Pastoral Psychology

, Volume 59, Issue 2, pp 137–145 | Cite as

The Trauma and Complicated Grief of Ambiguous Loss

  • Pauline BossEmail author


Ambiguous loss is a newly identified type of loss that occurs when a loved one is physically present, but psychologically absent. Dementia is just one example. Because the lost person is here, but not here, grief is frozen, life is put on hold, and people are traumatized. With no official verification of death, no possibility of closure, and no rituals for support, there is no resolution of grief (Boss 1999). Clergy, especially pastoral counselors, can witness and provide comfort for such uncanny loss because people rely on them for support, not just from the clear loss of death, but from the ambiguous losses, catastrophic and ordinary, that inevitably will occur across the life course.


Ambiguous loss Traumatic loss Complicated grief Resilience Self-reflection 


  1. Blieszner, R., Roberto, K. A., Wilcox, K. L., Barham, E. J., & Winston, B. L. (2007). Dimensions of ambiguous loss in couples coping with mild cognitive impairment. Family Relations, 56(2), 196–209.Google Scholar
  2. Boss, P. (1999). Ambiguous loss: learning to live with unresolved grief. Cambridge: Harvard University. Paperback reprint in 2000.Google Scholar
  3. Boss, P. (2002). Ambiguous loss: working with families of the missing. Family Process, 41(1), 14–17.CrossRefPubMedGoogle Scholar
  4. Boss, P. (2004). Ambiguous loss research, theory, and practice: reflections after 9/11. Journal of Marriage & Family, 66(3), 551–566.CrossRefGoogle Scholar
  5. Boss, P. (2006). Loss, trauma, and resilience: therapeutic work with ambiguous loss. New York: Norton.Google Scholar
  6. Boss, P. (Ed.). (2007a). Ambiguous loss. [Special issue]. Family Relations, 56(2).Google Scholar
  7. Boss, P. (2007b). Ambiguous loss theory: challenges for scholars and practitioners. Family Relations, 56(2), 105–111.Google Scholar
  8. Boss, P., & Greenberg, J. (1984). Family boundary ambiguity: a new variable in family stress theory. Family Process, 23(4), 535–546.CrossRefPubMedGoogle Scholar
  9. 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.CrossRefGoogle Scholar
  10. Bowlby, J. (1973). Separation: anxiety and anger. New York: Basic.Google Scholar
  11. Bowlby, J. (1980). Loss: sadness and depression: Vol. 3. Attachment and loss series. New York: Basic.Google Scholar
  12. Family Caregiver Alliance (2003). Fact sheet: facts and figures. Who are the caregivers? Retrieved April 3, 2009, from
  13. Feilgeson, C. (1993). Personality death, object loss, and the uncanny. International Journal of Psychoanalysis, 74(2), 331–345.Google Scholar
  14. Frankl, V. (1963). Man’s search for meaning: an introduction to logotherapy. New York: Washington Square.Google Scholar
  15. Freud, S. (1917). Mourning and melancholia. In J. Strackey (Ed.), The standard edition of the complete psychological works of Sigmund Freud (p. 237–258). New York: Norton. Original work published 1917.Google Scholar
  16. Kaplan, L., & Boss, P. (1999). Depressive symptoms among spousal caregivers of institutionalized mates with Alzheimer’s: boundary ambiguity and mastery as predictors. Family Process, 38(1), 85–103.CrossRefPubMedGoogle Scholar
  17. Kübler-Ross, E. (1969). On death and dying. New York: Macmillan.Google Scholar
  18. Kushner, H. S. (1981). When bad things happen to good people. New York: Schocken.Google Scholar
  19. Merton, R. K., & Barber, E. (1963). Sociological ambivalence. In E. Tiryakian (Ed.), Sociological theory: values and sociocultural change (pp. 91–120). New York: Free.Google Scholar
  20. Weigert, A. J. (1991). Mixed emotions: certain steps toward understanding ambivalence. Albany: State University of New York.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Family Social ScienceUniversity of MinnesotaSt. PaulUSA

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