| Myths and Realities in Childhood Grief | ||
| Topic | Myths | Realities |
| Do children and adolescents grieve? | Young children do not grieve. | All children grieve |
| Children do not grieve as much as adults. | Children and adults express grief differently but as intensely. | |
| Children are lucky because they are too young to understand. | Children are vulnerable in their grieving. | |
| Children should be protected from pain and suffering to maintain their innocence | Children cannot be protected from death in play, the media, or life experiences. | |
| Children can resolve grief quickly | Children’s grief has not time limits | |
| Children and adolescents understand, experience, and express grief identically | Children and adolescents are developmentally distinct | |
| Should children and adolescents be exposed to a loved one who is dying? | Children will be bewildered by being with a loved one who is dying. | Children need to understand and make sense of their experiences in order to help them learn that dying and death are a part of life. |
| Children will be traumatized by their last encounters with a dying person. | Children will value having had the opportunity to spend time with a loved one during that person’s last days and weeks. | |
| Happy times that children share with their loved one will be overshadowed by the experience of watching that person die. | Children can learn values through participation in the death of a loved one. | |
| Children should be protected from seeing a loved one die. | Children may later resent their exclusion; their involvement will assist with grieving. | |
| Should children take part in funerals or other post-death rituals? | Children should not be permitted to take part in such rituals. | Children can benefit in meaningful ways by helping to plan and by attending funerals, including allowing them opportunities for questions and learning fro the emotional reactions of adults. |
| If children are allowed to participate, their participation should be limited and they should be protected from seeing strong emotional reactions. | Children can benefit from the support of others to help overcome feelings of isolation | |
| Adults know better whether or not to allow a child to participate in such rituals after the death. | Difficulties arise either from forcing children to participate against their will or from excluding those wishing to be included. | |
| Are dying children aware of their situation, and how can they be helped? | Dying children,10 years of age are not aware that they are dying. | Dying children know they are dying; adult denial is ineffective in the face of children’s emotional perceptiveness. |
| Dying children do not experience anxiety because they are unaware that they are dying. | Dying children experience fear, loneliness, and anxiety. | |
| Dying children have no concerns for themselves or others. | Dying children worry, may try to put their affairs in order, may strive to protect their parents, and fear being forgotten. | |
| Dying children’s questions should not be answered. | Dying children need honest answers and unconditional love and support. | |
New England Journal of Medicine
Review Article on Pediatric Palliative Care






