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CBT for Grief: Clearing Cognitive Obstacles to Healing from Loss

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Abstract

There is tremendous variability in people’s ability to cope with, and adjust to, the death of someone close to them. One of the factors identified as significant in this regard is the constellation of beliefs that includes a mourner’s thoughts about the circumstances of the death, their feelings about the person who died, their reflections on the relationship with that person, and their assessment of their own ability to survive the loss. This paper considers the role of cognition in adaptation to loss, and demonstrates how maladaptive cognitions concerning the loss, the manner of death or the relationship with the deceased can interfere with adaptation and lead to complications in grief. Case examples illustrate the use of CBT with bereaved clients and the benefits of this approach as part of an overall strategy for helping grieving clients. The effectiveness of CBT with bereaved individuals is enhanced when clients understand the rationale of the treatment and are committed to carrying out the tasks specified in their treatment plan. The article presents a simple model for promoting client involvement and compliance.

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References

  • Boelen, P. A., van den Hout, M. A., & van den Bout, J. (2013). Prolonged grief disorder: Cognitive-behavioral theory and therapy. In M. Stroebe, H. Schut, & J. van den Bout (Eds.), Complicated grief: Scientific foundations for health care professionals. New York: Routledge.

    Google Scholar 

  • Ellis, A., & Harper, R. A. (1975). A guide to rational living. Chatsworth, CA: Wilshire Book Company.

    Google Scholar 

  • Frankl, V. (Ed.). (2006). Man’s search for meaning. New York: Beacon Press.

    Google Scholar 

  • Kauffman, J. (Ed.). (2002). Loss of the assumptive world: A theory of traumatic loss. New York: Routledge.

    Google Scholar 

  • Kosminsky, P., & Jordan, J. (2016). Attachment informed grief therapy: The clinician’s guide to foundations and applications. New York: Routledge.

    Google Scholar 

  • Malkinson, R. (1996). Cognitive behavioral grief therapy. Journal of Rational-Emotive and Cognitive Behavioral Therapy, 14(4), 156–165.

    Google Scholar 

  • Malkinson, R. (2007). Cognitive grief therapy: Constructing a rational meaning to life following loss. New York: W.W. Norton.

    Google Scholar 

  • Malkinson, R. (2012). The ABC of rational response to loss. In R. Neimeyer (Ed.), Techniques of grief therapy. New York: Routledge.

    Google Scholar 

  • Neimeyer, R. (Ed.). (2001). Meaning reconstruction and the experience of loss. Washington, DC: American Psychological Association.

    Google Scholar 

  • Neimeyer, R. A., & Mahoney, M. J. (Eds.). (1996). Constructivism in psychotherapy. Washington, DC: American Psychological Association.

    Google Scholar 

  • Neimeyer, R., & Sands, D. C. (2011). Meaning reconstruction in bereavement: From principles to practice. In R. A. Neimeyer, D. H. Harris, H. R. Winokuer, & G. F. Thornton (Eds.), Grief and bereavement in contemporary society. New York: Routledge.

    Google Scholar 

  • Nolen-Hoeksema, S. (2001). Ruminative coping and adjustment to bereavement. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. Schut (Eds.), Handbook of bereavement research: Consequences, coping, and care (p. 2001). Washington DC: American Psychological Association.

    Google Scholar 

  • Norcross, J. C. (Ed.). (2011). Psychotherapy relationships that work (2nd ed.). New York: Oxford University Press.

    Google Scholar 

  • Parkes, C. M., & Prigerson, H. T. (2010). Bereavement: Studies of grief in adult life. New York: Routledge.

    Google Scholar 

  • Rubin, S. S. (1999). The two track model of bereavement: Overview, retrospect and prospect. Death Studies, 23(8), 681–714.

    Article  PubMed  Google Scholar 

  • Rubin, S. S., Malkinson, R., & Witzum, E. (2012). Working with the bereaved: Multiple lenses on loss and mourning. NY: Routledge.

    Google Scholar 

  • Shear, K., & Shair, H. (2005). Attachment, loss and complicated grief. Developmental Psychology, 47(3), 253–267.

    Article  Google Scholar 

  • Stroebe, M. S., & Schut, H. A. (1991). Does “grief work” work? Journal of Consulting and Clinical Psychology, 59, 479–482.

    Article  PubMed  Google Scholar 

  • Stroebe, M. S., & Schut, H. A. (1999). The dual process model of coping with bereavement: Rationale and description. Death Studies, 23(2), 197–224.

    PubMed  Google Scholar 

  • Suddendorf, T. (2013). The gap: The science of what separates us from other animals. New York: Basic Books.

    Google Scholar 

  • Watkins, E. R., & Moulds, M. L. (2013). Rumination in complicated grief. In M. A. Stroebe, H. A. Schut, & J. van den Buet (Eds.), Complicated grief: Scientific foundations for health care professionals. New York: Routledge.

    Google Scholar 

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Correspondence to Phyllis Kosminsky.

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Kosminsky, P. CBT for Grief: Clearing Cognitive Obstacles to Healing from Loss. J Rat-Emo Cognitive-Behav Ther 35, 26–37 (2017). https://doi.org/10.1007/s10942-016-0241-3

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  • DOI: https://doi.org/10.1007/s10942-016-0241-3

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