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Kübler-Ross model

(2026-01-02 16:17:38) 下一個
While the famous Kübler-Ross model has 
five stages (DABDA: Denial, Anger, Bargaining, Depression, Acceptance) for grief and terminal illness, some models propose four psychological stages of serious illness impact, often including immediate reaction/identity challenge, grief/coping, adaptation, and acceptance, highlighting that these aren't always linear and vary widely by individual. The specific stages depend on the model, but universally involve emotional shifts from shock and resistance to coping and eventual adjustment, focusing on mental and emotional well-being alongside physical care. 
Kübler-Ross's Five Stages (Often Misapplied to Illness):
These stages describe the grieving process when facing one's own or a loved one's terminal illness. 
  1. Denial: Rejecting the reality of the diagnosis.
  2. Anger: Frustration and resentment directed at others or the situation.
  3. Bargaining: Attempting to negotiate for more time or a cure.
  4. Depression: Profound sadness, fatigue, and loss of interest.
  5. Acceptance: Coming to terms with the situation. 
A Four-Stage Model for Serious Illness Impact (e.g., Athletes):
A study on athletes found four psychological stages when dealing with serious injury or illness. 
  1. Immediate Reaction: Shock, challenge to self-identity (e.g., "I'm an athlete").
  2. Grief/Coping: Working through emotions and developing strategies.
  3. Adaptation: Adjusting to the new reality and limitations.
  4. Acceptance: Reaching a point of peace with the condition.
Key Considerations:
  • Non-Linearity: People don't always go through stages in order, often revisiting them.
  • Individual Variation: Experiences are unique; not everyone experiences all stages.
  • Focus on Support: Psychotherapy and support help manage these transitions, reducing isolation and processing complex feelings. 
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