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Meaning-Making in Memories

Permanent Link: http://ufdc.ufl.edu/UFE0022390/00001

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Title: Meaning-Making in Memories A Comparison of Autobiographical Memories of Death and Low Point Experiences
Physical Description: 1 online resource (60 p.)
Language: english
Creator: Mackay, Michael
Publisher: University of Florida
Place of Publication: Gainesville, Fla.
Publication Date: 2008

Subjects

Subjects / Keywords: bereavement, constructivism, death, meaning, memory
Psychology -- Dissertations, Academic -- UF
Genre: Psychology thesis, M.S.
bibliography   ( marcgt )
theses   ( marcgt )
government publication (state, provincial, terriorial, dependent)   ( marcgt )
born-digital   ( sobekcm )
Electronic Thesis or Dissertation

Notes

Abstract: In order to incorporate death-related experiences into one's worldview, individuals rely on meaning-making strategies. These strategies should manifest years later when individuals share memories of their death-related experiences. Participants wrote memory narratives of death and low point experiences, shared lessons they had learned from each experience, and provided ratings of non-narrative characteristics of their memories. As predicted, death memory narratives exhibited more meaning-making strategies. No differences were found in lessons learned from the two types of experiences. In terms of non-narrative characteristics, death memories were rated as more affectively positive and more frequently re-experienced than low points. The long-term significance of the use of meaning-making strategies is discussed.
General Note: In the series University of Florida Digital Collections.
General Note: Includes vita.
Bibliography: Includes bibliographical references.
Source of Description: Description based on online resource; title from PDF title page.
Source of Description: This bibliographic record is available under the Creative Commons CC0 public domain dedication. The University of Florida Libraries, as creator of this bibliographic record, has waived all rights to it worldwide under copyright law, including all related and neighboring rights, to the extent allowed by law.
Statement of Responsibility: by Michael Mackay.
Thesis: Thesis (M.S.)--University of Florida, 2008.
Local: Adviser: Bluck, Susan B.
Electronic Access: RESTRICTED TO UF STUDENTS, STAFF, FACULTY, AND ON-CAMPUS USE UNTIL 2009-08-31

Record Information

Source Institution: UFRGP
Rights Management: Applicable rights reserved.
Classification: lcc - LD1780 2008
System ID: UFE0022390:00001

Permanent Link: http://ufdc.ufl.edu/UFE0022390/00001

Material Information

Title: Meaning-Making in Memories A Comparison of Autobiographical Memories of Death and Low Point Experiences
Physical Description: 1 online resource (60 p.)
Language: english
Creator: Mackay, Michael
Publisher: University of Florida
Place of Publication: Gainesville, Fla.
Publication Date: 2008

Subjects

Subjects / Keywords: bereavement, constructivism, death, meaning, memory
Psychology -- Dissertations, Academic -- UF
Genre: Psychology thesis, M.S.
bibliography   ( marcgt )
theses   ( marcgt )
government publication (state, provincial, terriorial, dependent)   ( marcgt )
born-digital   ( sobekcm )
Electronic Thesis or Dissertation

Notes

Abstract: In order to incorporate death-related experiences into one's worldview, individuals rely on meaning-making strategies. These strategies should manifest years later when individuals share memories of their death-related experiences. Participants wrote memory narratives of death and low point experiences, shared lessons they had learned from each experience, and provided ratings of non-narrative characteristics of their memories. As predicted, death memory narratives exhibited more meaning-making strategies. No differences were found in lessons learned from the two types of experiences. In terms of non-narrative characteristics, death memories were rated as more affectively positive and more frequently re-experienced than low points. The long-term significance of the use of meaning-making strategies is discussed.
General Note: In the series University of Florida Digital Collections.
General Note: Includes vita.
Bibliography: Includes bibliographical references.
Source of Description: Description based on online resource; title from PDF title page.
Source of Description: This bibliographic record is available under the Creative Commons CC0 public domain dedication. The University of Florida Libraries, as creator of this bibliographic record, has waived all rights to it worldwide under copyright law, including all related and neighboring rights, to the extent allowed by law.
Statement of Responsibility: by Michael Mackay.
Thesis: Thesis (M.S.)--University of Florida, 2008.
Local: Adviser: Bluck, Susan B.
Electronic Access: RESTRICTED TO UF STUDENTS, STAFF, FACULTY, AND ON-CAMPUS USE UNTIL 2009-08-31

Record Information

Source Institution: UFRGP
Rights Management: Applicable rights reserved.
Classification: lcc - LD1780 2008
System ID: UFE0022390:00001


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1 MEANING MAKING IN MEMORIES: A COMPARISON OF AUTO BIOGRAPHICAL MEMORIE S OF DEATH AND LOW P OINT EXPERIENCES By MICHAEL MARK MACKAY A THESIS PRESENTED TO THE GRADUATE SCHOOL OF THE UNIVERSITY OF FLORIDA IN PARTIAL FULFILLMENT O F THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE UNIVERSITY OF FLORIDA 2008

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2 2008 Michael Mark Mackay

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3 To all those who have supported my aca demic efforts, past and present

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4 ACKNOWLEDGMENTS I wo uld like to thank my chair Dr. Susan Bluck for her intellectual guidance and constant mentoring; my supervisory committee members for their time and recommendations; the Life Story Lab; and my parents, Chris and Anna Mackay, for their ongoing support

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5 T ABLE OF CONTENTS page ACKNOWLEDGMENTS ................................ ................................ ................................ ............... 4 LIST OF TABLES ................................ ................................ ................................ ........................... 7 LIST OF FIGURES ................................ ................................ ................................ ......................... 8 ABSTRACT ................................ ................................ ................................ ................................ ..... 9 CHAPTER 1 INTRODUCTION ................................ ................................ ................................ .................. 10 2 REV I EW OF THE LITERATURE ................................ ................................ ........................ 12 Role of Events in Adult Development ................................ ................................ .................... 12 Uniqueness of Death Related Experiences ................................ ................................ ............. 13 Making Meaning of Death Related Experiences ................................ ................................ .... 16 Making ................................ .... 18 Learni Making ........................... 18 Non n arrative Characteristics of Death and Low Point Memories ................................ ........ 20 Current Study ................................ ................................ ................................ .......................... 21 Specific Aims ................................ ................................ ................................ .................. 22 Aim 1: S ituational meaning making ................................ ................................ ........ 22 Aim 2: G lobal meaning making ................................ ................................ ............... 22 Aim 3: N on n arrative memory characteristics ................................ ......................... 23 3 METHOD ................................ ................................ ................................ ............................... 24 Participants ................................ ................................ ................................ ............................. 24 Procedure ................................ ................................ ................................ ................................ 25 Measures ................................ ................................ ................................ ................................ 26 Control Variables ................................ ................................ ................................ ............. 26 Demographics ................................ ................................ ................................ ........... 26 Level of death experience ................................ ................................ ......................... 27 Major Variables of Interest: Meaning Making ................................ ................................ 27 Coding of narratives for situational meaning making ................................ .............. 28 Coding of li fe lessons for global meaning making ................................ .................. 29 Maj or Variables of Interest: Non narrative Memory Characteristics .............................. 30 4 RESULTS ................................ ................................ ................................ ............................... 35 Preliminary Analyses ................................ ................................ ................................ .............. 35 Quality of the Narrative Data ................................ ................................ .......................... 35 Identification of Covariates ................................ ................................ ............................. 36

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6 Order Effects ................................ ................................ ................................ ................... 37 Major Analyses ................................ ................................ ................................ ....................... 37 Aim 1: Situational Meaning Making ................................ ................................ ............... 38 Aim 2: Global Meaning Making ................................ ................................ ..................... 38 Aim 3: Non n arrative Memory Characteristics ................................ ............................... 40 5 DISCUSSION ................................ ................................ ................................ ......................... 44 Differences Regarding Situational Meaning Making ................................ ............................. 45 Differences Regarding Global Meaning Making ................................ ................................ ... 47 Differences on Non n arrative Characteristics ................................ ................................ ........ 49 Conclusion ................................ ................................ ................................ .............................. 52 LIST OF REFERENCES ................................ ................................ ................................ ............... 54 BIOGRAPHICAL SKETCH ................................ ................................ ................................ ......... 60

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7 LIST OF TAB LES Table P age 3 1 Example excerpts from memory narratives ................................ ................................ ........... 32 3 2 Examples of situational meaning making from memor y narratives ................................ ..... 33 3 3 Examples of life lessons (global meaning making) ................................ .............................. 34 4 1 Frequency of learning a life lesson ................................ ................................ ........................ 43

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8 LIST OF FIGURES Figure P age 4 1 Situational meaning making in d eath and l ow p oint m emory narratives .............................. 41 4 2 MQQ positive r e experiencing of d eath and l ow p oint m emories ................................ ........ 42

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9 Abstract of Thesis Presented to the Graduate School of the University of Florida in Partial Fulfillment of the Requ irements for the Degree of Master of Science MEANING MAKING IN MEMORIES: A COMPARISON OF AUTO BIOGRAPHICAL MEMORIE S OF DEATH AND LOW P OINT EXPERIENCES By Michael Mark Mackay August 2008 Chair: Susan Bluck Major: Psychology In order to inc orporate death on meaning making strategies. These strategies should manifest years later when individuals share memories of their death related experiences. Participants wrote memory narratives of death and lo w point experiences, shared lessons they had learned from each experience, and provided ratings of non narrative characteristics of their memories. As predicted, death memory narratives exhibited more meaning making strategies. N o differen ces were found in lessons learned from the two types of experiences. In terms of non narrative characteristics, death memories were rat ed as more affectively positive and more frequently re experienced than low points The long term significance of the u se of meaning making strategies is discussed.

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10 CHAPTER 1 INTRODUCTION The life story approach to adult development posits that identity can be viewed as a constructed narrative that provides a person with a unique biographical understanding of oneself (Ho oker & McAdams, 2003). While woven from individual life events, the life story is more than a collection of episodes. It also involves the forging of causal coherence : linking the conception of who one was in the past with the person one is today (Bluck & Habermas, 2000; McAdams, 1993). Individuals repeatedly reflect on experiences in an attempt to integrate them also fosters integration of important event s (Pasupathi, Weeks, & Rice, 2006). From this perspective, adult development is governed by the way individuals integrate and recall events. One event that may provide a special challenge for integration into the life story is the death of a loved one. Compared to low point experiences such as job loss or family strife, l osing order and purpose; Janoff Bulman, 1992; Neimeyer, 2006; Parkes, 1975). These cor e beliefs provide a sense of thematic coherence (Bluck & Habermas, 2000) to the life story. That is, worldview beliefs provide the foundation on which the life story is constructed. In order to successfully integrate death life story, an individual must employ meaning making strategies that reinstate or reconstruct worldview beliefs that are challenged by the death (Folkman, 2001; Park, 2000; Park & Folkman, 1997). Consequently, memories of death related experiences are lik ely to be important markers within the life story (Pillemer, 1998), representing times when it was necessary to reconstruct the meaning of the event or to experiences, t heir memories should be infused with these meaning making strategies. The goal

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11 of the current study is to examine whether death related experiences are represented differently in memory from low point experiences in terms of narrative meaning making as we ll as non narrative characteristics. The literature review begins by outlining the influence that events have on development during adulthood and the importance of making meaning of events in order to integrate them into the life story. The death of a l oved is then argued to be a unique event that presents a challenge meet this challenge are then described: situational meaning making, which involves changing global meaning making, about life). Lastly, the review describes how memories of death and lo w point experiences might be expected to differ on non narrative characteristics such as level of personal significance or extent of re experiencing (i.e., characteristics not related to narrative meaning making).

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12 CHAPTER 2 REVIEW OF THE LITERA TURE Ro le of Events in Adult Development From infancy through adolescence, human development is largely determined by biological processes that produce growth and maturation. Once one reaches adulthood, however, biological changes are less evident. Development during this life phase is instead largely driven by social, cultural, and environmental factors (Baltes, Lindenberger, & Staudinger, 1998; Staudinger & Bluck, 2001) In other words, development in adulthood is guided by the events an individual experience s. More importantly, it is the way that individuals process and understand these experiences that influences their development. From late adolescence and throughout adulthood individuals engage in autobiographical reasoning (Bluck & Habermas, 2000) in an attempt to link life experiences to each other and to integrate past experiences with the present self. Without remembering, reflecting on, and reasoning about personal experiences, life would appear to be a meaningless collection of unrelated and unmoti vated events that happened randomly (Bluck & Habermas, 2000; Bruner, 1994). isions or negative events are connected to broad life themes through autobiographical reasoning (Bluck & Glck, 2004). Similarly, autobiographical reasoning has been shown through the forging of self event connections (i.e., the relating of past events to narratives about life crises (Pasupathi & Mansour, 2006). Adults have also been shown to seek harmony, balance, and reconciliation in their life stories, suggesting a need to maintain self coherence (McAdam s, 1993; Bauer & McAdams, 2005). In sum, both theory and empirical evidence portray adulthood as a time when development is guided by the events individuals

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13 experience, but particularly by the way they make sense of, remember, and integrate these events into thei r ongoing life story. Uniqueness of Death Related Experiences An event that becomes increasingly common in adulthood is the loss of a loved one. Individuals typically first experience the death of their grandparents, then their parents, and then n ormatively towards the end of their own life, spouses, friends, and siblings. Like other low points, such as job loss or family strife, these events can certainly be stressful and negative ( Davis, Lehman, & Wortman, 1995; de Vries, Davis, & Wortman, 1997; Kessler, Davis, & Kendler, 1997). Experiences with death, however, are different from other low points in at least two ways. First, the death of a loved one may remind individuals of their own inevitable mortality, thereby raising questions about the ex istence of an afterlife and eliciting an existential search for meaning (Schwartzberg & Janoff Bulman, 1991; Yalom & Lieberman, 1991). In order to successfully integrate death related experiences, individuals must somehow also deal with the increased awar eness of their own mortality. A number of theorists suggest this to be both a letting go of the illusion of immortality is so challenging and anxiety provokin g that it is the primary goal of the second half of life. Similarly, Levinson (1978) states that the ). According to Erikson (1986), individuals engage in (p. 75).

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14 Ter ror Management Theory (Greenberg, Solomon, & Pyszczynski, 1997 ) has taken both a theoretical and empirical approach in explaining how individuals react to awareness of rate their death related anxiety by identifying strongly with the values and norms of their culture. Doing so instills within individuals a sense of symbolic immortality because their culture will persist long after they die. Empirical research shows tha t reminders of mortality elicit culture bolstering behaviors such as increased patriotism, religiosity, prejudice, and discrimination towards cultural out group members (Florian & Mikulincer, 1998; Greenberg, Simon, Pyszczynski, Solomon, & Chatel, 1992 ). In sum, one reason why experiences with death are unique is because they serve as not only be feeling deep sadness but may also be engaged in the task of coping with the realization of their own inevitable death. Both theory and research suggest coming to terms with Experiences with death are unique from low points in a second wa y. Regardless of Bulman, 1992; Park & Folkman, 1997; Parkes, 1975). An that guide his or her understanding of the world. It is comprised of beliefs in five domains: benevolence, significance, self worth, control, and purpose. These beliefs allow individuals to interpret, organize, an worldview beliefs provide a broad level of thematic coherence (Bluck & Habermas, 2000). For example, an individual may organize the life story according to the theme of purpose (

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15 dams, 1996, p. 136 137). Although experiences with death may prov ide a unique challenge to individuals worldviews in various cultures, they are most likely to present a challenge in Western cultures where individualism is highly valued. The loss of a lov ed one, especially if unexpected, is particularly troubling for individualists because it poses a threat to their culturally sanctioned emphasis on the significance of the individual. That is, since death signals the end of the individual, it is particula rly challenging to worldviews that emphasize the self (Baumeister, 1991). As a result, North Americans are more likely to find the topic of death uncomfortable and anxiety provoking. North American culture has been suggested to be death denying, as exem plified by the high level of institutionalization of death (80% of deaths in the United States occur in hospitals and nursing homes; Stryker, 1996) and the common use of euphemisms (i.e., In sum, the second reason death related experiences are unique is because they are more likely than low point experiences to threaten worldview beliefs (particularly in the Western context). For ex ample, the prolonged and painful death of a loved one due to cancer can make the survivor wonder if the world is indeed a benevolent place since their loved one (presumably a good person) suffered without any reason. Alternately, it may lead the survivor to question how much control he or she truly has in life sinc e the painful death was unpreventable. Regardless of

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16 xpectation about how the world functions (Park & Folkman, 1997). As such, death related experiences, more than low point experiences, provide a unique challenge to resolve this incongruence and integrate these experiences. Making Meaning of Death Related Experiences Non death related low point events, such as job loss or family strife, are significant stressors and must be integrated into the life story (Bauer & Mc Adams, 2005). Previous research suggests that individuals cope with such negative events utilizing two strategies (Folkman & Lazarus, 1988; Lazarus & Folkman, 1984). A person can engage in e motion focused coping which has the goal of alleviating the neg ative emotions aroused by the stressful event. For example, a person who just lost his or her job might utilize emotion focused coping by engaging in distracting behaviors such as watching television. A person can also engage in p roblem focused coping w hich has the goal of solving the problem practically so that it is no longer a source of stress. For example, a person who just lost a job utilizes problem focused coping by deciding to send off a batch of resumes in order to find a new job. These two st rategies are usually adequate for coping with low point experiences because low points typically do not pose a significant challenge to worldview beliefs and are easily integrated into the life story. In the case of experiences with death, however, t hese two strategies are typically inadequate (Park & Folkman, 1997) Individuals frequently cannot engage in problem focused coping because death is an irreversible event. For example, when a person loses a job, he or she can attempt to find another job. When a person loses his or her father, however, there is nothing that can be done to bring the father back and the notion of substitution is untenable. The loss of

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17 a loved one is not an event over which a person can exert control, so problem focused cop ing is not as useful. More importantly, death experiences frequently threaten worldview beliefs and neither emotion focused coping nor problem focused coping can effectively val idate these beliefs. Thus, while emotion and problem focused coping are effe ctive strategies for dealing with low point events, dealing with death related events is more likely to also require meaning making strategi es that serve to reaffirm worldview beliefs and foster integration Meaning making has been conceptualized broadly as the construction of an explanation for an event (Janoff Bulman, 1992), the finding of benefits in difficult life events (Lehman et al. 1993), the development of relational schemas (Baldwin, 1992) the development of representatio nal relations (Heine, P roulx, Mackay & Charles 2007), or the formation of attributions for events (Heider, 1958; Kelley, 1967). Park and Folkman ( 1997; Folkman, 2001; Park, 2000) adopt a comprehensive view by combining these various conceptualizations into a single construct o f meanin g making, termed meaning focused coping In their view, any time a person makes sense of, develops greater comprehension of, or finds significance in an event the person is making meaning Park and Folkman (1997) suggest there are two strategies for meaning making : situational meaning making which involves iterative recall and reflection on the event with the aim of reconstructing it in a way that assimilates it into the worldview (i.e., iefs), and global meaning making which accommodates the experience into the worldview (i.e., changing core beliefs). Since experiences with death are more likely to threaten worldview bel iefs, individuals are particularly likely to use these meaning making strategies when attempting to integrate death related experiences into the life story. The two strategies are described in detail below.

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18 Reflecting aning Making Situational meaning making entails reflecting on a stress inducing event in an attempt to make sense of it in a way that reaffirms challenged worldview beliefs (Park & Folkman, 1997). ceases to be threatened. According to Park and Folkman (1997), an individual can reaffirm challenged beliefs by finding benefits, assigning responsibility for the event, focusing on personal growth, making downward comparisons, or making attributions suggesting that he or she will be able to prevent the event from reoccurring. Although situational meaning making takes place during the event as an individual is making initial attributions, it is also an ongoing pro cess. It continues tooccur for some time after the event has passed as one engages in autobiographical reasoning, continuously rehearsing and reflecting on the event. Due to the reconstructive nature of autobiographical memory ( Conway & Pleydell Pearce 2000 ), each time the memory is recalled some parts may be embellished with new meaning, other parts may be selectively emphasized, and others may be discounted or forgotten (Bluck & Habermas, 2000). Over time, situational meaning making reconstructs the m emory of the event in a way that binds it into a coherent story If e xperiences with death are and are thereby more likely to elicit situational meaning making, memory narratives of death related experiences (as collected in the current study) should contain more instances of situational meaning making than memory narratives of other types of low points. Making Global meaning making is a nother strategy individuals use to integrate events that threaten worldview beliefs In contrast to situational meaning making global meaning making involves

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19 1 997 ). By modifying the wo rldview, an individual respecifies the thematic coherence (Bluck & Habermas, 2000) that provides foundation for the life story. For example, an individual may come to realize that he or she does not always have control in life. This lesson modifies the worldview and allows the accommodation and integration of the event. Any modification of core beliefs that results in a decrease in the discrepancy between making. Specifically, Park and Folkman (1997) suggest global meaning making is exhibited when an individual modifies any of the following categories of core beliefs: (i) bene volence i.e., belief that the world is essentially a good place, that other peo ple are essentially good, and that life is made up of more good than bad events, (ii) significance i.e., belief that events occur and unfold as they are supposed to, that they do not occur randomly, (iii) self worth i.e., belief that one is essentially a good, moral, and decent individual, (iv) control i.e., belief that one is basically in purpose i.e., belief that direction, that one knows what to strive for and prioritize in life. Similar to situational meaning making, global meaning making also involves memory and reflective processes. Individuals recall the event and engage in autobiographical reasoning (Bluck & Habermas, 2000; 2001) after the event has passed. As an individua l attempts to make sense of the experience, some worldview beliefs are modified in a way that fosters the integration of the event. Engaging in global meaning making is thus subjectively experienced as the learning of important life lessons (i.e., gaining insight into life as a result of the experience; Calhoun & Tedeschi, 2001). Global meaning making can be assessed by asking individuals to recollect poignant autobiographical experiences and to describe the life lessons they feel they have learned from t hose experiences. Due to the fact that death related experiences are more

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20 that life lessons learned from death related experiences will exhibit more instance s of global meaning making than lessons learned from low point experiences. While the learning of important life lessons (i.e., lessons relating to worldview beliefs) may occur, individuals may also learn more straightforward event specific lessons from their experiences. These lessons relate only to the type of event in which the lesson was learned, and related lessons For example, death rel applicable to alcohol related situations. Since all types of experiences have the potential to engender event specif ic lessons, the current study simply explores, without specific hypotheses, whether there are differences in the extent to which event specific lessons are learned from death and low point experiences. Non n arrative Characteristics of Death and Low Point Memories The review thus far has discussed the manifestation of meaning making as it occurs on the narrative level of autobiographical memories (i.e., in the way memories are recalled and the life lessons they engender). Autobiographical memories howeve r, are mental representations of experienced events and thereby have both narrative and non narrative aspects. According to Pillemer (1998), autobiographical memories are represented on a narrative level, and also an imagistic level that has sensory, perc eptual, and affective characteristics. Similarly, Larsen (1998) argues that autobiographical memories have three broad characteristics: i) content, such as visual and affective information, ii) appearance, such as vividness and richness of detail, and iii ) process, such as retrieval and reconstruction. Other researchers have also posited that emotion, imagery, and narrative are central components of autobiographical memory (Rubin,

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21 1998). In line with this theorizing, studies have examined an array of non narrative memory characteristics such as vividness, importance, memorability, emotional intensity, emotional valence, extent of re experiencing (e.g., Bluck, Levine & Laulhere, 1999 ; Larsen, 1998; Rubin, 2004). Taken together, this research suggests auto biographical memories have both narrative (e.g., related to reconstruction and meaning making) and non narrative characteristics. The current study also explores whether there are differences between death and low point memories in terms of non narrative characteristics. Current Study In comparison to low point experiences, the death of a loved one is an experience that is making strategies. This may affect the way that individuals later recall specific death related experiences. The study aims to investigate whether death memories differ from low point memories on three parameters: 1) situational meaning making exhibited in the two types of memories, 2) global meaning making exhibited in life lessons associated with the two types of memories, and 3) non narrative memory characteristics of the two types of memories. A novel contribution of the current study is its method of assessing meaning making. Studies frequently explicitly ask individuals if they have found meaning in their negative Unsurprisingly, they find that a high proportion of participants express high levels of meaning making (Davis, Nolen Ho eksema & Larson, 1998; Folkman & Moskowitz, 2000). It is hard to determine if these results are valid because of the demand chara cteristics of the procedure. To remedy this, th e current study assesses meaning making by asking participants to share autobi ographical narratives and life lessons of death and low point experiences. These narratives and life lessons are then con tent coded to assess situational and global meaning making. N o explicit questions

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22 about meaning making are asked. Instead, participa nt event as they personally remember it and, if they feel they learned a lesson, share what lesson was learned from the event. This method thus provides a more ecological ly valid assessment of how people make meaning of their experi ences in everyday life Another novel contribution of this study is that it utilizes a sample of hospice volunteers with various levels of exper ience with death H ospice volunteers play an intimate role in helping patients die, repeatedly experiencing the psychosocial impact of death and dying (Brazil & Thomas 1995). Recruiting volunteers from hospice permits exploration of whether level of experience with death (Trainee vs. Experienced volunteer ) influences death related memories Previous studies h ave not examined how meaning making regarding death experiences is affected by level of experience with death. Specific Aims Aim 1: S ituational meaning making The study examines differences between death and low point memory narratives with respect to th e expression of situational meaning making. It is expected that death memory narratives will contain more instances of situational meaning making than low point memory narr atives. The impact of level of experience with death on extent of situational mean ing making is explored. Aim 2: G lobal meaning making The study examines differences in the extent of global meaning making through assessment of life lessons associated with death and low point memories. It is expected that life lessons associated with d eath memories will more frequently relate to worldview beliefs than lessons associated with low point memories (signifying more global meaning making).

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23 Differences in the extent of learning event specific lessons are explored, as is the impact of level of experience with death. Aim 3: N on narrative memory characteristics The study also explores differences between death and low point memories on the non narrative memory characteristics of v ividness, importance, memorability, emotional intensity, emotional valence, extent of private re experiencing, and extent of social sharing. There are no directional hypotheses T he impact of level of previous experience with death on non narrative memory characteristics is explored

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24 CHAPTER 3 METHOD The data for the current project were collected as part of a larger study (Bluck, Dirk, Mackay & Hux, in press). O nly measures relevant to the current study are described The study employs a within groups design : a ll participants share d autobiographical memories of a de ath related experience and, for comparison, a low point experience. To examine whether level of previous experience with death influences any of the comparisons between the two memory types, the sample includes individuals with lower and higher levels of experience with death. Participants Participants were hospice volunteers recruited from three Florida Hospice organizations ( N = 52, age M = 66.2 years SD = 15.1 years ) Study participation was voluntar y and participants received no compensation The sample is comprised of 12 men and 40 women. T his gen der imbalance reflects the demographic make up of hospice volunteer groups, which are comprised of 7 5 93% women ( e. g., Claxton Oldfield, Jefferies & Fawcett, 2004). The sample was 94 % Caucasian and 6% Hispanic. This ethnic composition also represents hospice volunteer groups more generally (Zweigenfaft, Armstrong, Quintis & Riddick, 1996). Participants peers. Average reported ed In order to assess potential effects of different levels of experience with death, the sample was split into two groups. T he Experienced group ( n = 27, 22 women) was comprised of trained an d active hospice volunteers who had experienced at least one death of an assigned patient. The Traine e group ( n = 25 18 women ) was comprised of new volunteers who had received hospice volunteer training but had not yet been assigned to a patient Using trainee volunteers as a comparison group allows for an appropriate assessment of the effects of level of experience with

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25 death. Trainees are similar to e xperienced volunteers in that they have interest in hospice, and differ only in that they have not yet gained experience with death through hos pice. Experienced volunteers reported a higher number of patient deaths ( M = 14.33, SD = 15.13, range = 1 50) than trainee volunteers (no hospice related death experience), t (26.00) = 4.92 p < .001. Experience d volunteers also reported having volunteered for a longer time ( M = 83.42 months, SD = 87.65) than trainees ( M = 1.09 months, SD = 1.81), t (25.02) = 4.79 p < .001. There were no significant differences between experienced and trainee volunteers in amou nt of personal death experience (i.e., number of friends and family members who have died). Procedure Administration occurred in groups of one to five participants and took about one and a half hours. Participants completed a consent form, a demographics questionnaire, and a questionnaire assessing amount of experience with death gained both through volunteering with hospice and in their personal lives. Participants then recalled and wrote down an autobiographical memory narrative of a death related exper ience. 1 For comparison purposes, they also wrote a memory narrative of a low point experience ( low point/nadir experiences are a standard part of the life story procedure; McAdams, 1998). Order of writing memory narratives was counterbalanced. To ensure participants wrote narratives about experiences that were memorable moments (Pillemer, 2001) as opposed to extended descriptions of what happened over several months or years, they were asked to recall a specific autobiographical memory and describe what h appened, when it happened, and what they were thinking and feeling at the time. The following instructions were given: 1 Participants were asked to share any death related experience from their lives, not only experiences gained in the hospice setting.

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26 We want you to share a specific memory about a death or dying related experience from your own life. This should be an experience th at you were personally involved in. This is a specific memory that reflects only a brief moment or a few hours. Please describe what general description of a certain time in your life. Instructions were the same for the low point memories except that participants were asked to share a specific low point memory that was not death related. Participants were provided three pages of blank paper for each memory and encouraged to write for ten minutes. Excerpts from the two types of memory nar ratives are presented in Table 3 1 The shared memories were of events that occurred an average of 27 years ago (range = 4 months to 77 years). Directly after writing the first memory narrative (i.e., before moving on to write the next narrative) participants completed the following question: st happened. Would you say you learned a lesson from the event that you reported? If yes, what is the lesson you have Participants indicated whether they had learned a lesson and, if so, wrote their lesson down Finally participants indicated how many years ago the remembered event had occurred and completed a shortened version of the Memory Qualities Q uestionnaire (MQQ; Bluck, Levine & Laulhere, 1999) assessing vario us non narrative memory characteristics. Measures Control Variables Demographics Participants first completed a standard demographics questionnaire. The questionnaire assessed age, gender, ethnicity, education, and physical health.

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27 Level of death e xperience The Death Experiences Questionnaire (DEQ) assesses experience with death gained in both hospice and personal domains. In the hospice domain it assesses the length of time the participant has been involved with hospice and the number of hospice patient deaths the participant has experienced. In the personal domain, it assesses the number of personal deaths (i.e., friends and family) the person has experienced. Major Variables of Interest: Meaning Making Situational and global meaning making wer e assessed through content coding of memory narratives and life lessons, respectively. The codebooks for both variables were developed for the current project by iterating between theory and the gathered data. That is, codebooks were initially constructe constructs of situational and global meaning making. The collected data were then systematically reviewed, and codebook categories were revised and expanded to reflect the material p roduced by participants. This combined method of codebook development assures that coding is grounded in theory while also being fully representative of gathered data. Memory narratives and life lessons were content analyzed by separate pairs of coders. Coders were trained on the content analytic schemes using a pilot set of memory narratives and life lessons collected specifically for the purpose of coder training. Pilot data were obtained using the same procedure as detailed above but participants wer e 40 college students (31 female, 9 male, mean age = 18.5, SD = .75). Inter rater reliability was assessed using the pilot memory narratives and life lessons: coders rated 15% of the total study memory narratives and life lessons for the respective reliab ility checks. For narrative coding (i.e., situational meaning making), Kappa = .78. For life lesson coding (i.e., global meaning making), Kappa = .75. After reaching reliability, coders worked independently but met regularly to discuss any discrepancies

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28 and resolve disagreements. A second reliability check was computed on study data as reported below. Coding of narratives for situational meaning m aking The initial coding scheme included six categories of situational meaning making strategies. These cat egories were reiterated with collected narratives to ensure the coding scheme adequately represented the data. One category (downward comparisons) was subsequently removed because it did not appear in any narrative. The final coding scheme thus had five categories of situational meaning making strategies: Benefit finding. Something positive is mentioned as resulting from the situation, e.g., 104 narratives. Re sponsibility assignment. Some person or group is named as being responsible or at Development of a religious explanation. Some type of religious framework is used to Development of a spiritual/su pernatural explanation. The situation is explained using spiritual or supernatural constructs, e.g., a person believes that the flickering of a light bulb at the imes in the narratives. Personal growth. death of my father was extremely difficult but I am now confident that I have the strength to get appeared seven times in the narratives.

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29 read the memory narrative one idea unit at a time (Baker Brown et al., 1992), determining whether it contained a manifestation of situational meaning making. Examples of manifestations identified by coders are presented in Table 3 2. If a narrative contained several distinct idea units, each unit was coded separately. After the entire memory narrative was read and coded, coder s summed up the number of times situational meaning making was found. Each memory narrative thus received one score signifying the extent to which the narrative contained any type of situational meaning making. Kappa for situational meaning making = .81. Coding of life lessons for global meaning m aking Life lessons were content coded to assess whether they represent worldview related lessons (i.e., global meaning making) or event specific lessons. The initial coding scheme included five categories of wor ldview related life lessons. These categories were reiterated with collected life lessons to ensure that the theoretically chosen codes adequately represented the data. Codes that were not present with sufficient frequency were removed from the coding sc heme. 2 The decision to also code for event specific lessons developed using a bottom up approach whereby gathered data was examined to determine what other categories of lessons (other than worldview related lessons) were present in the data. Event speci fic lessons were present in many narratives and thus this category was added. The final life lesson coding scheme was comprised of the following codes: Worldview related lessons The lesson communicates the presence of global meaning making (i.e., lessons relating to core beliefs about life) which can occur in two forms. Order 2 Categorical (Chi square) analyses require a minimum frequency count of 5 per cell. As a result, three types of wo rldview related lessons (i.e., three manifestations of global meaning making) that were initially included in the coding scheme were removed because they did not meet this requirement: benevolence related lessons, self worth related lessons, and sense of c ontrol lessons.

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30 related lessons express that events occur and unfold as they are supposed to, that there is a reason why things occur as and when they do, and that the world functions according to pe appeared 14 times in the 87 reported lessons. Purpose related lessons meaning and that one knows what is important to strive for an Event specific lessons. These lessons apply only to the type of experienced event. While they are important, they do not concern on signify global meaning lessons appeared 31 times. Other/Uncodable. Lessons that did not fit the above categories or were too abstru se to comprehend were not included in analyses. Such lessons appeared seven times. Coders independently read each life lesson and determined the coding category that fit arrative when assigning codes. A life lesson could only receive one code, making this a categorical coding scheme. Examples of each type of lesson are presented in Table 3 3 Kappa for life lessons, i.e., global meaning making = .72. Major Variables o f Interest: Non narrative M emory C haracteristics To assess non narrative characteristics of the two types of memories, participants completed a version of the Memory Qualities Questionnaire (MQQ; Bluck, Levine & Laulhere, 1999). The MQQ included e ight items anchored on a Likert scale, with 1 = not at all, 2 = a little, 3 =somewhat, 4 = quite a bit, and 5 = extremely. An exploratory factor analysis (EFA) using principal axis factoring and varimax rotation was performed to determine the underlying factor

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31 with eigenvalues greater than one, and inspection of the scree plot, a two factor solution emerged which accounted for 64% of the variance. Factor one, Personal Significance (eigenvalue = 2.77, 35% of variance), was comprised of four items assessing the vividness, importance, memory = .80, of the death memory = .86. F actor two, Positive Re experiencing (eigenvalue = 2.37, 29% of variance), was comprised of four items assessing how positive the event was when it occurred, how positive the memory feels when recalled now, how often one privately recalls the memory, and ho w often one shares the memory with others. This factor combines items assessing whether the remembered event is positive with items assessing how often a person re of the low point memory = .75, of the death memory = .65. Given this factor structure, Aim 3 analyses explore differences in Personal Significance and Positive Re experiencing of death and low point memories.

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32 Table 3 1. Example excerpts from memory narra tives Memory t ype Example Death 1.) That morning lasted for me realize how life can be short and unexpected, and that everything while we are in this world is an uncerta inty. 2.) want sympathy and felt she had to be the strong one both to me as well as her family. I often ask myself if when that time comes for me, will I be as strong? 3.) I was debat would feel if I left and he died in the night. Then I rem embered what he had said to me three days earlier about how he was doing a good job of dying and I had come in and messed it up. I felt he n eeded me to leave so I went home after I said goodbye. Low p oint 1.) My wife and I received an anonymous letter one Saturday telling us our son was using drugs very heavily... We were shocked, though started to understand some of the problems our family had been experiencing... I fear I felt at that time. 2.) I am walking down the main street of the town to which we have recently ow anyone helpless... I can not even consider the future, the past is a blur, the present is like a big black hole. 3.) Departing my family at our home on a cold December morning to trav el to an airport and then on to Vietnam... Just prior to leaving my two young daugh remains with me always.

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33 Table 3 2 Examples of situational meaning making from memory n arratives Type of meaning making Memory type Example Benefit found Death My a unt s death brought us together Low point Luckily, he was there to support me and help make me feel better. Responsibility assigned Death My father was lung ca ncer. He was a smoker Low point She cannot help herself or change even now. Religious e xplanation Death I felt surrounded by then as I do now. Low point The c loser I dangled to the ground, t he more I re alized that God was keeping me on the saddle. Spiritual/supernatural e xplanation Death Though she seemed to have left us, her spirit was somewhere in there. Low point I had a horrible feeling about going there. Personal g rowth Death I thi nk it gave me a desire to try to figure out it affected me so profoundly Low point really made me realize how important our perso nal relationship is with one another. Note : Underlining emphasizes definitive aspect of each me aning making strategy.

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34 Table 3 3. Examples of life lessons (global meaning making) Life lesson Memory type Example Worldview: Order related Feeling of order and structure. Death The Lord is always by your side and will take care of your love d ones if you will let him Low point If it was meant to be, it will be. Worldview: Purpose related Feeling of purpose and priority. Death Live each day to the fullest. Low point Be thankful for life and respect all facts of life. Event specific Relevant only to reported event Death Low point Death can be peaceful.

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35 CHAPTER 4 RESULTS The results are divided into two sections. The first section reports preliminary analyses, in which the quality of the narr ative data was assured, the existence of methodologically derived covariates was empirically examined, and order of administration effects were tested. In the second section, the results of a series of ANOVAS and Chi square analyses investigating the stud types (Death, Low point) with regards to situational meaning making, global meaning making, and non narrative memory characteristics. The analyses also explore whethe r level of experience with death (Trainee vs. Experienced hospice volunteers) affects the relationships between the main variables of interest. Preliminary Analyses Quality of the Narrative Data Death and low point memory narratives were examined to deter mine whether participants wrote about assigned topics. Six participants failed to produce low point narratives, instead sharing a memory of a death related experience as their low point. To preserve data, their scores on the low point dependent variables (low point situational meaning making, low point global meaning making, low point MQQ personal significance, and low point MQQ positive re experiencing) were replaced by sample means or, for the categorical variable, the sample mode. Although it has been suggested to have some disadvantages, sample mean replacement is a standard procedure for replacement of missing data (Field, 2005). 1 All participants followed the death memory instructions appropriately. 1 All analyses were performed with and without the replaced values. Results remained the same except in Aim 3, where the loss of power due to reduction of N resulted in non significant results ( p = .056) for the MQQ positive re experiencing factor.

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36 Identification of C ovariates Possible covariates were chosen on a conceptual and methodological basis, and then verified empirically. Ideal covariates are those with a significant correlation with dependent variables and little correlation among covariates (Stevens, 2002). For Aim 1, it was plausible that the amount of situational meaning making found in the narratives would be related to length of narrative (i.e., longer narratives may exhibit higher levels of situational meaning making) and year of the recalled event (i.e., how long ago the event occ urred). Analyses verified that year of event was not correlated with amount of situational meaning making. Length of narrative was significantly correlated with amount of situational meaning making in low point narratives ( r = .42, p < .01). To control for the influence of this covariate, a dependent variable was computed for Aim 1 by dividing the number of manifestations of situational meaning making (for both the death and low point memories) by the number of words in the respective narrative and multi plying by 100 for standardization purposes. For Aim 2, the presence of covariates was not investigated because Chi square analyses cannot incorporate the influence of a covariate. Furthermore, life lessons were one sentence long, making length of lesson an implausible covariate. For Aim 3, it was plausible that non narrative memory characteristics would be related to year of the recalled event (e.g., more recent memories might be rated higher on personal significance and positive re experiencing). Anal yses showed that year of event was significantly correlated with scores on the MQQ Positive Re experiencing subscale for the death memory ( r = .42, p < .01), but not with MQQ Personal Significance for either memory. That is, more recent death memories wer e rated as more positive and more likely to be rehearsed. To control for the influence of year of event on MQQ Positive Re experiencing, a dependent variable was computed by dividing MQQ Positive

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37 Re experiencing scores (for both the death and low point me mories) by year of event and multiplying by 100 for standardization purposes. Order Effects Due to the counterbalanced administration of death and low point protocols, analyses were performed to determine the existence of order effects. Separate 2 ( Ord er: Death memory first, Low point memory first) X 2 (Memory type : Death, Low point) repeated measures ANOVAs were conducted, with memory type as the repeated measure. Dependent variables were the amount of situational meaning making and the MQQ subscales (Personal Significance, Positive Re experiencing). In these analyses, order effects are identified by examining the memory type by order interaction term: a significant interaction reveals that order of erentially across memory types. No significant order effects were found. The existence of order effects was also examined for type of life lesson learned. Chi square analysis using a 2 (Order: Death memory first, Low point memory first) X 2 (Type of lif e lesson: Worldview related, Event specific) contingency square was performed to determine if type of life lesson was independent of order of administration. No order effects were found. Major Analyses A series of analyses was conducted to examine differ ences between the two memory types on situational meaning making (Aim 1), global meaning making (Aim 2), and non narrative memory characteristics (Aim 3). The analyses also explore whether level of experience with death (Experienced, Trainee hospice volun teer) affects the relationships between the main variables of interest.

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38 Aim 1: Situational Meaning Making Death memory narratives were predicted to contain more instances of situational meaning making than low point memory narratives. Data were analyzed using a 2 (Memory type: Death, Low point) X 2 (Level of experience: Experienced, Trainee hospice volunteers) repeated measures ANOVA with type of memory as the repeated measure. As determined by preliminary analyses, the dependent variable was amount of s ituational meaning making adjusted for length of memory narrative. The ANOVA revealed a main effect for memory type, F (1, 50) = 11.16, p < .01, r = .43 (see Figure 4 1). As predicted, death narratives had more instances of situational meaning making ( M = .83, SD = .90) than low point narratives ( M = .34, SD = .50). Aim 2: Global Meaning Making Initial analyses determined whether there were differences between the two types of memories with regards to the likelihood of having learned any kind of lesson from each of the two remembered experiences. A chi square analysis was conducted using a 2 (Lesson: Learned, Not learned) X 2 (Memory Type: Death, Low point) contingency table. Individuals were equally likely to learn a lesson from death related and low point events. The Aim 2 hypothesis was specifically that frequency of learning a worldview related lesson would be greater for death memories than for low point memories. A 2 (Lesson: Worldview related, Event specific) X 2 (Memory type: Death, Low point ) Chi square contingency table showed no significant effects. Contrary to predictions, worldview related lessons were not more likely to be learned from death than low point experiences. As a result of the high number of worldview related lessons produce d by participants (61% of all reported lessons were worldview related), a further chi square analysis was conducted by splitting the worldview related lessons category into subcategories to examine the frequencies of learning

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39 purpose related and significan ce related lessons by type of memory (Death, Low point) No significant effects emerged. To test the possible effects of level of experience with death on type of lesson learned, separate Chi square analyses were conducted for each memory type. A 2 (Lev el of experience: Experienced, Trainee hospice volunteers) X 2 (Lesson: Worldview related, Event specific) contingency square was set up for each memory (Death, Low point). There was no significant effect. Since death and low point memories produced co mparable numbers of life lessons, a series of chi square analyses were conducted across memory type (i.e., death and low point memories were collapsed) to investigate overall patterns of learning life lessons from challenging experiences (i.e., both death and low point). Analyses first assessed the overall frequency of death related), participants reported learning some kind of a life lesson in 87 cases. Learni ng a life lesson occurred more frequently (84%) than the expected value, (1) = 47.11, p < .01. Analyses also examined the types of lessons learned. A Chi square analysis revealed that participants reported a greater than expected frequency of worldv iew related lessons (61%) and less than expected frequency of event specific lessons (39%), (1) = 4.05, p < .05. As a result of the high frequency of worldview related lessons, chi square analysis was also used to follow up this effect in terms of the likelihood of learning each of the two subcategories of worldview related lessons (i.e., purpose related and significance related lessons). The Chi square analysis revealed that participants reported a greater frequency of purpose related lessons (71%) an d a lower frequency of significance related lessons (29%), (1) = 9.00, p < .01. For descriptive purposes, 4 1 shows the frequency of learning each type of life lesson by memory type.

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40 Aim 3: Non n arrative Memory Characteristics This aim explored diffe rences between death and low point memories on non narrative memory characteristics. There was no directional hypothesis. As described in the methods section, MQQ items assessing non narrative memory characteristics formed two factors, Personal Significa nce and Positive Re experiencing. For the Personal Significance factor, a 2 (Memory type: Death, Low point) X 2 (Level of experience: Experienced, Trainee hospice volunteers) repeated measures ANOVA was performed. MQQ Personal Significance served as the dependent variable. 2 The analysis revealed no significant effects. For the Positive Re experiencing factor, a 2 (memory type: Death vs. Low point) X 2 (Level of experience with death: Experienced vs. Trainee hospice volunteers) repeated measures ANOVA was performed. As determined by preliminary analyses, the dependent variable was MQQ Positive Re experiencing adjusted for year of event. The ANOVA revealed a main effect for memory type, F (1, 43) = 26.76, p < .001, r = .62 (see 4 2). Death memories were rated higher on Positive Re experiencing ( M = .17, SD = .05) than low point memories ( M = .12, SD = .05). 2 Unlike for the Positive Re experiencing factor, year of memory was not a significant covariate for Personal Significance. Personal Significance was therefore not adjusted for year of memory.

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41 Figure 4 1. Situational meaning making in d eath and l ow p oint m emory narratives (Note. Means are reported. Error bar s represent 95% confidence interval of the mean. Dependent variable is standardized by adjusting for length of narrative and multiplying by 100. )

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42 Figure 4 2. MQQ positive r e experiencing of d eath and l ow p oint m emories ( Note. Means from the Positive Re experiencing scale of the MQQ are reported. Error bars represent 95% confidence interval of the mean. Dependent variable is standardized by adjusting for year of memory and multiplying by 100.)

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43 Table 4 1. Frequency of learning a life lesson Type of Lesson Death Low Point Total Worldview related 24 25 49 Significance related 9 5 14 Purpose related 15 20 35 Event Specific 16 15 31 Other/Uncodable 4 3 7 Total 44 43 87 Note: Seventeen e vents did not result in the learning of a lesson.

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44 CHAPTER 5 DISCUSSION The curre nt study investigated differences in situational meaning making in memory narratives of death and low point experienc es, global meaning making in life lessons learned from de ath and low point experiences, a nd non narrative memory characteristics of death and low point memories. Hypotheses were rooted in the notion that experiences with death, in comparison to low point experiences, are unique because they are likely to challe nge world view beliefs (i.e., core beliefs Bulman, 1992; Park & F olkman, 1997; Parkes, 1975) and thereby undermine the thematic coherence (Bluck & Haberma s, 2000) In order to reaffirm w orldview beliefs and reestablish the thematic coherence of the life story, individuals rely on two meaning making st rategies (Park & Folkman, 1997). Situational meaning making is the re framing of an experience in a wa y that reaffirms worldview beliefs. Global meaning making is the learning of life lessons that refine worldview beliefs (i.e., lessons Individuals are particularly likely to use these strategies when dealing with death related experiences. As a result, many years later memories of these experience s, and the life lessons associated w ith them, should be imbued with these meaning making strategies The current study thus compared death and low point memories, and their associated life lessons, with regards to manifestations of meaning making M emories of death and low point experiences may also differ on non narrative memory charac teristics (e.g., memory vividness or emotional intensity), and the study also examined the potential for such differences Part icipants wrote memory narratives of death and low point experiences, shared life lessons they had learned from each experience, and provided ratings of non narrative

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45 characteristics of their memories. As predicted, death memory narratives exhibited more m anifestations of situational meaning making. D eath memories were also rated as affectively more positive and were more frequently thought about and shared with others. No differences were found between death and low point life lessons with regards to glo bal meaning making. The results are discussed in more detail below. Differences Regarding Situational Meaning Making E xperiences with death become increasingly common in adulthood, and the ways individuals integrate these experiences into their life story has bearing on their de velopment (Bluck & Habermas, 2000; Hooker & McAdams, 2003). The study examined memory narratives to determine how individuals have made meaning and integrated death and low point experiences into the ir life story. Studies that assess meaning making typically possess high demand characteristics because they directly ask participants whether any benefits or personal growth have arisen from the loss. To remedy this problem, study participants were simply asked to write open e nded memory narratives. Results show that death narratives exhibit more s ituational meaning making than low point narratives. That is, death narratives demonstrated strategies such as benefit finding, focus on personal growth, or religious and spiritual reframing This finding is in line with research suggesting that individuals frequently see pos itive outcomes arising from death related experiences (Calhoun & Tedeschi, 2001). For example, in a study of bereaved college students, the majority of partic ipants (71%) reported a positive change in life goals (Edmonds & Hooker, 1992). Similarly, other research has found that most bereaved individuals are able to find something positive six months post loss, such as growth in character or closer familial rela tions (Davis, Nolen Hoeksema, & La rson, 1998).

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46 Most studies reporting such effects assess meaning making relatively soon after the occurrence of the loss. The current study, however, examined meaning making a considerable time after the loss: s i tuationa l meaning making was found in memories of events that occurred an average of 27 assertion that meaning making plays an important role in the initial stages of coping with bereavem ent. Meaning making also becomes an integral aspect of how events are storied and recalled over time (Bluck & Habermas, 20 00). W hen a person thinks about or share s a memory of a death related experience months or years after its occurrence the memory is s till imbued with instances of meani ng making such as the finding of benefits, personal growth, or religious insights In other words, this meaning memory. The finding is important because it suggests that death related experiences are indeed unique from other low point experiences, and their integration into the life story is more reliant on meaning making strategies. Since adult development is governed by the way individuals make meaning of and integ rate their experiences, this finding suggests that death related experiences may have unique influences on development. In particular, it suggests death related experiences may foster personal growth or increase religious or spiritual conviction. It is co nceivable that experiencing personal growth or increased religious conviction would foster adj ustment to bereavement The current study did not assess the relation of meaning making to psychological adjustment. Other studies have, however, found that maki ng meaning is crucial to adaptive coping. Finding related to decreased depression and fewer post traumatic stress disorder symptoms ( Davis, Nolen Hoeksema, & La rson, 1998), less intense grief (Schwartzberg & Jano ff Bulman 1991) improved immune system functioning ( Bower, Kemeny, Taylor & Fahey, 2003) higher

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47 subjective well being ( St ein, Folkman, & Trabasso, 1997) and more frequent positive emotional states (Moskowitz, Folkman, Collette, & V ittinghoff, 1996 ). Th ese studies examined meaning making and adjustment relatively soon after bereavement. Future research using the current making and adjustment over the longer term, identifying whether indi vidu als whose memory narratives demonstrate si tuational meaning making continue to show positive well being over time. Such a finding would suggest that these strategies are not only important in short term adjustment but also promote and maintain long te rm coping with the loss of a loved one. Differences Regarding Global Meaning Making Participants learned equal numbers of worldview related lessons from death and low point experiences. The learning of worldview related lessons was quite frequent, occurri ng in relation to 55% of the death related experiences and 58% of the low point experiences. This finding suggests that g lobal meaning making is used in relation to challenging experiences in general, not only in relation to death related experiences. Wh ile this is contrary to some theoretical propositions ( global meaning making has been suggested to be utilized predominately in very stressful or traumatic events; Janoff Bulman, 1 992; Park & Folkman, 1997) a number of studies do suggest that c hanges akin to the learning of life lessons result from low point or challeng ing experiences. Positive changes have been found in recent immigrants (Weiss & Berger, 2006), children experiencing parental divorce (Wallerstein, 1985), and in college students dealing wit h academic difficulties and relationship dissolution (Park, Cohen, & Murch, 1996) contribution of the current study is that the worldview related lessons were obtained i n relation to experiences that had transpired an average of 27 years ago. This suggests that life lessons can

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48 persist in memory for long periods of time (Pillemer, 1998). By recalling these memories years later, individuals may activate the associated les sons to direct and guide their current behavior (Bluck & Alea, 2002). That is, these memories become directive (Pillemer, 1992) because the lessons that are associated with them can provide guidance when similar situations arise in the months and years aft er the initial event. A closer inspection of worldview related lessons revealed that participants shared more purpose related lesson s (35/49, 71%) than order related lessons (14/49, 29%). That is, they were particularly likely to learn lessons regarding w hat to strive for and prioritize in life The study pa rticipants were largely in late midlife or the young old years (mean age of 66 ) and shared memories of events that occurred an average of 27 years ago (i.e., memories of midlife events). The finding t hat participants predominately shared purpose related lessons is consistent with a view of middle age as a time when individuals are faced with the competing demands of family and career and face the developmental task of determin ing their direction and pr iorities in life (Staudinger & Bluck, 2001) An alternate explanation for the equal learning of worldview related lessons from death and low point experiences is that it is a result of demand characteristics. Unlike the indirect assessment of situatio nal meaning making, in this part of the study participants were directly asked to report whether they had learned life lessons from their experiences. Thus, some participants may have repor ted having learned a lesson regardless of whether one was actually learned. Studies indeed show that wh en reminded of negative events, people are motivated to find positive consequences in order to decrease feelings of vulnerability (Davis & McKearney 2003 ). While this explanation is plausible, it is not convincing giv en that a large subset of the shared memories (16 %) did not have an associated life lesson. Many participants were

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49 comfortable with simply saying they had not learned a lesson. Furthermore, if demand characteristics significantly motivated participants to invent lessons, participants would have been equally likely to invent worldview related and event specific lessons. In fact, inventing event specific lessons would have probably been easier. The majority of reported lessons, however, were worldview relat ed. It thus appears unlikely that demand characteristics were the major driving force behind the equal occurrence of life lessons learned from death and low point experiences. F uture research might examine the authenticity of reported lessons by determin ing to what extent the lessons actually influence behavior. Park, Cohen, and Murch (1996) examined a similar issue regar ding reports of personal growth to what extent the personal growth reported by p articipa nts was exemplified in day to day life. They found a si gnificant but small correlation ( r = .21) between perceived personal growth and could be used to exami ne whether the lessons par ticipants reported in the presen t study guide current behavior. Differen ces on Non n arrative Characteristics As well as examining meaning making ( i.e., narrative characteristics ) the study also explored differences between death and low point memories on non narrative memory characteristics. No differences between the two memories were found with respect to personal significance. It appears that participants chose to share memories that were equally important, memorable, emotio nal, and vivid This finding is in line with existing studies showing t hat when individuals are asked to share various types of memories from their lives, they tend to share equally important memories (Conway & Holmes, 2004; De miray, Gul goz & Bluck, 2007). The hile death may be unique in many ways, other events

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50 such as challenging low points are also personally significant Note that this similarity in personal significance also rules out the possibility that that the greater level of situational meaning making in death memory narratives can be attributed to death memories simply being more personally significant. Death memories did show higher levels of positivity and re experiencing Partici pants reported that their death memories were affectively more positive and that these memories were thought about and shared with others (i.e., re experienced) more frequently than low point memories. The co occurr ence of positivity and re experiencing i s common Numerous studies have found that pe ople are more likely to re experience positive than negative memories (e.g., Walker, Skowronski & Thompson, 2003; Rubin & Berntsen, 2003) possibly because doing so improves their mood ( Gil lihan, Kessler & Farah 2007) What is surprising, given cultural conceptions of death, is that death memories were rated as positive and more likely to be shared. Since North American culture predominately views e xperiences with death as stressful, one might expect that memo ries of these experiences would be rated as both more negative and less likely to be shared than other low points in life It is possible that the positive tone of these death memories is a consequence of using situational meaning making strategies t memories were imbued with benefit finding, responsibility allocation, and focus on personal with these types of experience more posit ive. Thus, it is possible that death related experiences were initially perceived as negative, but as participants made meaning of these experiences, the memories took on more positive qualities. While this interpretation is speculative, it is noteworthy that

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51 situational meaning making coded from the death narratives was modestly but s ignificantly correlated with self reported positivity of the memory ( r = .19, p < .05). Th e interpretation that death memories were rated as more positive as a result of par ticipants engaging in meaning making is cons on r econstructed memory for emotion. She suggests that remembered emotion is highly influenced remembered event. That is, the emotion associated with a memory is only partially based on how a person felt about an event when it occurred: the way a person feels or thin k s about the event now heavily influences the way he or she remembers having felt when the event occurred. In two studies of memories of public events (the 1992 judgments of how they initially felt about these events were distorted by their appraisal of these events at the time of the study (Levine, 1997; Levine, Prohaska & Burgess, 2001). Although these results concern public events (as compared to the personal memories in this study), t he general principle is the same The valence of an event can change if a person has develope d new appraisals of the event (i.e., has engaged in meaning making). Th e interpretation that death memories are more positive due to the use of situational meaning making strategies is also in line with the communicative theory of emotions (Oatley & John son Laird, 1987), which suggests that negative emotions function to motivate actio n and coping While positive emotions signal that things are generally going well and goals are being met, negative emotions communicate the presence of a threatening event and the need to mobilize cognitive resources in an attempt to re establish goals. Thus, experiencing the death of a loved one may initially spur individuals to engage in situational meaning making As the negative event is reconstructed through the makin g of new meaning, it becomes perceived as

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52 emotionally more neutral or even as emotionally positive Numer ous studies indeed show that negative emotions fade in intensity over ti me, purportedly as a person makes meaning and copes with the event (e.g., Walke r, Skowronski, Gibbons, Vogl & Thompson, 2003 ). As mentioned, the explanation that death memories are positive as a result of situational meaning making is speculative considering that the current study did not longitudinally examine emotion and did not as sess the direction o f influence between situational meaning making and affect. Prospective studies are needed to longitudinally examine whether death related events become recalled as more positive as a result of using situational meaning making over time sample. H ospice volunteers frequently report that they became intere sted in volunteering as a result of a positive experience with the death of a significa nt other ( Claxton Oldfie ld, Jefferies & Fawcett, 2004). It is thus possible that the participants actually shared memories of death related experiences that were relatively quite positive. While this explanation is plausible, and may in part drive the effect, dea th and low point memories may also differ on affective positivity in the general population (i.e., the current sample may have simply produced more robust effects). The use of hospice volunteers is a good starting point for examining characteristics of de ath related memories. F uture studies should examine to what extent differences in memory affect and meaning making exist between death and low point memories in a variety of samples (e.g., health professionals, police, individuals of different ages). Conc lusion The loss of a loved one is a stressful experience that is som etimes even seen as life altering ( Davis, Lehman, & Wortman, 1995; de Vries, Davis, & Wortman, 1997 ). Death related experiences are unique in comparison to other difficu lt low point exper iences because they remind individuals of their own mortality (Yalom & Lieberman, 1991) and challenge core beliefs

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53 Bulman, 1992; Park & Folkman, 1997; Parkes, 1975). The current study contrasted death and low point e xperiences using a novel method, the comparison of autobiographical memor ies of both types of experiences Findings reveal that death memorie s differ from low point memories in several ways: death memories are more likely to be imbued with situational mea ning making strategies are rated as more affectively positive, and are thought about and shared more often. The study suggests that the way individuals make meaning of death related experiences has long term significance: not only are meaning making stra tegies important immediately after the death but they are also an integral aspect of how these experiences are recalled and encapsulated in memory over time.

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60 BIOGRAPHICAL SKETCH Michael Mackay completed hi s Master of Science degree in psychology at the University of Flori da in August 20 08. He is currentl y a Van Fleet fellow pursuing a Doctor of Philosophy degree in clinical p sychology at the University of Memphis Michael completed his Bachelor of Arts in p sychology at the University of British Columbia, Canada. R ecently he finished the Directive Memories Project, which compared experienced and inexperienced hospice volunteers with regard s to their attitudes toward death Michael also volun teers at Haven Hospice, where he provide s support to dying patients and assist s with the hospice s bereavement support groups. After graduation, h e plan s on continuing research in the areas of bereavement and constructivism, as well as working with grieving individuals to foster their adjustment to bereaveme nt