SEARCHING FOR THE MEANING OF MEANING: GRIEF THERAPY AND THE PROCESS OF RECONSTRUCTION

Robert A. Neimeyer

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Grief, Bereavement, and Mental Health Death, Funerary Practices, and Mourning Religion, Spirituality, and Psychology

Abstract

A comprehensive quantitative review of published randomized controlled outcome studies of grief counseling and therapy suggests that such interventions are typically ineffective, and perhaps even deleterious, at least for persons experiencing a normal bereavement. On the other hand, there is some evidence that grief therapy is more beneficial and safer for those who have been traumatically bereaved. Beginning with this sobering appraisal, this article considers the findings of C.G. Davis, C.B. Wortman, D.R. Lehman, and R.C. Silver (this issue) and their implications for a meaning reconstruction approach to grief therapy, arguing that an expanded conception of meaning is necessary to provide a stronger basis for clinical intervention.

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2010THE PSYCHOLOGY OF PERSONAL CONSTRUCTS 1999THE DUAL PROCESS MODEL OF COPING WITH BEREAVEMENT: RATIONALE AND DESCRIPTION 1998Making sense of loss and benefiting from the experience: Two construals of meaning.2001Meaning reconstruction & the experience of loss.1997Traumatic grief as a risk factor for mental and physical morbidity

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2004Prospective Patterns of Resilience and Maladjustment During Widowhood.2008The Human Capacity to Thrive in the Face of Potential Trauma 2003Bereaved parents’ experience of research participation 2008Coregulation, Dysregulation, Self-Regulation: An Integrative Analysis and Empirical Agenda for Understanding Adult Attachment, Separation, Loss, and Recovery 2000SEARCHING FOR MEANING IN LOSS: ARE CLINICAL ASSUMPTIONS CORRECT?2006Internet-Based Cognitive-Behavioral Therapy for Complicated Grief: A Randomized Controlled Trial 2002Mourning and Meaning 2010The prevention and treatment of complicated grief: A meta-analysis

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