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Narrative Therapy for Bereaved Seniors: Case Study

Jiahui Zhou, Yinglu Song*

Department of Economics and Management, Jilin Jianzhu University, Changchun, Jilin Province, China



STEM Education Review 2026, 4(1),1-5; https://doi.org/10.67229/stemer.26080018
Submitted23 Feb 2026
Revised19 May 2026
Accepted11 Jul 2026
Published21 Sept 2026
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Cite This Article
(2026). Narrative Therapy for Bereaved Seniors: Case Study. STEM Education Review , 4(1), stemer26080018. https://doi.org/10.67229/stemer.26080018
Abstract

The Outline of the 15th Five-Year Plan proposes further implementation of the national strategy to respond to population aging actively and to strengthen the protection of eldersrights and interests. Population aging is not only a macro-level issue of demographic transition but also a micro-level reflection of countless individual life experiences. If loneliness and helplessness among bereaved older adults are not effectively addressed, they may lead to more serious psychological problems and have lasting negative effects on their quality of life. This study uses a case study approach and applies narrative therapy to provide psychological adjustment services. The service process follows four stages: listening, externalization, re-authoring, and witnessing. In the listening stage, through home visits and supportive listening, the social worker understands the older adult's emotional distress and life difficulties after spousal loss and builds a trusting relationship. In the externalization stage, the older adult is guided to turn emotional problems into concrete images, so she can see that the problem is not the same as herself, which reduces helplessness and self-labeling. In the re-authoring stage, unique outcomes and positive resources in her life course are explored to help her rebuild her life narrative, form a positive alternative story, and reconstruct meaning. In the witnessing stage, with the use of witnessing rituals and the participation of significant others, the new narrative is strengthened in its sense of reality and social support. This study expands the application of narrative therapy in grief counseling for older adults and shows that it is an effective intervention approach for psychological adjustment in later life.

REFERENCES

Li, J.Y., Lei, J.H., Chu, Q., et al. (2026). Addressing population aging: innovative paths for aging research in China. Bulletin of Chinese Academy of Sciences, 41(2), 406-420.

Wang, L., Wang, L.L., Wang, C.X. (2005). Analysis of psychological problems and coping measures for bereaved older adults. Chinese Journal of Geriatric Care, 3(4), 60.

Chen, F. (2025). Research on gerontological social work intervention in mental health problems of urban bereaved older adults. Society and Public Welfare, (4), 433-435.

Sarali, O., Akca, A.S. (2015). The relationship between quality of life and cognitive functions, anxiety and depression among hospitalized elderly patients. Clin Psychopharmacol Neurosci, 13(2), 194-200.

Gao, H.Y., Wang, G., Yuan, Y.Y. (2011). Analysis of the connotation and influencing factors of health literacy. Chinese Journal of Health Education, 27(8), 616-618.

Lyu, Y.L., Wu, A.Q., Li, M., et al. (2004). A study on psychosocial factors of late-life depression. Chinese Mental Health Journal, 18(4), 254-256.

Ong, A.D., Bergeman, C.S., Biscunti, T.L. (2005). Unique effects of daily perceived control on anxiety symptomatology during conjugal bereavement. Pers Individ Differ, 8, 1507-1567.

Li, Y.J. (2014). Research on the application of theoretical techniques of narrative therapy and their generalizability in the context of social work in China. Social Work, (4).

Neimeyer, R.A., Currier, J.M. (2009). Grief therapy: evidence of efficacy and emerging directions. Current Directions in Psychological Science, 18(6), 352-356.

Zhou, Y.P., Xue, Z., Kang, Y.Z. (2008). Gerontological Social Work. Intellectual Property Publishing House.

Li, Z.Q. (2007). Deconstruction and reconstruction of the comfort mechanism for bereaved older adults in the context of urbanization. Social Work, (06), 34-35.

Feng, Y.J. (2013). Analysis of crisis intervention in spousal bereavement in old age. Border Economy and Culture, (08), 93-94.

Jing, L.S., Feng, J.H., Chen, X.Q., et al. (2021). Correlation between depression status and social support and coping styles among rural bereaved older adults. Chinese Journal of Gerontology, 41(11), 2414-2416.

Zhou, A.H., Liao, X. (2019). Application of narrative therapy in gerontological social work: taking older adults with chronic illness in Hong Kong as an example. Social Work, (3), 41-52, 110.

He, X.S. (2006). Narrative therapy: a new paradigm for social work practice. Journal of East China University of Science and Technology (Social Science Edition), (03).

Gu, L.B., Xu, D.G., He, G.R., Jiao, W.J. (2019). Investigation on loneliness status and related influencing factors among community-dwelling older adults living alone. Journal of Nanjing University of Chinese Medicine (Social Science Edition), 20(02).

Zhou, Y., Zhou, L., Fu, C., et al. (2015). Socioeconomic factors related with the subjective well-being of the rural elderly people living independently in China. Int J Equity Health, 14(1), 5.

Dahlberg, L., McKee, K.J. (2014). Correlates of social and emotional loneliness in older people: evidence from an English community study. Aging Ment Health, 18(4), 504-514.

Payne, M. (2012). Narrative Therapy. China Light Industry Press.

Li, M., Yang, G.X. (2005). Introduction to Narrative Psychotherapy. Shandong People's Publishing House.

Besser, A., Priel, B. (2008). Attachment, depression, and fear of death in older adults: the roles of neediness and perceived availability of social support. Person Indiv Diff, 44(17), 11-25.


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