The existential psychotherapy of phobias.

Describes the existential psychotherapy of phobic patients. The failure of much contemporary psychotherapy is based in an insufficient psychology of the phobic process. The phobic mechanism is intentional and derives from the focused awareness patients have of their own vulnerability in a certain situation and an attempt to preempt the situation by the creation of a mythology that permits a degree of control and a concomitant loss of awareness of the experience to be avoided. The psychotherapy of phobic patients is comprised of 5 stages. Patients must be assured as to the correctness, integrity, and limited effect of their anxiety. They then come to see the intentionality and integrity in their phobic structures and subsequently recognize their power over the process should they be willing to restructure their way of being in the world. The 4th step occurs with the reclamation of the specific knowledge and feelings that patients have attempted to render unconscious. The final stage is the constant attentiveness to the interpersonal process and the suffering and survival of the primary difficulty. (9 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The past makes the present meaningful: Nostalgia as an existential resource.

The present research tested the proposition that nostalgia serves an existential function by bolstering a sense of meaning in life. Study 1 found that nostalgia was positively associated with a sense of meaning in life. Study 2 experimentally demonstrated that nostalgia increases a sense of meaning in life. In both studies, the link between nostalgia and increased meaning in life was mediated by feelings of social connectedness. Study 3 evidenced that threatened meaning increases nostalgia. Study 4 illustrated that nostalgia, in turn, reduces defensiveness following a meaning threat. Finally, Studies 5 and 6 showed that nostalgia disrupts the link between meaning deficits and compromised psychological well-being. Collectively, these findings indicate that the provision of existential meaning is a pivotal function of nostalgia. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Theistic existential psychotherapy.

Recently, the dichotomy between psychotherapy and spirituality has weakened as scholars and practitioners have begun to acknowledge the value of spiritual factors in clients’ lives. This article integrates I. D. Yalom’s (1980) existential psychotherapy with the theistic worldview and with the assumptions and ideas of theistic scholars such as Kierkegaard. The philosophical foundations of Yalom’s existential psychotherapy are contrasted with those of theism. A theistic reconceptualization of existential personality theory is presented, and the existential approach to treatment is reconsidered in light of theism. Finally, a case vignette involving fear of love loss is presented to illustrate how a theistic perspective can enhance the practice of existential psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The existential neurosis.

This is an attempt to clarify existential literature by distinguishing among the relevant behavioral manifestations those that are psychopathological and those that signify mental health. Existential neurosis emerges as chronic meaninglessness, apathy, and aimlessness. The premorbid identity out of which this neurosis may come involves definition of self as nothing more than an embodiment of biological needs and a player of social roles. The premorbid identity can be undermined, producing existential neurosis, by stresses such as threat of imminent death, social upheaval, and acute awareness of superficiality. Discussion of the premorbid identity leads to postulation of the ideal identity as expressive of not only the biological and social sides of man, but the psychological side as well. The psychological side includes symbolization, imagination, and judgment. Developmental hypotheses for premorbid and ideal identities are presented, and general implications of the position are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of existential shame in the healing endeavor.

A clinical case of a 35-yr-old male patient illustrates that the presence of therapeutic shame provides the sine qua non for a meaningful examination of the existential dilemmas of human existence by the therapeutic participants. It is argued that there is a crucial interrelationship between how the analyst uses shame and the patient's willingness to express and to work through despair. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The "troubled" child from the existential analysis viewpoint

Fundamental principles of the "Logotherapy and Existential Analysis", which was founded by FRANKL and further developed by LANGLE, are examined from the view of the Clinical Child and Adolescent Psychology with regard to theoretical aspects as well as to their practice-oriented relevance for the Child and Adolescent Psychiatry and Pediatry. Applying the "existential analytic diagnostic scheme" central subject-matters of finding the purpose in life as personal and existential basic motivations are considered in the differential-diagnostic proceedings and permits--as demonstrated by examples--a holistic consideration of specific problems. The indication of a functional, counseling-attendant or psychotherapeutic intervention depends on the impairment in the dimensions of personal and/or existential meaning-frustration. Finally the significance of personal attitude towards differential diagnosis as well as towards the motivation for therapy is emphasized, a criterion non considered in actual versions of international diagnostic schemes as ICD-10 or DSM-IV.     

Existentialism, psychology, and psychotherapy.

The basic elements of existentialism and its relevance to psychology and psychotherapy are considered. "Existentialists are concerned with the meaning of life… . The existential analysts emphasize the study of the experiencing individual. Events are looked at in terms of their meaning for the individual… . In an attempt to get at the patient's inner universe of experience, the existential analyst studies how the phenomenological coordinates of time, space, causality, and materiality are experienced… . Logotherapy focuses upon the search for meaning in human existence." If it is approached as an area representing possible suggestions for further study "existentialism may have much to offer and psychology considerable to gainp" (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Humanistic–existential psychotherapy competencies and the supervisory process.

There has been an increasing focus in recent years on articulating foundational and functional competencies for practice in professional psychology and how a competency-based approach might inform psychology training. With the aim of contributing to the dialogue in this area, the discussion herein explores psychotherapy competencies through the lens of a humanistic–existential perspective and describes implications for psychotherapy training and supervision. Specifically, competencies pertaining to facilitating the client’s experiential awareness and use of the psychotherapy relationship to engender client change are described. Next, the foundational and functional competencies within professional psychology that are particularly salient to a humanistic–existential psychotherapy framework are discussed. Finally, the ways in which a humanistic–existential supervision framework contributes to the development of psychotherapy competencies in trainees is considered. A brief vignette is presented to illustrate the supervision process. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The existential concept of death.

Comments on B. Vandenburg's (see record 1992-12211-001) article on epistemology and an existentialist consideration of development. If the existentialist prospects of death are to be included in a beyond-epistemic consideration of developmental issues, it is necessary to examine the status of the concept of death as an existential given, not subject to developmental changes over the life span. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Exploring existential meaning: Optimizing human development across the life span.

Reviews the book, Exploring existenial meaning: Optimizing human development across the life span by Gary T. Reker and Kerry Chamberlain (2000). The form of personal meaning that constitutes the main focus for the volume is existential meaning, characterized by the editors in terms of "attempts to understand how events in life fit into a larger context," which involves both "a sense of coherence (order, reason for existence) and a sense of purpose (mission in life, direction)" (p. 1). This is a remarkably well integrated collection of essays, given the usual standards for edited volumes. The contributed chapters, sandwiched between the editors' brief Introduction and their longer integrative chapter at the end, are organized into distinct sections addressing, respectively, theoretical and conceptual issues, empirical research, and applications and interventions. This volume not only provides a comprehensive survey of recent work on existential meaning but is likely to have a broader appeal as well. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Helmuth Kaiser, J. F. Masterson and the borderline struggle: How does an existential therapist survive in the object world?

Comparing the work of H. Kaiser and J. F. Masterson, this article describes some basic, theoretical differences between existential and object relations psychotherapy in the treatment of borderline patients. The issue of "centrality", the extent to which the therapeutic relationship is, in itself, the curative element in psychotherapy, is presented as a fundamental difference between existential and object relations approaches. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Integrating visions of reality: Interpersonal diagnosis and the existential vision.

The visions of reality underlying psychotherapeutic schools are considered as cognitive structures, and T. Leary's (1957) interpersonal diagnosis model is employed to systematize previously discussed visions and to generate additional visions. This serves to identify commonalities among therapeutic world views, intervention styles, personality patterns, and types of psychopathology and to further psychotherapy integration by stressing the need for flexibility as the therapist offers each client a re-vision of his or her experienced reality. Every individual is ultimately responsible for choosing his or her own "reality" and the identity that is embedded in it. Promoting self-direction and flexibility by enhancing awareness of these existential choices is at the core of therapeutic effectiveness and is fostered through metacommunication and beneficial challenge to the client's constructs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive and existential therapies: Toward an integration.

Cognitive and existential therapies are typically viewed as so diverse in their assumptions as to be largely incompatible, representing opposite ends of the psychotherapeutic spectrum. The purpose of this article is to show how a merging of these therapies may contribute to a greater range of options for therapists. The authors attempt to show the surprisingly wide number of connections between these two schools. Comparisons and suggestions are made in the areas of the therapeutic relationship, interpersonal and environmental factors, sociotropy and autonomy, and meaning-making. Existential therapy is especially helpful in understanding the formation and identification of ontological core schemas, and an extensive list of these is provided. A case example involving a 32-yr-old female client with depression is provided that illustrates the integration of these two approaches. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A journal of interest: Review of Existential Psychology and Psychiatry.

The Review was founded in 1961 to bring an existential and phenomenological approach to the understanding of human experience. With a primary focus on the psychotherapeutic endeavor, the Review publishes original essays and first translations from the fields of literature and philosophy, as well as from psychology and psychiatry proper. The Review has published essays by nearly every major figure in the world, including Viktor Frankl, Eugene Gendlin, Jacques Lacan, R.D. Laing, RolloMay, Maurice Merleau-Ponty, Jacob Needleman, Carl Rogers, and Jean-Paul Sartre. In addition to continuing to publish original essays on a wide variety of general topics, in recent years the Review has published a series of special issues devoted to major figures in the field of existential psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of the existential perspective on morality.

Comments on B. Vandenburg's (see record 1992-12211-001) article on epistemology and an existentialist consideration of development, taking exception to his assertion that existential consideration, described as crucial to moral development, is absent in Piaget (1965) and Kohlberg's (A. Colby and L. Kohlberg, 1984) cognitive model. It is argued that no such term as moral development exists in existentialism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Logotherapy for clinical practice.

Logotherapy is based on the meaning-focused existential philosophy of Viktor E. Frankl (1905-1997). Numerous mental health professionals have been inspired by his most popular book, Man's Search for Meaning; however, many are unfamiliar with the depth of Frankl's work. The purpose of this article is to discuss the tenets of logotherapy, including fundamental concepts, applicability and techniques, roles of the therapist, and assessment tools and new research findings. Logotherapy can readily be integrated with techniques that mental health professionals frequently use, and thus it has much to offer mental health professionals regardless of their theoretical orientation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Transcending the angel beast: Viktor Frankl and humanistic psychology.

In this article the author describes the relationship of Viktor Frankl, the famous Holocaust survivor and founder of logotherapy, with the Big 3 (Rollo May, Carl Rogers, and Abraham Maslow) of the American humanistic psychology movement. From the perspective of his quasi-religious meaning-centered logotherapy, Frankl criticized the humanistic psychology movement for overlooking the transcendent nature of human experience. The author argues that the source of these criticisms stems from Frankl's traumatic Holocaust experience that made him unable to accept an immanent meaning to human existence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Palliative medicine. A new research field with specific demands

Palliative care is not merely a question of treating symptoms irrespective of cause, but is ideally based on proper analysis, treatment and evaluation. Education, quality assurance, clinical development and research are needed to improve palliative care. Education and research should be focussed on all four dimensions--the physical, the emotional, the social, and the existential. Research should be designed to address specific issues--for example, how anxiety and mood disturbances in (previously healthy) patients in palliative care differ from anxiety and depression in a psychiatric setting, in patients with a history of psychiatric problems. Efforts need to be made to link significant clinical problems and basic science. Not until we understand the underlying mechanisms (e.g., the involvement of cytokines in mediating cachexia), will it be possible to develop new treatment strategies for problematic symptoms.