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Pre-Death Grief & Loss I: The Quest for Meaning in Terminal Illness

Pre-Death Grief & Loss I: The Quest for Meaning in Terminal Illness

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Buy $99

Earn 1 Credit for Orientation Module toward
Certification in Grief Therapy as Meaning Reconstruction or
Certification in Family-Focused Grief Therapy
Offered by the Portland Institute.

Presented by

Carolyn Ng, PsyD, FT

Associate Director

Portland Institute for Loss and Transition

Fellow in Thanatology

Association for Death Education and Counseling

Robert A. Neimeyer, PhD


Portland Institute for Loss and Transition

Professor Emeritus

Department of Psychology, University of Memphis

USD$99 for 3-hour module

In the face of the bad news of being diagnosed with a terminal illness, patients often have to face both their own impending death and separation from their loved ones through different dying trajectories, which can be swift or protracted.  This complex emotional journey can trigger existential crisis, death anxiety and pre-death grief, in a way that calls for professional psychological attention.  In this module, we will examine terminal illness and its implications from the Tripartite Model of Meaning Reconstruction, and address the death anxiety, distress related to unfinished business with loved ones, and pre-death grief experienced by those diagnosed with a terminal illness.  Learners will become acquainted with relevant meaning-focused intervention tools to facilitate life review with these clients and support them as they learn to cope with their dying trajectory and face their eventual death.


  • Recognize the impacts of terminal illness from the meaning reconstruction perspective;

  • Describe the key features of death anxiety and pre-death grief experienced; and

  • Facilitate death preparation using Virtual Dream Stories and a life review using My Life Footprints.

Note:  Completion of this module and return of the Responsive Journal satisfies 1 Orientation Module required for Certification in Grief Therapy as Meaning Reconstruction or Certification in Family-Focused Grief Therapy.



This program contains the following video segments:

  1. Terminal Illness as a Crisis of Meaning:  Mapping the Trajectory of Loss (39 mins)
  2. Confronting Suffering at the End of Life:  Risk Factors for Death Anxiety (43 mins)

  3. Preparatory Grief and Unfinished Business:  A Call to Meaning Reconstruction (39 mins)

  4. My Life Footprints:  Affirming Personal Legacies (53 mins)



Presenting Faculty

Carolyn Ng, PsyD, FT, MMSAC, RegCLR, maintains a private practice, Anchorage for Loss and Transition (, for training, supervision and therapy in Singapore, while also serving as an Associate Director of the Portland Institute.  Previously she served as Principal Counsellor with the Children’s Cancer Foundation in Singapore, specialising in cancer-related palliative care and bereavement counselling.  She is a master clinical member and approved supervisor with the Singapore Association for Counselling (SAC) and a Fellow in Thanatology with the Association of Death Education and Counselling (ADEC), USA, as well as a consultant to a cancer support and bereavement ministry in Sydney, Australia.  She is certified in Solution-Focused Brief Therapy and Narrative Therapy, and holds an MA in Pastoral Ministry from Trinity Theological Seminary in the USA.  She is also a trained end-of-life doula and advanced care planning facilitator.

Carolyn Ng, PsyD, FT

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Robert A. Neimeyer, PhD, is a Professor Emeritus of the Department of Psychology, University of Memphis, and maintains an active consulting and coaching practice.  He also directs the Portland Institute for Loss and Transition (, which provides online training internationally in grief therapy.  Neimeyer has published 33 books, including New Techniques of Grief Therapy:  Bereavement and Beyond, and serves as Editor of the journal Death Studies.  The author of over 500 articles and book chapters and a frequent workshop presenter, he is currently working to advance a more adequate theory of grieving as a meaning-making process.  Neimeyer served as President of the Association for Death Education and Counseling (ADEC) and Chair of the International Work Group for Death, Dying, & Bereavement.  In recognition of his scholarly contributions, he has been granted the Eminent Faculty Award by the University of Memphis, made a Fellow of the Clinical Psychology Division of the American Psychological Association, and given Lifetime Achievement Awards by both ADEC and the International Network on Personal Meaning.

Robert A. Neimeyer, PhD

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USD$99 for 3-hour module

For other enquiries, simply email Carolyn.

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