Art in existential psychotherapy with couples and families

The authors describe and outline how art can be used in existential psychotherapy to help a couple or family uncover, discover, and make use of the meanings and meaning potentials to be found in marital and family life. In existential psychotherapy with couples and families, art can be used to help the members of the relationship notice meaning potentials in the future, honor meaning potentials that have been actualized and deposited in the past, and discover new ways to actualize meaning potentials in the here and now.     

Basic concepts in existential psychotherapy with couples and families

Existential psychotherapy with couples and families is a treatment approach that pays close attention to both problems and the meanings and meaning potentials to be found in daily marital and family life. The author reviews both the elements and treatment dynamics to be found in existential treatment with couples and families and overviews the practice of creative interaction between the existential psychotherapist and the marital and/or family members requesting help.     

A Brief Overview of Existential Depth Psychotherapy

Abstract

This article introduces the special issue of The Humanistic Psychologist, entitled “Depth, Death, and Dialogue: New Inquiries in Existential Depth Psychotherapy.” It begins by identifying several commitments that existential psychotherapists tend to hold in common and that distinguish their approach to depth psychotherapy from others. These commitments include, among others, the meaning, ownership, there-ness, everydayness, phenomenology, and wholeness of human existence, as well as its possibility for authenticity. The article then distinguishes among different kinds of approaches to existential depth psychotherapy, using the criteria of the degree to which they harken to the intellectual Zeitgeists of America or Europe and, with this, the manner in which they address everyday (ontic) and/or philosophical (ontologic) concerns. A brief discussion of the author's understanding of the ontical and the ontological foundations for existential psychology ensues before the article closes with a crucial challenge facing existential depth psychotherapy and brief introduction to the articles in the special issue.     

Therapeutic Experiences of Lesbian Couples

Abstract

This study explores the therapeutic experience of lesbian couples who had received couples psychotherapy earlier in their relationship. It examines their feelings regarding their own levels of acceptance, disclosure of sexual orientation, and connectedness with the professional providing services using qualitative methodology. The perspectives of both members of the lesbian couple were taken into account and explored. Lesbian couples who had accepted their sexual orientation appeared to have higher levels of satisfaction in their therapeutic experience and reported having an improved sense of self. Couples who had a therapist that portrayed a positive acceptance of homosexuality, low levels of heterosexism, and knowledge of issues relevant to the lesbian community reported an experience that was conducive to growth and development thus leading to an enriched relationship.     

Integration of problem-oriented and mystery-centered approaches in existential psychotherapy

Existential psychotherapy can be understood as a treatment orientation directed towards helping the client discover, actualize and honor the meanings and meaning potentials in life. In this article, the authors outline the problem-oriented and the mystery-centered elements of existential treatment and how these two components of existential treatment are both poles of a relationship of tension and complimentary to each other. The article further explores treatment activities, treatment goals, assessment activities and the treatment relationship as these notions are understood in both the problem-oriented and the mystery-centered aspects of existential psychotherapy.     

Existential themes in the treatment of people at suicide risk. Understandings and practices of specialist healthcare professionals

ABSTRACT

This qualitative study focuses on the ways in which existential themes were understood and addressed in therapeutic relationships with patients who had attempted suicide. Health care professionals (HCP) from Norway specialist healthcare participated in focus groups. The interviews were transcribed and analysed by systematic text-condensation through a four-step procedure. We found that the HCPs emphasised the context-specific functions of their departments. They considered these conversations essential but demanding. They indicated existential themes of hope/hopelessness, loneliness, meaning, life/death, shame, religion and suicide. The HCPs’ understandings of themes deemed to be existential and how they should be addressed were primarily based on clinical experience. This appeared to exacerbate the pressure on their personal involvement, leading to the question of whether patients’ existential needs are tackled or instead disappear into a conversational vacuum. The study suggests that HCPs' professional competence of existential themes pertaining to patients at suicide risk needs to be strengthened.     

Existential Marital Psychotherapy and the Experience of Managed Care

ABSTRACT

In this article the experience of managed care is over-viewed from the perspective of existential marital therapy. It is concluded that managed care disrupts the experiential nature of participation between couple and therapist, dilutes the authentic nature of the treatment relationship, decreases the importance of subjectivity, disturbs the discovery of meaning and purpose in marital life and deters existential communication.     

The Meaning of Childbearing Among IVF Service Users Assessed via Laddering Technique

The psychosocial issues related to infertility have been widely researched. However, the meaning a couple gives to childbearing remains a relatively unexplored area. This study explores the meaning making of Hong Kong Chinese couples who had received in-vitro fertilization (IVF). Eleven IVF-successful and seven IVF-unsuccessful informants were assessed using two complementary constructivist methods: laddering technique and constructivist-grounded theory analysis of in-depth interviews. Findings revealed four aspects of symbolic meaning of childbearing focused on the informant's sense of self, cultural values, existential purpose, and relations with others. The results also depicted infertility as a form of disenfranchised grief, following ambiguous loss, underscoring the need for counselors to explore the meaning of childbearing among IVF service users and the impact on their self-narratives as a function of treatment outcome.     

Group Psychotherapy and Existential Concerns: An Interview with Irvin Yalom

Group psychotherapy can be used to help clients deal with most forms of emotional distress or problems with interpersonal functioning. Also, group therapy can be useful when helping clients to confront existential concerns such as isolation or meaning in ones life. During a recent interview, Irvin Yalom discussed a variety of issues related to group processes and existential matters that are involved in effective psychotherapy.     

Des psychologues en milieu hospitalier lors de la crise sanitaire de la Covid-19 : mieux comprendre leur vécu à l’aide du concept de générativité

IntroductionDuring the COVID-19 pandemic, everyone was confronted with their finitude, risking a crisis of meaning. Considering with Erikson (1950) that generativity is a great vector of meaning in life, which allows an individual to ensure the continuity of society through transmission and care, caregivers usually have a higher generativity score than the general population (Grossman & Gruenewald, 2017). This study then looks for signs of generativity among caregivers, hypothesising that it was particularly mobilised during this health crisis.PurposeThe purpose of this study is to explore the experiences of psychologists working in hospitals on somatic wards in order to identify the impacts of the COVID-19 pandemic and signs of generativity.MethodIn this exploratory, qualitative, prospective, multicenter study, nine psychologists working in hospital wards were interviewed individually to explore their experiences during a semi-structured interview.ResultsThe markers of existential crisis linked to COVID-19, such as signs of exhaustion and anxiety, were prominent in their discourse. Strong elements of generativity are also found in the interviews. This reflects the testing of their resources.ConclusionGenerativity allowed adaptation during the crisis but does not seem to be sufficient to protect against exhaustion and existential crisis.     

Marcel's “availability” in existential psychotherapy with couples and families

Gabriel Marcel was a French, Catholic, existential philosopher who first presented the concept of human availability as a central way of strengthening the self and facilitating the experience of human freedom. In this article Marcel's ideas about availability are described, reviewed, and examined for their implications for the practice of existential psychotherapy with couples and families.     

Otto Rank's art

Abstract

Otto Rank's work has had an indirect influence on much of existential‐humanistic psychology, yet his contribution has been unevenly acknowledged. Seeing Rank as a developing artist helps to put his creative contributions to psychoanalysis, post‐psychoanalytic critique, and existential‐humanistic psychotherapy, in perspective. After his separation from Freud, Rank's innovative thought blossomed; his later works have deep and lingering humanistic import. A look at convergences and divergences between Freud and Rank shows that Rank's art (of living, of theorizing, and of practicing therapy) is an uncannily familiar and inspiring model of humanistic practice in the world. The continuing relevance of Rank's ideas about art and artists is explored, and Rank is re‐introduced to humanistic psychologists who may recognize aspects of his work as consonant with their own.     

When being far away is good: Exploring how mortality salience,regulatory mode,and goal progress affect judgments of meaning in life

Research indicates that death‐relevant thoughts (mortality salience) have a nuanced effect on judgments of life's meaningfulness. Thoughts of death diminish meaning in life only among people who lack or do not readily engage psychological structures that confer meaning. Building on this past research, the current research examined how an important source of meaning, long‐term goal progress, affects the ways that death‐relevant cognitions impact judgments of life's meaning. In Study 1 (N = 118), mortality salience decreased perceptions of meaning in life only among participants who were induced to feel closer to (vs. farther from) completing a long‐term goal. Study 2 (N = 259) extended these findings by demonstrating the moderating influence of individual differences in locomotion. Mortality salience again decreased perceptions of meaning in life among participants who felt closer to accomplishing a long‐term goal, but it only did so among people who do not quickly adopt new goals to pursue (i.e., those low in locomotion). The implications of these findings for better understanding how people maintain meaning in the face of existential concerns and how aspects of goal pursuit affect these processes are discussed.     

Remembering Medard Boss

Abstract

The life and work of Medard Boss is reviewed. This overview includes the development of his daseinsanalysis, presenting its roots in psychoanalysis, existential phenomenological psychiatry, Heideggerian philosophy, and Indian thought. Also examined are Boss's contributions to the fields of psychotherapy, philosophy, and human scientific psychology. The latter contributions include Boss's explication of the meanings of three specific kinds of psychological phenomena: sexual disorders, bodily illnesses and injuries, and dreams. The article then concludes with the author's personal reflections on his experiences with daseinsanalysis and Medard Boss.     

Assessment,Treatment, and Rehabilitation for Interpersonal Violence Victims

Abstract

Psychotherapists who have received minimal training in neuropsychology do not consider cognitive rehabilitation among the treatment options for their clients who have mild traumatic brain injury (mTBI). Historical perspectives on mTBI did not acknowledge brain plasticity and/or rehabilitation, yet rehabilitation might provide a necessary foundation for a client to be able to benefit from traditional feminist psychotherapy. This article provides an overview of two treatment modalities, biofeedback and neuropsychologically-informed feminist psychotherapy, for women with mTBI who sought relief from interstitial cystitis and headaches. Assessment for neuropsychological treatment planning and monitoring is illustrated with employment of the Ackerman-Banks Neuropsychological Rehabilitation Battery. Clinical examples are provided to demonstrate a variety of manifestations of mTBI and responses to treatment.     

Relational Psychoanalytic Perspective on Couples Psychotherapy

ABSTRACT

This places Relational Psychoanalysis within the pantheon of models of couples psychotherapy in psychoanalysis including those from Freudian, Object Relational, Self Psychology, and Intersubjective Systems Theory. Following a brief overview of key ideas pertinent to Relational Psychoanalysis, the article discusses the author’s Six-Step version of a relational psychoanalytic approach to couples psychotherapy.     

Believable Visions of the Good: an Exploration of the Role of Pastoral Counselors in Promoting Resilience

Although adjustment after trauma is often positively associated with meaning, some studies challenge this connection (Bonanno, Memory, 21(1), 150–156, 2013; Silver and Updegraff 2013). In this article we elaborate on the relation between existential meaning and resilience. First, we conceptualize existential meaning—searching for and finding meaning in life—in terms of “orienting in moral space”, using the philosophical ideas of Taylor (1989), the psychological meaning-making model of Park (Psychological Bulletin, 136(2), 257–301, 2010), and existential theory. We argue that orienting systems in moral space are “believable visions of the good”. We then search recent literature on resilience—in particular literature in which the connection with meaning is challenged—for indications of a connection with existential meaning. We conclude that resilience necessarily comprises a “moral dimension” that is an adaptive process of (eventually) finding meaning in life. Finally, we discuss implications for the role that pastoral counselors, as professionals in the domain of existential meaning, may play in promoting resilience in organizations where employees regularly face existential issues like violence, suffering, and death.     

Culture,psychology and ecology: An interview with Theodore Roszak

Objectives: This study investigates the efficacy of a standard cognitive behavioral group-program for chronic pain, in comparison with the same group program that integrates an existential perspective at treatment conclusion, 3-month, and 6-month follow-up. Design: This study is a quasi-experimental clinical trial with two treatment groups. Methods: We included 113 patients suffering from chronic pain who had been accepted for treatment at an interdisciplinary pain center. In addition to the specific therapy program, the patients received intense interdisciplinary treatment. Outcome measures include both pain-related disability and pain severity. Repeated-measures analyses of variance (ANOVAs) were used to test statistical significance, followed by tests of simple contrasts with pre-treatment as a reference-point. Results: Results indicated that the integration of an existential perspective leads to significantly lowered pain-related disability than the classic cognitive behavioral group-program. Additionally, existential aspects seem to be particularly important for patients with a spiritual orientation. The findings from this study support the importance of considering specific existential aspects in the cognitive-behavioral approach in treating chronic illness.