title: Innovative moments in grief therapy: reconstructing meaning following perinatal death.
abstract: This article presents an intensive analysis of a good outcome case of constructivist grief therapy with a bereaved mother, using the Innovative Moments Coding System (IMCS). Inspired by M. White and D. Epston's narrative therapy, the IMCS conceptualizes therapeutic change as resulting from the elaboration and expansion of unique outcomes (or as we prefer, innovative moments), referring to experiences not predicted by the problematic or dominant self-narrative. The IMCS identifies and tracks the occurrence of 5 different types of innovative moments: action, reflection, protest, re-conceptualization, and performing change. Results documented the process of meaning reconstruction over the 6 sessions of treatment, and demonstrated the feasibility and reliability of analyzing narrative change in this form of grief therapy, opening it to comparison with other approaches.
authors.affiliation: School of Psychology, University of Minho, Braga, Portugal.
authors.forename: Daniela
authors.initials: D
authors.lastname: Alves
authors.affiliation: Research Center at the Center for Cognitive-Behavioral Studies and Intervention, Instituto Superior da Maia (ISMAI), Maia, Portugal.
authors.forename: Inês
authors.initials: I
authors.lastname: Mendes
authors.affiliation: School of Psychology, University of Minho, Braga, Portugal.
authors.forename: Miguel M
authors.initials: MM
authors.lastname: Gonçalves
authors.affiliation: Department of Psychology, University of Memphis, Memphis, Tennessee, USA.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Neimeyer
mesh_terms: D000328:Adult; D005260:Female; D005313:Fetal Death; D006117:Grief; D006801:Humans; D009035:Mothers / Q000523:psychology*; D011613:Psychotherapy / Q000379:methods*; D016896:Treatment Outcome