Life & Death Matters Logo

Ken Doka on Disenfranchised Grief

Ken Doka on Disenfranchised Grief

Life & Death Matters Post

One of the highlights of the ADEC conference was a half day session with Ken Doka on Disenfranchised Grief.

Ken started the session by trying to set us all at ease, encouraged us not to worry about what we have said or done in the past and mentioned an interesting article, “On doing everything right, a case study in failure” that sounds interesting.

It was interesting to hear his “ah ha” moment which gave seed to the development of this theory of “Disenfranchised Grief”. Ken coined the term to describe the grief that occurs when the loss is not socially sanctioned, openly acknowledged or publicly mourned for the following reasons:

  1. The relationship is not recognized,
  2. The loss is not acknowledged, or
  3. The griever is not recognized.

Ken highlighted ways the theory has been applied and how it has grown in the years since he first wrote about it.

He also wove the idea of grieving styles, Instrumental vs Intuitive, into the discussion. He suggested that disenfranchised styles include:

  1. Males who are intuitive grievers (a mans’ tears may be perceived as weak)
  2. Females who are instrumental grievers (a woman may be perceived as being unfeeling)
  3. People who are instrumental grievers early in the loss (we may expect people to express feelings rather then focus energy on the work/tasks that need to be accomplished)
  4. People who are intuitive grievers later in the loss experience (we become impatient with people who continue to express grief over time)
  5. Counsellor disenfranchisement of instrumental grievers who do not want to talk feelings (this hopefully has/is changing with the concept of instrumental vs intuitive grieving styles)

Ken introduced me to “empty arm syndrome” associated with perinatal loss. Following the death of a baby, mothers have sometimes developed pain in the heart, breasts, lower abdomen and upper arms. The location of the pains symbolizing the connection of mother and babe.

Ken also discussed his adaptation to Bill Worden’s Tasks of Grief:

  1. Acknowledge the loss
  2. Express manifest and latent emotions (express those emotions that are both obvious and those that are present but not easily visible or actualized)
  3. Adjust to a changed life
  4. Relocate the loss
  5. Reconstitute faith and philosophic systems challenged by the loss.

Ken identified interventions for each of the “tasks” and provided some stories to anchor the learning.

After years of hearing about Ken from our mutual colleagues, Terry Martin and Dana Cable, reading his books, seeing his name in much of the current grief literature, and having him interviewed for the Life and Death Matters Podcast Library, it was a great pleasure to hear/see him present.


From Our Blog

Shopping cart
There are no products in the cart!
Continue shopping
For Students

Subscribe to receive tips and insights on providing palliative care.

Skip to content