Acknowledgements:We would like to extend our sincere thanks to two anonymous reviewers and to Robert A. Neimeyer and Nigel Field for their invaluable and insightful advice and support in helping us to develop this article for publication.1 Address correspondence to Edith Steffen, Department of Psychology, University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom. E-mail: e.steffen@surrey.ac.uk, Tel.: +44 (0)1483 689553 Keywords: bereavement; continuing bonds; meaning-making; post-traumatic growth; sense of presence; spirituality Bereavement has been described as a major life crisis with potentially severe effects on the survivor's physical and psychological well-being (Lindemann, 1944;Parkes, 1970Parkes, , 1996.
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SENSE OF PRESENCE EXPERIENCES AND MEANING-MAKING IN BEREAVEMENT: A QUALITATIVE ANALYSISFor much of the twentieth century, Western approaches to bereavement have emphasized emotional disengagement from the deceased and the 'working-through' of grief (Freud, 3 1917). Following increasing challenges to this 'grief work' paradigm (e.g. Wortman & Silver, 1989), a new strand of bereavement research has started to identify positive effects of bereavement under the categories of coping (e.g. Folkman, 2001) and post-traumatic growth .Linking bereavement research with research into post-traumatic cognitive processes has drawn attention to the significance of post-bereavement 'meaning-making'. According to Janoff-Bulman (1992), major trauma can shatter people's 'assumptive world' with regard to core beliefs about the benevolence and meaningfulness of the world and one's self-worth.Such 'existential trauma' (Benore & Park, 2004) can lead to a 'search for meaning ' (Frankl, 1959;) ,with the goal of integrating the loss into the assumptive worldview or 'self-narrative' (Neimeyer, 2001) through meaning reconstruction processes such as sense-making, benefitfinding, and identity change (Neimeyer, 2006).Religious and spiritual beliefs can aid these processes (Davis, Nolen-Hoeksema & Larson, 1998), and the potentially positive role of religion in bereavement has been observed (e.g. Becker et al., 2007;Golsworthy & Coyle, 1999;Wortman & Park, 2008). However, a major loss can also challenge existing religious beliefs or lead to a (re-)discovery of faith and spiritual change (Balk, 1999). Spiritual experiences in bereavement may play a significant role here. Benore and Park (2004) 1996) and is generally perceived as 'comforting' (e.g. Parkes, 1970;Sormanti & August, 1997), 'pleasant' (Grimby, 1998;), and helpful or positive (e.g. Chan et al., 2005;LaGrand, 1997). Sometimes, though, sense-of-presence experiences are perceived as negative; for example, Tyson-Rawson (1996) noted that an 'unwelcome' or 'intrusive presence' is often linked with 'unfinished business' in the relationship with the deceased. Although the reported percentages of negative experiences are small compared to positive ones, e.g. 6% and 69% respectively by Rees (1971Rees ( , 2001) and 14% and 86% respectively by Datson and Marwit (1997), di...