Saturday, October 20, 2012

BOOK REVIEW: Helping Bereaved Children


Webb, Nancy, ed. Helping Bereaved Children 2nd ed. New York: Guilford, 2005.

Introduction
            Mourning is always a difficult process for people of any age. Yet, many fail to acknowledge or understand the unique way in which bereaved children handle tragedy and grief . Webb tackles this difficult subject with clarity and truth, bringing light some significant information for ministers or professional counselors working with children.

Benefits
            Webb teaches through the concept of categorizing children into stages based upon their development. This is an important concept in childhood mourning as developmental tasks and activities define how the child learns to accept and deal with their grief. Young children that range from 2-7 often do not understand the permanency of death. Piaget’s preoperational stage of development is included in describing how children perceive death. Moreover, at this specific developmental period children encompass magical thinking. Although this may be hard for adults to comprehend, children believe circumstances can supernaturally change, leading to confusion and disappointment if not addressed properly.
            During the latency period of childhood development (7-11), children begin to understand that death is permanent. This is an important concept for anyone working directly with children to understand, as this may affect the child’s emotional state. Children in this stage can exhibit similar signs of mourning when compared to adults. Although children begin to understand their own mortality, they do not understand that mortality is something that an individual cannot control. Children that experience a sudden loss, or the unexpected loss of a younger individual, may exhibit signs of anger and confusion. Further, when children enter the formal operational stage of development many exhibit signs of helplessness and confusion when dealing with grief from the loss of a loved one.
            Through addressing how children understand the world the author sets the stage for explaining different theories of grief. Although Webb outlines numerous theories involving grief in children, he does not teach that one is better than the other. For instance, the author makes reference to young toddlers suffering separation anxiety. Although separation anxiety can hardly be compared to grief, the young child does not understand that being separated from his or her parent or loved one is a temporary event. Yet as children grow the author demonstrates that they develop an understanding of permanency of events. Moreover, Webb provides the reader with an understanding that children are much different than adults in dealing with loss. Unlike adults, children may re-grieve through each developmental stage. This can confuse even professionals who work with adults if they are unfamiliar with childhood grief.
            This work establishes a variety of practical techniques to help children grieve. Among these techniques includes play therapy. Children tend to demonstrate their feelings when playing and interacting with others. As church professionals we can use this information to help parents or loved ones communicate with their children more effectively. Moreover, helping parents and/or loved ones understand that direct communication with the child may not work as well helps the parent/loved one to guide their child through the process of loss. The author further addresses that children often have short-attention spans. Caregivers and loved ones need to understand that children are not like adults in this regard and generally do not spend the whole day encompassed in one emotion.
            The author further discusses the fact that some children may need more professional guidance. Among these children are those that previously have been diagnosed with a mental disorder, disability, terminal illness, and children that appear to be stuck in the grieving process despite the fact that others around them have returned to their normal routines. Yet, children are very different from adults in that adults can often better communicate their thoughts, emotions, and express their need for more help in a particular area. The child’s peers are not likely able to understand or comprehend the situation the child is experiencing. In addition, the author warns to watch for a regression of behaviors, as many children can regress back to previously mastered tasks after suffering a traumatic loss. The length of time of the regression should be considered in determining the type of help and or support to give the child.

Limitations
            Although the author acknowledges differences among children such as religion, culture, and gender; the author does not provide solutions to working with children of different backgrounds. Assessing children’s behaviors during the grieving process can be a difficult task for church professionals that are not familiar with cultural variables that may affect the child’s interpretation of the grieving process. Moreover, the counselors or ministers are left to determine if the grief is normal, complicated, or disabling. More practical guidance in the determination of these types of grief would be helpful for those in ministry to children.

Conclusion
            Webb provides many beneficial points in his work with childhood mourning. This book should be recommended for all ministers or counselors or working with children to understand normal and abnormal behaviors. Although this work has some limitations, the book provides a strong grasp of understanding childhood development and how it relates to experiences of the child. 

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