Examining the Basic Assumption of Psychoanalytic Theory Regarding Normal and Abnormal Grief: Roles of Unfinished Businesses and Bereavement Related Guilt.

Omega Pub Date : 2024-12-01 Epub Date: 2022-07-01 DOI:10.1177/00302228221111946
Emrah Keser, Yagmur Ar-Karci, Ilgın Gökler Danışman
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Abstract

To date, several theoretical models have been proposed to explain how the expected and natural grief processes turns into psychiatric disorders. Nevertheless, there is a paucity of empirical research examining the basic assumption of psychoanalytic theory regarding pre-death conflict and bereavement related guilt. Accordingly, the current study aimed to investigate the mediator role of bereavement related guilt in the relationship between the pre-death conflict and maladaptive grief process. The sample consisted of 447 bereaved adults who lost a loved one due to death in the last 5 years. The Unfinished Business in Bereavement (UBBS), Bereavement Guilt Scale (BGS), Beck Depression Inventory (BDI), and Prolonged Grief Disorder Scale (PG-13) scales were administered. The results indicated that the UBBS scores were positively correlated with both BDI and PG-13 scores, and BGS scores mediated these relationships. Obtained findings were discussed in relation to psychoanalytic theory and existing studies in the grief literature.

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审视精神分析理论关于正常和异常悲伤的基本假设:未竟事业和与丧亲相关的内疚感的作用。
迄今为止,已经提出了几种理论模型来解释预期的自然悲伤过程如何演变成精神疾病。然而,很少有实证研究探讨精神分析理论关于丧亲前冲突和丧亲相关内疚的基本假设。因此,本研究旨在探讨丧亲相关内疚感在丧亲前冲突与适应不良的悲伤过程之间的中介作用。样本包括 447 名在过去 5 年中因死亡而失去亲人的成年丧亲者。研究人员使用了丧亲未竟量表(UBBS)、丧亲内疚量表(BGS)、贝克抑郁量表(BDI)和长期悲伤障碍量表(PG-13)。结果表明,UTBBS评分与BDI和PG-13评分呈正相关,而BGS评分在这些关系中起中介作用。研究人员结合精神分析理论和悲伤文献中的现有研究对所获得的结果进行了讨论。
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