Translated article: Integrative kognitive Verhaltenstherapie für die anhaltende Trauerstörung: Vorstellung eines Behandlungsmanuals

This paper introduces the integrative cognitive-behavioral<br>treatment manual for prolonged grief disorder. This outpatient<br>treatment manual is suited for persons who suffer from<br>severe, disabling, and persistent grief reactions for more than<br>6 months after the loss of a loved person. The treatment aims<br>at resolving grief complications and adjusting to life without<br>the deceased. Cognitive-behavioral treatment strategies are<br>combined with systemic and gestalt therapy techniques. 20<br>weekly sessions are divided into 3 phases. The first phase concentrates<br>on stabilizing and motivating. The second phase allows<br>for different foci: feelings of guilt, adjustment to new living<br>conditions, attachment to the deceased, or avoidance.<br>Employed techniques are prolonged exposure, cognitive restructuring,<br>and empty-chair work. In vivo exposition is applied<br>if necessary. The third phase focuses on future prospects<br>while maintaining a healthy bond to the deceased, and relapse<br>prevention. Up to 5 optional sessions directed toward<br>special or critical situations (e.g., anniversaries) can be added.<br>Altogether, the manual facilitates a feasible and effective<br>treatment of prolonged grief disorder.