Edmands Margaret Sutton, Marcellino-Boisvert Denise
University of Massachusetts-Lowell, College of Health, USA.
Issues Ment Health Nurs. 2002 Mar;23(2):107-19. doi: 10.1080/016128402753542758.
This case study discusses the psychotherapy of an older woman who presented with anxiety and depression decades after a heartbreaking loss in childhood. Maggie's story recalls a lifetime of longing and searching for her father, whose death was denied by those closest to her. Religious proscriptions contravened the nine-year-old's accepting the reality of his death and understanding her own intense feelings. Masked, unresolved, complicated grieving punctuated her life. Maggie entered therapy as an adult confounded by death. "Creative integrationism" therapy included traditional grief work, guided imagery, journal writing, and poetry. As Maggie began to confront the deaths of loved ones, she explored the meaning of life and became more fully engaged in living. Several years after termination, Maggie revisited her journey in therapy and shared her reflections with the authors. This study illustrates the need for a grieving child to accomplish the tasks of mourning; the healing role of ritual; and the role of the psychiatric nurse to facilitate grieving even when the profound and unresolved loss comes to the fore after more than half a century has passed.
本案例研究探讨了一位老年女性的心理治疗过程。她在童年经历了令人心碎的丧亲之痛数十年后，出现了焦虑和抑郁症状。玛吉的故事让人回忆起她一生都在渴望和寻找父亲，而她身边最亲近的人却否认了父亲的死亡。宗教禁忌使这个九岁的孩子无法接受父亲死亡的现实，也无法理解自己强烈的情感。未被正视、未得到解决且复杂的悲痛贯穿了她的一生。成年后的玛吉因死亡问题而困惑，从而开始接受治疗。“创造性整合疗法”包括传统的悲伤处理、引导想象、写日记和诗歌创作。随着玛吉开始面对所爱之人的死亡，她探索了生命的意义，并更加充分地投入生活。在治疗结束几年后，玛吉回顾了自己的治疗历程，并与作者分享了她的思考。这项研究说明了悲伤的孩子完成哀悼任务的必要性；仪式的治愈作用；以及精神科护士在促进悲伤过程中所起的作用，即使这种深刻且未解决的损失在半个多世纪后才凸显出来。
