Personal Guidebook to Grief Recovery

Back To Life! A Personal Grief Guidebook

Back to Life is a comprehensive, quality bereavement handbook. It consists of 73 pages that explore many aspects of grief in detail. There are 19 chapters or lessons, each addressing a different aspect of grief, a coping skill or a strategy for emotional survival. Here you will learn: Good, solid information on how the grief process really works. Which symptoms of grief are normal, and which are dangerous warning signs. Valuable and practical coping skills to help you get through each day. Secrets to getting a good night's restorative sleep without prescription drugs. How to endure the holidays and thoughtless visitors. How to identify and defuse anger, guilt, and regret. Family changes to look for and how to keep your family intact through this. Just the right activities and comforting rituals to help ease you through your darkest days. Tried and true psychological exercises and strategies to help lessen the raw pain. Satisfying and therapeutic creative expressions of grief. Effective memorializing techniques to honor and remember your lost loved one. How to cling to hope and move surely towards brighter days. Read more...

Back To Life A Personal Grief Guidebook Summary


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Contents: 73 Pages Ebook
Author: Jennie Wright
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My Back To Life A Personal Grief Guidebook Review

Highly Recommended

I started using this book straight away after buying it. This is a guide like no other; it is friendly, direct and full of proven practical tips to develop your skills.

When compared to other ebooks and paper publications I have read, I consider this to be the bible for this topic. Get this and you will never regret the decision.

Grief Relief Audio Program

The Grief Relief Audio Program is a thoughtfully organized grief management program. 7 downloaded audio files unfold a step by step journey through enjoyable and highly effective guided techniques based on sound clinical practices. The user-friendly recordings are easy to download and access. Also included is a written pdf Guide & Instructions, as well as 3 bonuses well worth the cost of the entire program. The Management of Grief Grief Relief Teaches You How To: Put an end to Grief Paralysis Defuse consuming anger or guilt you may feel about your loss. Decrease isolation and find the support you need and deserve. Practice proven techniques that reduce stress and anxiety. Cope and make it through each day intact. Find hope that your dark despair will one day ease up. Reach for joy and happiness despite your loss. How to confront and acknowledge your grief so you pave the way for true healing to begin. An effective technique for admitting guilt and regret, and how to release it. The secret key that leads to understanding so you can get your life back. Read more...

Grief Relief Audio Program Summary

Contents: MP3 Audios, Ebook
Author: Jennie Wright
Official Website:
Price: $27.00

What Is Complicated Grief

Bereavement and grief are universal experiences. Many features of acute grief resemble symptoms of major depression. Consequently, there is a long history of linking grief and depression in psychiatric thinking. Bereavement triggers an episode of major depression in about 20 of individuals who lose a loved one. However, not all grief-related problems meet criteria for major depressive disorder. There is a rich clinical literature describing pathological grief reactions, under various designations, including abnormal grief, unresolved grief, and complicated grief (CG). However, the absence of a reliable method of identifying the condition and or for evaluating its severity has obstructed the development and testing of treatments. This problem was addressed when Prigerson et al. developed a simple 19-item questionnaire that reliably identifies bereaved individuals who have persistent, intense grief and poor long-term outcomes (Prigerson et al., 1995a, 1995b). The condition so described,...

Normal Grief Bereavement

Studies generally concur that uncomplicated grief or bereavement may include any or all of the features of major depression except suicidality, psychosis, severe loss of self-esteem and or functionality, and psychomotor retardation. Appetite and sleep disturbance, multiple somatic complaints, anhedonia, anxiety, mild feelings of self-deprecation, the passive wish to join the loved one, sadness, Although the studies cited earlier did not address the specific circumstances surrounding the onset and course of bereavement, they do suggest that the time course of normal grief in the individual patient is fairly variable and that most patients should be at, or clearly moving toward, baseline status by the end of the first year. But specific circumstances also appear to be important. A study of 217 caregivers of family members with dementia (Schulz et al. 2003) found that 72 of the caregivers reported feeling relief after the death of their loved one. Their scores on the Center for...

Complicated Grief

A syndrome of complicated grief, which occurs in 10 -20 of bereaved individuals, has been differentiated from both normal grief (bereavement) and clinical depression or anxiety. Proposed diagnostic criteria for this syndrome are shown in Table 3-1. Complicated grief symptoms are clearly distinct from normal bereavement-related depressive and anxiety symptoms and may endure for several years in some cases. These symptoms predict substantial morbidity and adverse health behaviors over and above depressive symptoms (e.g., cardiac events, high blood pressure, cancer, ulcerative colitis, suicidality, social dysfunction, anergia, changes in food, alcohol, and tobacco intake, and global dysfunction) and, unlike depressive symptoms, are not effectively reduced by interpersonal psychotherapy and or tricyclic antidepres-sants. These findings revealed a need to identify and treat complicated grief as a psychiatric disorder distinct from major depressive disorder (MDD). (Prigerson and Jacobs...

Responding To The Needs Of Clinicians

Dealt with well by the principal orientation. In the present volume, many of the authors speak to the capacity for integration of their approaches with other treatments. Walser and Hayes state that if research indicates that a client's problems would be better treated by a different approach, that latter treatment should be implemented first or integrated into the course of ACT. DBT and Seeking Safety are designed to be frontline stages of treatment for individuals with PTSD, so as to get the client stabilized prior to introducing exposure treatment. Najavits has explored how to integrate trauma processing therapy with Seeking Safety. Kubany and Ralston introduce a variety of ways to understand and challenge trauma-related guilt. Awareness of the role of guilt, and Kubany and Ralston's interventions, would be combined with other treatments not designed to systematically address guilt. An element that Monson and Friedman touch on is that psychopharmacological treatments can either help...

Synopsis Of The Novel

Besides pining for Lenina, John is grief-stricken to learn his mother is dying, a strange emotion in a world where an individual is insignificant among the masses. At the hospital the soma-drugged Linda cannot communicate, which makes John feel guilty and alone, fearful he is losing his one human connection. The death-conditioned Bokanov-sky Group comes into the room, surprised at such an extreme reaction and horrified at seeing Linda's flaccid and distorted senility. Their modern medicine is able to give even a moribund sexagenarian a girlish appearance. When his mother dies, John's grief is palpable, upsetting the visiting group that associates death with pleasure. In his presence, identically cloned Delta workers obediently receive their daily soma, and John realizes in a flash he must make this slave world free again. He throws their soma out the window, calling it poison to soul as well as body. A fight ensues. Bernard and Helmholtz arrive. Bernard declares John mad while...

Of Familial Breast Cancer Genetic Consultations

This analysis evidenced that the average genetic counselling session was 61 min comparable to that of European clinics (Hopwood et al. 2003a) , that patients spoke on average one-third of the session and consultants demonstrated consistently good practice in providing detailed information on essential aspects related to familial breast cancer. The authors noted that, although the woman's agenda was frequently elicited, other subjects were tackled less frequently, namely the women's decision to discuss the results with other family members or emotional concerns such as those relating to prior experiences of loss and grief. Considering the predominant role played by information processing in cancer genetic counselling, it has to be stressed that passive listening reduces understanding and interactivity should therefore be stimulated. Moreover, training in or self-monitoring of behaviours known to facilitate understanding (checking women's medical knowledge, checking understanding,...

Short Term Effects of Circumscribed Trauma and Resilience

FAP also can help clarify why a single episode of trauma does not escalate into the clinical syndrome of PTSD for most people. We know that there is evidence that PTSD is predicted by the level of severity of the experienced grief and distress around a traumatic event (Bonanno & Field, 2001), and that those individuals who are exposed to trauma and show minimal distress are also unlikely to develop PTSD (Bonanno, 2004). Bonanno (2004) further identifies specific factors that appear to buffer the effects of extreme stress, such as hardiness, self-enhancement, repressive coping, and positive emotion and laughter. All of these factors operate, in part, by reducing initial levels of distress related to the traumatic material, generally through social affiliation. Thus Mower's (1960) two-factor theory is also consistent with current theories of resilience to trauma.

And They All Lived Happily Ever After

All good fairytales end happily ever after, don't they Well, no, not always. Angela Carter reminded us that fairytales, even the ones with happy endings, always betray a hidden darker version of reality (45). Subtexts are nearly always also found that speak of secrets, shame, and lies of villains and weaklings dispatched without justice of hegemonic patriarchal morality banishing precocious attempts at usurpery and perhaps most pertinent to the current arguments, of grief and loss. Models of delivery of chronic pain management will come and go. In the absence of a strong public health argument for coordinated widespread treatment programs for adolescents with chronic pain, treatments will develop in isolated pockets, driven often by individuals, in temporarily supportive environments. What is missing, however, is any widespread change in the overall system to embrace these treatments as a standard or as a requirement. We are too often debating in response to the question should we...

And Significant Others

In a study of 61 family members of people with terminal cancer, Chapman and Pepler (1998) found that those family members who lacked hope were more likely to experience somatic distress, loss of control, and social isolation. Based on their results they suggest that health professionals (they specify nurses in particular) should be more aware of family members' somatic concerns. They further suggest that a way of fostering hope, and ultimately health, is to address expressed feelings of anticipatory grief and facilitate coping. Once the grief responses are dealt with, the level of hope would be expected to increase, providing an incentive for constructive coping with loss.

Systemic Perspective of Family Life

It is generally accepted that a family needs flexibility in managing the demands of a family member having a life-threatening illness. Palliative care practitioners offer a range of supportive care to underpin the family's own coping patterns, but some families may have limited flexibility because of their structure, they may be isolated, living miles from their families of origin (e.g. asylum seekers or refugees) or they may have lost flexibility because they have been caring for a long time. These are families where a family therapy approach may be helpful. Family interventions aimed at helping families are usually brief, focused and, importantly, leave families feeling competent. One example of such an intervention has been recently pioneered in Australia and in the USA Family-focused grief therapy. Family-focused grief therapy is a new model of intervention that has been used successfully with families using palliative care facilities (Kissane and Bloch 2002). This therapy relies...

Integrating Cbt And Ipt In

Because IPT already has a grief focus with goals that are consistent with treating CG, and our group has extensive experience using IPT effectively, we decided to base our targeted CGT in an IPT framework. Goals for treating CG were similar to IPT grief-focus goals, and we included the core three-phase IPT method as an organizing framework. We integrated CBT strategies for treatment of PTSD as well as cognitive strategies for dealing with separation distress into this framework. We found that these additional complicated grief-specific components could be easily blended in an IPT grief-focused treatment that is time-limited and present-oriented. This similarity in therapist behavior supports the feasibility of a merged intervention. We have successfully integrated behavioral and cognitive techniques in two other IPT projects, one targeting bipolar disorder (Frank, Swartz, & Kupfer, 2000) and one that addresses comorbid panic and depression (Cyranowski et al., 2004). Thus, in...

During the Palliative Phase

Is not possible to define the terminal period very clearly. Often, the child with cancer is on a gliding scale with declining chances, by which the pendulum of hope and fear remains present for a long time. In these circumstances an important role is reserved for the physician. Giving open information by telling the child and the parents that the treatment is no longer aimed at curing the disease but at palliation of symptoms will commence the process of grief and mourning. Studies show that children wish to be informed about their illness and plans for treatment (Wolfe et al. 2002). For the parents, the message that the child can no longer cured is a shock. Disbelief and the notion that what was feared is becoming reality often go hand in hand at this stage. Thoughts about how the death of their child might come, about the funeral, but also about what fine moments with the child will be missed, evoke feelings of pain and grief. Sometimes parent do not communicate with each other...

Common Treatment Obstacles And Possible Solutions

Children often present with complex problems, demonstrate a broad constellation of symptoms, and have histories that include multiple traumas. Although the treatment model outlined in this chapter focuses primarily on reducing PTSD symptoms resulting from child sexual abuse, it can be modified to treat PTSD symptoms resulting from other types of traumas, including exposure to domestic violence, physical abuse, traumatic bereavement, and community violence. A critical step in addressing each of these traumas is that of providing education to both children and parents about the identified trauma in terms of its prevalence, characteristics, psychosocial impact, etc. For example, it is important for mothers to be made aware of the dramatic behavioral impact that exposure to domestic violence can have on children, despite the fact that the children may have never been physically harmed by the batterer. Educational information can be shared and explored with children, using...

Consciousness in virtual machines

Sloman see emotion as an ill-defined concept which, in their scheme, becomes separated out as being of at least three types that relate closely to the horizontal layers. These are reactive emotions such as anger, deliberative ones such as frustration, and meta-management disruptions such as grief or jealousy. Another example where modeling is helpful is in vision where there are multiple 'what' and 'where' paths, which are explicit in the CogAff structure clarifying their parallel functions and interactions. Further, localized disruptions due to lesions can be modeled, explaining how some functions are disadvantaged while others are left intact. The model also makes clear how resources that control learning must be distributed. The authors also use the model to approach explanations of perceptual failures such as inattention blindness (we think we see everything, but we only see that to which we attend see O'Regan et al., this volume). Abstract thinking, as when doing mathematics,...

Ensuring Utilization of Services

Identifying the reasons for reluctance to utilize available services requires more investigation, but we do know that many factors may contribute. Lack of help-seeking behavior may sometimes reflect an awareness that some stress symptoms are to be expected, an acceptance of posttrauma distress, and an intention to get on with life nonetheless. Some individuals who endorse high levels of PTSD symptoms may not label themselves as significantly distressed or disabled (Shalev, Tuval, Frenkiel, & Hadar, 2004). other reasons may be more problematic. Families experiencing grief following the Lockerbie bombing reported thinking that they could handle it on their own, with help from family, friends, and their religious faith that accessing mental health counseling would be a sign of weakness or stigma that they could not afford it financially or that they could not admit to hav

Psychotherapy for Geriatric Depression

A variety of psychotherapeutic approaches can be effective with depressed older adults. Factors that are important to consider in selecting an approach include the nature of the problems involved the clinical goals the immediate situation and the individual patient's characteristics, preferences, and place on the continuum of care (American Psychological Association 2004). Older adults frequently face chronic illness and disability, grief for the loss of loved ones or cherished

Stress Management And Psychiatric Interventions

Another 10-week, group-based intervention designed to provide emotional support and coping skills after bereavement was tested in a cohort of 97 HIVpositive asymptomatic MSM dealing with loss. Results of this trial indicated that the bereavement intervention decreased grief and buffered CD4+ decline, and reduced plasma cortisol as well as the number of health care visits over a 6-month period, compared to a no-treatment control condition (Goodkin et al., 1998). In a subset of 36 men, the bereavement intervention also buffered against increases in HIV viral load (Goodkin et al., 2001). Therefore, group-based psychosocial interventions may be adaptable and successful in helping HIV-positive persons deal with different emotional challenges during the early asymptomatic stage of the infection.

Major Depressive Disorder

Similarly, interpersonal therapy (IPT) has demonstrated efficacy in treating major depressive illness in HIV disease (Markowitz et al., 1992, 1995), and IPT may offer advantages to patients who have been recently diagnosed with HIV AIDS or have recently progressed in their disease severity. IPT is notable for its brevity and can successfully focus on the common problems encountered in HIV disease, including grief, changes of life after disease diagnosis, role identity during times of illness progression, interpersonal disputes related to family strife surrounding diagnosis, issues of homosexuality or drug abuse, and support of existing coping strategies.

Sleep Disturbance In

Grief and Bereavement Because HIV infection can affect multiple members of a family, a social network, or even a community, loss and bereavement are not uncommon. Acute grief can lead to insomnia, which may be relieved by short-term use of hypnotics. Lack of social support or pre

Tools For Traumarelated Problems

Those who have been exposed to traumatic events are at risk for developing many kinds of problems, and if cognitive-behavioral methods are to be widely adopted by a broad range of practitioners, they need to assist clinicians in comprehensively addressing the needs of their clients. This book illustrates the fact that those who are developing cognitive-behavioral treatment have been showing increased attention to significant problems trauma survivors face that are beyond the traditionally identified diagnosis of PTSD. In this text, this attention is reflected in the work of Najavits in extending cognitive-behavioral methods to the treatment of substance abuse concurrent with PTSD, Cloitre and Rosenberg in conceptualizing interventions to reduce risk of revictimization among sexual assault survivors, and by Shear and Frank in Chapter Twelve in their work on complicated grief. It is also shown in Chapter Nine, in Bryant's adaptation and extension of the procedures found effective in...

Ipt The Matrix For

Our initial treatment approach was standard IPT, a proven efficacious treatment for depression that includes abnormal grief as a possible problem area. Complicated grief resembles major depression in symptoms of dysphoric affect, guilty ruminations, suicidality, and social withdrawal so it seemed reasonable that IPT would be an efficacious treatment. Surprisingly, though, we found that standard IPT did not appear to sufficiently reduce CG symptoms in many patients. Consistent with this observation, CG appears to be only minimally responsive to antidepressant medication. Lack of efficacy of standard treatments for depression fit with a growing body of data indicating that CG is a separate condition, distinct from major depression (Prentice & Brown, 1989 Prigerson, Frank, et al., 1995). One difference in CG is the presence of symptoms resembling PTSD (Jacobs, Mazure, & Prigerson, 2000). CGT thus includes techniques to target the separation and traumatic distress symptoms related...

Words for Pain

The earliest written literature of Western civilization is either Greek or Hebrew. Rey 1 points out that in the Iliad, Homer' s earliest work, five words or word groups can be distinguished which all have a link with pain. Three groups do not necessarily refer to bodily injury or physical harm but to mourning (Penthos), worry, obsession, grief (Kedos, Algos). According to Rey there is also a whole vocabulary based around another word, Achos, which expresses a sudden and violent emotion and the confusion of feelings which can lead to despondency. observations of how grief may give rise to the experience of pain with faintness and physical change. The passage that took this further than the literal meaning is found in Isaiah 53 4. A man of sorrows acquainted with grief' , where the correct translation should probably be A man of pains acquainted with illness . In modern Hebrew there is a standard word for pain, Ke'ev, and the verb to feel pain forms adjectives and other words related to...

The Hospice

However, there are now good data on the assessment of the needs of children, adolescents, and their families in maximizing the quality of remaining life and managing death, grief, and loss. In particular, data from families at Canuck Place in British Columbia, Canada, found substantial need for a dedicated facility for patients and after provision found that families reported significant support for such a dedicated facility (16,17).

Cassia and Cinnamon

Sadam Hussain may have burned a year's supply of (U.S.) oil during the Gulf War. In his grief over the loss of his wife, fiddling Nero is said to have burned a year's supply of cinnamon. France was receiving cinnamon as early as 761, to be assigned to various monasteries. Ninth century Swiss chefs used cinnamon cloves and pepper to season fish. Cinnamon played a big bad role in Sri Lanka's history. As the most sought after spice in fifteenth and sixteenth century explorations, it, with the black pepper, played a role in the colonization of Ceylon and the discovery of America. Portuguese colonialists forced Ceylonese to pay tribute with cinnamon bark in 1505 when they seized it.


AIDS who is paraplegic due to HIV myelopathy may each be dealing with bereavement in a unique manner. Although far less frequent than before the potent antiretroviral therapies, opportunistic infections such as cytomegalovirus retinitis can lead to loss of vision, HIV-cardiomyopathy to congestive heart failure, and HIV-associated dementia to loss of cognitive function. These occur primarily in persons who lack access to care or are nonadherent to care, and who may also be at increased risk of mood disorders. Loss and grief with mourning and bereavement commonly follow these tragic losses. A study by Kemeny and Dean (1995) investigated the relationship between early AIDS-related bereavement and subsequent changes in CD4 T-cell levels and overall health over 3 to 4 years of follow-up. The results indicated that those subjects who had experienced an AIDS-related bereavement event showed a more rapid loss of CD4 T cells 2 years post-bereavement, possibly suggesting an ongoing effect from...

Family Scripts

When Janet's only daughter died suddenly, the problem for her was that she was plunged into echoes from her past. As the first Christmas after her daughter's death approached, her young son and husband desperately wanted to talk about what they were going to do. Janet was locked in her own grief. The family agreed to meet with a therapist. In the session Janet revealed for the first time that she had had an older sister who had died suddenly when Janet was 8 years old. Janet remembers her family being devastated and she called it growing up in the house of death. Her parents never talked about what had happened but took Janet to her sister's grave each week. Her adolescence was lonely and Janet retreated into her books. After university she never returned home to live but married after gaining her degree. Thereafter she did not visit her sister's grave anymore. Janet's husband and son were determined to talk about things and encouraged her to find together her sisters grave. The...


CGT is an IPT-based psychotherapy that targets the specific occurrence of a dysfunctional primary grief reaction. Underlying the CGT model is the idea that grief itself can go awry, and that this is different from the onset or worsening of a DSM-Iv disorder that might be triggered by the stress of a loss. Grief is a problem primarily because of the strength of the lost attachment relationship and the perceived internal psychological ramifications of its loss. Thus, whereas IPT is a highly effective treatment for mood disorders, its model of grief does not fit our conception of CG, nor does it necessarily describe the process of natural grief as elucidated by empirical data. IPT strategies focus on the hypothesized therapeutic value of cathartic expres To construct CGT, we modified IPT and added CBT-based enhancements. These include (1) revisiting of the time of the death, (2) revisiting activities, people, and objects that the patient is avoiding, (3) directed work with memories, and...

Double Protection

Empathy, but also serve to protect oneself against confrontation with the other person's emotions. This is called the law of double protection. It is essential for the child to believe that his or her parents are strong if they can handle the situation, it constitutes the signal that the threat can be averted and boosts the confidence that the child will survive. All attempts by parents who conceal the true meaning of the situation from the child are attempts neither to burden nor to weaken the child. The parents' avoidance of discussing their worries and grief related to the illness prevents the child from thinking about it, but also protects the parents from being confronted with the child's emotions. Not only do parents achieve self-protection through the other person, the child achieves it as well. Not asking questions which might worry the parents, hiding grief, and being brave are attempts of preventing the parents from becoming distressed, and themselves from becoming...

Empirical Research

Trauma is still very much in its infancy. To date, there are only a handful of studies examining the treatment efficacy of treating a range of childhood traumas, such as exposure to community violence, witnessing domestic violence, physical abuse, and traumatic grief. One study, conducted by March, Amaya-Jackson, Murray, and Schulte (1998), found that an intervention based on cognitive-behavioral therapy (CBT) significantly reduced PTSD symptoms in a small group of children exposed to community violence. In a review of treatment for childhood trauma, Cohen, Berliner, and Mannarino (2000a) reported that the available literature addressing domestic violence focused almost exclusively on the battered women or the offenders. Clinical descriptions and reports addressing children's reactions and possible treatment goals are available, but no empirical treatment outcome investigations have been published. A recent pilot study documents the successful use of CBT-based interventions for...

Clinical features

Cataplexy has been considered pathognomonic of narcolepsy despite the fact that it can be seen, exceptionally, as an independent problem. Its isolated presence may lead to question whether daytime sleepiness also occurs. Its presence does not distinguish between primary and secondary narcolepsy. As already mentioned by Daniels 42 , it consists of a sudden drop of muscle tone triggered by emotional factors, most often by positive emotions, more particularly laughter, and less commonly by negative emotions such as anger. In a review of 200 narcoleptics with cataplexy, all reported that laughter related to something that the person found hilarious, triggered an event surprise with an emotional component was the second most common trigger. Cataplexy occurs more frequently when trying to avoid taking a nap and feeling sleepy, when emotionally drained or with chronic stress. Elderly subjects with very rare incidence of cataplexy may see a great increase in frequency during a period of grief...


Freud and Abraham's original contributions on the dynamics of grief and depression shed some light on the meaningfulness of suicide. They observed that depression often follows either real or imagined loss. Ambivalent anger toward the lost loved one can be turned against the self in an act of aggression. Suicide can be understood as a cathartic expression ofrage and sadness that symbolically attempts to recapture what has been lost (Abraham, 1911, 1924 Freud, 1917).

What Is Cg Treatment

CGT treatment (CGT) is a 16-session psychotherapy model that is delivered in three phases consisting of a beginning, middle, and termination see Figure 12.1). In the beginning phase the therapist provides an introduction to the treatment model, in which grief is understood to be a natural inborn, biopsychosocial pathway to adjustment to a painful loss. Characteristic features of grief are reflections of separation distress and traumatic distress, manifested in various ways that can be influenced by cultural practice. The trajectory of natural grief is to move from an engrossing primary state in which grief exerts a psychological and emotional preeminence to an integrat- TABLE 12.1. Items Rated on the Inventory of Complicated Grief Introduction and rapport building History of relationship, loss, and grief Introduction to the treatment model and procedures Introduction to personal goals work LOSS FOCUS Grief monitoring Imaginal revisiting Cognitive work Situational revisiting Memories...

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