A Continuum of Grief

Synopsis based on Kenneth Doka and Terry Martin’s book, Grieving Beyond Gender


Categorizing, labeling or classifying grief is not recommended or appropriate. There are so many different grief responses that can and should be considered ‘normal’. No two people will have the exact same feelings and experiences after a death, not even those from the same family, region, religion, or culture.

However, there is merit in examining how those with similar traits typically view and interact with their grief experience, as long as we do it with a grain of salt.

Take gender, for instance. We don’t always think of gender as complicated because we sometimes confuse it with ‘sex’, which refers to our biological makeup and determines what box we check at the DMV.  Gender is not actually a matter of fact, as psychologist Dr. Stephanie Shields of Pennsylvania State University notes, “…gender is something that one practices (in nearly every sense of the word), rather than only what one inflexibly is.” Societies, cultures, and even families have differing views on what it means to be male or female and it is rare that real-life individuals ever fit perfectly into these molds.

In talking about grief and gender, our goal is to simply point out where similarities and differences might lie. In conceptualizing grief and gender, we want always to remember these things exist on a continuum. Keep in mind we’re not just stating facts about women and men’ grief. There is no way we can tell you how your brother or mother or best friend will respond to grief solely based on gender.

Although men are often thought of as “less emotional,” it’s important to quickly discredit the notion that men don’t feel the same intense grief emotions as women. Prominent grief researchers and psychiatrists, Kenneth Doka and Terry Martin, have already served up a heaping bowlful of food for thought on this topic in their book Grieving Beyond Gender.  In this book, they outline different grieving styles which they associate with being characteristically “masculine” or “feminine”, although they note that these styles exist on a continuum and that gender is merely a contributing factor.

In general, our Western culture has come to expect people to grieve in an emotional way, which is characteristically more female. It is easy to put things like tears and sadness into the context of grief. When we see people being emotional, we say, “Ah yes, this person is grieving appropriately”. Doka and Martin associate this type of grieving with the Intuitive grieving style.  

Intuitive Grief is experienced mainly in terms of feelings and emotions – “I feel sad” or “I feel angry” – and the grief response is usually focused on exploring and expressing these emotions – “I cried all night” or “I got so mad I couldn’t think.” Intuitive grievers are more likely to seek community support and may be more interested in participating in a support group. Coping with loss includes sharing their feelings with others.

Intuitive Grief

  • Grief is experienced as waves of emotion

  • Grief expression mirrors inner feelings and emotions

  • More feeling than thinking

  • Focused on exploring and expressing feelings and processing emotions

  • More “feminine” way of grieving

However, not everyone likes to get up close and personal with their feelings. So although people may experience the same type of emotions, some people might feel and express them differently. Doka and Martin associate this type of grieving with the Instrumental grieving style. 

Instrumental Grief is experienced in more cognitive and physical ways – “I can’t stop thinking about what happened” or “I feel like I can’t breathe.” The instrumental grief response is expressed in physical, cognitive or behavioral ways and looks more like ‘doing’ or ‘taking action’. Instrumental grievers may take a more problem-solving approach and are more likely to direct their energy into activities. Perceiving loss more as a challenge to overcome rather than a threat, anger may be the emotion they most readily express.

Instrumental Grief

  • Grief is experienced in more physical or cognitive ways

  • Grief is expressed in more physical, cognitive or behavioral ways

  • More thinking than feeling

  • Focused on doing and actively responding to grief

  • More "masculine” way of grieving

Although Instrumental grievers might not see a direct correlation between their feelings and their response, if asked what they “did” in response to their loss as opposed to what they “felt,” they might say things like they spoke about the person a lot, created a lasting memorial, immediately found ways to further their loved one’s legacy, or got involved in charity or activism in their loved one’s memory.  This type of grief expression can be a bit more difficult for outsiders to discern. Others might worry the person isn’t dealing with their emotions when in reality they are just dealing with them differently.

Doka and Martin are in no way saying this is how women grieve and this is how men grieve.  

Remember that continuum we mentioned?  Well, these theorists say that most of us fall somewhere along the continuum between Intuitive and Instrumental grief and have what they call a blended experience.  People who fall on this Blended Grief continuum borrow coping tools from both ends of the spectrum. However, one style of grief is usually more dominant than the other.

When it comes to gender, there are a lot of societal, cultural, and personal expectations telling us how we should feel and react; men should be strong and stoic and women should be emotional and sensitive.  These assumptions are really unhelpful because a lot of the time they don’t fit, yet we might feel ashamed, guilty, or weak for not feeling or acting our part, according to the expectations of the culture.

According to Martin and Doka, Dissonant Grief emerges when the way someone’s grief is naturally experienced and expressed clashes with what they think is expected and acceptable. Confusion, shame, and repression can emerge when someone who is typically “strong” or unemotional becomes overwhelmed by emotion, or someone who expects to be flooded with feelings finds that the feelings aren’t present.

Understanding our personal inclination toward Intuitive or Instrumental grief can help us live authentically on the Blended Grief continuum.

Martin and Doka represent just one perspective on how gender-related characteristics can impact grief, but their theory encourages us to consider the ways in which gender can influence grief while being mindful that there is immense variability in what gender actually means on an individual level.

It is important as people who are grieving or as friends, family and support workers, to be open to a range of grief responses, regardless of culture’s expectations.