Assessing a Buddhist treatment for bereavement and loss: the mustard seed project.

From a Buddhist perspective, grief becomes complicated because mourners have trouble accommodating the reality of impermanence in the face of deep and unwelcome change, as they struggle to make sense of the "event story" of their loss and to revise their life story and identity accordingly. Joining this perspective with a constructivist emphasis on grieving as meaning reconstruction, we developed a distinctive group intervention to help people reflect on the natural conditions of impermanence and limitation in a compassionate environment in which they were encouraged to cultivate a new self-narrative in the wake of loss. Integrating meditative interludes, dyadic sharing, dharma lessons, and informal didactics on the human quest for meaning, we used expressive arts exercises to engage the existential dilemmas of loss from a self-distancing perspective. Evidence from an open trial on 41 participants in 2 groups documents that the intervention is both feasible and acceptable to clients, and that they display significant decreases in grief related suffering, and corresponding increases in meaning making and personal growth, across the brief course of the workshop experience.