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The Stage Theory of Grief
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To the Editor: The cohort study investigating the stage theory of grief by Dr Maciejewski and colleagues1 presents a review of the literature that we feel is selective. We believe that the variability in the nature and course of grief2-3 makes it untenable to maintain that "the stage theory of grief remains a widely accepted model of bereavement adjustment. . . ."1 Not everyone goes through an orderly sequence of reactions with defined stages.
A 2001 report by the Center for the Advancement of Health4 concluded that "grief theory has moved away from the original multistage theory most closely associated with Dr Elisabeth Kubler-Ross; as currently understood, grief is not divisible into distinct stages." A subsequent report5 concluded that " . . . responses to loss are widely variable and there is no one clearly defined course or process of bereavement or grieving."
In the article by Maciejewski et al,1 almost one fifth of the participants did . . . [Full Text of this Article]
Roxane Cohen Silver, PhD
rsilver@uci.edu
Department of Psychology and Social Behavior
University of California
Irvine
Camille B. Wortman, PhD
Department of Psychology
Stony Brook University
Stony Brook, NY
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