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Pillars of Strength 1/8: Relationship with the Person Who Has Died

Psychotherapist Julia Samuel MBE has spent 25 years working with bereaved families. Over the next eight weeks, the author of Grief Works will share what she has learned about helping people to grieve and, in time, to rebuild their lives. Key to this is her concept of the ‘pillars of strength’ – in today’s blog, Samuel explains how she developed these, and introduces the first pillar.

I have written this series of blogs, about the work we need to do to help us grieve and survive healthily, in the hope that you will find it helpful with your clients. The concept came to my mind because so many clients told me they felt as if there was a hole inside them. I thought the image of architectural pillars, which they could develop for themselves and would help hold them when they felt so blown up, was a useful one.

These basic guidelines are ways to think about what helps us, at such a difficult time in our life, rather than a specific set of rules. Our uniqueness makes the writing of a definitive list impossible. Grief requires the commitment of regularly doing things that help us, physically and emotionally. This may seem impossible in the first weeks and months of grief for some, while for others it will be a welcome focus.

I have developed the idea of ‘pillars of strength’, the key structures that support us, and enable us to rebuild our life. It requires work to build the pillars (they don’t just appear out of the blue) and commitment to keep going. They also work as an integrated whole. We can’t just focus on one pillar, they all require our attention and time, and there is a multiplier effect – working on all the pillars increases their strength.

Pillar 1: Relationship with the Person Who Has Died

At the centre of any grieving process is the psychological adjustment to face the reality of the death of this person who has died. It is a complicated process because we are forced to face a reality that we don’t want to be true.

The biggest indicator of how much pain we are in is the quality of the relationship, and how much we loved the person who died. The more important they were in our life, the more we loved them, the more we will miss them. The contradiction here is that having had a difficult relationship with a significant person in our life, who has died, can make the grieving process harder, because there are likely to be regrets, and no longer the opportunity to put things right.

In grief, there is not a hierarchy of one bereavement being worse than another. When someone dies, it is a unique experience, and the relationship with that person is consequently entirely unique. Yet there are ways of looking at the relationship that can help us begin to unravel the complexity and the meaning of this loss to us. We can explore the meaning:

  • of this particular person…
  • at this particular time of our life…
  • for us living in this particular community…
  • in these particular circumstances

When we examine each of those aspects, we have the beginning of a narrative for ourselves, which helps clarify what is often inchoate and confused inside us.

In the past, the view was that when someone dies, we forget and move on. We know now that is not true. Although we have to come to terms with the fact of their death, the relationship with the person who has died – though radically altered – continues. We love them in absence, rather than presence. Some people may need to do this a great deal, others only occasionally or on special days like anniversaries. A central pillar to support our system is to:

Find ways of externalising that relationship

We may do this by:

  • Wearing something that connects to them, like their watch, a name band or an article of their clothing like a scarf
  • Visiting their grave
  • Creating a memory box in which we put special objects like their glasses, or cards or pressed flowers
  • Making a photograph album or writing to them in a journal or in the form of a letter
  • Cooking their favourite recipe
  • Posting online an image we know they’d have loved

There are multiple ways to do this. Finding an external expression for continuing this relationship through regular rituals is not only important but has been shown to reduce negative emotions and increase positive ones.

Over time, the regularity of these rituals may lessen, or your client may find their regularity is a stabilising force that enables them to bear the pain of the death.

Find out more about Julia’s work and writing at


Julia Samuel

Julia Samuel MBE, Msc, MBACP (Snr Accredited) UKCP Registered Psychotherapist was Psychotherapist for Paediatrics at St Mary’s Hospital Paddington, the post she established in 1992, where her role for 25 years involved seeing families who have children or babies who die, and where she trained and supported the staff.

In 1994 she worked to help launch and establish The Child Bereavement Charity, and as the Founder Patron was involved and continues to be involved in many aspects of the charities work, having a key role in fundraising, strategy and training. In 2016, Julia was awarded an MBE in recognition of her services to bereaved children, and in 2017 Middlesex University awarded her an Honorary Doctorate. In 2017 Julia published Grief Works, which was a bestseller in the UK and has been published in 17 countries. She also has a private practice where she sees families and individuals for many different issues.

Roles: Chairman Birthright (Wellbeing) (1992-5); Founder Patron the Child Bereavement Charity 1994+; Trustee Child Bereavement Charity 2008+; Tutor Metanoia Institute 1997-2008; Governor of British Association of Counselling  and Psychotherapy (2001-2004); Vice President British Association Counselling and Psychotherapy Nov 2013+.

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