Week 4 - Existential Therapy Flashcards

1
Q

Who were some of the first people to popularize existential therapy?

A

Viktor Frankl, Carl Rogers, and Fritz Perls

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2
Q

What is Victor Frankl’s specific approach to existential therapy?

A

Logotherapy or meaning therapy

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3
Q

What was the third wave of Viennese psychology?

A

Logotherapy, came from Frankl working with suicidal women and how some of them could maintain a sense of meaning in their lives and thus ward off deeply painful feelings.

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4
Q

What did Frankl believe?

A

That each person was responsible for their actions, refused to generalize anger or what he called collective guilt, toward all Germans as was commonly done after the war.

Recognized in the camps that unless they had meaning int heir lives and hope for their future, their psychological lives would cease and their physical lives would soon end.

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5
Q

What is collective guilt?

A

An emotion that occurs when a group of people feel responsible for immoral acts committed by their social group. It can also refer to the responsibility of a group, organization, or society.

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6
Q

Existential philosophers such as Nietzsche and Sarte, put forth which ideas taht would impact Frankl’s theory?

A

-The world is an absurd place into which we are thrust against our will
-Anxiety is a natural part of living
-Self-awareness and consciosness should not be assumed
-Reality is a self-created subjective experience
-Relationships are critical to who we are and who we become
-The choices each person makes determines their essence

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7
Q

Is existentialism anti-deterministic?

A

Yes

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8
Q

Who is Rollo May?

A

Considered the founder of American existential therapy

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9
Q

Who popularized the existential approach to therapy?

A

Irvin Yalom

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10
Q

What is the existential view of human nature?

A

People are born into a world with no inherent meaning or purpose

People are not born good or bad, they are just thrust into the cosmos

Whether there is broader meaning to existence one will never know

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11
Q

True or False: Since life has no inherent meaning, each of us is charged with the responsibility of making it meaningful through the choices we make.

A

True.

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12
Q

True or False: most existential therapists believe that the ability to face life’s struggles and bring meaning into one’s life is at least partially related to the kind of parenting one receives.

A

True

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13
Q

True or False: In existential therapy one needs to unravel years of early childhood issues to uncover core concerns that affect one’s ability to face life’s struggles and bring meaning into one’s life.

A

False. You do not need to.

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14
Q

True or False: Existentialist therapists reject the notion that we are determined by early childhood development, instincts, or intrapsychic forces, although talking about the past is not avoided if clients believe it would help them understand themselves in more meaningful ways.

A

True

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15
Q

What belief is central to existential therapy?

A

That all people struggle with basic questions of what it is to be human, such as the fact that we are born alone, will die alone, and except for the periodic moments when we encounter another person deeply, we live alone, that death constantly looms over us and reminds us of the relatively brief amount of time we have; that we alone are responsible for making our lives meaningful; that meaningfulness, as well as a limited sense of freedom, comes through consciousness and the choices we make

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16
Q

We can live authentically by facing our BLANK, which will at times lead to feelings of anxiety, depression, and dread, or live an inauthentic, neurotic, and maybe even psychotic unaware existence if we do not

A

inherently human struggles

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17
Q

In existential therapy, how do people gain greater awareness of the choices they have made and begin to direct their lives toward a more purposeful, meaningful, and authentic existence by making new choices that involve facing life’s struggles honestly and directly?

A

Through dialogue

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18
Q

What do existential therapists believe about uncomfortable feelings or neurotic symptoms?

A

That they are important messages regarding the maneuvering one engages in to avoid the ultimate questions of living.

i.e. the germophobic neurotic who has a pet goldfish around their neck and the executive who is working 80 hours a week = the same

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19
Q

Both the extistential and humanistic approaches are BLANK and BLANK?

A

Holistic (nonreductionist) and antideterministic, they also believe in the power of choice in redefining the person, view the client and therapist relationship as critical to the therapeutic journey, and have a phenomenological perspective, are optimistic about he individual’s ability to change

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20
Q

What is having a phenomenological perspective?

A

Highlights the client’s subjective experience

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21
Q

What are the core beliefs of existential therapy?

A

-We are born into a world that has little inherent meaning
-We are born alone and will die alone
-We alone make our lives meaningful
-We bring meaningfulness into our lives through the choices that we make
-Meaningful choices only occur if we are conscious of our aloneness and our limited time on Earth
-Anxiety, feelings of dread, and struggles in life are a natural part of living and are important messages about how we make meaning in our lives and relate to others
-Limited freedom is experienced through the realization that we choose our existence
-With recognition that we choose our existence comes the responsibility to choose wisely for ourselves and to recognize how those choices affect those close to us all people

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22
Q

What are some of the differences between existential and humanistic approaches?

A

Existential focus directly on existential issues and discuss topics such as how clients make sense of their lives, deal with their aloneness, etc.

Humanistic tend to have clients self-direct their sessions and believe that people are born with an inherent growth force that will lead them toward a state of self-actualization and harmony with self if they are in an environment that allows clients to access their true self.

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23
Q

What is phenomenology?

A

A branch of philosophy concerned with the nature of reality and emphasizes subjective experience as a way of approaching and understanding truth.

Each thought, reflection, and experience a person has should be understood as meaningful and provides a window into that person’s understanding of truth.

This contrasts with trying to understand a client by applying an external model or frame of reference, as do many other therapeutic approaches.

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24
Q

A phenomenological perspective calls for the therapist to be what?

A

Nonjudgemental, for one cannot judge another’s experience if they believe truth is a function of the person’s unique understanding of the world.

25
Q

Individuals who take on a phenomenological perspective assume that the client’s experience of self is what?

A

Unique, real to that person and ever-changing as the individual lives int he world and interacts with others.

26
Q

What does existentialism say about death and nonbeing?

A

People avoid awareness of these. People try to have their needs met to momentarily take them away from worrying about death and nonbeing.

One of the goals of existential therapy is to help the client see how one has avoided the anxiety of the knowledge of death and nonbeing, that is to assist the client in understanding what mechanism they have used to avoid knowledge of their defense.

Faced head-one, this reality allows the client to move forward, through it is only through such self-knowledge that one can decide whether to embrace one’s former tactics for avoiding the knowledge of death and nonbeing or to choose a new way of being in the world. and can allow one to decide a new path toward a personally meaningful existence.

27
Q

What does existential therapy say about freedom?

A

Sometimes individuals are oppressed by external factors. In contrast, choosing dignity and purpose is an internal process that leads to a sense of psychological fredeom.

28
Q

What is ultimate freedom?

A

Freedom from self-created internal constraints. This is when a person can gain mastery over every step taken, every thought that occurs, every feeling that is expressed, and every attitude that is chosen.

29
Q

What does freedom lead to?

A

A sense of dignity, as one purposefully makes choices that result in a dignified way of life.

30
Q

What is the wronging of self?

A

Existential guilt, making chooses that don’t result in a dignified way of life.

31
Q

What are the two levels of responsibility?

A

Toward the self and toward others

32
Q

What is responsibility toward the self associated with?

A

One’s awareness that freedom is internally created. With this knowledge, every choice made then becomes one that is directly related to living a dignified life with purpose.

33
Q

What are the mechanisms that clients use to avoid responsibility?

A

-Compulsivity
-Displacement
-Playing the victim
-Losing control
-Avoiding autonomy
-Willing denial
-Physical disease

34
Q

What is compulsivity?

A

Being so consumed with an activity that a person avoids examining their life. Their activity overwhelms the person.

Underlying question would be what is being avoided by these behaviors and how is this avoidance keeping you from freedom?

35
Q

What is displacement?

A

Process of placing one’s programs onto others or other things so one does not have to take responsibility for examining them.

“If it wasn’t for the job demotion, I would be happy”

36
Q

What is losing control?

A

“lost their minds” “went crazy” losing one’s temper or lost their way of life; all are mechanisms some will use to avoid taking responsibility for their current situation.

37
Q

What is avoiding autonomy?

A

They know what they need to do but they won’t do it. Try to motivate these individuals and they always have a reason for not moving ahead.

38
Q

What is willing denial?

A

Deadening oneself to the world. Willing myself into the denial of my experience or they may live in a fantasy world and not face making choices.

39
Q

What are the three kinds of isolation one can experience?

A

-Isolation from others
-Isolation from self
-Existential isolation

40
Q

Isolation from self can be what two things?

A

Self-imposed (a monk)
Other-imposed (when a person of authority mandates isolation)

41
Q

When does isolation from oneself occur?

A

When a person ignores a part of self to the point that they are no longer aware of that part.

Example: a child who was molested may deny their sexuality and then, when older, become incapable of enjoying sex.

This is also known as splitting, dissociation or repression and it’s used in almost all theories.

42
Q

What is existential isolation?

A

The realization that we are born alone will die alone and ultimately live in the world alone, although we will have important moments when we encounter others.

Examples: over or undereating, obsessing, joking, hating, overthinking, oversleeping, drugs, too much sex, etc.

43
Q

What is the existential void or existential vacuum?

A

The awareness that existence is an absurd joke and meaningless.

44
Q

What are the two types of anxiety?

A

Existential anxiety and neurotic anxiety

45
Q

What is existential anxiety?

A

The anxiety that is experienced from one’s realization of one’s aloneness, the meaninglessness of life, and the knowledge of one’s death.

46
Q

What is neurotic anxiety?

A

Occurs as a product of the mechanisms that are developed to avoid facing the essential existential issues of life and the existential anxiety associated with it.

Less important is how they were developed and more important is the fact that they are used to avoid an individual’s angst.

47
Q

What are the two types of guilt?

A

Neurotic guilt, sometimes called moral guilt, and existential guilt

48
Q

What is neurotic or moral guilt?

A

Remorseful feelings one has from having behaved in a manner that is damaging to the self or others.

49
Q

What is existential guilt?

A

Experienced when one gets beyond one’s neurotic guilt to a deeper level of awareness—where there is a realization that one has not lived to one’s fullest potential s a means to avoid dealing with core life issues and its associated existential anxiety.

50
Q

The BLANK is an active process that each person can choose upon realizing they have the power to define their own sense of purpose.

A

Will to meaning

51
Q

What does living with authenticity mean?

A

Acceptance of our existential existence, awareness of our death and nonbeing, and being willing to be honest with ourselves and open to others.

52
Q

True or False: The essence of existential therapy is the relationship between the therapist and the client, not the use of any specific techniques.

A

True.

53
Q

What is the dialectical method?

A

Showing respect for the client, encouraging an open dialogue between the client and therapist, and providing an accepting atmosphere that allows for philosophical discourse about the meaning of life.

54
Q

What are some therapeutic techniques that existential therapists bring in?

A

-Dialectical method
-Education about existential therapy
-Authentic therapeutic relationships (I-thou relationship; boundaries are important and not overly self-disclosing)
-Phenomenological perspective
-Acceptance
-Confrontation
-Encouragement
-Paradoxical Intention
-De-reflection

55
Q

How does a therapist use a phenomenological perspective?

A

They do this to gain a deep understanding of the client’s subjective experience of the world and listen intensely, show empathy to ensure deep understanding, and ask questions to inquire about the client’s perspective while being nonjudgmental.

56
Q

What four aspect’s of a client’s worldview is it important to understand?

A

-Umwelt: how our biological organism interacts with and is influenced by our environments and comes to understand the world
-Mitwelt: the manner in which the client comes to make sense of their interpersonal and social world
-Eigenwelt: the way the client comes to understand their inner world, or psychological self
-Uberwelt: the manner in which we relate to the spiritual aspect of ourselves or to the unknown.

57
Q

What is paradoxical intention?

A

Intentionally trying to make the symptom occur more often. Thus, the person who is germophobic and constantly washes their hands is told to wash their hands more.

Prescribing the symptom is what it’s called now. For some reason, it actually reduces its occurance.

58
Q

What is dereflection?

A

Also called refocusing.

For example, instead of the phobic person becoming more reclusive for fear of a panic attack, they don’t focus on their phobia.

59
Q
A