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      Complicated Grief and the Quest for Meaning: A Constructivist Contribution

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      OMEGA - Journal of Death and Dying
      Baywood Publishing Company, Inc.

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          Prospective patterns of resilience and maladjustment during widowhood.

          Using prospective longitudinal data on an older sample beginning prior to the death of a spouse, G. A. Bonanno et al. (2002) distinguished 5 unique trajectories of bereavement outcome: common grief, chronic grief, chronic depression, depression followed by improvement, and resilience. These trajectories having been identified, the aims of the current study were to examine differences in how respondents in each group reacted to and processed the loss. Specific hypotheses were tested regarding differences in coping, meaning making, context, and representations of the lost relationship. Results suggest that chronic grief stems from the upheaval surrounding the loss of a healthy spouse, whereas chronic depression results from more enduring emotional difficulties that are exacerbated by the loss. Both the resilient and the depressed-improved groups showed remarkably healthy profiles and relatively little evidence of either struggling with or denying/avoiding the loss. ((c) 2004 APA, all rights reserved)
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            The content and organization of autobiographical memories

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              Functional neuroanatomy of grief: an FMRI study.

              In this study the authors examined the functional neuroanatomy of grief, which to their knowledge has not been studied previously in functional neuroimaging research. Grief was elicited in eight bereaved women through photographs of the deceased versus a stranger, combined with words specific to the death event versus neutral words. Use of both pictures and words resulted in a 2x2 factorial design. Three brain regions were independently activated by the picture and word factors: posterior cingulate cortex, medial/superior frontal gyrus, and cerebellum. The two factors also activated distinct regions: for the picture factor, they were the cuneus, superior lingual gyrus, insula, dorsal anterior cingulate cortex, inferior temporal gyrus, and fusiform gyrus; and for the word factor, they were the precuneus, precentral gyrus, midbrain, and vermis. The interaction of the two factors showed significant activation in the cerebellar vermis. Grief is mediated by a distributed neural network that subserves affect processing, mentalizing, episodic memory retrieval, processing of familiar faces, visual imagery, autonomic regulation, and modulation/coordination of these functions. This neural network may account for the unique, subjective quality of grief and provide new leads in understanding the health consequences of grief and the neurobiology of attachment.
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                Author and article information

                Journal
                OMEGA - Journal of Death and Dying
                Omega (Westport)
                Baywood Publishing Company, Inc.
                0030-2228
                1541-3764
                August 03 2016
                February 2006
                August 03 2016
                February 2006
                : 52
                : 1
                : 37-52
                Affiliations
                [1 ]University of Memphis, Tennessee
                Article
                10.2190/EQL1-LN3V-KNYR-18TF
                3f77b892-5b86-458d-aefe-2ddbb19d423d
                © 2006

                http://journals.sagepub.com/page/policies/text-and-data-mining-license

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