Meaning reconstruction 70 years later: Processing older adults' unfinished business in a drama therapy group.

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Pub Date : 2023-12-01 Epub Date: 2023-09-04 DOI:10.1037/pst0000497
Shoshi Keisari, Dani Yaniv, Anat Gesser-Edelsburg, Yuval Palgi, Robert A Neimeyer
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Abstract

Unfinished business (UB), when individuals appraise their relationship with others or themselves as incomplete or unresolved, entails difficult emotions such as regret, remorse, and guilt. UB is often associated with bereavement and is considered to be a predictor of complicated grief. Here we report two case studies describing the processing of the sudden death of a significant other in the context of a randomized controlled study of 12-week drama therapy groups for older adults. The intervention followed the format of Playback Theater, an improvised form of theater based on personal stories, and a life review paradigm. A mixed-methods approach explored the course of individual therapy within the group and potential mechanisms of change. The participants completed mental health questionnaires in a pre-post-follow-up design. The qualitative data included video recordings and postintervention interviews. One participant reported a clinically significant (CS) change in depressive symptoms and psychological well-being on the post and follow-up measurement indices. The second reported a CS change in self-esteem and relationship satisfaction at the end of the intervention, but not at follow-up. The findings suggest that the drama therapy contributed to the resolution of UB through restorative work in the three domains defined in meaning reconstruction theory: the "event story" of the loss, the "back story" of the relationship with the deceased, and the "personal story" of self. The results point to the need for additional research on meaning reconstruction in the context of drama therapy and encourage the broader application of performative techniques to treat complicated bereavement. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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70 年后的意义重建:在戏剧治疗小组中处理老年人的未竟事业。
未完成的事情(UB)是指个人认为自己与他人或自己的关系不完整或未解决,会产生遗憾、悔恨和内疚等难受的情绪。未了情往往与丧亲之痛有关,并被认为是复杂悲伤的预兆。在此,我们报告了两个案例研究,描述了在一项针对老年人的为期 12 周的戏剧治疗小组随机对照研究中,对重要他人突然死亡的处理过程。干预采用了 Playback Theater(一种基于个人故事的即兴戏剧形式)和人生回顾范式。混合方法探讨了小组内个人治疗的过程和潜在的变化机制。参与者在事前-事后-跟踪设计中填写了心理健康问卷。定性数据包括视频记录和干预后访谈。一名参与者报告说,在干预后和随访测量指数中,其抑郁症状和心理健康发生了临床显著(CS)变化。第二位参与者在干预结束时报告了自尊和人际关系满意度的临床显著变化,但在随访时没有。研究结果表明,戏剧疗法通过意义重建理论所定义的三个领域中的恢复性工作(即失去亲人的 "事件故事"、与逝者关系的 "背景故事 "以及自我的 "个人故事")帮助解决了UTB问题。研究结果表明,有必要在戏剧治疗的背景下对意义重建进行更多研究,并鼓励更广泛地应用表演技术来治疗复杂的丧亲之痛。(PsycInfo Database Record (c) 2023 APA, 版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Psychotherapy
Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
4.60
自引率
12.00%
发文量
93
期刊介绍: Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.
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