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Published in: Journal of Contemporary Psychotherapy 2/2010

01-06-2010

Grief Therapy and the Reconstruction of Meaning: From Principles to Practice

Authors: Robert A. Neimeyer, Laurie A. Burke, Michael M. Mackay, Jessica G. van Dyke Stringer

Published in: Journal of Contemporary Psychotherapy | Issue 2/2010

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Abstract

Viewed from a constructivist perspective, grieving is a process of reconstructing a world of meaning that has been challenged by loss. Although most people successfully navigate bereavement and retain or return to pre-loss levels of functioning, a significant proportion struggle with protracted grief, and are unable to find meaning in the wake of an unsought transition. For these individuals, constructivist therapists have a number of strategies at their disposal that foster meaning making and help clients reestablish a coherent self-narrative that integrates the loss, while also permitting their life story to move forward along new lines. After reviewing theory and evidence that scaffolds this constructivist conceptualization, this article draws on excerpts of therapy with two bereaved clients to illustrate how narrative retelling, therapeutic writing, a focus on metaphorical language, and the use of visualization can all be viable strategies in helping individuals reconstruct meaning in the wake of bereavement.
Literature
go back to reference Bonanno, G. A., & Kaltman, S. (2001). The varieties of grief experience. Clinical Psychology Review, 21, 705–734.CrossRefPubMed Bonanno, G. A., & Kaltman, S. (2001). The varieties of grief experience. Clinical Psychology Review, 21, 705–734.CrossRefPubMed
go back to reference Bonanno, G. A., Wortman, C. B., & Nesse, R. M. (2004). Prospective patterns of resilience and maladjustment during widowhood. Psychology and Aging, 19, 260–271.CrossRefPubMed Bonanno, G. A., Wortman, C. B., & Nesse, R. M. (2004). Prospective patterns of resilience and maladjustment during widowhood. Psychology and Aging, 19, 260–271.CrossRefPubMed
go back to reference Bower, J. E., Kemeny, M. E., Taylor, S. E., & Fahey, J. L. (2003). Finding positive meaning and its association with natural killer cell cytotoxicity among participants in a bereavement-related disclosure intervention. Annals of Behavioral Medicine, 25, 146–155.CrossRefPubMed Bower, J. E., Kemeny, M. E., Taylor, S. E., & Fahey, J. L. (2003). Finding positive meaning and its association with natural killer cell cytotoxicity among participants in a bereavement-related disclosure intervention. Annals of Behavioral Medicine, 25, 146–155.CrossRefPubMed
go back to reference Calhoun, L., & Tedeschi, R. G. (Eds.). (2006). Handbook of posttraumatic growth. Mahwah, NJ: Lawrence Erlbaum. Calhoun, L., & Tedeschi, R. G. (Eds.). (2006). Handbook of posttraumatic growth. Mahwah, NJ: Lawrence Erlbaum.
go back to reference Currier, J., Holland, J., & Neimeyer, R. (2006). Sense-making, grief, and the experience of violent loss: Toward a mediational model. Death Studies, 30, 403–428.CrossRefPubMed Currier, J., Holland, J., & Neimeyer, R. (2006). Sense-making, grief, and the experience of violent loss: Toward a mediational model. Death Studies, 30, 403–428.CrossRefPubMed
go back to reference Currier, J., & Neimeyer, R. A. (2006). Fragmented stories: The narrative integration of violent loss. In E. K. Rynearson (Ed.), (2007) Violent death (pp. 85–100). New York: Routledge. Currier, J., & Neimeyer, R. A. (2006). Fragmented stories: The narrative integration of violent loss. In E. K. Rynearson (Ed.), (2007) Violent death (pp. 85–100). New York: Routledge.
go back to reference Currier, J. M., Neimeyer, R. A., & Berman, J. S. (2008). The effectiveness of psychotherapeutic interventions for the bereaved: A comprehensive quantitative review. Psychological Bulletin, 134, 648–661.CrossRefPubMed Currier, J. M., Neimeyer, R. A., & Berman, J. S. (2008). The effectiveness of psychotherapeutic interventions for the bereaved: A comprehensive quantitative review. Psychological Bulletin, 134, 648–661.CrossRefPubMed
go back to reference Davis, C. G., Wohl, M., & Verberg, N. (2007). Profiles of posttraumatic growth following an unjust loss. Death Studies, 31, 693–712.CrossRefPubMed Davis, C. G., Wohl, M., & Verberg, N. (2007). Profiles of posttraumatic growth following an unjust loss. Death Studies, 31, 693–712.CrossRefPubMed
go back to reference Ecker, B., & Hulley, L. (1996). Depth-oriented brief therapy. San Francisco: Jossey Bass. Ecker, B., & Hulley, L. (1996). Depth-oriented brief therapy. San Francisco: Jossey Bass.
go back to reference Ecker, B., & Hulley, L. (2008). Coherence therapy. In J. D. Raskin & S. K. Bridges (Eds.), Studies in meaning, vol. 3 (pp. 57–84). New York: Pace University Press. Ecker, B., & Hulley, L. (2008). Coherence therapy. In J. D. Raskin & S. K. Bridges (Eds.), Studies in meaning, vol. 3 (pp. 57–84). New York: Pace University Press.
go back to reference Janoff-Bulman, R. (1992). Shattered assumptions. New York: Free Press. Janoff-Bulman, R. (1992). Shattered assumptions. New York: Free Press.
go back to reference Keesee, N. J., Currier, J. M., & Neimeyer, R. A. (2008). Predictors of grief following the death of one’s child: The contribution of finding meaning. Journal of Clinical Psychology, 64, 1145–1163.CrossRefPubMed Keesee, N. J., Currier, J. M., & Neimeyer, R. A. (2008). Predictors of grief following the death of one’s child: The contribution of finding meaning. Journal of Clinical Psychology, 64, 1145–1163.CrossRefPubMed
go back to reference Kelly, G. A. (1955/1991). The psychology of personal constructs. New York: Routledge. Kelly, G. A. (1955/1991). The psychology of personal constructs. New York: Routledge.
go back to reference Kelly, G. A. (1969). The language of hypothesis. In B. Mahrer (Ed.), Clinical psychology and personality (pp. 147–162). New York: Wiley. Kelly, G. A. (1969). The language of hypothesis. In B. Mahrer (Ed.), Clinical psychology and personality (pp. 147–162). New York: Wiley.
go back to reference Lehman, D. R., Ellard, J. H., & Wortman, C. B. (1986). Social support for the bereaved. Journal of Consulting and Clinical Psychology, 54, 438–446.CrossRef Lehman, D. R., Ellard, J. H., & Wortman, C. B. (1986). Social support for the bereaved. Journal of Consulting and Clinical Psychology, 54, 438–446.CrossRef
go back to reference Lehman, D. R., Wortman, C. B., & Williams, A. (1987). Long-term effects of losing a spouse or child in a motor vehicle crash. Journal of Personality and Social Psychology, 52, 218–231.CrossRefPubMed Lehman, D. R., Wortman, C. B., & Williams, A. (1987). Long-term effects of losing a spouse or child in a motor vehicle crash. Journal of Personality and Social Psychology, 52, 218–231.CrossRefPubMed
go back to reference Lichtenthal, W. G., & Cruess, D. G. (2010). Effects of directed written disclosure on grief and distress symptoms among bereaved individuals. Death Studies, 34, in press. Lichtenthal, W. G., & Cruess, D. G. (2010). Effects of directed written disclosure on grief and distress symptoms among bereaved individuals. Death Studies, 34, in press.
go back to reference Lichtenthal, W. G., Cruess, D. G., & Prigerson, H. G. (2004). A case for establishing complicated grief as a distinct mental disorder in the DSM-V. Clinical Psychology Review, 24, 637–662.CrossRefPubMed Lichtenthal, W. G., Cruess, D. G., & Prigerson, H. G. (2004). A case for establishing complicated grief as a distinct mental disorder in the DSM-V. Clinical Psychology Review, 24, 637–662.CrossRefPubMed
go back to reference Martin, J. (1994). The construction and understanding of psychotherapeutic change. New York: Teachers College. Martin, J. (1994). The construction and understanding of psychotherapeutic change. New York: Teachers College.
go back to reference McAdams, D. P. (1996). Narrating the self in adulthood. In J. Birren, G. Kenyon, J. Ruth, J. Schroots, & T. Svensson (Eds.), Aging and biography (pp. 131–148). New York: Springer. McAdams, D. P. (1996). Narrating the self in adulthood. In J. Birren, G. Kenyon, J. Ruth, J. Schroots, & T. Svensson (Eds.), Aging and biography (pp. 131–148). New York: Springer.
go back to reference McIntosh, D. N., Silver, R. C., & Wortman, C. B. (1993). Religion’s role in adjustment to a negative life event. Journal of Personality and Social Psychology, 65, 812–821.CrossRefPubMed McIntosh, D. N., Silver, R. C., & Wortman, C. B. (1993). Religion’s role in adjustment to a negative life event. Journal of Personality and Social Psychology, 65, 812–821.CrossRefPubMed
go back to reference Murphy, S. A., Johnson, L. C., & Lohan, J. (2003). Finding meaning in a child’s violent death. Death Studies, 27, 381–404.CrossRefPubMed Murphy, S. A., Johnson, L. C., & Lohan, J. (2003). Finding meaning in a child’s violent death. Death Studies, 27, 381–404.CrossRefPubMed
go back to reference Nadeau, J. W. (1997). Families making sense of death. Newbury Park, CA: Sage. Nadeau, J. W. (1997). Families making sense of death. Newbury Park, CA: Sage.
go back to reference Neimeyer, R. A. (1993). Constructivism and the problem of psychotherapy integration. Journal of Psychotherapy Integration, 3, 133–157. Neimeyer, R. A. (1993). Constructivism and the problem of psychotherapy integration. Journal of Psychotherapy Integration, 3, 133–157.
go back to reference Neimeyer, R. A. (1996). Process interventions for the constructivist psychotherapist. In H. Rosen & K. T. Kuehlwein (Eds.), Constructing realities. San Francisco: Jossey-Bass. Neimeyer, R. A. (1996). Process interventions for the constructivist psychotherapist. In H. Rosen & K. T. Kuehlwein (Eds.), Constructing realities. San Francisco: Jossey-Bass.
go back to reference Neimeyer, R. A. (2002). Lessons of loss. Memphis, TN: Mercury. Neimeyer, R. A. (2002). Lessons of loss. Memphis, TN: Mercury.
go back to reference Neimeyer, R. A. (2004). Fostering posttraumatic growth. Psychological Inquiry, 15, 53–59. Neimeyer, R. A. (2004). Fostering posttraumatic growth. Psychological Inquiry, 15, 53–59.
go back to reference Neimeyer, R. A. (2006a). Widowhood, grief and the quest for meaning. In D. Carr, R. Nesse, & C. B. Wortman (Eds.), Spousal bereavement in late life (pp. 227–252). New York: Springer. Neimeyer, R. A. (2006a). Widowhood, grief and the quest for meaning. In D. Carr, R. Nesse, & C. B. Wortman (Eds.), Spousal bereavement in late life (pp. 227–252). New York: Springer.
go back to reference Neimeyer, R. A. (2006b). Narrating the dialogical self: Toward an expanded toolbox for the counselling psychologist. Conselling Psychology Quarterly, 19, 105–120.CrossRef Neimeyer, R. A. (2006b). Narrating the dialogical self: Toward an expanded toolbox for the counselling psychologist. Conselling Psychology Quarterly, 19, 105–120.CrossRef
go back to reference Neimeyer, R. A. (2009). Constructivist psychotherapy. New York: Routledge. Neimeyer, R. A. (2009). Constructivist psychotherapy. New York: Routledge.
go back to reference Neimeyer, R. A., Herrero, O., & Botella, L. (2006). Chaos to coherence: Psychotherapeutic integration of traumatic loss. Journal of Constructivist Psychology, 19, 127–145.CrossRef Neimeyer, R. A., Herrero, O., & Botella, L. (2006). Chaos to coherence: Psychotherapeutic integration of traumatic loss. Journal of Constructivist Psychology, 19, 127–145.CrossRef
go back to reference Neimeyer, R. A., & Jordan, J. R. (2002). Disenfranchisement as empathic failure: Grief therapy and the co-construction of meaning. In K. Doka (Ed.), Disenfranchised grief (pp. 95–117). Champaign, IL: Research Press. Neimeyer, R. A., & Jordan, J. R. (2002). Disenfranchisement as empathic failure: Grief therapy and the co-construction of meaning. In K. Doka (Ed.), Disenfranchised grief (pp. 95–117). Champaign, IL: Research Press.
go back to reference Neimeyer, R. A., Prigerson, H., & Davies, B. (2002). Mourning and meaning. American Behavioral Scientist, 46, 235–251.CrossRef Neimeyer, R. A., Prigerson, H., & Davies, B. (2002). Mourning and meaning. American Behavioral Scientist, 46, 235–251.CrossRef
go back to reference Neimeyer, R. A., van Dyke, J. G., & Pennebaker, J. W. (2008). Narrative medicine: Writing through bereavement. In H. Chochinov & W. Breitbart (Eds.), Handbook of psychiatry in palliative medicine (pp. 454–469). New York: Oxford. Neimeyer, R. A., van Dyke, J. G., & Pennebaker, J. W. (2008). Narrative medicine: Writing through bereavement. In H. Chochinov & W. Breitbart (Eds.), Handbook of psychiatry in palliative medicine (pp. 454–469). New York: Oxford.
go back to reference Pargament, K. I., & Park, C. L. (1997). In times of stress: The religion-coping connection. In B. Spilka & D. M. McIntosh (Eds.), Psychology of religion (pp. 43–53). Boulder: Westview. Pargament, K. I., & Park, C. L. (1997). In times of stress: The religion-coping connection. In B. Spilka & D. M. McIntosh (Eds.), Psychology of religion (pp. 43–53). Boulder: Westview.
go back to reference Park, C. L., & Folkman, S. (1997). Meaning in the context of stress and coping. Review of General Psychology, 1, 115–144.CrossRef Park, C. L., & Folkman, S. (1997). Meaning in the context of stress and coping. Review of General Psychology, 1, 115–144.CrossRef
go back to reference Prigerson, H., Shear, M., Jacobs, S., Reynolds, C., I. I. I., Maciejewski, P., Davidson, J., et al. (1999). Consensus criteria for traumatic grief. British Journal of Psychiatry, 174, 67–73.CrossRefPubMed Prigerson, H., Shear, M., Jacobs, S., Reynolds, C., I. I. I., Maciejewski, P., Davidson, J., et al. (1999). Consensus criteria for traumatic grief. British Journal of Psychiatry, 174, 67–73.CrossRefPubMed
go back to reference Rynearson, E. K. (Ed.). (2006). Violent death. New York: Routledge. Rynearson, E. K. (Ed.). (2006). Violent death. New York: Routledge.
go back to reference Schwartzberg, S. S., & Janoff-Bulman, R. (1991). Grief and the search for meaning. Journal of Social & Clinical Psychology, 10, 270–288. Schwartzberg, S. S., & Janoff-Bulman, R. (1991). Grief and the search for meaning. Journal of Social & Clinical Psychology, 10, 270–288.
go back to reference Shear, M. K., Frank, E., Houck, P. R., & Reynolds, C. F., I. I. I. (2005). Treatment of complicated grief: A randomized controlled trial. JAMA, 293, 2601–2608.CrossRefPubMed Shear, M. K., Frank, E., Houck, P. R., & Reynolds, C. F., I. I. I. (2005). Treatment of complicated grief: A randomized controlled trial. JAMA, 293, 2601–2608.CrossRefPubMed
go back to reference Stein, N., Folkman, S., Trabasso, T., & Richards, T. A. (1997). Appraisal and goal processes as predictors of psychological well-being in bereaved caregivers. Journal of Personality and Social Psychology, 72, 872–884.CrossRefPubMed Stein, N., Folkman, S., Trabasso, T., & Richards, T. A. (1997). Appraisal and goal processes as predictors of psychological well-being in bereaved caregivers. Journal of Personality and Social Psychology, 72, 872–884.CrossRefPubMed
go back to reference Stern, D. N. (2004). The present moment in psychotherapy and everyday life. New York: Norton. Stern, D. N. (2004). The present moment in psychotherapy and everyday life. New York: Norton.
go back to reference Stroebe, M., & Schut, H. (1999). The Dual process model of coping with bereavement: Rationale and description. Death Studies, 23, 197–224.CrossRefPubMed Stroebe, M., & Schut, H. (1999). The Dual process model of coping with bereavement: Rationale and description. Death Studies, 23, 197–224.CrossRefPubMed
go back to reference Stroebe, M., Schut, H., & Stroebe, W. (2007). Health outcomes of bereavement. Lancet, 370, 1960–1973.CrossRefPubMed Stroebe, M., Schut, H., & Stroebe, W. (2007). Health outcomes of bereavement. Lancet, 370, 1960–1973.CrossRefPubMed
go back to reference Wagner, B., Knaevelsrud, C., & Maercker, A. (2006). Internet-based cognitive-behavioral therapy for complicated grief: A randomized controlled trial. Death Studies, 30, 429–453.CrossRefPubMed Wagner, B., Knaevelsrud, C., & Maercker, A. (2006). Internet-based cognitive-behavioral therapy for complicated grief: A randomized controlled trial. Death Studies, 30, 429–453.CrossRefPubMed
go back to reference Yalom, I. D., & Lieberman, M. A. (1991). Bereavement and heightened existential awareness. Psychiatry: Journal for the Study of Interpersonal Processes, 54, 334–345. Yalom, I. D., & Lieberman, M. A. (1991). Bereavement and heightened existential awareness. Psychiatry: Journal for the Study of Interpersonal Processes, 54, 334–345.
Metadata
Title
Grief Therapy and the Reconstruction of Meaning: From Principles to Practice
Authors
Robert A. Neimeyer
Laurie A. Burke
Michael M. Mackay
Jessica G. van Dyke Stringer
Publication date
01-06-2010
Publisher
Springer US
Published in
Journal of Contemporary Psychotherapy / Issue 2/2010
Print ISSN: 0022-0116
Electronic ISSN: 1573-3564
DOI
https://doi.org/10.1007/s10879-009-9135-3

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