Trauma survivors may see images of monsters in nightmares and visions when experiencing posttraumatic stress. However, there has been little commentary on the significance and meaning of this imagery and the wider relationship between monster imagery and posttraumatic stress. Applying an integrated experiential-processing approach to working with trauma in Counselling and Psychotherapy, emphasis is placed on facilitating ‘processing’ or making sense of the trauma, psychologically, emotionally, existentially and culturally. Examining the interplay of these elements, this paper explores monsters as symbol and metaphor for unspoken or unprocessed personal and cultural trauma, vessels for symbolically representing underlying, unacknowledged fears and experience. This paper discusses how encounters with the monster onscreen, in mental imagery or metaphor, may be allegorical to the individual’s internal struggle with post-traumatic stress. The model presented is applied within an analysis of the symbolic representation of the trauma of cancer, cancer treatment and traumatic loss in survival horror movie The Shallows (Collet-Serra (dir) (2016). The Shallows. Columbia Pictures). Jungian ideas are integrated to consider monsters as emergent symbolisation of unspoken ‘shadow’ fears, such as those surrounding cancer. In an experiential-processing account of trauma, incongruence between self-concept (our beliefs about self and world) and our actual experience of traumatic events is viewed as a source of psychological distress, prompting a breakdown and reorganisation of the self-structure. It is proposed that trauma experience confronts us with our mortality and fragility, bringing us into contact with the sense of ‘abject’ horror represented by monster imagery. Creeds (2007. The monstrous feminine: film, feminism, psychoanalysis. Routledge, London and New York) description of the abject as the ‘place where meaning collapses’ is applied to an understanding of psychological trauma, given that encounters with existential threats may render the everyday meaningless, engendering a need for meaning-making. Monster imagery psychologically represents the collapsing border between our ideas about self and world, and the destabilising experience of the shattering of pre-trauma assumptions. In this account monsters are located within a wider, adaptive evolutionary drive towards the reduction of trauma-related psychological distress, through symbolising experience into awareness for processing and meaning making. In this way monsters may play a complex role in a human struggle to come to terms with overwhelming events.

CONTEXT: Loss of a child to a life-limiting condition (LLC) is 1 of the most traumatic life events for parents. Research focusing on fathers’ experiences is in its infancy. OBJECTIVES: Using a meta-ethnographic approach, we systematically reviewed the literature around fathers’ predeath and postdeath experiences of loss and grief. DATA SOURCES: We searched Medline, Scopus, Cumulative Index to Nursing and Allied Health Literature, and Science Direct, and used the meta-ethnography reporting guidelines; the Preferred Reporting Items for Systematic Reviews and Meta-Analyses; and sampling strategy, type of study, approaches, range of years, limits, inclusion and exclusions, terms used, and electronic sources recommendations. STUDY SELECTION: We used the Guide to Children’s Palliative Care and the directory of LLCs to select qualitative articles published up until the end of March 2023 that described fathers’ predeath and postdeath experiences of loss and grief after their child’s LLC. We excluded studies that failed to differentiate outcomes between mothers and fathers. DATA EXTRACTION: Extracted data included study details, participants’ characteristics, response rate, source of participants, method and time of data collection, children’s characteristics, and quality assessment. First-order and second-order data were also extracted. RESULTS: Forty studies informed a FATHER model of loss and grief. This highlights both similarities (ambivalence, trauma responses, fatigue, anxiety, unresolved grief, guilt) and distinct features defining the predeath and postdeath experiences of loss and grief. LIMITATIONS: There was a bias toward greater mother participation in research. Specific categories of fathers remain underrepresented in palliative care literature. CONCLUSIONS: Many fathers experience disenfranchised grief and deterioration in mental health after a child’s diagnosis and postdeath. Our model opens possibilities for personalized clinical support in the palliative care system for fathers.

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Film therapy, the therapeutic use of movies in psychological therapies, is a growing area of interest to therapists and researchers. This paper presents the MOVIE model of film therapy, a widely applicable, trauma-informed framework for working with film imagery and themes in individual or group therapy, counsellor education and self-help. Film or cinema therapy is a highly accessible and relatable method for many diverse client and student groups with benefits that include, catharsis and emotional processing, greater ease of dialogue around issues, increased empathy, and interpersonal learning, engaging with new perspectives and learning skills. Following the model clients mindfully observe and voice their emotional and psychological responses to movie watching, identify how the imagery, characters, themes, and narrative symbolise personal experience and consider any new possibilities that emerged through re-authoring personal narratives. The model is informed by a practice focused review of literature.

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