Existential Psychotherapy

As a psychiatrist, I have yet to read a more illuminating book on how mental illnesses can develop, and how to help patients' to become free of them. Existential Psychotherapy presents a theory of the existential forces that drive all human beings--knowledge of death, of our aloneness in the world, and of "meaninglessness" (the utter inconsequence of our one life in the entirety of the universe). It shows how these forces are powerful influences in shaping human mental health and illness.Other reviewers here point out that the basic existential issues Yalom presents are well-known to academics and to many literate people who are exposed to them in that good, broad, liberal arts education we (still?) get in college. But what Yalom achieves in this book, has not to my knowledge been accomplished before (nor since): a presentation of these ideas to an audience of clinicians in a lucid, beautifully written, way that is salient to the daily practice of psychotherapy.Yalom is a rare psychiatrist who is not only a master of the art of teaching and practicing psychiatry, but for this book, ventured into philosophy, literature, history, and sociology, and then integrated the wisdom each brings to the study of human nature, into a clear and cohesive whole, a beautifully written theory of the existential dimension of men's fears, drives, and actions, and how this dimension creates mental illness or health, depending on how each person handles it.What is amazing is how such a book is now buried in the archives of (relative) obscurity, while others, recycling the same old tired ideas, reign on.So what do these lofty insights in Yalom's book contribute that is unique and powerful to us lowly practitioners toiling daily in our offices in the (seemingly more banal) task of helping patients with daily crises, complaints, resistance to change, and painful repetitions of self-destructive life choices?One very important tool: a true understanding of the power of existential concerns, not only in creating mental illness and self-destructive life paths, but, by shining a light on them-- capturing that elusive force of change: MOTIVATION. This force, and how to harness it to help patients overcome their suffering, has for me been one of my greatest challenges as a doctor. And one for which most books on psychotherapy have fallen short in helping me tackle.In the sections "death" and "will", (two of the four main sections in the book), Yalom forges a path that I could follow, to help my patients free themselves of the fears that block motivation for change. In short, Yalom shows how the anxiety about, (and thus avoidance of) awareness of our death and aloneness, can cripple us into denial, and resistance to changing those of our behaviors that shield us from these truths. But, these very fears, when faced and reframed--as the awareness of one's finite limits, and of the freedom that comes along with one's aloneness, become extremely potent engines for change. Other peoples' judgements, and fear of failure, lead us to believe that the human "judges" are the most important threat in our lives. But in Yalom's world, these feared judgements pale in comparison to the the consequences of inaction. When we live with acute awareness that we waste our only life when we are beholden to judges who are after all, mortal and alone just like us, this can shake us up to MOVE and LIVE, in this finite life, in a way other insights cannot. This example of how avoidance of existential fears leads to anxiety, low self-worth, and depression, is but one vignette in this book. Yalom applies his theory to the gamut of mental illness, and includes discussion of how narcissism, perversions, obssessions, masochism, sadism, ...the list goes on, are fueled by existential concerns. Yalom argues that they all boil down to one of two main strategies we humans employ to "forget" Death, Aloneness, and Meaninglessness: Either we escape too much into the protective cover of the GROUP, and become mindless group robots who drone through life until illness, or loss forces us to suddenly face our mortality, at which point many of us panic, or become depressed, OR, we get sucked into this defiant delusion : "I am SPECIAL"...smarter, more rebellious, unfettered by the social conventions of meek men, thus free of death's jaws". This reaction then can lead to reckless, impulsive, pseudo "powerful" behaviors that are often the fuel of many "acting out" mental problems: addiction, sociopathy, sadism, and narcissism. Enough of my words-read and feel the power of Yalom's words in this great book.

Irvin Yalom, Professor Emeritus at Standford in psychiatry, has written a masterful book on the human condition (published in 1980)."Existential Psychotherapy" is singularly one of the best books I have ever read. Why? Yalom has combined 1) his intellectual insights in psychology with 2) his practical observations in therapy with 3) existential thought. He seeks to show that much of the anxiety we face as human beings, and seek comfort for in psychotherapy (or religion), originates from the existential facts of being a mortal, free being. He focuses on four main areas:death (our inner structure will go to nothing),freedom (we are forced to make momentous decisions without full information),isolation (we are alone in many fundamental ways) andmeaninglessness (we don't have a clear picture of what it really means).From literature, psychology, philosophy and some theology (Tillich), Yalom has created a definitive text on what it means to open our eyes fully to our existential situation. It is not a depressive text, as the goal is to come to terms with our condition. And ironically, facing the truth of death, for example, makes life richer. This is much more than a self-help book, it is a philosophical-psychological masterpiece.I have a Ph.D. in the philosophy of religion and have published several articles in leading journals and don't give out the kind of praise I am giving here easily. It is one of the best books I have ever read, and I think a wide range of people would profit from it. Yet it's a difficult book, not an easy self-help read. But Yalom is such a clear writer that most readers could follow it. When he uses technical psychological or philosophical terms, he usually explains them. Otherwise, the dictionary must be used.This text would be helpful for people in the helping professions in giving an existential aspect to their work. Religious thinkers and those interested in philosophy should pick it up at any cost. Any educated person could profit from it greatly. It's a long text, and I had to break it up by carefully reading some from each of the main four parts simultaneously to get a view of the whole. It's a bit dry at times, but thoughtful, perceptive, educational in many fields, --it's ....wisdom literature....I can't think of a higher compliment.

An essential read for those seeking purpose, personal development, and growth in life. Although crafted with young psychotherapists in mind, this book is accessible to a broader audience, written in clear language enriched with numerous examples. It provides a profound exploration of the fundamental drives that underlie human psychology.

I have been battling back and forth between wanting to be in occupation as an integrative psychotherapist or a psychological researcher.Regardless of which way I ultimately sway, with a love of both philosophy and psychology, and a niche for eudaimonia and existensialism, this book has been amazing to read, from the psychotherapeutic practices, to the sophisticated ideology of how death, meaninglessness, isolation and freedom affects us all and, does not have to make life less meaningful or make us dispirited by the thought of them, but make life more fruitful and worth living.

The fonts are too small!

Ein faszinierendes und umfasssendes Werk, das über die normalen Bücher zum Thema Psychotherapie hinaus geht. Irvin Yalom ist auch schriftstellerisch versiert, weshalb sein Buch sich wie ein Roman liest, jedoch trotzdem wie ein Lehrbuch verwendet werden kann.Das Buch ist sehr zu empfehlen, weil es Aspekte der therapeutischen Praxis aufzeigt, die man sonst selten findet. Die Beispiele geben eine Idee von der Anwendung der Theorie.

A terrific book. Well worth the read.