The Year of Magical Thinking

by Joan Didion

The power of grief to derange the mind has in fact been exhaustively noted.

The second kind of grief was “complicated grief,” which was also known in the literature as “pathological bereavement” and was said to occur in a variety of situations. One situation in which pathological bereavement could occur, I read repeatedly, was that in which the survivor and the deceased had been unusually dependent on one another. “Was the bereaved actually very dependent upon the deceased person for pleasure, support, or esteem?” This was one of the diagnostic criteria suggested by David Peretz, M.D., of the Department of Psychiatry at Columbia University. “Did the bereaved feel helpless without the lost person when enforced separations occurred?”

Persons under the shock of genuine affliction are not only upset mentally but are all unbalanced physically. No matter how calm and controlled they seemingly may be, no one can under such circumstances be normal. Their disturbed circulation makes them cold, their distress makes them unstrung, sleepless. Persons they normally like, they often turn from. No one should ever be forced upon those in grief, and all over-emotional people, no matter how near or dear, should be barred absolutely. Although the knowledge that their friends love them and sorrow for them is a great solace, the nearest afflicted must be protected from any one or anything which is likely to overstrain nerves already at the threatening point, and none have the right to feel hurt if they are told they can neither be of use or be received. At such a time, to some people companionship is a comfort, others shrink from their dearest friends.

In both England and the United States, he observed, the contemporary trend was “to treat mourning as morbid self-indulgence, and to give social admiration to the bereaved who hide their grief so fully that no one would guess anything had happened.”