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  • Annie Cantwell-BartlJanuary 2001

    An Unrecognised GriefLoss and grief issues for carers:

    A carer guide

  • Unrecognised Grief Carers Victoria

    Recommended books for further reading: Good grief: experiencing loss, Carol Lee. (London: Fourth

    Estate, 1994) Living with loss and grief, Geoffrey Glassock; Megan

    Gressor (Woollahra: Gore and Osment, 1992) When the person you care for has died, Annie Jackson

    (London: Carers National Association, 1997) Grief and Loss: the pain of caring, Iris Kotoukis

    (Melbourne: Carers Victoria 1995) An Unrecognised Grief: loss and grief issues for carers,

    Maggie OShea (Melbourne: Carers Victoria, 1999) A Grief Observed, C.S.Lewis (London: Faber and Faber,

    1966) Write through loss and grief: a guide to recovery

    through writing, Evie Hodge (Bairnsdale, Victoria: BW Publications, 1998)

    Referral InformationCommonwealth Carer Resource Centre

    Freecall 1800 242 636. Business hours, Monday - Friday Free information, support and referral to appropriate services in your state.

    National Carer Counselling Program

    Freecall 1800 242 636. Business hours, Monday - Friday Free or low-cost counselling, in person or by telephone. This service provides specialised counselling with a carer focus.

    Carers Victoria

    (03) 9396 9500. Business hours, Monday - FridayCarers Victoria provides free workshops for carers throughout Victoria. Topics include: Loss and Grief, Looking After Yourself and Creative Survival Strategies for Carers.

    Copyright Carers Victoria

    This work is copyright, apart from any use as permitted under the Copyright Act 1968. However non-profi t organisations may reproduce parts of the report for advocacy, research and educational purposes as long as the original meaning is retained and a full acknowledgement given to the source.

    Requests and inquiries concerning reproduction and rights should be addressed to:

    Carers Victoria Level 1, 37 Albert Street Footscray 3011 Phone (03) 9396 9500 Fax (03) 9396 9555 E-mail

    An Unrecognised Grief - Loss and grief issues for carers: A carers guideWritten by Annie Cantwell Bartl

    Special contribution and editing Jan TullyConcept Maria Bohan and Maggie OSheaDesign & Production Ilana Solomon and Eileen Hayes

    Published January 2001

    Reprinted January 2005

    ISBN 0958594204


  • Unrecognised Grief Carers Victoria


    Acknowledgements ................................................... 4

    Introduction ............................................................. 5

    Chapter One Loss: the beginning of grief ................ 9

    Chapter Two Disenfranchised Grief ...................... 13

    Chapter Three Different carers: different losses .... 15

    Chapter Four - What Carers Say They Need. ........... 21

    Chapter Five Caring for your Self .......................... 23

    Chapter Six Facing Diffi cult times ........................ 25

    Chapter Seven - The future ..................................... 28

    Notes ...................................................................... 30

    Notesi Headaches, respiratory problems, digestion problems, and

    even in extreme cases strokes and heart-attacks have been documented as results of unexpressed grief and stress.

    ii There is no right or wrong way to grieve. The theories that have been developed have their value in offering guidelines as to what may be experienced.

    iii Clinical depression can often be overlooked as being just feeling down or stressed during the time of caring with someone with high needs. Regular check-ups with a good general practitioner will help you in watching your own general health situation.

    iv Having feelings that are angry, even violent, in their nature is understandable when you are tired and stressed. However, these feelings are signals to you to seek assistance with the situation with which you are coping. Seek help immediately, and both you and the person you care for will benefi t.

    v Ref Disenfranchised Grief, Recognising Hidden Sorrow Lexington Books New York (1989) K.Doka.

    vi An adaptation of Chapter 2 of An Unrecognised Grief, CAV, Melbourne, 1999

    vi Bringing Them Home the report from the National Enquiry into Separation of Aboriginal and Torres Strait Islander Children and their Families. April 1997.

    vii Action Pack, CVic

    viii AFDA 700 High Street, Kew East, phone (03) 9859 9571 for information and advice

    References: Unrecognised Grief - Carers Victoria - 1999

    Caring enough to be poor - Carers Association Australia - 1997


  • Unrecognised Grief Carers Victoria

    Even though it was hard, I am glad I did it, and I would do it all over again. Pat, who had looked after her husband with lymphoma

    Carers need to acknowledge to themselves that caring for another person is an act of giving, of loving, that is very powerful, a candle of light in a harsh world.

    You deserve all the support you can get so consider contacting people or organisations listed in this booklet.

    You may fi nd some interesting thoughts in the books recommended. Each loss has its own issues. There will be issues that this small booklet has not been able to cover. If that is so, do not feel disheartened. Information on other resources is readily available through Carers Victoria and the other organisations mentioned here.

    AcknowledgementsAbout the AuthorAnnie Cantwell-Bartl has a background as a nurse who worked in palliative care with patients and their families. She is now a consulting psychologist who does counselling, writing and education. She works closely with many people whose lives have been challenged and changed through losses brought about by accident, illness and other trials of life. She is married to Bernd Bartl and has four children: Ben, Anthony, Anna and David. In 1986 Anthony, aged six, was struck by a car and rendered a quadriplegic and is ventilator dependant. He is now twenty, lives at home and has a full life. The journey of adjusting to his disability and attempting to give him opportunities has been fraught with diffi culties and stumbling blocks. That continues.

    Many people supported and contributed to this booklet. Some of these people were:Staff of Carers Vic Hortensia Vasquez Robyn GamilisJoan Saboisky Rod Harris Tim McCarthyJoan Walsh Linda Walter John HonnerMoira ODuane Irene Heineke Mavis RobsonDavid (Tom) Grant Amanda Hart Kate BolandChris Twining Prue Ingram Maree BrackieTim Kelso Jenny Poole Anne PageJoan Young Tom Donovan Lois Isaachsen

    Thanks to the people who shaped the drafts:Bernd Bartl Sandie Darby Linda EspieKenn Gunn Chris Hall

    Thanks to Michael Leunig whose cartoons were generously donated and Sally Dugan from the Age. Thanks to Carers Victoria for their support and particularly Maria Bohan and Maggie OShea whose original vision inspired this booklet. Thanks to Jan Tully whose sensitivity and collaboration led to the publication of a smaller version of this booklet. Special thanks to my family.


  • Unrecognised Grief Carers Victoria

    IntroductionWhy a booklet on Carers grief?Everyone experiences loss during life. However, for carers many of the changes and losses experienced can come quickly and often.

    The tree changes as it grows. It is torn by wind and lightning, scarred by frost and snow. Branches die and new ones emerge. The drama of existence has its way with the tree but still it grows; its roots reach down into the darkness; still its branches reach down into the sap and reach upward and outward into the world.


    If you are reading this booklet then you are probably a carer. That means that you have volunteered to care for someone, a family member or friend, who has a long-term illness or a disability. You may be caring for a child with a physical disability, a spouse with HIV/AIDS or Hepatitis C, a parent or spouse with Alzheimers, a brother or sister with a brain injury arising from an accident, a friend who has had a stroke. As a parent, child, lover, friend or spouse you are faced with another persons pain and frustration every day, and this can easily make you feel vulnerable too.

    Michael Leunigs words suggest that even in times of suffering there is potential for hope and new life. Often this can seem impossible when you are caring for someone. However, if you are able to fi nd support and some space to be yourself, then you may well be able to manage the situation more easily.

    It is hard, sometimes, to be positive. As a carer you may often feel tired, depleted, exhausted, and perhaps self-critical. You may feel crushed, as if your sap of life is being diminished. You are undertaking a workload that is immense, and our society needs to be offering more respect, understanding and assistance to you in that work and added role.

    Chapter Seven - The FutureI felt a tremendous sense of uselessness and emptiness after she died. I didnt know what to do with myself and I felt very lonely. I spent time crying and crying. Very slowly I started to look after myself and get out. But it took a long time to adjust to life without her. Melba, adult daughter of mother with Alzheimers disease

    Many people ask if there is an end to the intense grief that comes after death? In caring for someone you have already experienced grief. Grief has its own time of being completed and there are no rules as to when it is fi nished. You may hold a small amout of grief for the person who has died all your life. With time you will feel a sense of acceptance and that life can be good again and there can be new joys and new challenges.

    Caring is hard work, and so is the g