The DNA Model of grief by Verthriest & Maes in 2017, a Dutch-language framework almost unknown in English, denies grief an endpoint as a stated first principle: mourning has a beginning but no end for as long as the bereaved person lives. This article provides the first sustained English-language exposition of the model. It first distinguishes bereavement after a death from ongoing loss before death—progressive illness, dementia caregiving, lifelong disability—and defends extending the model, stated for the bereaved, to loss that is still occurring. It expounds the model’s three simultaneously active dimensions (connection, loss, and life continues) and its four guiding principles, and specifies precisely what kind of endpoint is denied: a normative terminal state of completed grief, as distinct from the reduction of acute grief and the recovery of functioning, which the model does not dispute. Because a non-resolution account risks legitimizing permanent suffering, the article derives from the model’s own structure a distinction between healthy endpoint-less grief and pathological grief, locating the boundary in dimensional configuration rather than duration and relating it to prolonged grief disorder. Implications for chaplaincy assessment, documentation, and pastoral posture follow. Claims about the English-language literature are limited to the frameworks examined, and the model’s single-source, non-validated basis is stated without mitigation.
Cite this paper
Mussche, T. (2026). The DNA Model of Grief: An English-Language Exposition of a Non-Teleological Framework for Ongoing Loss. Open Access Library Journal, 13, e15782. doi: http://dx.doi.org/10.4236/oalib.1115782.
Mussche, T. (2026) The GRIEF Model: A Recognition-Based Framework for Spiritual Assessment in Contexts of Ongoing Loss. <i>Open Access Library Journal</i>, 13, e15502. <br>https://doi.org/10.4236/oalib.1115502
Charmaz, K. (1983) Loss of Self: A Fundamental Form of Suffering in the Chronically Ill. <i>Sociology of Health & Illness</i>, 5, 168-195. <br>https://doi.org/10.1111/1467-9566.ep10491512
Bury, M. (1982) Chronic Illness as Biographical Disruption. <i>Sociology of Health & Illness</i>, 4, 167-182. <br>https://doi.org/10.1111/1467-9566.ep11339939
Mishel, M.H. (1990) Reconceptualization of the Uncertainty in Illness Theory. <i>Image</i>: <i>T</i><i>he Journal of Nursing Scholarship</i>, 22, 256-262. <br>https://doi.org/10.1111/j.1547-5069.1990.tb00225.x
Boss, P. (2016) The Context and Process of Theory Development: The Story of Ambiguous Loss. <i>Journal of Family Theory & Review</i>, 8, 269-286. <br>https://doi.org/10.1111/jftr.12152
Eakes, G.G., Burke, M.L. and Hainsworth, M.A. (1998) Middle‐Range Theory of Chronic Sorrow. <i>Image</i>: <i>T</i><i>he Journal of Nursing Scholarship</i>, 30, 179-184. <br>https://doi.org/10.1111/j.1547-5069.1998.tb01276.x
Olshansky, S. (1962) Chronic Sorrow: A Response to Having a Mentally Defective Child. <i>Social Casework</i>, 43, 190-193. <br>https://doi.org/10.1177/104438946204300404
Freud, S. (1957) Mourning and Melancholia. In: Strachey, J., Ed., <i>The Standard Edition of the Complete Psychological Works of Sigmund Freud</i>, Vol. 14, Hogarth Press, 237-258. (Original Work Published 1917)
Worden, J.W. (2018) Grief Counseling and Grief Therapy: A Handbook for the Mental Health Practitioner. 5th Edition, Springer. <br>https://doi.org/10.1891/9780826134752
Root, B.L. and Exline, J.J. (2013) The Role of Continuing Bonds in Coping with Grief: Overview and Future Directions. <i>Death Studies</i>, 38, 1-8. <br>https://doi.org/10.1080/07481187.2012.712608
Neimeyer, R.A. (2019) Meaning Reconstruction in Bereavement: Development of a Research Program. <i>Death Studies</i>, 43, 79-91. <br>https://doi.org/10.1080/07481187.2018.1456620
Park, C.L. (2010) Making Sense of the Meaning Literature: An Integrative Review of Meaning Making and Its Effects on Adjustment to Stressful Life Events. <i>Psychological Bulletin</i>, 136, 257-301. <br>https://doi.org/10.1037/a0018301
Stroebe, M. and Schut, H. (1999) The Dual Process Model of Coping with Bereavement: Rationale and Description. <i>Death Studies</i>, 23, 197-224. <br>https://doi.org/10.1080/074811899201046
Stroebe, M. and Schut, H. (2010) The Dual Process Model of Coping with Bereavement: A Decade on. <i>OMEGA</i>: <i>Journal of Death and Dying</i>, 61, 273-289. <br>https://doi.org/10.2190/om.61.4.b
Gillies, J. and Neimeyer, R.A. (2006) Loss, Grief, and the Search for Significance: Toward a Model of Meaning Reconstruction in Bereavement. <i>Journal of Constructivist Psychology</i>, 19, 31-65. <br>https://doi.org/10.1080/10720530500311182
American Psychiatric Association (2022) Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR).<br>https://doi.org/10.1176/appi.books.9780890425787
Prigerson, H.G., Boelen, P.A., Xu, J., Smith, K.V. and Maciejewski, P.K. (2021) Validation of the New DSM‐5‐TR Criteria for Prolonged Grief Disorder and the PG‐13‐Revised (PG‐13‐R) Scale. <i>World Psychiatry</i>, 20, 96-106. <br>https://doi.org/10.1002/wps.20823
Mussche, T. (2026) Liminal Competence: An Original Construct for Sustainable Threshold-Dwelling in Ongoing Loss. <i>Open Access Library Journal</i>, 13, e15552. <br>https://doi.org/10.4236/oalib.1115552