How might these family patterns influence Juneís illness and grieving process?

Alice Singletary, a novice social worker with Magnolia Hospice in Alexandria, Louisiana, met June Plunket, who had terminal cancer, and her daughter, Polly, for an admission interview. June was in quite a bit of pain and trying to cope with dying. Polly blamed Dr. Dubuis and herself for her mother’s approaching death, and was also angry with her brother, who had distanced himself from the family. June and Polly lived in a chaotic and overcrowded household with Polly’s daughter, Jenna, and Jenna’s two young children. While assessing June’s situation, Alice identified a multitude of family problems which had to be balanced with the mission of the hospice. In this situation, Alice was not sure where to begin.


Alice had not yet been able to talk to June without Polly responding for her, interjecting comments and generally controlling the course of the conversation. Because Polly also used ìweî to describe behaviors and symptoms related to June, it was difficult for Alice to determine Juneís real feelings about her illness and her approaching death because of Pollyís interjections. There appeared to be enmeshment between Polly and June that may have hindered Juneís ability to process and address her feelings about her approaching death.
Alice also may need to consider what effects Pollyís anger and guilt may have on Juneís ability to grieve. Polly openly discussed, in Juneís presence, her anger at Dr. Dubuis as well as her own guilt. The intensity of Pollyís feelings may take away some of the focus on June and her needs.

Social Work & Human Services

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