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Existential Therapy and the Meaning of Being –

- Essentials for a fulfilling life -

Längle Alfried, M.D., Ph.D.International Society for Logotherapy and Existential

Analysis, Viennawww.laengle.info / www.existential-analysis.org

AgendaI. Logotherapy I.1. Introduction I.2. Key for discovering meaning I.3. Existential Meaning I.4. Ontological Meaning

II. Existential Analysis (Vienna) II.1. Introduction II.2. Key to existenceII.3. Existence and meaning II.4. Meaning and spirituality

III. Methods III.1. Practical steps with 4 FM III.2. The Logotherapeutic Meaning Searching Method (MSM) III.3. Method of Life Horizon

IV. Investigations

I. Logotherapy

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

Logos = meaning therapy through the discovery of meaning

I. Logotherapy

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I.1. Introduction

Metaphysical approach:“THERE IS” meaning in the world

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I. Logotherapy I.1. Introduction

“Life has meaning in all circumstances ”

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

“In the Beginning was Meaning”

I. Logotherapy – I.1. Introduction

Main contribution of Frankl: made “meaning” a practical concept for

psychology and therapy.

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

Irv Yalom (1980, p. 521)

“Few clinicians have given meaning so much importance

… like Frankl.”

I. Logotherapy – I.1. Introduction

The concept of meaning is further on developed existentially in Logotherapy

“...meaning cannot be given arbitrarily but must be found responsibly.”

V. Frankl (1970, p. 63)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I. Logotherapy – I.1. Introduction

Making sense

the “Copernican Turn”(V. Frankl, 1946)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I.2. Key for discovering meaning

I. Logotherapy

I. Logotherapy I.2. Key for finding meaning

Instead of asking for the meaning of your life…

See yourself as the center of the decisive world!

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I. Logotherapy I.2. Key for finding meaning

“It is life itself that asks questions of man. (…) it is not up to man to question; rather he should recognize

that he is questioned, questioned by life;

(Frankl 1973, 62)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I. Logotherapy I.2. Key for finding meaning

“It is life itself that asks questions of man. (…) it is not up to man to question; rather he should recognize

that he is questioned, questioned by life;

he has to respond by being responsible; and he can answer to life only by answering for his

life.” (Frankl 1973, 62)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I. Logotherapy I.2. Key for finding meaning

Basis = connectedness:

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

ME „World“ Other(s),

YOU vis-à-vis other(s)

INSIDE OUTSIDE

Being-in-the-World

I. Logotherapy I.2. Key for finding meaning

questionning, asking…dialogue towards me (= demand, requirement(s) of the situation)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

Free PersonME „World“

Other(s), YOU vis-à-vis other(s)

Being-in-the-World

I. Logotherapy I.2. Key for finding meaning

questionning … dialogue (= demand, requirement(s) of the situation)

Responding

PersonME „World“

Other(s), YOU vis-à-vis other(s)

Being-in-the-World

Dialogical reality of existence

I. Logotherapy I.2. Key for finding meaning

In other words…

Being human means: being questionned

to live means: giving answers

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I. Logotherapy I.2. Key for finding meaning

Frankl introduced dialogical exchange with the world

In Logotherapy: existence questions emerge from outside („world“)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

Meaning is discovered through the realization of values

(V. Frankl, 1984, 202)

I. Logotherapy

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I.3. Existential Meaning

Existential Meaning is defined as:

“…a possibility embedded in reality“ V. Frankl 1985, 42

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I. Logotherapy I.3. Existential Meaning

Three “Main Roads” (“categories of values”)

to meaning (V. Frankl, 1946; 1973, 43f)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I. Logotherapy I.3. Existential Meaning

Three categories for discovering meaning according to Frankl:

Creative values

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I. Logotherapy I.3. Existential Meaning

Three categories for discovering meaning according to Frankl:

Creative values

Experiential values

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I. Logotherapy I.3. Existential Meaning

Three categories for discovering meaning according to Frankl:

Creative values

Experiential values

Attitudinal values

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I. Logotherapy I.3. Existential Meaning

The search for meaning...

= mirrors our fundamental humanness: a “manifestation of intellectual sincerity and

honesty”≠ sickness per se (Freud)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I. Logotherapy I.3. Existential Meaning

Frankl: “Existential vacuum”

= persistent experiential state and deep feelings ofmeaninglessness and emptiness

Frankl 1970, 88ff

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I. Logotherapy I.3. Existential Meaning

Frankl “Existential vacuum”

= persistent experiential state and deep feelings ofmeaninglessness and emptiness

loss of interest and apathy aggression – depression – addiction & unstable

psychological health

Frankl 1970, 88ff

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I. Logotherapy I.3. Existential Meaning

religion

philosophy

I. Logotherapy

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

I.4. Ontological Meaning

I. Logotherapy – I.4. Ontological Meaning

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

?

?

?

I a) activity: Existential meaning

b) Horizon (meaning of all): ontological meaning

Relationship between existential and ontological meaning:

?

?

II. Existential Analysis (Vienna)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

Existential Analysis (Vienna)• phenomenological-existential approach

II. Existential Analysis (Vienna)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

II.1. Introduction

Existential Analysis (Vienna)• phenomenological-existential approach• focus on being – our being there• rooted in the person approaching the world

and oneself on the basis of becoming “more fully oneself”

• criterion for becoming more fully oneself: inner fulfillment

II. Existential Analysis (Vienna)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

II.1. Introduction

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

II. Existential Analysis (Vienna) – II.1. Introdution

Basic principle of Existential Analysis (EA):

…Dialogical exchange with oneself and others

Inner world Outer world

IPerson

II. Existential Analysis (Vienna) – II.1. Introdution

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

Person stands in continuous inner and outer dialogue

Questionning

Responding

Person ME „World“ Other(s),

YOU

Being-in-the-World

II. Existential Analysis (Vienna) – II.1. Introdution

Dialogical reality of existence

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

II. Existential Analysis (Vienna) – II.1. Introdution

Prerequisites for dialogue:

Phenomenological openness

Inner consent

Inner consent

- Freedom: experienced and practiced

- A felt sense: con-“sent“

- Authentic

- Responsible

- Dialogue (inner and outer) agreement

II. Existential Analysis (Vienna)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

II.2. Key to existence

The aim of EA: to help people…

…to experience (to live with) inner consent

with what one is doing

II. Existential Analysis (Vienna) – II.2. Key to existence

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

Criterion for a „full“ existence:

To experience inner fulfillment

II. Existential Analysis (Vienna) – II.2. Key to existence

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

The relativization of meaning –

existence means more than just the realization of meaning

II. Existential Analysis (Vienna)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

II.3. Existence and meaning

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

The four fundamental realities (dimensions):

• the world in its facts & possibilities

II. Existential Analysis (Vienna) – II.3. Existence and meaning

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

The four fundamental realities (dimensions):

• the world in its facts & possibilities

• life with its network of relationships and feelings

II. Existential Analysis (Vienna) – II.3. Existence and meaning

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

The four fundamental realities (dimensions):

• the world in its facts & possibilities

• life with its network of relationships and feelings

• being oneself as a unique, autonomous, responsible person

II. Existential Analysis (Vienna) – II.3. Existence and meaning

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

The four fundamental realities (dimensions):

• the world in its facts & possibilities

• life with its network of relationships and feelings

• being oneself as a unique, autonomous, responsible person

• the wider context: the future (“becoming” through one’s activities and engagement)

meaning

II. Existential Analysis (Vienna) – II.3. Existence and meaning

II. Existential Analysis (Vienna) – II.3. Existence and meaning

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

EXISTENCE= Will (inner consent)

CAN

SHOULD

LIKE MAY

1. To connect with the WORLD:

„I exist“, „I am able to be“

2. To feel thevalue of LIFE

3. PERSON = to be oneself, a unique

being: to sense/experience

authenticity

4. Openness to MEANING-connections:

situational + fundamental

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

Psychopathology: inhibition of the four fundamental realities (dimensions)

• the world anxiety• life depression• being oneself hysteria,

personality disorders• the wider context suicidality

II. Existential Analysis (Vienna) – II.3. Existence and meaning

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

• groundlessness world with its supporting structure;

• death life with its growth and temporality;

• loneliness uniqueness of being a person;

• meaning/ contextual understan- absurdity ding of one’s own

existence (=meaning)

II. Existential Analysis (Vienna) – II.3. Existence and meaning

Yalom (1980): Existential Analysis:

Personal Meaning

… more than just a „possibility“:

a) The „feeling“ of life‘s demand to become fruitful, to be, to strive, to experience one‘s life as

purposeful and good.

a request of our being here.

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

II. Existential Analysis (Vienna) – II.3. Existence and meaning

Personal Meaning

Not only to enrich others but also

b) to „become more“ by

transcending oneself towards otherness transcending the moment, the time

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

II. Existential Analysis (Vienna) – II.3. Existence and meaning

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

Meaningalignment with a value

valueMeaning

II. Existential Analysis (Vienna) – II.3. Existence and meaning

The Meaning of Being

… a process of BECOMING: based in individual being and contingent upon our transcending (reaching

beyond) our individual being

= to really become in this, our world, what we could be and what we can share in accordance

with our essence

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

II. Existential Analysis (Vienna) – II.3. Existence and meaning

The ultimate horizon (or ground) of meaning – the ontological meaning

= the „meaning of all“:

cannot be grasped, known or observed – but can be sensed and intuitively felt

II. Existential Analysis (Vienna)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

II.4. Meaning and spirituality

Ontological meaning:

Spiritual content in meaning

feeling that our being exists within an overall context

(ungraspable meaning of life)

II. Existential Analysis (Vienna) – Meaning and spirituality

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

III. Methods

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

for finding existential meaningaccording to the

Fundamental Existential Motivations Works with inner consent

and the 4 fundamental realities (dimensions) of existence

III. Methods

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

III.1. Practical steps

1. Harmonizing with realityI am here - what can I do?

Perception, recognition and acceptance of realistic possibilities amongst the

facts and given reality

III. Methods III.1. Practical steps

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

2. Connecting emotionallyI feel my life when I like what I do

Feeling what I value, Openning myself to relationships, turning towards myself and others

III Methods III.1. Practical steps

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

3. My individuality, my uniquenessDo I feel free to be myself? Does it correspond

to „me“ , to my interests and ethics

experiences of self-esteem, attention, justice and appreciation

III. Methods III.1. Practical steps

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

4. Transcending one‘s life toward a greater context

I am here – for what purpose?

Needs a field of activity, a structural context and a value to be realized in the future

III. Methods III.1. Practical steps

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

Meaning = Questions of orientation(V. Frankl)

our belonging to (homeland; rootedness; field of activity & context) – BEING

our going towards (a value to be realized in the future; striving; transcending; being fruitful) -

BECOMING

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

III. Methods III.1. Practical steps

for the counselling of concrete situations

Based on an enlarged definition of Frankl‘s existential meaning

III. Methods

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

III.2. The Logotherapeutic Meaning Searching Method (MSM)

Steps:1. Perception What is the situation – what is

possible for you?

2. Evaluation How important/worthy are these possibilities for

you?

3. Selection What do you want?

4. Action When and by what means can you do it?

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

III. Methods III.2. The Logotherapeutic Meaning Searching Method

1. Actuality2. History3. Dialogue

III. Methods

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

III.3. Method of Life Horizon

1. Step: Reference to the loss

“What happened?

Why did you lose meaning? What is your own understanding?”

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

III. Methods III.3. Method of Life Horizon

2. Step: Taking up the life line

“What was meaningful in your life?

Why was that meaningful?”

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

III. Methods III.3. Method of Life Horizon

3. Step: Existential turn

“What does this situation want from you?

What is actually needed from you?What is the challenge?”

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

III. Methods III.3. Method of Life Horizon

IV. Investigations

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

The quest for meaning in daily life:

Tutsch et al. (2000)96 % of 200 people indicated that

they have been confronted with meaning questions

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

IV. Investigations

11 %: meaning doesn’t play any role in their life

These have the best results in the meaning test!

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

IV. Investigations

When you have found/discovered meaning - it doesn’t bother you any more… !

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

IV. Investigations

Debats (1996), HollandN = 114; Life Regard Index (Battista & Almond 1973)

MeaningStress , happiness , self-esteem

Existential Meaningwell-being & progress in psth

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

IV. Investigations

RCT-studies in Logotherapy:

24 RCT studies, mainly on sleeping disorders, anxiety, meta-analysis

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

IV. Investigations

Power of meaning

He who has a why to live for – can bear almost any how.

(F. Nietzsche – wording of V. Frankl 1963, 164)

1st World Congress for Existential Therapy London 17th May 2015 - Alfried Längle, M.D., Ph.D.

IV. Investigations

Thank You

Längle Alfried, M.D., Ph.D.International Society for Logotherapy and Existential

Analysis, Viennawww.laengle.info / www.existential-analysis.org

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