Grief

When Grief Kills Your Faith: Some Practical Advice

(Some days I play the role of advice mallard.  So, hang with me as I dish.)

I want to give you permission to pursue your doubts about your faith.

In some faith communities and religious families, the doubters are ostracized.  Doubting isn’t just seen as questioning; it’s viewed as something that’s underpinned by rebellion, by sin.  The prevailing idea is that, “You’re doubting the faith, so you can leave the faith; and by leaving the faith, you are leaving our family.”

To stave off being ostracized by family and friends, many doubters keep their questions about God to themselves.  And, to a degree, it’s okay, except when that doubt is part of your grief.

Doubt and grief are directly correlated.  Kenneth Doka suggests that “one of the most significant tasks in grief is to reconstruct faith or philosophical systems, now challenged by the loss” (Loss of the Assumptive World; 49).  All forms of grief, normal, complicated and especially traumatic grief produce doubts about one’s faith.
Goodness is sucked away in grief; and many of us base our faith off the presumed goodness of God.  When that goodness is sucked into the darkness of grief, the foundation of God’s goodness begins to shake; our faith trembles and sometimes it shatters.

Faithquake.

The dilemma that results is this: we need our family and friends during grief … to share our grief with, to remember and to receive acceptance; yet, we’re afraid we will be ostracized by our family and friends if we express our doubt.  Do we: 1. Pursue our grief induced doubts at the expense of our community and at the expense of experiencing the grief within the community; or, 2. Do we pursue our community at the expense of our personal faith searching?

We do both.  You need both.  You need to accept your doubts and find acceptance in community.  And it might be nearly impossibility.

If you are experiencing doubt in a faith community during your grief, tell someone you trust something like this:

“I need to talk and I need you to just hear me and accept me right now.  I know your faith is strong and I respect you for your faith, but my faith has taken a hit since ____’s death.  Instead of forcing my faith, I’m processing my doubt.  _____’s death is changing me.”

If they can listen, you need to talk it through with them.  It’s healthy to express your grief within the community of grievers; and if your grief includes doubt, sharing will only help diminish your pain and clarify your outlook. 

On the other hand, I want to give you permission to pursue the faith you’ve never had.

Grief can also enliven a newfound belief in God.  All of a sudden your darkness sees a light and now – in your community of “unbelievers” – you’re the religious nut.

And you need to say the same thing to your community:

“I need to talk and I need you to just hear me and accept me.  I know we aren’t very religious and I respect you and how you live life.  But, I’m pursing faith since _____‘s death.  I don’t want to convert you, but I want you to know I’m changing.”

The grief that can produce doubt can also enliven faith.  And both are okay.  And both need to be done in our communities.

Accept your grief.  Accept your enlivened faith.  And, to the best you can, do so in your community.

Why You May Never Heal

In Kubler-Ross’ model of grief process, she listed five stages of grief:

denial,

anger,

bargaining,

depression,

and acceptance.

In this process of grief, Kubler-Ross assumed that throughout the whole grief process, the bereaved should be experiencing what Freud called “decathexis”, which is a removal of emotional energy from the deceased; a detachment. Freud then suggested that during and after “decathexis” we will take those emotional energies and reinvest them into another object or person in a process called “recathexis.” Essentially, we find other people to love … and use them to fill the “love hole” left by the deceased.

The assumption to both Freud and Kubler-Ross’ model is that the end of the grief process (healing, acceptance) is a form of detachment from the deceased.

But, I think they’re wrong.

Anna Lamott writes,

“You will lose someone you can’t live without, and your heart will be badly broken, and the bad news is that you never completely get over the loss of your beloved. But this is also the good news. They live forever in your broken heart that doesn’t seal back up. And you come through. It’s like having a broken leg that never heals perfectly—that still hurts when the weather gets cold, but you learn to dance with the limp.”

Instead of saying that the end of the grief process is detachment and healing, I think we should say that the healthy end of the grief process is adjustment. It’s adjusting to the fact that your loved one is no longer here to share life experiences with you. It’s adjusting to the loss of the future, but there’s never a detachment from the past.

We simply have on-going bonds with the deceased. They will forever be apart of us and instead of trying to “heal” and find “decathexis” (although I don’t think Freud’s idea is categorically wrong), we must learn to adjust and dance with our limp.

Over time, you will learn to adjust to the death of a loved one. A part of you has been lost and you will never find it again, so you must learn to live without it. But, don’t confuse your adjustment for healing. You may never heal.

This from Jandy Nelson over the loss of her sister, Bailey:

“My sister will die over and over again for the rest of my life. Grief is forever. It doesn’t go away; it becomes a part of you, step for step, breath for breath. I will never stop grieving Bailey because I will never stop loving her. That’s just how it is. Grief and love are conjoined, you don’t get one without the other. All I can do is love her, and love the world, emulate her by living with daring and spirit and joy.”

Maybe the reason we never heal is because our love never dies.

When Our Memories Smell Like Us

Four months after Newtown, People magazine has published a series called, “Life After Newtown Shootings” where the parents describe their grief and how they are coping.  It’s a beautiful series and well-worth your time and the three dollar Kleenex box that you’ll go through.

 

One of the parents mentions that she still sleeps with her son’s pajamas so that she can be soothed by “his smell.”  Certainly, considering the tragedy of Newtown, there is nothing abnormal about her practice.  In fact, it’s healthy and I can’t help but feel the heaviness of her grief as I think about it.

Here’s a question: A what point has her son’s smell disappeared and what she thinks is her son’s smell is actually her own smell.  At what point in sleeping with his pajamas have they stopped smelling like her son and started to smell like her?

At funerals, you’ll often hear people say, “Cathy lives on in all of our memories” or, “Cathy will never die as longs as we remember her.”

There’s a difficulty that comes with remembering our loved one.

I remember an old man, who was married to his late wife for over 50 years, stopped into funeral home to pay his bill and he said, “I both grieve the loss of my wife and the distortion of my memories of her.  Even now, when I remember her, I ask myself, “Is this memory real or is it my mind’s adaptation of her?  I only want to remember the good, but I miss the bad and messy nearly as much because it’s who she was.”

 

There’s a time when the smell on the pajamas becomes our own.  There’s a time when memories are distorted by our desires for comfort.  But, this is why we must grieve in community … so that community can help us piece together the real.

Grief must take place in community!  We have to share, we have to be vulnerable with our friends and family.

Share at your family dinners … over the holidays.

Be brave an ask your parents old friends about mom/dad.  Ask your child’s friends … your spouse’s co-workers.

Have people write down their memories.

Talk.  Talk. Talk.  Talk about your deceased loved one.  Don’t let the memories die.  Don’t let them become distorted.

Should We Medicate Grief?

The American Psychiatric Association (APA) is about ready to publish their Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5); and it’s created no small stir among the psychiatrist community.

One of the main issues that psychiatrists are having with the DSM-5 is that it is lumping normal grief into Major Depressive Disorder.  Here’s a quote from Dr. Allen Frances, professor emeritus of Duke’s School of Medicine:

(In the new DSM-5) Normal grief will become Major Depressive Disorder, thus medicalizing and trivializing our expectable and necessary emotional reactions to the loss of a loved one and substituting pills and superficial medical rituals for the deep consolations of family, friends, religion, and the resiliency that comes with time and the acceptance of the limitations of life.

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There are many shared characteristics between grief and depression, but there’s also some distinct differences.  Dr. Ginette G. Ferszt states this:

Although everyone grieves differently, grief and depression share several common characteristics. Both may include intense sadness, fatigue, sleep and appetite disturbances, low energy, loss of pleasure, and difficulty concentrating. The key difference is that a grieving person usually stays connected to others, periodically experiences pleasure, and continues functioning as he rebuilds his life. With depression, a connection with others and the ability to experience even brief periods of pleasure are generally missing. Sometimes people describe feeling as if they have fallen into a black hole and fear they may never climb out. Overwhelming emotions interfere with the ability to cope with everyday stressors.

Here is a chart that shows the similarities and differences between depression and grief.

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Should we medicate grief?

Mostly “no”, but in some cases “yes”.  Here is when grief may need some type of medication:

  • If grief-related anxiety is so severe that it interferes with daily life, anti-anxiety medication may be helpful.
  • If the person is experiencing sleep problems, short-term use of prescription sleep aids may be helpful.
  • If symptoms last longer than two months after the loss and the diagnostic criteria are met, the person may be suffering from Major Depressive Disorder. In this case, antidepressants would be an appropriate therapy.

Here is are some criteria to determine if grief has transitioned to Major Depressive Disorder.

  •   Feelings of guilt not related to the loved one’s death
  •   Thoughts of death other than feelings he or she would be better off dead or should have died with the deceased person
  •   Morbid preoccupation with worthlessness
  •   Sluggishness or hesitant and confused speech
  •   Prolonged and marked difficulty in carrying out the activities of day-to-day living
  •   Hallucinations other than thinking he or she hears the voice of or sees the deceased person.  (From Nancy Schimelpfening’s “Grief and Depression”).

Ultimately, grief is the response to loss.  And no amount of medication is going to bring that loss back.  We must learn to live with the loss of someone integral to our very being.  If medication hurts that learning process, then it’s destructive.  If it can help us learn to live in the “new normal”, then it becomes an aid to understanding life after loss.

I think the following quote sums up the core of why medicating grief is usually not healthy:

After the Sandy Hook Shootings: What Happens Next?

On Friday, December 14th, Sandy Hook Elementary experienced a tragedy that is creating a new normal for the town of Newtown, Connecticut.

The very same day as the school shootings I worked a viewing at a small Mennonite church in Gap, PA.  As with most Mennonite churches, the pastor is bi-vocational.   This specific pastor works as a part-time pastor and full-time salesman for an agricultural feed company.  The area that he covers includes Bart Township, the same area that experienced the Amish school shootings in 2006.

We walked in to the church, set up the casket and flowers and I broke the news to the pastor about the shootings in Newtown, Connecticut.  His countenance fell as he immediately connected the Sandy Hook shooting to the Amish School shooting.  “I’ve been the salesman there for years.  All the Amish families are my friends.  Just the other day one of the mothers who lost a daughter told me she’s reminded of her daughter every time she sees children coming home from school.”

This, like all tragedy, finds a life of its own.  Friday, December 14th marks the first day of a new normal for Newtown, Connecticut.  In many ways, this new normal is a sad birth.  In this blog post, I want to look at the practical side of how the next couple days and weeks will look for Newtown.

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TRAUMA RESPONSE: Thankfully, there are professionals who are being tasked this very moment in setting up response teams.  The American Red Cross, various hospice programs and the American Psychological Association all have large scale trauma response teams who are trained to counsel children and parents in psychological and bereavement support, organize support groups and guide the community back to some type of semblance.  The response teams will evaluate, support, offer guidance and help as the children, parents and teachers begin this dark journey.

Children do grieve.  As long as there are relationships formed, there’s grief.  And while the general public is not very adept at understanding a child’s ability to grasp death, those from the APA, Red Cross and hospice programs are.  All the children will experience traumatic grief (CTG), many will experience post traumatic stress disorder (PTSD) and the hope will be that these children, like the youth from Columbine, will bond together and find deep fellowship in their grief, sorrow and pain.

Pragmatic questions like, “When do we restart school?” and “When should I go back to work?” will be guided by these wonderful angels from the response teams.

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BODY IDENTIFICATION AND FAMILY NOTIFICATION:  By deduction, the families know whether or not their son or daughter, husband or wife is dead by the simple fact that they didn’t come home.  But, their son or daughter, husband or wife may be so … that the bodies have yet to be identified.

Some families may be called into the hospital to visually identify their loved ones, other bodies may be too distorted and will need to be identified through other, more technical means.  All the bodies will be studied, some autopsied, some given for organ donation and one – the shooters – will be looked upon with contempt by all who view him.

Once identified, the families will start the funeral arrangements.

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These police were apparently some of the first on the scene of the Newtown shootings.

FUNERAL ANNOUNCEMENTS:  There’s only one funeral home in Newtown, Connecticut. And while I doubt the Honan Funeral Home will bury all the victims and the shooter, they will probably bury many of them.  From what I can tell by the obituary section on their website, the Honan Funeral Home is not a very large funeral home.  In fact, they’ve only advertised 12 obituaries in the past year.  They will need help as they could very well have twice their yearly volume in one week.  And thankfully, per this article, other surrounding funeral directors are offering their help to Honan.

Any funeral home and funeral director who works with these families will need their own type of support over the months to come.  Most of us don’t enter this business because we’re cold hearted; rather, we enter it because we’re generally big hearted.  These tragedies hurt us as well.  Embalming the body of an elementary school student that has been autopsied and shot is enough to permanently disturb anyone, including a seasoned funeral director.

Questions of “how will this family pay for this funeral?” are likely taken off the table, either by the funeral director’s generosity or by nonprofits like Bury a Child (run by my friend Nancy Burban, who lives in a neighboring town) who are already donating caskets and raising funds for funeral expenses of the children (UPDATE: Per Nancy, all the funds have been raised to cover the funeral expenses of the victims).

Police and other first responders will carry a burden that no man or woman should ever carry.  They have seen images no one should ever see.

Pastors, too, will experience many sleepless nights as they prepare words for an unspeakable event.

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THE NEAR FUTURE: The funerals will be large, sad and no doubt full of horrible theology explaining how we can’t question God, how God will turn this into good, etc.  Yet, despite the horrible theology, many churches will find themselves full.  Churches will comfort some families.  The community will become more closely knit.  Memorials and monuments will be built to honor the memory of the children and the teachers.  School will eventually reconvene.  On December 14th, 2013 CNN will hold a special marking the one year anniversary of the shootings.  And in five years the world will forget.

But the pain will linger.  The grief will remain in the hearts of the parents and their families.  Time will not heal these wounds.  This is the new normal for Newtown, Connecticut.

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