Topic Area: Grief and Students in Middle School
Introduction
The following set of articles was collected to gain insight into how grief can be addressed, or if it
should be addressed, with students in a middle school setting. Two of the articles report the effects grief
can have on students’ experiences, three discuss the merit of common grief theories, and two describe
grief interventions in school settings. Much has been written about grief and its treatment; this
bibliography is by no means exhaustive.
Annotations
Abdelnoor, A., & Hollins, S. (2004). The effect of childhood bereavement on secondary school
performance. Educational Psychology in Practice, 20(1), 43-54.
This empirical study examined the effects of the death of a parent or sibling on students’ academic
performance, anxiety, and self-esteem. Abdelnoor and Hollins (2004) conducted the study in England.
Their sample included 73 participants who had lost a parent, 24 participants who had lost a sibling, and
a control group that matched the experimental group for age and gender. The groups were not matched
for cognitive ability. This is a limitation of the study. Academic performance was measured using
England’s General Certificate of Secondary Education Examination. Anxiety was measured using the
Spielberger State Trait Anxiety Scale for Children, and self-esteem was measured using the Coopersmith
Self-Esteem Inventory. The results show that parentally-bereaved students and sibling-bereaved female
students underachieve compared to the control groups. Bereaved students also experienced more
anxiety than non-bereaved students. There does not appear to be a relationship between self-esteem
and bereavement. When achievement and anxiety scores were broken down based on the manner of
death (illness, old age, suicide, etc.) no patterns emerged. The results suggest that losing a parent or
sibling can significantly affect students’ performance at school.
Abdelnoor, A. & Hollins, S. (2004). How children cope at school after family bereavement. Educational
and Child Psychology, 21(3), 85-93.
Abdelnoor and Hollins (2004) interviewed 14 young adults who had lost a family member at least four
years previously and before the age of 16. Their aim was to investigate the effects of family
bereavement on students’ school experiences. They recruited volunteers to participate through
advertisements in student newspapers. Each participant was interviewed once about his or her
bereavement experience. Participants identified as Eastern European, South African, and Asian; and 11
were born in the UK. Every bereavement experience was unique, but there were two broad categories
of experiences: those who viewed school as a refuge following the death, and those who found school
more challenging. The group that found school to be a refuge tended to invest more in academic work.
Those who struggled with school reported a lack of empathy from teachers and students at school. The
authors conclude that family bereavement disrupts the educational process and suggest that future
research should investigate whether coping strategies can be taught to bereaved students. This study is
limited in terms of its small sample size limitations of this study include the small sample size and vague
methodology.
Granados, S., Winslade, J., DeWitt, M., & Hedke, L. (2009). Grief counseling groups for adolescents based
on re-membering practices. Journal of School Counseling, 7 (34). Retrieved from
http://www.jsc.montana.edu/articles/v7n34.pdf
This article describes a qualitative study on the implementation of small group grief counseling in two
middle schools and one high school. The authors conducted a total of three groups of 6-7 students per
group. Rather than using the traditional approach based on the stage model of grieving in which
participants are encouraged to say goodbye to their loved one, the intervention focused on
remembering the students’ loved ones. Over the course of six sessions based on narrative therapy,
students rebuilt their relationships with their deceased friend of family member. Sharing their
relationships and experiences with the deceased person in a group setting seemed to strengthen
participants’ ties to their loved one it a positive way. Feedback from participants indicated that the
approach was effective; students reported feeling closer to their lost loved one following group, and
shared stories of increased positive feelings and less sadness. Limitations of the study include a limited
sample size and a lack of numerical data to support the effectiveness of the intervention.
Maciejewski, P.K., Zhang, B., Block, S.D., & Prigerson, H.G. (2007). An empirical examination of the stage
theory of grief. Journal of the American Medical Association. 297(7), 716- 723.
The goal of this study was to test the stage theory of grief outlined by Jacobs (whose work was based on
Bowlby and Kübler-Ross). The stages are numbness-disbelief, separation-distress, depression-mourning,
and recovery. The model hypothesizes that as an individual moves through these stages, acceptance of
the death steadily increases. Participants were recruited using advertisements in newspapers, at
hospitals, and other organizations in Connecticut. The sample included 233 bereaved individuals who
had lost a significant person to natural death. Participants’ experiences with each stage were measured
using items from the Inventory of Complicated Grief-Revised. Data was collected over a three-year
period. It is unclear how many times participants met with researchers, but participants were asked to
answer the items several times, in terms of their experiences one to 24 months following their loss. The
researchers found that participants did tend to move through the stages outlined by Jacobs, but that the
timeline for moving through these stages varied. Counter to the stage model, they found that
acceptance is more common than disbelief in the first six months following the loss. A potential
limitation of the study is that participants were adults who had lost someone to natural causes.
Ross, D. & Hayes, B. (2004). Interventions with groups of bereaved pupils. Educational and Child
Psychology, 21(3), 95-108.
Ross and Hayes (2004) implemented a grief group intervention at one primary and one secondary school
in the UK. They worked with the school psychologists to identify participants and develop the
intervention. At each school, the intervention consisted of a two-day workshop for students led by the
researchers and the school psychologist. The student sample consisted of 14 students, seven at each
school. The workshop included storytelling activities, which allowed students to actualize the loss,
express feelings, continue their relationship with the deceased, and hear about others’ experiences with
death. Other activities encouraged solution-focused and future-oriented thinking. Qualitative data was
collected from all participants, their parents, and their teachers. Quantitative data was collected from
secondary students using The Pupils’ Feelings about School and School-work Inventory. Based on the
http://www.jsc.montana.edu/articles/v7n34.pdf
inventory, the authors concluded that small-group counseling in schools can be helpful in increasing
bereaved students’ interest and enthusiasm in school, and in increasing students’ sense of competence
at school related tasks. The article does not provide detailed qualitative results; it is not clear how
affective the intervention was with primary students. Another limitation of the study is that it may or
may not be generalizable to students in a U.S. school.
Russac, R., Steighner, N., & Canto, A. (2002). Grief work versus continuing bonds: A call for paradigm
integration or replacement? Death Studies, 26(6), 463-478.
Russac, Steighner, and Canto (2002) collected information from 60 grieving individuals to see whether
Freud’s grief work model or continuing bonds theory more accurately describes what bereaved people
actually experience. Their method was quasi-experimental; they used a control group matched to the
experimental group in age, gender, and relationship of the deceased to the survivor. For example, if a
member of the experimental group had lost her brother, a person who had an ongoing relationship with
her living brother was chosen for the control group. Both groups completed a questionnaire that used
Likert scales to measure their relationships and grief. The results support the internalization n of grief as
described by grief work. The results also support continuing bonds’ notion that people maintain
closeness to the deceased across time. These authors, unlike the authors of different grief theories, have
no obvious interest in disproving either grief work or continuing bonds. Their findings suggest a need for
more research to back up theories of grief. One limitation of the study is that all participants are
university students from the same university. The cultural backgrounds of the participants is not
discussed.
Stroebe, M. & Schut, H. (2010). Dual process model of coping with bereavement: a decade on. OMEGA:
Journal of Death and Dying, 61(4), 273-289.
This theoretical article describes the rationale for the development and use of the dual process model of
coping with bereavement. Stroebe and Schut (2010) compare their theory, which was first published in
1999, with others, notably Worden’s task model that emerged in the 1980s. They argue that their model
is applicable to both “typical” and “complicated” grief, unlike the Freud’s grief work or Worden’s task
model. The dual process model divides the grieving process into two types of components: loss oriented
components and restoration oriented components. Bereaved individuals oscillate, they say, between
doing and thinking things that focus on the loss, and doing and thinking things that focus on the changes
and new experiences. This model allows for greater flexibility than do other models. Thus, this model is
potentially applicable to grieving experiences in a wide variety of cultures, and potentially useful in
comparing grief experiences. Stroebe and Schut (2010) acknowledge that without empirical evidence,
theoretical writings on grief are useless. They also acknowledge the challenges of empirically testing
their theory and outline some suggestions for testing their theory. While they do attempt to bridge the
gap between their theory and the implementation of empirical studies, their suggestions are vague.
Conclusion
There are a few key points to take away from this eclectic group of articles. First, the death of a
family member can significantly affect a student’s personal and academic well-being (Abdelnoor &
Hollins, 2004a; Abdelnoor & Hollins, 2004b; Silverman & Nickman, 1996). Second, grief experiences vary
widely, and there is no consensus on which model or theory of grief is most relevant to what bereaved
people actually experience (Maciejewski, Zhang, Block, & Prigerson, 2007; Russac, Steighner, & Canto,
2002; Stroebe & Schut, 1999). Third, not many empirical studies have been published that seek to test
grief theories. This may be because of a lack of instruments for measuring various components of grief
theories. Maciejewski et al. (2002), Stroebe and Schut (1999) discuss the difficulty of measuring the
dimensions of grief theories in a valid and reliable way. Someone would have to invest in developing
tools that measure the experiences described in the theories before the theories themselves could be
tested. Studies that do attempt to test models or theories do not tend to involve children. This may be
because accessing children is more involved than working with adult volunteers. Finally, researchers
who have done grief interventions with children and in schools have taken pieces of grief theory and
counseling theory and merged them to create a seemingly logical intervention (Granados, Winslade,
DeWitt, & Hedke, 2009; Ross & Hayes, 2004). Their successes indicate that trying grief groups in schools
is worthwhile and generally beneficial for students. School counselors, psychologists, and social workers
are likely to be in positions to try grief interventions. Realistically, these support staff who would
coordinate an intervention would not prioritize writing the intervention up for publication. Ideally these
school support staff would partner with grief or educational researchers whose focus is writing for
publication so that others could use and improve upon the intervention, and work towards filling in the
current caps between grief theory, research, and intervention implementation.
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