Benefits of narrative therapy: holistic interventions at the end of life

Abstract

Clinical experience tells us that the activity of 'putting the house in order' as patients reach the terminal stage in their illness is both a common and legitimate exercise. This process can entail many activities, both physical and emotional. For example, arranging financial affairs, making a will, compiling a living will, organizing their own funeral, completing unfinished emotional business, and perhaps most importantly, pondering the very meaning of life itself. In a continual search to find innovative ways of supporting those who are touched by death and dying, this article will discuss how narrative therapeutic approaches could be helpful in supporting the family of a terminally ill patient who is 'putting the house in order'. Incorporated within this specialist area are perceptions of death and dying, theories of death and dying as well as emotions and the search for meaning. Also under review will be the evidence base for psychotherapeutic interventions, and a review of the narrative therapy approach.

The Experience of Young Adult Cancer Patients Described Through Online Narratives

“…7 Research indicates that treatment in a facility that is not age appropriate leads to a poorer outcome than the outcomes achieved by a combination of age-appropriate care, specialized clinical expertise, and interaction with peers. 28 Storytelling allows emotionally vulnerable cancer patients to share and reshape their situations and emotions with less pressure and at a pace they are comfortable with. By using health information and engaging in a social network on the Internet, cancer patients can enhance personal empowerment and self-esteem and reduce social isolation and distress.…”

Quality of care for the dying in a hospital

“…Como guía moral para vivir una vida buena, no sólo en la práctica de la medicina sino en todos los aspectos de la vida; y 3. Como narraciones testigo que con su verdad y pasión experienciales empujan al examen de prácticas médicas y preceptos éticos aceptados 17 . Las narraciones autobiográficas de los pacientes o las de sus seres queridos son importantes porque tienen un valor considerable como testimonio: Algunas de ellas ofrecen comentarios desde el punto de vista del paciente o de sus familiares sobre cuestiones éticas como la autonomía y el respeto por las personas, la veracidad y el consentimiento informado, la beneficencia y a veces incluso sobre la no-maleficencia 18 .…”

Meaning Construction in Palliative Care: The Use of Narrative, Ritual, and the Expressive Arts

“…72 At this time of existential crisis, patients and families can be helped to tell their story together and cocreate a meaning structure that allows for transformation, transition, and connection. In the liminal space and time of dying, a family storytelling ritual can be created that may present an opportunity for a healing story.…”