Definite and ambiguous losses in war: why does the difference between them matter?

Defined and Ambiguous Loss in War: Why the Difference Matters

Not all losses have a clear shape or an ending.

And that's often exactly what makes them harder to live with.

War takes a great deal, but not all of it can be seen. Understanding the difference between types of loss helps us be kinder to ourselves and to others.

Loss isn't always about death.

Loss is any situation where we're forced to say goodbye to something valuable and dear to us: a person, a role, a familiar life, a sense of safety, a future we had planned.

During war, losses are massive in scale and varied in kind. And society doesn't recognize all of them equally.

Defined loss is "traditional loss" — the kind society recognizes and that has clear boundaries.

  • The death of a loved one;
  • Loss of health, or being wounded;
  • A home that has been destroyed, or one left behind in occupied territory;
  • A forced move into the unknown.

These are losses that have a name, a shape, and evidence — something that can be confirmed by a document or seen with your own eyes. There are rituals of farewell, there are words of condolence, there's a shared understanding that you're going through something very hard right now. You are not alone in your grief.

Ambiguous loss is loss without a clear boundary.

Unlike defined loss, it comes with no confirmation and no point of closure. The person is left in a state of not knowing — and it's precisely that uncertainty that makes grieving especially difficult.

There are two types of ambiguous loss:

  1. The person is physically absent, but their fate is unknown — those who are missing or held captive.
  2. The person is physically present, but psychologically unreachable — due to trauma, illness, addiction, depression, TBI, PTSD, or other effects of what they've been through.

Why is ambiguous loss so difficult for the psyche?

Because there is no point of closure:

  • No confirmation;
  • No rituals of farewell;
  • No permission to grieve.

The person remains suspended between hope and despair — sometimes for years. This is known as "frozen grief": the grieving process cannot be completed, because the situation offers no definitive answer.

Ambiguous loss during war can take many forms:

  • Waiting for news about someone whose fate is unknown;
  • The return of a partner who has changed so much that the relationship needs to be rebuilt;
  • Separation from children or loved ones due to evacuation or displacement;
  • Shifting family roles because of one partner's extended service;
  • The loss of one's familiar sense of self, among those who have returned from war.

The "inconvenience" of ambiguous loss:

Support for, and reactions to, ambiguous loss have no social script. Society doesn't know how to respond to it — and often doesn't respond at all, or unconsciously dismisses it.

The person is experiencing real grief, but doesn't receive recognition that it is grief. And without that recognition, additional pressure builds: the feeling that your pain isn't "justified enough" to be worth fully processing.

In situations of ambiguous loss, the mind often tries to find a clear answer or a sense of closure. But it's precisely the uncertainty that makes this impossible.

That's why the important step isn't searching for a final answer, but recognizing the experience of loss itself. It's about being able to name your own state, acknowledge conflicting feelings, and gradually learn to live alongside an uncertainty that may last a long time.

What can help in working through ambiguous loss:

  • Recognize that the loss is real — even without official confirmation;
  • Allow yourself to feel ambivalence — hope and pain can exist at the same time;
  • Don't wait for the "right moment" to reach out for support;
  • Lean on a community of people with similar experiences — this can reduce the sense of isolation and make it easier to talk about the pain without fearing you'll be seen as unpleasant or upsetting to be around.

War carries many kinds of loss — both defined and ambiguous.

Both experiences can be deeply painful and require attention and support.

Understanding the nature of loss helps us better explain our own reactions, and reduces the sense of helplessness, guilt, and shame tied to being unable to change the situation.

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FAQ

What is the Care Service of the 12th Azov Brigade?

AZOV.Care is a non-governmental organization and part of the Medical Service of the 12th Special Forces Brigade Azov of the National Guard of Ukraine. Its primary function is to provide continuous support and comprehensive care for the brigade’s service members following injury or release from captivity, with an emphasis on long-term recovery, preserving functionality, and returning to active life.

Azov became the first brigade to implement the necessary changes to its organizational structure. It was a matter of principle to logically position the Care Service within the brigade’s organizational framework, which is why it became part of Azov’s Medical Service. This allows us to ensure continuity of care throughout every stage of a service member’s treatment, rehabilitation, recovery, and reintegration. This approach creates a unified care system focused not only on treating trauma, but also on preserving human potential, professional expertise, and service members’ roles in society.

Is AZOV.Care the patronage service of the Azov Brigade?

Unlike patronage services, the 12th Azov Brigade’s Care Service covers a much broader range of support for Azov fighters who have sustained injuries or been released from captivity. Our fighters do not require "patronage"; instead, they need to learn to live independently with their new experiences. The Care Service’s mission is to help fighters focus on their recovery while the AZOV.Care team addresses other challenges and provides support.
For this reason, the unit is more accurately described as a care service rather than a patronage service.

What does AZOV.Care do?

The primary mission of the Care Service is to provide continuous support and comprehensive care for brigade service members who have sustained injuries or been released from captivity. AZOV.Care coordinates treatment and rehabilitation, supports service members’ physical and mental health, provides medical assistance to fighters released from captivity, and helps the brigade’s veterans with readaptation, resocialization, and professional reintegration.

AZOV.Care is a unique system that provides a complete cycle of care for service members — from the moment of injury or release from captivity through functional recovery, return to active life, and reintegration into society. The service brings together medical, psychological, social, and reintegration support within a single care system aimed not only at treating the consequences of trauma, but also at preserving long-term human potential, professional experience, and quality of life.

At the heart of AZOV.Care’s approach is the understanding that fighters with injuries, as well as those released from captivity, need more than fragmented assistance. They require continuous, comprehensive recovery, in which every stage — treatment, rehabilitation, psychological support, training, and adaptation — is part of a unified process focused on restoring functionality and enabling full participation in society.

When and why was AZOV.Care created?

The AZOV.Care service was established in September 2024 in response to a challenge faced by every military during an ongoing war: how to preserve its most valuable asset — its people.

The key catalyst for the establishment of the Care Service was the Resolution of the Cabinet of Ministers of Ukraine No. 948, "On Certain Matters Relevant to the Introduction of Care Services for Military Personnel, Civil Protection Service Personnel and Officials, Police Officers, and Their Families," adopted on August 20, 2024.

AZOV.Care became the first — and one of the most comprehensive — services of its kind within the National Guard of Ukraine.

Its work began by supporting Azov service members released from Russian captivity on August 24, 2024. Since then, we have continuously expanded the care system, broadened our areas of support, and developed a network of partners to provide service members with assistance at every recovery stage — from treatment and rehabilitation to their return to active life.

Several months after the service was established, the AZOV.Care non-governmental organization was founded to develop partnerships and exploit additional opportunities for the long-term support of service members and former prisoners of war.

We firmly believe that people are not a resource, but the nation's most valuable asset. Supporting service members' recovery is not only about caring for individuals — it is about preserving the strength of the unit, strengthening society's resilience, and securing Ukraine's future.

Who can contact the Care Service of the 12th Azov Brigade?

1. Service members of the 12th Azov Brigade who have sustained injuries or been released from captivity.
Brigade service members can rely on support throughout every stage of treatment, rehabilitation, and recovery. The Care Service helps coordinate medical treatment, rehabilitation, prosthetic care, psychological support, education, and career guidance. We are committed to making the recovery process as effective, systematic, and humane as possible.

2. Active-duty service members of the 12th Azov Brigade.
Active-duty service members can contact the Care Service for support with treatment for physical illnesses, psychological and psychiatric care, rehabilitation, education, leisure activities, and professional development. We strive to ensure our service members have access to high-quality care and support throughout both active service and recovery.

3. Veterans of the 12th Azov Brigade.
We work with educational programs and partner organizations to support our veterans as they transition to civilian life. We provide educational opportunities, retraining, employment assistance, psychological support, and adaptive sports programs. We also place a strong emphasis on veterans' social integration and active participation in civilian society.

4. Families of service members of the 12th Azov Brigade.
Spouses, children, and parents of service members may apply for psychological support, learning assistance, and participation in support groups. We understand how difficult it is to wait for a loved one while coping with the challenges of wartime, and we strive to make that journey less lonely and more supportive.

Comprehensive support for service members of the 12th Azov Brigade throughout their journey from injury or release from captivity to their return to active life.