Unambiguous definition of ambiguous loss: Exploring conceptual boundaries of physical and psychological types through content analysis
DOI:
https://doi.org/10.29038/eejpl.2023.10.2.zasKeywords:
ambiguous loss, physical type, psychological type, cluster map, content analysis, concept listAbstract
The article aims to extend our understanding of physical and psychological types of ambiguous loss through a systematic review based on content and psycholinguistic analysis. The study encompassed articles aligned with ambiguous loss published between 2019-2023, retrieved from PsycINFO, Web of Science (WoS), and Scopus. To eliminate the bias in the literature review, the study extracted published articles, dissertations, book chapters, and preprints with titles containing the search term “ambiguous loss”. Two reviewers (the first and the third authors worked independently) examined titles and abstracts and identified papers highlighting physical (n=34) or psychological (n=23) types of ambiguous loss. The physical type results from physical absence of meaningful persons (e.g. abducted, missing, adopted), while the psychological type results from psychological absence of meaningful persons (e.g. dementia, mental illness, addiction). The study applies the conceptual and relational content analysis of Leximancer (version 4.5) to develop three cluster maps and lists of concepts separately for physical and psychological types and all selected papers published between 2019-2023. The results show that the physical type primarily encompasses situations related to adoption, potentially leading to the ambiguous loss experienced by both biological parents and children when facing forced separation. Psychological type includes parents of children with disabilities, shaken baby syndrome, and caregivers of individuals with brain injuries and cancer. The present study indicates that the conceptual boundaries between physical and psychological types of ambiguous loss are not only expanding but also erasing, giving way to new applications in settings such as the COVID-19 pandemic, organ donor families, and sexual and gender minority.Disclosure Statement
No potential conflict of interest was reported by the authors.
Data Availability Statement
The data that support the findings of this study are openly available in Mendeley Data: Zasiekina, Larysa; Zasiekin, Serhii (2023), “Ambiguous loss_abstracts_2019-2023”, Mendeley Data, V1, https://doi.org/ 10.17632/dscy8m4g37.1
* Corresponding author: Larysa Zasiekina,
Downloads
References
Aviles, L., Kean, S., & Tocher, J. (2023). Ambiguous loss in organ donor families: A constructivist grounded theory. Journal of Clinical Nursing, 32(17-18). http://dx.doi.org/10.1111/jocn.16574
Anderson, S., & McGuire, J. K. (2021). “I feel like God doesn’t like me”: Faith and ambiguous loss among transgender youth. Family Relations, 70(2), 390–401. Retrieved from https://psycnet.apa.org/doi/10.1111/fare.12536
Biroscak, B. J., Scott, J. E., Lindenberger, J. H., & Bryant, C. A. (2017). Leximancer software as a research tool for social marketers: Application to content analysis. Social Marketing Quarterly, 23(3), 223–231.
Boss, P. (1977). A clarification of the concept of psychological father presence in families experiencing ambiguity of boundary. Journal of Marriage and the Family, 141-151.
Boss, P. (2009). Ambiguous loss: Learning to live with unresolved grief. Harvard University Press.
Boss, P. (2019). Building resilience: The example of ambiguous loss. In B. Huppertz (Ed.), Approaches to psychic trauma: Theory and practice (pp. 91-106). Rowman & Littlefield.
Boss, P., & Robins, S. (2023). Names without bodies and bodies without names: Ambiguous loss and closure after enforced disappearance. In M. G. Bianchi & M. Luci (Eds.) Psychoanalytic, Psychosocial, and Human Rights Perspectives on Enforced Disappearance (pp. 232-246). Routledge.
Boss, P., & Yeats, J. R. (2014). Ambiguous loss: A complicated type of grief when loved ones disappear. Bereavement Care, 33(2), 63-69.
Craw, E. S., & Bevan, J. L. (2022). Ambiguous loss, stress, communal coping, and resilience: a mixed-methods analysis of K-12 teachers’ experiences and interpersonal communication during the COVID-19 pandemic. Communication Education, 71(4), 286-304. http://dx.doi.org/10.1080/03634523.2022.2104331
Comtesse, H., Killikelly, C., Hengst, S. M., Lenferink, L. I., de la Rie, S. M., Boelen, P. A., & Smid, G. E. (2023). The Ambiguous Loss Inventory Plus (ALI+): Introduction of a Measure of Psychological Reactions to the Disappearance of a Loved One. International Journal of Environmental Research and Public Health, 20(6), 5117. https://doi.org/10.3390/ijerph20065117
Darrow, N. E. T., Duran, A., & Weise, J. A. (2022). “You’re Not Who You Thought You Were”: Narratives of LGBQ+ College Students’ Ambiguous Loss During Sexual Identity Development. Journal of College Student Development, 63(5), 537–554.
Fan, Y., & Lyu, X. (2021). Exploring two decades of research in community resilience: A content analysis across the international literature. Psychology Research and Behavior Management, 1643-1654. https://doi.org/10.2147/prbm.s329829
Flores, M. R. (2021). Impact of Ambiguous Loss on Couples with a Partner Affected by a Traumatic Brain Injury: A Critical Literature Analysis (Doctoral dissertation, Azusa Pacific University).
Germany, M. L., Pederson, A. C., & Bridges, S. K. (2019). Ambiguous loss in coming out and trans*itioning. In Non-death loss and grief (pp. 112–127). Routledge.
Governale, A., McTighe, K., & Cechova, V. (2023). Psychological reactions to COVID-19: Ambiguous loss, posttraumatic growth, and coronavirus impact among college students. Psychological Trauma: Theory, Research, Practice, and Policy. https://psycnet.apa.org/doi/10.1037/tra0001508
Herman, J. L. (2023). Truth and repair: How trauma survivors envision justice. Hachette UK.
Horton, A. L., Russell, B. S., Tambling, R. R., Elias, H., & Mas, M. (2023). Family experiences of ambiguous loss during COVID‐19. Family Relations, 73(1). https://doi.org/10.1111/fare.12918
Jeter, K., & Turns, B. (2022). Grieving the child that never was: Treatment of ambiguous loss in parents of children with Down syndrome. Australian and New Zealand Journal of Family Therapy, 43(2), 243-256. https://doi.org/10.1002/anzf.1488
Kor, K., Park, J., Dear, R., & Fabrianesi, B. (2023). Responding to children’s ambiguous loss in out‐of‐home care: The HEAR practice model. Child & Family Social Work. https://doi.org/10.1111/cfs.130722
Knight, C., & Gitterman, A. (2019). Ambiguous loss and its disenfranchisement: The need for social work intervention. Families in Society, 100(2), 164-173. Retrieved from https://psycnet.apa.org/doi/10.1177/1044389418799937
Landers, A. L., Danes, S. M., Carrese, D. H., Mpras, E., Campbell, A. R., & White Hawk, S. (2023). I can still hear my baby crying: The ambiguous loss of American Indian/Alaska Native birthmothers. Family Process, 62(2), 702-721. https://doi.org/10.1111/famp.12815
Leach, W. R. (2021). Adolescent Response to Parental Traumatic Brain Injury and Ambiguous Loss (Doctoral dissertation, The University of North Carolina at Charlotte).
Lee, Y. J., Park, H. J., & Lee, S. Y. (2022). Learning to live with ambiguity: Rethinking ambiguous loss for mothers of children with disabilities. SAGE Open, 12(2), https://doi.org/10.1177/21582440221095014
Nam, B., & Jiang, X. (2021). Aspiration for cosmopolitan capital and ambiguous loss: Chinese exchange students’ experiences in US higher education institutions during the COVID-19 pandemic. Asia Pacific Journal of Education, 1-16. https://doi.org/10.1177/21582440221095014
Mahat-Shamir, M. (2022). Neither here nor there and a little bit of both: The ambiguous loss experience of parents who lost a baby to sudden infant death syndrome. Death Studies, 46(5), 1186–1195. https://doi.org/10.1080/07481187.2020.1802629
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., ... & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. International Journal of Surgery, 88. https://doi.org/10.1016/j.ijsu.2021.105906
Powell, K. A., & Sorenson, A. (2020). Ambiguous loss after shaken baby syndrome/abusive head trauma: parental management of dialectical contradictions of grief. Communication Quarterly, 68(3), 243–264. http://dx.doi.org/10.1080/01463373.2020.1759112
Renner, A., Jäckle, D., Nagl, M., Plexnies, A., Röhr, S., Löbner, M., ... & Kersting, A. (2021). Traumatised Syrian refugees with ambiguous loss: Predictors of mental distress. International Journal of Environmental Research and Public Health, 18(8). http://dx.doi.org/10.3390/ ijerph18083865
Robins, S. (2016). Discursive approaches to ambiguous loss: Theorising community‐based therapy after enforced disappearance. Journal of Family Theory & Review, 8(3), 308–323. https://doi.org/10.1111/jftr.12148
Roetto, M. J. (2022). Addressing Ambiguous Loss in the Foster/Adoption Triad: A Collective Case Study (Doctoral dissertation, Northcentral University).
Sánchez-Ferrer, A., Postigo-Zegarra, S., Tamarit-Chuliá, A., Julián, M., & Montoya-Castilla, I. (2023). Ambiguous Loss and Emotional Intelligence in Families of Transgender People: A Mixed-Methods Study. LGBTQ+ Family: An Interdisciplinary Journal, 19(2), 128-144. http://dx.doi.org/10.1080/27703371.2022.2157359
Simpson, J. E., Landers, A. L., & Hawk, S. W. (2023). Longing to belong: the ambiguous loss of indigenous fostered/adopted individuals. Child Abuse & Neglect.
Suzuki, T. (2022). Uncollected bones and ambiguous loss: Okinawan mourning rituals in the Northern Mariana Islands. OMEGA-Journal of Death and Dying, 84(4), 1175–1192. https://doi.org/10.1016/j.chiabu.2023.10644
Testoni, I., Azzola, C., Tribbia, N., Biancalani, G., Iacona, E., Orkibi, H., & Azoulay, B. (2021). The COVID-19 disappeared: From Traumatic to Ambiguous Loss and the Role of the Internet for the Bereaved in Italy. Frontiers in Psychiatry, 12. https://doi.org/10.3389%2Ffpsyt.2021.620583
Testoni, I., Biancalani, G., Ronconi, L., Pedrini, A., Romanelli, S., & Melendugno, A. (2023). Ambiguous Loss and Disenfranchised Grief in Formal Caregivers of People with Dementia: Effectiveness of a Training Intervention with Psychodrama. The Arts in Psychotherapy. http://dx.doi.org/10.1016/j.aip.2023.102037
Testoni, I., Franco, C., Palazzo, L., Iacona, E., Zamperini, A., & Wieser, M. A. (2020). The endless grief in waiting: A qualitative study of the relationship between ambiguous loss and anticipatory mourning amongst the relatives of missing persons in Italy. Behavioral sciences, 10(7), 110. http://dx.doi.org/10.3390/bs10070110
Thøgersen, C. M. S., & Glintborg, C. (2022). Ambiguous loss and disenfranchised grief among spouses of brain injury survivors. Nordic Psychology, 74(1), 16-29. http://dx.doi.org/10.1080/19012276.2020.1862699
Weiss, C. R., Baker, C., Gillespie, A., & Jones, J. (2023). Ambiguous loss in family caregivers of loved ones with cancer, a synthesis of qualitative studies. Journal of Cancer Survivorship, 17(2), 484-498. https://doi.org/10.1007/s11764-022-01286-w
Weaver, R., Bolkan, C., & Decker, A. (2022). High death anxiety and ambiguous loss: Lessons learned from teaching through the COVID-19 pandemic. Gerontology & Geriatrics Education, 43(1), 43–54. https://doi.org/10.1080/02701960.2021.1966775
Zaksh, Y., Yehene, E., Elyashiv, M., & Altman, A. (2019). Partially dead, partially separated: establishing the mechanism between ambiguous loss and grief reaction among caregivers of patients with prolonged disorders of consciousness. Clinical Rehabilitation, 33(2), 345-356. https://doi.org/10.1177/0269215518802339
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Larysa Zasiekina, Andrea Abraham, Serhii Zasiekin
This work is licensed under a Creative Commons Attribution 4.0 International License.