How Does It Feel Dying Over and Over and Over Again

Grief is tied to all sorts of unlike encephalon functions, says researcher and author Mary-Frances O'Connor. That can range from beingness able to recall memories to taking the perspective of another person, to even things like regulating our heart rate and the experience of pain and suffering. Adam Lister/Getty Images hibernate caption

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Grief is tied to all sorts of unlike brain functions, says researcher and author Mary-Frances O'Connor. That can range from being able to call back memories to taking the perspective of another person, to even things like regulating our heart rate and the experience of pain and suffering.

Adam Lister/Getty Images

Holidays are never quite the same after someone nosotros love dies. Even small aspects of a birthday or a Christmas commemoration — an empty seat at the dinner table, 1 less souvenir to buy or make — can serve every bit jarring reminders of how our lives accept been forever changed. Although these realizations are difficult to face, clinical psychologist Mary-Frances O'Connor says we shouldn't avoid them or try to hibernate our feelings.

"Grief is a universal experience," she notes, "and when we can connect, it is better."

O'Connor, an associate professor of psychology at the University of Arizona, studies what happens in our brains when we experience grief. She says grieving is a form of learning — 1 that teaches us how to exist in the earth without someone we love in it. "The background is running all the time for people who are grieving, thinking near new habits and how they interact now."

Adjusting to the fact that we'll never over again spend time with our loved ones tin be painful. It takes time — and involves changes in the encephalon. "What we see in science is, if you have a grief experience and you take support and so that you lot have a little fleck of time to learn, and confidence from the people effectually you, that y'all will in fact adapt."

O'Connor'south upcoming book, The Grieving Brain, explores what scientists know about how our minds grapple with the loss of a loved one.

Interview highlights

On the grieving process

When we accept the experience of being in a relationship, the sense of who we are is leap up with that other person. The word sibling, the word spouse implies ii people. And then when the other person is gone, we suddenly accept to acquire a totally new set of rules to operate in the world. The "we" is as important as the "you lot" and "me," and the encephalon, interestingly, really does encode it that way. And so when people say "I experience like I've lost role of myself," that is for a good reason. The brain besides feels that manner, as it were, and codes the "we" equally much as the "you" and the "I."

On the deviation between grief and grieving

Grief is that emotional land that just knocks yous off your feet and comes over you like a moving ridge. Grieving necessarily has a time component to it. Grieving is what happens as we adapt to the fact that our loved one is gone, that we're conveying the absence of them with united states. And the reason that this stardom makes sense is, grief is a natural response to loss — so we'll feel grief forever. A woman who lost her mother equally a young person is going to experience that grief on her wedding ceremony day because it'southward a new moment where she'due south having a response to loss.

But "grieving" means that our relationship to that grief changes over fourth dimension. So the showtime time, maybe fifty-fifty the kickoff 100 times, you're knocked off your anxiety with grief, it feels terrible and atrocious and unfamiliar. Simply maybe the 101st time, yous think to yourself, "I hate this, I don't want this to be true. But I do recognize it, and I do know that I will get through the moving ridge."

On the emotions involved in grieving

The range of emotions that someone experiences when they're grieving is as long a list as the range of emotions we have in any relationship. Ordinarily at that place's panic, at that place'southward feet, there's sadness, there'southward yearning. Merely what we sometimes forget is that there'due south likewise difficulty concentrating and defoliation about what happens next.

I am often struck past the intensity of the emotions. Grief is like someone turned up the volume punch all of a sudden. The emotion that I call up frequently interferes with our relationships and friendships when we're grieving is anger, because the anger feels then intense. You lot have someone blow upward at a dinner political party and yous think, "What's happening with them?" And and then to try and remember, "Oh, they're grieving and everything is amped up a little bit."

On what is happening in our brains

Nosotros take neuroimaging studies basically of grief, of the momentary reaction where you lot have that emotional yearning experience. There are less than a handful of studies looking at more than 1 moment in the same person across fourth dimension — so looking at their grieving trajectory. What nosotros know right now in these early on days of the neurobiology of grief is really coming from snapshots.

Having said that, one of the things that we know is that grief is tied to all sorts of different brain functions we accept, from being able to remember memories to taking the perspective of some other person, to even things similar regulating our centre rate and the feel of pain and suffering. So lots of different parts of the brain are orchestrating this experience that nosotros have when nosotros feel grief.

On prolonged grief

When you're knocked over past that wave of grief, yous want to know, "When volition this end?" From a research perspective, there is a very small proportion of people who might accept what we now call prolonged grief disorder, something we start looking for after six months or a yr [after a death or loss]. ... And what nosotros are seeing, [in such cases], is that this person has not been able to function day to day the way that they wish that they could. They're not getting out the door to work or getting dinner on the tabular array for their kids or they're not able to, say, listen to music considering it's merely too upsetting. And then these types of concerns ... suggest it would exist helpful to intervene and go them back on the healing trajectory where they will still feel grief, but they volition accommodate to it differently.

The older term that we were using for a long time was "complicated grief." And although prolonged grief disorder is the term we've settled on, there's a reason that I similar the term complicated — because information technology makes you think of complications.

As an example, i of those is the grief-related rumination that people sometimes feel. The amend term for that that people volition recognize is the "would've, should've, could've" thoughts. And they just roll through your head over and again. The trouble with these thoughts — we sometimes call "counterfactuals" — is that they all end in this virtual scenario where the person doesn't die. And that'south just non reality. And so, past spinning in these thoughts, not merely is there no respond — at that place are an infinite number of possibilities with no bodily answer of what would have happened — but information technology also isn't necessarily helping us to conform to the painful reality that they did dice. And then our virtual version is non really helping us to larn how to be in the world at present.

Information technology'south less than x% of people who experience prolonged grief disorder. And what that means is 90% of people experience difficult grief and suffering, but don't have a disorder subsequently losing a loved one. I recall it's so important to remember that ... considering nosotros don't want to hibernate grief away ... in a psychiatrist'southward office or a counselor's part, except in indications where that would be helpful to get people back on track.

On how to support grieving people in your life

I think when y'all care for someone who is going through this terrible procedure of losing someone, it actually is more nigh listening to them and seeing where they're at in their learning than information technology is well-nigh trying to make them feel better. The point is not to cheer them up. The point is to be with them and allow them know that you lot volition exist with them and that you lot tin imagine a future for them where they're not constantly being knocked over by the waves of grief.

On losing people to the pandemic

One of the topics I think is non much in the national conversation is that and then many of the deaths of our loved ones happened in hospitals, emergency rooms and ICUs — and nosotros weren't there to see it. And that is for a very good reason, because we were trying to stop the spread of COVID. And so having family unit members in hospitals did not brand sense.

Merely it ways that people are without these memories of watching their loved one get more ill and watching those changes that happen in their body that prepare our mind for the possibility that they might die. To go through that process without those memories makes information technology much harder to learn what has happened. Then many people feel it hasn't really sunk in yet that they're gone.

What I don't hear very frequently is the fact that with COVID, the loved ones that are left behind fabricated the sacrifice of non being with their loved ones in the hospital in order to stop the spread. And that sacrifice needs to exist recognized, I retrieve. In office to aid people heal, so that it'south understood why they're having such a difficult time. And to elevate the agreement that they did something for the greater skilful — and they gave up something while they did it.


An excerpted sound version of this interview kickoff appeared in a recent episode of NPR's daily science podcast, Short Wave , hosted by Emily Kwong and produced by Berly McCoy.

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Source: https://www.npr.org/sections/health-shots/2021/12/20/1056741090/grief-loss-holiday-brain-healing

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