What is the main premise of Existential & Logotherapy?

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Existential therapy and logotherapy focus on how people live with the fundamental givens of human existence and how meaning is created through choices. The central idea is that the primary drive is the search for meaning, even in the face of life's toughest realities. The key existential concerns are mortality (death), freedom and responsibility, isolation, and the sense of meaninglessness that can arise when life seems purposeless. Therapy guides individuals to acknowledge these realities and to discover or construct personally meaningful purpose through their choices, attitudes, and values, even amid suffering.

This stands in contrast to other approaches: unconscious conflicts and childhood experiences are hallmark ideas of psychodynamic theory; behavior is shaped by reinforcement schedules in behavioral theory; and health outcomes are often understood through mind–body connections in health psychology. The existential/logotherapy perspective is specifically about meaning in the face of those existential givens.