PSYC 339 Lecture Notes - Lecture 26: Social Environment, Dementia, Insomnia

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LECTURE 26, MARCH 14th
Pathological Grief:
25% of population grieve in a real pathological form
Seen with: calm, well-being, and zeal after the death
Leading to: abrupt change in behaviour including hostility or
listlessness
Severe depression, anxiety, suicide, insomnia, extreme
identification with deceased
Giing aay all of ones possessions
Shattering ones reputation
Long - term prognosis is poor
International Journal of Aging & Human Development
End of life people would like (in a hierarchy):
An understanding physician
To be at peace with themselves
To remain autonomous
To keep a sense of humour
To remain able to oppose any decision taken without their consent
To remain an object of love (people who continue to care for us)
To remain a reference for others (I still maintain my role as a member
of the family parent who can give advice etc.)
To have resolved conflicts with others (made sure I said goodbye)
To leave their businesses in good order (finances, executor of will,
money set aside for your cremation/burial ($10,000) basic coffin $1k,
shipping body to home town)
To find themselves at peace with God
Pain Management
Issues associated with end of life included fear of how they would die,
fear of becoming a burden to others, wanting to prepare for and have a
choice with regard to where and when they die, and issues relating to
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Document Summary

The study demonstrated that issues relating to the end of life are a major concern for older people but are seldom addressed by professionals. Dying and death meanings: organizer of time: time used to organize remaining life. More favourable attitudes toward, and less fear of, death. Less preoccupation with the past: punishment: most people who live to be 90 years or older must have been morally good people, transition: from life to some fort of life after death or from life to (cid:858)nothingness(cid:859) 70% believe in life after death of those age 20-60: loss: loss of ability to complete projects, to carry out plans, loss of experiencing, loss of relationships. Young adults are more concerned with loss of opportunity to experience new things and about the loss of family relationships. Older adults are more concerned with loss of time to complete their inner work.

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