Existentialism Flashcards

1
Q

History of existential therapy

A

Not a formal school of psychotherapy
More of a philosophy/way of thinking
Integrated with other formalized approaches
Why are we afraid of death? Why are we here? Etc.

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2
Q

Kierkegaard and Nietzsche

A

Dehumanization of people in the technical world

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3
Q

Sartre

A

coined the word existentialism- brought philosophy that talks about the human condition (big, broad questions)
Choices matter

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4
Q

Rollo May

A

Classification of people is existential
Against objectification of human beings or making them all into institutions or robots
Talking about existentialism is un-existential

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5
Q

Understanding psychological distress arises from…

A

A confrontation with our existence

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6
Q

Theory of Personality

A

People are meaning-making beings who are subjects of experience of self-reflection
How you are viewed to the outside world
Can be in or out of our own awareness (may cause conflict)

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7
Q

What is the central conflict between?

A

The individual and the ultimate concern of existence

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8
Q

Big ultimate question

A

Are we living meaningfully?
Must live authentically

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9
Q

Theory of defenses

A

Drive –> anxiety –> Defenses

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10
Q

Existential theory

A

Ultimate concerns –> anxiety –> defenses
No such thing as human nature - everything is a choice
Anxiety is caused by the ultimate concerns

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11
Q

What does experiencing ‘angst’ lead to?

A

Being deeply troubled over the questions that lead to the defense mechanisms

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12
Q

Defense mechanisms come from…

A

The anxiety we face over overcoming the ultimate concerns

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13
Q

4 ultimate concerns

A

Freedom
Isolation
Meaning
Death

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14
Q

Freedom

A

We are the authors of our own lives
Puts a lot of responsibility on us
True freedom is confronting the ultimate concern and will drive us to try to escape the responsibilities
Try to escape where you feel like you have no choices
Not choosing is a choice
We have ultimate choice and that scares us
Givens in life and we can choose how we respond

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15
Q

Destiny

A

the patterns of the givens of life and then there are things that we think are givens, and we have to be able to tell the difference
We must confront the givens and choose how we respond
there are some things that we start out with that we can change and some things we think we can’t change but we really can and we need to choose how we respond to those things

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16
Q

Freedom requires…

A

Responsibility and Will
Living without taking responsibility is to live in bad faith

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17
Q

Failures of willing give rise to pathology

A

Impulsivity
Compulsivity
Decisional Panic

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18
Q

Impulsivity

A

An idea pops into their head and they just do it
Failure of willing because they aren’t being intentional

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19
Q

Compulsivity

A

Doing things that don’t make sense outwardly and don’t help us achieve things
Keep us stuck/doing things on repeat

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20
Q

Decisional Panic

A

Failure of willing where you have an inability to choose
We see people delegate the decisions and acting in a way that says the decision has been make for them and pretending they don’t have to make a decision

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21
Q

“I stopped at a red light, I didn’t have to - I would have made a choice to blow through the red”
This is an example of what ultimate concern?

A

Freedom
There are things that are set up to make it seem like we don’t have to make choices
Existentialists would tell us that it is a defense that makes us feel better
Must live authentically

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22
Q

Isolation

A

We can be isolated from ourselves, from others
idea of existential isolation in terms of what does it mean to exist
Requires balance between wish for contact and knowledge of aloneness
Interpersonal
Intrapersonal
Existential

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23
Q

Interpersonal

A

Isolated from others
Cannot fully share our consciousness with others
Can try to express ourselves, but we can never fully share that consciousness
Boundary and being ok with that boundary

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24
Q

Intrapersonal

A

Isolated from ourselves
Can be isolated from parts of ourselves that we aren’t fully conscious of (want to be fully conscious)
Can spill over into other parts- all tied together

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25
Existential
Feeling of loneliness Inherent aloneness in the universe Born alone, die alone Not necessarily that we feel lonely, loneliness is a function of interpersonal isolation; some barriers you put up
26
Defenses against isolation
Crave Witness Fusion
27
Crave witness
Live lives as a way to buffer against feelings of isolation Looking for how authentic someone is Looking for people to provide us with services rather than relating to them authentically Example- if you’re on a beach somewhere and no one knows who you are or you’re there, what is the purpose/meaning? Why are you there? Example 2- Social media
28
Fusion
Let go of our boundaries Awareness of interpersonal boundary between yourself and your partner (must have limits with that boundary) If not- you will try to become your partner and adopt their preferences or beliefs Example- when someone starts dating someone new and they become a new person Example- Stephanie and AJ - Unrealistic expectations for what a relationship should look like especially around boundaries; desperation
29
Meaning
Ultimate concern with meaning Search for a purpose Existence precedes essence Nothing will mean anything until we make meaning How does a being who requires meaning find meaning in a universe that has no meaning?
30
Construct values and narratives of our lives to combat...
Meaninglessness We look for patterns in random stimuli and our day to day experiences that allow us to construct a story or narrative that have value defends against meaninglessness Many choose not to construct their own values and go with the norm of society If you ever look in the norm of cultural values and you don’t share/believe the same values
31
What defense mechanism is defending against meaninglessness?
Distress Desire to avoid the anxiety that comes from confronting the four concerns
32
Death
The consciousness of our existence means we are also conscious of nonexistent Awareness will be anxiety-provoking and painful
33
What defense mechanism do we use against 'death'?
Denial
34
Denial based defenses
Specialness Ultimate Rescuer
35
Specialness
“I am special, this won’t happen to me” Example- Thinking that if you smoke, you’re going to be one of the people who don’t get lung cancer Moving up in mortality and avoiding the anxiety about death will result in a shortened life
36
Ultimate Rescuer
Anti-religion component Learning about other belief Belief that someone divine (or a human) is watching over them Example- “I can feel a loved one who died is watching over me” Omnipotent savior that guards and protects our welfare will help humans deal with facing mortality
37
What is "Some religions believe there is an afterlife so they won’t really be dead, they’re just going to be moving onto the next life" an example of?
Ultimate rescuer
38
Preoccupation with the future
People that want to amass a lot of goods and plans and power Feeling if you have a plan and stuff “Workaholism” - don’t have to pay attention to what might be coming down the line
39
Fellow travelers
Intrapersonal isolation Therapist and the patient are “fellow travelers” No one is immune to the ultimate concerns Therapist must also confront the ultimate concerns for themselves Idea that both patient and therapist are going through the same thing (hope therapist is further along in that journey)
40
Goals of existential therapy
Understand- Understand unconscious conflicts Identify- Identify defense mechanisms Discover- Discover their destructive influence Develop- Develop other ways of coping
41
Anxiety
Life can't be lived without this we can use therapy to alleviate the levels of anxiety that keep us from authentically navigating these concerns, we can bring it down to a level where we can use it constructively (optimal level that is motivating Example- if you have no stress about something, you are not particularly motivated to do it Find tolerable levels and use them constructively
42
What does it mean to get deep in therapy?
Deep according to freud- been there the longest and it goes far back in the past (psychoanalyst) Deep according to existentialists- looking at the things that are most important in that moment Looking to reduce anxiety → to tolerable levels (NOT get rid of it)
43
Addressing Freedom
Point out instances in the moment Correct “can’t” to “won’t” Inquire about patient’s role Encourage ownership (about thoughts and feelings) Correct inability to wish Reduce impulsivity Help patients decide
44
Point out instances in the moment
We set up systems where we avoid taking responsibility Will be looking for different clues where patient is not taking responsibility
45
Correct “can’t” to “won’t”
Idea of “can’t” → Example - “I can’t go to the gym after work” Confronting that idea - “is it that you can’t, or that you are choosing not to?” It is ok not to, but you need to be conscious of the idea that it’s that you don’t want to
46
Inquire about patient’s role
What are the decisions that led them to the situations they are in Only care about the past that brought them to where they are today
47
Encourage ownership
(about thoughts and feelings) They way they think, feel, and behave Ultimately, the choices they make
48
Correct inability to wish
People may be stuck in decisional panic and become unable to wish at all and stuck waiting for people to make decisions around them Have people confront and think about what is it they really want When we can identify and wish, then we can make constructive freedom about which wishes we act upon
49
Help patients decide
Help patient learn to distinguish between wishes and assign priorities Helping patients make a decision for themselves If i have 5 different choices I make, and I need to make one, I have to exclude the others (could make people stuck) Going through the what ifs Being able to tolerate the what ifs Example- They will make a choice about which school to go to and they won’t go to the others - they will have to exclude all the others (choosing one to go to will not PERMANENTLY exclude the other)
50
Addressing Meaning
Help- Help patients focus on values beyond themselves Develop- Develop curiosity and concern for others Remove- Remove obstacles to whole-hearted engagement
51
Help patients focus on values beyond themselves
Listen What are the things they choose to value and how is that in line with the meaning they are talking about?
52
Develop curiosity and concern for others
Investigator mentality and being curious and investigating these things All the concerns are intertwined The way we can get into some of the meaning is how meaning and isolation interact Thinking about empathy for others In the way of relating in a way that is empathetic and meaningful
53
Addressing Death
Awakening Experience Examine regret Choice towards a "lived life"
54
Awakening experience
Forces their existential conflict with death Could be own death or own experience, serious illness, etc. OR Loss of someone close to you Activates the idea of nonexistence
55
Examine regret
Making the conscious decision to move forward and not rehashing the old regrets and what you could’ve done differently “You are here now with these regrets. Do you want to move forward to minimize making more regrets”
56
Choice towards a ‘lived life’
Idea of building a life worth living Making choices towards your lived life
57
Addressing Isolation
Balance isolation and support Reciprocity and mutuality Authenticity Alone Together
58
Balance isolation and support
We are always isolated in some way Intrapersonal conflict- We never fully know another person’s consciousness- there will always be a boundary and a limit Born alone and die alone Support seeking and developing a support system Isolation can be a healthy boundary
59
reciprocity and mutuality
Building an authentic relationship - dont want fused people, want people to participate in reciprocity The therapist being a fellow traveler is modeling what an authentic relationship could look like on the outside
60
Empathy
Therapist authenticity and their presence will help allow the patient in feeling more safe and experience their concerns Both therapist and patient aren't immune to the ultimate concern
61
Hear and Now
Interactions that the fellow travelers are having and asking them to reflect on the experiences they’re having in the room Willing → “can’t” to “won’t”
62
Evidence Base
Challenges to research on existential psychotherapy Reductions in anxiety could mean that the patient is using defenses Skills that focus on meaning-making and addressing death can be relevant for people facing cancer conditions Empirical support derived from research on common factors
63
Ultimate concerns transcend culture
Regardless of the culture you are in, they need to be faced by every human
64
Culture influences defenses
Culture will influence the defenses we use Example- many people who are religious Is it wrong to believe you are saved with a savior if you genuinely believe it Increase meaning, engagement and purpose with the lived life they are experiencing
65
Existential dilemma
although we crave to persist in our being, we are finite creatures; We are thrown alone into existence without a predestine life structure and destiny Each of us must decide how to live as fully, happily, ethically and meaningfully as possible
66
Logotherapy
A form of psychotherapy focused on will, freedom, meaning, and responsibility
67
“Deep”
the most fundamental concerns facing the individual in that moment Process Of psychotherapy
68
Responsibility
equated with authorship
69
Willing
wishing and deciding
70
Decision
the bridge between wishing and action Alternatives exclude Therapist task is not to create will but to disencumber it
71
Awakening experience
a type of urgent experience that propels the individual into a confrontation with an existential situation Most powerful is a confrontation with your own death
72
Genuineness
has a new dimension when a therapist deals honestly with existential issues - therapist is open about own existential concerns
73
Unfolding
the way of the educator and the therapist- one uncovers what was there all along Meeting- existential communication