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Exisentialism Psychotherapy

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Exisentialism Psychotherapy
Existential Psychotherapy

Rollo May and Irvin Yalom

OVERVIEW

Existential psychotherapy arose spontaneously in the minds and works of a number of psychologists and psychiatrists in Europe in the 1940s and 1950s who were concerned with finding a way of understanding human beings that was more reliable and more basic than the then-current psychotherapies. The “existential orientation in psychiatry,” wrote Ludwig Binswanger, “arose from dissatisfaction with the prevailing efforts to gain scientific understanding in psychiatry” (1956, p. 144). These existential therapists believed drives in Freudian psychology, conditioning in behaviorism, and archetypes in Jungianism all had their own significance. But where was the actual, immediate person to whom these things were happening? Are we seeing patients as they really are, or are we simply seeing a projection of our theories about them?

These therapists were keenly aware that we are living in an age of transition, when almost every human being feels alienated from fellow humans, threatened by nuclear war and economic upsets, perplexed by the radical changes in marriage and almost all other mores in our culture—in short, almost everyone is beset by anxiety.

Existential psychotherapy is not a specific technical approach that presents a new set of rules for therapy. It asks deep questions about the nature of the human being and the nature of anxiety, despair, grief, loneliness, isolation, and anomie. It also deals centrally with the questions of creativity and love. Out of the understanding of the meaning of these human experiences, existential psychotherapists have devised methods of therapy that do not fall into the common error of distorting human beings in the very effort of trying to help them.

Basic Concepts

The “I-Am” Experience

The realization of one’s being—“I am now living and I could take my life”—can have a salutary effect on a patient. “The idea of suicide has saved many lives,” said



References: Arieti, S. (1977). Psychotherapy of severe depression. American Journal of Psychiatry, 134, 864 – 868. Becker, E. (1973). Denial of death. New York: Free Press. Binswanger, L. (1956). Existential analysis and psychotherapy. In E. Fromm-Reichmann & J. L. Moreno (Eds.), Progress in psychotherapy (pp. 144 –168). New York: Grune & Stratton. Boss, M. (1957a). The analysis of dreams. London: Rider & Co. Boss, M. (1957b). Psychoanalyse and daseinsanalytik. Bern & Stuttgart: Verlag Hans Huber. Boss, M. (1982). Psychoanalysis and daseinanalysis. New York: Simon & Schuster. Bugental, J. (1956). The search for authenticity. New York: Holt, Rinehart and Winston. Bugental, J. (1976). The search for existential identity. San Francisco: Jossey-Bass. Farber, L. (1966). The ways of the will: Essays toward a psychology and psychopathology of will. New York: Basic Books. Farber, L. (1976). Lying, despair, jealousy, envy, sex, suicide, drugs, and the good life. New York: Basic Books. Frankl, V. (1963). Man’s search for meaning: An introduction to logotherapy. New York: Pocket Books. Frankl, V. (1969). Will to meaning. New York: World Publishing. Havens, L. (1974). The existential use of the self. American Journal of Psychiatry, 131. Horney, K. (1950). Neurosis and human growth. New York: Norton. Jung, C. G. (1966). Collected works: The practice of psychotherapy (Vol. 16). New York: Pantheon, Bollingen Series. Kaiser, H. (1965). Effective psychotherapy. New York: Free Press. Kant, I. (1954). The encyclopedia of philosophy (Vol. 4). P. Edwards (Ed.). New York: Macmillan and Free Press. Kierkegaard, S. (1954). Fear and trembling and the sickness unto death. Garden City, NY: Doubleday. Koestenbaum, P. (1978). The new image of man. Westport, CT: Greenwood Press. May, R. (1953). Man’s search for himself. New York: Norton. May, R. (1961). Existential psychology. New York: Random House. May, R. (1969). Love and will. New York: Norton. May, R. (1977). The meaning of anxiety (rev. ed.). New York: Norton. May, R. (1981). Freedom and destiny. New York: Norton. May, R. (1982). The problem of evil: An open letter to Carl Rogers. Journal of Humanistic Psychology, 3, 16. May, R., Angel, E., & Ellenberger, H. (Eds.). (1958). Existence: A new dimension in psychiatry and psychology. New York: Basic Books. Mijuskovic, B. (1979). Loneliness in philosophy, psychology and literature. Assen, Netherlands: Van Gorcum. Perls, F. (1969). Gestalt therapy verbatim. Moab, UT: Real People Press. Raskin, N. (1978). Becoming—A therapist, a person, a partner, and a parent. Psychotherapy: Theory, Research and Practice, 4, 15. Sartre, J. P. (1956). Being and nothingness. New York: Philosophical Library. Sequin, C. (1965). Love and psychotherapy. New York: Libra Publishers. Spence, K. (1956). Behavior therapy and conditioning. New Haven, CT: Yale University. Spinoza, B. (1954). Cited by M. De Unamuno in The tragic sense of life (E. Flitch, Trans). New York: Dover. Weisman, A. (1965). Existential core of psychoanalysis: Reality sense and responsibility. Boston: Little, Brown. Yalom, I. (1981). Existential psychotherapy. New York: Basic Books. [2] Oral communication. Child psychiatry grand rounds. Stanford University, Department of Psychiatry, 1978.

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