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On the impact of suicide and accepting it in the therapeutic process
 
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1
Uniwersytet Jagielloński, Collegium Medicum, Katedra Psychiatrii, Pracownia Psychologii i Psychoterapii Systemowej
 
2
Uniwersytet Jagielloński, Collegium Medicum, Katedra Psychiatrii, Zakład Terapii Rodzin i Psychosomatyki
 
These authors had equal contribution to this work
 
 
Submission date: 2025-10-10
 
 
Final revision date: 2025-11-29
 
 
Acceptance date: 2025-12-23
 
 
Publication date: 2026-07-23
 
 
Psychoter 2026;216(1):57-69
 
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ABSTRACT
The article addresses the experience of traumatic loss related to the suicidal death of a loved one, as well as working with this experience in family therapy. It pays particular attention to the role of shame, guilt, the recurring question of why, as well as the potential disruption of family bonds. The text is casuistic and descriptive in nature. An analysis of fragments of therapeutic sessions with families after the suicidal death of a child was conducted, and reference was made to literature from the field of attachment theory and research on shame in the context of loss and grief. A child’s suicide causes parents to question their parental competence, challenges their previous identity, and creates a risk of harm within family bonds. Shame often becomes a central experience that hinders communication and the grieving process, which prevents the repair of bonds and the gradual reformulation of one’s identity. The therapeutic process allows for the gradual breaking through of shame, which, when hidden, causes isolation, and enables the sharing of emotions and the joint search for meaning in the face of the mystery of loss. Therapy for traumatic loss requires the therapist to create a space in which it is possible to express thoughts and feelings that may be blocked due to shame, taboo, or the desire for mutual protection. The therapy focuses on working with guilt, reframing meanings, and maintaining bonds.
eISSN:2391-5862
ISSN:0239-4170
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