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Integrating Loss and Processing Grief in Psychotherapy of Psychosis.

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Title: Integrating Loss and Processing Grief in Psychotherapy of Psychosis.
Authors: Ridenour, Jeremy M., Hamm, Jay A., Wiesepape, Courtney N., Lysaker, Paul H.
Source: Psychiatry: Interpersonal & Biological Processes. Fall2023, Vol. 86 Issue 3, p173-186. 14p. 3 Charts.
Subjects: Grief, Cognition disorders, Psychoses, Convalescence, Self-perception, Attitude (Psychology), Group identity, Treatment effectiveness, Experience, Hope, Psychotherapy
Abstract: Objective: While recovery from psychosis is possible, recovery is a multidimensional construct driven by various factors. One relevant factor to recovery from psychosis that has often been overlooked in the psychotherapy literature is the importance of facing loss and processing grief in relation to psychosis. Methods: A review of the existing empirical literature on grief associated with psychosis was conducted. Clinicians with significant therapeutic experience working with persons with psychosis reviewed cases to examine the losses the patients had suffered and how they responded to these losses. The clinicians considered essential principles that are relevant when helping patients with psychosis integrate loss and process grief. Results: Persons who have experienced psychosis often experience the loss of role functioning, interpersonal relationships, cognition, and self-concept. However, when these losses are not fully integrated into the person's identity, it can result in either more losses due to denial and metacognitive impairments or increased hopelessness and depression due to internalized stigma. Five elements in psychotherapy of psychosis were identified that can facilitate the integration of loss and processing of grief: understand the personal experience of the psychotic episode, attend to feelings of grief and the primary loss, explore the meaning of psychotic symptoms and identity implications, integrate psychotic vulnerabilities into the sense of self, and foster realistic hope in the face of an uncertain future. Conclusion: Psychotherapy can enable persons with psychosis to make meaning of their losses, process their grief, integrate their psychotic vulnerability into their sense of self, and develop realistic hope. [ABSTRACT FROM AUTHOR]
Copyright of Psychiatry: Interpersonal & Biological Processes is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Integrating Loss and Processing Grief in Psychotherapy of Psychosis.
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  Data: <searchLink fieldCode="AR" term="%22Ridenour%2C+Jeremy+M%2E%22">Ridenour, Jeremy M.</searchLink><br /><searchLink fieldCode="AR" term="%22Hamm%2C+Jay+A%2E%22">Hamm, Jay A.</searchLink><br /><searchLink fieldCode="AR" term="%22Wiesepape%2C+Courtney+N%2E%22">Wiesepape, Courtney N.</searchLink><br /><searchLink fieldCode="AR" term="%22Lysaker%2C+Paul+H%2E%22">Lysaker, Paul H.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psychiatry%3A+Interpersonal+%26+Biological+Processes%22">Psychiatry: Interpersonal & Biological Processes</searchLink>. Fall2023, Vol. 86 Issue 3, p173-186. 14p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Grief%22">Grief</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition+disorders%22">Cognition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoses%22">Psychoses</searchLink><br /><searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Self-perception%22">Self-perception</searchLink><br /><searchLink fieldCode="DE" term="%22Attitude+%28Psychology%29%22">Attitude (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Group+identity%22">Group identity</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Experience%22">Experience</searchLink><br /><searchLink fieldCode="DE" term="%22Hope%22">Hope</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink>
– Name: Abstract
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  Data: Objective: While recovery from psychosis is possible, recovery is a multidimensional construct driven by various factors. One relevant factor to recovery from psychosis that has often been overlooked in the psychotherapy literature is the importance of facing loss and processing grief in relation to psychosis. Methods: A review of the existing empirical literature on grief associated with psychosis was conducted. Clinicians with significant therapeutic experience working with persons with psychosis reviewed cases to examine the losses the patients had suffered and how they responded to these losses. The clinicians considered essential principles that are relevant when helping patients with psychosis integrate loss and process grief. Results: Persons who have experienced psychosis often experience the loss of role functioning, interpersonal relationships, cognition, and self-concept. However, when these losses are not fully integrated into the person's identity, it can result in either more losses due to denial and metacognitive impairments or increased hopelessness and depression due to internalized stigma. Five elements in psychotherapy of psychosis were identified that can facilitate the integration of loss and processing of grief: understand the personal experience of the psychotic episode, attend to feelings of grief and the primary loss, explore the meaning of psychotic symptoms and identity implications, integrate psychotic vulnerabilities into the sense of self, and foster realistic hope in the face of an uncertain future. Conclusion: Psychotherapy can enable persons with psychosis to make meaning of their losses, process their grief, integrate their psychotic vulnerability into their sense of self, and develop realistic hope. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychiatry: Interpersonal & Biological Processes is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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        Value: 10.1080/00332747.2022.2161261
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        Text: English
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        Type: general
      – SubjectFull: Cognition disorders
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      – SubjectFull: Psychoses
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      – SubjectFull: Self-perception
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      – SubjectFull: Group identity
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Experience
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      – SubjectFull: Hope
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      – SubjectFull: Psychotherapy
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      – TitleFull: Integrating Loss and Processing Grief in Psychotherapy of Psychosis.
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              Text: Fall2023
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              Y: 2023
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