Kathy's grief appears to be profound and the expression of it, can of course be a relief in itself. Since Kathy wishes her last response to her brother had been different. (as do many people who lose loved ones) did you explore this area? Did she at anypoint "rewrite" this part of history. Although the feelings she had as a child were perfectly normal, do you believe letting oneself "Say" the things they wish they had said instead provides a cleansing or type of relief? Was Kathy's inability to let others close to her or to attach a result of burying her feelings, fear of hurting others, belief that she was unworthy of a closeness??? Many things seem to be coming together at this point. Did they happen very quickly? Did you ever come to a point where you felt it might be best to "slow down" a bit, either because of the emotional content or to give Kathy more time to reflect and process the overwhelming material that begin to connect? When you look at the stages of grief...phase one being numbness, phase two yearning for the lost one including denial and anger, phase three disorganization and despair, and phase four that of reorganized behavior (beginning to pull life back together) did you see Kathy go through these stages during the grief work in therapy? Although each stage is not distinct, I am curious about which elements were present and obvious to you. Do you believe the "process" of grief is the same even given that it is delayed by many years? I would assume it is much more complicated.