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EXISTENTIAL THERAPY
CASTRO. CORPUZ. MANIQUIS. MARTIN
EXISTENTIAL THERAPY Existential therapy is more a way of thinking, or an attitude about psychotherapy, than a particular style of practicing psychotherapy. Existential therapy described as a philosophical approach that influences a counselor’s therapeutic practice. Existential therapy focuses on exploring themes such as mortality, meaning, freedom, responsibility, anxiety and aloneness as these relate to a person’s current struggle. The goal of existential therapy is to assist clients in their exploration of the existential “given of life”. Existential therapists believe we retain the freedom to choose how we respond to such events. Existential therapy is grounded on the assumption that we are free and therefore responsible for our choices and actions. EXISTENTIAL THERAPY The first step in therapeutic journey is for clients to accept responsibility. As Yalom (2003) puts it, “once individuals recognize their role in creating their own life predicament, they also realize that they, and only they, have the power to change that situation”. One of the aim of existential therapy is to challenge people to stop deceiving themselves regarding their lack of responsibility for what is happening to them and their excessive demands on life (van Deurzen, 2002b) HISTORICAL BACKGROUND IN PHILOSOPHY AND EXISTENTIALISM The existential therapy movement was not founded by any particular person or group; many streams od thought contributed to it. Existential therapy arose spontaneously in different parts of Europe. Many Europeans found that their lives been devastated by World War II, and they struggled with existential issues including feelings of isolation, alienation, and meaninglessness. The thinking of existential psychologist and psychiatrists was influences by a number of philosophers, and writers during the 19th century. HISTORICAL BACKGROUND IN PHILOSOPHY AND EXISTENTIALISM Soren Kierkegaard (1813-1855) a Danish philosopher and Christian theologian, Kierkegaard was particularly concerned with angst-a Danish and German word whose meaning lies between English words dread and anxiety. And he addressed the role of anxiety and uncertainty in life. Ludwig Binswanger (1881-1966) an existential analyst, Binswanger proposed a holistic model of self that addresses the relationship between the person and his or her environment. He used phenomenological approach to explore significant features to the self, including choice, freedom, and caring. Medard Boss (1903-1991) both Binswanger and Boss were early existential psychoanalyst and significant figures in the development of existential psychotherapy. They made reference to dasein or being-in-the-world, which pertains to our ability to reflect on life events and attribute meaning to events. HISTORICAL BACKGROUND IN PHILOSOPHY AND EXISTENTIALISM Jean-Paul Sartre (1905-1980) a philosopher and novelist, Sartre was convinced, in part by his years in the French Resistance in World War II, that humans are even more free than earlier existentialists had believed. “Our values are what we choose”. Sartre’s view was that at every moment, by our actions, we are choosing who we are being. KEY FIGURES IN CONTEMPORARY EXISTENTIAL PSYCHOTHERAPY Viktor Frankl (1905-1997) was a central figure in developing existential therapy in Europe and also in bringing it to the United States. Frankl was deeply influenced by Freud, but he became a student of Adler. He was fond of quoting Nietzsche: “He who has a why to live for can bear with almost any how” Frankl developed logotherapy, which means “therapy through meaning.” Frankl, the most powerful motivation for humans is the “will to meaning”. KEY FIGURES IN CONTEMPORARY EXISTENTIAL PSYCHOTHERAPY Rollo May (1909-1994) was deeply influenced by the existential philosophers, by the concept of Freudian psychology, and by many aspects of Alfred Adler’s Individual Psychology. Irvin Yalom (1931-) Yalom has developed his approach to individual and group psychotherapy based on the notion that existentialism deals with basic “givens of existence”: isolation and relationship with others; death ad living fully: and meaninglessness and meaning. James Bugental (1915-2008) coined the term “existential-humanistic” psychotherapy, and he was a leading spokesman for this approach. He developed techniques to assist client in deepening inner exploration, or searching. The therapist’s primary task involved helping clients to make new discoveries about themselves in the living moment. KEY FIGURES OF EXISTENTIAL THERAPY Proposition 1: The Capacity for Self- Awareness freedom, choice, and responsibility creates the foundation of self-awareness (Corey, 2012). This concept tells us that we can either limit or expand our conscious depending on our awareness. By expanding our self-awareness allows to grow in our life and in the things we do in life. Proposition 2: Freedom and Responsibility this concept deals wit a person to having freedom to choose whatever they want for shaping their own destiny (Corey, 2012). This meaning we are responsible for our actions and everything else we choose to do with our life. According to Frankl, freedom and responsibility are often linked together (Corey, 2012). It is very important to consider culture backgrounds when counseling someone and assisting them with their choices. Proposition 3: Striving for Identity and Relationship to Others this concepts deals with people being concerned about themselves but also likes to relate to other human beings. Everyone wants to create their own personal identity (Corey, 2012). We often look for answer, try to choose our values and beliefs from other people not truly from within ourselves. According to Corey, we are constantly looking at what others are expecting from us rather than just trusting our own instinct (Corey, 2012). Proposition 4: The Search for Meaning according to Corey, it is a constant struggle to find a purpose in life (p. 151). In existential therapy this is often the goal to find the meaning or challenge the meaning of their life. The questions often ask when trying to find the meaning of life are why am I here, what do i want from life, what gives my life purpose, and where is the source of meaning in my life (Corey, 2012). Proposition 5: Anxiety as a Condition of Living This concept says anxiety is something that becomes greater as we realize our freedoms and consequences of accepting or rejecting that freedom (Corey, 2012). Anxiety comes from a person's strive to survive and this often makes a person feel anxiety. Anxiety can often be a sign one is desiring personal change in which can help with personal growth. Proposition 6: Awareness of Death and Nonbeing as a Condition of Living according to Corey, a existentialist does not think of death as a negative thing but gives significance to living. A important human characteristic is the ability to understand the reality of death and dying. Death should not be considered a bad thing but something to motivate one to appreciate the present time and not worry about the future. THERAPEUTIC PROCESS OF EXISTENTIAL THERAPY THERAPEUTIC GOALS Existential therapy is best considered as an invitation to clients to recognize the ways in which they are not living fully authentic and to make choices that will lead to their becoming what they are capable of being. An aim of this therapy is to assist clients in moving toward authenticity and learning to recognize when they are deceiving themselves. Existential therapy aims at helping clients face anxiety and engage in action that is based on the authentic purpose of creating a worthy existence. THERAPIST’S FUNCTION AND ROLE Existential therapists are primarily concerned with understanding the subjective world of clients to help them come to new understanding and options. A therapist’s function is to assist clients in seeing the ways in which they constrict their awareness and the cost of such constrictions (Bugental, 1997). Existential therapists encourage experimentation not only within the therapy office but also outside the therapy setting, based on the belief that life outside therapy is what counts. CLIENT’S EXPERIENCE ON THERAPY Clients in existential therapy is clearly encouraged to assume responsibility for they are currently choosing to be in their own world. Clients wedge open the closed doors and they also begin to loosen the deterministic shackles that have kept them psychologically bound. Individuals should take small steps. Confronting ultimate concerns rather than coping with immediate problems. RELATIONSHIP BETWEEN THERAPIST AND CLIENT The quality of person-to-person encounter in the therapeutic situation is the stimulus for positive change. Basic attitudes toward the client and their own personal characteristics of honesty, integrity and courage are what the therapist has to offer. I/Thou relationship is essential for connecting the self to the spirit to achieve true dialogue. The core of the therapeutic relationship is respect, which implies faith in client’s potential to cope authentically with troubles and ability to discover alternative ways of being. THERAPEUTIC TECHNIQUES AND PROCEDURES OF EXISTENTIAL THERAPY Existential approach is unlike most other therapies in that is not technique-oriented. Interventions are made within the context of striving to understand the subjective world of the client. The interventions existential practitioners employ are based on philosophical views about the nature of human existence. “Existential therapists prefer to be thought of as philosophical companions, not as people who repair psyches” –Vontress, 2008 Van Deurzen stated that the starting point for existential work is for practitioners to clarify their views on life and living. The importance of therapists should reach sufficient depth and openness in their own lives to venture into the client’s murky waters without getting lost. “Existential therapy is a collaborative adventure in which both client and therapist will be transformed if they allow themselves to be touched by life.” –Van Deurzen PHASES OF EXISTENTIAL COUNSELING Initial Phase Therapists assist clients in identifying and clarifying their assumptions about the world. Clients are invited to define and question the ways in which they perceive and make sense of their existence. They examine their values, beliefs, and assumptions to determine their validity. PHASES OF EXISTENTIAL COUNSELING Middle Phase Clients are assisted in more fully examining the source and authority of their present value system. This process of self-exploration typically leads to new insights and some restructuring of values and attitudes PHASES OF EXISTENTIAL COUNSELING Final Phase The final phase of existential counseling focuses on helping people take what they are learning about themselves and put it into action. Transformation is not limited to what takes place during the therapy hour. The therapeutic hour is a small contribution to a person’s renewed engagement with life, or a rehearsal for life. CLIENTS APPROPRIATE FOR EXISTENTIAL COUNSELING Existential practice has been applied in a variety of settings and with a diverse population of clients including those with substance abuse issues, ethnic and racial minorities, gay and lesbian clients, and psychiatric inpatients. For people who are coping with developmental crises, experiencing grief and loss, contemplating suicide, or facing a major life decision, existential therapy is appropriate. Also appropriate for people who feel alienated from the current expectations of society and people who are searching for meaning in their lives. APPLICATION FOR BRIEF THERAPY Existential approach can focus clients on significant areas such as assuming the personal responsibility, making a commitment to deciding and acting, and expanding their awareness of their current situation. It is important for individuals to evaluate what they have accomplished and what issues may need to be addressed later. APPLICATION FOR GROUP COUNSELING An existential group can be described as people making a commitment to a lifelong journey of self-exploration with these goals: 1. Enabling members to become honest with themselves 2. Widening their perspectives on themselves and the world around them 3. Clarifying what gives meaning to their present and future life
Yalom (1980) contends that the group provides the
optimal conditions for therapeutic work on responsibility. APPLICATION FOR GROUP COUNSELING Through feedback, members learn to view themselves through others’ eyes and they learn the ways in which their behavior affects others The group experience provides the opportunity to participants to relate to others in meaningful ways, to learn to be themselves in the company of other people, and to establish rewarding, nourishing relationships. In existential group counseling, members come to terms with the paradoxes of existence. Members experience anxiety when they recognize the realities of the human condition APPLICATION FOR GROUP COUNSELING Members can openly share their fears related to living in unfulfilling ways and come to recognize how they have compromised their integrity. Members can gradually discover ways in which they have lost their direction and can begin to be more true to themselves Members learn that it is not in others that they find the answers to questions about significance and purpose in life