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Cultural, Existential and
Phenomenological Dimensions
of Grief Experience
Allan Køster is Senior Researcher at the National Center for Grief, Denmark,
and Research Fellow at Copenhagen University Hospital, Denmark.
Typeset in Bembo
by Apex CoVantage, LLC
Contents
Acknowledgements viii
List of figures ix
List of tables x
List of contributors xi
Introduction 1
E S T E R H O LT E KO FO D & ALLAN KØ STE R
PART 1
Phenomenology and its application to grief
and bereavement 7
A L L AN KØ STE R
PART 2
The normative mediation of experiences of loss 99
E S T E R H O LT E KO FO D
PART 3
Social frameworks of grief 193
B RADY WAGO N E R AND I GNACI O B RE SCÓ D E LU N A
Index 244
Acknowledgements
This book is the result of the 5-year research project “The Culture of Grief ”,
situated at Aalborg University, Denmark. The project was made possible by
generous funding from the Obel Foundation (Det Obelske Familiefond) from
2017 to 2021.
Figures
Losing an intimate other to death is one of the most profound and overwhelm-
ing events in human life. In this sense, grief is an individual, existential experi-
ence that cannot be given over to others. At the same time, grief is a shared
existential condition hardly anybody can avoid to face. Thus, grief is at the
same time a universal existential experience and a phenomenon that is deeply
entangled with historical, cultural, material and normative practices.
Traditionally, the systematic study of human mortality and vulnerability has
predominantly belonged to philosophy and theology. This has changed during the
last century, where the study of bereavement increasingly has become a subject of
public health, psychology and psychiatry. This process has encompassed a tendency
towards reducing the complex dynamics between individual experiences and
sociocultural conditions to causal hypotheses in which culture at best is included
as an external variable that influences individual grief symptoms. Accordingly,
there has been a narrowing of the scope and methodological approach to study-
ing grief, where symptoms, reactions and effects that can be measured quantita-
tively have been prioritised over qualitative and phenomenological examinations
of subjective experience, cultural understandings and interpretations. An example
of this tendency is the recent debate concerning the inclusion of a separate diag-
nosis for complex or prolonged grief disorder in the world’s leading diagnostic
manuals (American Psychiatric Association, 2013; World Health Organization,
2020). With notable exceptions, contemporary bereavement research is largely
focused on studying the consequences of bereavement on individual health and
well-being (Neimeyer, 2004; Stroebe et al., 1988). Of course, this is not to sug-
gest that the cultural dimension of death and bereavement has not been a central
subject of cultural-historical, sociological and anthropological studies. However,
while these studies have contributed significantly to our understanding of cul-
tural practices and beliefs concerning death and bereavement, examinations of the
complex dynamics between such cultural frameworks and the subjective experi-
ence of loss have been marginalised by the increasingly individualised and health-
oriented focus within contemporary bereavement research.
How did we arrive at this predominantly individualised, medicalised and
pathologised approach to such an existentially and culturally significant subject?
DOI: 10.4324/9781003099420-1
2 Ester Holte Kofod & Allan Køster
these research communities. With our symposium, and subsequently, with the
current volume, we intend to invite to and facilitate this dialogue.
It is our hope that the current book may serve as an invitation to scholars
across the human and social sciences to engage in continued conversations and
joint collaborations on the existentially significant topic of grief. Particularly,
we intend to invite scholars from philosophy into the ongoing conversations
and debates in the field of bereavement studies, insofar as its subject matter
clearly calls for philosophical investigations. Furthermore, the book is intended
to contribute to the development of conceptual frameworks for analysing grief
experiences. As such, it is our hope that the book may provide useful con-
ceptual resources for qualitative researchers aiming at analysing the complex
dynamics between subjective and cultural dimensions of bereavement. Finally,
we hope the book may prove useful for clinicians and other health care profes-
sionals who want to broaden their understanding of grief beyond individual
health and dysfunction. Although the book does not provide guidelines for
clinical practice, it is our hope that it may serve as an invitation to engage in
a continuing dialogue on how to develop practices that take account of the
inherent cultural situatedness of grief experiences.
Notes
1 See www.kommunikation.aau.dk/forskning/vidensgrupper/cqs/sorg/culture-of-grief/
2 www.kommunikation.aau.dk/forskning/vidensgrupper/cqs/sorg/culture-of-grief/
(accessed May 23, 2021)
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders
(5th ed.). Arlington, VA: American Psychiatric Association.
Boelen, P. A., Den Bout, J. V., De Keijser, J. O. S., & Hoijtink, H. (2003). Reliability and
validity of the dutch version of the inventory of traumatic grief. Death Studies, 27(3),
227–247. doi:10.1080/07481180302889
Bowlby, J., & Parkes, C. M. (1970). Separation and loss within the family. The Child in His
Family, 1, 197–216.
Engel, G. L. (1961). Is grief a disease? A challenge for medical research. Psychosomatic Medi-
cine, XXIII(1).
Faschingbauer, T. R., Devaul, R. A., & Zisook, S. (1977). Development of the Texas inven-
tory of grief. American Journal of Psychiatry, 134(6), 696–698. doi:10.1176/ajp.134.6.696
Freud, S. (1917/1957). Mourning and melancholia. In The standart edition of the complete
psychological works of Sigmund Freud: Volume XIV (1914–1916): On the history of the psycho-
analytic movement, papers on metpsychology an other works. Oxford: Macmillan.
Glick, I. O., Weiss, R. S., & Parkes, C. M. (1974). The first year of bereavement. New York:
John Wiley.
Kübler-Ross, E. (1970). On death and dying. New York: Collier Books.
Kübler-Ross, E., & Kessler, D. (2005). On grief and grieving: Finding the meaning of grief through
the five stages of loss. New York: Simon & Schuster.
Lindemann, E. (1963). Symptomatology and management of acute grief. Pastoral Psychology,
14(6), 8–18.
6 Ester Holte Kofod & Allan Køster
Marris, P., & Bowlby, J. (1958). Widows and their families. London: Routledge & Kegan Paul.
Neimeyer, R. A. (2004). Research on grief and bereavement: Evolution and revolution.
Death Studies, 28(6), 489–490. doi:10.1080/07481180490461179
Parkes, C. M. (1998). Traditional models and theories of grief. Bereavement Care, 17(2),
21–23.
Prigerson, H. G., Horowitz, M. J., Jacobs, S. C., Parkes, C. M., Aslan, M., Goodkin, K., . . .
Maciejewski, P. K. (2009). Prolonged grief disorder: Psychometric validation of criteria
proposed for DSM-V and ICD-11. PLoS Medicine, 6(8), e1000121. doi:10.1371/journal.
pmed.1000121
Stroebe, M. S., Stroebe, W., & Hanson, R. (1988). Bereavement research: An historical
introduction. Journal of Social Issues, 44, 1–18.
Valentine, C. (2006). Academic constructions of bereavement. Mortality, 11(1), 57–78.
Worden, J. W. (1982). Grief counseling and grief therapy: A handbook for the mental health practi-
tioner. New York: Springer.
World Health Organization. (2020). ICD-11 for mortality and morbidity statistics (Version:
9/2020), 6B42: Prolonged grief disorder. https://icd.who.int/browse11/l-m/en#/http://
id.who.int/icd/entity/1183832314. Accessed May 10 2021.
Part 1
culture and enclosed upon themselves, Jacobsen sets out to investigate the liv-
ing potential of the photograph through a personal confrontation with Phillip
Toledano Days with My Father. Through this encounter, Jacobson argues that
the limitations emphasised by Barthes and Merleau-Ponty might actually not be
a limitation but the photograph’s most important existential function.
In Chapter 5, Kathleen Higgins addresses the experience of how time and
space are often altered and disturbed in states of profound grief and how aes-
thetic practices may contribute to restoring a sense of normalcy. Drawing on
first-person literary accounts, Higgins starts by illustrating how such alterations
are experienced and the kind of disorientation it entails. Based on Alexander
Baumgarten’s original framing of aesthetics as a broad field that investigates
the domain of sensory appreciation, Higgins then sets out to explore how aes-
thetic activities may help the bereaved in restoring a sense of orientation in the
social world. In this respect, Higgins investigates diverse topics such as mate-
rial objects, recollections from prior aesthetic experiences and commemorative
rituals.
In the last chapter, Line Ryberg Ingerslev explores the complex role of com-
mitment in grief and how this relates to our continuing bonds to the deceased.
To understand the nature of this kind of commitment, Ingerslev proposes that
we do not exclusively focus on particular contents shared with the deceased—
i.e. internalizations such as re-enactments of memories and re-telling of nar-
ratives. The problem with this kind of practice is, according to Ingerslev, that
it potentially ties us to a world from which we feel estranged and abandoned
and that it reduces the relation to the deceased to forms of past-directed repeti-
tion. By contrast, Ingerslev compares commitment in grief with a practice of
hope, where we commit to something we don’t quite know what is by taking
up a situation we do not experience ourselves as being in control of or in any
way being sufficient to. By this comparison, it becomes clear how the bereaved
keeps a sense of community not only with the deceased but also with the com-
munity of survivors.
References
Heidegger, M. (1994). Zollikoner Seminare: Protokolle—Zwiegespräche—Briefe (M. Boss,
Ed.; 2. Aufl). Frankfurt Am Main: Klostermann.
Heidegger, M. (2001). Sein und Zeit (14., durchges. Aufl. mit d. Randbemerkungen aus d.
Handex. d. Autors im Anh). Tübingen: Niemeyer.
Stanghellini, G., Raballo, A., Broome, M., Fernandez, A. V., Fusar-Poli, P., & Rosfort, R.
(Eds.). (2019). The Oxford handbook of phenomenological psychopathology (1st ed.). Oxford:
Oxford University Press.
Waldenfels, B. (2019). Erfahrung, die zur Sprache drängt: Studien zur Psychoanalyse und Psycho-
therapie aus phänomenologischer Sicht (Erste Auflage, Originalausgabe). Frankfurt Am Main:
Suhrkamp.
Chapter 1
Introduction
The distinction between grief and depression following a severe loss such as
bereavement has been a major problem in clinical psychopathology. The
DSM-III still regarded depression as a normal reaction to the loss of a loved
one, such that bereavement remained the only life event that excluded the
diagnosis of major depression (APA, 1980, p. 333). However, DSM-IV estab-
lished the criterion of a 2-month interval from the loss, beyond which a diag-
nosis of major depression could be made (APA, 2000). Finally, in the DSM-V
this criterion was removed, so that depression can now be diagnosed immedi-
ately following a severe personal loss (APA, 2013). Furthermore, with regard
to conditions of complicated grief that had already been researched for some
time (Horowitz et al., 2003), the DSM-V listed “persistent complex bereave-
ment disorder” (Boelen & Smid, 2017) in the section “conditions for further
study”. In the meantime, ICD-11 has included the related diagnosis of “Pro-
longed Grief Disorder” (PGD), which can be made after more than 6 months
of an unabatedly severe grief reaction, but which should be distinguished from
depression (WHO, 2020). Thus, a valid distinction between grief and depres-
sion following bereavement has become an even more urgent problem.
Usually, attempts have been made to locate the difference in the severity,
quality and duration of manifest symptoms, with depression being distin-
guished from grief by feelings of guilt, self-devaluation, and hopelessness of a
persistent character, as well as by vital symptoms such as lack of appetite and
weight loss (Prigerson et al., 1995; Tsai et al., 2018). However, such feelings
and symptoms may also characterize complicated grief processes, as mentioned
earlier, which can be accompanied by feelings of hopelessness and despair as
well. DSM-V tries to make the distinction by attributing “feelings of emptiness
and loss” to grief, while depression involves “depressed mood and the inabil-
ity to anticipate happiness or pleasure”, admitting that the distinction requires
the “exercise of clinical judgment” (APA, 2013, p. 161); it is obvious that
this attempt is all but convincing. Moreover, there is justified concern about
medicalization of bereavement through the aforementioned development of
DOI: 10.4324/9781003099420-3
12 Thomas Fuchs
In sum, grief belongs, at least in principle, to the ontic level of concrete loss,
while melancholy and depression refer to the ontological level of the transience
of existence as such. The change from grief to depression should therefore not
be understood as an increase in grief but rather as the inability to carry out the
concrete mourning, combined with the inability to maintain an attitude of
melancholic acceptance towards transience. I will elaborate on this conception
and its distinctions in the following.
(1) Grief
Grief as an immediate reaction to the loss of a loved one implies not only
intense feelings of pain, sorrow and longing for what has been lost. It also
includes a pattern of symptoms that, to a certain extent, resembles those
Grief, melancholy, and depression 13
remain entangled in the loss they have suffered without going through the part-
ing process. I will come back to this later.
(2) Melancholy
The general mood of sadness and melancholy differs from the directed feel-
ing and process of grief. If we follow Heidegger’s concept of mood or attun-
ement (“Stimmung”) or Ratcliffe’s concept of existential feelings based on it
(Ratcliffe, 2008), then we can discern in melancholy not only a momentary
gloomy mood but a more fundamental relation to existence as such. Moods,
for Heidegger, apply not to the concrete innerworldly being or the ontic, but
they disclose in a still preconceptual way being-in-the-world as a whole, or
the ontological level (Heidegger, 1927, p. 137). Dasein is that kind of entity
which is “in itself ontological”, because in its very being it relates to this being
(ibid., 12f., p. 42). In moods such as anxiety, despair or boredom, the relation
of Dasein to its own fundamental insecurity and its exposure to nothingness
become manifest.
What is it then that is disclosed in melancholy or gloom?—It is not a spe-
cific, concrete loss, by which one is affected, but the fact of the inevitable
transience, or the mark of loss that characterizes existence itself. Philosophi-
cal anthropology and existential philosophy of the first half of the twentieth
century have articulated this character of loss in different ways. From birth,
life is characterized by transitions that always imply separations and partings.
The developing awareness of death intensifies the weight and finality of these
partings, for they simultaneously indicate the dwindling time of life: “With
every piece of life that has been lived . . . the leeway of still experience-
able life narrows tangibly”, writes Scheler (1957, p. 18f.). The life process
means the “constant consumption of what can be experienced as future life
by lived life” (ibid.). Human existence is thus characterized not only by the
recurring loss of what has been achieved but also by the progressive loss of
future possibilities. Likewise, for Heidegger, “the constant unfinishedness” or
“pending of being” (Seinsausstand) is the basic condition of Dasein, which is
essentially determined by its “being ahead of itself ” (Heidegger, 1927, p. 236).
In “running ahead towards death”—a thought that Heidegger takes over
from Kierkegaard—Dasein can realize its actual, authentic selfhood precisely
through anticipating the final loss of all its possibilities.
In Sartre’s understanding, too, the human subject is by its very nature incom-
plete, unfinished and transient: at any given moment, it “is to be what it is not
and not to be what it is”, as he famously put it (Sartre, 1956, p. 70). This means
that humans show an essential “lack of being” (manque d’être, ibid., 85), and all
their efforts to remedy this lack of being through their desires and actions must
remain in vain. Existence is inevitably permeated by negativity and transitori-
ness. Finally, let us take a phrase from Karl Jaspers’s General Psychopathology”:
“The incompleteness and vulnerability of human beings and their freedom and
Grief, melancholy, and depression 15
infinite possibilities are themselves the cause of illness.” (Jaspers, 1997, p. 8),
pointing already to the connection of transience and mental illness.
Melancholy, then, may be understood as the mood, which discloses this fun-
damental condition of existence, namely in its three components (1) of essen-
tial incompleteness or unfulfilledness, (2) of transitoriness, and (3) of finitude. The
three components are interconnected: because of its openness and incomplete-
ness, the human being is at the same time essentially transitory; it never arrives
at a permanent state or destination. And because each transition, as a farewell,
anticipates the last farewell of death, the human being is essentially ephemeral
and finite: each moment of life also carries death within it.
Melancholy, in other words, is the ontological sensitivity or “clairaudience”
(Holzhey-Kunz, 1994) for the mark of loss in human existence, which for the
melancholic individual becomes the key note of experience. For him, life is
permeated with a memory of irretrievable losses. Time passes and takes away
what it has given. Indeed the awareness of what the past actually means, namely
irreversibility of time, develops from early childhood on through experiences
of “no more”, which are basically sorrowful: farewells, losses and disappoint-
ments. Suffering arises where the familiar gets lost, separations are experienced
and bonds are dissolved. Thus, the melancholic person experiences the tran-
sient even in the beautiful, the farewell already in the present joy, and even
in love there is death. Everything can bear the mark of loss, not because one
is particularly attached to it, but because it is transient. Melancholy therefore
often includes a component of nostalgia, a longing for the past: the myths of
paradise lost, of the golden age, or of the natural primeval state of humanity
point to a lost primordial time of wholeness and bliss, which contrasts with the
transient and sorrowful life of the present.
The basic situation of transience manifests itself in typical biographical tran-
sitions of life, in which there is always a loss to cope with: the loss of the moth-
er’s breast in weaning, the transition from childhood to puberty, parenthood,
entering work life, retirement, aging, the death of others and finally one’s own
death. By virtue of their self-relationship, humans are stance-taking beings and
become a task for themselves; they must also face these situations and carry
out these transitions themselves, for they are not accomplished by instincts. It
is no coincidence that various cultural rites of passage alleviate this task for the
individuals and help them to deal with their transitoriness. Indeed, it can be
said that human beings have always shaped their transitoriness and represented
transitional situations in symbolic form, in order to cope with them through
shared rituals (van Gennep, 1909/1960; Rosenblatt et al., 1976).
and losses may become an existential threat, or to take a term of Karl Jaspers,
they become a limit situation (Jaspers, 1925; Fuchs, 2013b). According to Jas-
pers, these are situations in which a hitherto covered or repressed basic condi-
tion of existence may no longer be concealed and comes to the fore. Such basic
conditions are of different kinds:
• the inevitability of freedom and decision, but also the guilt that is con-
nected with it;
• the inescapability of separation and loss;
• the vulnerability and frailty of one’s body,
• the fundamental loneliness of existence, and
• its relentless finitude.
Applying Jaspers’s concept to psychopathology, one can assume that this shat-
tering impact of the limit situation can also afect one’s mental constitution, to
the extent that mental illness may result—especially when the limit situation
remains uncomprehended and cannot be coped with.
A further assumption of a psychopathological approach to limit situations is the
following: people who are disposed to mental illness often show a particular sensiv-
ity for these basic conditions of existence (Holzhey-Kunz, 1994, p. 159); here, I
also use the notion of existential vulnerability (Fuchs, 2013b). Applied to depression,
this means that individuals prone to this disorder perceive the concrete, ontic life
event—for example, a major change in their life, a separation, or a loss—on an
ontological background: the event in question also points to the transitoriness of exis-
tence itself. But this means, that it means much more than just a specific stress—it
becomes a limit situation, in the face of which the individual surrenders and ulti-
mately falls into depression. While the melancholic person experiences transience
only as a general characteristic of existence, for the depressive patient it condenses
in the concrete loss as an abyss that he cannot cross.
Grief, melancholy, and depression 17
All these situations or life events are recognizably transitions. For depression-
prone persons with their particular existential vulnerability, they gain a deeper,
more threatening character beyond the usual stress they create: they reveal the
unreliable and transient character of existence itself. In Heidegger’s terms,
we are dealing here with two diferent kinds of understanding: the merely
ontic understanding grasps a behavior or a reaction as intentionally referring
to the concrete situation. The ontological understanding, however, explores
the deeper implications of the situation (Heidegger, 1927, p. 312; see also
Holzhey-Kunz, 1994, p. 152). Below the surface of the patients’ reaction, we
encounter their relation to the fundamental situation of existence, in particular
their awareness of the inescapability of loss, separation and death.
• Grief, as I pointed out, is related to the concrete loss and tries to cope with
it. It deals with the ontic dimension, not with Dasein or existence as such.
It is true that the ontological level of transience as such can also appear in
mourning. However, it remains more of a general background that does
not become the determining dimension of the process; the grief remains
mainly focused on, and connected with the lost person, even in case it
turns into a prolonged grief disorder.
18 Thomas Fuchs
• Melancholy is the mood which discloses and senses the ontological dimen-
sion, namely the fundamental mark of the loss in existence itself, yet
without falling into despair. Situations of passing or loss give rise to mel-
ancholic mood through their ontological implications, but this remains a
painful tinge to the experience without overwhelming the resilience of the
individual.
• For persons prone to depression, however, the concrete situation of sepa-
ration, setback, or loss becomes an existential disappointment or a limit
situation: they sensitively feel its ontological implication, but it literally
becomes too heavy for them to sustain and to bear it. Depression thus results
from a felt powerlessness and helplessness vis-à-vis the limit situation. It
means not just an intensified or exacerbated grief reaction but a capitula-
tion in the face of the human condition. Indeed one might say that depres-
sion precisely results from the inability to enter into the process of grief, to
confront the loss and to mourn it.
Thus, grief can be a gateway to depression, but only when the loss becomes a
limit situation and is experienced on an ontological level, as something not to
be coped with. This requires a corresponding vulnerability, which is existential,
emotional and biological in nature (Murphy & Bates, 1997; Hammen, 2001;
De Raedt & Koster, 2010). Now if grief and depression difer in their existen-
tial dimension, how does this distinction manifest itself phenomenologically
and clinically?
the world is lost, and the empty mood of depression is all that remains.
This mood is also different from melancholy, not only in intensity but also
in its constriction: whereas the melancholic person still feels attached to
transient things and longs for the past, the depressive patient has lost all
connection and longing.
• A further characteristic feature of depression is the standstill of lived time
and loss of open future (Fuchs, 2013c). This is noticeable in the patient’s
resignation and hopelessness regarding the possibility to cope with the loss
and to live on under its conditions. Mourning remains an—albeit labori-
ous and protracted—process, whereas in depression the temporality of the
subject stops. In other words, mourning still retains a sense of an open
future, while in depression the sense of the future as potentiality and pos-
sible change is lost. Typical complaints are as follows: “I think that my life
will never change, and that I will always be depressed. Thinking about the
future makes my depression even worse because I can’t bear to think of
being depressed my whole life” (Ratcliffe, 2019, p. 543).
• As the crucial feature of depression in distinction from grief, Freud already
emphasized the turn of the complaints against oneself: “In mourning it
is the world which has become poor and empty; in melancholia it is the
ego itself ” (Freud, 1917, p. 246; by melancholia here Freud means depres-
sion). The way into either grief or depression bifurcates at the question
which bereavement implicitly poses to the subject, namely: “Am I still
able and worthy to live on as an integral person without the other?” If the
loss becomes a limit situation which may no longer be coped with, it leads
to the capitulation of the self in the face of the unbearable conditions of
life, and this capitulation manifests itself in self-degradation, self-accusation
and feelings of failure and insufficiency. This also distinguishes depres-
sion from melancholy which is usually not related to feelings of guilt or
self-devaluation.
This last aspect points to an important prerequisite for experiencing a major loss
as an unmanageable limit situation, namely a lack of inherent self-confidence
and self-worth. This has led to the person erecting a housing of securities for
him- or herself, one of which is the often symbiotic dependence on relevant
others. This may serve as an “existential defense mechanism”. However, if
the self could hitherto only stabilize itself through the relationship and iden-
tification with the other, then it is now not only thrown back on itself but
also deprived of the central pillar of its own worth and self-esteem. Granted,
grief is also connected with a partial loss of the self, insofar as the person was
deeply engaged in his or her attachments. Nevertheless, the mourner manages
to transform this part of himself, to detach himself from the loss and to acquire
a new integrity. Depression begins where this process of transformation and
detachment does not get going or gets stuck, so that it is no longer the object
20 Thomas Fuchs
but the self that appears lost. On this, I will finally present a case study from my
own practice (Fuchs, 2000, p. 274f.):
Several months after the death of her father, a middle-aged bank employee
fell ill from a severe depression. She had always loved and revered him, had
often sought his advice or consolation, and in difficult situations she had
often thought what he would have done. She was married to a violent-
tempered man prone to binge drinking whose constant jealousy, threats
and blows she endured for 15 years, until he finally left her for another
woman. Fortunately, she said, for she would not have found the strength
for a divorce herself. In the same year, her only son was killed in an acci-
dent. Her father had also helped her very much in coping with the loss.
Three years later, her life gained new ground through a new relationship.
The patient reported that she had been inwardly frozen at the sudden
death of her father. She could not cry and not even grasp the death. At
the grave, she felt numb and could not feel any sadness, as if he was not
buried at all. Even now, she still had the creeping feeling that he was still
around, and she had the urge to tell him something. In the weeks after his
death, she had withdrawn more and more, felt worthless and empty, and
no longer saw any meaning in her life. She increasingly lost all feelings and
could not even feel the pain and grief for her father.
In our psychotherapy, it became clear that the magical sheltering coat
of the idealized father helped the patient to endure the physical blows of
her husband as well as the blows of fate. Under this protective shield or
“housing” in Jaspers’s sense, she could cope with her divorce and even with
the loss of her child without depression. In contrast, the loss of her father
seemed so incomprehensible and unbearable that she could not mourn it
and did not realize the loss even at the grave. Therefore she was still able to
feel the atmospheric presence of her father even 9 months after his death.
In the therapy, she also gained the insight that his death meant not only the
loss of a life-long shelter, but also the deeply disturbing recognition that “I
am now myself the next”, that means, that he no longer stood as a shield
between her and her own death. Only later in the course of psychotherapy
was it possible for the patient to enter into a process of grief and, supported
by rituals that we agreed upon, to finally bid farewell to her father.
This case study illustrates how the loss became a limit situation for the patient
that she could not cope with, thus missing the process of mourning. She sur-
rendered in the face of the ontological implication of the loss, namely that
there was no ultimate shelter against fate and death. Precisely her inability to
grieve ultimately led to the depression. We also recognize clearly the changed,
namely stagnating, temporality of the illness: depression freezes the process of
life, as it were, such that a gradual detachment from the loss and its integra-
tion into one’s future life is not possible. The task of transition and farewell,
Grief, melancholy, and depression 21
which is otherwise enabled by mourning, fails in depression, and life gets stuck.
Standstill of time and desynchronization from the common or world time of
the others are the hallmark of depressive temporality in general (Fuchs, 2001).
Granted, lived time also falters in severe grief reactions, and the bereaved per-
son fails for a longer time to reconnect with the progressive time of the common
world. Thus, in a report of her experience after her son’s sudden death, Denise
Riley describes an “acute sensation of being cut off from any temporal flow”,
leading to a “freezing of time” (Riley, 2012, p. 7). But this stagnation results
from the fact that the mourner cannot let go of the past and remains bound to it
in longing, searching, and constant memories. In a sense, mourners therefore
live in two times—the present, which they rebel against, because it only presents
the loss, and the shared past, which remains unabatedly present to them (Fuchs,
2018). In depression, however, the emotional connection that grief sustains with
the shared past breaks down; here it is not the clinging to the past that stops
time, but it is the inner, vital time itself that comes to a standstill—as manifested in
the lack of drive and psychomotor inhibition (Fuchs, 2013c).
Finally, let us consider how this characterization of depression differs from
the phenomenology of prolonged grief disorder (PGR). I mentioned earlier
that in PGR there is a persistent and intense longing for the deceased whose
death cannot be truly realized and accepted. The affective intentionality
directed towards the past is thus undiminished, even increased, which means
that those affected still live “in two times”. In addition, they continue to expe-
rience intense feelings of sadness, pain, yearning, anger or blame related to the
loss. Depressed patients, however, can no longer feel an inner relationship to
the deceased; their emotions are numbed, and the loss leaves only emptiness
instead of sadness or longing.
Thus, PGR differs from depression mainly by a different intentionality, tem-
porality and affectivity; it remains related to the “ontic” or inner-wordly level.
According to the conception proposed here, prolonged grief is therefore not
based on a fundamental existential vulnerability; it has other, above all psy-
chodynamic preconditions, which consist in the circumstances of the death,
an insecure attachment pattern or ambivalent relationship to the deceased (see
earlier). Accordingly, PGR usually does not respond to pharmacological treat-
ment like depression but primarily to interpersonal therapy, not least including
emotional exposure to the loss (Bryant et al., 2014; Shear et al., 2016). Such an
intervention would not be indicated in the case of depression; only when the
illness itself has been largely overcome can the actual grief work get underway
and be supported.
their own selves time and again. I have considered different reactions to transience
and loss: grief as being directed to the concrete loss and the lost person; melancholy
as a basic mood that is ontologically related to transience in general; and depres-
sion, which again occurs as a result of a concrete loss but cannot mourn it as a
circumscribed event. Rather, depressive persons experience the loss as a limit
situation which reveals an unbearable existential truth and ultimately forces them
to surrender. The past- and future-oriented process of mourning is then replaced
by a standstill of time and a desynchronization from the world time shared with
others. This corresponds to the solitary exposition of the depressive patient to the
basic condition of existence that he feels more than others but cannot cope with.
The distinction of the ontic and the ontological level may serve as a useful
foundation for a clearer distinction of mourning and depression than could
be provided by criteria of intensity or duration. Although there are certainly
similarities and overlaps in the clinical presentation of grief, complicated or
prolonged grief disorder and various kinds of depression, it should not be over-
looked that depression denotes a new and deeper level of reaction to transience,
namely a surrender of the self resulting from an ontological disappointment and
despair. This will also lead to different psychotherapeutic approaches: grief may
require counselling or therapeutic support in working through the loss itself and
possible obstacles to the process of coping, all the more if there are signs of com-
plicated grief. On the other hand, an existential therapy of depression should
not start before the patient has overcome the acute illness. Then the therapy first
has to deal with the ontological implications of the loss: it will help the patient
understand his or her vulnerability with regard to certain basic conditions of
life, which has led him to establish a protective housing or existential defense
mechanisms. Therapeutic work will then try to increase the patient’s acceptance
towards such conditions, thus increasing his or her autonomy and freedom.
Once the patient has gained new existential ground, it becomes important to
catch up on the process of grief and reintegration that had been missing so far.
Note
1 “At the very least, what endures is an inchoate sense that life could one day be better than
it currently is” (Ratcliffe, 2019, p. 543).
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Chapter 2
What is longing? An
existential-phenomenological
investigation
Allan Køster
Introduction
Longing is without a doubt one of the most fundamental constituents of the
experience of grief. Some might even feel inclined to define grief as the very
experience of a profound longing for a deceased. While I am not sure that such
a narrow understanding of grief is productive—or even that longing is a neces-
sary condition for grief—there can be little doubt as to the centrality of the
emotion of longing to the phenomenon of grief. This is also reflected in the
recent mental health diagnosis prolonged grief disorder [PGD] (Eisma et al., 2020),
where longing appears as one of the core symptoms specified as a “persistent
and pervasive longing for the deceased”.
Notwithstanding this prominent place longing takes up in our understand-
ing of grief, it has so far not been exposed to any detailed phenomenological
analysis. In fact, in stark contrast to its overall place in human experiential life,
the nature of longing has received conspicuously little attention from contem-
porary researchers (Holm, 2001). This is not to say that there is no reference
to or investigation of the prevalence or existence of longing in empirical grief
studies. Rather, the point is that in such studies longing is assumed to be self-
explanatory and without any need for further qualification. The assumption
is, it seems, that we already have adequate clarity as to what longing is, and
can simply start counting. As already voiced by a range of commentators (e.g.,
Eisma et al., 2020; Greene, 2018), this tendency to assume the adequacy of a
plain language-use is problematic to the PGD diagnosis (and beyond), where
not only core features such as “longing” and “preoccupation” but also additional
criteria such as “guilt”, “anger”, “denial” and “blame” are open to interpretive
ambiguities that may compromise consistent use and emphasis. In light of such
ambiguities, it seems reasonable to propose that contemporary empirical grief
research could benefit substantially from phenomenological research to clarify
basic experiences and their associated concepts (see also Ratcliffe, 2019).
In this chapter, it is my ambition to provide a foundational analysis of the
experiential structure of longing—specifically, the phenomenon of longing for
the dead. In short, my claim is as follows: longing is by no means a simple and
DOI: 10.4324/9781003099420-4
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“And where is your husband?”
“He is in London. My father does not know that such a person
exists.”
“Great Cæsar’s ghost!”
“No; I have never dared to tell him yet. I married from school,” she
continued, and in a few hurried sentences gave the outline of her
story, omitting her husband’s name and profession, and all reference
to her small son. “You see how I am situated. I have not ventured to
tell the truth yet, and I confide my secret to your honour and your
keeping.”
“Of course it is perfectly safe,” he began, rather stiffly, “and I feel
myself very much honoured by your confidence, and all that.”
“Oh, Lord Tony, please don’t talk to me in that tone,” she
exclaimed, with tears in her eyes. “I told you—because—you are
what men call ‘a good sort;’ because I feel that I can rely upon you;
because, though you like me, you don’t really care for me, you know
you don’t; nor have I ever encouraged you or any man. My father is
devoted to you; he is determined to—to—well—you know his wishes
—and I want you to allow him to think that you have cooled, and
have changed your mind. You—you understand?”
“And play the hypocrite all round!”
“Yes, but only for a little while.”
“Rather hard lines, when I have not changed my mind. Is Rachel in
the swindle?”
“No—oh no!—no one but you and me and my husband, and a
friend of his.”
“And pray, when do you intend to discharge your little domestic
bomb?”
“When I go home. If I were to speak now, I should be turned out,
probably on the hall door-steps, and the party would be broken up.”
(Yes, and there were several good days’ deer-stalking still in
prospect, thought Lord Tony, much as he was concerned at this
recent astounding confidence.)
“I know you are dreadfully vexed,” she said humbly; “but you will
forgive me and stand by me, won’t you?” and she looked at him
appealingly. She had really most lovely and expressive eyes; who
could refuse them anything?
“Meaning, that I am to neglect you openly, slight you on all
occasions?”
“There is a medium; you need not be too marked in your defection,
unless you like”—with a short, hysterical laugh.
“I don’t like the job at all; but I will lend you a hand, and be a party
to the fraud. Whoever is your husband, Mrs. What’s-your-name, is a
deuced lucky fellow!”
“Then it is a bargain, that you keep my secret?”
“Yes; here is my hand on it!”
At this instant (it is constantly the way) Mr. West paused and
looked behind, and was extremely pleased. He had intended to
shout to this tardy pair to hurry on, for the carriages were waiting, the
horses, of course, catching cold. However, he must make
allowances, under the circumstances.
Evidently Tony had come to the point again, and been accepted.
He hastened down the road in great delight, hustled the company
into various vehicles, and departed in the landau vis-à-vis to Mrs.
Leach (the wretched condition of her hair and complexion discounted
many delightful recollections of her beauty); and he took care to
leave the dog-cart behind, for the sole use of the happy couple.
CHAPTER XXI.
AN INTERRUPTION.
It was certainly strange that Lord Tony had not sought him out the
evening after the picnic, said Mr. West to himself, considering that it
was all settled now. Indeed, it struck him that his future son-in-law
pointedly avoided him, and had lounged out of the smoking-room
when he found himself with him alone. Of course, Lord Tony was
aware that his consent was granted, but he would have liked him to
have come to him at once. The next day, despite an effort to escape,
Mr. West captured his reluctant quarry en route to the stables, and
said, as he overtook him, rather out of breath, “Well, my boy, I see
you made it all right yesterday! Why have you not been to tell the old
man—eh?” and he beamed upon him and poked him playfully with
his cane.
Lord Tony suddenly found himself in a very nice moral dilemma.
Oh! here was a fix and no mistake!
“There is nothing to tell yet, Mr. West,” he blurted out.
“What! when I saw you both philandering behind the party hand-in-
hand, and—and—left you the dog-cart on the strength of it!”
“Oh, I only took Miss West’s hand for a moment—to—to ratify a
promise.”
“Promise of what?” impatiently.
“A promise of her friendship,” stammered his companion. It was a
moment of mental reservations.
“Oh!” with an expression of deepest scorn. “That wasn’t the way
we made love when I was a young man. What a miserable milk-and-
watery set you are! Friendship!”
“Yes, I know there is a falling off,” admitted Lord Tony, with
humility. “But we are not as energetic in any way as the last
generation. We prefer to take things easy, and to take our own time.
Miss West is young—‘marry in haste and repent at leisure,’ you
know,” he pursued collectedly. “You must not rush Miss West, you
know. She—she—all she asks for is time.”
“Did she name any time?”
“Er—well—no.”
“I’m afraid you mismanaged the business—eh? You just leave it to
me. I’ll arrange it!”
“No—no—no. That’s just the one thing I bar. Interference would
dish the whole concern. I beg and implore of you to leave—a—well
alone—for the present, at any rate. Miss West and I understand one
another.”
“I’m glad of that; for I’m blessed if I understand either of you!”
exclaimed his disgusted listener.
“Ah! hullo, there goes Miss Pace, and I promised to play tennis
with her. I must go and get my bat and shoes.” Exit.
At the end of September the tide of enjoyment at Clane was at its
height. Theatricals were in rehearsal—that fertile field for flirtation
and fighting. The bags of the season had been enviably heavy; the
poor neighbours were sensible of a pleasant circulation of money
and new ideas; prices were rising steadily. The wealthy neighbours
appreciated Mr. West’s princely hospitality, and spoke of him as “not
a bad sort in his way, though a shocking little bounder.” Mrs. Leach
had prolonged her visit, and her attentions to her host were
becoming quite remarkable. He was not an ardent sportsman; his
short legs were unaccustomed to striding over the heather-clad
mountains; he did not want to shoot deer—in fact, he was rather
afraid of them. So he left the delights of his shooting to well-
contented, keen young men, and was easily beguiled into long
saunters among the grounds and woods in the syren’s company. To
tell the truth, they were not much missed, and they frequently rested
on rustic seats, and talked to one another with apparent confidence
—flattering confidence. He spoke of Madeline’s future—his earnest
desire to see her suitably married. “A girl like her might marry a
duke; don’t you think so, Mrs. Leach?”
“She might,” said the lady, but without a trace of enthusiasm in her
voice—in fact, there was an inflection of doubt. “She is undeniably
lovely, but——”
“But what?”
“I—well—I am sentimental” (about as sentimental as a
charwoman), “and I have my own ideas. I think that dear Madeline
has a private romance: that she either cares for some one whom she
can never marry——”
“That’s nonsense,” interrupted her companion, impatiently. “I have
her word of honour that there is no one she wants to marry.”
“Oh, well, she may have loved and lost,” said the lady, sweetly;
“for, speaking as a woman, it is inconceivable that a girl who is, or
was, heart-free could be absolutely indifferent to every one. She has
dozens of admirers, for she is not only very pretty, but”—and she
smiled enchantingly into Mr. West’s little eyes—“very rich—your
heiress. It is my opinion that Madeline has some little closet in her
heart that you have never seen—that she is constant to some
memory. Of course, time tries all things, and in time this memory will
fade; but I am positive that dearest Madeline will not marry for some
years.” Then she tapped his arm playfully. They were sitting side-by-
side in a shady path in the vast pleasure grounds. “You will be
married before her yourself.”
“I—I—marry! I have never dreamt of such a thing.”
“Why not, pray? You are comparatively young. A man is always
young, until he is really going downhill. A man is young at fifty. Now,
look at a woman at fifty!” and she paused expressively.
He turned his eyes upon her. Little did he suppose that he was
contemplating a woman of fifty—a woman who was extravagant,
luxurious, dreadfully in debt, almost at the end of her resources and
her friends’ forbearance, and who was resolved upon marrying him
whom she had once called “that vulgar horror, the little Australian
squatter.”
He looked at her with a rather shame-faced air and a grin. Alas!
flattery was hurrying him to destruction. She was an extremely
handsome woman, of the Juno type—erect, stately, with bright, dark
eyes, dark hair, a short straight nose, and beautiful teeth (some were
her own). She was dressed in a pale yellow muslin, with white
ribbons, and wore a most fascinating picture-hat and veil; her gloves,
shoes, and sunshade were of the choicest, and it was not
improbable that, in the coming by-and-by, Mr. West would have the
pleasure of paying for this charming toilette.
“A woman of fifty,” she pursued, “is an old hag; her day has gone
by, her hour of retreat has sounded. She is grey, stout—ten to one,
unwieldy—and dowdy. Now, a man of fifty shoots, hunts, dances as
he did when he was twenty-five—in fact, as far as dancing goes, he
is thrice as keen as the ordinary ball-room boy, who simply won’t
dance, and is the despair of hostesses!”
“I’ve never thought of marrying,” he repeated. “Never!”
“No; all your thoughts are for Madeline, I am aware, and the
alliance she is to make; but my motto is, ‘Live while you live; live
your own individual life, and don’t starve on the scraps of other
people’s good things.’”
“Do you think any one would have me, Mrs. Leach?” he asked, as
he leant on his elbow and looked up into her glorious eyes.
She was the Honourable Mrs. Leach, well-connected, fashionable,
handsome, and—oh, climax!—“smart.” Yes, the idea was an
illumination. How well she would look at the head of his table and in
the landau!
“Dear Mr. West, how humble you are! I am sure you would—(she
meant his money)—make any reasonable woman happy.” She
glanced at him timidly, and looked down and played coyly with her
châtelaine.
What eyelashes she had, what a small white ear, what a pretty
hand! His own was already gently laid upon it, the words were
actually on his lips, when a bareheaded page burst through an
adjacent path, breathless from running. He had a telegram in his
hand, and halted the moment he caught sight of his master, who
instantly withdrew his hand and became the alert man of business.
Mrs. Leach was a lady, so she was unable to breathe an oath into
her moustache,—had oaths been her safety-valve. She, however,
thought some hasty thoughts of round-faced pages who brought
telegrams (which she kept to herself). Mr. West, however, was not so
self-possessed. As soon as he cast his eyes over the telegram he
gave vent to a loud exclamation of impatience, and then subsided
into an inarticulate mutter, whilst the page and the lady devoured him
with their eyes!
“Bad news, I’m afraid,” she said sympathetically.
“Um—ah, yes. My stockbroker in London has made a most
confounded mess of some business. Buys in when I tell him to sell
out. I wish I had him by the ear this minute.”
“Is there an answer, sir?” asked the page.
“Yes; I’m coming in directly. Tell the fellow to wait.” And Mr. West
and the handsome widow turned towards the house.
This vile telegram had entirely distracted his ideas. His mind was
now fastened on the Stock Exchange, on the money market; he had
not a thought to spare for the lady beside him.
“It’s the twenty-ninth, is it not?” he asked.
“Yes.”
“I must go home sooner than I intended. I shall have to be in
London next week. The fox is his own best messenger” (and the fox
was going to escape!).
Mrs. Leach had intended remaining in her present comfortable
quarters for another fortnight. This odious telegram had upset her
plans.
“Then, you will not return here?”
“Oh no. What would be the good of that?”
“It seems a pity. You will be losing all the lovely autumn tints.
October is a charming month.”
“Yes; but it is not charming when some one at a distance is making
ducks and drakes of your coin, and I’d rather see the colour of my
own money again than any autumn tint,” was the practical remark.
“I have had a most delightful visit here. I shall never, never forget
dear Clane, nor all your kindness and hospitality.”
“You must come to us in London.”
“Thank you so much, and I shall always be delighted to chaperon
dear Maddie at any time. A girl like her is in such a difficult position.
She is very young, you know, to go out without a married lady. Of
course, you are a host in yourself; but——”
“But Lady Rachel and Mrs. Lorraine take Maddie out, you know,”
broke in Mr. West, “and a girl can go anywhere with her father.”
“Now there, dear Mr. West, I differ with you totally—indeed I do. A
girl should have an older woman as well—a woman for choice who
has no young people of her own, who is well-connected, well-
looking, well-dressed, and who knows the ropes, as they say.” She
was sketching a portrait of herself. “And Madeline is so remarkably
pretty, too, the observed of all observers. I am so fond of her. She is
so sweet. I almost feel as if she were my own daughter. Ah! I never
had a daughter!” (But she could have a step-daughter; and if she
was once established as Madeline’s friend and chaperon, the rest
would be an easy matter.)
“I am very sorry to have to leave Clane sooner than I expected;
but business is business. Business first, pleasure afterwards.”
“And you have given us all a great deal of pleasure. I don’t know
such a host anywhere; and it has been such a comfort to me to talk
to you about my hateful law business, and to tell you things
unreservedly, and consult you. My odious brother-in-law, Lord
Suckington, never will assist me, and I never seem to be out of the
hands of my solicitors. Ah, here is your horrid telegraph-boy waiting.
May I go in and order tea, and pour you out a cup?”
In ten days’ time the entire party had dispersed. Madeline and her
father travelled over to London. As the latter took leave of Mrs.
Leech at Mallow Junction, and saw her into the Cork train, that
warm-hearted lady, looking bewitching in a charming travelling-cloak
and hat, leant out of the window and whispered as she pressed his
hand, “Good-bye, or, rather, au revoir. Be sure you write to me!”
And was it possible that he had seen a tear in her eye?
CHAPTER XXII.
MR. WYNNE’S VISITOR.