Various models and concepts of abnormal grief are reviewed and empirical da
ta to support these is critically appraised. It is concluded that the major
ity of findings support a concept of abnormal grief reflecting prolonged in
tense separation distress, preoccupation with images of the deceased and di
stress or avoidance at reminders, Although depressive phenomena and disorde
rs, and anxiety disorders may occur after bereavement, with some population
s being at greater risk, these are distinct from abnormal grief, Management
of abnormal grief needs to take into account such issues. Curr Opin Psychi
atry 12:99-102. (C) 1999 Lippincott Williams & Wilkins.