Topic:

VIOLENCE AND UNEXPECTED DEATH

In This Session:

Story about John and Suzanne –
The Villaggios’ lives changed with a phone call from an administrator at a hospital in Fargo, N.D., who spoke the words every parent dreads: “Your son has been in an accident. He is in surgery right now. You had better get here as soon as possible

Story about Cheryl and Joe –
The call to their Albany, N.Y., home was from was a family member who rushed to tell them — before they might hear it on the evening television news — that their two grandchildren were dead in a small town some 30 miles away.

In America's ultra-violent society, too many survivors are left with sudden and overwhelming holes in their lives. Unexpected deaths administer a powerful shock — like a cosmic slap in the face — to those left behind, allowing very little time for survivors to take in, much less deal with, the magnitude of their loss. At worst, the loss comes to dominate survivors’ lives by draining them of meaning and joy. At best, they not only cope but also reach out in a way that changes their lives and those of others around them. 

About the Author:

Charles A. Corr, Ph.D., is Professor emeritus, Department of Philosophical Studies, Southern Illinois University Edwardsville. Dr. Corr is a member of the Executive Committee of the National Donor Family Council and the International Work Group on Death, Dying, and Bereavement. Dr. Corr has written over sixty professional articles and book chapters. His most recent book is Death and Dying, Life and Living.

Readings:

Violent and unexpected deaths leave trail of ‘secondary victims’

By Charles A. Corr

At 10:30 p.m. on April 29, 1997, Cheryl and Joe Wieromiej became “secondary victims.”
The call to their Albany, N.Y., home was from a family member who rushed to tell them — before they might hear it on the evening television news — that their two grandchildren were dead in a small town some 30 miles away.
Because her first grandchild, Kevin, had died of sudden infant death syndrome in 1991, Cheryl’s first reaction was, “No, no, I can’t go through this again. Not two more grandchildren.”
In fact, it was even worse. On that terrible evening, Cheryl’s son-in-law, Ken Ogert, had used a shotgun to kill his wife, Cheryl’s 26-year-old daughter, Sharon, his 5-year-old son, Kenneth, Jr., and his 22-month-old daughter, Chyenne, before taking his own life.

Cheryl believes that Ken had never been able to come to terms with Kevin’s death six years earlier. Something snapped in Ken that night, the anniversary of Kevin’s burial.
That night, Cheryl and her family were flung headlong into sudden and violent circumstances that tore their worlds apart. Unexpected deaths administer a powerful shock — like a cosmic slap in the face — to those left behind, allowing very little time for survivors to take in, much less deal with, the magnitude of their loss.
Professionals call them “secondary victims.” At best, survivors not only will cope but also reach out in a way that changes their lives and those of others around them. At worst, the loss comes to dominate their lives by draining them of meaning and joy.
As Cheryl said, “I wouldn’t wish this on my worst enemy. I wouldn’t want anybody to go through this.”
Like a deadly game of dominoes, it has been estimated that each sudden and unexpected death has a direct effect on 10 other people. At that rate, more than 4,100 new secondary victims are being created every day in our society as a result of accidents, suicides and homicides.
While the more shocking acts of violence — from the school shootings at Columbine High School in Colorado to the Oklahoma City bombing — rate prime-time TV coverage and front-page headlines, in reality they are few and far between. In the sphere of violent death, motor vehicles take the biggest toll.
Motor vehicle accidents are the most common cause of violent death in the United States, killing nearly 43,500 people in 1998 and accounting for 28.8 percent of all injury-related deaths. Firearms are the second leading cause of injury-related deaths. In 1998, 30,700 people were killed by guns. The death rate from motor vehicle accidents and firearms has declined in recent years, but the United States continues to lead all civilized countries in all of these categories.
And long after the police, reporters, and cameramen leave, families and friends spend years trying to piece their lives back together.
For her part, Cheryl Wieromiej was angry. As she waded into the aftermath of the multiple deaths, “the only thing that kept me sane,” she said, was the conviction that her son-in-law “couldn’t do this in his right mind.”
Funeral arrangements had to be made for four people simultaneously. And two weeks later, on Mother’s Day, the family had to face the horrific task of cleaning up the bloody apartment in which the deaths occurred.
“These are things people never think of,” said Cheryl.
Because Cheryl lived out of town and did not share the same last name as those who died, she was spared some of the initial flood of media inquiries. But some in her community did criticize the family for including her son-in-law in the same funeral services as the three people he had killed.
Other secondary victims often find their mourning is delayed when legal proceedings against the perpetrator — over which they have little influence — drag on and on. One bereaved father was even subpoenaed as a witness by lawyers defending his son’s killers, not to actually testify in the trial, but simply to keep him out of the courtroom, away from the sympathetic eyes of the jurors.
When those left behind turn to others for help, they often find that support for the bereaved has become less available because of the decline of extended families whose members live near each other, as well as of the strong bonds formerly found in neighborhood, religious and other communities.
Cheryl Wieromiej sought help from a therapist, but didn’t find it useful.
Everywhere I go, I’m the horror story,” she said. Her grief was compounded by the earlier death of her infant grandchild and by the fact that four people died at her son-in-law’s hand.
It got to the point, said Cheryl, where “you don’t even know who you’re grieving for.’’
A friend of Cheryl’s in Pittsburgh saw an ad in a local paper for The Compassionate Friends, a self-help group for bereaved parents and grandparents. Cheryl was not aware there were organizations like this when her friend suggested that she seek out a chapter in the Albany area.
“I was desperate at that time,’’ she said. “I would have done almost anything.” The group gave Cheryl an opportunity to share her experiences, even though most of the members had lost children younger than her daughter and few had experienced four deaths at one blow. It was “one of the most helpful organizations I could find.”
Every survivor of violence has to cope with death and loss in his or her own way. For Suzanne Villaggio, and her husband, John, who lost their 28-year-old son, David, in a car crash, “there is no one closer to me than my husband, but still we are grieving differently.”
The Villaggios’ lives changed with a phone call from an administrator at a hospital in Fargo, N.D., who spoke the words every parent dreads: “Your son has been in an accident. He is in surgery right now. You had better get here as soon as possible.” David died that night when a pickup truck in which he was a passenger skidded on an icy interstate highway outside Fargo and rolled over several times.
Just before David died, John and Suzanne had relocated from Georgia to New Jersey, where John had accepted a position with a new engineering company. When David, who had started a successful electronics business in Fargo, died, his family hadn’t been in the community long enough to make any strong connections and they had to deal with a death that occurred thousands of miles away.
Still, help and compassion were there for the Villaggios that night. A friend drove them to the airport at 4 a.m. so that they could get the first flight out. A ticket agent cried when she learned why they were in such a rush to depart. David’s friend, Chris, who had been driving the pickup, was sobbing and crying when the Villaggios reached the hospital in Fargo. And the Villaggios learned that other drivers had immediately stopped to help when they saw the accident.
Unfortunately, a neurosurgeon and a physician at the ICU in Fargo were distant and insensitive. Suzanne, a nurse who had worked in emergency rooms, later said, “It was as if they were saying, ‘You just need to get on with this.’”
Donating some of David’s organs and tissues for transplantation helped the Villaggios find some good in the middle of their tragedy. Still, taking leave of David at the hospital that night while knowing that his organs would be retrieved in the morning — even though they understood that he was already brain dead — left the Villaggios with “the toughest night we’ve ever had.”
Later, Suzanne found comfort in sharing stories about David with her 80-year-old mother. Suzanne also treasures her memory of the last meal David hosted for them at an expensive restaurant in Fargo the summer before his death. And she remembers fondly his closing words to her in their last telephone conversation: “I love you, Mom.”
The Villaggios also welcomed the support of The Compassionate Friends chapter, where Suzanne was surprised to discover at their first meeting that nearly all of the other participants had lost a child through a motor vehicle accident.
A few months after the death of her son, Suzanne said, “What I want to do is to have healing, to feel better, but how do I do that?”
Professor Kenneth J. Doka of the College of New Rochelle (N.Y) is editor of the book “Living With Grief After Sudden Loss: Suicide, Homicide, Accident, Heart Attack, Stroke.” Doka notes that “each type of unexpected, violent death poses its own unique problems, but all intensify and complicate the survivor’s grief. Deaths like these also heighten a survivor’s sense of vulnerability and anxiety.”
Lula M. Redmond, a family therapist who founded the first homicide survivors therapy group in the United States and is author of “Surviving: When Someone You Love Was Murdered,” gives each of her new clients a spiral-bound notebook and tells them to “date it and start writing, even if you can only write a few words each day.”
Over the years, Redmond has learned that keeping a journal helps survivors achieve some sense of control over what has happened to them. It also helps to vent strong feelings, prepare for legal proceedings that might arise and prevent some of the confusion that creeps up in later years.
Redmond advises those who want to help friends and family members who have lost someone unexpectedly “just to be available and to be willing to listen. Try to understand the needs that motivate the survivor’s behaviors and the profound loneliness and emptiness that he or she is experiencing. It won’t last forever.”
And that is what Cheryl Wieromiej is discovering. Four years after the deaths of her two grandchildren, her daughter and her son-in-law, she said, “I’m better because I’m not numb. I’m still working on it. This doesn’t go away. You learn to live with it.’’


2001, Partnership for Caring, Inc.
Distributed by Knight Ridder/Tribune Information Services.

Tips:

If you suddenly lose a loved one to a violent or unexpected death, you can expect to go through what professionals call “traumatic bereavement” — strong reactions of shock, pain, deep sadness, confusion, guilt and anger. 
Here’s what may happen and how to deal with it:
  • Any major loss from violence will affect family and friends differently. Remember all relationships have their own distinctive features and all losses are unique. Expect that these relationships may change in unexpected ways.
  • Insist on your right to be yourself and do what you need to do to deal with what has happened. Don’t let others impose their own path or timetable for bereavement; this is your loss and your grief. 
  • It may be very difficult to believe that such a terrible thing could really have happened and extremely hard to fit that event and its implications within the assumptions that you might have previously held about the world, God and society.
  • When criminal or civil proceedings complicate bereavement, seek help from individuals and organizations that are skilled in victim advocacy. They can help you find ways to be informed and involved, while also preparing you for the inevitable frustrations of dealing with the legal system.
  • Be patient with yourself and others as you mourn. Especially at first, be content with just getting through a minute at a time, a single hour, or even just a portion of a day. 
  • Try to be tolerant of others who withdraw from you, don’t know how to help you or what to say, or are afraid of the intensity and duration of your grief. You might have behaved in similar ways before this happened to you. 
  • Share your needs with others. Ask them for the help you need and give them specific things to do for you.  
  • You may discover the most comforting support and most helpful guidance will come from individuals who have experienced similar losses.
  • Don’t neglect yourself. Try to eat nourishing meals, drink plenty of fluids — but not much alcohol — and get the rest and exercise you need.
  •   Traumatic bereavement leads some people to think they are “losing their minds” or “going crazy”; remember that it may take time and effort to develop “new normals” in your life.
  • You can move from being a victim to being a survivor. You will never be the same and you are likely to experience strong surges of grief from time to time, but you will be better than you are now.

Discussion Questions:

  1. What were the key challenges that Cheryl Wieromiej experienced in connection with the deaths of her two grandchildren, her daughter, and her son-in-law?
  2. What factors contributed to making Cheryl’s experiences with these deaths more difficult, before they occurred, at the time, and afterwards?
  3. How did Suzanne Villaggio’s encounter with death differ from that of Cheryl Wieromiej?
  4. What helped Cheryl Wieromiej and Suzanne Villaggio in their encounters with death?  Why were the factors that you identified actually helpful to these people?  What can we learn from these experiences about helping individuals (“secondary victims”) who have been bereaved by violent and unexpected deaths?

Points and Observations:

  1. Cheryl Wieromiej and Suzanne Villaggio eventually found ways to help themselves or to obtain help from others in their bereavement.  What were the things that were most helpful to them?  Why do you think these things helped Cheryl and Suzanne?
  2. Review the tips for coping with traumatic bereavement that accompanied this article.  Do you think any of them would be helpful to you if you were to experience such a bereavement?  Do any of those tips suggest things that you might do to help a person who is experiencing such a bereavement?

References:

  1. Allen, J. G. (1992). Coping with trauma: A guide to self-understanding. Washington, DC: American Psychiatric Press. This book is a substantial guide for laypersons that is designed to help them understand themselves or those to whom they are close following a traumatic loss. 
      
  2. Doka, K. J. (Ed.). (1996). Living with grief after sudden loss: Suicide, homicide, accident, heart attack, stroke. Washington, DC: Hospice Foundation of America.  Mainly aimed at individuals in the helping professions, this book is the companion volume to the 1996 annual telethon sponsored by the Hospice Foundation of America. The book contains 18 articles (plus comments by the editor) on different types of sudden losses, helpful interventions, and resources.
         
  3. Fine, C. (1999). No time to say goodbye: Surviving the suicide of a loved one. New York: Doubleday. After surviving the suicide of her physician-husband, the author interviewed many others in similar situations, together with mental health experts in the field. On that basis, she describes the impact, stigma, and aftermath of a loss by suicide, as well as what one needs from oneself and others to survive.  
        
  4. Janoff-Bulman, R. (1992). Shattered assumptions: Towards a new psychology of trauma. New York: The Free Press. This is the classic text explaining why and how traumatic losses challenge our fundamental values and belief systems.
         
  5. Lord, J. H. (1999). No time for goodbyes: Coping with sorrow, anger, and injustice after a tragic death (5th ed.). Oxnard, CA: Pathfinder Publisher. From her long-time work at Mothers Against Drunk Driving (MADD), the author writes to validate the full expression of health reactions in persons who have experienced a tragic death and to help them develop skills to manage their losses and reactions. The book describes common reactions after the death of a child, sibling, mate/lover, and parent. It offers practical suggestions for coping such losses, as well as practical problems like getting through the holidays, dealing with the criminal justice system, and financial issues.
        .  
  6. Rando, T. A. (1993). Treatment of complicated mourning. Champaign, IL: Research Press. This is the definitive text for advanced readers about what it means to speak of  complicated mourning and how constructive interventions can be offered to help individuals experiencing such mourning.  
        
  7. Rubel, B. (1999). But I didn't say goodbye: For parents and professionals helping child suicide survivors. Kendall Park, NJ: Griefwork Center. This book explores the experiences and the questions of a 10-year-old child who has experienced the suicide of his father and describes organizational and literature resources for helping children in similar situations.
        
  8. Smolin, A., & Guinan, J. (1993). Healing after the suicide of a loved one. New York: Fireside/Simon & Schuster. These authors are professional counselors and facilitators of suicide survivors groups. Here they explore common feelings and experiences of such survivors and offer guidelines for taking care of oneself and getting help. Separate chapters discuss the suicide of a parent, child, spouse, or sibling.  
        
  9. Stevenson, R. G. (Ed.). (1998). What will we do? Preparing a school community to cope with crises. Amityville, NY: Baywood Publishing Co.  The editor and his contributors offer practical guidelines for educators and  parents to help them prepare for, understand, and cope with crises in the schools.   
        
  10. Worden, J. W. (1992). Grief counseling and grief therapy: A handbook for the mental health practitioner (2nd ed.). New York: Springer. Written for mental health practitioners and general readers, this book encourages a task-based approach to understanding mourning and distinguishes between complicated and uncomplicated ("abnormal") grief and mourning, as well as between grief counseling and grief therapy.

Links: You must be connected to the internet for these links to work.

National Donor Family Council of the National Kidney Foundation
Provides organ donation information and to families.
(212) 809-2210 or 1-800-622-9010
www.donorfamily.org

Mothers Against Drunk Driving (MADD)
An organization working to stop drunk driving, support the victims of this violent crime, and prevent underage drinking.
(214) 744-6233 or 1-800-GET-MADD
www.madd.org

National Organization for Victim Assistance
Provides information in victim’s rights, assistance and services.
1730 Park Road NW
Washington, DC 20010
(202) 232-6682 or 1-800-TRY-NOVA
www.try-nova.org 

The Compassionate Friends
Provides grief support after the death of a child.
P.O. Box 3696
Oak Brook IL 60522-3696
(877) 969-0010
www.compassionatefriends.org

Bereaved Parents of the USA
Offers information and support to parents and families who are struggling with the death of a child.
PO Box 95
Park Forest, IL 60466
Fax (708) 748-9184
www.bereavedparentsusa.org

Parents of Murdered Children
Provides resources, support and advocacy information to parents of murdered children.
National POMC
100 East Eighth Street, Suite B-41 
Cincinnati, OH 45202 
(513) 721-5683 or 1-888-818-POMC
www.pomc.com

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