Table 1

Outline of ‘Metacognitive Grief Therapy’

SessionContent
1Normalise grief symptoms
Formulate metacognitive model of grief
Enhance awareness of metacognitions
Introduce metacognition self-monitoring
2Explore the link between metacognitions, emotions and behaviour
Changing unhelpful metacognitions into helpful metacognitions
Introduce detached mindfulness
Introduce rumination/worry postponement
3Detached mindfulness practice
Introduce attention training
Challenge positive metacognitive beliefs about rumination/worry
4Attention training practice
Challenge uncontrollability metacognitions and positive beliefs about rumination
Explore metacognitive beliefs about avoidant coping
Challenge unhelpful metacognitive beliefs about pleasant activity scheduling
5Detached mindfulness and attention training practice
Programme review
Maintenance planning
6Detached mindfulness and attention training practice
Relapse prevention