Existential therapy Existential psychotherapy is partly based on the existential belief that human beings are alone in the world. This feeling of alone- ness leads to feelings of meaninglessness which can be overcome only by creating one’s own values and meanings. Existential psychotherapy suggests that in making our own choices we assume full responsibility for the results and blame no one but ourselves if the result is less than what was desired. The psychotherapist helps his or her patients/cli- ents along this path: to discover why the pa- tient/client is overburdened by the anxieties of aloneness and meaninglessness, to find new and better ways to manage these anxiet- ies, to make new and healthy choices, and to emerge from therapy as a free and sound hu- man being. Background The philosophers who are especially pertin- ent to the development of existential psycho- therapy are those whose work is directly aimed at making sense of human existence. But the philosophical movements that are of most importance and that have been directly responsible for the generation of existential therapy are phenomenology and existential philosophy. The starting point of existential philosophy (see Warnock, 1970; Macquarrie, 1972; Mace, 1999; Van Deurzen and Kenward, 2005) can be traced back to the last century and the work of Kierkegaard and Nietzsche. Both were in conflict with the predominant ideologies of their time and committed to the exploration of reality as it can be experienced in a passionate and personal manner. Kierkegaard (1813–55) protested vigor- ously against popular misunderstanding and abuse of Christian dogma and the so-called ’objectivity’ of science (Kierkegaard, 1841, 1844). He thought that both were ways of avoiding the anxiety inherent in human exist- ence. He had great contempt for the way in which life was being lived by those around him and believed that truth could ultimately only be discovered subjectively by the indi- vidual in action. What was most lacking was people’s courage to take the leap of faith and live with passion and commitment from the inward depth of existence. This involved a constant struggle between the finite and in- finite aspects of our nature as part of the dif- ficult task of creating a self and finding meaning. As Kierkegaard lived by his own word he was lonely and much ridiculed dur- ing his lifetime. OR: Holding to the view that objectivity is unavailable to actual (finite and temporal) human beings, he sought to demonstrate that the role of Christian dogma, within an actual human life, was misunderstood; eg subjected to explanation and/or justification. The rejec- tion of the objectivity of possessed truth does not imply subjective relativism, and the con- sequence of ineradicable anxiety, since a stable and concrete view may be established by way of the decision to trust God who is Love (unassailable, unassailed dogma as bed- rock or pole-star for thought). A fully de- veloped subjectivity recognises itself to be ’untruth’; trusting itself not to itself, nor the instances of society, but to its Creator and Saviour. Specifically and concretely, a rela- tionship with Christ - a relationship to God, within concrete existence. Kierkegaard was often alone, but not lonely. Nietzsche (1844–1900) took this philo- sophy of life a step further. His starting point was the notion that God was "dead", that is, the idea of God was outmoded and limiting (Nietzsche, 1861, 1874, 1886) and that it is up to us to re-evaluate existence in light of this. He invited people to shake off the shackles of moral and societal constraint and to discover their free will in order to live ac- cording to their own desires, now the only maintainable law in his philosophy. He en- couraged people to transcend the mores of civilization and choose their own standards. The important existential themes of freedom, choice, responsibility and courage are intro- duced for the first time. While Kierkegaard and Nietzsche drew at- tention to the human issues that needed to be addressed, Husserl’s phenomenology (Husserl, 1960, 1962; Moran, 2000) provided the method to address them in a rigorous From Wikipedia, the free encyclopedia Existential therapy 1 manner. He contended that natural sciences are based on the assumption that subject and object are separate and that this kind of dual- ism can only lead to error. He proposed a whole new mode of investigation and under- standing of the world and our experience of it. Prejudice has to be put aside or ’bracketed’, in order for us to meet the world afresh and discover what is absolutely funda- mental and only directly available to us through intuition. If we want to grasp the es- sence of things, instead of explaining and analyzing them we have to learn to describe and understand them. Heidegger (1889–1976) applied the phe- nomenological method to understanding the meaning of being (Heidegger, 1962, 1968). He argued that poetry and deep philosophic- al thinking can bring greater insight into what it means to be in the world than can be achieved through scientific knowledge. He explored human being in the world in a man- ner that revolutionizes classical ideas about the self and psychology. He recognized the importance of time, space, death and human relatedness. He also favoured hermeneutics, an old philosophical method of investigation, which is the art of interpretation. Unlike in- terpretation as practised in psychoanalysis (which consists of referring a person’s exper- ience to a pre-established theoretical frame- work) this kind of interpretation seeks to un- derstand how the person himself subjectively experiences something. Sartre (1905–80) contributed many other strands of existential exploration, particularly in terms of emotions, imagination, and the person’s insertion into a social and political world. He became the father of existential- ism, which was a philosophical trend with a limited life span. The philosophy of existence on the contrary is carried by a wide-ranging literature, which includes many other authors than the ones mentioned above. There is much to be learned from existential authors such as Karl Jaspers (1951, 1963), Paul Til- lich, Martin Buber, and Hans-Georg Gadamer within the Germanic tradition and Albert Camus, Gabriel Marcel, Paul Ricoeur, Maurice Merleau-Ponty and Emmanuel Lévi- nas within the French tradition (see for in- stance Spiegelberg, 1972, Kearney, 1986 or van Deurzen-Smith, 1997). Few psychother- apists are aware of this literature, or inter- ested in making use of it. Psychotherapy has traditionally grown within a medical rather than a philosophical milieu and is only just beginning to discover the possibility of a rad- ical philosophical approach. From the start of this century some psy- chotherapists were, however, inspired by phenomenology and its possibilities for work- ing with people. Ludwig Binswanger, in Switzerland, was the first to attempt to bring existential insights to his work with patients, in the Kreuzlingen sanatorium where he was a psychiatrist. Much of his work was trans- lated into English during the 1940s and 1950s and, together with the immigration to the USA of Paul Tillich (Tillich, 1952) and others, this had a considerable impact on the popularization of existential ideas as a basis for therapy (Valle and King, 1978; Cooper, 2003). Rollo May played an important role in this, and his writing (1969, 1983; May et al., 1958) kept the existential influence alive in America, leading eventually to a specific for- mulation of therapy (Bugental, 1981; May and Yalom, 1985; Yalom, 1980). Humanistic psychology was directly influenced by these ideas, but it invariably diluted and sometimes distorted their original meanings. In Europe existential ideas were combined with some psychoanalytic principles and a method of existential analysis was developed by Medard Boss (1957a, 1957b, 1979) in close co-operation with Heidegger. In Aus- tria, Viktor Frankl developed an existential therapy called logotherapy (Frankl, 1964, 1967), which focused particularly on finding meaning. In France the ideas of Sartre (1956, 1962) and Merleau-Ponty (1962) and of a number of practitioners (Minkowski, 1970) were important and influential but no specific therapeutic method was developed from them. Development in Britain Britain became a fertile ground for the fur- ther development of the existential approach when R.D. Laing and David Cooper, often as- sociated with the anti-psychiatry movement, took Sartre’s existential ideas as the basis for their work (Laing, 1960, 1961; Cooper, 1967; Laing and Cooper, 1964). Without developing a concrete method of therapy they critically reconsidered the notion of mental illness and its treatment. In the late 1960s they estab- lished an experimental therapeutic com- munity at Kingsley Hall in the East End of London, where people could come to live From Wikipedia, the free encyclopedia Existential therapy 2 through their madness without the usual medical treatment. They also founded the Philadelphia Association, an organization providing alternative living, therapy and therapeutic training from this perspective. The Philadelphia Association is still in exist- ence today and is now committed to the ex- ploration of the works of philosophers such as Wittgenstein, Derrida, Levinas and Fou- cault as well as the work of the French psy- choanalyst Lacan. It also runs a number of small therapeutic households along ,these lines. The Arbours Association is another group that grew out of the Kingsley Hall ex- periment. Founded by Berke and Schatzman in the 1970s, it now runs a training pro- gramme in psychotherapy, a crisis centre and several therapeutic communities. The exist- ential input in the Arbours has gradually been replaced with a more neo-Kleinian emphasis. The impetus for further development of the existential approach in Britain has largely come from the development of a number of existentially based courses in academic insti- tutions. This started with the programmes created by Emmy van Deurzen, initially at Antioch University in London and sub- sequently at Regent’s College, London and since then at the New School of Psychother- apy and Counselling, also in London. The lat- ter is a purely existentially based training in- stitute, which offers postgraduate degrees validated by the University of Sheffield and Middlesex University. In the last decades the existential approach has spread rapidly and has become a welcome alternative to estab- lished methods. There are now a number of other, mostly academic, centres in Britain that provide training in existential coun- selling and psychotherapy and a rapidly growing interest in the approach in the vol- untary sector and in the National Health Service. British publications dealing with existen- tial therapy include contributions by Jenner (de Koning and Jenner, 1982), Heaton (1988, 1994), Cohn (1994, 1997), Spinelli (1997), Cooper (1989, 2002), Eleftheriadou (1994), Lemma-Wright (1994), Du Plock (1997), Strasser and Strasser (1997), van Deurzen (1997, 1998, 2002); van Deurzen and Arnold- Baker (2005); van Deurzen and Kenward (2005). Other writers such as Lomas (1981) and Smail (1978, 1987, 1993) have published work relevant to the approach although not explicitly ’existential’ in orientation. The journal of the British Society for Phenomeno- logy regularly publishes work on existential and phenomenological psychotherapy. An im- portant development was that of the founding of the Society for Existential Analysis in 1988, initiated by van Deurzen. This society brings together psychotherapists, psycholo- gists, psychiatrists, counsellors and philo- sophers working from an existential per- spective. It offers regular fora for discussion and debate as well as major annual confer- ences. It publishes the Journal of the Society for Existential Analysis twice a year. It is also a member of the International Federation for Daseinsanalysis, which stimulates interna- tional exchange between representatives of the approach from around the world. An in- ternational Society for Existential Therapists also exists. It was founded in 2006 by Emmy van Deurzen and Digby Tantam, and is called the International Community of Existential Counsellors and Therapists (ICECAP).[1] Existential Therapy’s View of the Human Mind Existential therapy starts with the belief that although humans are essentially alone in the world, we long to be connected to others. People want to have meaning in each others lives, but ultimately we must come to realize that we cannot depend on others for our val- idation, and with that realization we finally acknowledge and understand that we are fundamentally alone. The result of this revel- ation is anxiety in the knowledge that our val- idation must come from within and not from others. Because we are alienated and isolated our lives are also meaningless. Nothing exists which is greater than ourselves, therefore there are no external sources of values and absolutes from which we can draw. Taken to an extreme, we might conclude that there is nothing for which to live. However, we also possess the freedom to create our own values and personal life-meaning, and apply them to our condition. This freedom gives us feelings of significance and purpose that are strong enough to carry us through life. Still, the freedom to choose is another source of anxi- ety: we must summon the requisite strength and courage to choose our personal life- From Wikipedia, the free encyclopedia Existential therapy 3 meaning and hold fast to it. This is un- doubtedly a task which many find difficult. Human beings are also mortal. As we come to grips with the fact that our lives are limited, we develop even more anxiety: we are afraid of death. The knowledge that at some point in the future we will cease to be, while frightening, is at the same time invigor- ating because it is relevant right now and makes our existence important. The juxtapos- ition of life and death is one thing that does give us some certainty. But it also creates tension. And human living is essentially about living with tension and conflict and finding a way to go beyond these, transforming the troubles of the past and the challenges of the present into the possibilities of the future. Finally, humans are responsible. Being isolated, alone, and free to choose means that one cannot assign blame for his or her problems to someone else. The individual alone makes the choices and therefore is re- sponsible for the outcomes. At any point we are free to make different choices and thus re-invent ourselves; we are at once the archi- tect, the planner, and the builder of our lives, throughout our lives. Being able to choose is to be constantly in touch with one’s potential- ity. Often we find this too much of a burden and so we pretend we do not have a choice and are not responsible for what happens in our life and in the world. This is what Sartre called living in bad faith. (Sartre, 1943) He believed it was nearly impossible to live without such self deceptions. Psychological Dysfunction In the existential view, there is no such thing as psychological dysfunction or being ill. Every way of being is merely an expression of how one chooses to live one’s life. However one may feel unable to come to terms with the anxiety of being alone in the world. If so an existential psychotherapist can assist one in accepting these feelings rather than trying to change them as if there is something wrong. Everyone has the freedom to choose how they are going to be in life, however this may go unexercised because making changes is difficult; it may appear easier and safer not to make decisions that you will be respons- ible for. Many people will remain unaware of alternative choices in life for various societal reasons. The Good Life Existential belief suggests that it is possible for people to face the anxieties of life head-on and embrace the human condition of alone- ness, to revel in the freedom to choose and take full responsibility for their choices. They courageously take the helm of their lives and steer in whatever direction they choose; they have the courage to be. One does not need to arrest feelings of meaninglessness, but can choose new meanings for their lives. By building, by loving, and by creating one is able to live life as one’s own adventure. One can accept one’s own mortality and overcome fear of death. Though the French author Al- bert Camus denied the specific label of exist- entialist, in his novel, L’Etranger, his main character Meursault, ends the novel by doing just this. He accepts his mortality and rejects the constrictions of society he previously placed on himself, leaving him unen- cumbered and free to live his life with an un- clouded mind. Existential Therapy The existential psychotherapist is generally not concerned with the client’s past; instead, the emphasis is on the choices to be made in the present and future. The counselor and the client may reflect upon how the client has answered life’s questions in the past, but at- tention ultimately shifts to searching for a new and increased awareness in the present and enabling a new freedom and responsibil- ity to act. The patient can then accept they are not special, and that their existence is simply coincidental, without destiny or fate. By accepting this, they can overcome their anxieties, and instead view life as moments, in which they are fundamentally free. Four worlds Existential thinkers seek to avoid restrictive models that categorize or label people. In- stead they look for the universals that can be observed cross-culturally. There is no exist- ential personality theory which divides hu- manity into types or reduces people to part components. Instead there is a description of the different levels of experience and From Wikipedia, the free encyclopedia Existential therapy 4 existence with which people are inevitably confronted. The way in which a person is in the world at a particular stage can be charted on this general map of human exist- ence (Binswanger, 1963; Yalom, 1980; van Deurzen, 1984). One can distinguish four ba- sic dimensions of human existence: the phys- ical, the social, the psychological and the spiritual. On each of these dimensions people encounter the world and shape their attitude out of their particular take on their experi- ence. Our orientation towards the world defines our reality. The four dimensions are obviously interwoven and provide a complex fourdimensional force field for our existence. We are stretched between a positive pole of what we aspire to on each dimension and a negative pole of what we fear. Physical dimension On the physical di- mension (Umwelt) we relate to our environ- ment and to the givens of the natural world around us. This includes our attitude to the body we have, to the concrete surroundings we find ourselves in, to the climate and the weather, to objects and material possessions, to the bodies of other people, our own bodily needs, to health and illness and to our own mortality. The struggle on this dimension is, in general terms, between the search for domination over the elements and natural law (as in technology, or in sports) and the need to accept the limitations of natural boundaries (as in ecology or old age). While people generally aim for security on this di- mension (through health and wealth), much of life brings a gradual disillusionment and realization that such security can only be temporary. Recognizing limitations can bring great release of tension. Social dimension On the social dimen- sion (Mitwelt) we relate to others as we inter- act with the public world around us. This di- mension includes our response to the culture we live in, as well as to the class and race we belong to (and also those we do not belong to). Attitudes here range from love to hate and from co-operation to competition. The dynamic contradictions can be understood in terms of acceptance versus rejection or be- longing versus isolation. Some people prefer to withdraw from the world of others as much as possible. Others blindly chase public acceptance by going along with the rules and fashions of the moment. Otherwise they try to rise above these by becoming trendsetters themselves. By acquiring fame or other forms of power, we can attain dominance over oth- ers temporarily. Sooner or later we are, however, all confronted with both failure and aloneness. Psychological dimension On the psycho- logical dimension (Eigenwelt) we relate to ourselves and in this way create a personal world. This dimension includes views about our character, our past experience and our future possibilities. Contradictions here are often experienced in terms of personal strengths and weaknesses. People search for a sense of identity, a feeling of being substan- tial and having a self. But inevitably many events will confront us with evidence to the contrary and plunge us into a state of confu- sion or disintegration. Activity and passivity are an important polarity here. Self-affirma- tion and resolution go with the former and surrender and yielding with the latter. Facing the final dissolution of self that comes with personal loss and the facing of death might bring anxiety and confusion to many who have not yet given up their sense of self- importance. Spiritual dimension On the spiritual di- mension (überwelt) (van Deurzen, 1984) we relate to the unknown and thus create a sense of an ideal world, an ideology and a philosophical outlook. It is here that we find meaning by putting all the pieces of the puzzle together for ourselves. For some people this is done by adhering to a religion or other prescriptive world view, for others it is about discovering or attributing meaning in a more secular or personal way. The con- tradictions that have to be faced on this di- mension are often related to the tension between purpose and absurdity, hope and despair. People create their values in search of something that matters enough to live or die for, something that may even have ulti- mate and universal validity. Usually the aim is the conquest of a soul, or something that will substantially surpass mortality (as for in- stance in having contributed something valu- able to humankind). Facing the void and the possibility of nothingness are the indispens- able counterparts of this quest for the eternal. See also • Gestalt Therapy • Existentialism • Viktor Frankl From Wikipedia, the free encyclopedia Existential therapy 5 • Martin Heidegger • Søren Kierkegaard • R.D. Laing • Rollo May • Friedrich Nietzsche • Otto Rank • Jean-Paul Sartre • Irvin D. Yalom • Karl Jaspers • Martin Buber • Contextual therapy • Emmy van Deurzen • William Glasser References [1] Template:Cite web www.icecap.org.uk Further reading • Frankl, Viktor; Man’s Search for Meaning (rev. & updtd.); Pocket, 1997 • Yalom, Irvin D.; Existential Psychotherapy; Basic Books, 1980 • Cooper, Mick; Existential Therapies; Sage Publ., 2003 • Spinelli, Ernesto; The Mirror and the Hammer: Challenging Orthodoxies in Therapeutic Thought; Sage Publ., 2002 • Kierkegaard, Søren; The Concept of Dread and The Sickness Unto Death, Princeton University Press • Deurzen, E. van (2002) Existential Counselling and Psychotherapy in Practice, 2nd edition, London: Sage Publications. • ibid (1997) Everyday Mysteries: Existential Dimensions of Psychotherapy, London: Routledge. (2nd edition 2006) • ibid (1998) Paradox and Passion in Psychotherapy, Chichester: Wiley. • Deurzen, E. van, and Kenward, R. (2005) Dictionary of Existential Psychotherapy and Counselling, London: Sage Publications. • Deurzen, E. van and Arnold-Baker, C., eds. (2005) Existential Perspectives on Human Issues: a Handbook for Practice, London: Palgrave, Macmillan. • Wilkes, R and Milton, M, (2006) Being an Existential Therapist: An IPA study of existential therapists’ experiences, Existential Analysis. Jan 2006 • Milton , M., Charles, L., Judd, D., O’Brien, Tipney, A. and Turner, A . (2003) The Existential-Phenomenological Paradigm: The Importance for Integration, Existential Analysis • Judd, D. and Milton, M. (2001) Psychotherapy with Lesbian and Gay Clients: Existential-Phenomenological Contributions to Training, Lesbian and Gay Psychology Review, 2(1): 16-23 • Corrie, S. and Milton, M . (2000) The Relationship Between Existential- Phenomenological and Cognitive- Behavioural Therapies, European Journal of Psychotherapy, Counselling and Health. • Milton, M (2000) Is Existential Psychotherapy A Lesbian and Gay Affirmative Psychotherapy? Journal of the Society for Existential Analysis, • Milton , M. and Judd, D. (1999) The Dilemma that is Assessment, Journal of the Society for Existential Analysis, 102-114. • Milton, M. (1999) Depression and the Uncertainty of Identity: An existential- phenomenological exploration in just twelve sessions, Changes: An International Journal of Psychology and Psychotherapy, • Milton, M (1997) An Existential Approach to HIV Related Psychotherapy, Journal of the Society for Existential Analysis, V8.1, 115-129 • Milton, M (1994) The Case for Existential Therapy in HIV Related Psychotherapy, Counselling Psychology Quarterly, V7 (4). 367-374 • Milton, M. (1994) HIV Related Psychotherapy and Its Existential Concerns, Counselling Psychology Review, V9 (4). 13-24 • Milton, M (1993) Existential Thought and Client Centred Therapy, Counselling Psychology Quarterly, V6 (3). 239-248 • Schneider, K.J. (2008). Existential- integrative Psychotherapy: Guideposts to the Core of Practice. New York: Routledge. • Schneider, K.J. (2004). Rediscovery of Awe: Splendor, Mystery, and the Fluid Center of Life. St. Paul, MN: Paragon House. • Wilberg, P. (2004) The Therapist as Listener - Martin Heidegger and the Missing Dimension of Counselling and Psychotherapy Training [1] From Wikipedia, the free encyclopedia Existential therapy 6 Retrieved from "http://en.wikipedia.org/wiki/Existential_therapy" Categories: Psychotherapy This page was last modified on 25 April 2009, at 07:25 (UTC). All text is available under the terms of the GNU Free Documentation License. (See Copyrights for details.) 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