This is a resource providing easy access to a theory of grief – the Range of Response to Loss model (RRL) – and practice tools associated with it e.g. the Adult Attitude to Grief scale (AAG) and Attitude to Health Change scales (AHC), which have been devised and developed by Linda Machin.
Practice guidance is given for using the scales for assessment, as tools for conversation and as indications for therapeutic intervention.
This innovative approach to working with grief has emerged from Linda’s practice and research experience. It is shared here to help practitioners working in bereavement and palliative care settings.
Guidance for Practitioners
The Range of Response to Loss model as a theory for practice
The Range of Response to Loss identifies patterns which emerged from the bereavement practice and research of Linda Machin. The RRL is represented as a two-dimensional model made up of:
- core grief – reflexive or automatic reaction to loss (a reaction which will have been learned or observed and incorporated into the individual style of reacting to loss) on a spectrum of reactions from ‘overwhelmed’ to ‘controlled’
- coping responses occur as a conscious process of managing the emotional, cognitive, social and spiritual consequences of loss, on a spectrum from ‘vulnerable’ to ‘resilient’.…
The Adult Attitude to Grief scale (AAG)
The AAG in practice
The RRL and AAG as a guide to intervention
Other scales derived from the RRL and AAG
The Attitude to Health Change scale (AHC) is being used in a number of hospice settings to assess patients’ psychosocial needs as they face life limiting illness. A companion version of the scale explores the impact of the patient’s illness on their informal carer(s). Work to validate the psychometric properties of the AHC scales is in progress.
The Children’s Attitude to Grief scale (CAG) is in use in a small number of services and is also awaiting validation.