Making sense of loss and grief: the value of in-depth assessments
Keywords:
grief, bereavement, needs assessment, meaning-making, resilience, assimilation analysisAbstract
AbstractResearch in a community-based bereavement support service has revealed a proportion of clients for whom an assessment session which focuses on meaning-making mitigates the need for ongoing professional intervention. We suggest that such in-depth assessment sessions may consolidate resilience by helping clients construct meaning in relation to their loss. We support our position with four case studies using assimilation analysis.
References
APA (2013). Diagnostic and statistical manual of mental disorders, Fifth Edition (DSM-5): American Psychiatric Publishing, Inc.
Bennett KM (2010). How to achieve resilience as an older widower: turning points or gradual change? Ageing and Society 30(03) 369–382. doi: 10.1017/S0144686X09990572
Bonanno GA (2004). Loss, trauma, and human resilience: have we underestimated the human capacity to thrive after extremely aversive events? The American Psychologist 59(1) 20–28. doi: 10.1037/0003-066X.59.1.20
Bonanno GA, Boerner K, Wortman CB (2008). Trajectories of grieving. In: MS Stroebe, RO Hansson, H Schut & W Stroebe (eds) Handbook of bereavement research and practice: advances in theory and intervention. Washington DC: American Psychological Association 287–307.
Bonanno GA, Keltner D, Holen A, Horowitz MJ (1995). When avoiding unpleasant emotions might not be such a bad thing: verbal-autonomic response dissociation and midlife conjugal bereavement. Journal of Personality and Social Psychology 69(5) 975–989. doi: 10.1037/0022-3514.69.5.975
Bonanno GA, Wortman CB, Lehman DR et al (2002). Resilience to loss and chronic grief: a prospective study from preloss to 18-months postloss. Journal of Personality and Social Psychology 83(5) 1150–1164. doi: 10.1037/0022-3514.83.5.1150
Bonanno GA, Wortman CB, Nesse RM (2004). Prospective patterns of resilience and maladjustment during widowhood. Psychology of Aging 19(2) 260–271. doi: 10.1037/0882-7974.19.2.260
Bond T (2015). Ethical framework for the counselling professions. Lutterworth: BACP.
Bowlby J (1980). Attachment and loss: Volume 3 Loss: sadness and depression. London: Pimlico.
Burke LA, Neimeyer RA (2013). Prospective risk factors for complicated grief: a review of the empirical literature. In: MS Stroebe, H Schut & J Van den Bout (eds) Complicated grief: scientific foundations for health care professionals. Hove: Routledge. 145–161.
Cooper C, Flint-Taylor J, Pearn M (2013). Building resilience for success: a resource for managers and organizations. Basingstoke: Palgrave Macmillan.
Cooper M (2008). Essential research findings in counselling and psychotherapy: the facts are friendly. London: Sage.
Cruse Bereavement Care and The Bereavement Services Association (2014). Bereavement care service standards 2014. Cruse Bereavement Care and The Bereavement Services Association. Available at: http://bsauk.org/uploads/593853480.pdf [accessed 2 July 2016].
Davis CG (2001). The tormented and the transformed: understanding responses to loss and trauma. In: RA Neimeyer (ed) Meaning reconstruction and the experience of loss. Washington DC: American Psychological Association Books.
Fish J (2014). Dimensions of loss: using a holistic framework to train and supervise bereavement counsellors. Paper presented at the ABSCo Conference: The costs of bereavement: is your service fit for purpose? Leeds Trinity University.
Gillies J, Neimeyer RA (2006). Loss, grief, and the search for significance: toward a model of meaning reconstruction in bereavement. Journal of Constructivist Psychology 19(1) 31–65. doi: 10.1080/10720530500311182
Holland JM, Currier JM, Neimeyer RA (2006). Meaning reconstruction in the first two years of bereavement: the role of sense-making and benefit-finding. Omega: Journal of Death and Dying 53(3) 175–191.
Keesee NJ, Currier JM, Neimeyer RA (2008). Predictors of grief following the death of one's child: the contribution of finding meaning. Journal of Clinical Psychology 64(10) 1145–1163. doi: 10.1002/jclp.20502
Klass D, Silverman PR, Nickman SL (1996). Continuing bonds: new understandings of grief. Philadelphia: Taylor & Francis.
Machin L (2013). Working with loss and grief: a theoretical and practical approach (2nd edition). London: Sage.
Machin L, Spall B (2004). Mapping grief: a study in practice using a quantitative and qualitative approach to exploring and addressing the range of responses to loss. Counselling and Psychotherapy Research 4(1) 9–18. doi: 10.1080/14733140412331384018
Maercker A, Brewin CR, Bryant RA et al (2013). Diagnosis and classification of disorders specifically associated with stress: proposals for ICD-11. World Psychiatry 12(3) 198–206. doi: 10.1002/wps.20057
McCallum M, Piper WE (1996). Psychological mindedness. Psychiatry: Interpersonal and Biological Processes 59 48–64.
McCallum M, Piper WE, Ogrodniczuk JS, Joyce AS (2003). Relationships among psychological mindedness, alexithymia and outcome in four forms of short-term psychotherapy. Psychological Psychotherapy 76(Pt 2) 133–144. doi: 10.1348/147608303765951177
Neimeyer RA (2001). Reauthoring life narratives: grief therapy as meaning reconstruction. Israel Journal of Psychiatry and Related Sciences 38(3–4) 171–183.
NICE (2004). Improving supportive and palliative care for adults with cancer: the manual. Available at: http://www.guidance/csgsp/resources/supportive-and-palliative-care-the- manual-2 [accessed 2 July 2016].
Parkes CM (1998). Bereavement: studies of grief in adult life (3rd ed). London: Penguin.
Piaget J (1954). The construction of reality in the child. New York: Basic Books.
Relf M, Machin L, Archer N (2010). Guidance for bereavement needs assessment in palliative care (2nd ed). Help the Hospices: London.
Schut H, Stroebe MS, van den Bout J, Terheggen M (2001). The efficacy of bereavement interventions: determining who benefits. In MS Stroebe, RO Hansson, W Stroebe & H Schut (eds) Handbook of bereavement research: consequences, coping and care. Washington DC: American Psychological Association. 705–737.
Shear MK, Monk T, Houck P et al (2007). An attachment-based model of complicated grief including the role of avoidance. European Archives Psychiatry Clinical Neuroscience 257 1–15. doi: 10.1007/s00406-007-0745-z
Shear MK, Simon N, Wall M et al (2011). Complicated grief and related bereavement issues for DSM-5. Depression and Anxiety 28(2) 103–117. doi: 10.1002/da.20780
Stiles WB (1999). Signs and voices in psychotherapy. Psychotherapy Research 9(1) 1–21. doi: 10.1080/10503309912331332561
Stiles WB (2001). Assimilation of problematic experiences. Psychotherapy 38(4) 462–465. doi: 10.1037/0033-3204.38.4.462
Stiles WB, Elliott R, Llewelyn SP et al (1990). Assimilation of problematic experiences by clients in psychotherapy. Psychotherapy: Theory, Research, Practice, Training 27(3) 411. doi: 10.1037/0033-3204.27.3.411
Stroebe MS, Schut H (1999). The dual process model of coping with Bereavement: rationale and description. Death Studies 23 197–224. doi: 10.1080/074811899201046
Stroebe MS, Schut H (2000). Meaning making in the dual process model of coping with bereavement. In: RA Neimeyer (ed) Meaning reconstruction and the experience of loss. Washington DC: American Psychological Association. 55–73.
van der Houwen K, Stroebe MS, Schut H et al (2010). Mediating processes in bereavement: the role of rumination, threatening grief interpretations, and deliberate grief avoidance. Social Science & Medicine 71(9) 1669–1676. doi: 10.1016/j.socscimed.2010.06.047
Varvin S, Stiles WB (1999). Emergence of severe traumatic experiences: an assimilation analysis of psychoanalytic therapy with a political refugee. Psychotherapy Research 9(3) 381–404. doi: 10.1080/10503309912331332821
Wilson J (2014). Supporting people through loss and grief: an introduction for counsellors and other caring practitioners. London: Jessica Kingsley.