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"All the Doctors Just Suddenly Go"

Amy J. Markowitz, JD; Michael W. Rabow, MD

JAMA. 2002;287:882.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

On September 19, 2001,¹ Holly G. Prigerson, PhD, and Selby Jacobs, MD, MPH, introduced Mrs A, a 77-year-old widow of 2 years whose husband, a well-respected public figure, died of renal failure after a protracted course of diabetes and heart disease. Exploring Mrs A's trajectory of grief and the reconstitution of her life through community involvement, her continuing personal relationships, and political activism, they distinguished normal from complicated—ie, pathological—grief reactions and recommended approaches for physician interactions and communication with bereaved patients. The authors reviewed the evidence of benefit for social support, skill building, active daily routines, and narrative disclosure by bereaved patients. Finally, Drs Prigerson and Jacobs offered suggestions for professional intervention with bereaved patients and guidelines for psychiatric referral of complicated cases.

Mrs A continues to be cared for by Dr M. In December 2001, following the third anniversary of her . . . [Full Text of this Article]

MRS A

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