Experience Of Loss Research Articles

Tooth-loss related masticatory and aesthetic experiences among middle-aged and older adult Danes.

To determine whether tooth loss relates to patient experiences of masticatory or aesthetic problems and is a useful measure of oral health and treatment needs and to compare experiences of tooth loss among middle-aged and older Danes. Cross sectional online- and telephone interview questionnaire study. 1,060 Danish citizens aged 40 years or older. Experiences of difficulties eating/enjoying food or smiling/showing of teeth due to tooth related problems within the last 6 months. Data analysis used tests of proportions and ordinal logistic regression. Half the participants had a full or almost full dentition. Among those with tooth loss, 21-44% reported difficulties eating/enjoying food. In ordinal logistic regression, difficulties eating were associated with being younger, having fewer teeth and having visibly missing teeth. Being unwilling to smile or show one's teeth was associated with being younger, having fewer teeth, having lower socioeconomic position and having visibly missing teeth. Wearing a prosthesis did not ameliorate eating difficulties or unwillingness to smile. Tooth loss is a meaningful measure of oral health but cannot stand alone. Many adults with even substantial tooth loss did not experience functional or aesthetic problems. Tooth loss is associated with negative masticatory and aesthetic experiences among middle-aged than older adults. Removable prostheses were not associated with better functional or esthetic outcomes.

Exploring lived experiences with tooth loss among fully edentulous patients attending Makerere University Dental Hospital, Kampala, Uganda

BackgroundOne of the most prevalent oral health issues affecting mankind is tooth loss. Besides extractions due to periodontal disease and caries, accidents and lack of dental knowledge can also result in tooth loss. Nevertheless, no known published studies have examined how edentulous patients in Uganda have lived with tooth loss. The objective of the present study was to investigate experiences of tooth loss among Ugandan edentulous patients attending Makerere University Dental Hospital.MethodsThis was a cross-sectional qualitative study using purposive recruitment of respondents. A total of 15 respondents were chosen from a variety of socio-economic groups. Qualitative data were collected using oral interviews in form of note taking and an audio-recorder. The data collected comprised the causes of tooth loss, the physical and psychological effects of losing teeth, the difficulties in managing oral hygiene when one is toothless, coping mechanisms, and supportive interventions after losing natural teeth. The collected data were transcribed and analyzed thematically using a software, Atlas Ti. The generated qualitative data were summarized as text, while demographic characteristics were presented in a table.ResultsOral infections such as periodontal disease (which destroy tooth supporting tissues), tooth decay and trauma from accidents were reportedly the main causes of tooth loss. In case of tooth pain as a first symptom, most patients choose self-medication with over-the-counter drugs and home remedies. They only consult dental professionals when the condition deteriorates. Tooth loss was associated with problems of eating, facial aesthetics and low self-esteem.ConclusionThe present study found that tooth loss was caused by periodontal disease, tooth decay and trauma from accidents. Loss of teeth was escalated by poor health seeking behavior. Tooth loss resulted in pain, eating difficulties, speech difficulties, poor facial appearance and consequently low self-esteem.

Exploring Identity in Poetry: Love, Loss, and Belonging in Sylvia Plath and Elizabeth Bishop through the Lens of Social Identity Theory

This study leverages Social Identity Theory (SIT) to explore themes of identity, belonging, and relationships in Sylvia Plath's "Mad Girl's Love Song" and Elizabeth Bishop's "One Art." Using a comparative qualitative approach, the research examines how personal and social identities influence the speakers' experiences of love and loss. Plath's poem illustrates a crisis of social identity marked by the speaker's detachment and internal conflict, reflecting struggles with isolation and idealization. In contrast, Bishop portrays loss as a communal experience, highlighting an evolving identity characterized by resilience and acceptance. The findings reveal that while both poets illustrate identity transformations shaped by relationships and loss, they utilize different coping mechanisms—Plath through fantasy and Bishop through pragmatic acceptance. This analysis underscores the intricate relationship between social identity and emotional responses, enhancing our understanding of how societal contexts impact individual identity formation.

"Nobody Knew . . . What Was Gonna Happen": Indigenous Loss and Grief During the COVID-19 Pandemic.

Indigenous peoples have experienced higher rates of loss and death compared to the general population, partly due to historical loss. This qualitative inquiry focused on understanding Indigenous women's experiences of loss, grief, and death during the COVID-19 pandemic, involving 31 head-of-household Native American women from a southeastern US tribe. Reconstructive analysis of data from a community-based critical ethnography identified the following themes spanning the ecological levels of the FHORT: (a) loss of finances, (b) loss of structure and loss of self, (c) death due to COVID-19, (d) disrupted mourning and burial rituals, and (e) grief and extensive losses. Results indicate that the pandemic not only exacerbated historical loss, but interventions and models for working through grief and loss should not only be culturally tailored and promote healing across all ecological domains and include physical, mental, emotional, and spiritual aspects, but should also address historical trauma, collectivist values, and traditional ways.

Self vs. Other in Affective Forecasting: The Role of Psychological Distance and Decision from Experience

This work tests self–other differences in the impact bias using the perspectives of psychological distance and decision from description vs. experience. Two studies compared the bias participants made for themselves and for others in a sequential gambling task. The task involved two identical gambles where the first gamble was mandatory and participants made decisions (accept or reject) for the second gamble. Planned decisions were made anticipating a gain or loss in the first gamble, and revised decisions were made following the actual experience of gain or loss. Study 1 compared decisions for self, abstract other, and a close friend. Study 2 replicated the comparison between the self and a close friend and added a measure of empathy. Both studies demonstrated an impact bias indicating that participants tended to overestimate the impact of anticipated outcomes on their tendency towards risk. Specifically, revised decisions indicated risk-aversion shifts after experienced gain and risk-seeking shifts after experienced loss. A reversed pattern emerged for close friends, indicating risky shifts after gain and cautious shifts after loss in Study 1 and for highly empathetic participants in Study 2. Assessing the utility functions that underlie participants’ decisions revealed a qualitative difference. The utility function for the self was consistent with prospect theory (with moderate intensity and diminishing sensitivity), while the utility function for others was more intense with little or no diminishing sensitivity. This research offers new insights regarding the roles of psychological distance and description vs. experience in affective forecasting and impact bias for self vs. other.

Psychoanalytic Observations Near the End of Life

ABSTRACT Using psychoanalytic free association, introspection, self-analysis, and his more than 50 years of experience as an adult and child psychoanalyst, the author explores the limited psychoanalytic literature on the individual analyst’s personal reactions to death and dying. Then he describes his experiences of loss of function, diminished psychoanalytic identity, and his personal attitudes toward death and an afterlife.

026. Utilizing Pre-Existing Lacerations for Frontal Bone Fracture Management: A Case Report

Background: Patients with fractures of the frontal bone use the coronal incision approach to expose the anterior cranial vault, including the forehead. The flap allows for widespread exposure of the fractures, facilitating access for the removal of segmental fractures and hematoma evacuation. Maintaining sufficient pedicle width is crucial to reduce the risk of unintentional arterial damage and to ensure proper venous drainage. The objective of this study was to document the surgical approach for segmental fracture removal under a forehead pedicle flap. Case: This case presents a 22-year-old male with moderate traumatic brain injury, who had two lacerations on his forehead and showed an open depressed fracture of the frontal bone after a motor vehicle collision. The patient experienced loss of consciousness and a history of vomiting. Imaging revealed intracerebral hemorrhage in the frontal region and a depressed fracture of the frontal bone. Intraoperative findings revealed the fracture site through the previous laceration incision. The fracture was clearly evaluated by the surgeon using tools to lift the skin between the two incisions. Conclusion: Despite the access for segment fracture removal being conducted through a pre-existing laceration, the patient outcomes were favorable, and no complications were reported.

An Evaluation of the Psychometric Properties of the Short Form of the Speech, Spatial and Qualities of Hearing Scale in Swedish: Online Versus Paper-and-Pen.

The purpose of this study was to examine the psychometric properties of the Swedish short form of the Speech, Spatial and Qualities of Hearing Scale (SSQ12) and investigate whether the paper-and-pen and online formats could be used interchangeably. Individuals with and without hearing problems were invited to participate in this study. The participants (N = 125) were randomized into four groups: paper-paper, online-online, paper-online, and online-paper. All participants completed the Swedish SSQ12 twice. Principal components analysis revealed one component. Statistical analysis revealed good psychometric properties. Administration formats were compared using repeated-measures analysis of variance, which revealed no statistically significant differences. The results indicate that the Swedish SSQ12 is possible to use in paper-and-pen and online formats interchangeably. The questionnaire has potential to be used by Swedish audiologists seeking to understand the individual experience of hearing loss or to evaluate hearing rehabilitation. To further understand the possible differences and to broaden the use and understanding of the SSQ12, future studies should aim to determine the minimal clinically important difference for the SSQ12.

Trust in the science behind COVID-19 vaccines as a driver of vaccine acceptance in the United States, 2021–2023

ObjectivesTo evaluate changes in public trust in the science behind COVID-19 vaccines in the United States (US) from 2021 to 2023, and to assess how loss of a family member or close friend to COVID-19, influences this trust and vaccine acceptance. MethodsUsing stratified random sampling for key demographic variables, including age, gender, race/ethnicity, region, and education level, the study analyzes data from a series of cross-sectional surveys conducted in 2021, 2022 and 2023. Descriptive statistics were employed to summarize the socio-demographic characteristics of the respondents and their levels of trust in science and vaccine acceptance. Weighted logistic regression models were applied to assess the relationships between trust in science, vaccine acceptance, and socio-demographic factors. These models controlled for potential confounding variables and allowed for the estimation of adjusted odds ratios (aOR) and 95% confidence intervals (CI), highlighting the key predictors of vaccine acceptance and willingness to receive future recommended boosters. ResultsThe results indicate that trust in science remained relatively stable over the study period and continued to be a strong predictor of vaccine acceptance, which was higher among male respondents, those with university degrees, and those with higher than median income. Notably, the experience of personal loss was significantly related to an individual’s trust in science and vaccine acceptance. ConclusionsTrust in the science behind COVID-19 vaccines appears to have been a crucial factor in US vaccine acceptance, with respondents who expressed higher trust being significantly more likely to accept the vaccine and express willingness to take future boosters. To maintain and enhance public trust in vaccination programs, trust in health communication from public sources, particularly the CDC, must be strengthened, as trust in the CDC was also found to be significantly correlated with both vaccine acceptance and future booster uptake. Personal experiences of loss due to COVID-19 were important predictors of trust in science and vaccine acceptance, highlighting the need for public health communications to be sensitive to the emotional impact of loss and grief along with the diverse socio-economic and educational backgrounds of the US population.

Workers’ experiences of pregnancy loss: qualitative insights from a mixed-methods study

Abstract Background Pregnancy loss affects approximately one in four pregnancies. The workplace is an important context to consider in pregnancy loss experiences as most women of reproductive age are in paid employment. Currently in the Republic of Ireland (ROI) there are no statutory leave entitlements if a pregnancy ends <24 weeks. Given the lack of research in this area internationally, we aimed to explore workplace experiences of early pregnancy loss. Methods In 2023, we conducted an online mixed-methods survey study (Mar-Apr), followed by qualitative interviews (Jun-Sept). People who experienced a pregnancy loss <24 weeks-whilst working and living in ROI in the preceding five years-were eligible to participate. The survey was distributed through professional/social networks and contained quantitative and qualitative questions-addressing pregnancy loss, experiences of workplace supports, and desired supports. Survey participants were asked to indicate their willingness to participate in a follow-up interview and were purposively sampled. The interview topic guide focused on specific aspects of workplace experiences which required further exploration following preliminary analysis of survey responses. Qualitative data were analysed in NVivo using reflexive thematic analysis. Results Most survey participants (N = 913) were female (74%), employed full-time (86%) and experienced a first-trimester miscarriage (75%). We conducted interviews with 13 people, across a range of demographics. Three initial themes were identified: (1) Personal experiences of pregnancy loss and dealing with emotional and physical impacts at work; (2) Challenges with the social side of pregnancy loss-disclosure and workplace interactions; (3) Workplace supports (4) Public policy and awareness. Conclusions Our analysis highlights the need for statutory leave, appropriate workplace policies and procedures, and education and training to better support workers who experience pregnancy loss. Key messages • There is a gap between workers’ needs and workplace supports regarding pregnancy loss <24 weeks gestation. Statutory leave, workplace policies and procedures, and education and training, are needed. • There is a need to discuss pregnancy loss in workplaces and society, to raise awareness and reduce the stigma/taboo on the topic. Recognition from Government is crucial to promote this.

The Treatment Alliance and the Provision of Removable Dentures: Exploring the Emotional Work of the Dental Team

Background: Research has demonstrated that the loss of one or more natural teeth can be an emotionally traumatic experience that mirrors processes associated with bereavement. There remains scant literature examining the role of emotions in dental encounters. One such exception is the literature on the idea of the ‘treatment alliance’ in dental encounters. The aim of this paper is to explore the role of the ‘treatment alliance’ in dentist–patient encounters. Methods: Data were collected from clinical observations, semi-structured interviews and focus groups exploring the experience of tooth loss and how the treatment alliance shaped the patient journey. Data analysis was conducted using the grounded theory method influenced by phenomenology. Coding was conducted using NVIVO and the unit of analysis was the treatment alliance. Results: Twenty participants took part in the interviews (eleven male; nine female; 22–86 years; mean age = 58.9 years). Observations were carried out with a further fourteen participants (seven male; seven female; 50–101 years; mean age = 62.2 years). The paper draws on four cases taken from the observational data to illustrate important dynamics underpinning how the treatment alliance varied. These case studies are then used as the basis for a critical discussion of the importance of the treatment alliance in dentistry. Conclusions: The treatment alliance acted as an important moderator in the clinical encounter, helping to influence successful outcomes. An important foundational component of the treatment alliance was the degree of emotional work the dental team conducted when ‘getting to know’ unfamiliar patients. Whilst emotions were an important factor in dental encounters, their acknowledgement and management were not essential to all successful outcomes. Much more research is therefore needed into the role of emotional labour in dental encounters.

The psychological burden of bereavement in the general population of UK and Ireland

This study examined the experiences of loss among bereaved adults, and the association between loss-related factors and mental health outcomes. Participants were 2023 bereaved adults from the United Kingdom and Ireland who completed measures of their bereavement experiences and symptoms of depression, anxiety, and somatization. The highest proportion of participants and those at greatest risk of meeting criteria for all disorders were those with less time since loss, who were in contact with the deceased every day or not at all in the year prior to their death, experienced sudden unnatural death, and those who lost a partner/spouse or a child. Age of the deceased was negatively correlated with meeting criteria for depression, anxiety, and somatization. Overall, depression, anxiety, and somatization were common in the bereaved population. Identifying key loss-related variables—such as time since bereavement and nature of death—will help target those needing urgent psychological support.

Management and long-term outcome of recurrent idiopathic FSGS in pediatric kidney transplant recipients

Focal segmental glomerulosclerosis (FSGS) is a major cause of pediatric kidney failure. Most cases of FSGS in children are idiopathic and have a high risk of post-transplantation recurrence and graft loss. Common treatments for recurrent FSGS (rFSGS) post-transplantation include plasmapheresis, immunoadsorption, and/or immunomodulatory therapy. This study retrospectively evaluated the efficacy and safety of early plasmapheresis followed by rituximab for inducing and maintaining remission in rFSGS. Between 2014 and 2023, 8 of 65 pediatric kidney transplant recipients at our center were diagnosed with idiopathic FSGS. rFSGS was diagnosed based on nephrotic range proteinuria with no other cause and managed with plasmapheresis. Rituximab therapy was used for those who did not achieve complete remission with prolonged plasmapheresis or remained plasmapheresis dependent. 6 of 8 (75%) transplant recipients with idiopathic FSGS experienced rFSGS. All patients achieved partial or complete remission with plasmapheresis, with response times ranging from 8 to 379 days (median 13 days). Rituximab therapy was introduced for 5 plasmapheresis-dependent patients, leading to sustained remission and cessation of plasmapheresis in 3 patients, while 2 showed improved proteinuria and reduced plasmapheresis frequency. Adverse effects included rituximab-induced serum sickness in one patient and one mild allergic reaction. One patient experienced graft loss due to humoral rejection, but no grafts were lost to rFSGS, and all other grafts remained functional over an average follow-up of 50 months. Early plasmapheresis followed by rituximab therapy effectively induces remission in most post-transplantation rFSGS cases, is well tolerated, and prevents graft loss. Larger studies are needed to confirm these findings.

Climate-related loss and damage in contexts of agrarian change: differentiated sense of loss from extreme weather events in northeast Cambodia

The uneven burden of climate-related losses and damages and its implications for equity and social justice are receiving growing attention in science and policy. Smallholder farmers, indigenous groups, and ethnic minorities are often identified as particularly vulnerable and likely to experience a greater burden of climate-related loss and damage. However, limited attention has been paid to experiences of climate-related loss and damage in contexts of agrarian change and related struggles, especially around land. In this paper, we analyse experiences of climate-related loss amongst smallholder farmers in Ratanakiri province, northeast Cambodia. We derive an analytical framework from political economy of vulnerability and sociology of loss to explain farmers’ sense of loss from climate change and foreground intangible dimensions of climate-related loss. We use a mixed-methods approach with a hierarchical regression analysis of a household survey (n = 295), individual interviews, and focus group discussions across eleven villages. We find that a higher number of livelihood activities, greater values related to land, types of negative impacts experienced, and stronger perception of changes in extreme weather events are associated with a greater sense of loss. Meanwhile, a higher ability to repay loans and secure land tenure is associated with a lower sense of loss. Our results demonstrate how experiential, relational, and normative dimensions of climate-related loss are co-produced through processes of agrarian change such as financialization and histories of land struggles (i.e. through debt failure and fear of loss of access to land). This study contributes a deeper understanding of people’s lived experiences of loss arising from climate change impacts in agrarian contexts and their implications for climate justice.

What's emotion got to do with it? Reflections on the buildings of the Portuguese (Family) Courts.

Courthouses, as public edifices, serve as the physical backdrop for the administration of justice. Simultaneously, they are spaces inhabited and visited by a diverse array of court users, ranging from judicial professionals to litigants. This article explores the nuanced interplay between courthouse spaces and the emotional experiences they generate. It starts by surveying existing studies that examine such an intricate relationship. Then, and by drawing from a sample of interviews conducted across two distinct time periods (2010-2011 and 2017-2019) in Portugal, the article delves into the lived experiences of judges, prosecutors, and litigants. Their narratives provide a multifaceted view of the emotional experiences associated with the Portuguese (Family) Court buildings. To analyse these experiences, I turn to Henri Lefebvre's concept of lived space. Lived space refers to the emotions, memories, and interactions within a particular spatial context. Such dimension, in relation to courthouses, directly connects to the lived experience of legitimacy loss and low self-esteem affecting decision-making, on the one hand, and estrangement and rights' exclusion, on the other hand, felt by those subjects. By investigating how the spatial configurations of courthouses shape our emotions, we gain insights into the profound impact of such built environments on our understanding of the justice system, and the physical and symbolic obstacles in accessing it.

Experiences of Animal Loss and Grief among Zoo Professionals and Volunteers: A Qualitative Study.

Zoo professionals and volunteers play essential roles in the wellbeing and conservation of a diverse array of animal species. Despite the growing body of literature revealing the psychological impacts of pet loss, there remains a dearth of information describing the experience of animal loss among those who work in zoo settings. This qualitative study explored the personal experiences of zoo animal loss among volunteers (n = 12), animal care and health professionals (ACHPs) (n = 135), and other zoo staff (n = 35) who participated in a larger mixed-method study. Participants responded to five open-ended questions exploring their most significant zoo animal death loss, where or from whom they found the most support, how the zoo community could better support them, advice for zoo leaders, and other thoughts about their grief and animal-related loss experiences. Using thematic analysis, two key themes were identified: the lasting toll of zoo animal loss and zoo professionals' and volunteers' interpersonal experiences. Participants described their experiences with animal transfers and both expected and unexpected deaths. Requests for support focused on better communication, grief resources, and opportunities to recognize and mourn animal losses. These findings suggest that zoo animal loss can negatively impact zoo professionals' and volunteers' psychological health.

Spatiotemporal Eolution and Prediction of Ecosystem Service Value in Taihang Mountains Based on MCCA Land Use Scenario Simulation

Ecosystem service value （ESV） is an important indicator related to regional ecological well-being, and understanding its evolution can provide references for regional ecological civilization construction and sustainable development. The Taihang Mountains, an important ecological security barrier in North China, were taken as an example. Based on land use data from 2000 to 2020, this study revealed the changes in land use and ecosystem service value in the Taihang Mountains and conducted multi-scenario simulations of ESV in 2035. Additionally, the land use transfer matrix, improved equivalent factor method, and mixed-cell cellular automata model were used. The results showed that： ① From 2000 to 2020, the main land use types in the Taihang Mountains were cropland, forest land, and grassland. The area of cropland and grassland significantly decreased, whereas the area of forest land and construction land remained stable. The scale of land use transfer was 2.06×104 km2, with a high intensity of transfer from cropland and grassland to other areas, mainly guided by ecological construction. ② The ecosystem service functions in the Taihang Mountains were mainly dominated by regulation services, and the overall ESV showed a stable upward trend, increasing by 1.51×1010 RMB from 2000 to 2020. The spatial distribution of ESV was uneven, and the polarization phenomenon was evident, with high-value areas concentrated in the high-altitude areas in the northern and central-southern parts and low-value areas mostly located in the flat foothills and central plateaus on both sides. They were greatly influenced by human activities. ③ By 2035, compared with that in 2020, the ESV in the Taihang Mountains was projected to increase by 5.37 billion RMB in the natural growth scenario, 4.34 billion RMB in the urban development scenario, and 7.64 billion RMB in the ecological tourism scenario, mainly due to the conversion from cropland and grassland to forest land. The natural growth scenario showed a high intensity of spatial transformation of ESV, the urban development scenario experienced severe ESV loss in cropland, and the ecological tourism scenario showed a significant increase in ESV, which was an effective path for promoting green development in the Taihang Mountains. The research results can provide scientific references for the healthy management and sustainable development of the ecosystem in the Taihang Mountains.

Holistic Nursing Care for Perinatal Loss Based on Swanson's Theory of Caring

Abstract Purpose: The purpose of this study was to inform perinatal loss care by expanding upon the five processes of Swanson's Theory of Caring through a holistic lens. Study Design and Methods: This study was a qualitative content analysis of 34 interview transcripts of parents' experiences with perinatal loss. A priori codes were identified using a holistic model which guided the integration of parents' holistic needs into Swanson's Theory. Results: Nurses can address parents' physical, psychological, social, spiritual, and cultural needs using Swanson's Theory to provide high-quality, holistic care that may foster healing. Parents were appreciative of nurses who were transparent, did not avoid talking about their baby, facilitated memorialization, and fostered bonding. Anticipating parents' needs, being emotionally present, and recognizing the meaning of the perinatal loss experienced helped parents to have a more positive loss experience. Clinical Implications: By incorporating holistic interventions into care guided by Swanson's Theory, nurses can empower parents within their loss experience. Interventions to create memories, foster bonding and connection, promote autonomy, and celebrate personhood may facilitate healing. It is necessary to ensure nurses have the support and resources to attend to parents' holistic needs, including education and sufficient time for care interactions. Providing education in perinatal loss and grief, particularly to new nurse graduates, is necessary to ensure nurses are equipped to provide holistic care to families experiencing perinatal loss.

Journeys into palliative care: Social workers' narratives of mobilising and sustaining practice

INTRODUCTION: With Aotearoa, New Zealand's increasing diversity and ageing population, social work has a vital role in palliative care practice. This study advances the understanding of palliative care social work and its implications for practice, education and support from a practitioners’ point of view. METHODS: Utilising a constructivist case study approach, in-depth data was collected from social work practitioners about their pathways and practices in palliative care. Purposive and snowball sampling techniques were employed, resulting in 12 individual semi-structured interviews and a focus group with 5 participants. FINDINGS: The participants' voices illustrate current social work practice and its implications from personal, pedagogical, and professional perspectives. Participants were often drawn to palliative care social work through career embeddedness and personal experiences of loss and grief. The study revealed how past, present, and future considerations shape palliative social work practice, including journeys to palliative care, mobilising social work practice, and sustaining support. Participants used various assessment tools based on service context, with limited exposure to palliative care in tertiary curricula. Most participants continued to seek post-qualifying professional development opportunities working in this field. CONCLUSION: The study underscores the importance of team support, ongoing education, and self-care for effective social work practice in palliative care. Recommendations include enhancing educational emphasis on palliative care, developing a New Zealand-based assessment tool for palliative care social work, and improving professional encounters related to death and dying. These insights can guide efforts to enhance palliative care social work practice in Aotearoa, New Zealand.

Counsellors’ Reflections on Disenfranchised Grief

In this exploratory, qualitative study, six counsellors were interviewed about their understandings of the concept of disenfranchised grief (Doka, 1989, 2002) and perspectives on their work with clients who had experienced non-deathrelated losses. Further aims were to explore the extent to which counsellors’ own beliefs, values, and personal experiences of loss influenced this work and to gain an understanding of the ways in which practitioners may be affected when working with those who grieve. Key findings suggest that both personal experiences of loss and understandings of grief models influence counsellors’ work with their clients. The practitioners who were interviewed varied in their knowledge about the concept of disenfranchised grief. Their own personal experiences of loss influenced their practice. The complex nature of grieving processes was confirmed, as well as the multifaceted impact on counsellors of working with loss and grief. The implications for counsellors’ professional development and support are considered.