Meaning Reconstruction in the Wake of Loss: Evolution of a Research Program

Robert A. Neimeyer

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

Abstract

As theories of bereavement have evolved, so too have evidence-based interventions to mitigate complications in post-loss adaptation. This article reviews one line of programmatic research grounded in a conceptualisation of grieving as an attempt to reaffirm or reconstruct a world of meaning challenged by loss. Anchored in therapeutic encounters with the bereaved, a meaning reconstruction approach to loss has grown over the past 15 years to generate an increasingly substantial research base, as well as to develop and refine a wide array of contributions to psychological assessment and therapy. By summarising the major models, measures and methods resulting from this collaborative work, it offers an introduction to meaning reconstruction for those unfamiliar with it, noting its contributions to date, its areas of future development, and its relevance for clinical practice.

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References

2009Prolonged Grief Disorder: Psychometric Validation of Criteria Proposed for DSM-V and ICD-11 1998Making sense of loss and benefiting from the experience: Two construals of meaning.2001Meaning reconstruction & the experience of loss.2010The Dual Process Model of Coping with Bereavement: A Decade on 2006Continuing Bonds and Reconstructing Meaning: Mitigating Complications in Bereavement 2007Treatment of complicated grief: A comparison between cognitive-behavioral therapy and supportive counseling.2006Sense-Making, Grief, and the Experience of Violent Loss: Toward a Mediational Model 2014A Social Constructionist Account of Grief: Loss and the Narration of Meaning

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2018Symptoms of persistent complex bereavement disorder, depression, and PTSD in a conjugally bereaved sample: a network analysis 2019Symptomatology following loss and trauma: Latent class and network analyses of prolonged grief disorder, posttraumatic stress disorder, and depression in a treatment‐seeking trauma‐exposed sample 2018A concurrent examination of protective factors associated with resilience and posttraumatic growth following childhood victimization 2023The "Conversation" about Loss: Understanding How Chatbot Technology was Used in Supporting People in Grief.

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