Nocturnal Works death doula resources

Grief Counselling and Narrative Therapy

In conceptualising and dealing with grief in the Western world, we have bought into concepts that are neither helpful, nor terribly well backed by experience. The book, The Other Side of Sadness, notes that our views of grief are distorted by input like Freud’s discussion of “grief work” (not researched, but something Sigmund considered reasonable in relation to a topic he only briefly considered) and the Kübler-Ross model, also known as the five stages of grief (posited by someone who had worked with terminally ill patients, NOT those who were left behind to grieve). These concepts have become cornerstones of working with those grieving.

What is wrong with having poorly considered concepts as the basis of working with people at their most vulnerable? Many people defer to those they consider “professionals” and when in distress, the views of the therapist can have considerable impact on the client’s ability to survive and thrive (I won’t digress into a discussion of the therapeutic power relationship here). In The Other Side of Sadness, Bonanno argues for renewed consideration of the resiliency of those in grief and in their abilities to come out the other side – often showing little compliance with the stages of grief. I have been reading this book and then I began to read about grief work in Narrative Therapy, as I prepare for my course at the Dulwich Centre in Adelaide this month.

In Chapter 8, “Saying Hello Again When We Have Lost Someone We Love” from the book Retelling the stories of our lives: Everyday narrative therapy to draw inspiration and transform experience (accessed 02 November 2019 at https://dulwichcentre.com.au/wp-content/uploads/2018/06/Saying-hullo-chapter-from-the-book-Retelling-the-Stories-of-our-Lives-by-David-Denborough-2.pdf), David Denborough discusses an approach to grief that does not center on “moving on” or working through stages of grief:

Narrative Therapy and Grief Counselling Quote

Rather than the Western norm of adjusting to life without the loved one, there are other options for dealing with the pain of separation and loss. In some cultures, our ancestors remain with us in some way. Many Western therapists would argue that moving on is “healthy” and that a person can get “stuck” in grief if the loved one is not assigned a place in the past. The Narrative approach to grief therapy promoted by Denborough (quoting Narrative Therapy founder Michael White) looks for ways to remember the relationship in a positive way, allowing yourself to imagine the love the other person had for you. Pushing your loved one and memories of them into the “past” can mean for some a dismissal of who they were.

There is not only one way to grieve and dominant Western approaches fuelled by armchair discussions of Freud and tidy stages do not fit either the progress or needs of many who have struggled with the loss of a loved one. If you are struggling with the loss of someone close to you, sometimes it helps to remember the joys you shared, their feelings for you and other positive experiences. Not only can these make your loss more bearable, but on a physiological level, these positive emotions can stimulate areas of your brain that are part of your compassionate mind (see The Compassionate Mind, by Paul Gilbert, for discussions of stimulating the compassion centres of the brain).

Here’s to finding more compassionate and loving ways to progress through grief!

Lee Jordan signature Gerald Lee Jordan, MBA, MEd, MCouns


About Death Doulas

Death Doulas - also referred to as End of Life Doulas - provide emotional and other support to the dying and their families. Support can be psychological (e.g. counselling), physical (aiding with exercise), clerical (helping with completing documents, including advanced directives), documentary (recording messages, including final messages for the dying), ceremonial (e.g. helping plan and/or deliver funerals) and other assistance which is not medical in nature. Death doulas are not doctors, they are not nurses and they are not solicitors/lawyers. They are brought in at the request of the dying and/or family and they are there to help the person transition from life.


About Nocturnal Works

The content on this site is provided to give resources and support to those dying, their loved ones and those providing death doula (end of life) support. When we find out that death is near and the initial shock wears off, emotions and questions flood into our minds. Noctural Works exists as place where you can find out about mental health issues and therapy related to death, dying, grief and bereavement - as well as more practical support, such as planning for death and supporting others on their journey.

The resources on this site are provided by Death Doula Ltd, a company in Aotearoa New Zealand which provides end of life doula support online, in Wellington, Blenheim and Picton (New Zealand). These resources are not legal or medical in nature, so do no rely upon them, but seek legal and medical advice, as required. If you are interested in counselling resources not focusing on death and dying, you can visit our other site, Therapy Aroha.