meaningful life
{{Short description|Fulfilling life guided by a purpose}}
{{See also|Meaning of life}}
In positive psychology, a meaningful life is a construct having to do with the purpose, significance, fulfillment, and satisfaction of life.{{cite book|last1=Steger|first1=Michael F.|editor1-last=Snyder|editor1-first=C.R.|editor2-last=Lopez|editor2-first=Shane J.|title=Oxford handbook of positive psychology|volume=1|date=2009|publisher=Oxford University Press|location=Oxford|isbn=9780195187243|edition=2nd|chapter=Meaning in Life|pages=678–688 |doi=10.1093/oxfordhb/9780195187243.013.0064}} While specific theories vary, there are two common aspects: a global schema to understand one's life and the belief that life itself is meaningful. Meaning can be defined as the connection linking two presumably independent entities together;{{cite book|editor1-last=Snyder|editor1-first=C. R.|editor2-last=Lopez|editor2-first=Shane J.|title=Handbook of positive psychology|year=2002|edition=1st|publisher=Oxford University Press|location=Oxford; New York|isbn=978-0195135336|pages=608–618|last1=Baumeister|first1=Roy F.|last2=Vohs|first2=Kathleen D.|chapter=The pursuit of meaningfulness in life}} a meaningful life links the biological reality of life to a symbolic interpretation or meaning.{{cite journal|last1=Baumeister|first1=Roy F.|last2=Vohs|first2=Kathleen D.|last3=Aaker|first3=Jennifer L.|last4=Garbinsky|first4=Emily N.|title=Some key differences between a happy life and a meaningful life|journal=The Journal of Positive Psychology|date=November 2013|volume=8|issue=6|pages=505–516|doi=10.1080/17439760.2013.830764|s2cid=11271686 |url=https://carlsonschool.umn.edu/files/somekeydifferenceshappylifemeaningfullife2012pdf|accessdate=1 April 2017|url-access=subscription}} Those possessing a sense of meaning are generally found to be happier, to have lower levels of negative emotions, and to have lower risk of mental illness.{{cite journal|last=Feldman|first=David B.|author2=Snyder, C. R.|title=Hope and the Meaningful Life: Theoretical and Empirical Associations Between Goal–Directed Thinking and Life Meaning|journal=Journal of Social and Clinical Psychology|date=1 May 2005|volume=24|issue=3|pages=401–421|doi=10.1521/jscp.24.3.401.65616}}
While there are benefits to making meaning out of life, there is still not one definitive way in which one can establish such a meaning. In psychological studies, those who were successful in creating a meaningful life enjoyed benefits such as higher levels of positive affect, life satisfaction, etc. When faced with a stressful life situation, finding meaning is shown to help adjustment.
Major theoretical approaches
Logotherapy emphasizes finding values and purpose in an individual's life, and building relationships with others in order to reach fulfilment and attain meaningfulness. "Value" can be further subcategorized into three main areas: creative, experiential, and attitudinal. Creative values are reached through acts of creating or producing something. Experiential values are actualized when a person experiences something through sight, touch, smell, or hearing. Finally, attitudinal values are reserved for individuals who cannot, for one reason or another, have new experiences or create new things. Thus they find meaning through adopting a new attitude that allows "suffering with dignity". For all of these classes of values, it is because of one's sense of responsibility that one pursues these values and consequently experiences a meaningful life. It is through the realization that one is the sole being responsible for rendering life meaningful that values are actualized and life becomes meaningful.
Terror management theory studies meaningfulness and its relationship to culture. A human's consciousness makes them aware of their own mortality.{{cite book|last=Becker|first=Ernest|title=Birth and Death of Meaning: An Interdisciplinary Perspective on the Problem of Man.|year=1972|publisher=Free Press of Glencoe|location=[S.l.]|isbn=978-0029021903}} In order to deal with their inevitable death, humans attempt to leave their mark in some symbolic act of immortality within the structured society. The structure created through society and culture provides humans with a sense of order. Through the structured society we are able to create a symbolic immortality which can take various forms, e.g., monuments, theatrical productions, children, etc. Culture's order reduces death anxiety as it allows the individual to live up to the societal standards and in living up to such ideals; one is given self-esteem which counterbalances the mortal anxiety.
Hope theory operationalizes meaningfulness as having more to do with self-control that leads to higher self-esteem. As one lives by societal standards of living, one exercises self-control and it is through this self-control that higher self-esteem is achieved. Meaning is found when one realizes that one is capable and able to effectively achieve their goals through successful management. Control is "a cognitive model whereby people strive to comprehend the contingencies in their lives and achieve goals.
Narrative psychology proposes that people construct life stories as a way to understand life events and impose meaning on life, thus connecting [via explanation] the individual to the event.{{cite book|last=McAdams|first=Dan P.|title=The stories we live by: personal myths and the making of the self|year=1996|publisher=Guilford Press|location=New York|isbn=978-1572301887|edition=5., 6. print.}} Meaningfulness is a subjective evaluation of how well these stories connect to the person. Furthermore, meaningfulness is actualized through positive functioning, satisfaction with life, the enjoyment of work, happiness, positive affect and hope. Meaningfulness can also be translated into physical health and a generalized well-being. Baumeister posits that meaningfulness is divided into four needs: sense of purpose, efficacy, value, and a sense of positive self-worth.{{cite journal|last=Baumeister|first=Roy F.|author2=Wilson, Brenda|title=Life Stories and the Four Need for Meaning|journal=Psychological Inquiry|date=1 October 1996|volume=7|issue=4|pages=322–325|doi=10.1207/s15327965pli0704_2}}
Major empirical findings
Social exclusion results in a perceived loss of meaningfulness in life. Furthermore, the four needs for meaning (sense of purpose, efficacy, value and sense of positive self-worth) were found to be mediators in the perception of meaningfulness of life. When one considers themselves to be socially excluded, one's sense of purpose, efficacy, value, and self-worth are all indirectly diminished.{{cite journal|last=Stillman|first=TF|author2=Baumeister, RF |author3=Lambert, NM |author4=Crescioni, AW |author5=Dewall, CN |author6= Fincham, FD |title=Alone and Without Purpose: Life Loses Meaning Following Social Exclusion.|journal=Journal of Experimental Social Psychology|date=Jul 2009|volume=45|issue=4|pages=686–694|pmid=20161218|doi=10.1016/j.jesp.2009.03.007 |pmc=2717555}}
Recent systematic reviews addressing meaning in life found that higher meaning in life is associated to better physical health in general,{{Cite journal|last1=Czekierda|first1=Katarzyna|last2=Banik|first2=Anna|last3=Park|first3=Crystal L.|last4=Luszczynska|first4=Aleksandra|date=2017-10-02|title=Meaning in life and physical health: systematic review and meta-analysis|journal=Health Psychology Review|volume=11|issue=4|pages=387–418|doi=10.1080/17437199.2017.1327325|issn=1743-7199|pmid=28488471|s2cid=205910187 }}{{Cite journal|last1=Roepke|first1=Ann Marie|last2=Jayawickreme|first2=Eranda|last3=Riffle|first3=Olivia M.|date=2014-12-01|title=Meaning and Health: A Systematic Review|journal=Applied Research in Quality of Life|language=en|volume=9|issue=4|pages=1055–1079|doi=10.1007/s11482-013-9288-9|s2cid=145210246 |issn=1871-2584}} lower distress among cancer patients,{{Cite journal|last1=Winger|first1=Joseph G.|last2=Adams|first2=Rebecca N.|last3=Mosher|first3=Catherine E.|date=January 2016|title=Relations of meaning in life and sense of coherence to distress in cancer patients: a meta-analysis|journal=Psycho-Oncology|volume=25|issue=1|pages=2–10|doi=10.1002/pon.3798|issn=1099-1611|pmc=4575247|pmid=25787699}} and higher subjective well-being in China.{{Cite journal|date=2016-12-15|others=JIN Yuchang, HE Mingcheng, LI Junyi|title=The relationship between meaning in life and subjective well-being in China: A Meta-analysis|url=http://journal.psych.ac.cn/xlkxjz/EN/abstract/abstract3589.shtml|journal=Advances in Psychological Science|language=en|volume=24|issue=12|pages=1854|doi=10.3724/SP.J.1042.2016.01854|issn=1671-3710|last1=Jin|first1=Yuchang|last2=He|first2=Mingcheng|last3=Li|first3=Junyi|s2cid=151808979 |url-access=subscription}} On the other hand, in another systematic review, a more specific type of meaning, a purpose in life, was associated to reduced mortality and cardiovascular events.{{Cite web|title=What's Your Purpose? Finding A Sense Of Meaning In Life Is Linked To Health|url=https://www.npr.org/sections/health-shots/2019/05/25/726695968/whats-your-purpose-finding-a-sense-of-meaning-in-life-is-linked-to-health|access-date=2021-09-09|website=NPR.org|date=25 May 2019 |language=en|last1=Gordon |first1=Mara }}{{Cite journal|last1=Cohen|first1=Randy|last2=Bavishi|first2=Chirag|last3=Rozanski|first3=Alan|title=Purpose in Life and Its Relationship to All-Cause Mortality and Cardiovascular Events|url=https://dx.doi.org/10.1097/psy.0000000000000274|journal=Psychosomatic Medicine|volume=78|issue=2|pages=122–133|doi=10.1097/psy.0000000000000274|pmid=26630073|year=2016|s2cid=24337711 |url-access=subscription}} Another meta-analysis found that purpose in life was in average slightly lower in older age-groups compared to younger ones.{{Cite journal|last=Pinquart|first=Martin|date=2002-03-01|title=Creating and maintaining purpose in life in old age: A meta-analysis|journal=Ageing International|language=en|volume=27|issue=2|pages=90–114|doi=10.1007/s12126-002-1004-2|s2cid=145011700 |issn=0163-5158}}
A study found an association between the discovery of meaning and a lower rate of AIDS-related mortality.{{cite journal|last=Bower|first=JE|author2=Kemeny, ME |author3=Taylor, SE |author4= Fahey, JL |title=Cognitive processing, discovery of meaning, CD4 decline, and AIDS-related mortality among bereaved HIV-seropositive men.|journal=Journal of Consulting and Clinical Psychology|date=Dec 1998|volume=66|issue=6|pages=979–86|pmid=9874911|doi=10.1037/0022-006X.66.6.979}} This was the first study in which the findings appear to not be mediated by health behaviors or other potential confounds. The study looked at HIV-seropositive men who had recently witnessed the death of a close friend from AIDS-related death. When confronted with the stress of such a death those men, who were able to find meaning in the loss, were subject to less rapid declines in CD4 T cell levels. Furthermore, the subjects who went through cognitive processing in response to the bereavement were more likely to find meaning in the death of the close friend. Thus in experiencing a stressful life event if one is able to engage successfully in finding meaning there is a potential link to positive immunological benefits and health outcomes.
Relation to other concepts
= Happiness =
A happy life and a meaningful life are strongly correlated attitudes.{{Cite news|url=https://www.scientificamerican.com/article/a-happy-life-may-not-be-a-meaningful-life/|title=A Happy Life May Not Be a Meaningful Life|last=Grewal|first=Daisy|work=Scientific American|access-date=2018-02-19|language=en}} However, happiness may be distinguished as relating more to biological needs and desires, such as the absence of pain or unpleasant experiences, while meaning is more cultural and abstract, relating to overall life satisfaction or eudaimonia. According to a research, living a meaningful life is one of the several enduring pathways to happiness.{{Cite news|url=https://psychcentral.com/lib/five-pathways-to-happiness/|title=Five Pathways to Happiness|date=2016-05-17|work=Psych Central|access-date=2018-09-17|language=en-US}} Another study found that difficulty, health, purchasing power, and a focus on the present corresponded more to happiness than meaning, while thinking about the past or the future, struggle, stress, worry, argument, anxiety, generosity, and viewing daily activities such as raising children as reflective of oneself corresponded more with finding life meaningful. Feeling more connected to others improved both happiness and meaning, according to the study. Yet, the role a person adopts in the relationships makes an important difference. Those who agreed with the statement "I am a giver" reported less happiness than those who were more likely to agree with "I am a taker". However, the "givers" reported higher levels of meaning in their lives compared to the "takers".
= Importance =
The desire to lead a meaningful life is closely related to the desire to lead an important life. In many cases, the two overlap: a meaningful life is often important in some sense and finding importance in life can act as a key to making life meaningful. However, it has been argued that this is not always true. So there may be cases in which the two come apart.{{cite journal |last1=Gordon |first1=Jeffrey |title=Nagel or Camus on the Absurd? |journal=Philosophy and Phenomenological Research |date=1984 |volume=45 |issue=1 |pages=15–28 |doi=10.2307/2107324 |jstor=2107324 |url=https://philpapers.org/rec/GORNOC|url-access=subscription }} Importance is usually defined in terms of having an impact on the world. So a person is important if they make a difference.{{cite journal |last1=Kahane |first1=Guy |title=Importance, Value, and Causal Impact |journal=Journal of Moral Philosophy |date=13 August 2021 |volume=19 |issue=6 |pages=577–601 |doi=10.1163/17455243-20213581 |s2cid=238678531 |url=https://brill.com/view/journals/jmp/aop/article-10.1163-17455243-20213581/article-10.1163-17455243-20213581.xml |issn=1745-5243|doi-access=free }}{{cite book |last1=Benatar |first1=David |title=The Human Predicament: A Candid Guide to Life's Biggest Questions |date=5 May 2017 |publisher=Oxford University Press |isbn=978-0-19-063382-0 |chapter-url=https://books.google.com/books?id=VG7JDgAAQBAJ&pg=PA36 |language=en |chapter=3. Meaninglessness}}{{cite journal |last1=Hughes |first1=Nick |title=Do We Matter in The Cosmos? |journal=Aeon Magazine |date=2017 |volume=2017 |url=https://philpapers.org/rec/HUGDWM}} Many theorists emphasize that not any type of difference is sufficient. On this view, the difference has to be big enough and affect the value of the world.{{cite book |last1=Nozick |first1=Robert |title=Examined Life: Philosophical Meditations |date=15 December 1990 |publisher=Simon and Schuster |isbn=978-0-671-72501-3 |url=https://books.google.com/books?id=R-8SvHlNMXAC |language=en |chapter=16. Importance and Weight}}{{cite journal |last1=Frankfurt |first1=Harry |title=The Importance of What We Care About |journal=Synthese |date=1982 |volume=53 |issue=2 |pages=257–272 |doi=10.1007/BF00484902 |jstor=20115802 |s2cid=46967621 |url=https://www.jstor.org/stable/20115802 |issn=0039-7857|url-access=subscription }} This is usually understood in terms of well-being: a person is important to the extent that they affect the well-being of sentient beings, either directly or indirectly.{{cite journal |last1=Benbaji |first1=Yitzhak |title=The Moral, the Personal, and the Importance of What We Care about |journal=Philosophy |date=2001 |volume=76 |issue=297 |pages=415–433 |doi=10.1017/S0031819101000365 |jstor=3751779 |s2cid=143737564 |url=https://www.jstor.org/stable/3751779 |issn=0031-8191|url-access=subscription }}{{cite book |last1=Tugendhat |first1=Ernst |title=Egocentricity and Mysticism: An Anthropological Study |date=4 October 2016 |publisher=Columbia University Press |isbn=978-0-231-54293-7 |chapter-url=https://books.google.com/books?id=NB_uDAAAQBAJ&pg=PA17 |language=en |chapter=2. "Good" and "Important"}}
A common aspect of meaningful lives is that they are guided by a purpose.{{cite book |last1=Kahane |first1=Guy |editor1-last=Landau |editor1-first=Iddo |title=The Oxford Handbook of Meaning in Life |date=10 June 2022 |url=https://www.oxfordhandbooks.com/view/10.1093/oxfordhb/9780190063504.001.0001/oxfordhb-9780190063504-e-6 |language=en |chapter=Meaningfulness and Importance|pages=93–C5.P74 |doi=10.1093/oxfordhb/9780190063504.013.6 |isbn=978-0-19-006350-4 }}{{cite book |last1=Nozick |first1=Robert |title=Philosophical Explanations |date=1981 |publisher=Harvard University Press |isbn=978-0-674-66479-1 |url=https://books.google.com/books?id=N4zH86WogYwC |language=en |chapter=6. Philosophy and the meaning of life}}{{cite book |last1=Wolf |first1=Susan |title=Meaning in Life and Why It Matters |date=25 March 2012 |publisher=Princeton University Press |isbn=978-0-691-15450-3 |url=https://books.google.com/books?id=DWiYDwAAQBAJ |language=en}} This highlights the relation to importance: in working towards realizing this purpose, the agent usually makes a difference to the world and thereby increases their importance. However, this type of conscious purpose is not required for importance. In one example, a nobleman's pants accidentally drop down the moment he is being knighted. This incident turns out to be important because, through a strange connection of events, it causes a bloody war to end. But this embarrassment does not make the nobleman's life meaningful even though it has become important.{{cite book |last1=Nagel |first1=Thomas |title=Mortal Questions |date=2012 |publisher=Cambridge University Press |isbn=978-1-107-60471-1 |pages=11–23 |url=https://www.cambridge.org/core/books/abs/mortal-questions/absurd/F6799C54D1AC056A0F879D8841657D45 |chapter=2. The Absurd}} Something similar is often the case when a person unintentionally causes a butterfly effect. It has been argued that there may also be meaningful lives that are unimportant. In this regard, some people may find meaning in life through the mere appreciation of valuable things, for example, by worshipping God. Such a life lacks importance if it does not bring about a significant value difference in the world.
Some theorists argue that leading a meaningful life is a better goal than leading an important life. This is usually based on the idea that importance can take a negative form by making a big negative impact on the world. In this regard, a person who craves importance above everything else may decide to cause harm to the social order. For example, they may resolve to kill a famous political leader in the quest to leave their mark on the world.{{cite journal |last1=Kahane |first1=Guy |title=Importance, Fame, and Death |journal=Royal Institute of Philosophy Supplement |date=October 2021 |volume=90 |pages=33–55 |doi=10.1017/S1358246121000229|s2cid=244118783 |url=https://philarchive.org/rec/KAHIFA }}
= Existential crisis =
An existential crisis is an inner conflict based on the impression that one's life lacks meaning.{{cite web |title=APA Dictionary of Psychology: existential crisis |url=https://dictionary.apa.org/existential-crisis |website=dictionary.apa.org |language=en}}{{cite journal |last1=Butenaitė |first1=Joana |last2=Sondaitė |first2=Jolanta |last3=Mockus |first3=Antanas |title=Components of existential crises: a theoretical analysis |journal=International Journal of Psychology: A Biopsychosocial Approach |date=2016 |volume=18 |pages=9–27 |doi=10.7220/2345-024X.18.1|doi-access=free }} This impression leads to a conflict because there is a strong desire to lead a meaningful life, which is frustrated by it. Existentialists often refer to the discrepancy between the desire for meaning and the lack thereof as "the absurd". Existential crises express themselves in negative experiences, like stress, anxiety, despair, and depression.{{cite book |last1=Yalom |first1=Irvin D. |title=Existential Psychotherapy |date=17 March 2020 |publisher=Basic Books |isbn=978-1-5416-4744-2 |url=https://books.google.com/books?id=nI7VDwAAQBAJ |language=en |chapter=10. Meaninglessness}}{{cite journal |last1=Andrews |first1=Mary |title=The existential crisis |journal=Behavioral Development Bulletin |date=April 2016 |volume=21 |issue=1 |pages=104–109 |doi=10.1037/bdb0000014|doi-access=free }} In some cases, this even leads to a disruption of the regular everyday life activities of the individual. Existential crises constitute a psychological challenge to the person's perspective on the world and themselves.{{cite book |last1=Belliotti |first1=Raymond Angelo |title=Is Human Life Absurd? A Philosophical Inquiry into Finitude, Value, and Meaning |date=24 June 2019 |publisher=BRILL |isbn=978-90-04-40879-1 |url=https://books.google.com/books?id=Up4hxwEACAAJ |language=en |chapter=Preface}}
Different responses to this challenge have been suggested in the academic literature.{{cite book |last1=Hicks |first1=Joshua A. |last2=Davis |first2=William E. |title=The Experience of Meaning in Life: Classical Perspectives, Emerging Themes, and Controversies |date=27 May 2013 |publisher=Springer Science & Business Media |isbn=978-94-007-6527-6 |chapter-url=https://books.google.com/books?id=HcxEAAAAQBAJ&pg=PA163 |language=en |chapter=13. Judgments of Meaning in Life Following an Existential Crisis}} Some theorists with a nihilistic outlook accept the basic premise that life is meaningless and provide suggestions on how to best cope with this fact.{{cite web |last1=Pratt |first1=Alan |title=Nihilism |url=https://iep.utm.edu/nihilism/ |website=Internet Encyclopedia of Philosophy |access-date=25 January 2022}}{{cite web |last1=Metz |first1=Thaddeus |title=The Meaning of Life: 4. Nihilism |url=https://plato.stanford.edu/entries/life-meaning/#Nihi |website=The Stanford Encyclopedia of Philosophy |publisher=Metaphysics Research Lab, Stanford University |date=2021}} They often focus on the freedom that comes with being unbound from any predetermined purpose.{{cite web |last1=Crowell |first1=Steven |title=Existentialism |url=https://plato.stanford.edu/entries/existentialism/ |website=The Stanford Encyclopedia of Philosophy |publisher=Metaphysics Research Lab, Stanford University |access-date=14 January 2022 |date=2020}} Nonetheless, the more commonly recommended approach is to discover new sources of meaning in one's life. Theorists from a religious background often suggest a leap of faith. A leap of faith implies committing oneself to a new system of meaning, such as a religious doctrine, even though one does not fully understand it yet.{{cite journal |last1=Mckinnon |first1=Alastair |title=Kierkegaard and "The Leap of Faith" |journal=Kierkegaardiana |date=1993 |volume=16 |url=https://philpapers.org/rec/MCKKAT-2}} The idea behind this approach is that the individual may come to see and experience their life as meaningful from the perspective of this new system of thought and thereby avoid the existential crisis. However, this approach may not be available to more rationally minded people and is often criticized based on its blind affirmation of a creed not properly understood or justified. A different approach for more rationally inclined individuals is to search and evaluate new sources of meaning based on proper reflection and personal experience. This often takes the less ambitious form of discovering ways how one's personal life matters and is worth living. For example, the individual may find meaning in their life this way by dedicating themselves to their family or to an artistic endeavor. This contrasts with other approaches that seek to uncover the cosmic meaning of life on the largest scale or the purpose of the world as a whole.{{cite journal |last1=Yang |first1=William |last2=Staps |first2=Ton |last3=Hijmans |first3=Ellen |title=Existential crisis and the awareness of dying: the role of meaning and spirituality |journal=Omega |date=2010 |volume=61 |issue=1 |pages=53–69 |doi=10.2190/OM.61.1.c |pmid=20533648 |s2cid=22290227 |url=https://pubmed.ncbi.nlm.nih.gov/20533648/ |issn=0030-2228}}
Applications
A meaningful life is associated with positive functioning: life satisfaction, enjoyment of work, happiness, general positive affect, hope and in general a higher level of well-being.
Psychological adjustment in the event of a stressor has been linked with meanings finding whether in the form of benefit seeking or making sense of the loss. In terms of how meaning is manifested, making sense of the loss seems to be more important earlier on in the adjustment process after the loss whereas perceiving the benefit may be a more long term process that occurs over time with the greatest benefit usually experienced later on (Davis, Nolen-Hoeksema & Larson, 1998).{{cite journal|last=Davis|first=CG|author2=Nolen-Hoeksema, S |author3=Larson, J |title=Making sense of loss and benefiting from the experience: two construals of meaning.|journal=Journal of Personality and Social Psychology|date=Aug 1998|volume=75|issue=2|pages=561–74|pmid=9731325|doi=10.1037/0022-3514.75.2.561}}
Based on systematic reviews, there are various promising therapies and interventions that focus on increasing meaning or purpose in life. Many of these interventions have been created for patients with advanced disease.{{Cite journal|last1=Guerrero-Torrelles|first1=Mariona|last2=Monforte-Royo|first2=Cristina|last3=Rodríguez-Prat|first3=Andrea|last4=Porta-Sales|first4=Josep|last5=Balaguer|first5=Albert|date=2017-02-13|title=Understanding meaning in life interventions in patients with advanced disease: A systematic review and realist synthesis|journal=Palliative Medicine|language=en|volume=31|issue=9|pages=798–813|doi=10.1177/0269216316685235|pmid=28498025|s2cid=37179695 }}{{Cite journal|last1=Kruizinga|first1=Renske|last2=Hartog|first2=Iris D.|last3=Jacobs|first3=Marc|last4=Daams|first4=Joost G.|last5=Scherer-Rath|first5=Michael|last6=Schilderman|first6=Johannes B. A. M.|last7=Sprangers|first7=Mirjam A. G.|last8=Van Laarhoven|first8=Hanneke W. M.|date=2016-03-01|title=The effect of spiritual interventions addressing existential themes using a narrative approach on quality of life of cancer patients: a systematic review and meta-analysis|journal=Psycho-Oncology|language=en|volume=25|issue=3|pages=253–265|doi=10.1002/pon.3910|pmid=26257308|s2cid=37995505 |issn=1099-1611|hdl=2066/161639|hdl-access=free}}{{Cite book|title=Clinical Perspectives on Meaning|last=Vos|first=Joel|date=2016|publisher=Springer, Cham|isbn=9783319413952|pages=59–87|language=en|doi=10.1007/978-3-319-41397-6_4|chapter = Working with Meaning in Life in Mental Health Care: A Systematic Literature Review of the Practices and Effectiveness of Meaning-Centred Therapies}}
See also
References
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