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The unexpected loss of a client can be a lonely and isolating experience for therapists. While family and friends can ritually mourn the deceased, the nature of the therapeutic relationship prohibits therapists from engaging in such activities. Practitioners can only share memories of a client in circumscribed ways, while respecting the patient's confidentiality. Therefore, they may find it difficult to discuss the things that made the therapeutic relationship meaningful. Similarly, when a therapist loses someone in their private lives, they are expected to isolate themselves from grief, since allowing one's personal life to enter the working relationship can interfere with a client's self-discovery and healing. For therapists caught between their grief and the empathy they provide for their clients, this collection explores the complexity of bereavement within the practice setting. It also examines the professional and personal ramifications of death and loss for the practicing clinician. Featuring original essays from longstanding practitioners, the collection demonstrates the universal experience of bereavement while outlining a theoretical framework for the position of the bereft therapist. Essays cover the unexpected death of clients and patient suicide, personal loss in a therapist's life, the grief of clients who lose a therapist, disastrous loss within a community, and the grief resulting from professional losses and disruptions. The first of its kind, this volume gives voice to long-suppressed thoughts and emotions, enabling psychologists, psychiatrists, counselors, and other mental health specialists to achieve the connection and healing they bring to their own work.
Although it is a natural part of life, death is a subject that is often neglected in psychotherapeutic literature and training. In this book Laura Barnett and her contributors offer us insights into working with mortality in the therapeutic setting.
Psychologist-attorney Eisner puts psychotherapy on trial by critically examining its effectiveness through the lens of the scientific method. From psychoanalysis to cognitive-behavior therapy as well as the 500 or so other psychotherapies, there is not a single experimental study that supports the effectiveness of psychotherapy over a placebo or religious healing. Using both case examples and clinical research, this book challenges the conclusion that there is empirical support for the notion that psychotherapy is effective.
Beyond the Brain seriously challenges the existing neurophysiological models of the brain. After three decades of extensive research on those non-ordinary states of consciousness induced by psychedelic drugs and by other means, Grof concludes that our present scientific world view is as inadequate as many of its historical predecessors. In this pioneering work, he proposes a new model of the human psyche that takes account of his findings. Grof includes in his model the recollective level, or the reliving of emotionally relevant memories, a level at which the Freudian framework can be useful. Beyond that is perinatal level in which the human unconscious may be activated to a reliving of biological birth and confrontation with death. How birth experience influences an individual's later development is a central focus of the book. The most serious challenge to contemporary psycho-analytic theory comes from a delineation of the transpersonal level, or the expansion of consciousness beyond the boundaries of time and space. Grof makes a bold argument that understanding of the perinatal and transpersonal levels changes much of how we view both mental illness and mental health. His reinterpretation of some of the most agonizing aspects of human behavior proves thought provoking for both laypersons and professional therapists.
A year-long journey by the renowned psychiatrist and his writer wife after her terminal diagnosis, as they reflect on how to love and live without regret. Internationally acclaimed psychiatrist and author Irvin Yalom devoted his career to counseling those suffering from anxiety and grief. But never had he faced the need to counsel himself until his wife, esteemed feminist author Marilyn Yalom, was diagnosed with cancer. In A Matter of Death and Life, Marilyn and Irv share how they took on profound new struggles: Marilyn to die a good death, Irv to live on without her. In alternating accounts of their last months together and Irv's first months alone, they offer us a rare window into facing mortality and coping with the loss of one's beloved. The Yaloms had numerous blessings—a loving family, a Palo Alto home under a magnificent valley oak, a large circle of friends, avid readers around the world, and a long, fulfilling marriage—but they faced death as we all do. With the wisdom of those who have thought deeply, and the familiar warmth of teenage sweethearts who've grown up together, they investigate universal questions of intimacy, love, and grief. Informed by two lifetimes of experience, A Matter of Death and Life is an openhearted offering to anyone seeking support, solace, and a meaningful life.
Placing a focus on the spiritual needs of death and dying, the theme of this book is that the focus of counselling with people who are dying should be on the psychospiritual aspects of death and dying. It is based on two assumptions - that death and anxiety, not pain, are the most critical issues for the dying, and that the time of dying is an opportunity for growth and transformation. The author believes that it is imperative for counselling professionals to realize that at this time understanding and caring are primary.
“Dr. Botkin has hit upon a fascinating and powerful new tool that may not only help clients cope with their losses, but also breaks new ground in understanding life and death.” —Bruce Greyson, MD, bestselling author of After “A must read for all serious students of death and dying.”—Raymond Moody, MD, PhD Induced After Death Communication (IADC) is a therapy for grief and trauma that has helped thousands of people come to terms with their loss by allowing them the experience of private communication with their departed loved ones. This is the definitive book on the subject. Botkin, a clinical psychologist, created the therapy while counseling Vietnam veterans in his work at a Chicago area VA hospital. Botkin recounts his initial—accidental—discovery of IADC during therapy sessions with Sam, a Vietnam vet haunted by the memory of a Vietnamese girl he couldn't save. During the session, quite unexpectedly, Sam saw a vision of the girl's spirit, who told him everything was okay; she was at peace now. This single moment surpassed months--years--of therapy, and allowed Sam to reconnect with his family. Since that 1995 discovery, Botkin has used IADC to successfully treat countless patients—the book includes dozens of case examples—and has taught the procedure to therapists around the country. This is the inside story of a revolutionary therapy that will profoundly affect how grief and trauma are understood and treated.
Maintaining dignity for patients approaching death is a core principle of palliative care. Dignity therapy, a psychological intervention developed by Dr. Harvey Max Chochinov and his internationally lauded research group, has been designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as they grapple with the reality of life drawing to a close. In the first book to lay out the blueprint for this unique and meaningful intervention, Chochinov addresses one of the most important dimensions of being human. Being alive means being vulnerable and mortal; he argues that dignity therapy offers a way to preserve meaning and hope for patients approaching death. With history and foundations of dignity in care, and step by step guidance for readers interested in implementing the program, this volume illuminates how dignity therapy can change end-of-life experience for those about to die - and for those who will grieve their passing.
This book is a timely and relevant book for psychotherapists and psychoanalysts who process loss both in their own lives and in the lives of their patients, offering perspectives from a range of theoretical backgrounds, clinical vignettes and personal insights. This volume addresses the scope of grief and mourning between the therapeutic dyad, and carefully examines how the patient and therapist experience intersect and imbue the analytic space and the therapeutic process. The book examines personal loss of parents and partners, as well as loss generated by mass trauma through the lens of the Holocaust, the immigrant experience, the COVID-19 pandemic and the environment. There are chapters that cover how the lost other continues to live within one’s mind, and within the analytic relationship, how loss impacts one’s internal self system, and how loss associated with traumatic experience with the deceased continues to reverberate. With a unique focus on the therapist’s personal experience of loss, and how it shapes the clinical situation, as well as a broad range of perspectives on managing and working with loss in patients, this is an invaluable book for all practicing psychoanalysts and psychotherapists.
In this new volume, death is treated both as a threat to meaning and as an opportunity to create meaning.