The difficult case of complicated grief and the role of phenomenology in psychiatry

Abstract

It has been argued that some unremitting forms of grief, commonly labeled as complicated grief, pose a serious threat to the well-being and life of the mourner and may require clinical attention (Lichtenthal et al., 2004; Zisook et al., 2010). One central issue in this debate is whether and how we could draw a divide between uncomplicated and complicated grief to avoid, on the one hand, the medicalization of appropriate grief responses, and on the other hand, to provide help to those who suffer from complicated grief. In this paper I show that a phenomenological approach can help with this task. First, I present Ratcliffe's (2017) and Fuchs' (2018) phenomenological analyses of typical grief responses. Then I argue that a promising way to draw a divide between uncomplicated and complicated grief is to look for the presence of reintegration processes geared towards establishing a new relation with the deceased.