Grief and Mourning from the Perspective of the Person with a Dementing Illness: Beginning the Dialogue

Abstract

While working with individuals with Alzheimer's disease and other dementing disorders presents many challenges for clinicians, none is more difficult than watching an individual who is cognitively impaired mourn the losses of life and those imposed by the dementing illness. There now is a body of literature on grief in caregivers, but little has been written to help clinicians understand or better support affected individuals who are experiencing multiple losses and yet whose insight, autobiographical memory, and connectedness to others is beginning to blur and fade. This article addresses current models of grief, examines the ability or inability of affected individuals to experience and resolve grief, and attempts to formulate questions that may ultimately allow clinicians and caregivers to better recognize and address the difficult issues of the grief response and mourning process in the person with dementing illness.