Amy Labossiere
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HLSC 3127 - Loss Grief & Bereavement

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Amy Labossiere
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HLSC 3127

Frage 1 von 59

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The is a meaning-making model that focuses on distinctive themes with which those bereaved by suicide struggle after the death. Includes 3 phases: 1) trying on the shoes, 2) walking in the shoes, and 3) taking off the shoes.

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Frage 2 von 59

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The includes not only confrontation with loss (LOSS ORIENTATION), but also avoidant coping strategies as necessary mediators of health and well-being (RESTORATION ORIENTATION)

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Frage 3 von 59

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Attachment theorists have identified 2 dimensions of attachment:

Wähle eine oder mehr der folgenden:

  • Mode of self

  • Mode of sociality

  • Mode of environment

  • Mode of others

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Frage 4 von 59

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The DSM proposes that the exclusive use of either loss-or-restoration-oriented strategies would lead to pathological grief reactions such as chronic grief in the first case and absent or inhibited grief in the second.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 5 von 59

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Sensorimotor therapy utilizes somatic awareness as the entry point, which might allow for a way to engage clients that move beyond their inability find words to describe their grief-related stress.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 6 von 59

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A is the secure place where both thoughts and feelings can occur simultaneously. They are tolerable and responses are appropriate within a given situation. Being outside of this can result in anxious clients experiencing an increase in rumination that becomes more difficult to contain and thus requires more therapeutic support. Avoidant clients outside of this tend to seek out additional ways to remain distracted from their grief when.

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Frage 7 von 59

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Sensorimotor psychotherapy can be especially helpful in individuals with avoidant attachment individuals.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 8 von 59

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A continuing bond with the deceased is an integral part of successful adjustment to the bereaved.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 9 von 59

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The understands the process of adaptation to interpersonal loss as linked to the disruption of homeostatic functioning and as relating and reconfiguring aspects of the relationship to the deceased. Advocates for the assessment of both functioning and the nature of the continuing attachment to the deceased when the significant others die.

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Frage 10 von 59

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The includes a questionnaire, TTBQ, that we can use to evaluate the relative and absolute state of their bereavement as well as compare their response to other bereaved individuals at different points of time.

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Frage 11 von 59

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The problem with stage/phase theories is their rigidity and assumption of a sequential time trajectory. Task theory presents a much more fluid understanding of the mourning process... they can be addressed with no special ordering, and can be visited/reworked over time.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 12 von 59

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There are 4 tasks of mourning...

Wähle eine oder mehr der folgenden:

  • To acknowledge the reality of the loss

  • To acknowledge the relationship you once had, but now do not, with them

  • To relinquish ties with the deceased

  • To process the pain of grief

  • To adjust to a world without the deceased

  • To find an enduring connection with the deceased int he midst of embarking on a new life

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Frage 13 von 59

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The stresses that expressing emotion and seeking social support and help from others are critical in effectively coping with loss. This is 1 of 3 perspectives of the relationship between gender and grief.

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Frage 14 von 59

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Counsellors should not challenge the way that men cope, but rather find ways to deal with loss congruent to their 'masculine inclinations'.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 15 von 59

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Gender determines grieving style

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 16 von 59

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Instrumental grieving is to ( masculine, feminine ) as intuitive grieving is to ( feminine, masculine )

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Frage 17 von 59

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grievers are both instrumental and intuitive grievers.

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Frage 18 von 59

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grievers are people that experience cognitive dissonance, a contradiction, between their experience and expression of grief. They are truly at war with themselves.

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Frage 19 von 59

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Instrumental grievers =
Intuitive grievers =
Blended grievers =
Dissonant grievers =

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    head grievers
    heart grievers
    head & heart grievers
    head VS. heart

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Frage 20 von 59

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In regards to late-life spousal loss, clinical depression is the exception rather than the norm.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 21 von 59

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4 important influences on spousal grief...

Wähle eine oder mehr der folgenden:

  • Whether they had children together

  • The quality of the marital relationship

  • The nature of the death (including caregiving duties prior to death)

  • Social support

  • The co-occurence of other chronic and acute stressors

  • Duration of the marital relationship

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Frage 22 von 59

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Fülle die Lücken, um den Text zu vervollständigen.

, or prolonged grief disorder or traumatic grief, is a painful and impairing condition under consideration for inclusion in the DSM-V. Typical symptoms are intense/persistent feelings of yearning, shock, disbelief, and anger; having difficulty to care/trust for others; and impairing behaviour to try to avoid reminders of the loss/feel closer to them.
Risk factors include 3 categories:
1.
2.
3.

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Frage 23 von 59

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What are the best interventions or treatments for Complicated Grief (aka Prolonged Grief Disorder/Traumatic Grief)? They are all heuristic models...

Wähle eine oder mehr der folgenden:

  • CGT (complicated grief treatment)

  • Art/expressive therapy

  • Meaning reconstruction (constructivist framework)

  • CBT (cognitive behavioral therapy)

  • Body of trust

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Frage 24 von 59

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is a particularly stressful kind of loss because it is no typically officialy acknowledged, and there is no possibility of closure. Of 2 types.

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Frage 25 von 59

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is pervasive sadness that is permanent, periodic, and progressive in nature. Often overlaps with ambiguous loss.

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Frage 26 von 59

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Both ambiguous loss and chronic sorrow are akin to or .

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Frage 27 von 59

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3 Part Model Addressing Trauma...

Wähle eine oder mehr der folgenden:

  • Restoration of resilience

  • Reconnect with the loss

  • Represent the memory

  • Retelling the story

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Frage 28 von 59

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The psychological purpose of the is that the stories maintain psychological security, continuity, and durability in the context of past and present as well as promise future relational fulfillment.

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Frage 29 von 59

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There is no neurobiological diagnosis, pill, or biological treatment for prolonged grief.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 30 von 59

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The sudden death of a loved one (whether it's accident, natural disaster, homicide, or suicide) carries with it an ever greater risk of a trajectory.

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Frage 31 von 59

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bereavement is the most different from mourning after death from natural causes.

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Frage 32 von 59

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is characterized by a continuing presence of the loss itself, and not simply the ongoing presence of the individual's grief.

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Frage 33 von 59

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It's advisable that clinicians screen for distress related to death losses sustained in war that may take the form of , as treatments targeted at PTSD symptoms may not be sufficient.

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Frage 34 von 59

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Losing a pet is not nearly as devastating as losing a human companion.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 35 von 59

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The concept of continuing bonds has not been labeled as such in the pet bereavement literature, although similar phenomena have been described in relation to pet loss.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 36 von 59

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It is not whether a person experiences CB that is most important, what matters is the degree of comfort or distress that is experienced from a particular CB.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 37 von 59

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is a term describing grief that is not acknowledged by society.

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Frage 38 von 59

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Family therapy process is consistent with theoretical constructs of dual process (oscillation between loss orientation and restoration orientation), attachment theory, social-cognitive reframing of assumptive worlds, and process of group adaptation.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 39 von 59

1

Traditional principle of family therapy are represented by:

Wähle eine oder mehr der folgenden:

  • Acceptance

  • Non-judgment

  • Circularity

  • Clarity

  • Neutrality

  • Hypothesizing

  • Skillful questions

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Frage 40 von 59

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It's best to do counselling individually as opposed to family-counselling because the various perspectives can make it difficult to cast judgments.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 41 von 59

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Bereaved individuals seeking family therapy should not choose random family members because that could create a biased atmosphere for the therapist, rather, all family should be invited.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 42 von 59

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The goal of joint story telling in family-therapy is to create an experience of .

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Frage 43 von 59

1

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is effective by "making" and "sensing" ("sense making") are ways of knowing, shaping, and storying grief & loss so that experiences do not remain senseless.

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Frage 44 von 59

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Expressive arts therapy is mainly concerned with direct interpretation of the symbolic material presented.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 45 von 59

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The creation of legacy is not confined to the time frame of the traditional funeral.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 46 von 59

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Virtually all hospice standards have included an expectation that bereavement services be provided to families usually for a minimum of one year after the death of the patient.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 47 von 59

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- is expressed at a greater or less intensity over a significantly longer or shorter time than is culturally expected
- is initial and intense response to loss
- is grief in response to ongoing loss
- is grief that is not expressed or experienced until well after the loss
- is grief that is experienced before the loss/death

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    Complicated grief
    Acute grief
    Chronic sorrow
    Delayed grief
    Anticipatory loss

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Frage 48 von 59

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Wähle von der Aufklappliste, um den Text zu vervollständigen.

A ( good death, bad death ) is when the individual is in control, comfortable, has closure, has trust in caregivers, has recognition of impeding death, beliefs and values are honoured, burden is minimized, relationships are optimized, a legacy is left, and included family care.

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Frage 49 von 59

1

Wähle von der Aufklappliste, um den Text zu vervollständigen.

A ( good death, bad death ) is when the death was not in accordance with one's wishes, it was not in their location of choice, they were alone, prolonged/suffering, traumatic/fearful/angry, cognitively impaired, unprepared, disorganized care, family burdened, alone, young

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Frage 50 von 59

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is a natural part of existence. Real or perceived deprivation of something meaningful. Can be tangible or intangible.

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Frage 51 von 59

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is the natural reaction to loss- psychological, social & somatic reactions

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Frage 52 von 59

1

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is the period after a loss when grief occurs

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Frage 53 von 59

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-: coined the term "grief work" with 3 taks:
1. Relinquish attachment to loved one
2. Adapt to life without loved one
3. Establish new relationship.
Also identified 6 characteristics of 'acute grief': physical distress, rumination, survival guilt, anger, decreased function, internalization
- consists of 4 phases:
1. Numbness
2. Yearning
3. Disorganization and despair
4. Reorganization
-- identified the 5 stages of dying (later applied to grief experience with depression an integral component)- denial, anger, bargaining, depression, acceptance
-- the theory of mourning and melancholy distinguished between "normal" (reilnquishes ties and redirects emotional attachment) and "pathological" mourning (complicated grieving)
-: consists of 4 tasks:
1. Accept the reality of the loss
2. Experience the pain of grief
3. Adjust to environment without deceased
4. Withdraw emotional energy and reinvest in another relationship
- consists of 3 phases:
1. Avoidance phase
2. Confrontation phase
3. Reestablishment phase

Klicke und ziehe, um den Text zu vervollständigen.

    Erich Lindemann's Crisis Theory
    Park's model
    Elizabeth Kubler-Ross
    Freudian Theory of Loss
    Worden's model
    Rando's model

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Frage 54 von 59

1

- framework is when mourners actively search to understand the loss and attach symbolic significance to the loss. 'Meaning making' influences transition, integrating loss into a 'personal narrative'. This is especially relevant for traumatic loss. May include personal endeavours such as projects etc.
- framework for grief and loss emphasizes that grief is a natural, expectable, and potentially health producing process (NOT pathological). Everyone has individual & envn'tal strengths that can assist them through their grief to facilitate the process of psychological separation from the deceased. Grief evolves over time and is expressed at varying levels of consciousness.
- framework of grief reduces detachment from the deceased. The focus is on an internalized, ongoing relationship (NOT pathological). The idea is to maintain an inner representation of the deceased that is normal rather than abnormal.

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    Grief within a constructivist
    Strength-based
    Continuing bonds

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Frage 55 von 59

1

Wähle von der Aufklappliste, um den Text zu vervollständigen.

( Erich Lindemann's Crisis Theory, Elizabeth Kubler-Ross, Bowlby's attachment theory, Parke's model, Worden's model, Rando's model, Grief within a constructivist framework, Continuing bonds ) says that the lifespan development of attachment involves formation of bond, maintenance of the attachment, and disruption of the bond. Grief is a reflection of basic attachment dynamics and includes 4 phases:
1. Numbness & denial
2. Yearning & searching
3. Disorganization & desolution
4. Gradual movement to reorganization

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Frage 56 von 59

1

When a loved one dies from disease/natural causes, there is time, space & opportunity to share a dying narrative. In unforeseen deaths, the bereaved are traumatized because there was no time, space, or opportunity for them to include in narrative. This narrative is retold as an alienated event, because they played no role in the unfolding.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 57 von 59

1

Suicide can be understood as containing elements from 1. suicide 2. violent deaths 3. unexpected deaths and 4. all deaths. Suicide bereavement therefore often entails complicated grief.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 58 von 59

1

What are the best interventions in suicide bereavement?

Wähle eine oder mehr der folgenden:

  • Body of trust

  • EMDR

  • Flooding

  • Family snapshot

  • Psychoeducation

  • Dosing

  • Existential exploration

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Frage 59 von 59

1

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Our is an overarching cognitive-affective-behavioral structure that organizes the micro narrative of every day into a macro narrative for our self-understanding.

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