.....bereavement research has focused primarily on heterosexual, married couples, frequently within the later years of life. The latest research has taken a step towards understanding bereavement among members of the LGBTQ community, particularly, lesbians (Fenge, 2013). By understanding main themes in relation to same-sex bereavement, one can better draw a clear plan of assessment to help someone like Emily deal with the grief of losing a loved one. Some main themes seen in recent research in this area is disconnection from family, internalizing homophobia as well as seeking a place for sincerity and acceptance, benefits of friendships displaying cross-sexual orientation, and intimacy of relationships among women (Ingham, Eccles, Armitage, & Murray, 2016). With this information in mind, the questions asked center on depression, PTSD, available support, and desire to perform daily activities.The first question would be: "How many times do you shower, eat, and sleep each week?" This is because Emily has stated she has problems sleeping and eating. This could be related to depression and therefore would be a clear indicator of a potential depression diagnosis. The second question would be: "Does your job interest you anymore?" Emily stated she was given a warning due to her poor performance and absences. If she no longer wishes to work due to her illness, this could support the diagnosis of depression. The other questions would focus on complex bereavement.
Complex bereavement or persistent complex bereavement disorder is a DSM-5 disorder similar to depression yet is characterized by an unrelenting grief that will not improve over time. The symptoms are caused by the loss of a loved one unlike depression, that can be caused by multiple factors. " . . . symptoms do not reflect an inferred, unobservable category or dimension, but rather are themselves constitutive of the disorder. PCBD constitutes a causal system of mutually reinforcing symptoms that arise following the death of a loved one settling into pathological equilibrium" (Robinaugh, LeBlanc, Vuletich, & McNally, 2014, p. 510).
Questions 3-5 would be: "Have you felt this way only since Christine died?" "What have you done to cope with the loss and has it worked?" "What about Christine's death has you most affected?" These questions are meant to help understand the degree of grief Emily is feeling while also collecting information on Emily's current condition.
2.
It seems that the problems arose after Emily lost Christine. She exhibits signs of complicated grief or persistent complex bereavement disorder. She has a preoccupation with thoughts of Christine, especially the circumstances that surrounded her death....
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