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The process of talking about meaning of death during psychotherapy for a woman with amyotrophic lateral sclerosis

[Speaker] Ishizaka, Masako:1
1:Kyushu Lutheran College (Japan)

This paper reports on the process of psychotherapy for a woman with amyotrophic lateral sclerosis (ALS). Clients with ALS suffer physical disabilities such as motor, communication, swallowing, and breathing disorders as well as mental anguish, including negative meanings of death. The "stages of dying" is a well-known theory of dying. However, in this case, the client meanings of death were ambivalent she exhibited avoidance of thinking about death, meaningfulness of death for life, and death acceptance simultaneously. By talking about her ambivalent meanings of death, she composed haiku and tanka and wrote a letter home to share these meanings in her relationships. This process was discussed from the viewpoint that it is necessary for psychotherapists to support clients during palliative care.
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