At 6 months postloss, 37 midlife bereaved participants engaged in an empty-chair monologue role play involving their deceased spouses. Judges rated the extent of self- and deceased-blame in participants' monologue discourse, and forms of continuing attachment to the deceased were assessed. Participants completed outcome measures at 14, 25, and 60 months postloss. Self-blame was uniquely predictive of grief-specific symptoms across 60 months postloss. Furthermore, the relationship between self-blame and grief-specific symptoms was mediated by a maladaptive form of continuing attachment involving hanging onto the deceased's possessions. In contrast, deceased-blame was uniquely related to general symptoms at 14 months postloss but was not predictive of symptoms later on after the death. It was also negatively related to use of the fond memories form of continuing attachment. The results were interpreted in terms of differing motivational consequences of self- versus deceased-blame on the continuing attachment.
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References
1.
Baumeister, R. F. , Stillwell, A. M., & Heatherton, T. F. (1994). Guilt: An interpersonal approach. Psychological Bulletin, 115, 243-267.
2.
Bonanno, G. A. , & Kaltman, S. (1999). Toward an integrative perspective on bereavement. Psychological Bulletin, 125, 760-776.
3.
Bonanno, G. A. , Keltner, D., Holen, A., & Horowitz, M. J. (1995). When avoiding unpleasant emotions might not be such a bad thing: Verbal-autonomic repsonse dissociation and midlife conjugal bereavement. Journal of Personality and Social Psychology, 46, 975-989.
4.
Bonanno, G. A. , Notarius, C. I., Gunzerath, L., Keltner, D., & Horowitz, M. J. (1998). Interpersonal ambivalence, perceived dyadic adjustment, and conjugal loss. Journal of Consulting and Clinical Psychology, 66, 1012-1022.
5.
Costa, P. , & McCrae, R. (1989). NEO PI/FFI: Manual supplement. Odessa, FL: Psychological Assessment Resources.
6.
de Rivera, J. H. (1984). The structure of emotional relationships. In P. Shaver (Ed.), Review of personality and social psychology: Emotions, relationships, and health (pp. 116-145). Beverly Hills, CA: Sage.
7.
de Rivera, J. H. , & Grinkis, C. (1986). Emotions as social relationships. Motivation and Emotion, 10, 351-369.
8.
Derogatis, L. R. (1983). SCL-90-R Administration, Scoring, and Procedures Manual II (2nd ed.). Towson, MD: Clinical Psychometric Research.
9.
Downey, G. , Silver, R. C., & Wortman, C. B. (1990). Reconsidering the attribution-adjustment relation following a major negative event: Coping with the loss of a child. Journal of Personality and Social Psychology, 59, 925-940.
10.
Faschingbauer, T. R. (1981). Texas revised inventory of grief manual. Houston: Honeycomb.
11.
Field, N. P. , Bonanno, G. A., Williams, P., & Horowitz, M. J. (2000). Appraisals of blame in adjustment in conjugal bereavement. Cognitive Therapy and Research, 24, 551-569.
12.
Field, N. P. , & Horowitz, M. J. (1998). Applying an empty-chair monologue paradigm to examine unresolved grief. Psychiatry, 61, 279-287.
13.
Field, N. P. , Nichols, C., Holen, A., & Horowitz, M. J. (1999). The relation of continuing attachment to adjustment in conjugal bereavement. Journal of Consulting and Clinical Psychology, 67, 212-218.
14.
Fraley, R. C. , & Shaver, P. R. (1999). Loss and bereavement: Bowlby's theory and recent controversies concerning grief work and the nature of detachment. In J. Cassidy & R. R. Shaver (Eds.), Handbook of attachment theory and research (pp. 735-759). New York: Guilford.
15.
Freud, S. (1957). Mourning and melancholia. In J. Strachey (Ed.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 14, pp. 152-170). London: Hogarth. (Original work published 1917)
16.
Frijda, N. H. (1993). The place of appraisal in emotion. Cognition and Emotion, 7, 357-387.
17.
Futterman, A. , Gallagher, D., Thompson, L. W., & Lovett, S. (1990). Retrospective assessment of marital adjustment and depression during the first 2 years of spousal bereavement. Psychology and Aging, 5, 277-283.
18.
Greenberg, L. S. , Rice, L. N., & Elliott, R (1993). Facilitating emotional change: The moment-by-moment process. New York: Guilford.
19.
Horowitz, M. J. , Siegel, B., Holen, A., Bonanno, G. A., Milbrath, C., & Stinson, C. H. (1997). Diagnostic criteria for complicated grief disorder. American Journal of Psychiatry, 154, 904-910.
20.
Horowitz, M. J. , Weiss, D. S., Kaltreider, N., Krupnick, J., Marmar, C., Wilner, N., & DeWitt, K. (1984). Reactions to the death of a parent: Results from patients and field subjects. The Journal of Nervous and Mental Disease, 172, 383-392.
21.
Horowitz, M. J. , Wilner, N., Marmar, C., & Krupnick, J. (1980). Pathological grief and the activation of latent self images. American Journal of Psychiatry, 137, 1157-1160.
22.
Janoff-Bulman (1992). Shattered assumptions: Toward a new psychology of trauma. New York: Free Press.
23.
Kessler, R. C. , Kendler, K. S., Heath, A., Neale, M. C., & Eaves, L. J. (1992). Social support, depressed mood, and adjustment to stress: A genetic epidemiologic investigation. Journal of Personality and Social Psychology, 62, 257-272.
24.
Klass, D. (1993). Solace and immortality: Bereaved parents' continuing bond with their children. Death Studies, 17, 343-368.
25.
Klass, D. (2001). Continuing bonds in the resolution of grief in Japan and North America. American Behavioral Scientist, 44, 742-763.
26.
Klass, D. , & Goss, R. (1999). Spiritual bonds to the dead in cross-cultural and histrocial perspective: Comparative religion and modern grief. Death Studies, 23, 547-567.
27.
Klass, D. , Silverman, P., & Nickman, S. (Eds.). (1996). Continuing bonds: New understandings of grief. Washington, DC: Taylor & Francis.
28.
Lazarus, R. S. (1991). Emotion and adaptation. New York: Oxford University Press.
29.
Lindsay-Hartz, J. (1984). Contrasting shame and guilt. American Behavioral Scientist, 27, 689-703.
30.
Middleton, W. , Raphael, B., Martinek, N., & Misso, V. (1993). Pathological grief reactions. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement (pp. 44-61). New York: Cambridge University Press.
31.
Nolen-Hoeksema, S. , & Larson, J. (1999). Coping with loss. Hillsdale, NJ: Lawrence Erlbaum.
32.
Parkes, C. M. , & Weiss, R. S. (1983). Recovery from bereavement. New York: Basic Books.
33.
Rando, T. A. (1993). Treatment of complicated mourning. Champaign, IL: Research Press.
34.
Sanders, C. M. (1993). Risk factors in bereavement outcome. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement (pp. 255-267). New York: Cambridge University Press.
35.
Shuchter, S. R. , & Zisook, S. (1993). The course of normal grief. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement (pp. 23-43). New York: Cambridge University Press.
36.
Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 15-28.
