JFK 50 Years Later: National Grief and the Anniversary Phenomenon

What is an “Anniversary Phenomenon”, and how is November 22, 2013 and President John F. Kennedy a trigger for unresolved grief?

When I studied Genetic Counseling, the Grief Process, and Psychotherapy, I was fascinated with the effects–both conscious and unconscious- of the anniversary phenomenon.

On a conscious level, we often have emotional reactions to birthdays and special occasions related to people who died, or who are no longer in our lives.  Some examples of trigger events could be songs, the sound of a bird, an aroma of flowers, a familiar handshake, meeting someone with the same first name of a person who is no longer in your life, or a myriad of other events.

On an unconscious level, we might also be affected. For example, if you are turning 50, and  your parent died at that age, you may have anxiety or depression that seems to emerge “out of the blue”. On a deeper level, we may be affected by unresolved grief.

What are some tips regarding unresolved grief and anniversary phenomenon?

1) Acknowledge the reality of the loss, and the feelings.

2) Be aware of the self critical voice that may tell you to just “get over it”.

3) Set aside some time on a regular basis to either talk with a friend or a therapist about your unresolved feelings.

4) Some people find that writing in a journal helps to bring up issues and feelings that need to be healed and resolved.

5) Be aware of any unresolved guilt about what you wish you could have done differently.

6) Anger is a common reaction to loss, and many people tend to be self critical when anger comes up. Know that feelings of grief most often includes anger, which also needs to be resolved.

7) Resolving a loss can be a lifelong journey. Be open to the trigger events that cause feelings to rise to the surface, and take the time to address them. You will be a more peaceful person for the effort, time and energy.

 

Ellen Anmuth Commetary – Gun Violence, Impulse Control Disorders and President Obama

Will President Obama and the US Government Ever Address the Issues of Mental Health, Disorders of Impulse Control, and Gun Violence? 

What is an Impulse Control Disorder? According to Wikipedia:

Impulse control disorder or ICD is a class of psychiatric disorders characterized by impulsivity – failure to resist a temptation, urge or impulse that may harm oneself or others. Many psychiatric disorders feature impulsivity, including substance-related disorders, paraphilias, attention deficit hyperactivity disorder, antisocial personality disorder, conduct disorder, schizophrenia and mood disorders. The revised fourth edition of the American Psychiatric Association‘s Diagnostic and statistical manual of mental disorders (DSM-IV-TR) includes the category, “impulse control disorders not elsewhere classified”, which consists of kleptomania, pathological gambling, pyromania (fire-starting), trichotillomania (a compulsion to pull one’s hair out), intermittent explosive disorder, and “impulse control disorders not otherwise specified”. Other disorders such as, dermatillomania (compulsive skin picking), compulsive buying and compulsive non-paraphilic sexual behaviour have been proposed for inclusion in the category.Five behavioural stages characterize impulsivity: an impulse, growing tension, pleasure from acting, relief from the urge and finally guilt (which may or may not arise).

For those people with Impulse Control Disorders or severe depression, a loaded gun nearby is a monumental danger. A few years ago, a friend of my parents, a retired medical professional, had a gun in his home. I suspect that this was intended for protection from intruders, as he never went hunting. I recall seeing him and his wife as a party, and noting how depressed she looked. A few weeks later, the news came that she had committed suicide by shooting herself in the head with the gun that was in the home.

For anyone with depression or an impulse control problem, easy access to a gun is a high risk situation. Will the US Government ever deal with this properly? What can you do, as citizens, to make a change? Will speaking with your senators, congressmen and congresswomen help?

As a licensed psychotherapist, I noticed how difficult it is for many people to get mental health services, either because they have no health insurance, or perhaps their policies did not cover psychotherapy. In addition, the culture in general tends to stigmatize mental illness, discouraging people from seeking help, in my opinion.

Given that a portion of the population suffers from Disorders of Impulse Control, and that many mentally ill people never get treatment, how do the current policies and laws deal with the easy access of mentally ill people to obtain guns?

What can we all do to address this problem?