In What Ways Do Bereaved Parents After Terror Go on With Their Lives,and What Seems to Inhibit or Promote Adaptation During Their Grieving Process? A Qualitative Study

Abstract

The aim of this article was to identify the ways in which bereaved parents go on with their lives following terror killings and to discuss what appears to inhibit or promote adaptation during their grieving process. The results of the study are aimed at presenting advice to professional helpers. From 22 in-depth interviews with parents bereaved by the 2011 terror attack in Norway, four main themes concerning coping were identified: (a) decisions, mindsets, and cognitions; (b) proactive and confronting activities; (c) avoidant and protective activities; (d) coping through support and assistance. A variety of coping strategies were employed: avoidance, protection and distraction, adaptive and maladaptive rumination, thought control, and confrontation. Most parents used several strategies to varying degrees and interchangeably over time, likely more or less adaptive and functional. The importance of helping the bereaved flexibly regulate the oscillation between loss-oriented and restoration-orientated life-tasks is emphasized for helping them cope effectively.

Keywords

bereaved parents terror grief processes in-depth interviews

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References

Bonanno

G. A.

(2004) Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? The American Psychologist 59(1): 20–28.

Bonanno

G. A.

Burton

C. L.

(2013) An individual differences perspective on coping and emotion regulation. Perspectives on Psychological Science 8: 591–612.

Bonanno

G. A.

Pat-Horenczyk

Noll

J. G.

(2011) Coping flexibility and trauma: The perceived ability to cope with trauma scale. Psychology Trauma: Theory, Research, Practice, and Policy 3(2): 117–129.

Burton

C. L.

Yan

O. H.

Pat-Horenczyk

Chan

I. S. F.

Bonanno

G. A.

(2012) Coping flexibility and complicated grief: A comparison of American and Chinese samples. Depress Anxiety 29(1): 16–22.

Calmes

Roberts

J. E.

(2008) Rumination in interpersonal relationships: Does co-rumination explain gender differences in emotional distress and relationship satisfaction among college students? Cognitive Therapy and Research 32: 577–590.

Coifman

K. G.

Bonanno

G. A.

Ray

Gross

J. J.

(2007) Does repressive coping promote resilience? Affective-autonomic response discrepancy during bereavement. Journal of personality and social psychology 92: 745–758.

Delalibera

Presa

Coelho

Barbosa

Franco

M. H. P.

(2015) Family dynamics during the grieving process: A systematic literature review. Ciência & Saúde Coletiva 20(4): 1119–1134.

Dyregrov, A., & Dyregrov, K. (2015). Parents’ perception of their relationship following the loss of a child. OMEGA—Journal of Death and Dying, doi:10.1177/0030222815590728.

Dyregrov, A., Dyregrov, K., Straume M., & Bugge, R. G. (2014). Weekend family gatherings for bereaved after the terror killings in Norway in 2011. Psykologisk.no – Scandinavian Psychologist. doi:10.15714/scandpsychol.1.e8.

10.

Dyregrov

(2004) Bereaved parents' experience of research participation. Soc Sci Med 58(2): 391–400.

11.

Dyregrov

(2008) Effective grief and bereavement support: The role of family, friends, colleagues, schools and support professionals, London, England: Jessica Kingsley Publishers.

12.

Dyregrov, K., Dyregrov, A., & Kristensen, P. (2014). Traumatic bereavement and terror: The psychosocial impact on parents and siblings 1.5 years after the July 2011 terror killings in Norway. Journal of Loss and Trauma, 20(6), 1–21.

13.

Dyregrov

Kristensen

(2015) Utøya 22. juli 2011 – senfølger for etterlatte foreldre [Utøya 22 July 2011 – Psychosocial sequela for bereaved parents]. Scandinavian Psychologist 2: e13, doi:10.15714/scandpsychol.2.e13.

14.

Eisma

M. C.

Schut

Stroebe

Boelen

P. A.

van den Bout

Stroebe

(2015) Adaptive and maladaptive rumination after loss: A three-wave longitudinal study. British Journal of Clinical Psychology 54(2): 163–180.

15.

Gillies

Neimeyer

R. A.

(2006) Loss, grief, and the search for significance: Toward a model of meaning reconstruction in bereavement. Journal of Constructivist Psychology 19(1): 31–65.

16.

Greeff

A. P.

Vanseenwegen

Herbiest

(2011) Indicators of family resilience after the death of a child. Omega – Journal of Death and Dying 63(4): 343–358.

17.

Gross

J. J.

(2013) Emotion regulation: Taking stock and moving forward. Emotion 13: 359–365.

18.

Gupta

Bonanno

G. A.

(2011) Complicated grief and deficits in emotional expressive flexibility. Journal of Abnormal Psychology 120(3): 635–643.

19.

Janoff-Bulman

(1992) Shattered assumptions, New York, NY: Free Press.

20.

Keyes

K. M.

Pratt

Galea

McLaughlin

K. A.

Koenen

K. C.

Shear

(2014) The burden of loss: Unexpected death of a loved one and psychiatric disorders across the life course in a national study. The American Journal of Psychiatry 171(8): 864–871.

21.

Kristensen

Weisæth

Heir

(2012) Bereavement and mental health after sudden and violent losses: A review. Psychiatry: Interpersonal and Biological Processes 75(1): 76–97.

22.

Kvale

(1996) InterViews. An introduction to qualitative research interviewing, London, England: Sage Publications.

23.

Lobb

E. A.

Kristjanson

L. J.

Aoun

S. M.

Monterosso

Halkett

G. K. B.

Davies

(2010) Predictors of complicated grief: A systematic review of empirical studies. Death Studies 34(8): 673–698.

24.

Morina

(2011) Rumination and avoidance as predictors of prolonged grief, depression, and posttraumatic stress in female widowed survivors of war. Journal of Nervous & Mental Disease 199(12): 921–927.

25.

Nakajima

Ito

Shirai

Konishi

(2012) Complicated grief in those bereaved by violent death: The effects of post-traumatic stress disorder on complicated grief. Dialogues in Clinical Neuroscience 14: 210–214.

26.

Neimeyer

R. A.

Baldwin

S. A.

Gillies

(2006) Continuing bonds and reconstructing meaning: Mitigating complications in bereavement. Death Studies 30: 715–738.

27.

Norris

F. H.

Friedman

M. J.

Watson

P. J.

Byrne

C. M.

Diaz

Kaniasty

(2002) 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981–2001. Psychiatry: Interpersonal and Biological Processes 65(3): 207–239.

28.

Park

C. L.

(2010) Making sense of the meaning literature: An integrative review of meaning making and its effects on adjustment to stressful life events. Psychological Bulletin 136(2): 257–301.

29.

Penley

J. A.

Tomaka

Wieve

J. S.

(2002) The association of coping to physical and psychological health outcomes: A meta-analytic review. Journal of Behavioral Medicine 25(6): 551–603.

30.

Prigerson

H. G.

Maciejewski

P. K.

Reynolds

C. F.

III Bierhals

A. J.

Newsom

J. T.

Fasiczka

Miller

(1995) Inventory of complicated grief: A scale to measure maladaptive symptoms of loss. Psychiatry Research 59: 65–79.

31.

Report IS-1984E (The Norwegian Directorate of Health). (2011). Learning for better emergency preparedness. The medical response to the terrorist incidents of July 22^nd 2011. Norway: The Norwegian Directorate of Health.

32.

Shear

(2015) Complicated grief. The New England Journal of Medicine 372(2): 153–160.

33.

Smith

J. A.

Flowers

Larkin

(2009) Interpretative Phenomenology Analysis, London, England: SAGE Publication Ltd.

34.

Stroebe

Schut

(2010) The dual process model of coping with bereavement: A decade on. Omega – Journal of Death and Dying 61: 273–289.

35.

Stroebe

Schut

Finkenauer

(2013) Parents coping with the death of their child: From individual to interpersonal to interactive perspectives. Family Science 4(1): 28–36.

36.

Stroebe

Schut

Stroebe

(2007) Health outcomes of bereavement. Lancet 370(9603): 1960–1973.

37.

Updegraff

J. A.

Silver

R. C.

Holman

E. A.

(2008) Searching for and finding meaning in a collective trauma: Results from a national longitudinal study of the 9/11 terrorist attacks. Journal of Personality and Social Psychology 95: 709–722.