Troubling consequences of the death may include any of a range of difficult problems related to the deceased person’s possessions or death arrangements, or to hostile or threatening behavior of others. Sometimes a person can become excessively worried about how he or she will

manage without her loved one in his or her life, or about what will become of certain other people now that the deceased is gone. These are just examples of ways in which circumstances and consequences of the death can become a focus Inhibitors,research,lifescience,medical of rumination or avoidance that interfere with learning about the reality and its consequences. Treating complicated grief We conceptualize CG as a condition in which the normal healing Inhibitors,research,lifescience,medical process, entailing emotion regulation and learning, is derailed by complicating thoughts or behaviors. Treatment targets Alpelisib order resolving complications and facilitating healing. A group of basic assumptions Inhibitors,research,lifescience,medical can inform therapeutic goals and underlie the principles that guide the treatment. These assumptions include the following:

human beings possess an instinctive mechanism for healing after loss, that is a component of the attachment system, the goal of which is to evaluate and integrate information related to the death into memory systems used to forecast and plan for the Inhibitors,research,lifescience,medical future; emotion regulation plays a role in successful mourning; trusted companions who are empathic, reliable, and responsive help with emotion regulation and serve as natural catalysts for the healing process—we don’t grieve well alone; grief complications can occur and need to be addressed in order to free the stalled healing process. We developed a treatment approach based on these assumptions and tested in a prospective randomized controlled Inhibitors,research,lifescience,medical trial.26,27 Principles of the treatment include the following:

Self-observation and reflection, which are important tools for both addressing complications why and facilitating natural healing. Companionship is central to all aspects of treatment. Natural healing is facilitated by addressing loss and restoration-related issues in tandem, and by entraining a process of oscillation toward and away from confronting emotional pain facilitates natural healing. Imagery exercises are especially useful in fostering learning in both implicit and explicit memory systems. Positive emotions are physically and emotionally healthy and foster optimal creativity and problem solving. We used these principles to develop a set of procedures to help people overcome complicated grief.