Navigating Ambivalent Loss: Understanding the Complexity of Grief

Loss is an inevitable part of the human experience, yet not all losses are easily categorized or understood. Ambivalent loss, a term coined by therapist Pauline Boss, describes a unique form of grief characterized by conflicting emotions and uncertainty. Unlike traditional losses where there is a clear physical absence, ambivalent loss involves a sense of presence and absence simultaneously, leaving individuals grappling with complex and often conflicting emotions. In this blog post, we'll delve into the nuanced landscape of ambivalent loss, explore its impact on individuals and families, and offer strategies for navigating this intricate terrain.

Defining Ambivalent Loss

Ambivalent loss refers to a type of grief experienced when a loved one is physically present but psychologically or emotionally absent, or when a loved one is physically absent but psychologically or emotionally present. This can manifest in various situations, including:

  1. Caregiving for individuals with dementia or severe mental illness, where the person may be physically present but no longer recognize or engage with their loved ones.

  2. Ambiguous losses resulting from situations such as disappearance, kidnapping, or adoption, where there is uncertainty about the fate or whereabouts of a loved one.

  3. Losses stemming from strained or conflicted relationships, where there is a sense of emotional disconnection or unresolved issues despite physical proximity.

The Complexity of Ambivalent Loss

Ambivalent loss challenges traditional notions of grief and mourning, as individuals may experience conflicting emotions such as love and resentment, hope and despair, or relief and guilt. The absence of closure or resolution exacerbates the ambiguity of the loss, leaving individuals feeling stuck in a state of limbo.

Impact on Individuals and Families

Ambivalent loss can have profound psychological, emotional, and relational consequences for individuals and families:

  1. Emotional Turmoil: Individuals may experience a range of emotions, including sadness, anger, guilt, shame, and longing, as they grapple with the conflicting nature of the loss.

  2. Role Ambiguity: Ambivalent loss can disrupt established roles and identities within families, leading to confusion, conflict, and feelings of isolation.

  3. Ambiguous Grief: The lack of clear boundaries or validation for the grief experienced in ambivalent loss can compound feelings of invalidation and isolation, making it difficult for individuals to find support or closure.

  4. Chronic Stress: The ongoing uncertainty and unpredictability associated with ambivalent loss can contribute to chronic stress and anxiety, affecting individuals' physical and mental well-being over time.

Navigating Ambivalent Loss

While ambivalent loss poses unique challenges, there are strategies individuals can employ to navigate this complex terrain:

  1. Validate Your Feelings: Acknowledge and validate the range of emotions you may be experiencing, recognizing that conflicting emotions are a natural response to ambivalent loss.

  2. Seek Support: Connect with trusted friends, family members, or support groups who can provide empathy, validation, and understanding as you navigate your grief journey.

  3. Establish Boundaries: Set boundaries to protect your emotional well-being and establish a sense of control in situations where ambiguity and uncertainty prevail.

  4. Practice Self-Care: Prioritize self-care practices that nurture your physical, emotional, and mental well-being, including exercise, mindfulness, and creative expression.

  5. Seek Professional Help: Consider seeking guidance from a therapist or counselor trained in grief counseling and trauma-informed care. Therapy can provide a safe and supportive space to explore your feelings, gain insight, and develop coping strategies for navigating ambivalent loss.

Complex landscape of conflicting emotions and uncertainty. By acknowledging the unique nature of ambivalent loss and embracing strategies for coping and resilience, individuals and families can navigate this intricate terrain with grace and compassion. Remember, healing is a journey, and it's okay to seek support and guidance along the way as you navigate the complexities of ambivalent loss and honor the presence and absence of your loved ones in your life.


Julie Kolzet, Ph.D.