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The Stage Theory of Grief—Reply
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In Reply: The stage theory of grief has captured the imaginations of clinicians and the public. Despite its recognized limitations (eg, that it will not predict exactly how every bereaved person will grieve), it remains taught in medical schools, posted on authoritative Web sites (eg, National Cancer Institute),1 and continues to guide thinking about bereavement for many clinicians, educators, and researchers. Although several reviews have concluded that this theory has no support, our study represents the first empirical test of the stage theory. We are aware of no previous study that used the necessary grief measures or the analytic strategy to explicitly test the stage theory of grief.
Drs Silver and Wortman suggest that our sample and data analytic strategies were selected to support the stage theory. By design, the sample focused on the most typical circumstance of bereavement—widowhood following death from natural causes. Study participants were largely representative of . . . [Full Text of this Article]
Paul K. Maciejewski, PhD
Department of Psychiatry
Yale University School of Medicine
New Haven, Conn
Baohui Zhang, MS;
Susan D. Block, MD;
Holly G. Prigerson, PhD
holly_prigerson@dfci.harvard.edu
Center for Psycho-Oncology and Palliative Care Research
Dana-Farber Cancer Institute
Boston, Mass
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