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Logotherapy

Logotherapy is a form of existential therapy developed by neurologist and psychiatrist Viktor Frankl. It is founded on the premise that the primary motivational force of individuals is to find meaning in life. Frankl describes it as "the Third Viennese School of Psychotherapy" along with Freud's psychoanalysis and Alfred Adler's individual psychology.

Basic principles
The notion of logotherapy was created with the Greek word logos ("meaning"). Frankl's concept is based on the premise that the primary motivational force of an individual is to find meaning in life. The following list of tenets represents basic principles of logotherapy: • Life has meaning under all circumstances, even the most miserable ones. • Our main motivation for living is our will to find meaning in life. • We have freedom to find meaning in what we do, and what we experience, or at least in the stance we take when faced with a situation of unchangeable suffering. Purpose in life and meaning in life constructs appeared in Frankl's logotherapy writings with relation to existential vacuum and will to meaning, as well as others who have theorized about and defined positive psychological functioning. Frankl observed that it may be psychologically damaging when a person's search for meaning is blocked. Positive life purpose and meaning were associated with strong religious beliefs, membership in groups, dedication to a cause, life values, and clear goals. Adult development and maturity theories include the purpose in life concept. Maturity emphasizes a clear comprehension of life's purpose, directedness, and intentionality which contributes to the feeling that life is meaningful. Furthermore, Frankl’s (2006) theory also supports that logotherapy can help individuals discover meaning in their lives, leading to increased self-confidence and happiness. Frankl also emphasized the individuality of human purpose, stating that “Everyone has his own specific vocation or mission in life to carry out a concrete assignment which demands fulfillment… Everyone's task is as unique as is his specific opportunity to implement it.” Frankl’s Logotherapy encourages individuals to recognize and pursue their unique meaning in life. Frankl's ideas were operationalized by Crumbaugh and Maholick's Purpose in Life (PIL) test, which measures an individual's meaning and purpose in life. uncontrollable stress and substance use; depression and self-derogation. Crumbaugh found that the Seeking of Noetic Goals Test (SONG) is a complementary measure of the PIL. While the PIL measures the presence of meaning, the SONG measures orientation towards meaning. A low score in the PIL but a high score in the SONG, would predict a better outcome in the application of Logotherapy. Discovering meaning According to Frankl, "We can discover this meaning in life in three different ways: (1) by creating a work or doing a deed; (2) by experiencing something or encountering someone; and (3) by the attitude we take toward unavoidable suffering" and that "everything can be taken from a man but one thing: the last of the human freedoms – to choose one's attitude in any given set of circumstances". ==Philosophical basis of logotherapy==
Philosophical basis of logotherapy
Frankl described the meta-clinical implications of logotherapy in his book The Will to Meaning: Foundations and Applications of Logotherapy. He believed that there is no psychotherapy apart from the theory of the individual. As an existential psychologist, he inherently disagreed with the "machine model" or "rat model", as it undermines the human quality of humans. As a neurologist and psychiatrist, Frankl developed a unique view of determinism to coexist with the three basic pillars of logotherapy (the freedom of will). Though Frankl admitted that a person can never be free from every condition, such as, biological, sociological, or psychological determinants; based on his experience during his life in the Nazi concentration camps, he believed that a person is "capable of resisting and braving even the worst conditions". In doing such, a person can detach from situations and themselves, choose an attitude about themselves, and determine their own determinants, thus shaping their own character and becoming responsible for themselves. ==Logotherapeutic views and treatment==
Logotherapeutic views and treatment
Overcoming anxiety By recognizing the purpose of our circumstances, one can master anxiety. Anecdotes about this use of logotherapy are given by New York Times writer Tim Sanders, who explained how he uses its concept to relieve the stress of fellow airline travelers by asking them the purpose of their journey. When he does this, no matter how miserable they are, their whole demeanor changes, and they remain happy throughout the flight. Overall, Frankl believed that the anxious individual does not understand that their anxiety is the result of dealing with a sense of "unfulfilled responsibility" and ultimately a lack of meaning. Treatment of neurosis Frankl cites two neurotic pathogens: hyper-intention, a forced intention toward some end which makes that end unattainable; and hyper-reflection, an excessive attention to oneself which stifles attempts to avoid the neurosis to which one thinks oneself predisposed. Frankl identified anticipatory anxiety, a fear of a given outcome which makes that outcome more likely. To relieve the anticipatory anxiety and treat the resulting neuroses, logotherapy offers paradoxical intention, wherein the patient intends to do the opposite of their hyper-intended goal. A person, then, who fears (i.e. experiences anticipatory anxiety over) not getting a good night's sleep may try too hard (that is, hyper-intend) to fall asleep, and this would hinder their ability to do so. A logotherapist would recommend, then, that the person go to bed and intentionally try not to fall asleep. This would relieve the anticipatory anxiety which kept the person awake in the first place, thus allowing them to fall asleep in an acceptable amount of time. Frankl frequently cites Nietzsche's words, "If we have our own why in life, we shall get along with almost any how". Suffering and all the negative emotions that come with it are a normal part of the human experience and should even be expected. Edith Weisskopf-Joelson, a psychologist and follower of logotherapy, argues that "our current mental-hygiene philosophy stresses the idea that people ought to be happy, that unhappiness is a symptom of maladjustment. Such a value system might be responsible for the fact that the burden of unavoidable unhappiness is increased by unhappiness about being unhappy". Obsessive–compulsive disorder Frankl believed that those with obsessive–compulsive disorder lack the sense of completion that most other individuals possess. Forms of treatment Ecce Homo is a method used in logotherapy. It requires of the therapist to note the innate strengths that people have and how they have dealt with adversity and suffering in life; to ask the patient to consider how, despite everything a person may have gone through, they made the best of their suffering. The method is called "Ecce Homo", which is Latin for "Behold the Man", because the method involves beholding how other people have made the best of their adversity. ==Critiques==
Critiques
Authoritarianism In 1961 Rollo May argued that logotherapy is, in essence, authoritarian. He suggested that Frankl's therapy presents a plain solution to all of life's problems, an assertion that would seem to undermine the complexity of human life itself. May contended that if a patient could not find their own meaning, Frankl would provide a goal for his patient. In effect, this would negate the patient's personal responsibility, thus "diminish[ing] the patient as a person". Frankl explicitly replied to May's arguments through a written dialogue, sparked by Rabbi Reuven Bulka's article "Is Logotherapy Authoritarian?". Frankl responded that he combined the prescription of medication, if necessary, with logotherapy, to deal with the person's psychological and emotional reaction to the illness, and highlighted areas of freedom and responsibility, where the person is free to search and to find meaning. Religiousness Critical views of the life and word of logotherapy's founder and his work assume that Frankl's religious background and experience of suffering guided his conception of meaning within the boundaries of the person and therefore that logotherapy is founded on Viktor Frankl's worldview. Some researchers argue that logotherapy is not a "scientific" psychotherapeutic school in the traditional sense but a philosophy of life, a system of values, or a secular religion that is not fully coherent and based on questionable metaphysical premises. Frankl openly spoke and wrote on religion and psychiatry, throughout his life, and specifically in his last book, ''Man's Search for Ultimate Meaning'' (1997). He asserted that every person has a spiritual unconscious, independently of religious views or beliefs, yet Frankl's conception of the spiritual unconscious does not necessarily entail religiosity. In Frankl's words: "It is true, Logotherapy, deals with the Logos; it deals with Meaning. Specifically, I see Logotherapy in helping others to see meaning in life. But we cannot 'give' meaning to the life of others. And if this is true of meaning per se, how much does it hold for Ultimate Meaning?" The American Psychiatric Association awarded Viktor Frankl the 1985 Oskar Pfister Award (for important contributions to religion and psychiatry). == Recent developments ==
Recent developments
Since the 1990s, the number of institutes providing education and training in logotherapy continues to increase worldwide. Numerous logotherapeutic concepts have been integrated and applied in different fields, such as cognitive behavioral therapy, acceptance and commitment therapy (ACT), and burnout prevention. The logotherapeutic concepts of noogenic neurosis and existential crisis were added to the ICD 11 under the name demoralisation crisis, i.e. a construct that features hopelessness, meaninglessness, and existential distress as first described by Frankl in the 1950s. Logotherapy has also been associated with psychosomatic and physiological health benefits. Besides Logotherapy, other meaning-centered psychotherapeutic approaches such as positive psychology and meaning therapy have emerged. Paul Wong's meaning therapy attempts to translate logotherapy into psychological mechanisms, integrating cognitive behavioral therapy, positive psychotherapy and the positive psychology research on meaning. Logotherapy is also being applied in the field of oncology and palliative care (William Breitbart). These recent developments introduce Viktor Frankl's logotherapy to a new generation and extend its impact to new areas of research. ==Locations==
Locations
A number of logotherapeutic institutes have been established in various countries around the world and include: Africa • Viktor Frankl Institute of Logotherapy South Africa Asia • The Viktor Frankl Center for Logotherapy in Israel • Japan Logotherapist Association Australia • Viktor Frankl Institute Australia Europe • Viktor Frankl Zentrum Wien • Viktor Frankl Institute of Ireland • Logotherapy Institute of Finland • Logotherapy Institute of Serbia • Viktor Frankl Institute of Logotherapy – Prague, Czech Republic • Viktor Frankl Institute of Turkey North America • Viktor Frankl Institute of America - USA • Viktor Frankl Institute of Logotherapy - USA • Ottawa Institute of Logotherapy - Canada • Sociedad Mexicana de Análisis Existencial y Logoterapia South America • Fundacion Argentina de Logoterapia – Buenos Aires • Associação Brasileira de Logoterapia e Análise Existencial Frankliana (SOBRAL) Online • Viktor Frankl Institute – Vienna, Austria • Viktor Frankl Institute of America • Viktor Frankl Institute of Logotherapy - USA • Graduate Theologial Foundation: Doctoral Programs with a Concentration in Logotherapy and Existential Analysis ==See also==
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