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When a death is violent
 
"Once you know that catastrophe dwells next door and can strike anyone at any time, you interpret reality differently." Ronnie Janoff-Bulman
 
"Those who do not have power over the story that dominates their lives- the power to retell it, rethink it, deconstruct it, joke about it and change it as times change - truly are powerless, because they cannot think new thoughts." 
                                                            - Salman Rushdie
 
"From the moment of birth every human being wants happiness and wants to avoid suffering. In this we are all the same." -The Dalai Lama
 
 
When a loved one dies violently, it shakes you to your roots. It shatters your assumptions that the world is basically safe. You are thrown into a tornado of grief and loss that takes on a life of it's own. People talk of feeling battered, shaken and almost destroyed. Feelings of anger, rage, sorrow, fear, panic, pain and yearning may take over. People tend to isolate themselves yet finding others to share with is so important for healing and surviving.
Kathleen O'Hara's book,  A Grief Like No Other, Surviving the Violent Death of Someone You Love,is  about her college age son, Aaron, who was brutally murdered on Memorial Day, 1999. She offers concrete, practical and compassionate steps for those who are grieving, allowing family and friends safe passage through this harrowing journey.  The violent death may be due to suicide, drug overdose, and death by vehicular homicide and drunk drivers and murder.  A valuable and important read for victim service providers, therapist and all who can only imagine what it must be like to experience traumatic loss.
This grief is different as it  involves the news, media, medical or emergency personnel, police, detectives, coroners, and the legal system.  Dealing with all these kinds of people is never easy.
Chaos, shock, confusion, terror, anger and explosive emotions may overwhelm you. Intrusive questions will have to be answered and insensitive people need to be dealt with. The media may hound you and the police my even accuse you. You may be living with the guilt that you could no nothing to change what has happened.  You have to make decisions you never thought you would have to make. You have to tell the story, even though you may still be in a fog. You may stay awake for days while you wait for ansers that don't seem to come.
There is no warning, no time for good-byes.
You need help. Allow others to help you. : Create a support team. Find someone who you can trust to tell the story or act as your surrogate when you are too tired or need a break.
Ask for help, draw on friends and relatives or even professionals.  You may be surprised by who helps and who does not.
This is a list of somethings a person who has had a traumatic loss needs:
  • comfort, support and a good listener
  • help with food, laundry, errands
  • help making funeral arrangements
  • help with doctor appointments
  • help with phone calls
  • help with getting death certificate, documents
  • help dealing with the person's pets or belongings
  • protection from intrusive people
  • hands on help for babies, small children, disabled persons and elderly parents
  • financial help (hard to accept, but swallow pride and accept it).



Trauma and Grief Reactions:

 

Traumatic Reactions:

Reexpereiencing: reoccurring recollection about the violent death

Avoidance: trying to stop thinking about the violent death

Avoidance or numbing of feelings or emotions

Loss of interest in significant activities, feeling detached from others, constricted affect

Hyper-vigilance, difficulty falling or staying asleep, physiological responses

Inability to recall parts of the event, difficulty concentrating

Feeling like one is reliving the event, intense distress when exposed to "triggers" lack of future orientation

Nightmares and Night terrors

 

Emotional Grief Reactions:

Shock, denial, daze

Sadness, despair, fatigue, loneliness, abandonment, guilt, longing

Anxiety, fear, panic, vulnerability, insecurity

Disorganization, confusion

Helplessness

Anger

Dreams about the person

 

For information about PTSD (Post traumatic stress disorder) go to page by clicking on: PTSD

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How can you help your friend?
  • Just be there for your friend.
  • Listening is the greatest gift of all.
  • Be specific, "do you need groceries?"
  • Don't wait for your friend to call you, show up. Grievers tend to isolate themselves.
  • Tell the person you are available to talk about what happened at any time, and really mean it. Offer your shoulder to cry on.

Try to avoid:

  • Being overly sentimental (loved one is in heaven, happy)
  • Saying it was, "God's will".
  • Telling a bereaved parent that he or she can have more children
  • Telling them that you know what they are going through
  • Asking for details

Please try this:

  • Share a memory of the loved one, or tell the person how much the person cared for the griever.
  • Offer photos or special mementos of the person to the family
  • Immediately send the closest member of the deceased a note of condolence, however brief, written in your own words, rather than just signing an impersonal store bought card. It is very meaningful.
  • Years later most will remember who was there to comfort them and who was not there.

 

 

Managing Strong Emotional Reactions to Traumatic Events:
Tips for Parents and Teachers

Our society has been plagued by a number of traumatic events in recent years—schoolyard shootings, the Oklahoma City bombing, floods and tornadoes, and the terrorist attacks of September 2001. When a large-scale tragedy occurs, it can cause strong and deeply felt reactions in adults and children. How adults express their emotions will influence the reactions of children and youth. Parents and teachers can help youngsters manage their feelings by both modeling healthy coping strategies themselves and closely monitoring their own emotional state and that of the children in their care. 

Common Reactions to Trauma

It is not uncommon to feel any or all of the following:

  • Shock/disbelief                                              
  • Fear                                                                
  • Guilt                                        
  • Grief
  • Confusion
  • Shame/loss
  • Anger

These reactions are often closely linked and can be difficult to separate, (e.g., where does grief end and outrage begin). Children, in particular, may have trouble understanding and talking about their feelings. Emotional reactions take place over a period of time and may not happen in any particular order. They can affect our behavior, our ability to function, and our overall sense of well-being. The intensity and ways we express our reactions will vary depending on our personal experience, general mental health, other stress factors in our lives, our coping style, our ability to self-monitor our emotional state, and our support network. This is true for both adults and children.  Children of all ages may need guidance and support from the significant adults in their lives (parents, teachers, coaches, etc.) as they work through their thoughts and emotional reactions to the event.

Anger: A Natural Reaction

For many people, adults and children alike, anger will be a natural extension of other emotions because it is a defensive mechanism that makes us feel more in control.  As well, anger with the perpetrators of these horrible acts is, in many ways, justified.  The desire to “retaliate” can be strong—but quite harmful if not redirected to a positive outlet.  In some situations, a significant factor in the expression of anger is the lack of a concrete “enemy” on which to focus our feelings. As long as there is doubt about the identity of the perpetrators and a lack of closure, or when the trauma is a natural disaster, anger and other strong emotions have no specific target. Such situations can lead to more inappropriate expressions.  Adults must ensure that children do not “take out” their anger in inappropriate ways, such as lashing out at classmates or neighbors who might be unfairly associated with the perpetrators of violence because of their ethnicity or other affiliations. The key is to direct anger and other strong emotions in socially and psychologically healthy ways.

Recognizing Anger

The first step in helping children manage their anger is getting your anger under control. Be aware of cues in your own behavior.  If necessary, ask someone you trust (a family member, friend or colleague) to give you feedback on your anger reaction. Observe the behavior of other adults around you and your child(ren) and be supportive if they show signs of increased anger. 

Signs of Anger in Adults

  • Short temper/impatience.
  • Sleep problems.
  • Eating problems.
  • Restlessness and agitation.
  • Hitting and slamming objects, pets, or people.
  • Desire to inflict harm.
  • Verbal outbursts toward family, friends, or fellow workers.
  • A sense of losing control over your life.
  • Poor concentration or attention span.
  • Obsessing about the event.
  • Physical health affected; increase in blood pressure, dizzy, headaches, heart rate elevated, clenched jaw, knot in the stomach, and tight muscles, etc.
  • You feel life should be fair, but it is not; and things are not how you want them to be.

Signs of Anger in Children

  • Behavioral outbursts, many times without an obvious cause.
  • Sleep problems.
  • Fights at school or home.
  • Physical attacks on others or animals, even among pre-schoolers.
  • Disobedience from otherwise well behaved child(ren).
  • Child state he/she is really sad and does not know why.
  • Complaints of stomachaches and headaches; or vague aches and pains.
  • Other reactions similar to those of adults.

Dealing with Anger

Some people have more problems than others dealing with anger. They either try to deny or ignore their feelings and keep them inside, or overreact and “blow-up.” These negative coping strategies can be physically and emotionally unhealthy.  Pretending we don’t feel badly can have long-term affects that may eventually cause us to “lose it.” Conversely, psychological research shows that acting out your anger will not relieve it, but instead will make it more intense. We can learn to control or diffuse anger by how we think about the event or people involved and by finding other ways to regain our sense of control and security. Anger can also mask other emotions, such as grief, loss, or fear.  It is important to address these related emotions as a way to deal with angry feelings.

Controlling Your Anger

  • Admit you are angry.
  • Recognize this is a common reaction to an overwhelming event. It is how you control and manage your reaction that makes the difference.
  • Try to identify the related emotions that may be fueling your anger, (e.g., sorrow, fear.)
  • Find appropriate outlets for these related and equally important emotions, (e.g., talk with family members or friends, seek grief counseling, get involved in activities to help victims, etc.)
  • Understand that it not just the actual event that drives your anger, but how you think about it.
  • Develop a “positive” outlook and look for what can be done to help rather than harm.
  • Stop, take a deep breath, visualize something peaceful or enjoyable, and try to relax for a few minutes.
  • Avoid/decrease negative ways to cope, such as misuse of alcohol or drugs.
  • Find an acceptable outlet, such as exercise, getting involved with your favorite hobby, sports.
  • Distract yourself from continuing to think about the event -- call a friend, go to a movie.
  • Keep a sense of humor.
  • Turn off the TV and radio; play your favorite music.
  • Keep to your daily routines.
  • Consult your doctor or a mental health specialist if your reactions continue to intensify, or you feel like doing harm to yourself or others.
  • If you are seeing a mental health professional, be sure to share your angry feelings with him or her.

Helping Children Control Anger

  • Realize they will imitate your responses and reactions.
  • Let them understand anger is a normal emotion under these circumstances that can even include feelings of revenge. However, acting out anger, hurting others, and uncontrolled anger is not okay.
  • Answer their questions honestly and openly; but always consider their developmental age.
  • Make family time to talk to the child(ren) about their reaction to the events.
  • Have child(ren) come up with ideas on how to help those who have been injured, left homeless, or otherwise effected by the tragedy.
  • Teach them to stop, take a deep breath, and imagine a restful scene or enjoyable activity for a few minutes as a way to relax.
  • Turn off the TV and make sure violence in the media is restricted or monitored.
  • Try to understand and encourage children to talk about their fears/sense of loss.
  • Try to help them see how they would feel if someone hurt, yelled at, or hit them.
  • Sports, exercise, or other physical activity can be quite helpful.
  • Be flexible in discipline and monitor your reactions to their misbehaviors.
  • Seek mental health or physician consultation if these reactions do not clear up after 30 days.
  • Keep family and school routines; get back to a normal life schedule as soon as possible.
  • If age permits, get the child involved in volunteer work or community service, such as the Red Cross or Animal Shelter, where a child can feel that he/she is making a difference.

Warning Signs of Serious Emotional Trauma

While strong emotional reactions to tragic events are normal, most will fade over the following weeks and most children soon will be able to resume normal activities with minimal displays of anger or anxiety. However, if any of the following symptoms or behaviors continue beyond a few weeks, or if any of these symptoms are exhibited to such a degree that it severely impacts the child’s ability to participate in school or home activities, parents and teachers should seek mental health services for evaluation and possible treatment.

  • Disruption in peer relationships (little or no interactions with friends, significant increase in conflict with classmates or friend).
  • Strained family relationships (high degree of misbehavior, lashing out against family members, refusal to participate in normal family routines).
  • Significant decrease in school performance.
  • Ongoing physical complaints with no apparent cause.
  • Use of chemicals, alcohol (or increase in comparison to previous behavior).
  • Repeated nightmares and reporting strong fears of death, violence, etc.
  • Repetitive play re-enacting the traumatic events.
  • Low self esteem, negative talk about self (if this was not apparent prior to the trauma).
  • General lack of energy and lack of interest in previously enjoyed activities.

Parents and teachers can help children overcome traumatic effects of a tragedy or disaster and use the process as an opportunity to teach them how to cope more effectively and deal with new challenges. (Interestingly, the Chinese sign for “crisis” is two symbols – “Danger” and “Opportunity.”)  Depending on the scope of the event, the process may take time and patience and the willingness to reach out to friends, neighbors, and co-workers to lend mutual support.

For further information on managing anger or other strong emotions following a crisis or disaster event, contact NASP at (301) 657-0270 or visit NASP’s website at www.nasponline.org

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