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Grief

Grief Doesn't Move in Stages: A Better Map

Elisabeth Kübler-Ross never said grief had five stages. The map we inherited is wrong, and it has made many grieving people feel like they are doing it badly.

By Komel Kaur · 3 min read

When Aisha's father died, she did not feel angry, she did not bargain, she did not move through neat stages. She felt, mostly, an exhausted ordinariness, interrupted by waves of grief that came at the supermarket, in the shower, during meetings. She also, on some days, felt fine — and then felt guilty for feeling fine.

She told me, six months in, that she thought she was grieving wrong.

The stages myth

Elisabeth Kübler-Ross's 1969 book On Death and Dying identified five emotional patterns — denial, anger, bargaining, depression, acceptance — that she observed in dying patients, not in bereaved survivors [1]. The model was never intended as a stage progression. The culture flattened it into one anyway, and millions of grieving people have since been measured against a map that was never made for them.

What the research actually shows

George Bonanno, whose work on bereavement has shifted the field, has consistently found that the dominant pattern of grief is not stages but trajectories [2]:

The "stages" do not show up. What shows up is variability — across people, across days, across the same hour.

The dual process model

Margaret Stroebe and Henk Schut proposed a more accurate description: the dual process model, in which grievers oscillate between two orientations [3]:

The oscillation is the work. People who only stay in loss-orientation get stuck. People who only stay in restoration-orientation defer the grief and pay it later. The healthy pattern looks like waves: into the grief, out for some living, back in again. Often within the same day.

What helps

What doesn't help

When to consider professional support

If a year or more after a loss you cannot function in daily life, if you feel emotionally frozen, if you cannot accept the loss, if life feels meaningless in an ongoing way — these are signs of prolonged grief, and it is treatable.

Aisha's father is still dead. The grief no longer feels like an injury. It feels, she said recently, like an additional weight she has learned to carry — and on some days, like a kind of company.

References

  1. [1] Kübler-Ross, E. (1969). On Death and Dying. Macmillan.
  2. [2] Bonanno, G. A. (2009). The Other Side of Sadness: What the New Science of Bereavement Tells Us About Life After Loss. Basic Books.
  3. [3] Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement. Death Studies, 23(3), 197–224.
  4. [4] Klass, D., Silverman, P. R., & Nickman, S. L. (1996). Continuing Bonds: New Understandings of Grief. Taylor & Francis.
  5. [5] Shear, M. K. (2015). Complicated grief. New England Journal of Medicine, 372(2), 153–160.

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