Ambiguous Loss: What Is It?

By Anne Decore, lmft

All of us have or will face situations of ambiguous loss.

“Rarely is there absolute presence - or absence - in any human relationship” writes Pauline Boss, the leading expert on ambiguous loss, in her book “Loss, Trauma, and Resilience: Therapeutic Work with Ambiguous Loss”.

Ambiguous loss is felt when physical presence and psychological presence don’t align.

The first type of ambiguous loss speaks to situations where a loved one is physically missing but kept psychologically present. War, terrorism, and natural disasters are catastrophic examples of this type of ambiguous loss. A child’s experience of a parent who leaves or is absent due to divorce, work relocation, family members emigrating, and incarceration are also examples of this kind of loss.

The second type of ambiguous loss is often described with the simplified language of “there but not there”. Dementia, Alzheimer’s, brain injury, addiction, depression: these are quite recognizable examples of a person being present but not psychologically available.

Psychologists now understand that the experience of this type of ambiguous loss emerges from common circumstances too (and feels no less profound):

a partner or parent always on their phone; a partner/parent relentlessly preoccupied with work; stepparent-child relationships; interactions with an ex-spouse because of co-parenting; lack of acceptance of one’s identity by family or community are just some examples.

In this type of loss, emotional processes freeze. Roles and statuses become confusing. People don’t know how to act.

All of us have or will face situations of ambiguous loss. It’s important to apply language to the process in order to make the invisible visible. I hope that by sharing this concept and the language of “ambiguous loss” it can become the first step to feeling seen, connecting with others, finding support, and growing resilience.

Reference: Boss, Pauline. Loss Trauma and Resilience. WW Norton & Company, 2006