The euthanasia decision-making process: A qualitative exploration of bereaved companion animal owners
Keywords:
companion animal bereavement, pet loss, euthanasia, grief, guiltAbstract
AbstractThe purpose of this study was to explore and assess bereaved companion animal (CA) owners’ (N = 672) responses to a question about the decision to euthanize their animal. Content analysis revealed four major themes: grief without guilt (73%); euthanasia as appropriate decision, accompanied by guilt and/or ambivalence (22%); sole expression of guilt (6%); and veterinarian collaboration with decision (32%). Results suggest that most believe they made the right decision even though they experienced extremely high levels of grief. A smaller percentage of respondents were distraught with guilt, expressing low self-compassion, religious beliefs, and broken trust. Our findings corroborate the important relationship between veterinary staff and CA owners. Mental health clinicians, veterinarian, veterinary medical personnel should provide support and comfort to clients, especially when discussing and deciding upon euthanasia.
References
Adams, C. L., Bonnett, B. N., & Meek, A. H. (2000). Predictors of owner response to companion animal death in 177 clients from 14 practices in Ontario. Journal of the American Veterinary Medical Association, 217, 1303–1309. doi: 10.2460/javma.2000.217.1303
Adrian, J. A., Deliramich, A. N., & Frueh, B. C. (2009). Complicated grief and post-traumatic stress disorder in humans’ response to the death of pets/animals. Bulletin of the Menninger Clinic, 73, 176–187. doi: 10.1521/bumc.2009.73.3.176
Barnard-Nguyen, S., Breit, M., Anderson, K. A., & Nielsen, J. (2016) Pet loss and grief: Identifying at-risk pet owners during the euthanasia process. Anthrozoös, 29(3), 421–430. doi: 10.1080/08927936.2016.1181362
Cordaro, M. (2012). Pet loss and disenfranchised grief: Implications for mental health counseling practice. Journal of Mental Health Counseling, 34(4), 283–294. doi: 10.17744/mehc.34.4.41q0248450t98072
Cowles, K. V. (1985). The death of a pet: Human responses to the breaking of the bond. Marriage & Family Review, 8(3–4), 135–148. doi: 10.1300/J002v08n03_10
Davis, H., Irwin, P., Richardson, M., & O’Brien-Malone, A. (2003). When a pet dies: Religious issues, euthanasia and strategies for coping with bereavement. Anthrozoös, 16(1), p. 57–74. doi: 10.2752/089279303786992378
Dawson, S.E. (2010). Compassionate communication: Working with grief. In: C.Gray & J.Moffett (Eds.), Handbook of veterinary communication skills (62–99). Oxford: Blackwell.
Doka, K. J. (2008). Disenfranchised grief in historical and cultural perspective. In M. S.Stroebe, R. O.Hansson, H.Schut, & W.Stroebe (Eds.), Handbook of bereavement research and practice: Advances in theory and intervention (pp. 223–240). Washington, DC: U.S. Psychological Association.
Doka, K. J., & Martin, T. L. (2010). Grieving beyond gender: Understanding the ways men and women mourn, (2nd Edition). New York: Routledge.
Fernandez-Mehler, P., Gloor, P., Sager, E., Lewis, F.I., & Glaus, T.M. (2013). Veterinarians’ role for pet owners facing pet loss. Veterinary Record, 172, 555.
Field, N. P., Gao, B., & Paderna, L. (2005). Continuing bonds in bereavement: An attachment theory based perspective. Death Studies, 29, 277–299. doi: 10.1080/07481180590923689
Field, N. P., Orsini, L., Gavish, R., & Packman, W. (2009). Role of attachment in response to pet loss. Death Studies, 33(4), 334–355. doi: 10.1080/07481180802705783
Frid, M.H., & Perea, A.T. (2007). Euthanasia & thanatology in small animals. Journal of Veterinary Behavior: Clinical Applications and Research, 2(2), 35–39. doi: 10.1016/j.jveb.2007.02.001
Gosse, G. (1988). Factors associated with the human grief experience as a result of the death of a pet. (Doctoral dissertation). Retrieved from ProQuest Dissertations and Theses database. (AAT No. 8825153).
Habarth, J., Bussolari, C., Gomez, R., Carmack, B. J., Ronen, R., Field, N., & Packman, W. (2017). Continuing bonds and psychosocial functioning in a recently bereaved pet loss sample. Anthrozoös, 30(4), 651–670. doi: 10.1080/08927936.2017.1370242
Hewson, C. (2014). Grief for pets—Part 1: Overview and some false assumptions. Veterinary Nursing Journal, 29(9), p. 302–305. doi: 10.1111/vnj.12175
Hickey, G., & Kipping, C. (1996). Issues in research. A multi-stage approach to the coding of data from open-ended questions. Nurse Researcher, 4, 81–91. doi: 10.7748/nr.4.1.81.s9
Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to content analysis. Qualitative Health Research, 15(9), 1277–1288. doi: 10.1177/1049732305276687
Hunt, M., & Padilla, Y. (2006) Development of the pet bereavement questionnaire. Anthrozoös, 19, 308–324. doi: 10.2752/089279306785415493
Jarolmen, J. (1996). A comparison of the human grief reaction: Focusing on pet loss and bereavement. (Unpublished doctoral dissertation). Rutgers University, New Brunswick, NJ.
Kerlinger, F. (1986). Foundations of behavioral research. Fort Worth, TX: Holt, Rinehart, & Winston, Inc.
Lagoni, L. (2011). Family present euthanasia: Protocols for planning and preparing clients for the death of a pet. In C.Blazina, G.Boyraz, & D.Shen-Miller (Eds.), The psychology of the human-animal bond: A resource for clinicians and researchers (pp. 181–202). New York: Springer.
Li, J., Stroebe, M., Chan, C. L., & Chow, A. Y. (2014). Guilt in bereavement: A review and conceptual framework. Death Studies, 38(1–5), 165–171. doi: 10.1080/07481187.2012.738770
Morris, P. (2012). Managing pet owners’ guilt and grief in veterinary euthanasia encounters. Journal of Contemporary Ethnography, 41(3), 337–365. doi: 10.1177/0891241611435099
McCutcheon, K. A, & Fleming, S. J. (2001). Grief resulting from euthanasia and natural death of companion animals. OMEGA: Journal of Death and Dying, 44, 169–188. doi: 10.2190/5QG0-HVH8-JED0-ML16
Orsini, L. M. (2005). Attachment styles and pet bereavement discussed in the context of attachment theory (Unpublished doctoral dissertation). Pacific Graduate School of Psychology, Palo Alto, CA.
Packman, W., Field, N. P., Carmack, B. J., & Ronen, R. (2011). Continuing bonds and psychosocial adjustment in pet loss. Journal of Loss and Trauma, 16(4), 341–357. doi: 10.1080/15325024.2011.572046
Packman, W., Carmack, B. J., Katz, R., Carlos, F., Field, N. P., & Landers, C., (2014). Online survey as empathic bridging for the disenfranchised grief of pet loss. OMEGA, 69(4), 333–356. doi: 10.2190/OM.69.4.a
Packman, W., Bussolari, C., Katz, R., & Carmack, B.J. (2016). The continuing bonds between men and their dogs. In Kogen, L. & Blazina, C. (Eds.), Men and their dogs: A new psychological understanding of ‘Man’s Best Friend’. Switzerland: Springer.
Planchon, L.A., Templer, D.I., Stokes, S., & Keller, J. (2002). Death of a companion cat or dog and human bereavement: Psychosocial variables. Anthrozoös, 10(1), 93–105.
Potter, W. J., & Levine-Donnerstein, D. (1999). Rethinking validity and reliability in content analysis. Journal of Applied Communication Research, 27, 258–284. doi: 10.1080/00909889909365539
Rando, T. A. (1993). Treatment of complicated mourning. Champaign, IL: Research Press.
Sable, P. (1995). Pets, attachment, and well-being across the life cycle. Social Work, 40, 334–341.
Shuchter, S. R. & Zisook. S. (1993). The course of normal grief. In M. S.Stroebe, W.Stroebe, & R. O.Hansson (Eds.), Handbook of bereavement: Theory, research and intervention (pp. 23–43). New York: Cambridge University Press.
Stallones, L. (1994). Pet loss and mental health. Anthrozoös, 7, 43–54. doi: 10.2752/089279394787002087
Westgarth, C., Boddy, L. M., Stratton, G., German, A. J., Gaskell, R. M., Coyne, K. P., & Dawson, S. (2013). Pet ownership, dog types and attachment to pets in 9–10 year old children in Liverpool, UK. Veterinary Research, 9, 102.
Wong, W. C., Lau, K. C. T., Liu, L. L., Yuen, G. S. N., Wing-Lok, P. (2017). Beyond recovery: Understanding the postbereavement growth from companion animal loss. OMEGA: Journal of Death and Dying, 75(2), 103–123. doi: 10.1177/0030222815612603
