Studi Kasus: Penggunaan Integrasi Cognitive Behavior Therapy (CBT) dan Expressive Writing pada Individu dengan Persistent Complex Bereavement Disorder (PCBD)

  • Agung Rachmadi Fakultas Psikologi Universitas Indonesia
  • Elizabeth Kristi Poerwandari


Cognitive-behavior therapy (CBT) is known as strong evidence-based therapy used in handling various psychological complaints experienced by individuals. In addition, expressive writing is also known as an effective approach given to individuals who experience painful events and cause severe distress. One significant life event that can cause distress is the death of the closest person, known as grieving. Grieving becomes a nuisance when it causes an intense and prolonged sadness and manifested in daily functioning problems of the individual. This is known as persistent complex bereavement disorder (PCBD). This single case study study aimed to explain the use of CBT integrated with expressive writing in dealing with PCBD during five meeting sessions. Through intervention CBT and expressive writing, R, who was initially confused why she always feels sad for no reason, had no interest in activity, and felt lost her direction toward life, began to be able to identify and regulate her emotions, could return to engage to her daily activities, and foster interest in finding work again. In addition, R began to have an insight that she needed to regulate grieving which she had been avoiding.

Keywords: CBT, Expressive Writing, Persistent Complex Bereavement Disorder


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American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
Bhugra, D., Wojcik, W., & Gupta, S. (2011). Cultural bereavement, culture shock and culture conflict: adjustments and reactions. Migration Ment Health, 139-49. DOI: 10.1017/CBO9780511760990.013
Boelen, P. A., & Smid, G. E. (2017). Disturbed grief: Prolonged grief disorder and persistent complex bereavement disorder. BMJ, 357, j2016. DOI: 10.1136/bmj.j2016.
Boelen, P. A., Van Den Hout, M. A., & Van Den Bout, J. (2006). A cognitive‐behavioral conceptualization of complicated grief. Clinical Psychology: Science and Practice, 13(2), 109-128.
Bonanno, G. A., & Kaltman, S. (2001). The varieties of grief experience. Clinical psychology review, 21(5), 705-734.
Bonanno, G. A., Wortman, C. B., Lehman, D. R., Tweed, R. G., Haring, M., Sonnega, J., ... & Nesse, R. M. (2002). Resilience to loss and chronic grief: a prospective study from preloss to 18-months postloss. Journal of personality and social psychology, 83(5), 1150. DOI: 10.1037//0022-3514.83.5.1150
Cooper, P. (2013). Writing for depression in health care. British Journal of Occupational Therapy, 76(4), 186-193.
D'Amore, S. (2015). When Families Function as Grieving Systems: Clinical Implications. Human Systems Management, 26(3), 9-29.
Koopman, C., Ismailji, T., Holmes, D., Classen, C. C., Palesh, O., & Wales, T. (2005). The effects of expressive writing on pain, depression and posttraumatic stress disorder symptoms in survivors of intimate partner violence. Journal of health psychology, 10(2), 211-221.
Krpan, K. M., Kross, E., Berman, M. G., Deldin, P. J., Askren, M. K., & Jonides, J. (2013). An everyday activity as a treatment for depression: the benefits of expressive writing for people diagnosed with major depressive disorder. Journal of affective disorders, 150(3), 1148-1151. DOI: 10.1016/j.jad.2013.05.065
Kubler-Ross, E., & Kessler, D. (2014). On grief and grieving: Finding the meaning of grief through the five stages of loss. Simon and Schuster.
Lattanzi, M., & Hale, M. E. (1985). Giving grief words: Writing during bereavement. OMEGA-Journal of Death and Dying, 15(1), 45-52.
Malkinson R (2010). Cognitive behavioural grief therapy: the ABC model of rational-emotion behavour therapy. Psychological Topics 19, 289–305
Neimeyer, R. A., Burke, L. A., Mackay, M. M., & van Dyke Stringer, J. G. (2010). Grief therapy and the reconstruction of meaning: From principles to practice. Journal of Contemporary Psychotherapy, 40(2), 73-83. DOI: 10.1007/s10879-009-9135-3
O'Connor, M., Nikoletti, S., Kristjanson, L. J., Loh, R., & Willcock, B. (2003). Writing therapy for the bereaved: Evaluation of an intervention. Journal of palliative medicine, 6(2), 195-204. DOI: 10.1089/109662103764978443
Palmer, M., Saviet, M., & Tourish, J. (2016). Understanding and Supporting Grieving Adolescents and Young Adults. Pediatric nursing, 42(6).
Rosner, R., Bartl, H., Pfoh, G., Kotoučová, M., & Hagl, M. (2015). Efficacy of an integrative CBT for prolonged grief disorder: a long-term follow-up. Journal of Affective Disorders, 183, 106-112. DOI: 10.1016/j.jad.2015.04.051
Rosner, R., Pfoh, G., Kotoučova, M., & Comtesse, H. (2019). Integrative Cognitive-Behavioral Therapy for Prolonged Grief Disorder: Introduction of a Treatment Manual. VERHALTENSTHERAPIE, 29(1), 40-48. doi: 10.1186/s13063-018-2618-3.
Wittouck, C., Van Autreve, S., De Jaegere, E., Portzky, G., & van Heeringen, K. (2011). The prevention and treatment of complicated grief: A meta-analysis. Clinical psychology review, 31(1), 69-78. DOI: 10.1016/j.cpr.2010.09.005.
How to Cite
RACHMADI, Agung; POERWANDARI, Elizabeth Kristi. Studi Kasus: Penggunaan Integrasi Cognitive Behavior Therapy (CBT) dan Expressive Writing pada Individu dengan Persistent Complex Bereavement Disorder (PCBD). Jurnal Ilmu Perilaku, [S.l.], v. 4, n. 1, p. 20-42, july 2020. ISSN 2581-0421. Available at: <>. Date accessed: 22 mar. 2023. doi: