GRIEF

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GRIEF

• PROF.(DR).S.PRAVEEN KUMAR
• DHMS,MBS(OSM),MD(HOM)
• H.O.D, DEPT. OF MEDICINE
• JSPSGHMC, HYDERABAD.

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GRIEF DEEP SORROW.

• Grief is a multi-faceted response to loss.
  Although conventionally focused on the emotional
  response to loss, it also has physical,
  cognitive, behavioral, social, and philosophical
  dimensions.

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GRIEF

• Common to human experience is the death of a
  loved one, whether it be a friend, family, or
  other companion. While the terms are often used
  interchangeably, bereavement often refers to the
  state of loss, and grief to the reaction to
  loss. 

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GRIEF

• Dr. Elisabeth Kübler-Ross has posited sequential
  stages of grief including denial, anger,
  bargaining,depression, and acceptance, which are
  commonly referred to as the "grief cycle".

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GRIEF

• John Bowlby, a noted psychiatrist, outlined the
  ebb and flow of processes such as shock and
  numbness, yearning and searching, disorganization
  and despair, and reorganization.

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GRIEF

• Bowlby and Parkes both note psychophysiologic
  components of grief as well. Included in these
  processes are feelings of unreality, depersonaliza
  tion, withdrawal, and an anesthetizing of
  affect. 

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GRIEF

• Normal grief typically involves a range of
• transient behavioural and emotional responses
  to loss. While the experience of grief is a very
  individual process depending on many factors,
  certain commonalities are often
  reported. Nightmares, appetite problems, dryness
  of mouth, shortness of breath, sleep disorders,
  and repetitive motions to avoid pain are often
  reported by people experiencing normal grief.
  Even hallucinatoryexperiences may be normal early
  in grief.

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GRIEF

• Complicated grief responses almost always are a
  function of intensity and timing a grief that
  after a year or two begins to worsen, accompanied
  by unusual behaviors, is a warning sign. Deaths
  such as suicides, murders, accidents, and other
  sudden and unexpected deaths can result in
  complicated grief due to the sudden shock.

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IGNATIA

• Deep or prolonged grief.
• The feeling of being unloved during childhood.
• Grief reactions are related to old trauma of
  losing love through bereavement or through
  rejection.

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IGNATIA

• Ignatia will sob hysterically at first in a kind
  of active shock reaction, followed by weeks of
  emotional volatility, in which outbursts of
  sobbing and also anger alternates with periods of
  silent grief.
• lt Consolation.
• Grief Hysteria---Epilepsy, muscle
  cramps, Numbness.

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NAT MUR

• Extremely sensitive to loss of love leading to
  abnormal grief reactions.
• Severe grief of NM is never new rather it is a
  replay of an old suppressed emotion.
• Suppresses his grief deliberately, because he
  feels that he is strong , either for the sake of
  family, or to prevent himself from falling in to
  depression.

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NAT MUR

• Normal grieving process
• Artificially frozen
• Pushed under consciousness
• Replays in later life.

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NAT MUR

• There are 2 common abnormal grief reactions
• 1) COMPLETE LACK OF REACTION- The person feels
  nothing except perhaps a sense of numbness. The
  first news of bereavement is never followed by
  sadness or tears, because the injured heart is
  determined not to feel. The sadness is pushed in
  to subconscious leading to less joy in life.The
  NM feels a permanent loss following such silent
  grief, without being able to pinpoint it.

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NAT MUR

• 2).PROLONGED DEEP VERSION OF THE NORMAL GRIEF
  PROCESS-
• The departed ones keep reappearing in the mind
  and reactivating the mind every time. So every
  reminder precipitates tears in the eyes a heavy
  load of grief inside.

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SEPIA

• Independent.
• Loves to be just herself refuse to let people
  mould her personality.
• Grief in Sepia does not come as an acute attack
  rather it follows a course of reactions.
• Compromises at every stage.

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• Independent Sepia
• Once compromised her true nature for long.
• Begins to lose her spirit
• Blunt emotions, Indifference
• Anxiety Helpless state
• Weeping, Fear of Insanity Meeting people,
  Hopeless, Total withdrawal, Suicidal tendency.

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SEPIA

• Yet another reaction of grief in Sepia is
  NAGGING.
• The miserable state is expressed as nagging with
  which she makes her own life miserable as well as
  the life of others in the family.

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STAPHYSAGRIA

• Grief in regard to romantic relations only.
• Romantic fantasies
• Disappointed repeatedly
• GRIEF
• Suppressed emotions.

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STAPHYSAGRIA

• The grief reaction is a sweet resignation rather
  than bitter reaction of Ign NM.
• Suppressed emotions- a state of timidity.
• This suppression shows on physical plane.(
  Diarrhoea, Fr. Urination, Hardening Induration,
  BPH , etc.,)

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ACID PHOS

• Grief can come from Emotional disappointment,
  Home sickness, Separation from the partner,
  Bereavement or loss of love in any form.
• EMOTIONAL NEUTRALITY.
• Emotional numbness of Sepia Temporary exhaustion
  of Phos. Unemotional rationality of Kali.
  Emotional neutrality of Acid Phos.

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ACID PHOS

• Grief
• Sense of Neutrality
• No emotions are expressed or experienced.
• Performs activities automatically
• Feels emptiness.

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LYCOPODIUM

• Grief is seen in people with difficult lives,
  with little parental approval, or disappointed
  love.
• Grief
• Depression Anticipatory
  Anxiety
• Withdrawal Despair of
  Life.

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LYCOPODIUM

• The striking feature of grief in Lyco is that it
  is liable to be worst upon waking, and tends to
  improve as the day goes on.
• The depressed NM is also worse on waking but
  does not improve so much later in the day.

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LACHESIS

• Great ideas
• When frustrated in earlier years
• Ambition to do great things is shattered
• GRIEF

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LACHESIS

• GRIEF
• Overt type Silent
  type
• Revengeful,
  Introverted,
• Vengeant,
  Sensitive,
• Jealous,
  Doesnt hurt,
• Suspicious, Never
  lets out,
• Homicidal.
  KidneyHeart.
  

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Complete Repertory

• GRIEF (103 remedies)-
• Ist Grade-
• Ambr, Aur, Caust, Hell, Ign, NM, Puls, Staphy.
• A/F. GRIEF- ( 87 remedies).
• 1st Grade-
• Aur, Bry, Caust, Cocc, Ign, Lach, NM, Acid Phos,
  Staphy.

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