Abstract
Disenfranchised grief is a form of grief that arises when a loss cannot be openly acknowledged, publicly mourned, or socially supported, so the mourner is denied the recognition and ritual that ordinarily scaffold adaptation to loss. The term was coined by Kenneth Doka, who set out a typology of the circumstances that produce it. Cognitive psychology treats the phenomenon not as a separate emotion but as ordinary grief stripped of its social regulators: the validation, shared meaning, and permission to mourn that normally help a bereaved person revise the mental models a loss has violated. This article sets out Doka's typology of disenfranchising circumstances, the role of social validation in grief processing, the hierarchies-of-loss critique, and the boundary between disenfranchised grief and prolonged grief disorder.
Keywords: disenfranchised grief, social validation, hierarchies of loss, bereavement, prolonged grief disorder
Not every loss is granted a funeral. A person may grieve a former partner, a pregnancy no one knew about, a patient, a companion animal, or a friend lost to a stigmatized death, and find that the people around them neither recognize the loss nor extend the sympathy that a socially sanctioned bereavement would command. The griever is left to mourn without the usual supports — the condolences, the leave from work, the ritual — because the surrounding community does not treat the loss as one that confers the right to grieve. Doka named this condition disenfranchised grief and argued that it is produced not by the magnitude of the loss but by social norms that govern whose grief counts (Doka, 1989). The concept matters to cognitive psychology because grief is in large part a social process of meaning-making, and withdrawing social recognition removes resources the mind relies on to integrate a loss (Neimeyer, Klass, & Dennis, 2014).
- Disenfranchised grief is grief over a loss that a community does not openly acknowledge, publicly mourn, or socially support — the reaction is ordinary grief, but its usual social scaffolding is withheld.
- Doka's typology locates disenfranchisement in five circumstances: an unacknowledged relationship, an unacknowledged loss, an excluded griever, the circumstances of a death, and the way a person grieves.
- Social validation is a working part of grief: shared ritual and sympathy help the bereaved narrate and integrate a loss, and their absence can stall the process or add a second, social injury to the first.
- A sociological critique argues that calling some grief disenfranchised implies a hierarchy of loss — that social norms rank bereavements by legitimacy on a scale rather than sorting them into recognized and unrecognized.
- Disenfranchised grief is a social condition of a loss, not a clinical diagnosis; it can raise the risk of prolonged grief disorder but is distinct from it, and resilience remains a common outcome.
What Disenfranchised Grief Is
Disenfranchised grief is best understood against the ordinary social career of a loss. When a person dies and the relationship is socially recognized — a spouse, a parent, a child — the bereaved is granted what amounts to a license to grieve: condolences arrive, rituals are performed, absence from work is excused, and the loss is treated by the community as real and significant. Doka's insight was that this license is not automatic. It is conferred by social norms, and when those norms fail to recognize the relationship, the loss, or the griever, the person grieves without the license. Doka defined disenfranchised grief as the grief that persons experience when they incur a loss that is not or cannot be openly acknowledged, publicly mourned, or socially supported (Doka, 1989; Corr, 1999).
The reaction itself is not special. Disenfranchised grief is distinguished in the research literature not by a distinct symptom profile but by its social situation: it is ordinary grief — the same yearning, intrusion, and disrupted functioning — occurring in a context that denies it the usual acknowledgment (Doka, 1989). This is why the concept sits beneath grief in the subject vocabulary rather than beside it. What makes a grief disenfranchised is external to the mourner: a gap between the loss they have actually sustained and the loss their community is prepared to recognize. Charles Corr argued that the scope of this gap is wider than first appreciated, reaching not only unrecognized relationships and deaths but the dynamic qualities of grief and mourning themselves, so that a person's way of grieving can be disenfranchised even when the loss is acknowledged (Corr, 1999).
Doka's Typology of Disenfranchisement
Doka organized the circumstances that disenfranchise grief into a typology, which remains the field's organizing framework (Doka, 1989). Grief may be disenfranchised because the relationship is not recognized — an ex-partner, a secret lover, a coworker, an online friend — so that the depth of the attachment is invisible to others. It may be disenfranchised because the loss is not recognized as a loss at all: a miscarriage, a relinquished pregnancy, the loss of a companion animal, or the psychosocial losses of dementia in a living relative. It may be disenfranchised because the griever is deemed incapable of grief and excluded from mourning — historically the very young, the very old, or those with intellectual disabilities. It may be disenfranchised because of the circumstances of the death, when a suicide, an overdose, or a death from a stigmatized illness carries shame that silences mourning. And it may be disenfranchised because of the way the person grieves, when their expression of grief violates the display rules their community expects. Table 1 summarizes the five categories, each paired with what the community withholds and a representative loss.
| Disenfranchising circumstance | What is withheld | Representative loss |
|---|---|---|
| Unrecognized relationship | Acknowledgment that the attachment was close enough to warrant grief | An ex-partner, a secret lover, a coworker, an online friend |
| Unacknowledged loss | Recognition that a loss has occurred at all | A miscarriage, a relinquished pregnancy, a companion animal, the psychosocial losses of a relative's dementia |
| Excluded griever | The griever's standing as someone capable of grief | The very young, the very old, people with intellectual disabilities |
| Stigmatized circumstances of death | Sympathy, because shame silences open mourning | A suicide, an overdose, a death from a stigmatized illness |
| Non-normative grieving | Permission for the griever's own manner of mourning | Expression that breaks the community's display rules, whether too muted or too intense |
Doka’s Typology of Disenfranchisement
A grief is disenfranchised when any of five social recognitions is withheld. Toggle each dimension between recognized and disenfranchised to see how much of a loss’s social recognition survives.
Thomas Attig revisited the typology to sharpen what the act of disenfranchising actually does. He argued that disenfranchisement is best read as a denial of a mourner's right to grieve — an empathic, political, and ethical failure to extend recognition — and that its scope reaches beyond the suffering a loss causes to the constructive labors of hope and love that grieving also involves (Attig, 2004). On this reading, to disenfranchise a grief is not merely to overlook someone's pain; it is to discount the value of what they have lost and the love that makes the loss matter. The typology thus describes not a set of unusual losses but the ordinary machinery of social recognition seen from the side of those it excludes.
Social Validation and Grief Processing
Why should the absence of social recognition affect the course of grief, if the loss is just as real either way? The answer in contemporary theory is that grieving is not a purely private act of feeling but a social process of reconstructing meaning. On the meaning-reconstruction account, adaptation to loss turns on renarrating a disrupted life story, and that narration occurs at least as much between people as within them — in eulogies, shared remembrance, and the community's acknowledgment of who the deceased was and who the bereaved now is (Neimeyer et al., 2014). Social validation supplies the audience and the shared vocabulary that this reconstruction requires. When a loss is disenfranchised, the mourner must do the work of meaning-making without that audience, and often while actively concealing the loss, which is a far harder cognitive task.
The dual process model of coping makes the mechanism more concrete. Healthy adaptation, on this model, is an oscillation between loss-oriented coping — confronting the loss and its emotion — and restoration-oriented coping — attending to the practical demands of ongoing life, with respite from the grief built in (Stroebe & Schut, 1999). Both ends of that oscillation are ordinarily supported by others: people ask after the bereaved, excuse them from obligations, and later help them rebuild a routine. Disenfranchisement withdraws support from both ends at once. There is no sanctioned occasion to confront the loss, and no social permission to take respite from roles in order to grieve, so the regulatory alternation the model describes is left without its external scaffolding.
Social Validation and the Pace of Integration
Each grieving episode — one loss-to-restoration oscillation — revises the unintegrated share of a loss, U, toward zero at an effective rate α = α0 × v, where v is how far the community validates the loss. Lower validation shrinks α and stretches integration out.
Disenfranchisement need not be imposed only from outside. During the COVID-19 pandemic, researchers described a surge of disenfranchised grief driven by social distancing, restrictions on hospital visits, and curtailed funerals, which stripped bereavements of their usual ritual at scale (Albuquerque, Teixeira, & Rocha, 2021). They noted that the bereaved could also disenfranchise their own grief — judging it unwarranted next to a global catastrophe, or feeling they had no right to mourn one death among millions — a self-disenfranchisement that compounds the external kind by internalizing the withdrawal of permission.
Hierarchies of Loss
The concept of disenfranchised grief carries an implicit picture of how social norms work: grief is either enfranchised or it is not, and the reformer's task is to extend recognition to the losses currently left out. Patricia Robson and Tony Walter challenged both halves of that picture (Robson & Walter, 2013). Social norms about the legitimacy of a bereavement, they argued, are not binary but scalar or hierarchical: communities rank losses by how much grief they are thought to warrant, placing the loss of a spouse or a child at the top and descending through more distant kin, friends, ex-partners, and companion animals. On this view there is no clean line between enfranchised and disenfranchised grief, only a graded hierarchy of loss in which every bereavement is assigned a position, and disenfranchisement names the lower reaches of a scale rather than a category outside it.
Hierarchies of Loss, Not a Binary
The concept of disenfranchised grief assumes a line between recognized and unrecognized loss. Move that line through an illustrative legitimacy ranking and watch how arbitrary the cut-off is — the losses themselves form a scale, not two boxes.
Robson and Walter also questioned the concept's emancipatory assumption — the idea, implicit in much of the literature, that grief ought not to be socially regulated at all. They suggested the concept's appeal owed as much to its rhetorical and symbolic value in the clinic as to its descriptive accuracy, and that its usefulness for empirical research into bereavement norms might be limited (Robson & Walter, 2013). Experimental work supports the scalar picture. Presented with vignettes of people who had lost a romantic partner, a child, or a companion animal, participants in one study rated the grief of those who lost a companion animal as the least legitimate of the three, while targets whose grief met criteria for prolonged grief disorder, rather than an integrated course, were judged across the board as less legitimate and drew more negative reactions (Sarper & Rodrigues, 2024). Legitimacy, in other words, tracks both the relationship and the form the grief takes, exactly as a hierarchy rather than a binary would predict. The same normative machinery operates in clinical settings, where the losses a culture treats as insignificant go unspoken; mental health practitioners are urged to recognize that every society has norms defining significant and insignificant losses, and that stigmatized losses therefore go ungrieved in the open (Mortell, 2015).
Figure 1
Social Validation and the Pace of Grief Integration
Worked Example
The role of social validation can be made quantitative by extending the attachment-updating account of grief, in which each reminder of a loss is a prediction error that revises an overlearned model toward the reality of absence. Let U denote the unintegrated share of the loss — the portion of the mind's models that still presuppose the lost relationship — scaled so that U = 1.00 is the pre-loss state and U = 0 is full integration. On each grieving episode the model is revised toward reality in proportion to an effective learning rate α, so that Un+1 = Un(1 − α). The proposal here is that social validation acts as a multiplier on that rate: α = α₀ × v, where α₀ is the baseline rate under full social support and v is a validation factor between 0 and 1 capturing how far the community recognizes the loss.
Take a baseline α₀ = 0.12. For an enfranchised loss with full recognition, v = 1.00, so α = 0.12 and each episode leaves 88% of the unintegrated loss. Starting from U₀ = 1.00, the unintegrated share falls to 0.88 after one episode, 0.681 after three, 0.528 after five, and 0.279 after ten; it reaches the halfway mark U = 0.50 after about 5.4 episodes, since 0.885.4 ≈ 0.50. For a disenfranchised loss with weak recognition, v = 0.25, the effective rate collapses to α = 0.03, and each episode leaves 97%: the unintegrated share is still 0.859 after five episodes, 0.737 after ten, and does not reach the halfway mark until about 22.8 episodes.
The two curves have the identical geometric shape — the same process of belief updating is running in both — but weakening social validation by a factor of four stretches the time to half-integration by almost the same factor, from roughly 5 grieving episodes to roughly 23. This is the quantitative content of the claim that disenfranchisement does not change what grief is but slows how it resolves, by withdrawing the social input that sustains the updating. The model is a conceptual illustration rather than a measurement instrument: the validation factor is not a quantity the field estimates from data, and the point of the exercise is the shape of the dependence — a multiplicative slowing — not the particular episode counts.
The Boundary with Prolonged Grief Disorder
Disenfranchised grief is a social fact about a loss; prolonged grief disorder is a clinical diagnosis about a person's reaction. The two must not be collapsed. Prolonged grief disorder, whose criteria were psychometrically validated for DSM-V and ICD-11, requires persistent, pervasive yearning or preoccupation together with a cluster of symptoms — difficulty accepting the loss, identity disruption, intense emotional pain, avoidance, emotional numbness — present to a disabling degree well beyond the expected period of mourning (Prigerson et al., 2009). Disenfranchised grief meets none of these criteria by definition; a mourner whose loss is unrecognized may integrate it perfectly well, maintaining continuing bonds with the deceased in an altered but ongoing attachment, and resilience — a stable, low-distress trajectory — remains a common outcome of bereavement even when social support is thin (Bonanno, 2004).
The relationship between the two is one of risk, not identity. Because disenfranchisement withdraws the social resources that aid integration, it is plausibly a risk factor for a grief that stalls, and the pandemic literature explicitly linked the conditions that disenfranchised grief at scale — restricted funerals, isolation, sudden deaths — to a rise in prolonged grief disorder (Albuquerque et al., 2021). The non-death losses the typology covers sharpen the boundary further. When a physician grieves the cumulative, ambiguous losses of a demanding career — losses that are real but entirely unsanctioned as occasions for mourning — the unacknowledged grief is argued to feed burnout rather than to present as a bereavement disorder (Lathrop, 2017). Disenfranchised grief, in short, names a social predicament that can damage well-being through several routes, only one of which is the clinical disorder with which it is sometimes confused.
Discussion
Treating disenfranchised grief as ordinary grief minus its social regulators ties the concept to the wider cognitive science of loss rather than leaving it a free-standing clinical label. The meaning-reconstruction account explains why the withdrawal of recognition matters: if narrating a loss into a changed but coherent life story is partly an interpersonal act, then removing the interlocutors makes the task harder, not merely sadder (Neimeyer et al., 2014). The dual process model explains where the deficit bites — in the external support for both confronting the loss and taking respite from it (Stroebe & Schut, 1999). And the attachment-updating framing, formalized in the Worked Example, shows how a purely social variable could modulate a cognitive process without altering its character.
The hierarchies-of-loss critique is the most important corrective to the concept's original framing. If social norms about grief are scalar rather than binary, then disenfranchised is not a fixed class of losses awaiting recognition but a moving position in a ranking that every community maintains (Robson & Walter, 2013). This reframing has teeth: it predicts that the same loss will be judged more or less legitimate depending on the comparison, and that is what experimental vignette work finds, with companion-animal loss and prolonged-grief presentations drawing the lowest legitimacy ratings (Sarper & Rodrigues, 2024). It also cautions against the assumption that grief would be better off entirely unregulated; norms that rank losses are also the norms that confer recognition, and the reformer who wants more enfranchisement is arguing about the shape of the hierarchy, not abolishing it.
A limitation worth stating is that much of the disenfranchised-grief literature is conceptual and clinical rather than experimental, and the quantitative framing offered here is an illustrative model, not a measured one. The strongest empirical claims — that disenfranchisement tracks a legitimacy hierarchy, and that unsupported losses can feed burnout or elevate the risk of prolonged grief — rest on a small number of studies and on the validated apparatus of grief research imported from adjacent topics (Prigerson et al., 2009; Bonanno, 2004).
Current Directions
The COVID-19 pandemic made disenfranchised grief a mass phenomenon and concentrated recent research on it. Work from that period documented how social distancing, restricted hospital visiting, and curtailed funerals disenfranchised bereavements at a scale not previously studied, and applied the idea of self-disenfranchisement, in which mourners withdraw permission from their own grief (Albuquerque et al., 2021). A second strand brings experimental method to a literature that had been largely conceptual: vignette studies now measure how legitimacy is assigned across relationship types and grief presentations, giving the hierarchies-of-loss thesis the kind of controlled evidence it originally lacked and quantifying the stigma attached to both prolonged grief disorder and the least-recognized losses (Sarper & Rodrigues, 2024). A third examines disenfranchised grief inside institutions and professions — the unsanctioned, cumulative losses of clinical work and their contribution to burnout — extending the concept from the bereaved family to the workplace and asking how organizations might enfranchise grief that their norms currently silence (Lathrop, 2017; Mortell, 2015).
Common Misconceptions
- Disenfranchised grief is a type of mental disorder.
- It is not. Disenfranchised grief names a social situation — a loss a community fails to recognize — not a symptom profile or a diagnosis. Prolonged grief disorder is the validated clinical diagnosis, with specific criteria that disenfranchised grief does not meet by definition, though disenfranchisement may raise the risk of a disordered course (Prigerson et al., 2009; Doka, 1989).
- Only the death of a close human relative can be disenfranchised.
- Doka's typology covers unrecognized relationships, non-death losses, excluded grievers, stigmatized circumstances, and non-normative ways of grieving. A miscarriage, a companion animal, the psychosocial losses of a career, and a death by suicide can all be disenfranchised (Doka, 1989; Lathrop, 2017).
- A loss is either enfranchised or disenfranchised, with a clear line between them.
- A sociological critique argues the opposite: social norms rank losses on a legitimacy hierarchy rather than sorting them into two boxes, so disenfranchisement is a position on a scale, not a category outside it (Robson & Walter, 2013). Experimental ratings of legitimacy across loss types bear out the scalar picture (Sarper & Rodrigues, 2024).
- Disenfranchisement affects only whether grief is expressed, not how it is processed.
- Because grieving is partly a social process of reconstructing meaning, withdrawing recognition removes resources the mind uses to integrate a loss, not merely an outlet for displaying it (Neimeyer et al., 2014; Stroebe & Schut, 1999).
Glossary
- Anticipatory disenfranchisement.
- Disenfranchisement of grief that begins before a death, as in the unacknowledged losses a family sustains during a relative's dementia while the person is still living.
- Bereavement.
- The objective situation of having lost someone to whom one was attached, as distinct from the grief reaction to it.
- Continuing bonds.
- The maintenance of a transformed, ongoing relationship with the deceased after integration, rather than a severing of the attachment.
- Disenfranchised grief.
- Grief over a loss that is not openly acknowledged, publicly mourned, or socially supported, so the mourner is denied the usual recognition and ritual.
- Display rules.
- The social norms governing how, when, and how much emotion may be expressed; grieving in a way that violates them can itself be disenfranchised.
- Dual process model.
- The account of coping with bereavement as oscillation between loss-oriented and restoration-oriented demands, with respite from each built in.
- Enfranchised grief.
- Grief over a loss the community recognizes and supports, granting the mourner the license, ritual, and sympathy that disenfranchised grief is denied.
- Grief.
- The emotional, cognitive, and physiological response to loss; disenfranchised grief is this reaction occurring without social recognition.
- Hierarchy of loss.
- The scalar ranking by which social norms assign bereavements differing degrees of legitimacy, rather than sorting them into recognized and unrecognized.
- Loss-oriented coping.
- Attending to the loss itself — yearning, reminiscing, and processing the emotion of the death.
- Meaning reconstruction.
- The account of grieving as the renarration of a disrupted life story, a process carried out between people as much as within them.
- Mourning.
- The public, culturally patterned expression of grief through ritual and observance; disenfranchisement withholds its sanctioned occasions.
- Prolonged grief disorder.
- The validated clinical diagnosis for grief that remains intense and disabling past the expected period, distinct from — though possibly risked by — disenfranchisement.
- Restoration-oriented coping.
- Attending to the secondary demands a loss creates — new tasks, roles, and routines — and taking respite from the loss itself.
- Right to grieve.
- Attig's framing of the entitlement that disenfranchisement denies — the social acknowledgment that a person's loss, hope, and love are worth mourning.
- Self-disenfranchisement.
- The mourner's own withdrawal of permission from their grief, judging it unwarranted — described at scale among the COVID-19 bereaved.
- Social validation.
- The community's recognition of a loss as real and significant, supplying the audience and shared vocabulary that grief integration draws on.
Key Researchers
Thomas Attig
. Emeritus Professor of Philosophy at Bowling Green State University and a past president of the Association for Death Education and Counseling; revisited disenfranchised grief as a denial of the mourner's right to grieve, arguing that disenfranchisement discounts the griever's hope and love and not only their suffering.
Charles A. Corr
. Professor Emeritus at Southern Illinois University Edwardsville and a former chair of the International Work Group on Death, Dying, and Bereavement; enhanced and systematized the concept of disenfranchised grief, pressing for conceptual precision about who is disenfranchised and how far the phenomenon extends.
Kenneth J. Doka
. Senior Vice President for Grief Programs at the Hospice Foundation of America and Professor Emeritus at The College of New Rochelle; coined and defined disenfranchised grief in 1989 and developed the typology of disenfranchising circumstances that still organizes the field.
Robert A. Neimeyer
. Professor Emeritus of Psychology at the University of Memphis and Director of the Portland Institute for Loss and Transition; developed the constructivist meaning-reconstruction account of grief, which explains why losses stripped of social validation are harder to narrate and integrate. ORCID
Tony Walter
. Emeritus Professor in the Centre for Death and Society at the University of Bath; co-authored the sociological critique arguing that framing some losses as disenfranchised implies a hierarchy of loss and obscures the social politics of who is permitted to grieve. ORCID
Frequently Asked Questions
What is disenfranchised grief?
It is grief over a loss that is not openly acknowledged, publicly mourned, or socially supported, so the mourner is denied the recognition and ritual that ordinarily accompany a bereavement (Doka, 1989).
Who coined the term disenfranchised grief?
Kenneth Doka introduced and defined it in 1989 and set out a typology of the circumstances that disenfranchise grief, a framework that still organizes research on the topic (Doka, 1989).
What kinds of loss tend to be disenfranchised?
Doka's typology covers unrecognized relationships, losses not seen as losses, grievers excluded from mourning, stigmatized circumstances of death, and non-normative ways of grieving, ranging from a miscarriage or a companion animal to a death by suicide (Doka, 1989).
Why does the lack of social recognition make grief harder?
Because grieving is partly a social process of reconstructing meaning, the absence of an audience and shared ritual removes resources the mind uses to integrate a loss, and withdraws support from both confronting the loss and taking respite from it (Neimeyer et al., 2014; Stroebe & Schut, 1999).
Is disenfranchised grief the same as prolonged grief disorder?
No. Disenfranchised grief is a social situation of a loss, while prolonged grief disorder is a clinical diagnosis with specific criteria; disenfranchisement may raise the risk of a disordered course but is distinct from it (Prigerson et al., 2009).
What is the hierarchies-of-loss critique?
It argues that social norms rank bereavements on a scale of legitimacy rather than sorting them into recognized and unrecognized, so disenfranchisement names the lower reaches of a hierarchy rather than a category outside it (Robson & Walter, 2013).
Did the COVID-19 pandemic cause disenfranchised grief?
Researchers described a surge of disenfranchised grief during the pandemic, driven by social distancing and restrictions on visiting and funerals, and noted that mourners sometimes disenfranchised their own grief as unwarranted amid a global crisis (Albuquerque et al., 2021).
Can grief be disenfranchised in the workplace?
Yes. The cumulative, ambiguous, and unsanctioned losses of professional life, documented among physicians, can produce disenfranchised grief that contributes to burnout rather than presenting as a bereavement disorder (Lathrop, 2017).
References
Albuquerque, S., Teixeira, A. M., & Rocha, J. C. (2021). COVID-19 and disenfranchised grief. Frontiers in Psychiatry, 12, 638874. https://doi.org/10.3389/fpsyt.2021.638874
Attig, T. (2004). Disenfranchised grief revisited: Discounting hope and love. OMEGA - Journal of Death and Dying, 49(3), 197-215. https://doi.org/10.2190/p4tt-j3bf-kfdr-5jb1
Bonanno, G. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59(1), 20-28. https://doi.org/10.1037/0003-066X.59.1.20
Corr, C. A. (1999). Enhancing the concept of disenfranchised grief. OMEGA - Journal of Death and Dying, 38(1), 1-20. https://doi.org/10.2190/ld26-42a6-1eav-3mdn
Doka, K. J. (Ed.). (1989). Disenfranchised grief: Recognizing hidden sorrow. Lexington Books.
Lathrop, D. (2017). Disenfranchised grief and physician burnout. The Annals of Family Medicine, 15(4), 375-378. https://doi.org/10.1370/afm.2074
Mortell, S. (2015). Assisting clients with disenfranchised grief: The role of a mental health nurse. Journal of Psychosocial Nursing and Mental Health Services, 53(4), 52-57. https://doi.org/10.3928/02793695-20150319-05
Neimeyer, R. A., Klass, D., & Dennis, M. R. (2014). A social constructionist account of grief: Loss and the narration of meaning. Death Studies, 38(8), 485-498. https://doi.org/10.1080/07481187.2014.913454
Prigerson, H. G., Horowitz, M. J., Jacobs, S. C., Parkes, C. M., Aslan, M., Goodkin, K., Raphael, B., Marwit, S. J., Wortman, C., Neimeyer, R. A., Bonanno, G., Block, S. D., Kissane, D., Boelen, P., Maercker, A., Litz, B. T., Johnson, J. G., First, M. B., & Maciejewski, P. K. (2009). Prolonged grief disorder: Psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Medicine, 6(8), e1000121. https://doi.org/10.1371/journal.pmed.1000121
Robson, P., & Walter, T. (2013). Hierarchies of loss: A critique of disenfranchised grief. OMEGA - Journal of Death and Dying, 66(2), 97-119. https://doi.org/10.2190/om.66.2.a
Sarper, E., & Rodrigues, D. L. (2024). The stigmatization of prolonged grief disorder and disenfranchised grief: A vignette-based experimental study. Death Studies, 49(5), 535-545. https://doi.org/10.1080/07481187.2024.2340726
Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: Rationale and description. Death Studies, 23(3), 197-224. https://doi.org/10.1080/074811899201046