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Grief and Loss – How Social Workers Help: Dealing With Tragedy

Introduction
A Feeling of Helplessness
A Search for Meaning
Blaming Ourselves or Others
How Social Workers Help

Introduction

When life is suddenly interrupted by a tragic or traumatic event, it can seem that the world has come to a screeching halt. Murders, assaults, and tragic accidents that occur without warning are particularly disturbing and difficult to manage emotionally. How individuals recover from such situations often depends on the prior psychological functioning of the individual, the exact nature of the trauma, and the individual's ability to regain some sense of safety and control over his or her world. There are, however, striking similarities in the ways in which we humans attempt to regain our composure and resume our lives after such an event.

A Feeling of Helplessness

While grief or sympathy is an expected reaction, another feeling is also tapped following a tragedy: a frightening sense of helplessness. Disasters, accidents, and traumatic events can invoke significant feelings of vulnerability and a loss of control in all of us. While each day brings countless threats and potential dangers to every human being, we have evolved to psychologically "insulate" ourselves from these fears and to proceed through our lives as if we, and everyone around us, have been somehow guaranteed another day. We dismiss the chance of death or loss, and we find comfort in predictability. We create a bubble around ourselves, enabling us to happily overlook our own mortality and the potential for life to suddenly and irreversibly change course. When that bubble is suddenly burst, it can leave us feeling helpless and vulnerable. Life suddenly becomes scary and unpredictable, and those feelings can be paralyzing.

A Search for Meaning

To regain some feeling of control and to again make sense of life after a seemingly senseless occurrence, we may begin to search for both meaning and often blame. We may replay the specifics of the tragedy and the events leading up to it over and over to try and restore a sense of predictability. We may search all of the available information to find something, anything, that could have been done to prevent it: "If only I had taken another road…If only the airports had screened more carefully…If only the levees had been built better…"

If we decide that someone could have intervened and prevented the tragedy, or that some sequence of events could have been recognized as a prelude to the disaster, then we may feel that it is within our capability to prevent such a disturbance to our predictable world from ever happening again. If we begin to believe that it actually wasn't inevitable or unforeseeable, then no matter whom or what is to blame, we believe we can insure that the same mistakes are never repeated. The awful randomness of tragedy is thereby erased, and our impenetrable bubble is once again restored. Life returns to its normal, predictable patterns, and the demons return to the shadows.

Blaming Ourselves or Others

While these maneuvers to restore a sense of mastery over our world are natural and usually benign coping strategies, they can also be the catalyst for a disaster of another kind. If, in our attempt to make sense out of the senseless, we misplace blame on either ourselves or on another, then we create culpability or responsibility where there is none. This results in essentially restoring our own sanity by sacrificing our humanity.

While we cannot be expected to completely avoid these tragic tendencies, we can be expected to constantly question our own motives and reactions. Anger, grief, sadness, confusion are all valid and understandable emotions in response to life's sudden attempt to exert its own will. But they are emotions that we, as individuals, must process and resolve for ourselves. It is important to recognize that a sense of helplessness may be complicating recovery. We must be able to look to life-affirming activities to help restore a sense of peace and balance.

If we are able to keep in mind that our own responses to tragedy and loss are often based in fear and a false sense of omnipotence, then we may be able to resist the desire to throw our neighbor into the volcano to deter the next eruption. Then, once we begin to accept that in many ways our lives are unpredictable and our days fleeting, we can begin to live more fully and cherish each moment that we are given.

How Social Workers Help

In the aftermath of a tragedy, social workers are often "first responders" who provide services both on-site and in the subsequent days and months. Whether the situation involves only a handful of individuals such as in a shooting or an entire region such as with Hurricane Katrina, social workers are involved in the task of getting people's lives back to normal as quickly as possible. 

  • Social workers help connect victims and their families with critical services and provide mental health interventions for emergency personnel. 
  • Social workers provide ongoing psychological services for those directly impacted by a tragedy and help individuals move through their grief and fear related to the trauma. 
  • Social workers normalize feelings which create a greater sense of control. 
  • In situations where children are displaced, state social workers often assist them in finding temporary or long-term placement. 
  • When the tragedy involves the loss of a home or income, social workers help locate things like food, clothing, and shelter for the affected individuals.  Social workers also help with job placement and the application for state or federal funds for which the individual might qualify.

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Stress Management Tip Sheet – The ABCs of Stress

What Makes Situations Stressful?

Stress is a normal part of life. It can come from any situation or thought that makes you feel frustrated, angry or anxious. And what is stressful to one person is not necessarily stressful to another.

In small doses, stress can be good because it may motivate you to be more productive. However too much stress is bad. Prolonged stress can leave you vulnerable to physical and psychological illnesses. Persistent and unrelenting stress may lead to anxiety (a feeling of apprehension or fear and unhealthy behaviors, like overeating and abuse of alcohol or drugs. What follows is a more detailed description of the "ABCs" of stress and how social workers help their clients deal effectively with stress.

A ?The Activating Event

The activating event is whatever happens that gets your stress going. It could be called the AGGRAVATING event because it almost always is something that disturbs you in some way. The activating/aggravating event can be something that happens in your life, something that you worry might happen.

Activating/aggravating events lead you to think and feel uncomfortable, and can cause you to have negative thoughts and feelings. If you do not deal with these negative thoughts and feelings, you are unlikely to resolve them, and as a result may end up feeling bad about yourself.

B ?The Beliefs

When an activating/aggravating event occurs, you will have reactive thoughts and feelings, even if you do not think you do. There is a possibility that during difficult situations your thoughts will be negative, bringing up unpleasant emotions, such as frustration, disappointment, anger, rage, or fear. If you are unaware of having these feelings, you may act out your feelings in negative ways, rather than dealing with them effectively and solving problems that they may cause.

Our thoughts and feelings operate in a circular way, in which feelings lead to thoughts and thoughts lead to feelings. The thoughts we have about a situation will be based on the beliefs we carry from our families and other life experiences we have had.

C?The Consequences and D ?The Decisions

Thoughts and feelings lead you to make decisions about how to behave and cope in situations. When decisions are made from frustration, anger, resentment, or fear, the decisions may lead to undesirable consequences (for the situation or for yourself.) Awareness of what you are thinking and feeling based on conscious knowledge of your beliefs is your best friend for making good coping decisions that will bring positive consequences for all concerned, including increased self esteem for you.

How Social Workers Help

Social workers help their clients to deal with stress by:

  • Helping people identify internal and external sources of stress
  • Helping people identify the coping resources they usually use in stressful situations, and evaluating the effectiveness of their existing methods
  • Helping people understand how stress affects the body and the mind, and what the results of untreated long-term stress can be on both mental and physical health.
  • Teaching people relaxation and meditation techniques that help to reduce stress.
  • Teaching people the role of thinking and emotions in stress reduction, and helping them think through coping with stressful situations in a more productive way.
  • Helping people develop more effective and healthy coping mechanisms, which then can become automatic parts of their response patterns to stress. 

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The opinions expressed in this article are those of the writer, and do not necessarily reflect those of the National Association of Social Workers or its members.

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