Meaning-making

, author of ''Man's Search for Meaning'' Psychiatrist and holocaust survivor Viktor Frankl, founder of logotherapy in the 1940s, posited in his 1946 book ''Man's Search for Meaning'' that the primary motivation of a person is to discover meaning in life. Frankl insisted that meaning can be discovered under all circumstances, even in the most miserable experiences of loss and tragedy. He said that people could discover meaning through doing a deed, experiencing value, and experiencing suffering. Although Frankl did not use the term "meaning-making," his emphasis on the creation of meaning significantly influenced subsequent psychological theorists. Neil Postman and Charles Weingartner, both of whom were educational critics and promoters of inquiry education, published a chapter called "Meaning Making" in their 1969 book Teaching as a Subversive Activity. In this chapter, they described why they preferred the term "meaning making" to any other metaphors for teaching and learning: By the end of the 1970s, the term "meaning-making" was used with increasing frequency. The term came to be used often in constructivist learning theory which posits that knowledge is something that is actively created by people as they experience new things and integrate new information with their current knowledge. Kegan wrote: "Human being is meaning making. For the human, what evolving amounts to is the evolving of systems of meaning; the business of organisms is to organize, as Perry (1970) says." The term "meaning-making" has also been used by psychologists influenced by George Kelly's personal construct theory. In a review of the meaning-making literature published in 2010, psychologist Crystal L. Park noted that there was a rich body of theory on meaning-making, but empirical research had not kept pace with theory development. In 2014, the First Congress on the Construction of Personal Meaning was held as part of the Eighth Biennial International Meaning Conference convened by the International Network on Personal Meaning. ==Learning as meaning-making==

The term meaning-making has been used in constructivist educational psychology to refer to the personal epistemology that people create to help them to make sense of the influences, relationships, and sources of knowledge in their world. When they experience something that contradicts or challenges their way of negotiating the world they have to go through the transformative process of evaluating their assumptions and processes of making meaning, which can lead to personal growth and expanded perspectives. Mezirow called these experiences that force individuals to engage in critical self-reflection "disorienting dilemmas". In operant (behavioral) psychology, Richard DeGrandpre cited Kegan and showed how the operant conditioning model could be interpreted as a meaning-making process. As traditionally understood in behavioral theory, the stimulus operates control over behavior as that behavior is reinforced in the presence of that stimulus. DeGrandpre argued that consequences do not reinforce behavior, per se, but rather shape the meaning of the stimulus conditions in which the behavior occurs. Thus in DeGrandpre's interpretation, much of human meaning is a product of this contingency, where meaningful stimuli come to guide people's behavior, including private emotions, as a result of people's long histories of consequent events. This interpretation is summarized: ==In bereavement==

With the experience of a death, people often have to create new meaning of their loss. Interventions that promote meaning-making may be beneficial to grievers, as some interventions have been found to improve both mental health and physical health. However, according to some researchers, "for certain individuals from challenging backgrounds, efforts after meaning might not be psychologically healthy" when those efforts are "more similar to rumination than to resolution" of problems. Some researchers report that meaning-making can help people feel less distressed, and allows people to become more resilient in the face of loss. On the converse, failing to attribute meaning to death leads to more long-term distress for some people. There are various strategies people can utilize for meaning-making; many of them are summarized in the book Techniques of Grief Therapy. One study developed a "Meaning of Loss Codebook" which clusters common meaning-making strategies into 30 categories. Amongst these meaning-making strategies, the most frequently used categories include: personal growth, family bonds, spirituality, valuing life, negative affect, impermanence, lifestyle changes, compassion, and release from suffering. Family bonds Individuals using existing family bonds for meaning-making have a "change in outlook and/or behavior towards family members". With this meaning-making strategy, individuals create meaning of loss through their interactions with family members, and make more efforts to spend more time with them. When individuals use family to give meaning to loss, more meaning-making strategies emerge within the family system. A couple of strategies that family members use to help each other cope are discussing the legacy of the deceased and talking to non-family members about the loss. When family members are able to openly express their attitudes and beliefs, it can lead to better well-being and less disagreement in the family. Meaning-making with one's family can also increase marital satisfaction by reducing family tension, especially if the deceased was another family member. • Benevolent religious reappraisals cast God in a positive light and grievers may see the death as a part of God's plan • Punishing God reappraisals cast God in dark light and grievers may blame God for the loss or feel punished by God • ''Reappraisals of God's power'' question God's ability to intervene in the situation. Another meaning-making strategy people use is to create meaning by valuing their own life. People who create meaning in this way may try to cherish the life they have, try to find their purpose, or change their lifestyles. Philanthropy Grievers can make meaning of death through philanthropic services such as charities, foundations, and organizations. Meaning-making through philanthropy can create financial support, social support, emotional support, and helps create positive results from the negative experience of the death. For example, one couple that lost a child described how they developed "Nora's Project" after their daughter with a disability died, in order to help provide wheelchairs for children with disabilities around the world. The mother said: "With Nora's Project, I am also healing. I am able to turn something that was horrific, the way she died, into something that will do good in the world". Like this mother, it is common for individuals to want to create or do something positive for others. Philanthropy helps people make meaning by continuously and altruistically honoring a life while simultaneously helping others going through a similar experience. == In cancer treatment ==

Cancer can be a threat to a person's identity, safety, security, bodily integrity, and sense of self. As such, the experience can often compel patients, survivors, and caregivers to search for meaning. Two main ways people can make meaning out of cancer is by assimilating the experience as a new situation within their current worldview or by changing (accommodating) their whole worldview for a new meaning of life. A patient's meaning-making process in the wake of a cancer diagnosis is associated with improved psychosocial outcomes, like less anxiety and depression. On the other hand, a lack of meaning is associated with increased psychological distress, like depression and wishing for a faster death. A cancer diagnosis can also cause caregivers to question the meaning of the experience or life in general. The caregiving role can be very demanding—both physically and emotionally—as caregivers are expected to manage pain, medications, and activities of daily living all while contending with their own fears, anxiety, and grief. At the same time, many loved ones find the act of caregiving to be meaningful itself, as it leads to connection, purpose, and growth. Interventions such as (MCP-C) and (EBT) are evidence-based treatments that help caregivers manage their own distress while finding meaning and purpose in the experience. For cancer patients themselves, various psychosocial interventions targeting meaning-making have been found to be effective. Dignity therapy, meaning-centered psychotherapy, and acceptance and commitment therapy have all shown promise. A 2019 meta-analysis that included 29 randomized controlled trials found that psychosocial interventions targeting meaning and purpose produced small to medium sized improvements in these domains. ==See also==