On the talkability of death: Lived experience of patients whose therapists died during treatment

Psychotherapists often serve as reference figures within the patient–therapist relationship, and the stability of the therapeutic setting is universally recognized as a beneficial therapeutic factor. The aim of the present study was to investigate the meaning-making of losing one’s psychotherapist due to their death and how such unfortunate events are managed when therapy is provided by private practitioners. Ten adult former patients were interviewed on the reminiscence of their emotional states at the time of their therapists’ grief, the exploration of their mourning journey, as well as their current evaluation of the support that they received in the absence of their therapist. Data were analyzed using interpretative phenomenological analysis. Qualitative data revealed four thematic areas: disruption of a sense of continuity, loss of the therapeutic bond, grieving process, and critical evaluation of the events. While some positive aspects of such an event emerged for patients who were prepared for what was to happen, the study also highlights the potentially traumatic impact of a sudden loss, suggesting the need for more guidance for clinicians to support patients in similar circumstances. Recommendations for clinical practice include (a) transparency about severe illness to prevent patients’ misinterpretations of unexpected absences, (b) clear definitions of what pertain to clinicians’ private sphere, (c) designation of a colleague to ensure continuity of care, and (d) supervision to address the emotional impact of separation and loss.