Tuesday, December 3, 2013

The Secret Life of Grief

Eulogies ought to begin with a laugh, I decided, so this is how my eulogy began: with the story of how I learned that parents grow up, too.

My mom died on July 18, 2013, of pancreatic cancer, a subtle blade that slips into the host so imperceptibly that by the time a presence is felt, it is almost always too late. Living about 16 months after her diagnosis, she was "lucky," at least by the new standards of the parallel universe of cancer world. We were all lucky and unlucky in this way. Having time to watch a loved one die is a gift that takes more than it gives.

Psychologists call this drawn out period "anticipatory grief." Anticipating a loved one's death is considered normal and healthy, but realistically, the only way to prepare for a death is to imagine it. I could not stop imagining it. I spent a year and a half writing my mother a goodbye letter in my head, where, in the private theater of my thoughts, she died a hundred times. In buses and movie theaters, on Connecticut Avenue and 5th Avenue, on crosswalks and sidewalks, on the DC metro and New York subway, I lost her, again and again. To suffer a loved one's long death is not to experience a single traumatic blow, but to suffer a thousand little deaths, tiny pinpricks, each a shot of grief you hope will inoculate against the real thing.

A boundless black terror is how I imagined life without my mom. The history of grief, or what we know of it, is written by its greatest sufferers and ransacked with horror stories, lugubrious poetry, and downward-spiraling memoirs plunged in sadness. For some people, the death of a loved one is truly life-stopping, and I worried it would stop mine.For many of us, grief is something else: Resilience.

Then, in the weeks after she died, something strange happened. I did not plunge. Life did not stop. Instead, I felt something so unspeakably strange, so blasphemous, that I wondered if I could talk or write about it, at all. I felt okay.

Even stranger, I discovered, is that I wasn't strange, at all. Despite the warnings that grief would drag me through the prescribed five stages and discard me in a darker place, bereavement researchers have recently learned that we've been wrong about loss for centuries. For some, grief is a dull and unrelenting ache that fades—or doesn't. But for many of us, grief is something else. Grief is resilience.

If George Bonanno's office were discovered underground by a group of archaeologists, they would think they'd found a tomb. Volumes about death and mourning fill the wall-sized bookcase. Terra cotta figurines, excavated from Chinese burial sites, line the shelves, facing inward. At the center of the room, there is a full-size standing skeleton.

One afternoon in October, I visited Bonanno, perhaps the most renowned grief researcher in the United States, at Teachers College, Columbia University, to talk about his research. His lab might be trailblazing, but the mission is classically conservative. By studying grief like any other psychological condition, he has exposed the history of bereavement research to be a thread of fables."The more people engaged in their most intense emotions, the longer they would grieve. Laughter and smiling led to quicker recovering."

For centuries, grief has lived a secret life, hiding in plain view, even from our experts. Sigmund Freud coined the phrase "the work of grief," and ever since, there has lingered an idea that mourning is homework to do before we move on. The first systemic study of grief in the United States, by the Harvard psychiatrist Erich Lindemann, in 1942, described a horror show, marked by restlessness, hostility, hallucinations, and an overwhelming preoccupation with the dead. Lindemann had gathered a group of bereaved people—many of whom had lost friends in a recent night-club fire—and recorded his observations, motivated by the conviction that traumatic loss was a medical problem. Grievers who seemed normal in the weeks after, he claimed, were victims of dangerous repression.

Twenty years later, in the 1960s, Elisabeth Kubler-Ross' five stages of loss would tattoo themselves onto the collective conscious of Americans. Kubler-Ross, a Swiss-born psychiatrist, interviewed patients at a Chicago hospital about the experience of dying. She devised a theory of five periods, from anger to acceptance, with each stage serving an essential part in the mourning process. Her book, On Death and Dying, became a national bestseller, but it wasn't just a mess of shoddy science. It was shoddy science based on people who were dying, not people who were grieving.

Bonanno's work, which has redefined the science of grief research, revealed that Freud was wrong about work, Lindemann was wrong about repression, and Kubler-Ross was wrong about everything. The deepest grief is powerful, but sometimes short-lived, and most of us are wired to compartmentalize our most heart-breaking tragedies, even if it makes us feel ashamed to feel all right in the face of expectations that we feel terrible.

We are, both tragically and indispensably, born to grieve.

by Derek Thompson, The Atlantic |  Read more:
Image: Arkadiusz Benedykt/flickr