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The effects of psychological meaning-centered therapies on quality of life and psychological stress: A metaanalysis
2018
ABSTRACTObjective:Many psychotherapists speak with clients about meaning in life. Meaning is an neutral evidence-based term for a subjective sense of purpose, values, understanding, self-worth, action-directed goals, and self-regulation. Since little is known about its effectiveness, our study aimed to determine the effects of meaning-centered therapies (MCTs) on improving quality of life and reducing psychological stress.
Independent researchers selected and scored articles in multiple languages in multiple search engines. Weighted pooled mean effects were calculated following a random-effects model. Sensitivity analyses included moderators, study and sample characteristics, risk of bias, randomization, types of MCT, control condition, and outcome instruments.
Some 52,220 citations included 60 trials (total sample N = 3,713), of which 26 were randomized controlled trials (N = 1,975), 15 nonrandomized controlled trials (N = 709), and 19 nonrandomized noncontrolled trials with pre/post measurements (N = 1,029). Overall analyses showed large improvements from baseline to immediate posttreatment and follow-up on quality of life (Hedges' g = 1.13, SE = 0.12; g = 0.99, SE = 0.20) and psychological stress (g = 1.21, SE = 0.10; g = 0.67, SE = 0.20). As effects varied between studies, further analyses focused only on controlled trials: MCT had large effect sizes compared to control groups, both immediate and at follow-up, on quality of life (g = 1.02, SE = 0.06; g = 1.06, SE = 0.12) and psychological stress (g = 0.94, SE = 0.07, p < 0.01; g = 0.84, SE = 0.10). Immediate effects were larger for general quality of life (g = 1.37, SE = 0.12) than for meaning in life (g = 1.18, SE = 0.08), hope and optimism (g = 0.80, SE = 0.13), self-efficacy (g = 0.89, SE = 0.14), and social well-being (g = 0.81, SE = 13). The homogeneity of these results was validated by the lack of significance of moderators and alternative ways of selecting studies. Metaregression analyses showed that increases in meaning in life predicted decreases in psychological stress (β = -0.56, p < 0.001).
MCT strongly improves quality of life and reduces psychological stress. MCT should be made more widely available, particularly to individuals in transitional moments in life or with a chronic or life-threatening physical illness as they explicitly report meaning-centered concerns.
Journal Article
The Effect of Paradoxical Intension Session 1 Logotheraphy on Prisoners Anxiety in LAPAS Kediri
by
Byba Melda
,
Dhita Kurnia
,
Nurul Azizah
in
anxiety
,
logotherapy paradoxical intention session 1
2020
Introduction: Living in the prison can causing anxiety to the prisoner. The major factor of anxiety is feeling worry their society won’t accept them again a lot of people stay away from ex-prisoner. logotherapy paradoxical intention session 1 can effect anxiety prisoner in LAPAS Kediri. The purpose of this study is to determine the effect of paradoxical intention session 1 on the anxiety in LAPAS Kediri. Methods: The design of this study was pre-experimental with a one-group pretest posttest design approach. The population studied were detainees who were in LAPAS Kediri, totalling 109 people, with a random sampling technique obtained by a sample of 78 people. The independent variable paradoxical intention logotherapy session 1 with dependent variable anxiety. Collected data using questionnaire. Data analysis using the Wilcoxon test at α = 0.05. Results: The results of the study before logotherapy showed that the majority of respondents in a panic situation were 33 respondents (42.3%) and after logotherapy showed that the fraction in severe anxiety were 18 respondents (23.1%). The results of the analysis, p-value (0.000) < (0.05), it means there is an effect of paradoxical intention session 1 on the anxiety of prisoner in LAPAS Kediri. Conclusion: Anxiety was not significant caused of age, education, length of detention, and logotherapi given as session 1, lenght of administration, and provider of logotherapy.
Journal Article
Man's search for meaning : the classic tribute to hope from the Holocaust
by
Frankl, Viktor E. (Viktor Emil), 1905-1997 author
,
Lasch, Ilse translator
,
Frankl, Viktor E. (Viktor Emil), 1905-1997. Psycholog erlebt das Konzentrationslager
in
Frankl, Viktor E. 1905-1997
,
Holocaust, Jewish (1939-1945) Personal narratives
,
Holocaust, Jewish (1939-1945) Psychological aspects
2004
In 'Man's Search for Meaning', Dr. Frankl offers an account of his life amid the horrors of the Nazi death camps, chronicling the harrowing experience that led to the discovery of his theory of logotherapy.
Relação ética entre a psicologia clínica e religião: reflexões guiadas pelo enfoque da logoterapia e análise existencial
by
Moreira, Francielle Láilla
,
Souza Lana, Vitor Célio
,
Martins Moreira, Eric
in
logoterapia
,
logotherapy
,
psicologia
2022
This article aims to analyze the ethical relation between clinical psychology and religion from the perspective of logotherapy and existential analysis, proposed by Viktor Frankl, based on a descriptive exploratory research. Religiosity, in its multiple forms of expression, is part of life in society and permeates everyday knowledge and practices, since it is rooted in culture, interfering in the ways of being in the world. Therefore, religion is for many subjects the means by which meaning means to life, giving meaning to it from their personal experiences. However, the discussion about religion on Psychology fields still causes misunderstanding from many professionals that, despite finding religion-related stories in therapy, still avoid working with it in therapeutic processes. The ethical role of the psychologist based on logotherapy can facilitate the person's contact with their religious experience, helping them to fully experience the issues of meaning that are present.
Este artigo tem por objetivo analisar a relação ética da psicologia clínica com a religião sob a perspectiva da logoterapia e análise existencial, proposta por Viktor Frankl, a partir de uma pesquisa exploratória de caráter descritivo. A religiosidade, em suas múltiplas formas de expressão faz parte da vida em sociedade e perpassa os saberes e práticas cotidianos, visto que está enraizada na cultura, interferindo nos modos de ser e estar no mundo. Assim, a religião é para muitos sujeitos o meio pelo qual encontram significado para a vida, dando sentido para ela a partir de suas experiências pessoais. Contudo, o debate sobre religião no campo da psicologia ainda gera estranhezas por parte de muitos profissionais, que apesar de encontrarem em seus atendimentos relatos que perpassam a religiosidade, ainda evitam trabalhar essa temática nos processos terapêuticos. A atuação ética do psicólogo(a) embasado na logoterapia pode facilitar o contato da pessoa com sua experiência religiosa, auxiliando-o a vivenciar plenamente as questões de sentido que se fazem presentes.
Este artículo tiene como objetivo discutir la relación ética entre psicología clínica y religión desde la perspectiva de la logoterapia y el análisis existencial, propuesto por Viktor Frankl, basado de una investigación exploratoria de carácter descriptivo . La religiosidad, en sus múltiples formas de expresión, es parte de la vida en sociedad e impregna los conocimientos y prácticas cotidianos, ya que tiene sus raíces en la cultura, interfiriendo en las formas de ser y estar en el mundo. Para muchos sujetos, la religión es el medio por el cual encuentran sentido a la vida, dándole sentido a partir de sus experiencias personales. Sin embargo, el debate sobre la religión en el campo de la psicología aún genera extrañeza por parte de muchos profesionales, que a pesar de encontrar en su cuidado relatos que impregnan la religiosidad, aún evitan trabajar este tema en los procesos terapéuticos. El desempenõ ético del psicólogo basado en la logoterapia puede facilitar el contacto de la persona con su experiencia religiosa, ayudándola a experimentar plenamente las cuestiones de significado que están presentes.
Journal Article
Man's search for meaning
In this work, a Viennese psychiatrist tells his grim experiences in a German concentration camp which led him to logotherapy, an existential method of psychiatry. This work has riveted generations of readers with its descriptions of life in Nazi death camps and its lessons for spiritual survival. Between 1942 and 1945 the author, a psychiatrist labored in four different camps, including Auschwitz, while his parents, brother, and pregnant wife perished. Based on his own experience and the stories of his many patients, he argues that we cannot avoid suffering but we can choose how to cope with it, find meaning in it, and move forward with renewed purpose. His theory, known as logotherapy, from the Greek word logos (meaning), holds that our primary drive in life is not pleasure, as Freud maintained, but the discovery and pursuit of what we personally find meaningful.
A comprehensive review and meta-analysis of clinical trials examining the impact of logotherapy on anxiety and depression in cancer patients
2026
Background Individuals with cancer experience substantial distress, including anxiety and depression, due to disease burden and impending death. Aim Psycho-spiritual interventions such as logotherapy could enhance the mental health of these patients. This systematic review and meta-analysis study aimed to investigate the impacts of logotherapy on depression and anxiety in patients with cancer. Materials and methods PubMed, Proquest, Web of Science, Scopus, and Google Scholar were searched. Cochrane Collaboration’s tool was utilized for the risk of bias assessment. A random-effect model was applied to estimate the pooled effect sizes. Statistical analyses were performed using STATA software version 17. Results Twenty-five clinical trial studies were included in the systematic review. Twenty-three studies investigated the impact of logotherapy on depression and twenty studies were included to assess the effects of logotherapy on anxiety in cancer patients. The meta-analysis results showed a significant effect of logotherapy compared with routine care for anxiety (SMD: -9.38 [-17.50, -1.26], I2: 99.93%) and depression (SMD: -4.67 [-5.90, -3.44], I2: 96.29%). Other findings revealed no significant differences among the subgroups on group formation, cancer stage, and cancer type. Egger’s and Begg’s test showed potential risk of bias in studies. Conclusion This study demonstrated that logotherapy led to a significant improvement in anxiety and depression of patients with cancer. It seems that finding meaning in life could help cancer patients to deal with cancer adversities. BJMS, Vol. 25 No. 01 January’26 Page : 38-51
Journal Article
The Place of Religiosity and Spirituality in Frankl’s Logotherapy: Distinguishing Salvific and Hygienic Objectives
2024
The relationship between psychology and religion has been widely debated in the field of psychology from its foundation as an empirical science to the present day. One author who was interested in the relationship between psychology and religion, the place of the latter in human nature, and its role in psychotherapy was the Viennese neurologist, psychiatrist, and philosopher Viktor Emil Frankl (1905–1997), the founder of logotherapy. This paper presents Frankl’s main ideas about religion, the religious nature of the human being, and the relationship between religiosity, psychotherapy, and logotherapy, as well as a review of the main criticisms he has received in this regard. Frankl always defended the differences and limits between religion and psychotherapy, between the priestly cure of souls and the medical cure of souls, and between the salvific objective of religion and the hygienic objective of psychotherapy. In our opinion, critical authors have failed to appreciate Frankl’s efforts to expose this distinction.
Journal Article
Effect of a logotherapy-based psychoeducational program on interpersonal guilt, self-efficacy, and resilience in patients with schizophrenia: a quasi-experimental study
by
Fashafsheh, Nawras
,
Miqdadi, Ahmad I.
,
Saraya, Ola
in
Adult
,
Care and treatment
,
Complications and side effects
2025
Background
Patients suffering from schizophrenia experience significant impairments in emotional, cognitive, and social functioning, leading to reduced resilience and self-efficacy along with increased feelings of interpersonal guilt. Although pharmacological interventions help in reducing the symptoms, the existential aspects of the healing process can go unattended. The aim of the current research was to understand the effectiveness of logotherapy-based psychoeducational program on interpersonal guilt, self-efficacy, and resilience in schizophrenia patients.
Methods
In this quasi-experimental pretest-posttest study, the effectiveness of a logotherapy-based psychoeducational program was tested using a seven-week, 13-session program, administered to 45 stable patients diagnosed with schizophrenia. Arabic-validated instruments were used to measure resilience, self-efficacy, and interpersonal guilt.
Results
The results showed that there were significant increases in the variables of resilience, t (44) = 4.956,
p
< .001, Cohen’s d = 0.74, and self-efficacy, t (44) = 6.075,
p
< .001, Cohen’s d = 0.91, after the completion of the intervention. The results also revealed that interpersonal guilt failed to achieve statistical significance, t (44) = 1.388,
p
= .172, Cohen’s d = 0.21, after the completion of the intervention. There was a strong positive relationship between the variables of resiliency and self-efficacy,
r
= .749,
p
< .001. There were no significant relationships between the variables of resiliency and interpersonal guilt, or between the variables of self-efficacy and interpersonal guilt.
Conclusions
Meaning-centered interventions seem to be a valuable tool in boosting adaptive psychological resources, such as resilience and self-efficacy, in people with schizophrenia. The failure to improve interpersonal guilt suggests that the problem could need a considerably different type of therapeutic approach that focuses on metacognitive issues. The integration of existentially oriented psychoeducation in the treatment appears potentially valuable in assisting the patient in finding their personal meaning, in conjunction with other treatments. The long-term stability and the combination with other treatments in order to approach the issue of interpersonal guilt could be the next step in researching these issues.
Clinical trial number
Not applicable.
Journal Article