Towards an anthropological psychiatry

The situation of present day psychiatry is described as being dominated by an empiricist perspective. The limitations of this perspective are analyzed and a rough sketch of the hermeneutical approach in psychiatry is offered. It is argued that a fully developed hermeneutical psychiatry implies a reference towards anthropological themes. Three of them, time, historicity and corporality, are investigated.     

Toward an Integration of Constructivism and Existential Psychotherapy

Constructivism and existential psychology are distinct approaches to therapy that share many important commonalities. Included in the commonalities are a focus on meaning, relationships, change, and experience. We maintain that an existential-constructivist foundation can provide an ideal foundation for integration that can deepen approaches to therapy that resonate with aspects of existential and constructivist therapies. Three approaches to therapy highlight possibilities for integration: caregiver family therapy, equine-facilitated therapy, and substance abuse therapy. Building from these examples, various approaches to integration emerging from constructivism and existentialism can prove fruitful for developing a constructivism-existential psychology integration.     

Existential Import and an Unnecessary Restriction on Predicate Logics

Contemporary logicians continue to address problems associated with the existential import of categorical propositions. One notable problem concerns invalid instances of subalternation in the case of a universal proposition with an empty subject term. To remedy problems, logicians restrict first-order predicate logics to exclude such terms. Examining the historical origins of contemporary discussions reveals that logicians continue to make various category mistakes. We now believe that no proposition per se has existential import as commonly understood and thus it is unnecessary to restrict first-order predicate logics to non-empty classes. After introducing the problem, we trace some nineteenth century treatments of the issue to locate a source of misconstruing propositional import (1) in misconceptions of ‘implies’ and ‘affirms’ and name the process/product fallacy, along with (2) the translation of categorical sentences using quantifiers and accommodating an empty class. Next we treat some metalogical matters to orient our discussion by which we provide a more precise nomenclature about ‘sentence’ and ‘proposition’ to correct previous misconceptions; here we uncover a common category mistake in respect of a proposition’s efficacy. The semantic distinction between agent and force is helpful in this connection. We conclude by showing that logicians have reinserted existence as a predicate, a position previously excised by Kant, and that the Frege-Russell ambiguity thesis applies only to relationships within a categorical sentence between grammatical predicate and subject.     

Some Aspects of Developmental Guidance Within an Existential Context

In this paper developmental guidance and existentialism are viewed as parallel but relatively independent modes of thought. The major theoretical dimensions of developmental guidance are summarized and a brief comparison between developmental guidance and existentialism is made. Certain aspects of existential thought are related to some principles of developmental guidance. Existentialism can provide an idiographic dimension to the fundamentally nomothetic theoretical orientation of developmental guidance by complementing an objective understanding of the individual with a subjective understanding.     

Existential Assessment

Present day psychological assessment stems from a philosophy of sicence that values objectivity but fails to comprehend the existence of the person being evaluated. A humanistic-existential model shifts the focus from omnipotence to encounter and encourages client responsibility. The vehicle for this conceptualization is the nature and meaning of the encounter between clinician and client. New questions are posed for the assessor by altering the assessment goals, the stance toward interpretation, and the criterion for validation.     

Existential and psychopathological evaluation of group psychotherapy of neurotic and psychotic patients

General problems in researching group psychotherapy are reviewed, especially for those with similar theoretical and methodological approaches. The sample consisted of 100 subjects, 26 of whom were neurotic and 24 of whom were psychotic. They were treated in small groups, headed by the author (the experimental group). An equal number and the same categories of patient attended control psychiatric sessions (the control group). All subjects were tested twice. With three instruments: the semantic differential (with twelve existential categories, five general therapy, and three ego psychology categories), the Kotchen test, and MMPI (midiform). A discriminative analysis of tests and the repeated test data, statistically significant, revealed experiential changes in existential categories, such as "Freedom," "Sex," and "Love" amongst psychotics; and in the case of both psychotic and neurotic patients, treated in groups and compared with the controls, such categories as "Understanding among people." With the help of MMPI, a statistically significant reduction of hysteria in neurotic subjects was established, as well as the preventive effects of group psychotherapy regarding the emergence of psychopathy in psychotic patients. Correlation calculations indicated a greater discrimination in the perception of changes using existential categories in the experiencing of psychotic and depressive patients. Finally, the results obtained are discussed from the viewpoints of clinical experience, results obtained in similar research studies, and unanswered questions resulting from such research.     

Pragmatic Existential Therapy

A pragmatic model of existential therapy is offered to support the thesis that brief, solution focused therapy is a clinical application of existential psychology. Superseding pioneering existential therapies more concerned with insight than with clinical technique, pragmatic existential therapy is a dynamic clinical intervention facilitating in patients, decision, choice, self-commitment, and concrete action, the goal of which is movement toward the future and fulfillment of patients' latent potentials. In addition to clarifying the model's theoretical focus on (a) lived experience, (b) self-creation, and (c) existential anxiety, practical guides to brief existential treatment are offered. Sources from existential philosophy and psychology, as well as brief solution focused treatment, are used to evidence core elements of an existential therapy that is not contemplative and insight-focused, but pragmatic and action-based.     

Existential Confrontation and Religiosity

Recent research suggests that religious intrinsicness should predict a failure to confront existential problems whereas an interactional orientation should promote the opposite influence. This study, however, demonstrated that intrinsicness is associated only with traditional religious resolutions of such difficulties and that the interactional approach is essentially unrelated to confrontation with existential realities. These data therefore failed to support claims that orthodox, intrinsic individuals are rigid in their approach to the basic existential questions of life; the data also illustrated the importance of differentiating thought content from thought process in analyzing religious influences on psychological functioning.     

Existential Sexuality and Intimacy

This article will discuss sexuality from an existentialist and constructivist point of view. Constructivism will be used as a means to grasp a dynamic understanding of sexual existence and intimate life. In fact, the author believes there is genetic character of intimacy that informs the passive and active existential choices that constitute our sexual identity. The goal of the article is to show how the social constructions that define human sexual existence are remodeled continuously by the fluid nature of intimacy.     

Existential Family Trauma Therapy

In this article the process of existential family trauma therapy is outlined and described. This process includes the treatment elements of holding, telling, mastering and honoring the family's trauma experiences and trauma pain. Case illustrations are provided and previous research is reviewed.