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Death and birth are two givens that each of us faces. K.G. Jung wrote that “death, if you approach it psychologically correctly, is not the end, but the goal, and therefore a person, having passed the peak of life, begins to live for the sake of death.” And although we people will never be able to calmly relate to the mystery of death, it is extremely important to know the basic mechanisms of grief and loss. Elisabeth Kübler-Ross dealt with this issue. She was born in Switzerland in 1926. Elizabeth began to be interested in the topic of death as a child. Having become a doctor, she realized that she wanted to describe an algorithm that would help a person get through the most difficult periods. This is how the Kübler-Ross model or the model of the five stages of grief acceptance appeared. The model was originally a description of the emotional state of terminally ill patients until their death. However, it was gradually extended to all situations when a person is faced with grief and the loss of something significant to himself: death of loved ones, divorce, serious illness, missed pregnancy, ruin, death of a pet. Elizabeth's co-author David Kessler in 2020 transferred this model to living through the COVID-19 pandemic. Elizabeth's model intersects with the work of such authors as Erich Lindemann, Colleen Murray Parkes and John Bowlby. The stages of living are known by the acronym DABDA, where Denial - Denial, Anger - Anger, Bargaining - Bargaining, Depression - Depression, Acceptance - Acceptance. It is important to emphasize that Elizabeth never stated that the stages follow one another and take equal time. The order of the stages may be different, a person may return to a stage that has already been completed, and two stages may occur simultaneously. I will briefly describe these stages: Denial. Associated with a state of shock. The person does not understand what is happening and prefers to pretend that nothing has changed and there is no problem. Denial blocks the possibility of effective action. Time is running out. Thus, a person, having learned about a fatal diagnosis, may refuse treatment. At this stage, we return the person to contact with reality, with his body and emotions. Anger. Anger arises when it becomes impossible to deny the obvious and a person is filled with rage, irritation, envy and indignation. He asks the question: “Why me?” or “Why did this happen to my loved ones?” Silent support and unobtrusive control are important here. Usually a person goes through the stage of anger on his own; the main thing is to ensure that he does not harm himself or others. Bargaining. The bargaining stage begins when a person tries to negotiate and replay the situation. Usually it is not religiosity that is activated, but magical thinking. A person takes oaths, makes promises to higher powers, tries to find a wizard who can change everything. At this stage, you can invite the person to make a plan and see how productive his actions are in solving the problem. Depression. At the stage of depression, a person understands that there is little hope, that the situation has already happened. Contact with reality returns, and this reality turns out to be painful. Depression lasts a long time. Here you need the help of a psychologist, and often a psychiatrist. The support of loved ones, available activity and constructive activities are important. Acceptance can be described by the phrase “you can’t escape fate.” A person humbles himself and learns to live in a new reality, again building his life bit by bit. If we are talking about a terminally ill person, then this is a period of completion of affairs, summing up, inner peace, and often the return of deep religious feelings.D. Kessler proposed to supplement the model with a sixth stage - “comprehension”. At this stage, awareness and assimilation of the experience of loss occurs. Life goes on. psychologist Galina Gubanova +7 (985) 226-64-65 WhatsApp, Telegram

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