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From the Lending Library

c.a. reiser, M.S.

The books reviewed in this issue of WiSSPers are, in my opinion, classics in parental bereavement literature. The word classics implies exceptionally good and/or referenced frequently in other resources. These resources are those which may be considered a foundation for any discussion about grief following the delivery of a stillborn infant. You will note that none of the books reviewed solely address stillbirth. A future <Lending Library= will be devoted to materials specifically dealing with stillbirth.

Comments about the choices here and those to be included in future issues are welcome.

Hagan Arnold, Joan and Penelope Buschman Gemma. A Child Dies: A Portrait of Family Grief. Aspen Systems Corporation, Rockville, MD, 1987 (out of print).

The first few chapters, which cover the meaning of loss in one=s life and the meaning of children within a family, serve as background for the remainder of this book which looks at the impact on the family of the loss of a child at various stages, from infancy

through adolescence. Stillbirth is included in the discussion of all infant deaths. The final chapters are directed towards aiding the professional in 1) under-standing oneself and the implications of one=s actions and values on families, and 2) a somewhat theoretical framework on how one should approach working with the bereaved.

The authors rely on bereavement literature and also the experiences of families with whom they have worked in their nursing roles. A Portrait of Family Grief is an appropriate title, as the text includes the striking use of illustrations and photos, as well as poetry and excerpts from many forms of writing. Rather than being intrusive, the inclusion of various art forms augments the text and evokes memories in the reader of how loss impacts us all.

Sensitively written and relatively thorough considering its size (157 pages), it is a wonderful resource for a bereavement lending library. Although written primarily for professionals, its use of personal experiences may benefit families.

Sarnoff-Schniff, Harriet. The Bereaved Parent. Penguin Books, 1977-1978. $9.00 (paperback only), New York, NY.

Harriet Sarnoff-Schniff, herself a bereaved parent, uses her own experience and that of many other bereaved parents as the primary source for her book. Although well researched, the telling of the personal accounts is one of The Bereaved Parent=s greatest strengths. Sharing the lives of others who have suffered the ?most unnatural of disasters,@ the loss of a child, and yet survived offers a message of hope. In chronicling the painful journey bereaved parents travel, the author provides many practical suggestions and examples of what helped parents rebuild their lives. In the words of Elisabeth Kübler-Ross, while ?The Bereaved Parent is a beautiful book...It does not make death beautiful, it does not console in an unrealistic way -- but it tells the truth -- and is very reassuring and helpful because of it.@

There are at least 70 families whose stories are shared, yet none is a family who experienced stillbirth, although there are occasional references to other infant deaths. Any recommendation of this book to a family of a stillborn infant should be prefaced by saying that the lack of shared stillbirth experiences does not negate or invalidate that their loss is as real and as painful as those that are included.

Aires, Philippe. Western Attitudes toward Death: From the Middle Ages to the Present. Johns Hopkins University Press, 1974. $9.95 (paperback only).

This book, a series of invited essays sponsored by the Johns Hopkins Symposium in Comparative History, is a scholarly presentation of changes in societal attitudes towards death over the span of almost 800 years. Aires traces a change from the perspective during the Middle Ages (~12th century) where death was accepted as a ?familiar collective destiny@ to the 20th century attitude that death is a stranger to be feared and avoided. Literature and various art forms are examined for their depiction of death and its rituals.

While these essays have no practical value they are fascinating reading for anyone interested in a philosophical and historical perspective of death.

Klaus, Marshall H. and John H. Kennell. Parent-Infant Bonding. C.V. Mosby, 2nd edition 1982, 1st edition 1974 (out of print).

Klaus and Kennell report research, their own and that of others, about birth, interaction, and attachment. They include detailed examinations of representative, lengthy patient interviews to illustrate certain common reactions or issues. The first half of the text provides a theoretical framework for working with families when pregnancy labor and delivery are relatively uneventful. The remainder of the book is devoted to caring for parents when the unexpected occurs -- prematurity, birth defects, and stillbirth or neonatal death.

Since not everyone may agree with the conclusions or concepts presented, expert consultants reviewed each chapter and their comments are scattered throughout to expand on the text or explain a differing opinion, a technique which adds to the value of this resource.

Concrete suggestions and practical considerations for working with families in the pre- and perinatal period are also included.

Peppers, Larry G and Ronald J. Knapp. How to Go On Living After the Death of a Baby [(formerly called Motherhood and Mourning), Peachtree Publishers Limited, Atlanta, GA, 1985, $9.95] is the result of the authors= study, through interviews and surveys of bereaved mothers who have experienced the death of an infant in the perinatal period. It is one of the earliest and largest documentation efforts on maternal bereavement following reproductive loss. The stated purpose was to stimulate the awareness of the tragedy of fetal/infant death, help parents understand the normalcy of their feelings through the realization they are not alone, and to serve as a practical guide for families, friends and professionals by directing them to supportive interactions with the bereaved mother.

These goals are accomplished excellently by the telling of many mothers= experiences through their own words. The information presented is, however, largely anecdotal; and there remains a need among stillbirth bereavement literature for studies with statistical rigor.

Despite this criticism, How to Go On Living After the Death of a Baby remains high on the list of <must haves= for any bereave-ment library, as it serves as the basis for many currently used interventions with bereaved parents.

Correction: In the last issue of WiSSPers we provided incorrect address information about the National SHARE Office and ordering information for one of their publications, Bittersweet Hello Goodbye. The National SHARE address is:

National SHARE Office
St. Joseph=s Hospital Center
300 1st Capitol Dr.
St. Charles, MO 63301-2893

Bittersweet Hello Goodbye is available directly through SHARE headquarters at $19.95 plus shipping.

We are sorry for any inconvenience.

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