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Articles 1 - 30 of 70
Full-Text Articles in Psychiatry and Psychology
Opening Space For Joy: Play As A Pathway In Dance/Movement Therapy With Adults In Addiction Recovery, Brittany M. Walsh
Opening Space For Joy: Play As A Pathway In Dance/Movement Therapy With Adults In Addiction Recovery, Brittany M. Walsh
Expressive Therapies Theses
This literature review examines the cultivation of joy through play in dance/movement therapy (DMT) for adults in addiction treatment. Substance use disorders (SUDs) and addictive behaviors are complex, multifaceted conditions influenced by biological, psychological, social, and systemic factors; however, treatment approaches often prioritize symptom reduction and traditional talk-based models. Although necessary, these approaches often fail to honor the whole person, and can inadvertently reinforce shame, stigma, isolation, and dehumanization. Drawing on trauma-informed, neurobiological, relational, and decolonizing frameworks, this review positions joy as a fundamental aspect of human experience and an affirmation of dignity. Playful processes in DMT have the potential …
Reimagining “Embodiment” In Dance/Movement Therapy: Unraveling The Roots Of Oppression In Our Bodies And Our Practice—A Literature Review, Holly A. Herzfeld
Reimagining “Embodiment” In Dance/Movement Therapy: Unraveling The Roots Of Oppression In Our Bodies And Our Practice—A Literature Review, Holly A. Herzfeld
Expressive Therapies Theses
This thesis explores the intertwined roots of power, privilege, and oppression embedded in the term “embodiment” within Dance/Movement Therapy (DMT) and how it is applied in the profession via a review of the literature. By locating the body as the vessel of experience, including trauma and oppression, this work challenges the dominant understanding of embodiment as solely about connectedness and groundedness, questioning why connection to the body is so often equated with psychological health. While the mind has been historically privileged over the body, DMT’s emphasis on bodily experience presents a unique opportunity to decolonize our dominant understanding of embodiment. …
Dance/Movement Therapy Interventions That Can Address And Decrease Impacts Of Developmental Prosopagnosia: A Literature Review, Caitlin Rivenbark
Dance/Movement Therapy Interventions That Can Address And Decrease Impacts Of Developmental Prosopagnosia: A Literature Review, Caitlin Rivenbark
Expressive Therapies Theses
This literature review explores dance/movement therapy (DMT) as a treatment modality for developmental prosopagnosia (DP) or face blindness. Research on DP causes and assessments are limited, as well as research on treatments and supportive management. In order to conceptualize how DMT might support people with DP, this paper focuses on mitigating the impacts of having the condition by exploring treatments for conditions with similar impacts including attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and social anxiety disorder (SAD). The interventions included were pharmacotherapy, behavioral contingencies, mainstream therapies, and alternative therapies including DMT and drama therapy (DT). The various …
"La Vida Es Un Carnaval": An Exploration Of Cuban Identity And Nostalgia Through Dance/Movement Therapy - A Community Engagement Project, Maria Fernanda Mendez Mendoza
"La Vida Es Un Carnaval": An Exploration Of Cuban Identity And Nostalgia Through Dance/Movement Therapy - A Community Engagement Project, Maria Fernanda Mendez Mendoza
Expressive Therapies Theses
“La Vida Es Un Carnaval” is a community engagement project and thesis that explores how identity and nostalgic resilience show up through dance/movement therapy with Cuban immigrants living in the United States, specifically Massachusetts. This project brought together six Cuban-born participants, ages 26 to 67, each with their own unique migration stories; from the Rafter Balsero Crisis of 1994, to the “Wet-Foot/Dry-Foot” policy, and family reunification. Through a mix of in-person and online sessions, participants explored their experiences using intermodal activities including dance/movement therapy techniques, conversation, journaling, artwork, and music. Themes of cultural pride, “Cubanía” – Cuban-ness, culture shock, and …
To Bear Witness: Analyzing Dmt As An Effective Trauma-Informed Approach For Treating Youth & Adolescents: A Critical Review Of The Literature, Jade Dennis
Expressive Therapies Theses
This literature review proposes dance/movement therapy (DMT) as a trauma-informed intervention for children and adolescents who have experienced psychological, emotional, or physical trauma. The project, inspired by internship experiences with young trauma survivors, explores the ways in which trauma manifests in the body, indicating that DMT may offer effective pathways toward healing. Many children exposed to potentially traumatic events exhibit emotional dysregulation, insecure attachment patterns, and behavioral or somatic symptoms that are not easily addressed through traditional talk therapy. As a body-based expressive arts modality, DMT engages the sensory, emotional, and relational aspects of trauma by supporting nonverbal expression, self-regulation, …
Communing With Lions: A Critical Literature Review Exploring Pan-Asian Lion Dance Traditions Through The Lens Of Expressive Arts Therapy, Sarah T. Ngo
Expressive Therapies Theses
Lion dancing is a cultural art form practiced in numerous Asian and Asian diasporic cultures across the world. While the dance has been studied both in a historical and ethnographic manner, little research exists on its therapeutic benefits. This capstone thesis explores lion dancing through the lens of the expressive arts therapies to uncover the therapeutic factors underlying the practice. It applies the Chadian dance/movement therapy framework as well as various expressive arts therapy frameworks to the lion dance. The literature review indicates that lion dancing has the potential to be therapeutic in a number of ways, which include: 1) …
Utilizing Dance/Movement Therapy For Children With Attention-Deficit/Hyperactivity Disorder: Development Of A Method, Jayda Pearson
Utilizing Dance/Movement Therapy For Children With Attention-Deficit/Hyperactivity Disorder: Development Of A Method, Jayda Pearson
Expressive Therapies Capstone Theses
While there is limited research on the use of dance/movement therapy (DMT) with attention-deficit/hyperactivity disorder. This thesis introduces an intervention focused on utilizing (DMT) to assist children with ADHD in self-regulation during periods of dysregulation associated with the disorder. The research is backed by literature reviews covering various topics related to ADHD symptoms such as dysregulation, impulsivity, and attention difficulties. Furthermore, the thesis delves into the background of dance/movement therapy and explores how DMT can be integrated with other modalities such as play therapy for a comprehensive therapeutic approach.
Utilizing Flow Arts Movement As An Expressive Arts Therapy Tool To Treat Trauma: A Literature Review And Autoethnography, Shannon Mcgrail
Utilizing Flow Arts Movement As An Expressive Arts Therapy Tool To Treat Trauma: A Literature Review And Autoethnography, Shannon Mcgrail
Expressive Therapies Capstone Theses
This expressive arts-based autoethnography research explores the effectiveness of using flow arts movement as a tool of expressive arts therapy to treat symptoms of trauma for individuals who experienced a traumatic event in their lifetime. While research on the use of flow arts movement to treat mental illness is in its early stage, much can be drawn from the literature on expressive arts therapy and dance/movement therapy research with a range of populations addressing trauma. Through exploration of trauma through neuroscience, mind, body, and integrated mindfulness through flow, this work aims to bring an understanding of using intermodal expressive arts …
“Too Pretty To Be Brain Injured” Dance Movement Therapy And Women With/Recovering From Traumatic Brain Injury: A Literature Review, Cathy Patricia Hall
“Too Pretty To Be Brain Injured” Dance Movement Therapy And Women With/Recovering From Traumatic Brain Injury: A Literature Review, Cathy Patricia Hall
Expressive Therapies Capstone Theses
The objective of this literature aims to first, elucidate the history of the exclusion or absence of women in research examining traumatic brain injury (TBI). Second, in reviewing more recent published research examining women and traumatic brain injury, trends indicate women are prone to injury at increasing rates to men, due to biological sex, physiological makeup, and different etiologies. Finally, this literature review endeavors to examine published dance/movement therapy (DMT) research, and recommendations, for suggested interventions to apply to women with traumatic brain injuries and common comorbid diagnosis of depression, and PTS. Unique challenges this population experiences. In doing so …
Examining State Of Flow And Its Future In Dance/Movement Therapy: A Literature Review, Rachael A. Cohen
Examining State Of Flow And Its Future In Dance/Movement Therapy: A Literature Review, Rachael A. Cohen
Expressive Therapies Capstone Theses
This paper analyzes State of Flow, the definition codified by Mihaly Csikszentmihalyi and analyzes how Flow as a concept has developed in current psychological and artistic research, alternative therapies, and mainstream medias. This paper also views existing Dance/Movement Therapy frameworks such as Body-Mind Centering and Kestenberg Movement Profile to see how Csikszentmihalyi’s definition could integrate into current Dance/Movement Therapy practice, as well as looks at Laban Movement Analysis and its future in Dance/Movement Therapy. This thesis also examines how gender and neurodivergence may impact how one can experience State of Flow.
Postpartum Depression: Healing Through Archetypes And The Expressive Arts Therapies, Macushla Roulleau
Postpartum Depression: Healing Through Archetypes And The Expressive Arts Therapies, Macushla Roulleau
Expressive Therapies Capstone Theses
This thesis is a literature review investigating treating postpartum depression through the expressive arts therapies and feminine archetypes. The expressive arts therapies explored for treatment are dance, music, art, and drama. Meditation, mindfulness, and writing are also included. The importance of expressive arts therapies in treating postpartum depression is of interest now because of the increasing number of mothers who experience postpartum depression who are looking for alternatives to treatment beyond, or complementing, traditional talk therapy and medication. A search for literature on treating postpartum depression with expressive arts therapies and archetypes was conducted on-line using the Lesley University database. …
Enacting Stories: Discovering Parallels Of Narrative And Expressive Therapies, A Literature Review, Zoe Reddig
Enacting Stories: Discovering Parallels Of Narrative And Expressive Therapies, A Literature Review, Zoe Reddig
Expressive Therapies Capstone Theses
This literature review will analyze the use of narrative therapy (NT) techniques, dance/movement therapy (DMT) techniques, and expressive therapy (ET) techniques in an effort to distinguish where theoretical parallels exist between these methods of counsel. Narrative therapy is a postmodern framework of counseling that assists clients in resisting damaging stories that have been embedded through bioecological systems of exposure throughout development. Narrative therapy structures its philosophy through processes of externalization and deconstruction, and encourages the process of reframing or re-authoring one’s personal self-narrative. At their core, DMT and ET already utilize components of foundational NT practices, through processes of enactment, …
Movement As Medicine: Dance/Movement Therapy For Individuals With Autism, Parkinson’S Disease, And Cancer, Alessia Zanobini
Movement As Medicine: Dance/Movement Therapy For Individuals With Autism, Parkinson’S Disease, And Cancer, Alessia Zanobini
CMC Senior Theses
Dance/movement therapy (D/MT) is the psychotherapeutic use of expressive, creative movement to support holistic well-being. D/MT views the human being as a single body-mind unit and movement as a manifestation of life experiences. While typically practiced as a mental health intervention, D/MT can be adapted for a variety of populations. This thesis evaluates scientific data for the non-traditional use of D/MT for three conditions: autism, Parkinson’s disease, and cancer. For individuals on the autism spectrum, D/MT can strengthen attunement skills, provide creative communication outlets, and relieve harmful physical manifestations of autism. For individuals with Parkinson’s disease, D/MT can simultaneously ease …
Moving Through Loss: The Experience Of Ambiguous Loss With Hospitalized Children, The Development Of A Method, Peyton Edington
Moving Through Loss: The Experience Of Ambiguous Loss With Hospitalized Children, The Development Of A Method, Peyton Edington
Expressive Therapies Capstone Theses
The current method examined the effects of ambiguous loss with medical transplant patients in a pediatric hospital by utilizing a dance/movement therapy intervention. The development of this method was based on ambiguous loss theory with a dance/movement therapy approach. The explored literature identified central themes of ambiguous loss, such as resilience. These themes were connected to the practice of dance/movement therapy, such as embodiment. With this connection, the intervention was developed and implemented with participants. The central themes that emerged from the intervention were change, loss, meaning-making, and hope. One child and two adolescents were participants in this intervention, and …
Epistemic Injustice, Endometriosis And Dance/ Movement Therapy: An Autoethnographic Investigation, Kevana West
Epistemic Injustice, Endometriosis And Dance/ Movement Therapy: An Autoethnographic Investigation, Kevana West
Expressive Therapies Capstone Theses
As the field of dance/ movement therapy evolves to meet the demands of a rapidly changing social landscape, it is imperative that clinicians think critically about the degree to which our work is steeped in oppressive frameworks and ideologies. This investigation uses testimony to explore epistemic injustice as it relates to the author’s experience of living with endometriosis and the pursuit of professional licensure. Considering the limited amount of research on the condition, along with the perceived absence of literature within the field of dance/ movement therapy, further study is warranted. The experimentation phase of this research incorporated the use …
Moving Through Depression: Development Of A Dance/Movement Therapy Method In Psychiatric Inpatient Care, Melissa Olmedo
Moving Through Depression: Development Of A Dance/Movement Therapy Method In Psychiatric Inpatient Care, Melissa Olmedo
Expressive Therapies Capstone Theses
Short-term psychiatric hospitalization is a challenging health care model due to its short duration of care, treating the highest risk psychiatric population. Priority care within a short-term psychiatric hospitalization involves monitoring a patient’s safety for stabilization by decreasing acute mental health symptoms. Holistic psychotherapy treatment options are needed to meet the severity of patients’ symptoms for effective stabilization within a short-term model of care. This paper investigates the first implementation of a dance/movement therapy (DMT) method within two short-term units in a notable Boston hospital. The DMT group called Mindful Movement was facilitated weekly as single sessions to adults ranging …
What Was Lost: How Dance/Movement Therapy Can Support The Retention And Repair Of Cognitive Abilities In Cancer Patients, A Literature Review, Sarah E. Menser
What Was Lost: How Dance/Movement Therapy Can Support The Retention And Repair Of Cognitive Abilities In Cancer Patients, A Literature Review, Sarah E. Menser
Expressive Therapies Capstone Theses
This literature review examines research surrounding the effects of chemotherapy on cognitive abilities alongside methods of increasing cognitive functioning throughout treatment. Cancer-related cognitive impairment (CRCI) is seen in many patients undergoing chemotherapy yet has had little attention in cancer research. However, research that has been performed shows that by increasing physical activity during chemotherapy often results in improved cognitive abilities as well as increasing individual’s memory, focus, and multi-tasking abilities. With this connection between physical exercise and cognitive functioning, this author is interested in investigating the idea that dance/movement therapy can assist in the recovery and repair of residual cognitive …
A Dance/Movement Therapist's Perspective On Self-Regulation With Autism Spectrum Disorder And Intellectual Disability, Nicole Louise Anderson
A Dance/Movement Therapist's Perspective On Self-Regulation With Autism Spectrum Disorder And Intellectual Disability, Nicole Louise Anderson
Creative Arts Therapies Theses
This clinical case study explores my understanding of self-regulation and the impact it had on my clinical decision-making while in dance/movement therapy (DMT) sessions with a client diagnosed with autism spectrum disorder (ASD) and intellectual disability (ID). I was motivated by the interactions I had at my internship while working with this client. For the purpose of this study, I chose the theoretical lens of Daniel Siegel’s theory of self-regulation. Self-regulation is a process that organizes the mind and the body in space (Siegel, 2015). Currently, there is research on working with self-regulation and adults with ASD and ID, but …
Past, Present, Future: A Program Development Exploring Post Traumatic Slave Syndrome (Ptss) Using Experimental Learning And Dance/Movement Therapy Based Approaches, Bria Campbell
Creative Arts Therapies Theses
The purpose of this program development project was to create a program that utilizes dance/movement therapy concepts integrated with Dr. Joy DeGruy's Post Traumatic Slave Syndrome (PTSS) theory, specifically with suggestions for healing PTSS, to help African American Adolescents in Chicago's Roseland neighborhood understand, explore and heal from PTSS. The Delphi Methods was used to gather information from collaborators via individual interviews and follow up surveys. Collaborators, all experienced community leaders with African American adolescents in the Roseland neighborhood and similar neighborhoods, included one African American dance/movement therapist, one program developer, an arts and education director and an arts education …
Self-Applied Touch To Promote Self-Regulation In Adolescent Males With Problem Sexual Behaviors: Development Of A Method, Nicole Krzeminski
Self-Applied Touch To Promote Self-Regulation In Adolescent Males With Problem Sexual Behaviors: Development Of A Method, Nicole Krzeminski
Expressive Therapies Capstone Theses
Adolescents who have experienced problematic attachment relationships in infancy often have difficulty with self-regulation and therefore may cope using destructive means such as harmful sexual behavior. Self-regulation is the ability to calm the mind and body and manage emotions appropriately. Dance/movement therapy (DMT) may be a beneficial treatment tool for adolescents with problem sexual behaviors (PSB) to teach self-regulation techniques that may have not been developed due to early traumatic experiences. Self-applied touch is a DMT intervention that may assist individuals with self-regulation that was missed during critical developmental periods. This Capstone project implemented a self-applied touch warm-up with six …
Rhythmic Movements And Feeling States, Melanie Johnson
Rhythmic Movements And Feeling States, Melanie Johnson
Expressive Therapies Dissertations
This study was conducted to test the validity of a theoretical framework in developmental psychology of body movement analysis, the Kestenberg Movement Profile (KMP). Motor patterns associated with needs and foundations for affect expression, the tension flow rhythms (TFRs), were examined. Recent research examined the validity of the TFRs in nonclinical adults and found preliminary support for some of the KMP’s assumptions associating smooth (indulging) rhythms with indulgent affects and sharp (fighting) movements with assertive or aggressive affects. This study aimed to test the TFRs associated with the first two years of development—the sucking, biting, twisting, and strain/release rhythms. The …
Cultural Differences In Group Therapy: A Phenomenological Study Of The Lived Embodied Experience Of The Cultural Bump, Natalie R. Breitmeyer
Cultural Differences In Group Therapy: A Phenomenological Study Of The Lived Embodied Experience Of The Cultural Bump, Natalie R. Breitmeyer
Creative Arts Therapies Theses
Utilizing transcendental phenomenology, this study sought to better understand dance/movement therapists’ experiences of the culture bump phenomenon in the group therapy setting. Culture bumps are defined as moments in which two or more people enter a situation with different culturally-based expectations about customs, behavior, beliefs, communication styles, and other norms (Archer & Nickson, 2012). Data were collected using individual inperson semi-structured interviews with five Chicagoland dance/movement therapists who self identified as having experienced the phenomenon of the culture bump while in the group therapy setting. Data analysis was completed using Moustakas’ (1994) adaptation of the Stevick-Colaizzi-Keen method and resulted in …
The Intersection Of Anger Management Counseling And Embodiment In Dance/Movement Therapy, Maria Parise
The Intersection Of Anger Management Counseling And Embodiment In Dance/Movement Therapy, Maria Parise
Creative Arts Therapies Theses
The purpose of this research study was to explore how the embodiment of aspects of anger may integrate within anger management counseling. Through this research, the first step was taken in exploring the physical expression of anger as an intervention tool in anger management counseling. A personal understanding of anger expression and management was established which may be utilized in future dance/movement therapy (DMT) sessions. This study was guided by multiple research questions: How might the embodiment of anger integrate with anger management counseling? How might the sensations, images, feelings, and thoughts experienced in anger management sessions lead to an …
Moving Myths: A Heuristic Inquiry Into The Role Of Jungian Concepts In The Theoretical Framework Of A Dance/Movement Therapy Student, Maura Reagan
Creative Arts Therapies Theses
The purpose of this heuristic study was to develop a personal dance/movement therapy approach and interventions that utilize the Jungian concepts of myth and archetypes. The researcher, a 24-year-old graduate student, is grounded in a humanistic-existential therapy approach and is interested in bringing additional symbolism and metaphor to my theoretical lens by examining how these specific elements of Carl Jung’s psychoanalytic theory can enhance my current framework. Data collection and analysis took place over five Authentic Movement Skype sessions with the researcher and research collaborator participating from private rooms in their respective homes in Chicago, IL and Seattle, WA. The …
Embodied Nonverbal Microaggressions From The Perspective Of Dance/Movement Therapists: Interpretative Phenomenological Analysis, Rebecca A. Schultz
Embodied Nonverbal Microaggressions From The Perspective Of Dance/Movement Therapists: Interpretative Phenomenological Analysis, Rebecca A. Schultz
Creative Arts Therapies Theses
This interpretative phenomenological analysis (IPA) study explored dance/movement therapist’s embodied experiences of nonverbal microaggressions and how they experience nonverbal microaggressions in the clinical relationship. Data were collected via hour-long, video recorded, in-person interviews of four (N = 4) current practicing dance/movement therapists in the Chicago area. Data analysis was conducted using IPA of verbal and movement data where five key themes emerged (a) personal offense, (b) anger, and (c) curiosity towards experiences of nonverbal microaggressions; and microaggressions have the potential to both (d) strengthen and (e) harm the clinical relationship. Their experiences implicate the vital role the body plays in …
Safety First: Fostering The Neurological Experience Of Safety In Dance/Movement Therapy Sessions For Survivors Of Sexual Trauma, Chelsea Joy Davis
Safety First: Fostering The Neurological Experience Of Safety In Dance/Movement Therapy Sessions For Survivors Of Sexual Trauma, Chelsea Joy Davis
Creative Arts Therapies Theses
The purpose of this clinical case study was to explore and describe how a neurological experience of safety was fostered for survivors of sexual trauma in dance/movement therapy sessions at a community-based rape-crisis counseling center. This study focused on how the theories of trauma-informed therapy and dance/movement therapy were applied to clinical practice with survivors of sexual trauma in order to shift them out of trauma-related responses. Reflections on this process were captured via structured and narrative journaling, which was then synthesized by highlighting and interpreting common themes that emerged. Findings indicated that externalizing trauma-related responses using symbolic imagery and …
Engaging Collective Embodied Resilience, Enacting Ritual Movement Practice In A Social Change Process, Lauren Rose Milburn
Engaging Collective Embodied Resilience, Enacting Ritual Movement Practice In A Social Change Process, Lauren Rose Milburn
Creative Arts Therapies Theses
Twenty-first century American society requires individual and collective bodies to navigate large and often invisible systems of oppression despite the felt-influence of inequality, injustice, and affective control. Drawing from convergent theories of social movements and dance/movement therapy, collective embodied resilience emerges as a dually activating and healing resource for change making. This qualitative research study utilized a participatory/action embodied artistic inquiry methodology to investigate how arts-activist co-researchers experience collective embodied resilience during participation in collective action. Employing arts-based methods of data collection and analysis, coresearchers explored collective embodied resilience to generate and share an accessible ritual movement practice within a …
Stepping In: My Experience Of Embodied Power Through The Relations-Cultural Framework, Sarah C. Rot
Stepping In: My Experience Of Embodied Power Through The Relations-Cultural Framework, Sarah C. Rot
Creative Arts Therapies Theses
This qualitative embodied artistic inquiry self-study explored how I used my embodied power in an ethical and intentional way as a dance/movement therapist and illustrated how I experienced my embodied power as informed by relational-cultural theory. At the time of the study, I was a 24-year-old, White, female identified, Midwestern, second-year dance/movement therapy and counseling graduate student. Data were collected through five authentic movement sessions with a trained authentic movement practitioner. Data analysis took the form of creative synthesis through embodied writing passages following each authentic movement session. Results included a journey of self-compassion through a growing movement repertoire, which …
A Heuristic Inquiry: The Narrative Of A Beginning Dance/Movement Therapist's Professional Identity Development, Danielle Parmacek
A Heuristic Inquiry: The Narrative Of A Beginning Dance/Movement Therapist's Professional Identity Development, Danielle Parmacek
Creative Arts Therapies Theses
There are theories, models, and theses that explain what generally happens as people move through the identified phases of counselor and professional identity development. However, there is little literature that illustrates how this growth actually happens for clinicians. The purpose of this heuristic self-study was to identify and gain a deeper understanding of the narrative of how my clinical experiences have influenced my professional identity as a dance/movement therapist. This study utilized the six phases of heuristic inquiry as a structure to guide this discovery. My personal recollections of three identified cases were used as data, which was then analyzed …
Encountering Disenfranchised Grief: A Pilot Investigation Of The Clinical Lived Experiences In Dance/Movement Therapy, Kate M. Dominguez
Encountering Disenfranchised Grief: A Pilot Investigation Of The Clinical Lived Experiences In Dance/Movement Therapy, Kate M. Dominguez
Creative Arts Therapies Theses
This study employed a transcendental phenomenological methodology to understand how clients’ lived experiences of disenfranchised grief are present within the clinical therapeutic relationship in dance/movement therapy. Data was collected through individual semi-structured interviews from four dance/movement therapists who have worked with clients experiencing disenfranchised grief. Moustakas’ (1994) adaptation of the Stevick-Colaizzi-Keen method of data analysis was used concurrently with data collection. Data analysis resulted in four textural themes: a) Disenfranchised grief can be described as disconnecting, overwhelming, complex, unrecognized, and pervasive; b) It is distinguished by exacerbated grief; c) It is recognized as a distinct form of grief; and d) …