a moment in a memory, forever you are in my memories, spirit and soul.
I pray you hear my voice and feel my love. I hear and feel yours.
To you my beloved spirit I ask your attention.
Suddenly your life as you knew has changed; perhaps you are not ready for this
change, which ever really is? I hope this information helps deal with your loss and
opens your heart back up to healing. May your journey be healing and peaceful.
A sudden, accidental, unexpected or traumatic death changes the world as we know
it. It is often a loss that makes no sense. We must realize that life is not always fair
and that sometimes things happen that we cannot explain. The sudden death leaves
us feeling shaken, unsure and vulnerable.
Life is a journey,
with a beginning and an end of the physical,
but never an end of the spirit.
We will continue on and journey to another place,
but forever remain connected in this our minds space.
A Sudden Loss - one that occurs without any forewarning.
A Traumatic Death - one that is sudden, unanticipated, violent, mutilating or
destructive, random and/or preventable, involves multiple deaths or one in which the
mourner has a personal encounter with death.
Common examples of sudden deaths include: heart attacks, strokes, ruptured
aneurysms, accidents, post-operative complications, anaphylactic reactions (bee
stings, severe allergies), rapidly fatal acute leukemia's, sudden infant death
syndrome and rapidly progressive infectious diseases such as respiratory anthrax,
certain pneumonias, Legionnaire's. Sudden deaths also include suicide, homicide,
natural disasters such as bombings, earthquakes.
Special Problems for Survivors
Death due to a sudden or traumatic accident or disaster can raise a number of
complex issues for the survivors. The grief process is often very different from an
expected or anticipated death. Homicide, suicide, or exceptionally tragic events can
cause reactions such as Post Traumatic Stress Disorder on the part of survivors and
family members. Sudden loss or death creates special problems for the survivors.
Many of these problems compound the grief response. I have worked with many
people who had become severely depressed due to sudden death experiences of the
ones they loved.
Time is the healer here, and an open heart willing to accept life again. In time, life
will return to balance.
The grief response following sudden loss is usually intensified since there is little to
no opportunity to prepare for the loss, say good-bye, finish unfinished business or
prepare for bereavement. Families and friends are suddenly forced to face the loss of
a loved one instantaneously and without warning. This type of loss can generate
intense grief responses such as shock, anger, guilt, sudden depression, despair and
hopelessness.
A sudden tragic event changes our sense of order and thrusts us into a world forever
changed. Survivors of sudden loss may experience a greater sense of vulnerability
and heightened anxiety. The safe world we once knew, no longer exists. We fear for
ourselves, our family and friends. Survivors can become overwhelmingly preoccupied
with thoughts that such a random act of violence might happen again.
Along with the primary loss of the person, families and loved ones may experience
concurrent crises and multiple secondary losses: lost income, loss of home, loss of
social status. The role the loved one held in the family is gone. It takes time for the
family to reorganize. Family may be left feeling in a state of perpetual disarray with a
lingering sense of unease and disorganization. Marital and other family relationships
can become strained.
Additional problems arise if the grieving survivor was involved with the disaster or
was physically injured. Memories of the accident or the disaster may dominate the
person's mind. They may be taken up with feelings of numbness, unreality and fear.
The bereaved person may suffer from "survivor guilt," wondering why they survived
when others have died and believing that they could have or should have done more
to prevent the tragedy.
The reaction to sudden deaths can be further complicated if the death is due to a
violent act. If there is a trial, the grieving process may be unduly prolonged,
stretching out to the time it takes for the trial. It may be particularly difficult on the
family if the killer of their loved one is not being caught or goes unpunished.
Suicide is one of the most agonizing kinds of death for surviving spouses or family
members to endure. This type of death can result in shame, anger and guilt if family
members blame themselves, or are blamed for the death. Suicide is also one of the
disenfranchised or publicly unacknowledged losses. Many times, it possible, the
reason for a death due to suicide is hidden. The threat of social stigma contributes
to family shame.
Families may feel unable to fully grieve and reach closure in situations when there is
no positive confirmation of the death, when the physical body has not been
recovered or if the body is available but the family is unable to view it. This factor
can make it difficult to grasp the reality of the death has occurred as survivors
continue to hope. Only when the reality is fully grasped can survivors move past the
trauma to face the full realization and the pain of grief.
In public or particularly newsworthy events, survivors may also have to deal with
intrusion by the media. As we well know the media can become an additional pain
source-not respecting the family's privacy, replaying tragic events-such as the
explosion of the Challenger space shuttle or plane crashing into the World Trade
Towers-over and over again. With criminal incidents families and survivors must deal
with the police, investigators and lawyers.
Since the death was not anticipated, the deceased may have left unfinished business
which the surviving family members may need to handle. These may be domestic
concerns but could equally well be work-related or legal matters. Legal and financial
affairs following certain types of death e.g. suicide, deaths in which the body is
never recovered, may be complex.
The search for meaning of the loss can challenge survivor's religious and spiritual
beliefs. Sudden losses in particular can precipitate an existential crisis as the
survivor searches for meaning. They start questioning their internal belief system and
values. Goals, plans and purchases which were important the week prior to the
event, abruptly seem trivial in comparison. Survivors are forced to look at and
re-evaluate life priorities.
Factors Affecting the Nature of a Sudden Loss
A. Natural vs. human-caused disasters
Natural losses are illnesses and natural disasters-heart attack, stroke, earthquake or
hurricane. With natural losses the resulting anger is directed towards the deceased
or God. Human-caused losses include homicide, bombings, or acts of war and may be
due to individual hostile actions. In human-caused disasters the survivor's anger can
be focused on the responsible person(s).
B. The degree of intentionality
In accidental deaths there is no clear focus of intentionality. There is a high degree
of intentionality with deaths such as homicide. Anger and blame for the death can be
directed at a responsible person.
C. The degree of preventability
Illnesses like a sudden heart attack or ruptured aneurysm and natural disasters
earthquakes, hurricanes, tornadoes may not be perceived as being preventable.
Others such as homicide may be highly preventable. When deaths are perceived as
preventable, there may be a strong sense of the "What if's." Preventable deaths are
likely to increase a sense of guilt, especially if one feels responsible or a sense of
anger or if one hold others at fault.
D. Suffering
With some losses, the death is instantaneous. Immediate death may leave feelings
that the person who died had no time to prepare for the death. Many survivors find
the knowledge of an instantaneous death to be comforting. In others situations,
there is a question whether the deceased suffered pain or anxiety prior to dying.
These memories, particularly if the person's relative died in extremely distressing
circumstances may dominate the person's thoughts, rather than the memories of the
person themselves. This can become a diversion from grieving for the deceased
person disrupting the grieving process. Imaginings or memories of the traumatic
death may cause so much distress that remembering the person who died may be
actively avoided.
E Scope
The number of people affected by the loss can affect the intensity of grief. When
large numbers of people are involved as with a devastating hurricane, the ability of
others to offer support maybe limited, because of the extent of those involved.
Conversely, highly public losses such as the September 11th tragedy, Littleton
Shootings or losses due to war can result in a greater community response and
demonstration of support, allowing survivors to bond and grieve together.
F The degree of expectedness
Some sudden losses are still somewhat expected, even if just retrospectively. The
heart attack of someone at risk or the sudden loss of someone struggling with a
life-threatening illness, frequently do not come as a total surprise. Other losses,
such as accidents or random acts of violence, offer little to no forewarning and are a
shock to the survivor.
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Traumatic Grief & Complicated Mourning
Tragic events can be much more difficult to recover from quickly, or at all, depending
on the nature of the tragedy e.g. unnecessary or accidental death, rape, loss through
natural disasters, death during war-time, unnecessary acts of violence.
Traumatic grief generally occurs when a death is:
" Sudden, unexpected - the result of natural causes but without a history of illness.
" Violent, Mutilating, Destructive - especially when caused by the actions of another
person, an accident, suicide, homicide, or other catastrophe.
" Is viewed as random and/or preventable.
" Involves multiple deaths.
" Results in the survivor's (mourner's) own personal encounter with death.
A "traumatic" death predisposes the grieving person to be at a much greater risk for
suffering subsequent complicated mourning.
Complicated Mourning is defined as a delayed or incomplete adaptation to loss or
failure in the process of mourning.
The grieving process with traumatic grief is complex, intensified demanding even
more than a normal response as the survivor struggles to cope with the loss and the
aftermath. Traumatic losses are the ones that often require counseling and
professional help from those knowledgeable in the field to help the grieving better
cope with the loss.
Human-Caused Disasters
Human caused disasters such as the September 11th events catch us off guard.
These acts are viewed as random acts of violence, can be more frightening than
natural disasters, often perceived as "an act of God." Because the acts were
committed by humans rather than being an "act of God" there is the perception that
"We should have seen it coming," "We should have been more vigilant," "We could
have prevented this event from occurring." It is difficult for us to believe that fellow
human beings are capable of such atrocities. There are several differences between
human and natural disasters that make the event even more stressful:
" There is no warning, therefore no time to prepare. Unlike a hurricane or slow-rising
flood, there is no way to get ready for a human-caused disaster.
" We don't expect this kind of disaster. Most of the disasters in this country are
weather related or accidents.
" There have been few incidents of terrorist attacks occurring in the United States.
The last notable one was the attack on Pearl Harbor, 60 years ago. Terrorist attacks
happen somewhere else, not in the "safety" of the United States. And more recently
there is the disaster in Haiti and now Japan.
" It is difficult to comprehend how people could carefully and deliberately plan and
execute a mission that would cause so much death and destruction and injuries.
" Terrorists acts can lead us to question our fundamental beliefs and values-what we
know to the true, right and just in the world.
" TV, radio, and newspaper coverage make us all feel like part of the disaster. Many
experienced the events "first-hand" watching the live media coverage. Thus even
more people became secondary victims of the event.
" To feel safe again, we have given up some of the freedoms and life-style choices
we have taken for granted in the past. Witness the changes in travel, restrictions on
what can be taken on a plane, mail handling and increased security at public events.
"
The Unanswerable "Why?"
Trying to make sense of or understand sudden losses can be difficult. Survivors are
left asking "Why?" "Why did this happen?" Yet events such as the September 11,
2001 tragedy and the Northridge earthquake were beyond anyone's control; they are
a sudden, unexplainable loss.
It is human nature to want to answer the question "Why?" yet it may be difficult if
not impossible to find an answer. Instead the question "Why?" is more of a plea for
meaning and understanding.
Asking "Why" may in actuality be counterproductive, especially for the healing
process. Perhaps it is better to ask "What can I do about it now?" "How can I help?"
or "How do I pick up the pieces and go on living as meaningful as possible?" The
following quote sums this up:
Let go from your mind, if you want to be serene
"What if?" "If only," and "Why Me?"
Basics on Coping for the Survivor
It is important for the grieving person to take care of him/herself following a sudden
loss. He/she is dealing with an event that is beyond his/her control. One way of
helping is to do things that help re-establish the person's sense of control over their
world. It is also important to focus on the basics the body needs for day-to-day
survival:
" Maintain a normal routine. Even if it is difficult to do regular activities, try to
anyway. Putting more structure into a daily routine will help one to feel more in
control.
" Get enough sleep, at least plenty of rest.
" It may be helpful to keep lists, write notes, or keep a schedule.
" Try and get some regular exercise. This can help relieve stress and tension.
" Keep a balanced diet. Watch out for junk food, or high calorie comfort food binges.
" Drink plenty of water.
" Drink alcohol in moderation. Alcohol should not be used as a way of masking the
pain.
" Do what comforts, sustains & recharges.
" Remember other difficult times and how you have survived them. Draw upon the
inner strength.
" Take it one hour at a time, one day at a time.
How you can help someone who is suffering.
Initially, be persistent and offer concrete help. A grieving family may feel so
overwhelmed by the loss that they may not know where to start or what someone
can do to help. Offer to prepare meals, help with child care, answer the phone, run
errands, or help make phone calls or memorial arrangements. If the media is
involved, it may be beneficial to run interference for the family.
After a few months, support is most needed. Be prepared to listen. Give the
bereaved time to talk about their loss if they want. Ask how you can help. You can
offer to take them to or go with them to a support group if it's feels appropriate.
Over time it helps to remember the grieving on the difficult days-anniversaries,
holidays, the birthday or the death day of the person who died. People like to know
that others still remember their loved one.
Through it all there is hope of your healing:
Sudden losses, like all losses, are very distinct and are likely to affect survivors in
many different ways. One cannot compare loss. The greatest loss is the one that the
grieving person is suffering. Each loss, whether sudden or not, creates its own
unique issues. It is important to allow survivors to grieve in their own individual way.
Sudden loss creates distinct issues and problems for survivors. It also shares many
reactions common to the grief process-being a process that survivors go through
following a loss. Each type of sudden loss, whether a heart or a terrorist attack,
leaves survivors bereaved, dazed and vulnerable. Please remember you will and can
get through this.
I hope all of you who are dealing with the pain of loss have found something in
these words that have helped you heal. Bless you all.
Sharon