Abstract
Research findings have systematically pointed out the importance of addressing meaning in life in several mental health disorders and, therefore, in clinical practice. The growing interest in Meaning-centered interventions has allowed for the consolidation of a strong theoretical model of clinical practice suitable to the needs of today’s clinicians. This document elaborates on a logotherapeutic model of psychotherapy. Meaning-centered therapy and logotherapy (meaning therapy or therapy through meaning) are used interchangeably throughout the paper. The article reviews the basic tenets underlying Meaning-centered psychotherapy, summarizes the working model for clinical practice, and expands on the application of the Socratic dialogue technique in individual therapy as well as in group logotherapy. Final comments emphasize the importance of research for the advancement of logotherapy.
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References
Ameli, M., & Dattilio, F. M. (2013). Enhancing cognitive behavior therapy with logotherapy: Techniques for clinical practice. Psychotherapy, 50, 387–391.
Battista, J., & Almond, R. (1973). The development of meaning in life. Psychiatry, 36, 409–427.
Bazzi, T., & Fizzotti, E. (1989). Guía de la logoterapia. Barcelona: Herder.
Beck, J. (2000). Terapia cognitiva. Barcelona: Gedisa.
Beck, J. (2007). Terapia cognitiva para la superación de retos. Barcelona: Gedisa.
Bellantoni, D. (2010). E possibile trattare la visione esistenziale e la psicopatología?. Psicopatologia e significato della vita. Il contributo dell Analisi esistenziale alla psicoterapia. En. A. Pacciolla, F. Mancini (Eds.), Cognitivismo esistenziale. Dal significato del sintomo al significato della vita. Milano: FrancoAngeli.
Benware, J. M. (2003). On the compatibility of cognitive therapy and logotherapy. The International Forum for Logotherapy, 26, 49–57.
Berti, G., & Schneider-Berti, A. (1994). When an offspring dies: Logotherapy in bereavement groups. The International Forum for Logotherapy, 17, 65–68.
Brandstätter, M., Baumann, U., Borasio, G. D., & Fegg, M. J. (2012). Systematic review of meaning in life assessment instruments. Psycho-Oncology, 21, 1034–1052.
Breitbart, W., & Heller, K. S. (2003). Refraining hope: Meaning-centered care for patients near the end of life. Journal of Palliative Medicine, 6, 979–988.
Breitbart, W., Poppito, S., Rosenfeld, B., Vickers, A., Li, Y., Abbey, J., et al. (2012). Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. Journal of Clinical Psychology, 30, 1304–1309.
Broomfield, N. M., & Espie, C. A. (2003). Initial insomnia and paradoxical intention: An experimental investigation of putative mechanisms using subjective and actigraphic measurement of sleep. Behavioural and Cognitive Psychotherapy, 31, 313–324.
Bruzzone, D. (2003). Il metodo dialogico da Socrate a Frankl. Sulla natura educativa del processo logoterapeutico. En: Ricersa Di Senso. Vol. 1, N. 1. Trento: Edizione Erikson.
Crumbaugh, J. C., Wood, W. M., & Wood, C. W. (1980). Logotherapy: New help for problem drinkers. Chicago, IL: Nelson Hall.
Debats, D. L. (1996). Meaning in life: Clinical relevance and predictive power. Journal of Clinical Psychology, 35, 503–516.
DeWitz, J. S., Woolsey, L. M., & Walsh, B. W. (2009). College student retention: An exploration of the relationship between self-efficacy beliefs and purpose in life among college students. Journal of College Student Development, 50, 19–34.
Díaz del Castillo, J. (2011). Abordaje logoterapéutico del modo de ser obsesivo-compulsivo. Trabajo de grado: Universidad los Libertadores.
Drescher, C. F., Baczwaski, B. J., Walters, A. B., Aiena, B. J., Schulenberg, S. E., & Johnson, L. R. (2012). Coping with an ecological disaster: The role of perceived meaning in life and self-efficacy following the Gulf Oil Spill. Ecopsychology, 4, 56–63.
Duckworth, A. L., Steen, T. A., & Seligman, M. E. (2005). Positive psychology in clinical practice. Annual Review of Clinical Psychology, 1, 629–651.
Duque, T. (1998). Intervención logoterapéutica con drogodependientes en prisión. Boletín de Logoterapia y Análisis Existencial, 2, 59–72.
Ellis, A. (1999). Una terapia breve más profunda y duradera. Enfoque teórico de la Terapia Racional Emotiva Conductual. Madrid: Paidos Iberica.
Fabry, J. (2001). Señales del camino hacia el sentido. México: LAG.
Fabry, D., Sheikh, A., & Selman, M. (2007). Logotherapy can enrich cognitive behavioral therapy practice. The International Forum for Logotherapy, 30, 100–106.
Fegg, M., Kramer, M., L´hoste, S., & Borasio, G. (2008). The schedule for meaning in life evaluation (SMILE): Validation of a new instrument for meaning in life research. Journal of Pain and Symptom Management, 35, 356–364.
Frankl, V. (1975). Paradoxical intention and dereflection. Psychotherapy: Theory, Research and Practice, 12, 226–237.
Frankl, V. (1986). Psicoanálisis y existencialismo. (Ärztliche Seelsorge). México D.C.: Fondo de Cultura Económica.
Frankl, V. (1988). Logos, paradoja y búsqueda de significado. In M. Mahoney & A. Freeman (Eds.), Cognición y psicoterapia (pp. 132–133). Barcelona: Paidos.
Frankl, V. (1992). Teoría y terapia de las neurosis. Iniciación a la logoterapia y el análisis existencial. Barcelona: Herder.
Frankl, V. (1994a). El hombre doliente. Fundamentos antropológicos de la psicoterapia. Barcelona: Herder.
Frankl, V. (1994b). Psicoterapia y humanismo. ¿Tiene un sentido la vida?. México D.C.: Fondo de Cultura Económica.
Frankl, V. (1994c). La voluntad de sentido. Barcelona: Herder.
Frankl, V. (1994d). Logoterapia y análisis existencial. Barcelona: Herder.
Frankl, V. (1995a). La psicoterapia en la práctica médica. Buenos Aires: San Pablo.
Frankl, V. (1995b). La presencia ignorada de Dios. Barcelona: Herder.
Frankl, V. (1999). La idea psicológica del hombre. Madrid: RIALP.
Frankl, V. (2001). Psicoterapia y existencialismo. Escritos selectos sobre logoterapia. Barcelona: Herder.
Freire, J. B. (2002). El humanismo en la logoterapia de Víktor Frankl. Navarra: Editorial EUNSA.
Greenstein, M. (2000). The house that’s on fire: Meaning-centered psychotherapy pilot group for cancer patients. American Journal of Psychotherapy, 54, 501–511.
Guttman, D. (1998). Logoterapia para profesionales. Bilbao: DDB.
Halama, P. (2003). Meaning and hope: Two factors of positive psychological functioning in late adulthood. Studia Psychologica, 45, 103–110.
Henrion, R. (2002). Alcohol use disorders: Alcohol dependence. The International Forum for Logotherapy, 25, 30–38.
Henrion, R. (2004). Logoanalysis: For treatment of mood disorder due to medical condition. The International Forum for Logotherapy, 27, 3–8.
Hoseinyan, E., Soudani, M., & Mehrabizadeh, M. H. (2009). Efficacy of group logotherapy on cancer patient’s life expectation. Journal of Behavioral Sciences, 3, 287–292.
Hutchinson, G. T., & Chapman, B. P. (2005). Logotherapy-enhanced REBT: An integration of discovery and reason. Journal of Contemporary Psychotherapy, 35, 145–155.
Hutzell, R. R. (1984). Logoanalysis for alcoholics. The International Forum for Logotherapy, 7, 40–45.
Julom, A. M., & de Guzmán, R. (2013). The effectiveness of logotherapy program in alleviating the sense of meaninglessness of paralyzed in-patients. International Journal of Psychology and Psychological Therapy, 13, 357–371.
Leung, D., Fillion, L., Stéphane, D., Brown, J., Rodin, G., & Howell, D. (2012). Meaning in bone narrow transplant nurses’ work: Experiences before and after a “meaning-centered” intervention. Cancer Nursing, 35, 374–381.
Lukas, E. (1983). Tu vida tiene sentido. Madrid: SM.
Lukas, E. (1992). Asistencia logoterapéutica. Petropolis: Editorial Voces.
Lukas, E. (1995). Psicoterapia en dignidad. Buenos Aires: San Pablo.
Lukas, E. (2000). También tu sufrimiento tiene sentido. México D.C: LAG.
Lukas, E. (2003). Logoterapia. La búsqueda de significado. Buenos Aires: Paidos.
Lukas, E. (2004). Equilibrio y curación a través de la Logoterapia. Barcelona: Paidos Iberica.
Lukas, E. (2006). También tu sufrimiento tiene sentido. Alivio en la crisis a través de la logoterapia. México D.C.: Editorial LAS.
Martínez, E. (2002). Logoterapia. Una alternativa ante la frustración existencial y las adicciones. Bogotá: Colectivo Aquí y Ahora.
Martínez, E. (2003). Acción y elección. Logoterapia, logoterapia de grupo y abordaje de las drogodependencias. Bogotá: Colectivo Aquí y Ahora.
Martínez, E. (2007). Psicoterapia y sentido de vida. Psicología clínica de orientación logoterapeutica. Bogotá: Editorial Herder.
Martínez, E. (2009a). La búsqueda de sentido. Bogotá: Colectivo Aquí y Ahora.
Martínez, E. (2009b). El psicodiagnóstico en logoterapia. In S. Sáenz (Ed.), Logoterapia en acción. Aplicaciones prácticas (pp. 82–108). San Pablo: Buenos Aires.
Martínez, E. (2009c). Modelo Logoterapéutico-ambulatorio en adicciones. In S. Sáenz (Ed.), Logoterapia en acción. Aplicaciones prácticas (pp. 435–450). San Pablo: Buenos Aires.
Martínez, E. (2009d). El dialogo socrático en la psicoterapia. Bogotá: SAPS.
Martínez, E. (2011). Los modos de ser inauténticos. Psicoterapia Centrada en el sentido de los trastornos de la personalidad. Bogotá: Manual Moderno.
Martínez, E. (2013). Los recursos noológicos en la psicoterapia centrada en el sentido. In E. Martínez (Ed.), Manual de psicoterapia con enfoque logoterapéutico (pp. 107–128). Bogotá: Manual Moderno.
Martínez, E., Díaz del Castillo, J., & Jaimes, J. (2010). Validación de la Prueba “Escala De Recursos Noológicos Aquí Y Ahora” Para Personas Mayores de 15 Años. Revista Argentina de Clínica Psicológica, 3, 257–272.
Martínez, E., Schulenberg, S., & Pacciolla, A. (2013). Introducción a la psicoterapia centrada en el sentido. In E. Martínez (Ed.), Manual de Psicoterapia con enfoque logoterapéutico (pp. 23–40). Bogotá: Manual Moderno.
Martínez, E., Trujillo, A., Díaz del Castillo, J., & Jaimes, J. (2011). Desarrollo y estructura de la escala dimensional del sentido de vida. Acta Colombiana de Psicología, 14, 113–119.
Melton, A. M. A., & Schulenberg, S. E. (2008). On the measurement of meaning: Logotherapy’s empirical contributions to Humanistic psychology. The Humanistic Psychologist, 36, 31–44.
Michelson, L., & Asher, M. (1984). Paradoxical intention: Theory, research and clinical application with anxiety disorders. Journal of Behavior Therapy and Experimental Psychiatry, 15, 215–220.
Oscariz, A. (2000). Grupo de madres y padres de drogodependientes. Una experiencia de búsqueda de sentido. Boletín de Logoterapia y Análisis Existencial, 4, 33–42.
Overholser, J. (2010). Psycotherapy according to the Socratic method: Integrating ancient philosophy with contemporary Cognitive Therapy. Journal of Cognitive Psychotherapy: An International Quarterly, 24, 354–361.
Park, C. L., & George, L. S. (2013). Assessing meaning and meaning making in the context of stressful life events: Measurement tools and approaches. Journal of Positive Psychology, 8, 483–504.
Reker, G. T. (1992). Manual of the Life Attitude Profile-Revised (LAP-R). Peterborough, ON: Student Psychologists Press.
Restrepo, A. (2001). Viktor Emil Frankl y la teoría logoterapeutica. Medellín: UPB.
Rodríguez, R. (2004). Borderline personality disturbances and logotherapeutic treatment approach. The International Forum for Logotherapy, 27, 21–27.
Rogina, J. (2002). Logotherapeutic mastery of generalized anxiety disorder. The International Forum for Logotherapy, 25, 60–67.
Rogina, J. (2004). Treatment and interventions for narcissistic personality disorder. The International Forum for Logotherapy, 27, 28–33.
Rogina, J., & Quilitch, H. (2006). Treating dependent personality disorders with logotherapy: A case study. The International Forum for Logotherapy, 29, 54–61.
Rogina, J., & Quilitch, H. (2010). Logotherapy treatment of complicated grief syndrome. The International Forum for Logotherapy, 33, 30–41.
Rudio, F. (2001). Dialogo maieutico e psicoterapia existencial. Sao Paulo: Novos horizontes.
Ryan, R. M., Lynch, M. F., Vansteenkiste, M., & Deci, E. L. (2011). Motivation and autonomy in counseling, psychotherapy, and behavior change: A look at theory and practice. The Counseling Psychologist, 39, 193–260.
Schulenberg, S. E., & Florez, I. A. (2013). Advancing logotherapy as a science: A research imperative—Part two. The International Forum for Logotherapy, 36, 41–50.
Schulenberg, S. E., Hutzell, R. R., Nassif, C., & Rogina, J. M. (2008). Logotherapy for clinical practice. Psychotherapy: Theory, Research, Practice, Training, 45, 447–463.
Scraper, R. (2000). The art and science of maieutic questioning within the Socratic method. The International Forum for Logotherapy, 23, 14–16.
Sharp, W., Schulenberg, S. E., Wilson, K. G., & Murrell, A. R. (2004). Logotherapy and Acceptance and Commitment Therapy (ACT): An initial comparison of values-centered approaches. The International Forum for Logotherapy, 27, 98–105.
Somov, P. G. (2007). Meaning of life group: Group application of logotherapy for substance use treatment. Journal for Specialists in Group Work, 32, 316–345.
Southwick, S., Gilmartin, R., McDonough, P., & Morrisey, P. (2006). Logotherapy as an adjunctive treatment for chronic combat-related PTSD: A meaning-based intervention. American Journal of Psychotherapy, 60, 161–174.
Spring, B. (2007). Evidence based practice in clinical psychology: What it is, why it matters, what you need to know. Journal of Clinical Psychology, 63, 611–631.
Steffen, E. (2013). Both ‘being with’ and ‘doing to’: Borderline personality disorder and the integration of humanistic values in contemporary therapy practice. Counselling Psychology Review, 28, 64–71.
Steger, M., Kashdan, T., & Oishi, S. (2008). Being good by doing good: Eudaimonic activity and daily well-being correlates, mediators, and temporal relations. Journal of Research in Personality, 42, 22–42.
Ungar, M. (2002). A logotherapy treatment protocol for major depressive disorder. The International Forum for Logotherapy, 25, 3–10.
Vos, J., Craig, M. & Cooper, M. (2014). Existential therapies: A meta-analysis of their effects on psychological outcomes. Journal Of Consulting And Clinical Psychology, Advance online publication.
Winters, M. R., & Schulenberg, S. E. (2006). Diagnosis in logotherapy: Overview and suggestions for appropriate use. The International Forum for Logotherapy, 29, 16–24.
Wollburg, E., & Braukhaus, C. (2010). Goal setting in psychotherapy: The relevance of approach and avoidance goals for treatment outcome. Psychotherapy Research, 20, 488–494.
Wong, P. T. (2011). Positive psychology 2.0: Towards a balanced interactive model of the good life. Canadian Psychology/Psychologie Canadienne, 52, 69–81.
Zika, S., & Chamberlain, K. (1992). On the relation between meaning in life and psychological well-being. British Journal of Psychology, 83, 133–145.
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Martínez, E.Y., Flórez, I.A. Meaning-Centered Psychotherapy: A Socratic Clinical Practice. J Contemp Psychother 45, 37–48 (2015). https://doi.org/10.1007/s10879-014-9281-0
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DOI: https://doi.org/10.1007/s10879-014-9281-0