The central role of meaning in adjustment to the loss of a child to cancer: implications for the development of meaning-centered grief therapy.
The central role of meaning in adjustment to the loss of a child to cancer: implications for the development of meaning-centered grief therapy.
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DOI：
10.1097/spc.0000000000000117
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发表时间：
2015-03
影响因子：
2.1
通讯作者：
Breitbart W
中科院分区：
文献类型：
--
作者：
Lichtenthal WG;Breitbart W
这篇综述描述了对因癌症失去孩子的父母的意义和意义创造的研究，表明需要一种以意义为中心的治疗方法来改善他们的意义感，目的感和身份感，并帮助管理长期的悲伤症状。几项研究表明，因癌症而失去亲人的父母经历了与死亡和疾病经历相关的独特意义相关的挑战，包括努力理解他们的损失，寻找利益，他们的身份感和目的感，与意义来源脱节，以及在孩子的生活中维持意义感。以意义为中心的悲伤疗法，改编自以意义为中心的心理疗法，直接解决了这些问题，突出了父母在如何面对他们的痛苦，他们如何荣誉他们的孩子和他/她的生活遗产，他们创造的故事，以及他们如何生活的选择。考虑到意义在调整孩子因癌症而失去的重要作用，以意义为中心的悲伤疗法等以意义为中心的方法可能有助于改善父母的意义感和悲伤症状。它似乎特别适合那些因癌症失去孩子的父母，因为它不会将他们的斗争病理化，而是直接针对他们经常面临的问题。
This review describes research on meaning and meaning-making in parents who lost a child to cancer, suggesting the need for a meaning-centered therapeutic approach to improve their sense of meaning, purpose, and identity and to help with management of prolonged grief symptoms. Several studies have demonstrated that parents bereaved by cancer experience unique meaning related challenges associated with the caregiving and illness experience, including struggles with making sense of their loss, benefit-finding, their sense of identity and purpose, disconnection from sources of meaning, and sustaining a sense of meaning in their child’s life. Meaning-Centered Grief Therapy, adapted from Meaning-Centered Psychotherapy, directly addresses these issues, highlighting the choices parents have in how they face their pain, how they honor their child and his/her living legacy, the story they create, and how they live their lives. Given the important role that meaning plays in adjustment to the loss of a child to cancer, a meaning-focused approach such as Meaning-Centered Grief Therapy, may help improve parents’ sense of meaning and grief symptoms. It seems particularly appropriate for parents who lost a child to cancer because it does not pathologize their struggles and directly targets issues they frequently face.