Experiences of Norwegian Mothers Attending an Online Course of Therapeutic Writing Following the Unexpected Death of a Child

The unexpected death of a child is one of the most challenging losses as it fractures survivors’ sense of parenthood and other layers of identity. Given that not all the bereaved parents who have need for support respond well to available treatments and that many have little access to further interv...

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Main Authors: Olga V. Lehmann, Robert A. Neimeyer, Jens Thimm, Aslak Hjeltnes, Reinekke Lengelle, Trine Giving Kalstad
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2021.809848/full
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author Olga V. Lehmann
Robert A. Neimeyer
Jens Thimm
Jens Thimm
Aslak Hjeltnes
Reinekke Lengelle
Trine Giving Kalstad
author_facet Olga V. Lehmann
Robert A. Neimeyer
Jens Thimm
Jens Thimm
Aslak Hjeltnes
Reinekke Lengelle
Trine Giving Kalstad
author_sort Olga V. Lehmann
collection DOAJ
description The unexpected death of a child is one of the most challenging losses as it fractures survivors’ sense of parenthood and other layers of identity. Given that not all the bereaved parents who have need for support respond well to available treatments and that many have little access to further intervention or follow-up over time, online interventions featuring therapeutic writing and peer support have strong potential. In this article we explore how a group of bereaved mothers experienced the process of participating in an online course in therapeutic writing for the integration of grief. Our research questions were: How do parents who have lost a child experience being part of an online course in therapeutic writing? What are the perceived benefits and challenges of writing in processing their grief? We followed an existential phenomenological approach and analyzed fieldwork notes (n = 13), qualitative data from the application and assessment surveys (n = 35; n = 21), excerpts from the journals of some participants (n = 3), and email correspondence with some participants (n = 5). We categorized the results in three meaning units: (1) where does my story begin? The “both and” of their silent chaos; (2) standing on the middle line: a pregnancy that does not end; (3) closures and openings: “careful optimism” and the need for community support. Participants experienced writing as an opportunity for self-exploration regarding their identities and their emotional world, as well as a means to develop and strengthen a bond with their children. They also experienced a sense of belonging, validation, and acceptance in the online group in a way that helped them make sense of their suffering. Online writing courses could be of benefit for bereaved parents who are grieving the unexpected death of a child, but do not replace other interventions such as psychotherapy. In addition to trauma and attachment informed models of grief, identity informed models with a developmental focus might enhance the impact of both low-threshold community interventions and more intensive clinical ones. Further studies and theoretical development in the area are needed, addressing dialogical notions such as the multivoicedness of the self.
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spelling doaj.art-3633c6df0205495892dc6921fd15bba82022-12-21T23:42:58ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-01-011210.3389/fpsyg.2021.809848809848Experiences of Norwegian Mothers Attending an Online Course of Therapeutic Writing Following the Unexpected Death of a ChildOlga V. Lehmann0Robert A. Neimeyer1Jens Thimm2Jens Thimm3Aslak Hjeltnes4Reinekke Lengelle5Trine Giving Kalstad6NIEFT - The Norwegian Institute of Emotion Focused Therapy, Bergen, NorwayPortland Institute for Loss and Transition, Portland, OR, United StatesCentre of Crisis Psychology, Faculty of Psychology, University of Bergen, Bergen, NorwayDepartment of Psychology, UiT The Arctic University of Norway, Tromsø, NorwayDepartment of Clinical Psychology, Faculty of Psychology, University of Bergen, Bergen, NorwayCentre for Interdisciplinary Studies, Faculty of Humanities & Social Sciences, Athabasca University, Athabasca, AB, CanadaThe Norwegian SIDS and Stillbirth Society (Landsforeningen Uventet Barnedød - LUB), Oslo, NorwayThe unexpected death of a child is one of the most challenging losses as it fractures survivors’ sense of parenthood and other layers of identity. Given that not all the bereaved parents who have need for support respond well to available treatments and that many have little access to further intervention or follow-up over time, online interventions featuring therapeutic writing and peer support have strong potential. In this article we explore how a group of bereaved mothers experienced the process of participating in an online course in therapeutic writing for the integration of grief. Our research questions were: How do parents who have lost a child experience being part of an online course in therapeutic writing? What are the perceived benefits and challenges of writing in processing their grief? We followed an existential phenomenological approach and analyzed fieldwork notes (n = 13), qualitative data from the application and assessment surveys (n = 35; n = 21), excerpts from the journals of some participants (n = 3), and email correspondence with some participants (n = 5). We categorized the results in three meaning units: (1) where does my story begin? The “both and” of their silent chaos; (2) standing on the middle line: a pregnancy that does not end; (3) closures and openings: “careful optimism” and the need for community support. Participants experienced writing as an opportunity for self-exploration regarding their identities and their emotional world, as well as a means to develop and strengthen a bond with their children. They also experienced a sense of belonging, validation, and acceptance in the online group in a way that helped them make sense of their suffering. Online writing courses could be of benefit for bereaved parents who are grieving the unexpected death of a child, but do not replace other interventions such as psychotherapy. In addition to trauma and attachment informed models of grief, identity informed models with a developmental focus might enhance the impact of both low-threshold community interventions and more intensive clinical ones. Further studies and theoretical development in the area are needed, addressing dialogical notions such as the multivoicedness of the self.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.809848/fullgrieftherapeutic writingstillbirthunexpected deathonline interventionsbereaved parents
spellingShingle Olga V. Lehmann
Robert A. Neimeyer
Jens Thimm
Jens Thimm
Aslak Hjeltnes
Reinekke Lengelle
Trine Giving Kalstad
Experiences of Norwegian Mothers Attending an Online Course of Therapeutic Writing Following the Unexpected Death of a Child
Frontiers in Psychology
grief
therapeutic writing
stillbirth
unexpected death
online interventions
bereaved parents
title Experiences of Norwegian Mothers Attending an Online Course of Therapeutic Writing Following the Unexpected Death of a Child
title_full Experiences of Norwegian Mothers Attending an Online Course of Therapeutic Writing Following the Unexpected Death of a Child
title_fullStr Experiences of Norwegian Mothers Attending an Online Course of Therapeutic Writing Following the Unexpected Death of a Child
title_full_unstemmed Experiences of Norwegian Mothers Attending an Online Course of Therapeutic Writing Following the Unexpected Death of a Child
title_short Experiences of Norwegian Mothers Attending an Online Course of Therapeutic Writing Following the Unexpected Death of a Child
title_sort experiences of norwegian mothers attending an online course of therapeutic writing following the unexpected death of a child
topic grief
therapeutic writing
stillbirth
unexpected death
online interventions
bereaved parents
url https://www.frontiersin.org/articles/10.3389/fpsyg.2021.809848/full
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