PS41 - Delivery and Evaluation of Support for People Bereaved by Suicide
Collaborative Poiesis an Expressive Arts Intervention: Leaning Into Listening to Facilitate Emerging Meaning Making Possibilities Following Traumatic LossStudy objectives: A case study of collaborative poiesis, an expressive arts intervention developed for suicide bereaved adults. The intervention draws on the concept of poiesis, the expressive arts, psychodrama, narrative meaning-making and posttraumatic growth. Traumatic, sudden and violent loss can overwhelm the ability of the bereaved persons coping capacity, shattering assumptions about their world, and the ability to language, and make meaning of senseless tragedy. Grief responses can become frozen and blocked, alternatively the death story may be interminably replayed in exhausting, repetitive ruminations. This intervention aims to facilitate collaborative selection and positioning of visual, kinaesthetic, sensory objects to concretize elements of the grief experience. These objects are positioned in unique ways fostering the emergence of previously hidden aspects of the loss story, new possibilities and meanings. The metaphoric, symbolic objects become the building blocks and chapters, of an emerging visual, sensory narrative, capturing the essence of the grief experience in different ways to the entrenched grief saturated story. Study objectives: A case study of collaborative poiesis, an expressive arts intervention developed for suicide bereaved adults. The intervention draws on the concept of poiesis, the expressive arts, psychodrama, narrative meaning-making and posttraumatic growth. Traumatic, sudden and violent loss can overwhelm the ability of the bereaved persons coping capacity, shattering assumptions about their world, and the ability to language, and make meaning of senseless tragedy. Grief responses can become frozen and blocked, alternatively the death story may be interminably replayed in exhausting, repetitive ruminations. This intervention aims to facilitate collaborative selection and positioning of visual, kinaesthetic, sensory objects to concretize elements of the grief experience. These objects are positioned in unique ways fostering the emergence of previously hidden aspects of the loss story, new possibilities and meanings. The metaphoric, symbolic objects become the building blocks and chapters, of an emerging visual, sensory narrative, capturing the essence of the grief experience in different ways to the entrenched grief saturated story. Method and materials: With permission participant expressive art images and verbal data, were recorded, noted and transcribed. Closely attuned, empathic facilitation initially decentred overwhelming grief and loss narratives inviting arrangement of metaphoric, symbolic objects to capture key grief story elements. Facilitation draws on the concept of leaning into listening, providing a safe holding space to support emerging openings that can reshape, and re-story grief narratives, creating the possibility of affectively coherent, comprehensible integration of traumatic loss. Results: Verbal and expressive art data offered qualitative support for the intervention. Data provided insight into subtle affective and cognitive shifts in participant meaning making and posttraumatic growth. Data noted an increased sense of safety, empowerment, decreased ruminations, and emerging discernment and perspectives in relation to movement, direction and ways of being. Conclusion: For those coping with traumatic, complex bereavement, findings provided support for the theory of poiesis and use of the expressive arts. Data evidenced favourable outcomes across a number of significant variables. Research has demonstrated the ability to find comprehensibility and meaning in the grief experience is a significant indicator of beneficial grief outcomes. Further research is required to explore the effectiveness of this intervention and the value of expressive arts in supporting those coping with loss and grief.