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EUROPEAN JOURNAL OF BEHAVIOR ANALYSIS 2001, 2, xx - xx NUMBER 2 (WINTER 2001) 1

Explanations of Bereavement, Grief, and Trauma:


The Misuse of Both Mental
and Foundational Terms
Bernard Guerin
University of Waikato

Grief and trauma are hurting and disruptive. ful: the grief needs to be “worked through” or
Unfortunately, they seem to be more prevalent the trauma “expressed” (Guerin, 2001a).
in these days of mass refugee migrations arising Through none of this paper am I doubting
from both weapons of mass destruction and the that very important, strong and profound events
enormous mass of weapons of smaller destruc- are happening to those “going through” such
tion. In many parts of the world, weapons such cathartic processes. Someone who has their hus-
as guns are becoming commonplace or normal, band shot and killed with no immediate warning
as is their use. More and more people are being of danger obviously is going to be involved in
killed suddenly, even if not unexpectedly, by these some very unusual (for them) events and have to
easy methods of killing. How this affects those make big changes to their life, and surviving such
living around the persons killed needs to be in- an event will be an important and profound
vestigated, especially those close or intimate with marker for the rest of that person’s life. What I
the person killed. Following this, interventions will be dubious about through this paper, how-
need to be explored for helping those people ever, are the many explanations and suggestions
with whatever help they require, although we for intervention given for what to do when these
should not automatically assume we know what sorts of sudden and deadly events happen. I am
that help will be. looking here only at the language used to talk
When looking at what has been written about about trauma, bereavement and grief, not the
grief, bereavement and trauma, there is a large events themselves. My model here is the work
amount of very abstract language used, most of Arthur Bentley, and in particular, his examina-
seemingly aimed at influencing the listener rather tion of the language used in 25 psychologies
than describing or explaining what events are (Bentley, 1935).
happening. The language surrounding the inter- It might not seem worthwhile spending time
ventions is also abstract and one doubts that the on this, since the interventions are much more
efficacy of the interventions has been properly important to develop, but the explanations tend
demonstrated yet. As someone who is interested to dictate what interventions are made for people
in studying how and when people use different in such grief and trauma, and this has caused
sorts of explanations—the natural history of ex- problems I believe. For example, there is some
plaining—such a plethora of abstract language newer evidence that the most common forms
use is very revealing. One of the major meta- of therapy for trauma victims, primary group
phors for grief, bereavement and trauma is that talking based on a catharsis metaphor, might ac-
of catharsis, that “something” needs to be “let tually make people worse in some circumstances
out” or “released” before a treatment is success- (Bracken, 2001; Bracken, Giller & Summerfield,
Correspondence to: Bernard Guerin, Department of Psy- 1995, 1997; Raphael & Wilson, 2000;
chology, University of Waikato, Private Bag 3105, Hamilton, Summerfield, 1999; Watters, 2001). Many fire-
New Zealand. E-mail: bguerin@waikato.ac.nz
1
2 Bernard Guerin

fighters do not have problems with trauma from Keenan (1994) and I will make a few comments
what they see but report becoming more trau- on those examples rather than ones from the refu-
matized when put through compulsory group gee/war victims literature. As a reminder, I am
therapy sessions that emphasise that they must not commenting here on the data from these
talk about what they saw and did before they studies but the language and how the language
can get “better”. Also, in my own research with encompasses the “explanations” that are put for-
Somali refugees, many have reported that their ward.
main problems, and the source of their depres- “…there seems to be a relationship between the cause
sive symptoms, come from events in their im- of death and the behaviour of the bereaved” (p. 2). State-
mediate surroundings rather than events that hap- ments such as this seem straightforward but are
pened to them during the civil war, while fleeing loaded with ambiguities. First note the hedging
or when living in refugee camps. Those events with “seems to be”; hedging allows the avoid-
were profound and have certainly made an im- ance of consequences for what is said (Bavelas,
pact, but their energies are spent primarily on try- Black, Chovil & Mullett, 1990; Fraser, 1980;
ing to get family members found and reunited, Hewitt & Stokes, 1975; Holmes, 1990). Second,
and trying to adjust to very new circumstances. notice the ambiguous and abstract use of “rela-
Even if some have recurring images of the death tionship” here, purportedly used in a standard
and injuries they have witnessed, their primary methodological sense. While in the most abstract
depressive symptoms are related to immediate sense we cannot but agree that there “might be”
problems rather than old “trauma” ones on the a relationship between the two, we are not helped
whole. From the view of professionals, how- by this usage. It is the same usage as contained in
ever, the emphasis is on PTSD and getting a la- the fictitious: “There is a strong relationship be-
bel attached. tween getting married and becoming a bereaved
widow”. True, but not helpful except in so far
Explanations, Rhetoric, and Respectable as we can influence readers to believe that we are
Explanations experts.
“Death in these circumstances can not only lead to
My argument is going to be that the theories prolonged grief reactions…” (p.2). Once again we
and explanations of bereavement, trauma and have an ambiguous word, “lead”, which has nei-
grief have all been misplaced as to what needs ther a direct implication of primary cause nor is
explaining and where to look for the substance very far from saying, “has a relationship to”.
of those explanations. Some of the more theo- Clearly also, there need to be a multitude of con-
retical notions involving “catharsis” have been ditions in place before death, even in the circum-
dealt with elsewhere in detail, and I will not re- stances being talked about, leads to prolonged
peat much of that material (Guerin, 2001a). grief reactions. Singling death out as the main
Dillenburger and Keenan (1994) have also sum- focus (albeit with “circumstances” thrown in for
marized some of the current ideas about be- good measure) does not encompass what is go-
reavement and grief but without pointing to the ing on in such situations. What we realize from
exact problems with those theories, just dissatis- this is that we still need all the details of what is
faction. going on, and broad generalisations about con-
The main thrust of what I will be arguing is ditions, and that focusing on a few salient fea-
that the theories are either too abstract—and there tures does not help us to understand what events
are useful rhetorical functions of abstract theo- take place. It would even be slightly better to
ries for authors who use them—or just pick out write, “In these circumstances, a death can not
one or two “causes” from a context or field and only lead to prolonged grief reactions…” but
ignore the contextual conditions that allow those even this can only be useful if “these circum-
“causes” to be there and have an effect in the stances” are observed in some way and described.
first place. Some examples from the current theo- As it stands, it does not really help anyone but
ries have already been given by Dillenburger and pretends to knowledge.
Explanations of Bereavement, Grief, and Trauma 3

The explanatory ambiguities in these literatures ing to go “through” a bereavement in which there
can also be seen in the outline of the effects of are primarily “internal” changes made in response
marital quality on bereavement. On the one hand, to an external situation. One of the problems
some theories suggest that better marriages would has been finding ways to conceptualize those “in-
lead to better bereavement outcomes; but on the ternal” changes as being external (Guerin, 2001b).
other hand, other theories suggest, quite reason- As we will see later, the hard work is still to be
ably, that those with poorer marital quality would done and social anthropologists are way ahead
adjust better after the spouse’s death. This could of behaviour analysts and psychologists on this.
be interpreted as an example of scientific excel- In summary, the language used when talking
lence, that we can derive opposing theoretical about bereavement, trauma and grief is derived
predictions and then test them and falsify one or from common talk about those topics. I have
both. no problems with common talk but with its
Looking at this from another position, how- unexamined extrapolation to research. Moreover,
ever, and one I will outline more later on, the the details of what is naturally occurring in such
theoretical opposition can be seen as an example events have not been observed and researched
of two lousy theories. Neither theory is close properly. The explanations given then become
enough to what events are actually going on to the province of the words “can”, “probably”,
say anything sensible, and the terms that are used “might be”, “seems likely”, “a possible reason
in both theories are too abstract in any event. The for this”, and “one possibility is that”. Once you
abstractness belies how far we are from our data. begin analysing the language use of both every-
It is like starting to understand how a television day and “scientific” explanations, these sorts of
works by sitting in the lounge room and musing verbal strategies become noticeable (Bentley,
over whether the television works from gasses in 1935).
the air or from something passed up through the
floorboards. These make nice opposing predic- Self-Reports As Observations
tions and we can then test them to find out if
one or both are falsifiable. On the other hand, The data reported by Dillenburger and
we could walk over and have a decent look at Keenan (1994) are certainly interesting and sug-
the television and what is going on. That is, our gestive, and are not extraordinarily different from
theoretical television studies need to be preceded other data collected within psychology. I have
by intensive naturalistic studies of televisions and two main problems with the data, however, but
what makes them work, just as theoretical phys- I would like these to be seen in the broader con-
ics had many centuries of people observing and text of psychological methodology rather than
studying close up and intensively how the events as unique criticisms of Dillenburger and Keenan
occur. I will come back to this point about in- (1994).
tensive studies later, when examining the The first problem is the use of samples taken
behaviour analysis explanation in the same way from self-help groups. Sampling from such
as I am doing here for the other ideas and theo- groups is certainly biased towards a self-selec-
ries. tion based on criteria of which we have no
With regard to the metaphors and explana- knowledge (cf. Davison, Pennebaker &
tions based on theories of “catharsis”, the sum- Dickerson, 2000). It is clear that only some people
mary of previous theories in psychology is re- will have joined into self-help groups, but we have
plete with examples (Guerin, 2001a). We read no observations to find out what those criteria
that unhappy marriages “drain energies from the might be. Without such observations, we could
spouse”, that there must be “grief work”, even easily make contradictory arguments, that they are:
to the point of postulating “anticipatory grief ”, the ones who need help most or do not need
and that there can be “emotional preparation”. help most; the ones who were most affected or
In all, the general flavour, also criticized by the ones who were least affected. Without know-
Dillenburger and Keenan (1994), is one of hav- ing the exact biases, I would prefer not to specu-
4 Bernard Guerin

late, in line with what was written easier about ing organizations because of the methodological
contradictory hypotheses. We should not make reasons given then we can alternatively question
the common leap into acquiescence that because whether this is the way we should be researching
we do not know the bias we can pretend it is not this issue at all. We could study trees only by their
there. leaves and the shadows they make but that would
The second problem is that of using self-re- seem ludicrous; better surely to make naturalistic
port measures as a substitute for other measures observations and interact informally with trees
that directly observe what is being asked about. (poking, prodding, twisting, growing) than re-
There has been much discussion of self-reports strict ourselves. Likewise, if we have found our-
in the psychology literature, mostly again with selves in a position in which we have to put up
acquiescence to the status quo because the issues with limitations (selective samples and self-re-
are unresolved. From a behaviour analysis point ports) in order to answer the research questions
of view, however, I argue that self-reports are we have posed, I suggest another strategy is to
certainly real but not necessary true with respect go back to the drawing board and rethink the
to what is being talked about. Social contingen- questions we are asking, and critically examine
cies from audiences can shape people to say al- the actual basis for our logic in coming up with
most anything and without further measures of those questions.
those audiences, that is, observations of the talk- The questions I more and more ask myself
ing in context, we have no way of deciding for are these: how far away from the participants
whom the self-reports have been shaped. For am I, and how much time do I spend with my
example, talking about how happy your marriage participants? My main source of inspiration for
was prior to your husband’s death has multiple this comes from the social anthropologists and
potential past and present audiences, and has huge their work in social behaviours, but one can also
impacts in terms of social consequences (although see that a big difference between Darwin and his
we do not know what these are because of a predecessors was the amount of time and close-
lack of intensive observations). Talking about ness he put into studying what he was trying to
how happy your marriage was is also interesting talk about (de Beer, 1963; George, 1982). Per-
in terms of social consequences because there is haps we need to spend more time with our par-
little in the way of monitorability; that is, just like ticipants before testing abstract theories.
mentalistic language, no one can really check up To give an example, if we wished to look at
on what is said and provide contingency conse- (abstract) ideas about beliefs in witchcraft and
quences. community structure, and we wished to stay put
We can see these two methodological prob- in our cities, then we could obtain questionnaires
lems in two ways. First, they can be seen as a to measure both these factors and send them to
result of the type of data with which we are deal- colleagues in Africa to give out. To be sure, this
ing. We cannot be in contact with the partici- would then result no doubt in the same prob-
pants before and after the death of their spouses lems of self-reported answers and some sort of
to get baseline data, so we therefore need to just selection bias as to how our colleagues in far off
get self-reports after the event of what happened. places gave out those questionnaires. In psychol-
We also have practical problems in recruiting ogy, we have learned to accept (acquiesce to)
people for studies such as these so we go to some those biases without realizing how they arise from
available gate-keeping organizations such as self- the abstract theorizing itself.
help groups. In the normal methodological ways The alternative strategy is to give up the very
of psychology, these ways of getting around the abstract theories that allow us to pose questions
problems are quite common, perhaps even the that (we imagine) can be answered in this way,
norm. and embrace our subject matter more closely. The
But we can see these problems, not limited to point I have learned from Darwin and from so-
this study alone of course, in quite another way. cial anthropologists is that we need to spend more
If we have to rely on self-reports and gate-keep- time with our participants, look at the details, in-
Explanations of Bereavement, Grief, and Trauma 5

teract with the details, and talk in less abstract be studied in the context of settings, behaviours
terms (see my comments at the start). In terms and consequences (Guerin, 1997a).
of the witchcraft example, Evans-Pritchard
spend some years working with communities Extinction and Reinforcement as
before he felt close enough to the material to Explanations
present descriptions and details (Evans-Pritchard,
1937). He, too, on the basis of this material, de- Unfortunately, on this basis, I do not think
bunked almost all theories of religion and witch- that the explanation in terms of extinction helps
craft as too abstract to be of any use except us either (Dillenburger & Keenan, 1994). There
propagating further theories and academic ca- are two main problems I see here: extinction
reers (Guerin, 1998; Evans-Prichard, 1965). under complex contingencies does not necessar-
The upshot is that compared to social anthro- ily function anything like it does under simple
pologists, psychologists spend very little time with contingencies; and second, that if we do not
their subject matter. Part of this might be a situ- observe and determine the reinforcers and pun-
ational laziness due to the acceptance of our work ishers in any situation first, then appealing to
in psychology journals without concrete details behavioural terms such as reinforcement, shap-
and time investment, and part might be due to ing, extinction, or reinforcement schedules is use-
an unacknowledged (false) assumption that be- less and no better or worse than appealing to
cause we are dealing with people we can sec- mentalistic terms and pseudo-explanations.
ond-guess the factors involved. It is also, I be- Multiple contingencies and extinction. My argument
lieve, partly due to the acquiescence to abstract here is that whereas the extinction procedures are
theorizing in psychology. As illustrated at the start concrete and material in terms of pigeon peck-
of this paper, abstract talk can be hedged and ing and rats pushing bars, in terms of the wid-
anything made out of it. Such conversational ows of political violence we have no idea what
strategies are fine in real life but not for research. the procedures mean. They are therefore ab-
Abstract ideas are so hedgable that we can bend stract and obscurist. In order to even begin do-
any abstract data collection to fit, even with inbuilt ing a behaviour analysis of such situations, we
methodological problems. need to be thinking in terms of multiple contin-
Notice that when I mention spending more gencies rather than any sort of simple contingency.
time with participants, this can also help us with The problem is that extinction under a Matching
what I have suggested is the real problem with Law approach is very different to under a simple
self-report data. It is not that self-reports merely contingency. The life of Mrs Smith with Mr
substitute for observing “real” behaviour: much Smith is not like a simple reinforcement proce-
of our “real” behaviour is totally about talking dure such that when Mr Smith dies, Mrs Smith
and self-reports (Guerin, 1997a) and in this way, loses a single reinforcer and goes into a period
observing and taping conversations and self-re- of extinction burst followed by lack of activity.
ports is observing real behaviour—the talking is Even a simple concurrent schedule would not
the real action. What more intensive studies need, show an extinction burst but a rapid increase in
however, is to observe the natural consequences activity on the other key if one key were stopped
for such talking, not the correspondence to “true” or its rate of reinforcement decreased. So one
or “real” actions (Guerin, 1997b). What we need would only expect extinction bursts and decrease
more detailed observations of are the audiences in activity if Mrs Smith had never done anything
and the audience consequences of talking in dif- in her life apart from activities reinforced directly
ferent ways; that is the major problem with self- by Mr Smith.
reports I have argued, not a lack of correspon- Now I am not suggesting that we substitute a
dence to the “truth”. Self-reports are not just a Matching Law explanation for bereavement and
poor substitute for “real” measures, they are real grief, but rather, following the last section of this
and important events in themselves and need to paper, to rethink radically the entire
conceptualization of the research questions and
6 Bernard Guerin

methodologies. My researching suggests that before talking about extinction procedures. For
most human activities are not maintained by any example, it is taken for granted that self-reports
sort of simple reinforcement or punishment, but of a happier marriage is a substitute measure of
rely heavily upon shaping with generalized social greater rates of mutual reinforcement between
contingencies which have very different proper- the spouses, but this is not at all clear: “Widows
ties to any sort of simple schedule (Guerin, 1994, who reported happiness in their marriage, i.e.,
1997a, 2001a, b). For example, satiation under who had enjoyed high levels of mutual reinforce-
generalized contingencies simply does not work ment” (p. 9). We must remember that what is
in the way found for simple or singular contin- “reported” has a number of audiences and that
gencies. I am suggesting the same thing for ex- high levels of reinforcement does not indicate
tinction and spontaneous recovery; I do not know happiness, nor does the reverse. It is too easy to
how exactly they do function in complex contin- slip into these sorts of acquiescing explanations,
gencies but it is very unlikely they will show the and the authors are not alone in this.
same properties as found for simple or singular This is why I do not think the extinction ex-
contingencies. So extinction and spontaneous planation is of much use, despite it being ex-
recovery are simply out of place in explaining tremely interesting. We do not know what has
events such as bereavement. been extinguished nor what reinforcement has
Observing extinction and reinforcement. The points been stopped and the authors are being led into
just made are part and parcel of the second prob- an explanation that merely resembles EAB. As
lem: that we simply do not know what reinforces mentioned earlier in the paper, this theoretical
or punishes behaviour in everyday life. All I am outline of the extinction hypothesis becomes full
sure about is that they are nothing like the simple of cans, mays, mights and “these findings are useful in
reinforcers and punishers studied in the experi- understanding…”
mental analysis of behaviour at present. They The link can also now be seen to earlier parts
figure large in the talk of behaviour analysts, how- of this paper: that in order to find out, as good
ever, and usually go well beyond the situations behaviour analysts should do first, what the rein-
used in the experimental analysis of behaviour. forcers and punishers are in the situation, we need
As I have mentioned elsewhere, saying that to change radically the methods that we use.
people follow religious practices because they are Behaviour analysis and psychology more gener-
reinforced, as was written by a well-known ally need to embrace the more intensive research
behaviour analyst, is no better or worse than say- methods used elsewhere in the social sciences
ing that they are based on innate needs or urges (Guerin, 2001a, b). This is not the way they view
(Guerin, 1998). We do not have the details in any themselves, but it is a change I believe is neces-
of these cases so none is better or worse. sary. My knowledge of behaviour analysts would
Consider this criticism by Dillenburger and suggest that what they have been envisaging is a
Keenan of traditional theories of psychology: sort of rough extrapolation of the JEAB meth-
“…concrete observations are transformed into abstract ods into everyday life to produce a science of
entities which are then reified and used to explain behaviour” everyday social behaviour ( (following Skinner,
(p. 6). My argument is that in the context of 1953, no doubt). But just because those meth-
bereavement and grief, and social life in general, ods and explanations have worked well in the
what is observed is also abstracted and reified experimental analysis of behaviour in JEAB does
when behaviour analysts typically talk about and not guarantee success or usefulness in the study
“explain” events in terms of reinforcement, pun- of everyday life.
ishment and extinction. Until we know the rein-
forcers, we cannot use extinction from stopping The experimental analysis of behaviour and
those reinforcers as any sort of explanation. It social behaviour
sounds like we are basing what is said upon solid
scientific facts presented in JEAB, but JEAB ex- Where does this leave the study of everyday
planations identify experimentally the reinforcers social behaviour? I do not have all the answers
Explanations of Bereavement, Grief, and Trauma 7

but am convinced about several strategies. I have in explaining everyday human behaviour. That
argued elsewhere (Guerin, 2002) that we need to to me would be like expecting to explain why
begin thinking about the JEAB-type studies of someone crosses a road in terms of synapses
the experimental analysis of behaviour (EAB) as because we happen to know that there are syn-
the basis or foundation for human behaviour but apses in the person’s brain. Having synapses cer-
realize that there is no guarantee that the proper- tainly forms part of the foundations for some-
ties found, or terms used, will be the same when one running across a road, but we should not
we study gross human behaviour. One can think expect an explanation purely in those terms.
of this in this way: molecular physics is to car- Muscles also form a foundational context for
pentry as the EAB is to the study of gross hu- running across a road but do not need to figure
man social behaviour. Molecules have proper- in an explanation or description.
ties, such as consisting mostly of empty space This is why I am dubious about “explaining”
and revolving fast, but it is no use to consider bereavement in terms borrowed from the EAB:
these properties when doing carpentry. Think- extinction, spontaneous recovery and resistance
ing about your wood as mostly empty space and to extinction. There is a plausible form to the
as moving very, very fast only leads to giddiness explanations, but I am sure I could also make a
and ennui for a carpenter. Occasionally, molecu- plausible explanation connecting synapses with
lar physics does help a carpenter, perhaps by in- road-crossing.
venting a new and unobvious type of wood- I am suggesting instead that we learn to let go
glue, but on the whole it does not help in every- of the main EAB terms, embrace methodolo-
day carpentry. gies that have led other social scientists to an enor-
Instead of study molecular physics fulltime, mous bank of useful details about everyday hu-
carpenters could better spend their time work- man behaviour, invent new terms that relate closer
ing intensively and closely with wood: experiment- to the properties of everyday life that we ob-
ing, cutting, interacting and prodding wood. I serve in detail, and above all, spend much more
am suggesting that social scientists, like carpen- time with our subject matter—people—before
ters, are also well-advised to spend a lot of time we think about explaining what we have found.
with their raw materials before trying to pull out Most of these point were actually been made by
the important and unimportant variables to look Skinner (, 1950, 1985), but he and his followers
at in research. And carpenters certainly will not (Skinner, 1953, 1957) forgot to apply the points
get their best ideas studying molecular physics. to themselves when they branched out in the realm
We also do not have to start this from scratch; of everyday life.
methodologies for intensive studies with human
participants are well-developed in other social References
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