Disenfranchised grief is defined by Doka (2002) as grief that is not acknowl-edged by society, by the healthcare culture, or by individuals. Therefore, dis-enfranchised grief is not confronted therapeutically but rather remainshidden, unrecognized, or unhealed (Papadatou, 2009). Doka’s typologyrecognized four types of disenfranchised grief: (1) the relationship is notrecognized, (2) the loss is not acknowledged, (3) the griever is excluded,and (4) the circumstances around family members’ deaths are deemedsocially unacceptable, for example, suicide, AIDS, or the death of children(Corr, 1988; Doka, 2002).
Disenfranchised grief is a major cause of substance dependency that is rarely addressed by rehabilitation programs. We do not handle grief and loss in healthy manners. Loss of power, support systems, loss of jobs, of the familiar, of anything we value and have become accustomed causes many persons to spiral into destructive behavior. 15-20% of middle aged alcoholics/drug addicts had their addiction spiral out of control at the loss of a spouse or parent or person of influence. The grief at the loss of anything familiar and of value has the same effect. Disenfranchised grief is a major trigger to destructive behavior.