Using religious paradox to facilitate life review groups with shame-driven older adults

This article explains how pastoral counselors who lead life review groups with shame-driven older members can use religious paradox as a model for change. The article first elaborates upon the challenge to self-acceptance that poor self-esteem poses for older adults engaged in life review. It then shows how paradoxes enhance self-acceptance by drawing reviewers to a more holistic understanding of their past and evoking insights about the meaning of their personal history. It presents a model of group process in which members individually select religious paradoxes and relate such paradoxes to their life review. It concludes with examples of how three participants used religious paradoxes to own the life review instead of feeling threatened by it.