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Are the five stages of grief real? What the research actually says

Are the five stages of grief real?

The five stages of grief (denial, anger, bargaining, depression, acceptance) are not supported by research as a sequence people must pass through. They began as observations of terminally ill patients facing their own death, not of bereaved people, and studies since have found grief rarely follows ordered stages.

Elisabeth Kübler-Ross introduced the stages in her 1969 book On Death and Dying, based on interviews with dying patients. The model was later applied to bereavement, then to breakups, job loss, and nearly everything else, hardening along the way into something Kübler-Ross herself pushed back on late in her life: the idea that grief is a staircase with five steps in a fixed order.

What happens when scientists test the stage model?

The best-known empirical test, a 2007 study by Maciejewski and colleagues published in JAMA, followed 233 bereaved people for two years. Yearning, not depression or anger, was the dominant negative feeling at every point, and acceptance was present from very early on, rising steadily rather than arriving at the end. Grief looked less like a staircase and more like weather: systems moving through, overlapping, returning.

Later work by George Bonanno and others found something the stage model has no room for at all: a large group of bereaved people, often the largest group, who remain fundamentally resilient throughout, feeling deep sadness without ever being incapacitated by it. Under a stage model these people look like they are "in denial." Under the evidence, they are simply one of several common trajectories.

Why the stage idea can quietly do harm

A model this famous shapes expectations. People measure themselves against it and conclude they are grieving wrongly: they never got angry, so something must be suppressed; they felt okay by month four, so they must not have really loved the person; they still ache at year two, so they are stuck. None of those conclusions follow. Grief research consistently finds variation, oscillation, and individuality, not a syllabus.

What grief tends to look like instead

One of the better-supported frameworks is the Dual Process Model (Stroebe and Schut, 1999): healthy grieving oscillates between confronting the loss and taking restorative breaks from it, rebuilding daily life. The movement between the two is not avoidance or regression. It is the mechanism itself. If your grief swings between unbearable and strangely ordinary, sometimes within one afternoon, that is not a malfunction, and it is not a stage.

References: Kübler-Ross (1969) On Death and Dying. Maciejewski et al. (2007) JAMA 297(7). Bonanno (2009) The Other Side of Sadness. Stroebe & Schut (1999) Death Studies 23(3).

Common questions

Do the five stages of grief happen in order?

No. Research does not support a fixed sequence. Most bereaved people move back and forth between many states, and some never experience certain stages at all. Grieving out of order, or out of the stages entirely, is normal.

Is it bad if I skipped a stage, like anger?

No. The stages were never a checklist. Studies of bereaved people find enormous variation, and skipping a supposed stage says nothing about how much you loved the person or how well you are coping.

This article is general information about grief, not medical or psychological advice for your situation. If grief is making daily life hard to manage, a doctor or grief-trained therapist is the right next step.

Still Here is an AI. Research-informed, but not a therapist or a substitute for one.