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Cited by 6Grief, Bereavement, and Mental HealthPsychosomatic Disorders and Their TreatmentsDeath, Funerary Practices, and Mourning

Facial behavior during an attachment interview in patients with complicated grief

Gander, Manuela, Schiestl, Cathrin, Dahlbender, Rainer, Ronel, Joram, Buchheim, Anna·2018·Journal of Nervous & Mental Disease
DOI 10.1097/nmd.0000000000000800
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Abstract

The present study investigated differences in various aspects of facial behavior among female patients with complicated grief (CG; n = 18) and healthy controls (n = 18) during the assessment of their attachment representation using the Adult Attachment Projective Picture System. All patients were classified with an unresolved attachment status. On a behavioral level, they demonstrated longer gazing behavior away from the interviewer and the picture stimuli, more speech pauses, less smiling toward the interviewer, and more crying, especially in response to stimuli portraying the theme of loss. Focusing on the in-depth analysis of death-related stimuli using the Facial Action Coding System, patients demonstrated less facial affective behavior, less disgust, and less smiling in response to these stimuli compared with the healthy controls. The impaired capacity of patients with CG responding in an affective appropriate manner regarding bereavement might be interpreted as a specific emotion dysregulation when their attachment and mourning system is activated.

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  • Gander et al. (2018) showed that looking away from a cemetery picture during an interview was associated with complicated grief.

    “Gander et al. (2018) also showed that looking away from a cemetery picture during an interview was associated with CG.”

    From Emotion Regulatory Strategies in Complicated Grief: A Systematic Review (2021) · cites this paper as Gander et al. (2018)

  • Laboratory studies have yielded equivocal findings on avoidance of loss-related cues and complicated grief, sometimes yielding positive associations, sometimes null results, and sometimes negative associations.

    “However, laboratory studies have yielded equivocal findings on avoidance of loss-related cues and CG, sometimes yielding positive associations (Gander et al., 2018; Yu et al., 2017), sometimes null-results (Eisma, Rinck, et al., 2015), and sometimes negative associations (Maccallum et al., 2015).”

    From Emotion Regulatory Strategies in Complicated Grief: A Systematic Review (2021) · cites this paper as Gander et al., 2018

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Authors
Gander, M., Schiestl, C., Dahlbender, R., Ronel, J., & Buchheim, A.
Affiliations
  • Innsbruck Medical University (AT)
  • *Institute of Psychology, University of Innsbruck, Austria; †Department of Child and Adolescent Psychiatry, Medical University of Innsbruck, Austria; ‡Privates Fachklinikum für interdisziplinäre Psychiatrie, Psychotherapie und Psychosomatische Medizin, Sigma Zentrum, Bad Säckingen, Germany; and §Department of Psychosomatic Medicine and Psychotherapy, University hospital rechts der Isar, Technical University Munich, Germany.
Corresponding author
  • Gander, Manuela
  • Schiestl, Cathrin
  • Buchheim, Anna
ORCID
Venue
Journal of Nervous & Mental Disease
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2018-05
Volume
206
Issue
5
Pages
340-349
ISSN
  • 0022-3018 (ISSN-L)
  • 1539-736X
DOI
10.1097/nmd.0000000000000800
OpenAlex
W2789563372
Cited by
6
References
40
Citations by year
2023: 1 · 2022: 1 · 2021: 1 · 2020: 2
FWCI
0.88
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Nervous and Mental Disease (publishedVersion)
  • PubMed (publishedVersion)
  • mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
Funders
Eli Lilly and Company
Topics
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
Keywords
complicated grief, facial behavior, attachment interview, unresolved attachment, Adult Attachment Projective Picture System, emotional dysregulation, bereavement, crying, smiling, disgust
MeSH terms
Adult, Crying, Facial Expression, Grief, Humans, Interview, Psychological, Object Attachment, Case-Control Studies

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