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Eighteen months after her husband died, a 58-year-old woman is brought to the general practice by her daughter. She thinks about him for most of each day and aches to have him back, keeps his clothes in the wardrobe and his voice on her phone, and will not drive past the hospital where he died. She says she does not know who she is without him. She has stopped seeing friends and has not returned to work. Her appetite is unchanged, she does not feel worthless or guilty, and she has no thoughts of harming herself. Which one of the following best accounts for her presentation?
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