Third-Wave Cognitive Therapy for the Treatment of Loss and Grief : A Clinician's Guide

This book proposes and explores a novel conceptualisation of the grieving process grounded in evolutionary psychology that integrates cognitive behavioural approaches such as compassion focused therapy, metacognitive awareness, and acceptance and commitment therapy. Starting with an introduction of the historical and theoretical basis for the Principles of Loss model, the book then outlines methods of assessment and describes the processes of formulation and case conceptualisation, with specific guidance on how to navigate these in the context of loss. The book provides an in-depth exploration of the Five-Phase Principles for the Treatment of Loss and Grief (intervention), as well as guidance on the supervision of loss. The chapters, accompanied by case studies, provide an overview of the novel model, followed by specific and tailor-made guidance on assessment (including a novel self-report measure), formulation, treatment, and supervision. This guide is intended for clinicians familiar with or interested in the theory and practice of third-wave cognitive behavioural therapies. This book proposes and explores a novel conceptualisation of the grieving process grounded in evolutionary psychology that integrates cognitive behavioural approaches such as compassion focused therapy, metacognitive awareness, and acceptance and commitm Cover 1 Half Title 2 Endorsement 3 Title Page 4 Copyright Page 5 Table of Contents 6 Figures 8 Tables 9 Chapter 1 Introduction 10 Loss, Grief, and Mourning 10 Historical Perspective 11 Theoretical Position 15 Previous Conceptualisations of Grief 15 Cognitive Behavioural Approaches 18 The Principles of Loss Model 20 The Evolutionary Perspective 21 Emotions and Their Roles 21 Threat and Protection 23 Shame and Pride 26 Shock and Self-Blame 27 Disgust 28 Loss Within the Relational Context 28 Unavailability 28 Functional Impairment 29 Individual and Collective Loss 31 Tri-Theme Model 33 Compassion-Focused Approach 36 Metacognitive Awareness Approach 37 Acceptance and Values Approach 41 Socio-Cultural Awareness 42 Introduction 42 Grief and Intersectional Identities 45 Religion and Spirituality 46 Sexuality and Relationships 48 Responses to Disasters and the Coronavirus Pandemic 49 Disasters 49 Pandemic 52 Multiple Losses 54 Summary 58 References 59 Chapter 2 Assessment 66 Overview 66 Loss and Grief Functionality Questionnaire 68 Generic Assessment: Clinical Interview and Clinical Observations 69 Getting to Know the Client: Accounts of General Life and Daily Events 69 Matrix Assessment 69 Emotional 69 Cognitive 71 Physical Sensations 72 Behavioural 73 Protective Factors 74 Clinical Observations 75 Specific Assessment 75 Accounts of Specific Loss-Related Experiences 75 Value-Based Assessment 77 Working With Neurotypical and Neurodiverse Young People 78 Working With Children of Different Ages 80 Working With Neurodiversity 81 Summary 82 References 84 Chapter 3 Formulation and Case Conceptualisation 86 Overview 86 Longitudinal and Contextual Formulation 88 Predisposing 89 Precipitating 89 Perpetuating 89 Protective Factors 89 Current Place of Residence 90 Religiosity and Its Impact 90 Culture and Customs 90 Coping 90 Social and Relational Factors 90 Economic Power and Its Impact 91 Work/Education 91 Case Conceptualisation: Here-And-Now Meaning-Making 91 Overview 91 Psychoeducation 92 Here-and-Now Case Conceptualisation 93 Working With Young People 95 Summary 96 References 96 Chapter 4 Intervention 97 Five-Phase Principles for the Treatment of Loss 97 Session Structure and Format 98 Treatment in Action 99 Pre-intervention Psychoeducation 101 Five-Phase Principles for the Treatment of Loss and Grief 103 Treatment: Five-Phase Protocol 104 Phase One 104 Phase Two 104 Phase Three 106 Phase Four 108 Phase Five 111 Summary 145 References 145 Chapter 5 Supervision 147 Supervision in Practice 147 Supervision With Loss 150 Summary 153 References 153 Appendix A LAG-FQ 154 Scoring Guide 168 Sub-Scores (Each Out of 52) 168 Total Functionality Score Ranges 168 Appendix B Feelings Log 169 Appendix C Daily Log of Productive and Unproductive Activities 173 Appendix D Daily Log of Rumination and Worry 174 Appendix E My Lifetime Values 175 Index 176 Grief;,Loss;,Assessment;,Formulation;,Coping;,Third-wave,CBT;,Treatment;,Acceptance;,Supervision;,Intervention;,Compassion;,Metacognition Grief,Loss,Assessment,Formulation,Coping,Third-wave CBT,Treatment,Acceptance,Supervision,Intervention,Compassion,Metacognition "This book proposes and explores a novel conceptualisation of the grieving process grounded in evolutionary psychology that integrates cognitive behavioural approaches such as compassion focused therapy, metacognitive awareness, and acceptance and commitment therapy. Starting with an introduction of the historical and theoretical basis for the Principles of Loss model, the book then outlines methods of assessment, and describes the processes of formulation and case conceptualization, with specific guidance on how to navigate these in the context of loss. The book provides an in-depth exploration of the Five-Phase Principles for the Treatment of Loss and Grief (intervention), as well as guidance on the supervision of loss. The chapters, accompanied by case studies, provide an overview of the novel model, followed by specific and tailor-made guidance on assessment (including a novel self-report measure), formulation, treatment, and supervision. This guide is intended for clinicians familiar with or interested in the theory and practice of third-wave cognitive behavioural therapies"-- Provided by publisher