Abstract: | A pragmatic existential therapy was developed to help patients stuck in intractable life situations make the psychic turn of death camp survivors who learned to adapt to savage conditions in extremity. Using a model of absurd heroism inimical to therapies seeking to modify intrapsychic dynamics, this hardminded intervention thematizes (a) the clinical activation of biological intelligence; (b) reconciliation with the existential situation; (c) problem-solving; (d) therapeutic shaping of realistic, life-affirming attitudes; and (e) absurd happiness. Phenomenological evidence of the survivors' existential posture is drawn from death camp literature, while a comparative case application features a patient afflicted with neurofibromatosis. |