Grief in a biography of losses: Meaning-making in hard drug users' grief narratives on drug-related death

Religious meaning-making among Muslim parents bereaved by homicide: Struggling to accept 'God's will' and yearning for 'Qayama' day

Objective

Parental bereavement by homicide is considered an extremely difficult grief experience; hence it may significantly undermine one's meaning structures. Although bereaved parents' meaning-making process has been extensively researched, less is known about meaning reconstruction among Muslim parents bereaved by homicide - an understudied population. The study's goal was to gain an in-depth understanding of bereaved Muslim parents' meaning-making process in light of their religious background using Park's religious meaning-making model.

Methods

Employing a qualitative approach, in-depth interviews were held with 12 Muslim parents bereaved by homicide. The data were analyzed using both categorical-content and categorical-form analyses.

Results

The findings indicated that Muslim parents' meaning-making process involves silencing, which is grounded in their religious background. This process is characterized by a difficulty to accept this loss as God's will, as expected from them by religion, given that it was caused by an intentional act of human violence. Consequently, their global belief meanings are undermined. They, then, yearn for "Qayama" day-the day of judgment.

Conclusions

The findings are discussed in light of Park's religious meaning-making model, highlighting that bereaved Muslim parents' coping process includes an additional challenge related to their religious background. This underscores the need for culturally-sensitive inquiry and spiritually-informed therapy.

Co-Occurring Substance Use Disorders and Grief during Recovery

BACKGROUND

Individuals with substance use disorders (SUDs) often experience loss and grief when recovering from addiction. With fatal overdoses and suicide rates increasing for individuals with SUDs and other mental health concerns, individuals in recovery are often faced with mourning the loss of a loved one while navigating their life in recovery. The loss of a loved one can be compounded by the effect of losing their relationship with their drug of choice. These co-occurring losses may prove overwhelming during recovery and precipitate a relapse.

OBJECTIVES

We wish to propose the use of two bereavement models to address the grief present for individuals with SUDs experiencing loss so that providers are better able meet the complex needs of this population.

METHODS

This article presents two separate bereavement models that may be used to shape treatment for individuals in recovery from addiction with co-occurring grief from the loss of a loved one: the dual-process model of coping with bereavement (DPM) and the two-track model of bereavement.

RESULTS

We propose the application of these two grief models in treatment for individuals with SUDs who are experiencing co-occurring grief issues. We discuss therapeutic interventions that may be utilized to support clients with co-occurring losses.Conclusion/Importance: If an individual experiences the loss of a loved one while navigating their life in recovery from a SUD, they can experience complicated grief due to co-occurring losses. These models provide an opportunity for mental health providers to help those with SUDs work through this complex grief.

In Dialogue: How Writing to the Dead and the Living Can Increase Self-Awareness in Those Bereaved by Addiction

This article examines how writing can increase the self-awareness of a socially isolated and often stigmatized population: those bereaved by addiction. Writing about a traumatic event has been shown to increase self-awareness which can improve health and regulate negative behaviors. Using narrative analysis on the writing of individuals bereaved by addiction, this study found that participants were able to increase their self-awareness through writing to the dead, the living and themselves. Participants’ writing also demonstrated their attempts to make sense and make meaning out of their loss which are both strong predictors of positive health outcomes. All participants in this study demonstrated increased self-awareness as well as sense-making and/or meaning-making which can lead to improvements in behavior regulation, psychological health and physical heath. This suggests that writing may be a uniquely beneficial therapeutic intervention for those experiencing disenfranchised grief as a result of bereavement by addiction.