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Trauma and Ambiguous Loss: The Lingering Presence of the Physically Absent

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Traumatic Stress and Long-Term Recovery

Abstract

Ambiguous loss is a traumatic loss; it immobilizes family processes, ruptures relationships, blocks coping and decision making, and freezes the grief process. Because there is no possibility of closure, there is a lingering presence of the loved one who is missing. In this chapter, we focus exclusively on the physical type of ambiguous loss. The missing person is physically absent, but the family has no assurance of his or her whereabouts or fate as dead or alive. To illustrate, we use the example of the earthquake and tsunami in East Japan on March 11, 2011, where tens of thousands of family members were swept away by the rising waters. In the aftermath, ambiguous loss remains as a loss that has no ending. Without clear facts or evidence of death, adults and children suffer with a loss that has no resolution—except perceptually. This requires a new lens. They learn to see life in a new way by balancing the ambiguity with moving forward. Guidelines are presented to help, which involve meaning, mastery, identity, ambivalence, attachment, and hope.

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Boss, P. (1977). A clarification of the concept of psychological father presence in families experiencing ambiguity of boundary. Journal of Marriage & the Family, 39(1), 141–151.

    Article  Google Scholar 

  • Boss, P. (1980). The relationship of psychological father presence, wife’s personal qualities, and wife/family dysfunction in families of missing fathers. Journal of Marriage & the Family, 42(3), 541–549.

    Article  Google Scholar 

  • Boss, P. (1987). Family stress: Perception and context. In M. Sussman & S. Steinmetz (Eds.), Handbook of marriage and family (pp. 695–723). New York: Plenum.

    Chapter  Google Scholar 

  • Boss, P. (1992). Primacy of perception in family stress theory and measurement. Journal of Family Psychology, 6(2), 113–119.

    Article  Google Scholar 

  • Boss, P. (1999). Ambiguous loss: Learning to live with unresolved grief. Cambridge: Harvard University Press.

    Google Scholar 

  • Boss, P. (1988/2002). Family stress management: A contextual approach (1st & 2nd eds.). Thousand Oaks: Sage.

    Google Scholar 

  • Boss, P. (2004). Ambiguous loss research, theory, and practice: Reflections after 9/11. Journal of Marriage & Family, 66(3), 551–566.

    Article  Google Scholar 

  • Boss, P. (2006). Loss, trauma, and resilience: Therapeutic work with ambiguous loss. New York: Norton.

    Google Scholar 

  • Boss, P. (2007). Ambiguous loss theory: Challenges for scholars and practitioners [Special issue.] Family Relations, 56(2), 105–111.

    Article  Google Scholar 

  • Boss, P. (2008). Verlust, trauma, und resilience [Loss, trauma, and resilience]. (A. Hildenbrand, trans.). Stuttgart: Klett-Cotta.

    Google Scholar 

  • Boss, P. (2011). Loving someone who has dementia: How to find hope while coping with stress and grief. San Francisco: Jossey-Bass.

    Google Scholar 

  • Boss, P. (2012). The ambiguous loss of dementia: A relational view of complicated grief in caregivers. In M. O’Reilly-Landry (Ed.), A psychodynamic understanding of modern medicine: Placing the person at the center of care (pp. 183–193). London: Radcliffe.

    Google Scholar 

  • Boss, P. (2015). Aimaina sooshitsu to torauma karano kaifuku: Kazoku to komyuniti no rejiriensu [Loss, trauma, and resilience: Therapeutic work with ambiguous loss]. (S. Nakajima & C. Ishii, trans.). Tokyo: Seishin Shobo.

    Google Scholar 

  • Boss, P., & Carnes, D. (2012). The myth of closure. Family Process, 51(4), 456–460.

    Article  PubMed  Google Scholar 

  • Boss, P., & Dahl, C. M. (2014). Family therapy for the unresolved grief of ambiguous loss. In D. W. Kissane & F. Parnes (Eds.), Bereavement care for families (pp. 171–182). New York: Routledge.

    Google Scholar 

  • Boss, P., & Greenberg, J. (1984). Family boundary ambiguity: A new variable in family stress theory. Family Process, 23(4), 535–546.

    Article  PubMed  Google Scholar 

  • Boss, P., & Kaplan, L. (2004). Ambiguous loss and ambivalence when a parent has dementia. In K. Pillemer & K. Luescher (Eds.), Intergenerational ambivalences: New perspectives on parent-child relations in later life (pp. 207–224). Oxford: Elsevier.

    Google Scholar 

  • Boss, P., & Yeats, J. R. (2014). Ambiguous loss: A complicated type of grief when loved ones disappear. Bereavement Care, 33(2), 63–69.

    Article  Google Scholar 

  • Boss, P., Caron, W., Horbal, J., & Mortimer, J. (1990). Predictors of depression in caregivers of dementia patients: Boundary ambiguity and mastery. Family Process, 29, 245–254.

    Article  PubMed  Google Scholar 

  • Boss, P., Beaulieu, L., Wieling, E., Turner, W., & LaCruz, S. (2003). Healing loss, ambiguity, and trauma: A community-based intervention with families of union workers missing after the 9/11 attack in New York City. Journal of Marital & Family Therapy, 29(4), 455–467.

    Article  Google Scholar 

  • Cherry, K. E., & Smith, A. D. (1998). Normal memory aging. In M. Hersen & V. B. Van Hasselt (Eds.), Handbook of clinical geropsychology (pp. 87–110). New York: Plenum.

    Chapter  Google Scholar 

  • Don Productions TV. (20 July 2013). Wisdom to survive a tsunami. Professor Toshitaka Katada interview. [Video file]. https://www.youtube.com/watch?v=dbnz0FZU73Q. Accessed 25 June 2015.

  • Fackler, D. (11 March 2011). Powerful quake and tsunami devastate Northern Japan. The New York Times. http://www.nytimes.com/2011/03/12/world/asia/12japan.html?pagewanted=all&_r=1&. Accessed 25 June 2015.

  • Ishii, C. (1996). The language of grief in today’s Japan. Theologia-Diakonia, 30, 225–236.

    Google Scholar 

  • Ishii, C., & Setou, N. (2014). Kazoku ryohoni motoduku “aimaina soshitsu” eno shien: Fukushimani okeru shiensha shienno keiken kara [Support for “ambiguous loss” based on family therapy: Through our experience of helping aid workers in Fukushima]. Japanese Journal of Family Therapy, 31(1), 101–105.

    Google Scholar 

  • Ito, S. (26 March 2011). Japan’s tsunami defences brutally exposed. Asiaone. http://news.asiaone.com/News/Latest%2BNews/Asia/Story/A1Story20110326-270285.html. Accessed 25 June 2015.

  • Klass, D. (1996). Grief in an Eastern culture: Japanese ancestor worship. In D. Klass, P. R. Silverman, & S. L. Nickman (Eds.), Continuing bonds: New understandings of grief (pp. 59–72). New York: Taylor & Francis.

    Google Scholar 

  • Malaysia Airlines plane, flight MH370, goes missing (7 March 2014). Huffington Post. http://www.huffingtonpost.com/2014/03/07/malaysian-airlines-plane-_n_4922705.html.  Accessed 25 June 2015.

  • National Police Agency of Japan. (10 July 2014). Damage situation and police countermeasures associated with 2011 Tohoku District—off the Pacific Ocean Earthquake. https://www.npa.go.jp/archive/keibi/biki/higaijokyo_e.pdf. Accessed 25 June 2015.

  • Neimeyer, R. A., Harris, D. L., Winokuer, H., & Thornton, G. F. (Eds.). (2011). Grief and bereavement in contemporary society. New York: Routledge.

    Google Scholar 

  • NHK (Producer). (2013). Kamaishi no kiseki: Kodomo ga kataru 3.11 [Kamaishi Miracle: 3.11.: Children talk about what they experienced on 3.11] [DVD]. Japan: Producer.

    Google Scholar 

  • Onishi, T., & Ishiwatari, M. (2012). Urban planning, land use regulation & relocation. Washington, DC: World Bank Group. http://wbi.worldbank.org/wbi/Data/wbi/wbicms/files/drupal-acquia/wbi/drm_kn2-7.pdf. Accessed 26 June 2015.

  • Robins, S. (2010). Ambiguous loss in a non-Western context: Families of the disappeared in post-conflict Nepal. Family Relations, 59, 253–268.

    Article  Google Scholar 

  • Robins, S. (2013). Families of the missing: A test for contemporary approaches to transitional justice. New York/London: Routledge Glasshouse.

    Google Scholar 

  • Robins, S. (2014). Constructing meaning from disappearance: Local memorialisation of the missing in Nepal. International Journal of Conflict and Violence, 8(1). http://www.ijcv.org/earlyview/342.pdf. Accessed 25 June 2015.

  • Robins, S. (2016). Discursive approaches to ambiguous loss: Theorizing community-based therapy after enforced disappearance. Journal of Family Theory & Review. (Manuscript in preparation).

    Google Scholar 

  • Saul, J. (2013). Collective trauma, collective healing: Promoting community resilience in the aftermath of disaster. New York: Routledge.

    Google Scholar 

  • Sashida, K. (2013). Tsunami tendenko: Hashire, ue ni! [At the time of Tsunami, run high upward]. Tokyo: Popura-sha.

    Google Scholar 

  • Sato, K. (2014). Nihonno shamanisumu to shisha tono koryu [Shamans possessed by the spirits of the dead in Japanese shamanism]. Annual of The Institute of Thanatology, Toyo Eiwa University, 10, 91–110.

    Google Scholar 

  • Takahashi, H. (2014). Darega hanashio kikunoka: Hisaichini okeru reino hanashi to shukyosha [Who listens to their stories?: How religious professionals are dealing with occult phenomena in the Great East Japan Earthquake Disaster area]. Annual of The Institute of Thanatology, Toyo Eiwa University, 10, 237–254.

    Google Scholar 

  • Une, T. (2014). Machi wa hosupisu ni narenaika: Hisaichi de kea ni tazusawatte mietekita koto [Can a town be a hospice?: What we discovered from providing psychologist and spiritual care in the earthquake disaster area]. Annual of The Institute of Thanatology, Toyo Eiwa University, 10, 255–271.

    Google Scholar 

  • Valenti, J. (16 Sept 2013). Victim of 9/11 attacks on WTC identified. Newsday. http://www.newsday.com/news/new-york/victim-of-9-11-attacks-on-wtc-identified-1.6082613. Accessed 25 June 2015.

  • Wakefield, J., Ito, K., Toshio, A., Swanson, K., Revell, M., & Klein, P. (2013). National identity case study: How do disasters affect the construction of place identity? In Solem, M., Klein, P., Muñiz-Solari, O., & Ray, W., (Eds)., AAG center for global geography education. http://www.aag.org/cgge. Accessed 29 June 2015.

  • Yanagida, K., & Suzuki, I. (Aug 2014). Hitowa naze “yurei” o mirunoka [Why people see “ghosts”?]. Bungei Shunju,338–345.

    Google Scholar 

  • Yoshimura, H. (21 March 2011). City’s concrete ‘protector’ fails to stop killer tsunami. The Asahi Shimbun. http://ajw.asahi.com/article/0311disaster/quake_tsunami/AJ201103213218. Accessed 26 June 2015.

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Correspondence to Pauline Boss PhD .

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Boss, P., Ishii, C. (2015). Trauma and Ambiguous Loss: The Lingering Presence of the Physically Absent. In: Cherry, K. (eds) Traumatic Stress and Long-Term Recovery. Springer, Cham. https://doi.org/10.1007/978-3-319-18866-9_15

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