No Longer on Speaking Terms: The Losses Associated with Family Estrangement at the End of Life

Family estrangement is the physical distancing and loss of affection between family members, often due to intense conflict or ongoing disagreement. While the concept is rarely referred to in the research literature, it is not an uncommon issue raised in clinical practice. This article provides a brief overview of the literature pertaining to later-life intergenerational family estrangement, primarily between adult children and their parents. It then examines later-life family estrangement in relation to Boss's (2006) concept of ambiguous loss and Doka's (1989) ideas about disenfranchised grief. Finally, the article comments on the practice implications when working with elders experiencing family estrangement toward the end of life.