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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Intrusive images in grief: an exploratory study.

Paul A Boelen1, Rafaele J C Huntjens

  • 1Department of Clinical and Health Psychology, Utrecht University, 3508 TC Utrecht, the Netherlands. P.A.Boelen@uu.nl

Clinical Psychology & Psychotherapy
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Summary

Intrusive mental images are common in grief, affecting both positive memories and negative future outlooks. These mental intrusions correlate with complicated grief, depression, and anxiety symptoms in mourners.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Mental Health

Background:

  • Intrusive mental imagery is recognized for its role in psychological disorders.
  • Research on intrusive imagery specifically within the context of grief is limited.
  • Understanding these phenomena is crucial for effective grief treatment.

Purpose of the Study:

  • To investigate the frequency and correlates of four types of intrusive images in bereaved individuals.
  • To examine intrusive memories of the deceased, death event images, re-enactment fantasies, and negative future images.
  • To explore the relationship between these intrusions and psychological distress.

Main Methods:

  • A sample of 131 mourners was recruited through mental health professionals.
  • Participants were assessed for the frequency of four specific types of intrusive mental images.
  • Correlations were analyzed between intrusion types and symptoms of complicated grief, depression, and anxiety.

Main Results:

  • All four types of intrusive mental images were found to be common among mourners.
  • The occurrence of these intrusions showed little variation across different mourner subgroups.
  • Positive memories, death event images, re-enactment fantasies, and negative future images all correlated with complicated grief severity.
  • Images of the death event, re-enactment fantasies, and negative future images also correlated with depression and anxiety symptoms.

Conclusions:

  • Intrusive mental imagery is a prevalent aspect of the grieving process.
  • The presence and type of intrusive imagery are linked to the severity of psychological distress, including complicated grief, depression, and anxiety.
  • Further research into intrusive imagery in bereaved populations is warranted for theoretical and clinical advancements.