An incurably psychotic individual may lose his usefulness but yet retain the dignity of a human being. This is my psychiatric credo. Without it I should not think it worthwhile to be a psychiatrist.
We are reminded again of that remark of Goethe’s which we have already quoted, and which we called the finest maxim for any kind of psychotherapy: “If we take people as they are, we make them worse. If we treat them as if they were what they ought to be, we help them to become what they are capable of becoming.
Logotherapy deviates from psychoanalysis insofar as it considers man a being whose main concern consists in fulfilling a meaning, rather than in the mere gratification and satisfaction of drives and instincts, or in merely reconciling the conflicting claims of id, ego and superego, or in the mere adaptation and adjustment to society and environment.
We give life meaning not only through our actions but also through loving and, finally, through suffering. Because how human beings deal with the limitation of their possibilities regarding how it affects their actions and their ability to love, how they behave under these restrictions – the way in which they accept their suffering under such restrictions – in all of this they still remain capable of fulfilling human values.
One of the prisoners, who on his arrival marched with a long column of new inmates from the station to the camp, told me later that he had felt as though he were marching at his own funeral. His life had seemed to him absolutely without future. He regarded it as over and done, as if he had already died.
Every situation is distinguished by its uniqueness, and there is always only one right answer to the problem posed by the situation at hand. When a man finds that it is his destiny to suffer, he will have to accept his suffering as his task; his single and unique task. He will have to acknowledge the fact that even in suffering he is unique and alone in the universe.
All psychotherapy is ultimately something of an art. There is always an irrational element in psychotherapy. The doctor’s artistic intuition and sensitivity is of considerable importance. The patient, too, brings an irrational element into the relationship: his individuality.
But Frankl’s concern is less with the question of why most died than it is with the question of why anyone at all survived.
All this came to my mind when I saw the photographs in the magazine. When I explained, my listeners understood why I did not find the photograph so terrible: the people shown on it might not have been so unhappy after all.
No one can relieve him of his suffering or suffer in his place. His unique opportunity lies in the way in which he bears his burden.
It was, therefore, in an attempt to save one’s own skin that one literally tried to submerge into the crowd.
Freedom is not something we “have” and therefore can lose; freedom is what we “are.
A man who let himself decline because he could not see any future goal found himself occupied with retrospective thoughts.
Insofar as a sacrifice is “calculated,” performed after careful reckoning of the prospects of its bringing about a desired end, it loses all ethical significance. Real sacrifice occurs only when we run the risk of having sacrificed in vein. Would anyone maintain that a person who plunges into the water to save someone has acted less ethically, or unethically, because both are drowned?
I was horrified, but this was just as well, because step by step we had to become accustomed to a terrible and immense horror.
The prisoner of Auschwitz, in the first phase of shock, did not fear death. Even the gas chambers lost their horrors for him after the first few days – after all, they spared him the act of committing suicide.
They form man’s destiny, which is different and unique for each individual. No man and no destiny can be compared with any other man or any other destiny.
And these problems are growing increasingly crucial, for progressive automation will probably lead to an enormous increase in the leisure hours available to the average worker. The pity of it is that many of these will not know what to do with all their newly acquired free time.
To explain everything as the result of a single factor which, moreover, is fixed by fate, has a great advantage. For then no task seems to be assigned to one; one has nothing to do but wait for the imaginary moment when the curing of this one factor will cure everything else.
Love is living the experience of another person in all his uniqueness and singularity.
To be sure, man’s search for meaning may arouse inner tension rather than inner equilibrium. However, precisely such tension is an indispensable prerequisite of mental health.