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The Bereaved Detachment Experience: An NDE-like Phenomenon. 失去亲人的超然体验：一种类似濒死体验的现象。
Omega Pub Date : 2025-04-28 DOI: 10.1177/00302228251339379
Robert A King
{"title":"The Bereaved Detachment Experience: An NDE-like Phenomenon.","authors":"Robert A King","doi":"10.1177/00302228251339379","DOIUrl":"https://doi.org/10.1177/00302228251339379","url":null,"abstract":"<p><p>When people experience the death of loved ones, some of them report after-death communications (ADCs) in which they have the impression of again encountering those loved ones by means of different types of visual, auditory, olfactory, tactile, and/or sentient phenomena. There is one particular type of ADC that can be referred to as a <i>bereavement detachment experience (BDE)</i> because the experient has the impression of being out of and/or away from their physical body during that encounter. Despite the general absence of an imminent threat or a near-death condition associated with a BDE, there are a number of similar features that are also found in reports of the NDE, such as encountering and communicating with deceased loved ones, venturing through a dark place or a tunnel, seeing or entering into a bright light, entering into transcendental otherworldly environments, and feelings of love or peace. This is an exploratory study of the BDE in which seven case examples are examined for a possible thematic pattern and then analyzed for their similarities and differences with the NDE. The aftereffects of the BDE are also explored as a beneficial psychological outcome for the experient. The findings of this study have therapeutic implications with important insights for those providing care to the bereaved.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251339379"},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Children Experience the Outcomes of a Family-Based Grief Intervention - "Losing Someone Like This is a Downer. But You're Not Alone and We Will Get Through it". 孩子们如何体验以家庭为基础的悲伤干预的结果——“像这样失去一个人是令人沮丧的。但你并不孤单，我们会度过难关的。”
Omega Pub Date : 2025-04-28 DOI: 10.1177/00302228251338552
Line Engel Clasen, Thomas Mackrill
{"title":"How Children Experience the Outcomes of a Family-Based Grief Intervention - \"Losing Someone Like This is a Downer. But You're Not Alone and We Will Get Through it\".","authors":"Line Engel Clasen, Thomas Mackrill","doi":"10.1177/00302228251338552","DOIUrl":"https://doi.org/10.1177/00302228251338552","url":null,"abstract":"<p><p>This study explored the experiences of children and their surviving parent regarding their outcomes after participating in a Danish combined family and group grief intervention for parental bereavement. Semi-structured qualitative interviews were conducted post counselling with six boys and six girls aged 9-15 years and their remaining parent. The families described six grief-related outcomes: improved mood connected with social re-engagement, acquiring a language for grief-related experiences; accepting and managing emotions connected to the loss; accepting the brutality of parental loss; shifting from avoidance to thinking about the deceased parent; and establishing a new family dynamic. The study's significance lies in its focus on the voices of children and parents, capturing their lived experiences of a family orientated grief intervention in their own words, and offering insights into the changes they experienced. All outcomes underscored that an intervention for parentally bereaved children must be fundamentally family orientated.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251338552"},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The National Alliance for Care at Home: What's in a Name? or What's Not in a Name? 全国家庭护理联盟：一个名字意味着什么？或者名字里没有什么？
Omega Pub Date : 2025-04-25 DOI: 10.1177/00302228251338630
Charles A Corr
{"title":"The National Alliance for Care at Home: What's in a Name? or What's Not in a Name?","authors":"Charles A Corr","doi":"10.1177/00302228251338630","DOIUrl":"https://doi.org/10.1177/00302228251338630","url":null,"abstract":"<p><p>This article offers a critical reflection on the symbolic implications of the name that has been chosen to represent the new organization resulting from the merger of the National Association for Home Care & Hospice (NAHC) and the National Hospice and Palliative Care Organization (NHPCO). That new organization is now called the National Alliance for Care at Home. The primary goals of this article are to educate, support, and advocate for home care, hospice care, and palliative care, and to illustrate how the new name for the National Alliance fails to do so. This reflection comes from a person who has enjoyed a long career of almost 50 years in studying, teaching, and writing about hospice and palliative care, as a volunteer with multiple hospice organizations, and in serving for the past 20 years as Senior Editor of NHPCO's (now the Alliance's) <i>Pediatric e-Journal.</i></p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251338630"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mass Trauma, Multiple Losses, and the Application of the Two-Track Model of Bereavement in the Context of War: Assessment From a Systemic-Ecological Perspective. 大规模创伤、多重损失与战争背景下丧亲双轨模型的应用：系统生态学视角下的评估。
Omega Pub Date : 2025-04-25 DOI: 10.1177/00302228251337127
Ruth Malkinson, Alexander Manevich, Simon Shimshon Rubin, Eliezer Witztum
{"title":"Mass Trauma, Multiple Losses, and the Application of the Two-Track Model of Bereavement in the Context of War: Assessment From a Systemic-Ecological Perspective.","authors":"Ruth Malkinson, Alexander Manevich, Simon Shimshon Rubin, Eliezer Witztum","doi":"10.1177/00302228251337127","DOIUrl":"https://doi.org/10.1177/00302228251337127","url":null,"abstract":"<p><p>Multiple losses in wartime, both death-related and non-death-related, require multidimensional assessment to encompass both the event and the multiple levels of interpersonal and societal involvements within which individuals are embedded. We present a case study in which the traumatic death of a family member is a central, but not exclusive, element in understanding the bereavement process. The traumatic death originated with the events of October 7, 2023 and the ensuing war which were part of an overwhelming surge of traumatic losses in Israel. The bereaved's response met the criteria for Post-Traumatic Stress Disorder (PTSD) and Prolonged Grief Disorder (PGD). We recommend that multiple losses and their unique significance for the bereaved should be directly addressed in the assessment and formulation of therapeutic interventions. Therefore, we propose an approach to clinical assessment in cases of mass trauma and multiple losses, grounded in the Two-Track Model of Bereavement and the Systemic-Ecological Perspective.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251337127"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adaptive Grief in Bereaved Dementia Caregivers: An Evolutionary Concept Analysis. 失智者的适应性悲伤：演化概念分析。
Omega Pub Date : 2025-04-24 DOI: 10.1177/00302228251338143
Mary Gemma O'Donnell, Julie Fleury, Zachary G Baker
{"title":"Adaptive Grief in Bereaved Dementia Caregivers: An Evolutionary Concept Analysis.","authors":"Mary Gemma O'Donnell, Julie Fleury, Zachary G Baker","doi":"10.1177/00302228251338143","DOIUrl":"https://doi.org/10.1177/00302228251338143","url":null,"abstract":"<p><p>Bereaved dementia caregivers face unique challenges in navigating grief, yet research on dementia-specific adaptive grieving remains limited. Expanding on a prior scoping review, this concept analysis clarifies the theoretical construct of adaptive grief among bereaved dementia caregivers using Rodgers' evolutionary approach, which views concepts as dynamic and evolving. A review of 11 data sources (2013-2024) across nursing, sociology, medicine, and psychology identified three key attributes of dementia-specific adaptive grief: (1) rebuilding purpose: reconnecting with interests and community on one's own terms, (2) integrating change: blending past, present, and future experiences to regain direction, and (3) growing toward potential: pursuing self-defined goals and personal development. By defining dementia-specific adaptive grief, this concept analysis provides healthcare professionals with a clearer framework to recognize its evolving nature and distinguish it from maladaptive grief. It also emphasizes the need for longitudinal and culturally diverse research to inform tailored interventions that better support bereaved dementia caregivers.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251338143"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Attitudes Toward Digital Immortality and Related Factors Among Older Adults: An Exploratory Study From a Developmental Perspective. 老年人对数字永生的态度及其相关因素：一项发展性视角的探索性研究。
Omega Pub Date : 2025-04-21 DOI: 10.1177/00302228251336498
Daisuke Kawashima, Tomomi Kempe, Yoshiki Koga, Sayaka Kubota, Yu Urata, Terumi Watanabe, Megumi Kondo-Arita, Tai Tsujimoto
{"title":"Attitudes Toward Digital Immortality and Related Factors Among Older Adults: An Exploratory Study From a Developmental Perspective.","authors":"Daisuke Kawashima, Tomomi Kempe, Yoshiki Koga, Sayaka Kubota, Yu Urata, Terumi Watanabe, Megumi Kondo-Arita, Tai Tsujimoto","doi":"10.1177/00302228251336498","DOIUrl":"https://doi.org/10.1177/00302228251336498","url":null,"abstract":"<p><p>Recent advances in artificial intelligence-based resurrection technologies may impact our perspectives on life and death. However, empirical research on this subject is currently limited. Therefore, we investigated attitudes toward digital immortality and their association with psychosocial developmental features, such as ego-integrity and gerotranscendence, among Japanese older adults. A total of 296 older Japanese adults completed a questionnaire. Results revealed that only 8% of the participants wished to be virtually resurrected after death. We also confirmed the stable factor structure of attitudes toward digital immortality and its significant correlation with death attitudes. Finally, we found that the desire for digital immortality was not only negatively correlated with ego-integrity, awareness of <i>arigatasa</i>, and positive attitudes toward being alone but also positively associated with religious attitudes and basic affirmations. The desire for digital immortality was relatively low among older Japanese adults and was indeed related to psychosocial developmental features of ego-integrity and gerotranscendence.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251336498"},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overtreatment of Older People Near End of Life: A Qualitative Scoping Review of Modalities, Drivers, and Solutions. 对接近生命终点的老年人的过度治疗：模式、驱动因素和解决方案的定性范围审查。
Omega Pub Date : 2025-04-17 DOI: 10.1177/00302228251334280
Samantha Fien, Emily Plunkett, Daniel Wadsworth, Magnolia Cardona
{"title":"Overtreatment of Older People Near End of Life: A Qualitative Scoping Review of Modalities, Drivers, and Solutions.","authors":"Samantha Fien, Emily Plunkett, Daniel Wadsworth, Magnolia Cardona","doi":"10.1177/00302228251334280","DOIUrl":"https://doi.org/10.1177/00302228251334280","url":null,"abstract":"<p><p>This study aimed to understand the drivers better to help minimise further risks of overtreatment for older people near the end of life (dysthanasia). A systematic scoping review of any publication types released in Medline, Embase, and Cochrane databases from January 2002 to January 2023 were used. Deductive thematic analysis was conducted independently and concurrently by paired reviewers. Risk of bias assessed for primary studies only using a modified version of the COREQ checklist. Twenty-one studies met the inclusion criteria. Determinants included healthcare system factors, patient-centered care, family and caregiver, and clinician perspectives. This review confirms that despite almost two decades of recognition of the potential harms of overtreatment near the end of life, society, patients, and health systems have a role to play in reducing and addressing the determinants. We offer a range of solutions for clinicians, health service managers, and members of the public to consider.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251334280"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Virtual Mourning: How Filipinos Utilize Facebook to Express Grief and Seek Support - A Hermeneutic Phenomenological Study. 虚拟哀悼：菲律宾人如何利用Facebook来表达悲伤和寻求支持——一项解释学现象学研究。
Omega Pub Date : 2025-04-16 DOI: 10.1177/00302228251331343
Marc Kenneth F Cabañero, Ma Teresa Tricia Guison-Bautista
{"title":"Virtual Mourning: How Filipinos Utilize Facebook to Express Grief and Seek Support - A Hermeneutic Phenomenological Study.","authors":"Marc Kenneth F Cabañero, Ma Teresa Tricia Guison-Bautista","doi":"10.1177/00302228251331343","DOIUrl":"https://doi.org/10.1177/00302228251331343","url":null,"abstract":"<p><p>This study explores how grieving Filipinos use Facebook to cope with loss and seek support, integrating traditional mourning practices with digital expressions of grief. Despite the growing role of social media in bereavement, research on digital mourning in collectivist cultures remains limited. Using a hermeneutic phenomenological approach, in-depth interviews were conducted with ten bereaved Filipinos to examine their online grieving experiences. Thematic analysis identified three key themes: the blending of traditional mourning rituals with Facebook for emotional support, the validation and relief provided by online interactions, and the role of digital mourning in fostering healing. Findings suggest that social media enhances Filipino bereavement practices by strengthening community connections and preserving cultural traditions. The study emphasizes the need for culturally sensitive digital spaces and grief support services that integrate both online and offline mourning. It calls for further research on the intersection of grief, culture, and social media in non-Western contexts.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251331343"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emotional and Psychological Well-Being, Emotion Regulation, and Intent Attribution of Children Whose Earthquake Bereaved. 地震丧亲儿童的情绪与心理健康、情绪调节与意向归因。
Omega Pub Date : 2025-04-16 DOI: 10.1177/00302228251334230
Mustafa Erol, Murat Temur, Ahmet Erol, Gökhan Dayan
{"title":"Emotional and Psychological Well-Being, Emotion Regulation, and Intent Attribution of Children Whose Earthquake Bereaved.","authors":"Mustafa Erol, Murat Temur, Ahmet Erol, Gökhan Dayan","doi":"10.1177/00302228251334230","DOIUrl":"https://doi.org/10.1177/00302228251334230","url":null,"abstract":"<p><p>This study compares the emotion regulation, intent attribution, and emotional and psychological well-being (PWB) of children who lost their loved ones in the earthquakes that occurred in Türkiye on February 6, 2023, with children who were not directly affected by the earthquakes and who were nonbereaved. The participants consisted of 216 children living in earthquake zones who were bereaved and 202 children who were not living in earthquake zones and were nonbereaved. As a result of the study, it was found that the PWB and emotion regulation of children who were nonbereaved were statistically significantly higher than those of children who were bereaved. No significant difference was found between bereaved and nonbereaved children in terms of intent attribution. In addition, it was determined that significant positive relationships existed between PWB and emotion regulation in children who were nonbereaved. These relationships were seen at a lower level in children who were bereaved.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251334230"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'Losing a Part of Yourself': How Women Grieve Their Close Friend's Death. “失去自己的一部分”：女性如何哀悼密友的去世。
Omega Pub Date : 2025-04-14 DOI: 10.1177/00302228251334716
Elizabeth W Sauber, Karen M O'Brien
{"title":"'Losing a Part of Yourself': How Women Grieve Their Close Friend's Death.","authors":"Elizabeth W Sauber, Karen M O'Brien","doi":"10.1177/00302228251334716","DOIUrl":"https://doi.org/10.1177/00302228251334716","url":null,"abstract":"<p><p>Friendship provides women with a plethora of benefits, including reduced physiological and psychological distress. Little is known regarding what happens when women experience the death of their closest women friends. Thus, this study qualitatively described the bereavement of seven women who experienced the death of a close woman friend and tested an integrative model predicting prolonged grief and posttraumatic growth with 148 women grieving the death of a close woman friend. Findings from directed content analysis highlighted grief reactions, disenfranchising interactions related to social support, ways of coping, growth after loss, and ongoing challenges. Results from a path analysis indicated that avoidant emotional coping was a key mediator and predictor of prolonged grief, while problem-focused coping served as a key mediator and predictor of posttraumatic growth. The findings can be used to advance research, clinical practice and intervention efforts for women who are grieving the death of a woman friend.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251334716"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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