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The Iatrogenic Consequences of Medicalising Grief

Resetting the Research Agenda

Bibliographic Data

ID2250445
AuthorsSarah Gurley‐green (0009-0003-3702-4567, University of Massachusetts Counseling and Psychology BEAHR Lab Boston Massachusetts USA, corresponding author), Lisa Cosgrove (0000-0003-3101-5726, University of Massachusetts Counseling and Psychology BEAHR Lab Boston Massachusetts USA), Milutin Kostic (0000-0001-6986-303X, Department of Psychiatry Faculty of Medicine University of Belgrade Beograd Serbia), Lauren Koa (University of Essex School of Health and Social Care Deputy Director of IPHW Colchester UK), Susan Mcpherson (0000-0002-9478-9932, University of Massachusetts Counseling and Psychology BEAHR Lab Boston Massachusetts USA)
Year2025
Volume47
Issue2
Pagese13866-e13866
Publication date2025-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSociology of Health & Illness (JOURNAL)
Journal identifiersISSN: 0141-9889 • E-ISSN: 1467-9566
PublisherWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.13866
PMID39607055
OpenAlexW4404822700
LanguageEN
Citations received3
References cited44

When the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was published in 2013, there was a firestorm of controversy about the elimination of the bereavement exclusion. Proponents of this change and of the proposed 'complicated grief' designation believed that this change would help clinicians recognise major depression in the context of recent bereavement. Other researchers and clinicians have raised concerns about medicalising grief. In 2022 'prolonged grief disorder' (PGD) was officially included in the DSM-5-TR in the trauma- and stressor-related disorders section. Not surprisingly, there has been a push to identify biomarkers and to use neuroimaging to identify the neurobiological basis of PGD. Some researchers have even suggested that PGD is a 'reward circuit disorder' akin to addiction and that naltrexone, an opioid antagonist, may be a promising treatment. The purpose of this paper is to show how medicalising grief reinforces a research agenda dedicated to the search for pharmaceutical and psychological 'magic bullets.' Following George and Whitehouse (2021), we propose that an ecopsychosocial approach-one that incorporates environmental and contextual factors-is needed

Addiction · Complicated grief · Context (archaeology · DSM-5 · Grief · Psychiatry · Psychotherapist · Attachment and Relationship Dynamics · Grief, Bereavement, and Mental Health · Maternal Mental Health During Pregnancy and Postpartum · Psychology

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Unique citing works3
Citations per year3
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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