Meaning-making: a underestimated resource for health? A discussion of the value of meaning-making in the conservation and restoration of health and well-being


  • Birthe Loa Knizek Norwegian University of Science and Technology
  • Sissel Alsaker Norwegian University of Science and Technology
  • Julia Hagen Regional center on violence, traumatic stress and suicide prevention, St. Olavs Hospital
  • Gørill Haugan Norwegian University of Science and Technology
  • Olga Lehmann Institutt for psykologisk rådgivning
  • Marianne Nilsen Norwegian University of Science and Technology
  • Randi Reidunsdatter Norwegian University of Science and Technology
  • Wigdis Sæther Norwegian University of Science and Technology



meaning, meaning-making, health, spiritual practices, everyday activities


This article discusses the function, development and maintenance of meaning and the importance of meaning-making from different perspectives, as it is based on a collaboration between professionals from health science and psychology. The aim is to discuss how meaning-making processes can be employed in the health context to enhance individuals’ well-being. Starting point is a description of the common basis of the understanding of meaning-making. Afterwards brief examples from the different professional areas will show how meaning-making can improve health care practice. We will focus on the processual nature of meaning-making, its existential layers, as well as the ways in which meaning-making is at play in everyday activities and limit situations, such as illness or suicidality.


Ahmadi, F., & Ahmadi, N. (2018). Meaning-making methods for coping with serious illness. London and New York: Routledge.

Alsaker, S., & Josephsson, S. (2010). Occupation and meaning: Narrative in everyday activities of women with chronic rheumatic conditions. OTJR – Occupation, Participation and Health, 30(2), 58–67.

Alsaker, S., & Josephsson, S. (2011). Stories stirring the quest of the ‘good’: Narratives of women living with chronic rheumatic conditions. Scandinavian Journal of Disability Research, 13(1), 53–70.

Alsaker, S., & Ulfseth, S. (2017). Narrative Imagination. Staff’s stories of relational change. Journal of Occupational science, 24(4), 535–545.

Bauereiss, N., Obermaier, S., Ozunal, S. E., & Baumeister, H. (2018). Effects of existential interventions on spiritual, psychological, and physical well-being in adult patients with cancer: Systematic review and meta-analysis of randomized controlled trials. Psycho-Oncology, 27(11), 2531–2545.

Bern-Klug, M., & Ellis, K. (2004). End-of-Life care in nursing homes. In J. Berzoff, & P. R. Silverman (Eds.), Living with dying: A handbook for end-of-life health care practitioners (pp. 1–17). New York: Colombia University Press.

Boyle, P., Barnes, L., Buchman, A., & Bennett, D. (2009). Purpose in life is associated with mortality among community-dwelling older persons. Psychosomatic Medicine, 71(5), 574–579. https://10.1097/PSY.0b013e3181a5a7c0

Breitbart, W., Gibson, C., Poppito, S. R, & Amy, B. (2004). Psychotherapeutic Interventions at the End of Life: A Focus on Meaning and Spirituality. The Canadian Journal of Psychiatry, 49(6), 366–372.

Breitbart, W., Rosenfeld, B., Gibson, C., Pessin, H., Poppito, S., Nelson, C., Tomarken, A., Timm, A. K., Berg, A., Jacobson, C., Sorger, B., Abbey, J., & Olden, M. (2010). Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psycho-Oncology, 19(1), 21–28.

Bruner, J. (1986). Actual minds, possible worlds. Cambridge: Harvard University Press.

Bruner, J. (1990). Acts of meaning. Cambridge: Harvard University Press.

Charmaz, K. (2014). Constructing Grounded Theory. Los Angeles: SAGE.

Cutcliffe, J. R., Hummelvoll, J. K., Granerud, A., & Eriksson, B. G. (2015). Mental health nurses responding to suffering in the 21st century occidental world: accompanying people in their search for meaning. Archives of Psychiatric Nursing, 29(1), 19–25.

DeMarinis, V. (2018). Foreword. In F. Ahmadi, & N. Ahmadi (eds.), Meaning-Making methods for coping with serious Illness (pp. X–XVI). London and New York: Routledge.

Drageset, J., Haugan, G., & Tranvag, O. (2017). Crucial aspects promoting meaning and purpose in life: perceptions of nursing home residents. BMC Geriatrics, 17(1).

Duppen, D., Machielse, A., Verté, D., Dury, S., & De Donder, L. (2019). Consortium D-S. Meaning in Life for Socially Frail Older Adults. Journal of Community Health Nursing. 36(2), 65–77.

Ferlay, J., Colombet, M., Soerjomataram, I., Dyba, T., Randi, G., Bettio, M., Gavin, A., Visser, O., & Bray, F. (2018). Cancer incidence and mortality patterns in Europe: Estimates for 40 countries and 25 major cancers in 2018. European Journal of Cancer, 103, 356–387.

Frankl, V. E. (1985). Man’s Search for Meaning. Washington: Washington Square Press.

Frankl, V. E. (2014). The Will to Meaning. Foundations and Applications of Logotherapy. New York: Plume. Penguin Group.

George, L. S., & Park, C. L. (2014). Existential mattering: Bringing attention to a neglected but central aspect of meaning?. In A. Batthyany, & P. Russo-Netzer (eds.), Meaning in Positive and Existential Psychology (pp. 39–52). New York: Springer.

Hagen, J., Hjelmeland, H., & Knizek, B. L. (2017). Connecting with suicidal patients in psychiatric wards: Therapist challenges. Death Studies, 41(6), 360–367.

Hagen, J., Knizek, B. L., & Hjelmeland, H. (2018). Former suicidal inpatients’ experiences of treatment and care in psychiatric wards in Norway. International Journal of Qualitative Studies on Health and Well-being, 13(1).

Hagen, J., Knizek, B. L., & Hjelmeland, H. (2020). “… I felt completely stranded”: Liminality and recognition of personhood in the experiences of suicidal women admitted to psychiatric hospital. International Journal of Qualitative Studies on Health and Well-being, 15(1).

Hall, E. M., & Hill, P. (2019). Meaning-making, suffering, and religion: a worldview conception. Mental Health, Religion & Culture, 22(5), 467–479.

Haugan, G. (2014a). Meaning-in-life in nursing home patients: a correlate to physical and emotional symptoms. Journal of Clinical Nursing, 23(7), 1030–1043.

Haugan, G. (2014b). Meaning-in-life in nursing home patients: a valuable approach for enhancing psychological and physical well-being?. Journal of Clinical Nursing, 23(7-8), 1830–1843.

Haugan, G. (2014c). The relationship between nurse-patient-interaction and meaning-in-life in cognitively intact nursing home patients. Journal of Advanced Nursing, 70(1), 107–120.

Henry, M., Cohen, S. R., Lee, V., Sauthier, P., Provencher, D., Drouin, P., Gauthier, P., Gotlieb, W., Lau, S., Drummond, N., Gilbert, L., Stanimir, G., Sturgeon, J., Chasen, M., Mitchell, J., Huang, L. N., Ferland, M. L., & Mayo, N. (2010). The Meaning-Making intervention (MMi) appears to increase meaning in life in advanced ovarian cancer: a randomized controlled pilot study. Psycho-Oncology, 19(12), 1340–1347.

Hughes, C., van Heugten, K., & Keeling, S. (2015). Cultural meaning-making in the journey from diagnosis to end of life. Australian Social Work, 68(2), 169–183.

Jongenelis, K., Pot, A. M., Eisses, A. M. H., Beekman, A. T. F., Kluiter, H., & Ribbe, M. W. (2004). Prevalence and risk indicators of depression in elderly nursing home patients: the AGED study. Journal of Affective Disorders, 83(2-3), 135–142.

Kidd, D. C., & Castano, E. (2013). Reading Literary Fiction Improves Theory of Mind. Science, 342(6156), 377–380.

Kleinmann, A. (1980). Patients and healers in the context of culture. Berkeley: University of California Press.

Koch, L., Jansen, L., Herrman, A., Stegmaier, C., Holleczek, B., Singer, S., & Brenner, H. (2013). Quality of life in long-term breast cancer survivors – a 10-year longitudinal population-based study. Acta Oncol, 52(6), 1119–1128.

Koenig, H. G. (2012). Religion, Spirituality, and Health: The Research and Clinical Implications. International Scholarly Research Network, 2012.

Krause, N. (2009). Meaning in life and mortality. Journals of Gerontology, 64B(4), 517–527.

Kuzmanic, M. (2012). Suicide from an existential-phenomenological perspective: Sense or non-sense? PhD Thesis, Faculty of Arts, University of Ljubljana, Slovenia.

Lancet Commissions (2014). Culture and Health.

Lehmann, O. V. (2018). The cultural psychology of silence. Treasuring the poetics of affect at the core of human existence (Doctoral dissertation). NTNU Norwegian University of Science and Technology, Trondheim, Norway.

Lehmann, O. V., & Brinkmann, S. (2019). “I’m the one who has written this”: Reciprocity in writing courses for older adults in Norway. International Journal of Qualitative Studies on Health and Well-Being, 14.

Lehmann, O. V., Kardum, G., & Klempe, S. H. (2019). The search for inner silence as a source for Eudemonia. British Journal of Guidance & Counselling, 47(2), 180–189.

Mattingly, C. (1998a). Healing Dramas and Clinical Plots. The narrative structure of experience. Los Angeles: University of California Press.

Mattingly, C. (1998b). In Search of the Good: Narrative Reasoning in Clinical Practice. Medical Anthropology, 12(3), 273–297.

Mattingly, C. (2006) Reading Medicine: Mind, Body, and Meditation in One Interpretive Community. New Literary History, 37(3), 563–581.

Meek, K., Bergeron, M. C., Towne, S. D., Ahn, S., Ory, M., & Smith, M. L. (2018). Restricted social engagement among adults living with chronic conditions. International Journal of Environmental Research and Public Health, 15(1).

Michel, K., Maltsberger, J. T., Jobes, D. A., Leenaars, A. A., Orbach, I., & Stadler, K. (2002). Case study. Discovering the truth in attempted suicide. American Journal of Psychotherapy, 56(3), 424–437.

Mori, H., & Lehmann, O. V. (2014). In O. V. Lehmann (ed.), Acompanar la finitud. Optimismo, Sentido y Trascendencia ante la Incertidumbre del Dolor, el Sufrimiento y La Muerte (pp. 253–281). Buenos Aires: San Pablo.

Oh, P. J., & Kim, S. H. (2014). The effects of spiritual interventions in patients with cancer: a meta-analysis. Oncol Nurs Forum, 41(5), E290–301.

Park, C. L., & Folkman, S. (1997). Meaning in the context of stress and coping. Review of General Psychology, 1(2), 115–144.

Park, C. L. (2005). Religion and meaning. In R. F. Paloutzian, & C. L. Park (eds.), Handbook of the Psychology of Religion and Spirituality (pp. 295–314). New York and London: The Guilford Press.

Park, C. L. (2010). Making Sense of the Meaning Literature: An Integrative Review of Meaning Making and Its Effects on Adjustment to Stressful Life Events. Psychological Bulletin, 136(2), 257–301.

Park, C. L. (2013). Positive Psychology Perspectives Across the Cancer Continuum: Meaning, Spirituality, and Growth. In B. I. Carr, & J. Steel (Eds.), Psychological Aspects of Cancer (pp. 101–117). Boston, MA: Springer US.

Park, C. L., & Folkman, S. (1997). Meaning in the context of stress and coping. Review of General Psychology, 1(2), 115–144.

Pennebaker, J. W. (1999). Writing About Emotional Experiences as A Therapeutic Process. Psychological Science, 8(3), 162–166.

Prince, M., Patel, V., Saxena, S., Maj, M., Maselko, J., Philips, M. R., & Rahman, A. (2007). No health without mental health. The Lancet, 370(9590), 859–877.

Proulx, T., & Inzlicht, M. (2012). The five “A”s of meaning maintenance: Finding meaning in the theories of sense-making. Psychological Inquiry, 23(4), 317–335.

Reed, N. P., Josephsson, S., & Alsaker, S. (2018). Community mental health work: Negotiating support of users’ recovery. International Journal of Mental Health Nursing, 27(2), 814–822.

Schraube, E., & Højholt, C. (2016). Psychology and the Conduct of Everyday Life. London: Routledge.

Sekse, R. J. T., Dunberger, G., Olesen, M. L., Østerbye, M., & Seibæk, L. (2019). Lived experiences and quality of life after gynaecological cancer—An integrative review. Journal of clinical nursing, 28(9-10), 1393–1421.

Selby, D., Seccaraccia, D., Huth, J., Kurppa, K., & Fitch, M. (2017). Patient versus health care provider perspectives on spirituality and spiritual care: the potential to miss the moment. Annals of Palliative Medicine, 6(2), 134–152.

Sellin, L., Asp, M., Wallsten, T., & Wiklund, G. L. (2017). Reconnecting with oneself while struggling between life and death: The phenomenon of recovery as experienced by persons at risk of suicide. International Journal of Mental Health Nursing, 26(2), 200–207.

Sherman, A. C., Simonton, S., Latif, U., & Bracy, L. (2010). Effects of global meaning and illness-specific meaning on health outcomes among breast cancer patients. Journal of behavioral medicine, 33(5), 364–377.

Steultjens, E., Dekker, J., Bouter, L. M., van Schardenburg, D., van Kuyk, M. A., & van den Ende, C. (2002). Occupational Therapy for Rheumatoid Arthritis: A Systematic Review. Arthritis and Rheumatism, 47(6), 672–685.

Sæther, W. (2018). “Jeg våger mer nå” – Teaterscenen som formidlingsarena for livserfaringer for mennesker med psykiske helseproblemer. Tidsskrift for psykisk helsearbeid, 15(2-3), 191–201.

Søberg, A. I. B., Haug, S. H. K., Danbolt, L. J., Lien, L., & Sørensen, T. (2018). Existential themes in the treatment of people at suicide risk. Understandings and practices of specialist healthcare professionals. Mental health, Religion & Culture, 21(6), 588–600.

Thauvoye, E., Vanhooren, S., Vandenhoeck, A., & Dezutter, J. (2019). Spirituality among nursing home residents: A phenomenology of the experience of spirituality in late life. Journal of Religion, Spirituality & Aging, 32(1), 80–103.

van der Spek, N., Vos, J., van Uden-Kraan, C. F., Breitbart, W., Cuijpers, P., Holtmaat, K., Witte, B., Tollenaar, R., & Verdonck-de Leeuw, I. M. (2017). Efficacy of meaning-centered group psychotherapy for cancer survivors: a randomized controlled trial. Psychological Medicine, 47(11), 1990–2001.

van der Spek, N., Vos, J., van Uden-Kraan, C. F., Breitbart, W., Tollenaar, R. A., Cuijpers, P., & Verdonck-de Leeuw, I. M. (2013). Meaning making in cancer survivors: a focus group study. PLoS One, 8(9).

Vos, J., Craig, M., & Cooper, M. (2015). Existential therapies: a meta-analysis of their effects on psychological outcomes. Journal of Consulting and Clinical Psychology, 83(1), 115–128.

White, C., Lentin, P., & Farnworth, L. (2013). An investigation into the role and meaning of occupation for people living with on-going health conditions. Australian Occupational Therapy Journal, 60(1), 20–29.

WHO (1948). Constitution of World Health Organization (WHO). Geneva: WHO.

WHO (1984). Health promotion: a discussion document on the concept and principles: summary report of the Working Group on Concept and Principles of Health Promotion, Copenhagen, 9–13 July 1984, ICP/HSR 602(‎m01)‎. Copenhagen: WHO Regional Office for Europe.

WHO (1998). The World Health Report 1998. Life in the 21st century. A vision for all. Report of the Director-General. Geneva: World Health Organization.

WHO (2013). Global action plan for the prevention and control of noncommunicable diseases 2013–2020.

WHO (2018). Ageing and health. 5 February 2018. Key facts.

WHO (2019a). Suicide. 2 September 2019. Key facts.

WHO (2019b). What is the evidence on the role of the arts in improving health and well-being? A scoping review. Health Evidence Network (HEN) synthesis report 67. Copenhagen: WHO Regional Office for Europe

Wright, J., & Cheung Chung, M. (2001). Mastery or mystery? Therapeutic writing: A review of the literature. British Journal of Guidance & Counselling, 29(3), 277–291.

Webb, D. (2010). Thinking about suicide: Contemplating and comprehending the urge to die. Herefordshire: PCCS Books.

Ørjasæter, K. B., Davidson, L., Hedlund, M., Bjerkeset, O., & Ness, O. (2018). “I now have a life!” Lived experiences of participation in music and theater in a mental health hospital. PLoS ONE, 13(12).




How to Cite

Knizek, B. L., Alsaker, S., Hagen, J., Haugan, G., Lehmann, O., Nilsen, M. ., Reidunsdatter, R., & Sæther, W. (2021). Meaning-making: a underestimated resource for health? A discussion of the value of meaning-making in the conservation and restoration of health and well-being. Encyclopaideia, 25(59), 5-18.