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]:
- Resilience (around 45–60% of bereaved adults) — manageable distress that does not significantly impair daily functioning.
- Recovery (around 15–25%) — significant initial distress that gradually diminishes over months.
- Chronic grief (around 10–15%) — persistent severe distress lasting beyond a year, now recognized as Prolonged Grief Disorder.
- Delayed grief (less common than once thought) — minimal initial response followed by later distress.
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]:
- Loss-orientation — engaging with the pain, the memories, the absence.
- Restoration-orientation — engaging with the practical demands of continuing life, new roles, new routines.
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
- Permission to grieve non-linearly. Some days will be heavy. Some won't. Both are normal.
- Continuing bonds, not letting go. The older clinical framing (cut the cord, "move on") has been replaced by research showing that maintaining ongoing internal relationships with the dead — talking to them, marking their birthdays, integrating them into the family narrative — is associated with better, not worse, outcomes [4].
- Ritual. Death anniversaries, candle-lighting, visits to graves. The grief is held in the ritual rather than carried alone.
- Social support that doesn't try to fix it. What the bereaved most need is witness, not advice. Friends who say "tell me about him" matter more than friends who say "he wouldn't want you to be sad."
- Therapy when grief becomes prolonged or complicated. Prolonged Grief Disorder, recognized in the DSM-5-TR in 2022, has specific evidence-based treatments (CGT, complicated grief therapy) [5].
What doesn't help
- "Time heals all wounds." Time does not heal. What you do during that time heals.
- Comparing your grief to anyone else's.
- The expectation that you should be "over it" by a year, or by any specific marker.
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] Kübler-Ross, E. (1969). On Death and Dying. Macmillan.
- [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] Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement. Death Studies, 23(3), 197–224.
- [4] Klass, D., Silverman, P. R., & Nickman, S. L. (1996). Continuing Bonds: New Understandings of Grief. Taylor & Francis.
- [5] Shear, M. K. (2015). Complicated grief. New England Journal of Medicine, 372(2), 153–160.
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