Elisabeth Kübler-Ross published On Death and Dying in 1969. In it, she described five emotional stages she observed in terminally ill patients processing their own impending deaths: denial, anger, bargaining, depression, and acceptance.
Within a decade, these five stages had been repackaged as a universal model for grief. Not just for the dying, but for anyone who had lost someone. By the 1980s, they were being taught in schools, cited in self-help books, and used by therapists as a framework for understanding bereavement.
There is one problem: Kübler-Ross never intended them to be used this way. In her 2004 book On Grief and Grieving, co-written with David Kessler, she explicitly stated that the stages were not meant to be a linear progression, that not everyone experiences all five, and that they can occur in any order, repeat, or not occur at all.
"They were never meant to help tuck messy emotions into neat packages," she wrote. "They are responses to loss that many people have, but there is not a typical response to loss, as there is no typical loss."
The model she created has outlived her clarifications. And the damage it does is real.
