ABSTRACT: This article describes the development and implementation of the Grief Song-Writing Process (GSWP) with bereaved adolescents. First, a thematic analysis was completed of 123 songs previously written by bereaved adolescents in individual music therapy sessions that expressed core concerns regarding the death of their loved one and how they were coping since the death. Second, existing grief models were compared with these song theme areas, and an integrated grief model was developed that includes five identified grief process areas of understanding, feeling, remembering, integrating, and growing. Third, a systematized seven-session group GSWP protocol was developed and implemented, during which adolescents created music and wrote original lyrics to songs that focused on each of the five grief process areas. Details of this protocol are shared, along with five original songs composed for and during the songwriting process. The death of a loved one can be a difficult and significant life-impacting event, presenting major challenges for adolescents. The grieving process interacts with core adolescent concerns of gaining mastery and control over their environment, having a sense of belonging, seeking fairness and justice, and maintaining their self-image (Fleming & Adolph, 1986). Moos (1995) describes how bereaved adolescents adapt through establishing the personal meaning of the loss, maintaining an emotional balance, sustaining interpersonal relationships, and preserving a satisfactory self-image. Balk and Corr (1996) articulate a cognitive approach to therapy, emphasizing the need for adolescents to develop a variety of coping skills, including dealing with the reality of the loss and learning how to respond to life changes as a result of the death. However, many adolescents have a strong need to belong and not seem different from peers that may cause them to hide outward signs or expressions of grieving (Corr & Corr, 1996). This may result in acting out behavior, running away, delinquency, promiscuity, excessive drug use, or depression (Raphael, 1983; Wass & Scott, 1978). Various models of grief have described stages, tasks, phases, processes, and dimensions of healthy grieving for children, adolescents, and adults who have experienced the death of a loved one. In the development of the current study, many of these models were reviewed by Dalton (2001) for common characteristics and features. Some theorists have described task-based models for a healthy grieving process. These tasks include understanding and accepting the reality of the death, working through and bearing the emotional pain of the loss, and adjusting and resuming life without their loved one (Fox, 1985; Furman, 1974; Worden, 2002). Baker, Sedney, and Gross (1992) also described psychological tasks of forming a new personal identity integrating the experience of the loss, investing in new relationships, and returning to normal life activities. Bowlby (1980) described four phases of mourning including a numbing and denial of the reality of the loss; yearning for the loved one; intense emotions including sadness, anger, despair and hopelessness; and a reorganization where new bonds with others are formed. Rando (1993) described the R process of complicated mourning, including recognizing the loss, reacting to the separation, recollecting and re-experiencing the deceased and the relationship, relinquishing the old attachments and old assumptive world (i.e., what was taken for granted when the deceased was still alive), readjusting to move adaptively into the new world without forgetting the old, and reinvesting in life activities. Wolfelt (1983) described dimensions of children's grief, including a lack of feelings, shock, denial, numbness, emptiness, sadness, guilt, fear, self-blame, acting out behavior, explosive emotions, disorganization and panic, the big man/ woman syndrome (i.e., the bereaved child taking on adult roles previously held by the deceased), physiological changes, regression, and reconciliation. …
Read full abstract