Background: Induced after-death communication (IADC) therapy is an emerging approach for addressing grief-related distress, particularly in individuals experiencing complicated grief (CG). Developed from eye movement desensitization and reprocessing (EMDR), IADC therapy aims to change the meanings with which loss is read and to transform acute grief into integrated grief. While spontaneous after-death communications (ADCs) have been widely reported across different cultures, IADC therapy provides a structured procedure for inducing a state of mind in which such experiences can spontaneously arise and develop. Methods: This study employed a prospective observational cohort design with a retrospective analysis, comparing the effectiveness of IADC therapy (experimental group, n = 42) to standard grief interventions combining talk therapy and EMDR (control group, n = 43). Participants completed standardized measures, including the Inventory of Complicated Grief (ICG) and the IADC Grief Questionnaire (IADC-GQ), at pre-treatment (T1), post-treatment (T2), and six-month follow-up (T3). Additional analyses explored the role of spirituality, religious affiliation, and therapist characteristics in grief processing. Results: IADC therapy led to a significantly greater reduction in grief intensity (ICG scores) immediately after the intervention and at the six-month follow-up compared to the control group. The experimental group also showed a more pronounced decrease in distress symptoms (CS scores) and higher ratings of therapeutic satisfaction. Furthermore, participants in the experimental group exhibited a significantly greater increase in their continuing bond (CB) scores, suggesting a more adaptive connection with the deceased. Additional analyses examined therapist characteristics, treatment-related factors, and the nature of ADC experiences, which are further explored in the discussion. Conclusions: These findings highlight the clinical utility of IADC therapy as a brief and cost-effective grief intervention, offering comparable or superior outcomes to traditional grief therapies. The results suggest that recognizing and integrating spontaneous ADC experiences into grief therapy may provide a valuable therapeutic pathway. Future research should further explore the long-term effects, cultural variations, and therapist characteristics to optimize the integration of IADC therapy into mainstream clinical practice.

IADC (induced after-death communication) therapy is a grief treatment developed by Botkin that is increasingly being acknowledged for its effectiveness in various countries worldwide. In clinical practice, professionals trained in IADC therapy employ a brief evaluation tool called the IADC Grief Questionnaire (IADC-GQ) to determine whether mourning can be disturbed or stopped, resulting in complicated grief. This preliminary research aimed to establish the psychometric properties of the IADC-GQ. The factor structure was analyzed in a sample consisting of 113 participants undergoing psychological treatment who had endured the loss of a loved one for a minimum of six months. The findings revealed a two-dimensional framework comprising two distinct factors: the “Clinical Score”, encompassing the most distressing elements of grief, and the “Continuing Bond” factor, which is associated with feelings of connection to the departed and thoughts regarding the existence of life after death. The IADC-GQ has the potential to be easily and quickly employed in both research and clinical settings. Moreover, it can qualitatively assist therapists during clinical interviews by highlighting the key areas where the grieving process may encounter obstacles.

Background: Induced after-death communication (IADC) experiences have been reported to share many phenomenological features with Near-Death Experiences (NDEs). This study aimed to empirically test the hypothesis that the majority of IADC experiences manifest a phenomenology that largely overlaps with that of NDEs. Methods: A cross-sectional observational design with retrospective data collection was employed. Fifty-nine participants (M = 56.25 years, SD = 10.18) who had previously undergone IADC therapy completed the Italian version of the Near-Death Experience (NDE) Scale. Descriptive analyses and repeated measures ANOVA were conducted to examine total scores and differences across subscales. Results: A total of 51 participants (86%) exceeded the established NDE threshold (≥7), with a mean total score of 14.69. The highest scores were observed on the Transcendental and Affective subscales, whereas the Paranormal subscale showed the lowest average scores. The Cognitive subscale exhibited intermediate values. Item-level analyses confirmed the high intensity of core NDE features, such as perceiving otherworldly environments, encountering deceased loved ones, and experiencing profound peace. Conclusions: This study provides the first empirical evidence of phenomenological overlap between IADC experiences and NDEs. These results shed light on the processes underlying the effectiveness of IADC therapy.

(1) Background: Induced After-Death Communication (IADC) therapy is a brief intervention facilitating grief resolution through a perceived experience of communication with the deceased. Despite growing evidence of its efficacy, little is known about which individual characteristics may influence treatment responsiveness. (2) Methods: This pre–post study investigated psychological predictors of IADC outcomes in 73 bereaved adults. Standardized measures assessed grief severity, alexithymia, dissociation, attachment dimensions, and Big Five personality traits. Changes in grief-related distress and continuing bonds were analyzed using paired-sample t-tests and hierarchical regressions. (3) Results: IADC therapy produced substantial reductions in grief-related distress and enhanced continuing bonds. Dissociation, demographic variables, and most personality traits were unrelated to outcomes. Neuroticism showed a marginally negative association, whereas Openness predicted greater improvement. Alexithymia negatively predicted clinical gains, suggesting that limited emotional awareness may interfere with the therapeutic phase of abreaction and, in turn, limit access to the receptive state. Among attachment dimensions, only Need for Approval significantly predicted poorer outcomes, consistent with performance anxiety and self-evaluative control interfering with spontaneous mental processes. (4) Conclusions: IADC therapy appears highly effective across diverse individual profiles. Screening for alexithymia and Need for Approval may help identify these potential sources of therapeutic failure and be followed by targeted strategies aimed at counteracting their impact and mitigating their effects.

Emergent Post-Loss Experiences (EPLEs) are reported in experiential grief therapies such as Reparative Experience-Based Grief Therapy (REGT) and Induced After-Death Communication Therapy (IADC). Through these experiences, such approaches have demonstrated notable effectiveness and efficiency in the treatment of complicated grief. Yet their phenomenology and structure remain poorly defined, and no validated instruments are available for their assessment. The present study aims to address this gap by examining the phenomenological characteristics of EPLEs and developing a brief instrument for their assessment. Using a cross-sectional mixed-method design, an 87-item EPLE questionnaire was administered retrospectively to 64 former REGT patients alongside the Near-Death Experience (NDE) Scale. A qualitative phase was subsequently conducted to identify phenomenological domains of EPLEs, which informed the derivation of a 22-item EPLE Scale. The scale was examined using exploratory factor analysis, internal consistency, convergent validity, and network analysis. High inter-rater agreement supported the organization of EPLEs into four phenomenological domains: Contact, Sensoriality, Space/Time, and Impact. EPLEs were characterized by relational presence, multisensory perceptual features, altered spatial–temporal experience, and predominantly comforting and meaning-related effects. The EPLE Scale showed satisfactory internal consistency (ω = 0.79). Exploratory factor analysis did not support a stable multidimensional structure, suggesting that the scale is more appropriately interpreted using a global score. Network analysis revealed a highly sparse configuration with selective conditional associations and two organizing nodes, indicating a policentric organization of the experience. Convergent validity was supported by a moderate-to-strong correlation with the NDE Scale (ρ = 0.62, p < 0.001). EPLEs appear to constitute complex and structured experiential configurations that may play a reparative role in relation to the loss and promote adaptive reorganization of the grieving process. The EPLE Scale provides a concise global measure for future research and clinical applications.