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Mental Health: Miscarriage and Grief

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Mental Health: Miscarriage and Grief

Postby Joe Cleary » Fri Apr 08, 2016 2:16 pm

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Joe Cleary
 
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Looking through older posts in this section of the site I came across apost by Sabbi from October 2014 entitled 'Miscarriage - it's ok to grieve...' at viewtopic.php?f=75&t=18992 about an article that she had written and it included a response from Rainbow Girl. I thought both were very important contributions, relevant to many, and I'd like to contribute to the discussion.

Sabbi, I think you capture something essential when you say of parents bereaved through miscarriage that “as soon as those two blue lines appeared on that pregnancy test, their lives had immediately changed forever..” Rainbow Girl, I think you touch upon the same fundamental issue in the experience of miscarriage when you say that while others – trying to be supportive – told you that miscarriage was common, it's not common for you. I think what connects both of your experiences, and all experiences of miscarriage, are the singularity of the individual child in question and the singularity of each parent's experience.

There are many pregnancies that couples find too difficult to deal with, but when a pregnancy is welcomed, whether or not it comes as a shock, it is the beginning of a massive emotional and psychological adjustment and movement towards the expected child. In psychoanalysis there is a concept of the second death – that while we have a physical death we are not dead in the second sense until the last person who thought of us passes away too because we are part of hat make up others' realities. Similarly, we have two births – the first, the birth of the thought of us in the minds of our ancestors' and immediate family, and the second, our physical birth. Just because a child may not reach physical birth does not mean they are any less real in the thoughts of their parents and those imagining who they may become.

Again, from a psychoanalytic perspective, our attachments to those we care about are like satellites orbiting a planet or a web of thread-like connections. We extend beyond ourselves through our connections to others. They make us who we are because it is in these connections that we create the meaning in our lives. Every relationship is a two-way communication on an infinite level between us and the other, in ways we are consciously aware of and unconsciously unaware of. When we are bereaved the person to whom we are attached may no longer be alive but our connection to them remains. Grief is the process by which we reincorporate some of what connected us to those others because they are no longer physically present to anchor our attachment to them. We can no longer get from them what we did before, but they remain with us in memory.

This connection is more difficult to reincorporate with an unborn child because, while physically present (especially for the expectant mother), they are more real for us in our thoughts than in a tangible, physical way because while they were alive they were not separated out from the mother's body. When they die the hope and expectation for them also ends, abruptly and brutally. While parents had been preparing themselves for the greatest responsibility anyone can undertake, miscarriage comes like a devastating tidal wave.

While Sabbi makes the great point of getting in contact with with The Miscarriage Association of Ireland and meeting other parents who have experienced the loss of miscarriage, I would also suggest that anyone affected by it might benefit from engaging in psychotherapy. While family and friends try and support us, often by emphasising the positives or quoting facts and figures to us, there is also much to be said for having somewhere away from our everyday lives where we can go on a regular basis and say everything that we bottle up otherwise. Sometimes the last thing you want is advice or guidance. Sometimes what you want is to speak to someone you don't have to put a brave face on with and know that you won't see them in your everyday life. Having the opportunity to work with someone in that way can free up energy to deal with the rest of your life.
Joe Cleary http://www.joecleary.ie
B.A. M.Phil. M.A.
Reg. Pract. A.P.P.I.

Re: Mental Health: Miscarriage and Grief

Postby Sabbi » Mon Apr 11, 2016 8:15 am

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I think its hard to know how to grieve for the baby you lost because you did not know the baby - even though the Mother feels the baby and the parents love the baby as soon as the pregnancy is confirmed, it can be confusing to know how to grieve when other people did not have the same connection to the baby as the parents did.

we have a tree and bush in our back garden that we planted in memory of our babies and its nice to look out at them and see them bloom - one is a cherry blossom which is about to bloom now and it always makes me think of our babies.

We talk about our babies on their anniversaries and we include our children in these conversations. we do not speak in hushed tones, on those days we actually light a candle at dinner and remember our babies. Our children know we lost 2 babies and are not afraid to talk about it.

We also mention the dates to family members when they come because it explains why we might be a bit of on those days.

I went for counselling after our first miscarriage and it really helped me. I think its good for parents to talk about their losses and get help if needed. Counselling is really good for both parents. It helped me enormously and opened up the lines of communications again with my husband and me and helped me deal with and cope with our miscarriage.

Re: Mental Health: Miscarriage and Grief

Postby Joe Cleary » Mon Apr 11, 2016 12:17 pm

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Joe Cleary
 
Posts: 25
Hi Sabbi,

I think how you choose to include your children in such conversations and anniversaries is extremely important - both for you and your husband and also for your children. If they choose to become parents in the future and experience miscarriage they know that there is a way to live through it and that they have you and each other to turn to. Apart from teaching your own children about such loss, and that loss is an integral part of everyone's life, you're also contributing to the shift in our society to a point where people can speak more openly about these things should they wish to. Real change happens at such human levels, one person at a time.

As you mention, you accessed counselling at the time of your miscarriage. I cannot stress often enough or too strongly just how important counselling and psychotherapy can be at such times of distress. In my experience of working with bereaved parents, the simple fact of having somewhere where they can say everything they hold back from people in their immediate lives because they don't want to be reminded of their pain constantly can be hugely revitalising. A threrapeutic session can be a place to fall apart a little so that you can gather yourself back together and re-establish a normalcy that incorporates loss.

There are some services that offer such specific counselling but I would suggest people reach out to family and friends to get a recommendation for a mental health practitioner. They may also have a G.P. who keeps informed of local practitioners and they can check out my own organisations websitte at www.appi.ie .

Best wishes, Sabbi.
Joe
Joe Cleary http://www.joecleary.ie
B.A. M.Phil. M.A.
Reg. Pract. A.P.P.I.


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