ally preserved, whereas in MDE feelings of wort hlessness and self-loathing are common. If self-
derogatory ideation is present in grief, it ty pically involves perceived failings vis-à-vis the
deceased (e.g., not visiting frequently enough, no t telling the deceased how much he or she was
loved). If a bereaved individual thinks abou t death and dying, such thoughts are generally
focused on the deceased and possibly about “joining” the de ceased, whereas in MDE such