"There is no trauma without grief; there is no grief without trauma." Therese Rando, Ph.D."
Grief is healthy response to the loss of something, or someone, that was valued, needed, wanted or expected. It is a normal healing process after traumatic events as well as an anticipated death. When you have experienced a profound loss your body, mind and spirit needs to grieve in order to make a healthy transition.
Unfortunately, anyone who has experienced the death or loss of a loved one knows all too well that grief is not a linear process with a rule book or a timeline. Much like the healthy resolution of trauma, "normal" or uncomplicated grief or "mourning" is completed when the pain is experienced and expressed, and the loss is not forgotten, but incorporated into a new way of being in the world.
For a dying person, this is accepting their approaching death, while the survivors must integrate a world without the deceased. And with trauma the loss of security, safety, trust, health, or innocence must be grieved. This normal grief process after a death or debilitating trauma can take years, much to the distress of the bereaved and those supporting the bereaved. And, when a death has been violent, sudden, suicide or of a child, or the effects of a trauma permanent ... it is not uncommon for a blanket of sadness to remain indefinitely.
Please see the Stages of Grief to better understand the normal resolution of grief.
What if I'm still grieving a "Normal" Death or Loss?
When the normal "letting go" process of grief does not resolve after many years, it is called "complicated mourning". With complicated mourning, the impact of the loss may be denied, or the person may be frozen in anger, depression, shame or guilt, and unable to make the transition into a peaceful new life.
A type of complicated mourning that is often overlooked in grieving is that of "disenfranchised grief", described by Kenneth Doka as "grief that persons experience when they incur a loss that is not or cannot be openly acknowledged, publicly mourned and/or socially supported."



