Table 2.

Patient and/or Family’s Psychodynamic Grieving Process

I)	Shock Phase Never thought that complications would happen in reality. Illusory denial of the fact. Feeling of remorse for giving consent for treatment.
II)	Hyperactive Phase Mourning process often disturbed by the necessary practical arrangements following the     incident. Punctuated with phase of hope and illusion followed by desperation and anger. Hostility to culpable physicians and the hospital.
III)	Depressive Phase Numbing of general responsiveness. Markedly diminished interest or participation in significant activities. Restricted range of affections(e.g., unable to have loving feelings).
IV)	Facing Up To Reality Phase Acceptance of handicap/loss Conducting a spiritual dialogue with the deceased. The wish to effect procedural changes to ensure the deceased did not die in vain. The bringing to justice of the responsible physicians.