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Meaning and Purpose
(’MaP’) Therapy
Workshop
Dr. Carrie Lethborg, MSW, PhD
Manager – Inclusive Health Action Research |St Vincent’s Health
Australia
Grade 4 - Senior Social Worker |St Vincent’s Hospital Melbourne
Annual Conference – Hobart,
November 2019
Plan
What we know about the role of meaning in
cancer
Taking the theory to the practice setting –
‘MaP Therapy’
‘MaP Therapy’ concepts
Think of …
A moment when you felt like:
⚫ you were where you were supposed to be,
or
⚫ when you dream about something you’ve
always wanted to do.
Meaning
The moment / dream Situation
What does this feel like?
What is it about this
situation/experience that is
good?
Feeling
What does this bring out in you? Value
The problem is,
most of us
have the luxury
of avoiding the
need to be
concerned with
these
motivations –
they exist in the
backgrounds of
our lives.
Model of Meaning in practice
Cognitive Existential Social Physical
Meaning of life Meaning in
life
Meaning in
context
Capacity for
meaning
Motivation Need for life
review & sense
of continuity (Janoff-
Bulman , 1989,
Antonovsky, 1987).
Will to meaning (Frankl, 1963, Davis
et al, 1998).
Need for
significance /
Desire to be
known (Soelle,
1975, Herth, 1990,
Clarke, 2003).
Symptom
management
and restoring
equilibrium
Positive
Outcome
Making sense of
life’s transitions &
the place of
hope.
Authenticity &
fulfilment,
Finding benefit
Experiencing
belonging &
connection to
others.
Sense of
control and
embodied
intelligence.
Therapeutic
Goals
Promoting a
sense of
coherence about
life’s journey
Encouraging
meaning &
purpose while
recognising
suffering
Strengthening
meaning in
relation to
others
Understanding
bodily reactions
Resonate?
Taking the theory to the
practice setting - ‘MaP
Therapy’
Sessions
Session
Number
Objective of Session
1 Getting to know the person
2 Defining personalized therapy goals
3 Enhancing meaning & purpose
4 Examining connection with others
5 Defining priorities consistent with your
strengths and values
6 Consolidating the direction for the totality of
your life
Joseph, 54
