Death is the eternal mystery, a mystery
that fills our souls with both awe and terror.
The consequences of the death of one’s
mother is not like any other ordeal in life.
Daughters are often faced with resurrecting
a new life without a road map, catapulted
upon the ruins that remain while enduring
indescribable emotional pain. Based on
my experience of my mother’s death, and
the shared narratives with other daughters
I have spoken with, this journey is both
courageous and terrifying.
Grief is often a taboo topic, and many
women (and men) in mourning are
not only distraught but feel alone and
disconnected. Constructing a life
with meaning, that is psychologically
sound, is empowering, especially
when daughters feel abandoned and
hopeless after their mother’s death. It
is a myth that during grief you need to
“let go” of your loved one because the
unwavering connection crosses the
spiritual realms and continues after
death.
This eternal bond is boundless, infinite,
and everlasting because it is the energy
of love, and love cannot be destroyed
or lost. Although their physical presence
is removed, the bond can never be
taken away. When I speak to skeptics,
I often cite Dr. Albert Einstein’s theory
that “energy cannot be created or
destroyed; it can only be changed from
one form to another.”
KÜBLER-ROSS MADE A MISTAKE
Clinicians can offer great comfort,
psychological understanding, and
support for daughters. When they blindly
adopt Dr. Elizabeth Kübler-Ross’s stages of
grief as the only model, they contribute to the
lack of acknowledgment that grief belongs
to the griever, and it is a sacred act of love.
The respected work of Dr. Kübler-Ross’s
many stages, although compelling, does not
depict the actual stages of grief despite the
fact it is universally accepted as the model.
Grief, denial, anger, bargaining, depression,
and acceptance has been the universal gold
standard, but it negates the fact that every
person has their own experiences with grief,
which may or may not mirror those stages.
More importantly, those stages should not be
used as a checklist of dictated emotions that
grievers should use to judge how they are
doing. These stages may bring comfort to
those who want validation for their feelings,
but I believe it is a false analysis. Reducing
the multilayered grief process to five words
does a disservice.
Daughters may feel as if they are not
experiencing the grief process correctly if
they do not travel through these stages or,
even worse, they remain stuck in one of those
stages. It is insulting because it is formulaic
and reductionist. It does not acknowledge my
experiences or yours.
Grief is a dance, and we may also feel
guilt, sadness, lack of interest in our lives,
joy, and celebration. Dr. Kübler-Ross also
never mentions any occurrence of visions,
dreams, or other signs that the bereaved
may experience. The point I am making is
that you cannot quantify how you should feel
or will feel. The wisdom of suffering that one
learns during grief is formidable wisdom, and
one learns what truly matters in life when
someone you love is taken away.
After the death of her mother, writer Ada
McVean wrote in 2019 an insightful article
stating that Dr. Kübler-Ross’s model “is
not science based, does not describe well
most people’s experiences, and was never
meant to apply to the bereaved.”1
According to McVean’s research, Dr.
Kübler-Ross created this model after she
interviewed two hundred dying patients to
learn about their psychological beliefs
about death and that this model was not
based on empirical or systematic
investigations but a collection of case
studies. What I think is compelling is
that her research, although merited,
did not consist of interviewing those
who had lost loved ones but was
based on those who were facing death,
and those populations are very
different. McVean ends her article with
sound advice.
There is not a “right way” to grieve.
There is not a “wrong way” to grieve.
And I hope that when you experience
grief you can take some small comfort
in knowing that however you are
feeling is just fine.2
THE DANGER OF LABELING GRIEF AS A MENTAL ILLNESS
In March of 2022, the newest disorder
to be added to the Diagnostic and
Statistical Manual of Mental Disorders
(DSM), a publication of the American
Psychiatric Association, included
prolonged grief disorder. They defined
this “disorder” as “intense yearning or
longing for the deceased (often with
intense sorrow and emotional pain).”3
Adding further insult to those in deep
grief, clinicians could bill insurance
companies for the treatment
of this “disorder,” and pharmaceutical
companies now had further permission
to manufacture drugs that grievers
would now” need.” This addition was
not without controversy, and Joanne
Cacciatore, an associate professor of
32
social work who is an expert on the grief
experience, stated:“When someone who is
a “expert” tells us we are disordered and
we are feeling very vulnerable and feeling
overwhelmed, we no longer trust ourselves
and our emotions. To me, that is an
incredibly dangerous move, and short
sighted.”4
When someone is unable to function at all
for long periods of time or threatens to
harm themselves, they need professional
care, and in this case, I am not referring to
those circumstances. If you are interested
in reading more, there is an abundance
of materials on PubMed and in the DSM
online.
Daughters who are grieving after one year
or “long for” their mothers are at risk of
being labeled and medicated. The only
boon would be for pharmaceutical
companies to help psychiatrists medicate
their patients when these daughters are
not mentally ill but experiencing deep grief
Grief is not a mental illness or a pathology
but a natural process. The grief process
will include intense longing for your mother
and the physical separation from her often
creates emotional distress. These are
natural human responses and not a
mental disorder. Many research papers on
grief characterize this normal experience
as problematic if grief does not resolve
within a year. This is just ridiculous. I
wonder if the authors have ever lost a
beloved. Find support, allow yourself to
mourn, and reach out for help when you
need it.
WHO DECIDED THIS DIAGNOSIS AND WHY
The financial conflict that surrounds this
diagnosis and the task force that created
the initial diagnosis for prolonged grief
disorder in 2012 is alarming because
69 percent of the members of the task
force reported financial relationships with
pharmaceutical companies.5 There is a
justification for prescription drugs when
they are needed, and they can be
beneficial. I do not believe drugs are an
antidote for grief, but I know they can often
help some women to ease their distress.
Antidepressants and antianxiety
medications are the usual pharmaceuticals
chosen by clinicians who may not know that
natural therapies can also assist.
Homeopathy, naturopathy,
acupuncture, nutraceutical support,
massage, and energetic practices are very
valuable. If your clients choose to work with
any type of integrative medicine practitioner,
naturopath, or energy healer, tell them to
seek out those who are clinically trained
and have credentials. It is wise for grievers
to resist the urge to self-medicate because
all medications, including natural remedies,
have side effects. It is always prudent to work
with someone you trust who also possesses
the proper qualifications.
~Taken from an excerpt from The Eternal Bond
Thank you for writing this Dr. Roseman. The stages model has caused so much unnecessary guilt in people I work with at MyFarewelling. One client told me she felt broken because she never felt angry after her mother died, just an aching emptiness that didn’t match any stage on the chart. Another was told by a well-meaning friend that she must be in denial because she went back to work two weeks after losing her husband. She wasn’t in denial. She just needed something to anchor her days. Grief really is a dance like you said. Some of my clients skip stages entirely, others circle back to the same feelings for years, and none of that means they’re doing it wrong.