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Showing posts with label family estrangement. Show all posts
Showing posts with label family estrangement. Show all posts

Monday, December 2, 2024

The Many Layers of Grief

There is no right or wrong way to grieve. Everyone grieves in their own way and in their own time (see my article:  Common Reactions to the Loss of a Loved One).

The Many Layers of Grief

The 5 Stages of Grief
The idea that there are stages of grief was developed by Swiss-American psychiatrist Dr. Elizabeth Kubler-Ross in the late 1960s. 

According to Kubler-Ross, these stages are:
  • Denial
  • Anger
  • Bargaining
  • Depression 
  • Acceptance
Although these stages are usually thought to be linear, they often occur in no particular order and they're often reoccurring. 

For instance, if someone experiences anger first, they might experience denial, depression and bargaining and a certain level of acceptance

But over time this same person will probably re-experience these stages in no particular order on certain anniversaries (e.g, birthdays, anniversaries of their loved one's death and holidays).

In addition, acceptance has many layers to it. There is the initial acceptance that the death has occurred, but over time acceptance can deepen as the meaning of this loss also deepens.

The Many Layers of Grief
In addition to the 5 Stages of Grief, people often experience grief in waves and in layers.

Anyone who has ever grieved for the loss of a loved one is aware that grief comes in waves. Weeks, months and years after the loss you might experience a wave of grief come over you for no apparent reason that you're aware of at the time.

The Many Layers of Grief

The concept that there can be layers of grief over time isn't commonly recognized.  The layers, which often go with the stages, are usually experienced from surface to depth.  

In other words, even if you go through all five stages several times and in a different order or in a combination of stages each time, you might go through these stages in more profound ways each time from surface to depth.

Although this is understandable when the loss is close, people are often surprised to go through many layers of grief even when they were estranged from the person who died or the death was of a relative they never knew (see my article: (see my article: Mourning the Death of a Father You Have Never Known).

Clinical Vignette
The following clinical vignette illustrates how grief can come in layers over time for an estranged family member:

Sara
When Sara received the phone call from the police that her estranged older sister, June, was found dead from an overdose of heroin hundreds of miles away, she was shocked at first. She and her sister had estranged for over 20 years (see my article: Family Estrangements: Understanding the Barriers to Reconciliation).

Growing up Sara wasn't close to June. By the time Sara was five years old, her older sister had already quit high school to move in with a boyfriend that no one in the family liked, so Sara never saw her sister again.

As friends and family members heard about the June's death, they reached out to Sara to express their condolences (see my article: Expressing Condolences in a Caring and Tactful Way).

In response to their concern, Sara told them that she didn't have a sense of loss because she and June weren't close. She said she was just glad that June wasn't suffering anymore.

After Sara and her husband arranged for June's burial, they resumed their daily activities as if nothing had happened. But over time June's feelings changed. She noticed that her level of acceptance of June's death evolved over time.

As time passed and she went through what was left of June's personal belongings, Sara felt waves of sadness to be missing the sister she had never really known. 

Going through one of June's picture albums, Sara was surprised to discover that June kept pictures of her when she was a baby. It was at that point that Sara realized, even though June was someone she never really knew, she was important to June in ways she had never known.

The Many Layers of Grief

After discovering the pictures of herself, Sara made an effort to find out more about her sister. 

With much effort, she was able to find people in the area where June lived who knew her. She discovered that, before her life took a precipitous decline, June liked to draw portraits, including portraits of Sara when she was a baby.

She also discovered that up until June began abusing heroin, she loved to cook and she often invited friends and neighbors to her home for a meal, including people who were much less fortunate than her.

No one who knew June in the past was sure why her life took such a turn for the worse because she isolated herself in her final years. 

But some former friends believed her life got worse after she began a relationship with a man who introduced her to heroin. They surmised that after he left June, she kept to herself and her heroin use got worse until the day she overdosed.

As she discovered more about her sister, Sara was surprised to feel a depth of grief for June she would have never anticipated. 

Soon after that, she began therapy to deal with her loss.

People who are estranged from family members for a long time and people who have never known certain relatives are often surprised by the many layers of grief they feel.

Grieving in Your Own Way
We're hardwired for attachment in order to survive as babies. We're not hardwired for grief.

Grief is a topic that makes many people feel uncomfortable. In fact, many people try to avoid feeling emotions related to grief. 

The Many Layers of Grief

Those who aren't grieving often express surprise when people who have experienced a loss are continuing to grieve. 

Many make unkind remarks like, "You're still sad about your loss? How can this be when it's been over a year?" or "You just need to get out there and meet someone new."

As I mentioned at the beginning of this article, there's no one right or wrong way to grieve so if you're grieving, you'll go through it in your own time and in your own way, but it's important to make room for all your feelings.  

Certain rituals in various cultures are meant to help those who are grieving to acknowledge their feelings and come together with other people for emotional support (see my article: The Power of Creating Rituals).

The Many Layers of Grief

But after everyone has gone home and returned to their lives, you'll probably realize your life has changed in unanticipated ways after your loss.  

You might return to work and other routines but, just like any other profound experience, grief can change you.

Aside from experiencing the loss, you might also discover that, over time, grief can give you a new appreciation for love and life.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I work with individual adults and couples and I have helped many clients to work through grief in their own way.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.































Saturday, May 25, 2024

Family Estrangements: Understanding the Barriers to Reconciliation

I've been focusing on family estrangements between parents and adult children lately.  

See my articles:






What Are the Most Common Barriers to Reconciliation Between Parents and Adult Children?
In the current article, I'm focusing on the most common barriers to reconciliation between parents and adult children.

Family Estrangements and Barriers to Reconciliation

These include but are not limited to:
  • Parents Who Believe Their Adult Child "Owes" Them: For most estrangements between parents and adult children this is the #1 barrier to reconciliation. While gratitude is important, when the parents' attitude is that their adult children must now pay them back for what they did, either literally or figuratively, this is can be burdensome for adult children in a way that creates a permanent rift. If there is already an estrangement between the parents and the adult child, the insistence that the parents are owed something can maintain the rift and make it nearly impossible to reconcile.  Common examples include an expectation that the adult child will:
    • Reimburse the parents for money they spent when the child was young
    • Buy them expensive gifts or pay for expensive trips to compensate them for the money they spent on the child when the child was younger
    • Follow in the parents' footsteps with regard to traditions, career, residence, religion, political views, choice of a romantic partner and so on
    • Fulfill a wish or an ideal the parents were unable to fulfill for themselves 
  • Parents or Adult Children Who Believe Any Changes in Their Relationship Should Only Come From the Other Person: Parents who take a rigid stance that any changes to reconcile an estrangement should only come from the adult child can be setting up a formidable barrier to reconciliation. Depending upon the particular situation, both sides might need to make changes or compromises. Parents who cling to the idea that adult children can only "show respect" for them by doing things the parents' way create barriers to reconciliation.  Similarly, adult children should also reflect on any emotionally healthy changes they might need to make to have a healthy relationship with their parents.
Family Estrangements and Barriers to Reconciliation

  • Parents Who Don't Accept Their Adult Child is Now an Adult: Recognizing that your child is now an adult can be emotionally challenging because it means accepting that they have changed and your relationship with your child also needs to change. This means they have more autonomy than when they were younger. You can no longer insist on making decisions for them. You also have to accept that you are older. Similarly, under most circumstances, adult children need to accept they are now adults who can no longer depend on their parents in the same way they did as young children.
  • Parents Who Believe They Have a Right to Interfere in Their Adult Child's Relationship: This is a common barrier to reconciliation. You might not like your adult child's partner, but you don't have the right to interfere in their relationship--even if you feel sure you know what's best. Worse still, if you demand that your child choose between you and their partner, you are creating an emotionally wrenching situation for your child and possibly setting up a permanent estrangement. Similarly, adult children should not interfere in their parents' relationship under most circumstances. (An example of an exception might be if the parent is no longer competent to make decisions for themselves due to health or mental health issues and the other parent or stepparent is engaging in abuse, including financial/elder abuse). See my articles: 
  • Parents or an Adult Child Who Hold Onto Grudges Over Petty Issues: Letting go of past resentment can be difficult. Every situation is different, so there might be situations where whatever transpired on either side was so egregious that it's beyond reconciliation, but this isn't usually the case. Many situations start off with something relatively small and become bigger the longer the parents and adult child argue about it, so it's important for both sides to let go of grudges related to petty disagreements. However, if the estrangement is due to abuse, no matter if it was on the part of the parents or the child, there needs to be an acknowledgement of the abuse, sincere remorse and a commitment to change (see my article: Letting Go of Resentment).
Reconciliation Between Parents and an Adult Child
Estrangements can be difficult to reconcile.

Here are some things you might want to consider:
  • Why You Want to Reconcile: Your attitude and underlying reasons for wanting a reconciliation can make all the difference between a successful reconciliation and a failed attempt at reconciliation. The best reason is that you miss them and you want them back in your life. One of the worst reasons for wanting a reconciliation is that the estrangement causes you shame and embarrassment among friends and relatives. If your concern about how others see you is your primary reason, dig deeper and see whether you can focus on having a healthy relationship between the two of you and not about how you look to others.
  • Be Ready to Listen to What They Have to Say: You might have a lot to say, but listening with an open mind is also important under most circumstances.
  • Reassess an Attitude That Something is Owed to You: Whether you're an adult child or a parent of an adult child, reassess an attitude that the other person owes something to you. 
  • Remember: It's a Process: Reconciling estrangements can take time. If the issues are large, don't expect one or two conversations to resolve everything. Be patient, tactful and kind. 
What If a Reconciliation Isn't Possible?
One or both of you might decide that reconciliation isn't possible.

If you're the one who wants the reconciliation, this can be very painful. But, ultimately, you have to accept this decision and, eventually, after you have grieved, learn to move on to live your best life.

If you're the one who doesn't want reconciliation because you believe it would be too harmful for you--whether you are the parents or the adult child--this decision brings it's own grief and loss that can be overwhelming.

Get Help in Therapy
Whether or not you choose to reconcile is your decision. You shouldn't be coerced or shamed into it. 

Get Help in Therapy

Whether you're the one who is attempting to reconcile or you're the one who has decided against reconciliation, you could benefit from working with a licensed mental health professional who can help you through the process.

Rather than struggling on your own, seek help from a licensed psychotherapist who can help you to work through these issues so you can lead a more fulfilling life.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.









Thursday, May 23, 2024

Estrangements Between Parents and Adult Children

In my prior article, How Can Trauma Therapy Help to Cope With Family Estrangements?, I began a discussion about family estrangements and how trauma therapy can help.

Family estrangements, also known as cutoffs, can occur between parents and adult children or between adult siblings (see my article: Healing Mother-Daughter Relationships).

Estrangements Between Parents and Adult Children

In the current article, which is a part of a series of articles on family estrangements, I'm focusing on estrangements between parents and adult children where the adult child has a problem with a parent's current behavior or past behavior.

In this article, I'll use the terms estrangement and cutoffs interchangeably.

What Are the Most Common Causes of Estrangement Between Parents and Adult Children?
Estrangements can occur for many reasons including but not limited to:
  • Abuse, including a history of childhood emotional and physical abuse and sexual abuse
  • Betrayal
  • Bullying
  • Psychological problems
  • Substance misuse and other compulsive or addictive behavior
  • Lack of emotional support
  • Political views
  • Money issues, including money borrowed, wills, inheritance plans and so on
  • Other reasons
How Common Are Estrangements Between Parents and Adult Children?
It's estimated that approximately 12% of parents and adult children are estranged.

Estrangements Between Parents and Adult Children

Most of the time cutoffs are initiated by adult children.  About 5-6% are initiated by parents.

How Long Do Estrangements Between Parents and Adult Children Last?
The length of time for estrangements varies based on the people involved, the problems between them and other individual issues between parents and adult children.

On average, estrangements between parents and adult children last about nine years. However, an estrangement can be days, weeks or months long.

Can an Estrangement Based on a History of Childhood Abuse Be Reconciled?
The best possible hope for a reconciliation is for a parent to acknowledge and make amends to an adult child.  

The problem is that parents who engaged in childhood abuse often don't admit any wrongdoing. 

Even if they admit that their behavior was abusive, they might try to minimize it by saying their behavior wasn't that bad. 

They might also try to minimize it by trying to deny how the early abuse affects the adult child now by saying something like, "That happened so long ago. Why don't you just get over it?" (see my article: How a History of Unresolved Childhood Trauma Can Affect How You Feel About Yourself as an Adult).

Needless to say, it's hurtful for an adult child, who was abused by a parent, to hear their parent dismiss or minimize the impact of the abuse. 

Under these circumstances, some adult children might feel confused and doubt their early experiences or whether they have a right to ask their parent to take responsibility and make amends.

When a parent isn't ready to take responsibility and make amends, they place a nearly impossible barrier for reconciliation. 

Even if the adult child decides to try to somehow put aside their hurt, they will probably still feel resentment and sadness, which might only allow them to engage in limited contact with their parent.

Even if a parent takes responsibility and shows genuine remorse for their behavior, a reconciliation isn't automatic. Emotional healing is a process and, depending upon the problem and the people involved, a reconciliation might be slow or nearly impossible.

Next Article:
In my next article I'll continue to focus on family estrangements and some suggestions on how to reconcile these cutoffs:


Getting Help in Therapy
Family estrangements are usually emotionally wrenching and traumatic whether you're the person who initiated the cutoff or you're the person who has been cutoff.

Getting Help in Therapy

Trauma therapy can help you to heal.

Rather than struggling on your own, seek help from a licensed mental health professional who can help you to start the healing process.

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

One of my specialities, as a trauma therapist, is helping adult clients to heal (see my article: What is a Trauma Therapst?).

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.





















 

Tuesday, May 21, 2024

How Can Trauma Therapy Help to Cope With Family Estrangements?

Many people believe that family bonds are unbreakable, and yet many parents, adult children and adult siblings are choosing to have minimal or no contact with each other.

Coping With Family Estrangement

Family estrangements, whether they involve no contact or minimal contact, often bring a sense of:
  • Loss
  • Grief
  • Sadness
  • Shame
  • Guilt
These feelings come up even when people who have chosen to be estranged believe that estrangement is best for everyone involved.

Coping With Family Estrangement

Since family estrangement often goes against many people's basic assumptions and values about what family relationships should be, there is often a stigma attached to choosing to have little or no contact with family members.

The estrangement is difficult enough, but dealing with the stigma adds another emotional burden.  As a result, people often seek help in trauma therapy to cope with their feelings.

Family estrangements can be for a finite amount of time and it's possible, under certain circumstances, for family members to work out their problems (see my articles: Healing Mother-Daughter Relationships and Healing Father-Son Relationships).

Other types of family problems cannot be worked out either because one or more family members are unwilling and/or unable to work out their problems or because doing so would be emotionally or physically harmful to one or more people involved.

Each case is different and, as previously mentioned, a family estrangement doesn't necessarily mean a total cutoff. It can be a decision for minimal contact. 

How Can Trauma Therapy Help to Cope With Family Estrangements?
Assuming you and your therapist are a good therapeutic fit and your therapist has experience helping clients to deal with the trauma of family estrangements, trauma therapy can help you to:
  • Develop Insight and Understanding: Choosing to be estranged from your family can be a confusing and guilt-ridden process even when you know that it's what's best for your mental health. It's also equally true that being the family member who hasn't chosen estrangement and who wants a reconciliation can be just as difficult. Therapy can help you to develop insight and understanding about your family situation so that whatever decision has made (or you are considering making) makes sense to you--even though it brings emotional distress.  
  • Feel Emotionally Supported: A skilled therapist will be objective and not intrusive. She won't try to influence your decision-making process or try to get you to change your mind or advocate for a particular course of action. She will listen with empathic attunement and provide you with emotional support.
  • Develop Tools and Strategies: A skilled psychotherapist will help you to develop the necessary tools and strategies to cope with your situation--no matter if you're the person who has chosen estrangement or the person who wants a reconciliation. Depending upon your needs, these tools and strategies might include helping you to: 
    • Increase your self esteem
    • Communicate your personal needs
    • Develop relationship skills
  • Cope With Grief: Family estrangements are often traumatic for everyone involved. Even when you're the one who has chosen to be estranged from your family, you can still experience grief, sadness and loss. The estrangement can also trigger unresolved trauma. If you're the person who didn't choose the estrangement, you might feel helpless and hopeless to deal with the situation, which can also bring up unresolved trauma.
  • Heal Emotionally: Emotional healing can mean different things for different people. There are certain types of psychotherapy, which were developed specifically to help clients heal from trauma, including family trauma, which a trauma therapist can use, including:
    • EMDR Therapy (Eye Movement Desensitization and Reprocessing) Therapy
    • AEDP (Accelerated Experiential Dynamic Psychotherapy) 
  • Take the Next Step in Your Life and Avoid Stagnation: Whether you have chosen the estrangement or you feel it has been imposed upon you, you might struggle with how to move on in your life. Moving on doesn't mean that you won't feel sad or angry. It means you recognize that, although your family situation is difficult, you know that getting  stuck indefinitely is detrimental to your well-being. So, you might need tools and strategies to avoid indefinite stagnation.

My Next Article on This Topic:

Getting Help in Therapy
As previously mentioned, family estrangements are often traumatic for everyone involved. 

Getting Help in Trauma Therapy

No matter what your role is in a family estrangement, you could benefit from working with a skilled trauma therapist who has experience helping clients with this issue. 

Rather than struggling alone, seek help from a licensed mental health professional who has the skills and experience to help you.

About Me
I am a New York City licensed psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist who works with adults.

One of my specialties is helping clients to overcome trauma, including family trauma (see my article: What is a Trauma Therapist?).

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.