Helping Children of Different Ages Cope With a Death
Adults help
children most when they express their own sorrow and respond to questions in a
truthful, yet age-appropriate way.
By Earl A. Grollman
Reprinted with
permission from www.jewishfamily.com.
Some people believe that children
are just too young to understand the meaning of death, that they shouldn't be
burdened with thoughts they cannot possibly grasp, and that they should be
spared adult grief.
But children growing up today are
well aware of the reality of death. They seem to have built-in lie detectors
and know something ominous is occurring in their small world. We cannot protect
them from the tragedies of life, but we can exercise considerable influence by
modeling healthy attitudes.
There are many variables that
affect children's understanding of death, such as who died, where, when, and
how, and how the death will affect the child, as well as the child's prior
experiences with loss. And of course, there is the developmental age. It is
important to remember that children of the same age may differ widely in their
comprehension and behavior. It is impossible to fit perceptions into a fixed
age category. For all of us, the meaning of death changes as our life changes.
The following are but general guidelines that might prove helpful.
Preschool Age Children
Although an infant may not have an
understanding of the word death, babies and toddlers do react to loss. Changes
in the emotional atmosphere of the home and in the responses of significant
others may upset the child and result in variations in crying and eating
patterns and in bowel or bladder disturbances.
Small children have a pervasive
fear of being abandoned. After a death in the family, children with separation
anxiety may be afraid to go to school, camp, or even to sleep over at a
friend's home. They frequently demand excessive attention from parents, cling
to them, follow them around, climb into their bed at night. They fear that if
they become separated either they or their parents will come to harm. Some
children are not able to concentrate on their activities, become withdrawn from
their friends, and are in general apathetic and depressed.
Even children without separation
anxiety may experience an intensification of normal anxieties when a loved one
dies. For example, they may exhibit fear of the dark, of going to sleep, of
going to a new place, or of a parent going on a business trip. Youngsters often
regress to a behavior that had been given up prior to the death, with a return
to thumb-sucking or bed-wetting.
A preschool child may not believe
that death is final. She may think that death is like sleep: you are asleep,
then you wake up. Or that it is like taking a journey: you go away, and then
you come back. A child experiences some aspects of what he or she considers
"death" when her father or mother goes to work. It is like playing
"peek-a-boo" (an expression that comes from the Old English, meaning
"alive or dead"). One moment you are here, then you are not.
The understanding of time for
preschoolers is limited. Even after the funeral, parents may be shocked by the
question, "When is Aunt Rachael coming back?" Although the child may
not fully understand the answer, your explanation should be, "Aunt Rachael
cannot come back because she is dead." Try to emphasize again and again in
words that the youngster can understand that death is not just a temporary
phenomenon.
Many younger children think of
death as accidental: One dies when run over by a car or attacked by robbers.
Death is often associated with violence, particularly dismemberment. In their
understanding, death is not inevitable--people may live forever if they are
fortunate and careful.
What You Can Do
Some children may understand death
as being less alive. For those three- to four-year-olds who seem to believe in
the interchangeability of life and death, or believe that the dead are
"waiting to live in another place," parents must listen to the
children's thoughts, concerns, images, and experiences. Hear their questions:
"Do dead people eat the same kinds of food we do?" "Can they
watch television?" "Can they talk to each other?"
Repeat again and again that the
person is not coming back to life and is not living in the cemetery. Explain
that the death is not a punishment for bad behavior. Youngsters are rightly
curious and anxious about death, with its separation from familiar people and
the anxiety, terror, and fear which that separation brings. When words fail,
touch them, hold them, show them your affection and love.
Ages Five to Nine
Because of their life
experiences, youngsters this age are better able to understand the meaning of
physical death. Death is final. Living things must die. But they may not think
of it as happening to them. At this stage, they may neither deny death nor
accept its inevitability. A compromise is made. Death is "real"--but
only for others, the aged.
Some tend to consider death comes
in the form of a person or spirit. Those who watch horror shows may believe
death is a bogeyman, a skeleton, or a ghost that makes the rounds late at night
and selectively carries away helpless victims.
What You Can Do
Children in this age range cope
best when they receive simple, honest, and accurate information. If they
desire, let them attend the funeral for that which is more visible and
mentionable is clearly more manageable. Don't be afraid to show your grief.
Adults' controlled behavior is more difficult for them to handle than expressed
sorrow.
Ages 10 and Older
Now children can formulate
realistic concepts based on observation. Death is not a person but a
perceptible end of bodily life. A dog runs into the street and is hit by a car.
The animal can no longer get up and play. Dead is dead. It is final and
universal. It is brought about by natural as well as accidental causes. Death is
that inevitable experience which happens to all, including the child.
Death as the end of life is
especially frightening and painful for young people 10 years of age and older.
Death is now a biological failure of organs to function. The magical, life-renewing
conception of death is replaced by one that is terminal and fearsome. This
perspective carries with it feelings of fragility as young people search for
their own identity and philosophy of life and death.
When a loved one dies, children of
this age may have difficulty in concentrating, exhibit a decline in the quality
of their schoolwork, become withdrawn and isolated from family and friends, and
seem persistently angry and sad. There could be frequent physical complaints
with constant fatigue and frequent drowsiness. For older children, unresolved
grief may be reflected in drug or alcohol abuse, impulsive behavior, and
increased risk-taking. Instead of controlling their moods, their moods control
them.
What You Can Do
The way in which youngsters work
through their grief depends a great deal on how family members and friends
reach out to them. The more they are encouraged to share their grief, the more
likely they will be better able to cope with the loss in their life. Grieving
may help to bring direction to their lives as they become more open to others.
"After this, I know I can handle anything," one youth said. "I
now know that our family will stick together and who my real friends are. I'm
able to remember the person who died without always crying by thinking of some
of the great times we had together."
Make sense of death at an
age-appropriate level in a safe physical and psychological environment. The
goal is to understand that death is irreversible and permanent, involving the
cessation of all physiological functioning. The ways of helping children cope
are as limitless as adults' patience, caring, and love.
Rabbi Earl A. Grollman
is an internationally known lecturer, writer, and grief counselor whose
twenty-four books about death and other losses, including Living with Loss,
Healing with Hope: A Jewish Perspective.