The Hard Issues of Life

In pastoral counseling, the practitioner and client face the most difficult human problems. An authentic encounter and subsequent connection with one's fundamental Being often occurs, creating a direct existential knowing of what is. Because there are no directions or steps in a protocol to follow in this process, it is helpful for the client to reframe his/her existential search for Being as a Rite of Passage, comprising three distinct, but not separate stages—the separation phase, the initiation phase, and the return or integration phase. Such a process permits the individual a realization of what is through his/her own life circumstances, as a meaningful progression of spiritual growth.decorated Vietnam combat veteran and a marriage, family, and child counselor specializing in treatment of PTSD     

Depression, Existential Family Therapy, and Viktor Frankl's Dimensional Ontology

In existential family therapy, it is believed that Viktor Frankl's dimensional ontology is a useful way to understand the different levels of depression that are important in both family assessment and family treatment. This article reviews Frankl's dimensional ontology, its usefulness for existential family treatment, the must, can, and ought levels of family depression, and presents clinical material illustrating the described existential family treatment approach.     

Heidegger's Brightness as a Responsibility of the Therapist in Existential Family Therapy

The author reflects upon the Heideggerian concepts of thrown-ness, death imagery, arrogance and brightness and their usefulness in existential family therapy. The article describes and illustrates with clinical material the process of helping a couple or family to move from an arrogance response to thrownness and death imagery to the response of brightness as attendants of Being. The responsibilities of the therapist in facilitating such a process are also described.Director of the Worthington Logotherapy Institute, co-director of Lantz and Lantz Counseling Associates, and a professor at The Ohio State University. College of Social Work     

Re-Collection in Existential Psychotherapy with Couples and Families Dealing with Death

Re-collection is a treatment dynamic in existential family therapy in which the client family is helped to remember and honor meanings that family members have previously actualized and deposited in the past. This shrinks the family meaning vacuum and those symptoms and problems that grow and flourish in a family meaning vacuum. In this article, an existential orientation to re-collection with families who are dealing with the death of a loved one is presented, described, and illustrated with case material.     

Essential anxiety: COVID-19 in analytic practice

This paper explores the impact of the COVID-19 pandemic on my relationship with analysands and my inner world. I reflect on the role of the archetypal Self during times of existential anxiety that may lead to an experience of ‘essential anxiety’. This term refers to a meeting by a fearful ego with an inward recognition of the Self, when faced with threat. The efforts to curb the spread of the pandemic changed our ways of life, while the virus itself threatened our existence in debilitating or outright destructive ways. But what also came into view, in sessions of analysis and supervision, was the creative instinct, and a celebration of life. The soul-to-soul relationship, and the connection with images of the archetypal Self, made the experience of existential anxiety at times an essential experience that facilitated psychological growth. I discuss some advantages of on-line Jungian analysis where, despite distance and partial view, the body still serves as container to hold important psychological material, conferring a sense of wholeness for analyst and analysand. The COVID-19 crisis is terrible and terrifying but it also provides an opportunity for self-regulation and individuation.     

Going to political extremes in response to boredom

Boredom makes people attempt to re‐establish a sense of meaningfulness. Political ideologies, and in particular the adherence to left‐ versus right‐wing beliefs, can serve as a source of meaning. Accordingly, we tested the hypothesis that boredom is associated with a stronger adherence to left‐ versus right‐wing beliefs, resulting in more extreme political orientations. Study 1 demonstrates that experimentally induced boredom leads to more extreme political orientations. Study 2 indicates that people who become easily bored with their environment adhere to more extreme ends of a political spectrum compared with their less easily bored counterparts. Finally, Study 3 reveals that the relatively extreme political orientations among those who are easily bored can be attributed to their enhanced search for meaning. Overall, our research suggests that extreme political orientations are, in part, a function of boredom's existential qualities.     

The illness reframing process in an ethnic-majority population of older people with incurable cancer: variations of cultural- and existential meaning-making adjustments

Increasing numbers of older people in Western countries are living with incurable cancer as a chronic disease, receiving palliative care from specialised healthcare contexts. The study's aim was to understand variations of cultural- and existential meaning-making adjustments in a Norwegian majority population of older people with incurable cancer. Semi-structured interviews from 21 participants, aged 70–88, were analysed according to three identified types of belief frames: atheistic/humanistic, religious, and spiritual. Kleinman's medical anthropology cultural framework was adapted and applied deductively together with a reframing metaphor concept in a four-part analytic process. Independent of the differences among the types of belief frames and heterogeneous illness reframing processes, changes in the existential cultural dimension seemed to facilitate psychosocial adjustments in relation to illness, daily living, relationships, and surroundings. The results point to the need for collecting and assessing the function of this type of patient information for better understanding the patient's framework of interpretation, and for identifying treatment-planning resources.     

Profiles of meaning and search for meaning among prisoners

Meaning in life and searching for meaning are central in how people organize their lives and deal with various challenges during them. Studies on meaning and the search for meaning among prisoners are virtually nonexistent. Based on the presence of meaning in their lives and on their search for meaning, we discovered four different profiles in a sample of 365 prisoners: High Presence High Search, High Presence Low Search, Low Presence High Search, and Low Presence Low Search. Compared to prisoners with low meaning profiles, those whose profiles were marked by higher levels of meaning displayed less distress, more positive world assumptions, and higher levels of self-worth. They also show more empathy for others. Older prisoners and prisoners who were sexually abused during childhood were more represented in the profile that was marked by extremely low levels of meaning and low levels of search for meaning.     

An Existential Perspective of Body Beliefs and Health Assessment

Successful health assessments are ongoing and rely on a clinician/client interaction, which is influenced by both the client’s and the clinician’s beliefs about their bodies. These beliefs about the human body arise out of religious and cultural contexts. Theories often explain cultural context by comparison of differences and similarities between the client and the clinician and/or between the client and the dominant culture. This approach can carry a bias inherent in the comparison to dominant beliefs held by those with the most power and economic advantage. The author suggests an existential approach in which client and clinician bodies interact each as adept, autonomous individuals with a conglomerate of beliefs about body and health.The author is an Interdisciplinary PhD candidate in Music Therapy and Health Psychology at the University of Missouri-Kansas City Conservatory of Music. Her research goals include the interrelationship of music, spirituality, and cardiovascular health. She is a Board Certified music therapist and has served in that capacity since 1980 in mental health facilities, hospice, and private practice.     

VIOLENCE AND MORALITY: The Concession of Loss in A Ghanaian Fishing Village

When African migrants disappear on the Mediterranean going to Europe they often leave no trace—except for the occasional bodies that wash ashore on the beaches of southern Europe. In this essay, the urgent social and existential ramifications of migrant fatalities on the sea are explored. Drawing on ethnographic fieldwork in a small Ghanaian fishing village on the coast of the Gulf of Guinea, it is discussed how the bereaved struggle to make sense of these deaths to high‐risk migration—how they struggle to deal with devastating loss while retaining a sense of moral order.