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MODULE TWO: COUNSELLING - FHI 360 Center for Global Health ...

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•There may be considerable anger, especially if the death is caused by<br />

violence or is perceived as senseless<br />

•There may be a sense of abandonment<br />

•Those left behind may suffer from survival guilt<br />

•Those left behind may remember the moment they learned of the death<br />

in great detail<br />

•Survivors may have to deal with the police inquiries or law suits<br />

In an expected death, such as one due to an illness…<br />

•The shock is lessened to some extent<br />

•There is time to conclude any unfinished business<br />

•There is time to say goodbye properly<br />

•The end of a loved one’s suffering can come as a relief<br />

•The death can be easier to accept if everything has been done to com<strong>for</strong>t<br />

and love the deceased<br />

In most cases, AIDS deaths are expected. This may not be true, however, if the<br />

AIDS victim was estranged from his/her family or had been out of contact with<br />

them <strong>for</strong> a long time. In this case, the death may be quite unexpected. In<br />

either scenario, an AIDS death can be harder to cope with than other types of<br />

deaths. Those who lose loved ones to AIDS may be faced with issues relating<br />

to…<br />

♦Shame and fear of social rejection<br />

♦Horror at the nature of dying (due to very unpleasant and painful<br />

opportunistic infections)<br />

♦Fear of having contracted HIV infection through caring <strong>for</strong> the AIDS<br />

patient<br />

♦Possible HIV infection of other family members (spouses, children)<br />

♦Possible homosexuality issues and taboos<br />

♦Anger at the deceased if HIV was contracted through risky behaviour<br />

These are just a few examples. Encourage participants to add their own ideas<br />

about special issues relating to death from AIDS.<br />

Session 9 – Pg. 4

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