‘What works?’ Therapeutic experience with grieving clients

Abstract

This paper poses questions about the nature of the therapeutic process in general. Using a holistic and integrative perspective, the author argues that therapy has been influenced by considerations of therapist expertise, techniques aimed at solving problems, and a paternalistic model of doing things to the client. The paper proposes a contrasting approach involving a shared, conversational experience with clients which respects personal autonomy and encourages creative solutions. Throughout the whole paper weaves the underlying theme of unresolved grief, reflecting the author's philosophy that loss is a covert agenda for many people seeking therapeutic help. The author's thesis is that in defining the emotions associated with unresolved grief, exploring the contexts in which the losses occurred, and investigating future options and directions, therapeutic change can be effected. Finally, a quandary that therapy as conversation presents is addressed: how can we research our dialogue to ensure effective outcomes?