rehabРеабилитологияJournal of Medical Rehabilitation2949-58732949-5881IRBIS LLC10.17749/2949-5873/rehabil.2024.34rehab-54Research ArticleОБЗОРНЫЕ СТАТЬИREVIEW ARTICLESЛоготерапия и ее возможности в процессе психологической реабилитацииLogotherapy and its potential for psychological rehabilitationhttps://orcid.org/0000-0002-8862-1623СеверинаЮ. В.SeverinaYu. V.

Северина Юлия Владимировна

5-й Донской пр-д, д. 21А, Москва 119334

Yulia V. Severina

21А 5th Donskoy Dr., Moscow 119334

juliaseverina@yandex.ruhttps://orcid.org/0000-0002-3332-826XЕпишинВ. Е.EpishinV. E.

Епишин Виталий Евгеньевич

л. Трубецкая, д. 8/2, Москва 119048

Vitaliy Е. Epishin

8/2 Trubetskaya Str., Moscow 119048

Государственное бюджетное учреждение здравоохранения «Научно-практический центр психического здоровья детей и подростков им. Г.Е. Сухаревой Департамента здравоохранения г. Москвы»РоссияSukhareva Scientific and Practical Center for Mental Health of Children and AdolescentsRussian FederationФедеральное государственное автономное образовательное учреждение высшего образования «Первый Московский государственный медицинский университет им. И.М. Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский Университет)РоссияSechenov UniversityRussian Federation20241303202524385394Copyright © Северина Ю.В., Епишин В.Е., 20252025Северина Ю.В., Епишин В.Е.Severina Y.V., Epishin V.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rehabilitology.com/jour/article/view/54

Вопрос поиска смысла жизни – вероятно, один из самых главных, которые задает себе человек в процессе всей жизни. Во времена социальных и экономических потрясений люди нередко лишаются понимания, достигнутого ранее, а порой теряют его, пережив трагический опыт. Логотерапия является методом восстановления утраченных смыслов, переживания тяжелых событий и использования негативного эмоционального опыта для получения нового жизненного импульса. В статье проведен анализ возможностей применения логотерапии в процессе психологической реабилитации, основанный на обзоре теоретических работ и эмпирических исследований. Рассмотрены ключевые принципы, техники и подходы, применяемые в логотерапевтической практике. Приведены примеры использования логотерапии в различных контекстах, таких как психологическая поддержка пациентов в процессе реабилитации после пережитых травматических событий, зависимостей, потери работы, тяжелых заболеваний и утраты близких.

The search for the meaning of life is probably one of the most important questions a human asks himself through the whole lifetime. In times of social and economic upheaval, people often become deprived of understanding they had previously achieved, and sometimes they lose it through tragic experiences. Logotherapy is a method of restoring lost meanings, experiencing tragic events and using negative emotional feelings for a new impulse in life. The presented article analyzes the possibilities of applying logotherapy in the process of psychological rehabilitation based on the review of theoretical works and empirical studies. The key principles, techniques and approaches used in logotherapeutic practice are considered. Examples of using logotherapy are presented in various contexts, such as rehabilitation after traumatic events, addictions, job loss, serious illness, and bereavement.

логотерапияпсихологическая помощьреабилитациясмысл жизнистремление к смыслусвобода волиlogotherapypsychological helprehabilitationmeaning of lifewill to meaningfreedom of willReferencesВсемирная организация здравоохранения. Психические расстройства. 2022. URL: https://www.who.int/ru/news-room/factsheets/detail/mental-disorders (дата обращения 12.07.2024).World Health Organization. Mental disorders. 2022. Available at: https://www.who.int/news-room/fact-sheets/detail/mentaldisorders (accessed 12.07.2024).LaCasse M. Rewriting the narrative with logotherapy: review of Man’s Search for Meaning. AJP Resid J. 2017; 12 (7): 12. https://doi.org/10.1176/appi.ajp-rj.2017.120707.LaCasse M. Rewriting the narrative with logotherapy: review of Man’s Search for Meaning. AJP Resid J. 2017; 12 (7): 12. https://doi.org/10.1176/appi.ajp-rj.2017.120707.Лэнгле С. Терапевтические возможности методов логотерапии и экзистенциального анализа. Национальный психологический журнал. 2018; 11 (2): 22–31. https://doi.org/10.11621/npj.2018.0203.Längle S. Therapeutic capacity of logotherapy and existential analysis. National Psychological Journal. 2018; 11 (2): 22–31 (in Russ.). https://doi.org/10.11621/npj.2018.0203.Bachrach H.M., Galatzer-Levy R., Skolnikoff A., Waldron S. On the efficacy of psychoanalysis. J Am Psychoanal Assoc. 1991; 39 (4): 871–916. https://doi.org/10.1177/000306519103900402.Bachrach H.M., Galatzer-Levy R., Skolnikoff A., Waldron S. On the efficacy of psychoanalysis. J Am Psychoanal Assoc. 1991; 39 (4): 871–916. https://doi.org/10.1177/000306519103900402.Wenzel A. Basic strategies of cognitive behavioral therapy. Psychiatr Clin North Am. 2017; 40 (4): 597–609. https://doi.org/10.1016/j.psc.2017.07.001.Wenzel A. Basic strategies of cognitive behavioral therapy. Psychiatr Clin North Am. 2017; 40 (4): 597–609. https://doi.org/10.1016/j.psc.2017.07.001.Frankl V.E., Crumbaugh J.C. Psychotherapy and existentialism: selected papers on logotherapy. Simon & Schuster; 1967: 242 pp.Frankl V.E., Crumbaugh J.C. Psychotherapy and existentialism: selected papers on logotherapy. Simon & Schuster; 1967: 242 pp.García-Alandete J. The place of religiosity and spirituality in Frankl’s logotherapy: distinguishing salvific and hygienic objectives. J Relig Health. 2024; 63 (1): 6–30. https://doi.org/0.1007/s10943-023-01760-4.García-Alandete J. The place of religiosity and spirituality in Frankl’s logotherapy: distinguishing salvific and hygienic objectives. J Relig Health. 2024; 63 (1): 6–30. https://doi.org/0.1007/s10943-023-01760-4.Devoe D. Viktor Frankl’s logotherapy: the search for purpose and meaning. Inq J. 2012; 4 (07): 1–3.Devoe D. Viktor Frankl’s logotherapy: the search for purpose and meaning. Inq J. 2012; 4 (07): 1–3.Frankl V.E. Man’s search for meaning. Beacon Press; 2006: 188 pp.Frankl V.E. Man’s search for meaning. Beacon Press; 2006: 188 pp.Уколова Е.М. Категория личности в экзистенциальном анализе и логотерапии В. Франкла. Вестник университета. 2015; 11: 344–9.Ukolova E.M. Personality category in existential analysis and V. Frankl's logotherapy. Vestnik Universiteta. 2015; 11: 344–9 (in Russ.).Längle A. The history of logotherapy and existential analysis. In: van Deurzen E., Craig E., Längle A., et al. (Eds) The Wiley world handbook of existential therapy. Wiley; 2019: 309–23. https://doi.org/10.1002/9781119167198.ch19.Längle A. The history of logotherapy and existential analysis. In: van Deurzen E., Craig E., Längle A., et al. (Eds) The Wiley world handbook of existential therapy. Wiley; 2019: 309–23. https://doi.org/10.1002/9781119167198.ch19.Аллахманов Э.М. Человек в поисках смысла: концепция логотерапии В. Франкла. Инновационная наука. 2016; 5: 47–8.Allakhmanov E.M. Man in search of meaning: the concept of V. Frankl's logotherapy. Innovative Science. 2016; 5: 47–8 (in Russ.).Тагильцева Е.А. Теоретические воззрения В. Франкла как вклад в развитие истории психологии. Тенденции развития науки и образования. 2022; 83-3: 122–5. https://doi.org/10.18411/trnio-03-2022-121.Tagiltseva E.A. V. Frankl's theoretical views as a contribution to the development of the history of psychology. Trends in Science and Education Development. 2022; 83-3: 122–5 (in Russ.). https://doi.org/10.18411/trnio-03-2022-121.Wong P.TP. Viktor Frankl’s meaning-seeking model and positive psychology. In: Batthyany A., Russo-Netzer P. (Eds) Meaning in positive and existential psychology. Springer; 2014: 149–84. https://doi.org/10.1007/978-1-4939-0308-5_10.Wong P.TP. Viktor Frankl’s meaning-seeking model and positive psychology. In: Batthyany A., Russo-Netzer P. (Eds) Meaning in positive and existential psychology. Springer; 2014: 149–84. https://doi.org/10.1007/978-1-4939-0308-5_10.Лэнгле А.A. Концепция смысла В. Франкла – вклад в психотерапию. Экзистенциальный анализ. 2010; 2: 41–79.Langle A.A. V. Frankl's concept of meaning: a contribution to psychotherapy. Existential Analysis. 2010; 2: 41–79 (in Russ.).Франкл В. Психотерапия и экзистенциализм. Избранные работы по логотерапии. М.: ИОИ; 2015: 192 с.Frankl V. Psychotherapy and existentialism. Selected works on logotherapy. Мoscow: IOI; 2015: 192 pp. (in Russ.).Франкл В.Э. Основы логотерапии: психотерапия и религия. Санкт-Петербург: Речь; 2000: 285 c.Frankl V.E. Fundamentals of logotherapy: psychotherapy and religion. Saint Petersburg: Rech; 2000: 285 pp. (in Russ.).Everingham C. “Self-actualisation” and the ageing process from an inter-generational lifecourse perspective. Ageing Soc. 2003; 23 (2): 243–53. https://doi.org/10.1017/S0144686X02001058.Everingham C. “Self-actualisation” and the ageing process from an inter-generational lifecourse perspective. Ageing Soc. 2003; 23 (2): 243–53. https://doi.org/10.1017/S0144686X02001058.Vos J. Working with meaning in life in mental health care: a systematic literature review of the practices and effectiveness of meaning-centred therapies. In: Russo-Netzer P., Schulenberg S.E., Batthyany A. (Eds) Clinical perspectives on meaning: positive and existential psychotherapy. Springer; 2016: 59–87. https://doi.org/10.1007/978-3-319-41397-6_4.Vos J. Working with meaning in life in mental health care: a systematic literature review of the practices and effectiveness of meaning-centred therapies. In: Russo-Netzer P., Schulenberg S.E., Batthyany A. (Eds) Clinical perspectives on meaning: positive and existential psychotherapy. Springer; 2016: 59–87. https://doi.org/10.1007/978-3-319-41397-6_4.Adhiya-Shah K. Book review: The Will to Meaning: Foundations and Applications of Logotherapy. Front Psychol. 2017; 8: 2106. https://doi.org/10.3389/fpsyg.2017.02106.Adhiya-Shah K. Book review: The Will to Meaning: Foundations and Applications of Logotherapy. Front Psychol. 2017; 8: 2106. https://doi.org/10.3389/fpsyg.2017.02106.Миллер Л.В. Логотерапия в системе оказания медико-психологической помощи подросткам с аутоагрессивным поведением. Социальная и клиническая психиатрия. 2022; 32 (2): 65–78.Miller L.V. Logotherapy in the system of providing medical and psychological assistance to adolescents with auto-aggressive behavior. Social and Clinical Psychiatry. 2022; 32 (2): 65–78 (in Russ.).Batthyany A. Mental causation and free will after libet and soon: reclaiming conscious agency. In: Batthyány A., Elitzur A.C. (Eds) Irreducibly conscious. Selected papers on consciousness. Winter; 2009: 335 pp.Batthyany A. Mental causation and free will after libet and soon: reclaiming conscious agency. In: Batthyány A., Elitzur A.C. (Eds) Irreducibly conscious. Selected papers on consciousness. Winter; 2009: 335 pp.Веревская П.А. Ментальная каузальность и проблема происхождения сознания. В кн.: Емельянов Н.В. (ред.) Научные исследования и инновации: сборник статей IX Международной научно-практической конференции. Саратов; 2021: 72–5.Verevskaya P.A. Mental causality and the problem of the origin of consciousness. In: Emelyanov N.V. (Ed.) Scientific research and innovation: collection of articles of the IX International Scientific and Practical Conference. Saratov; 2021: 72–5 (in Russ.).Damasio A.R. The feeling of what happens: body and emotion in the making of consciousness. Mariner Books; 2000: 400 pp.Damasio A.R. The feeling of what happens: body and emotion in the making of consciousness. Mariner Books; 2000: 400 pp.Fuster J.M. The neuroscience of freedom and creativity: our predictive brain. Cambridge University Press; 2013: 300 рр.Fuster J.M. The neuroscience of freedom and creativity: our predictive brain. Cambridge University Press; 2013: 300 рр.Kahneman D. Thinking, fast and slow. Farrar, Straus and Giroux; 2013: 512 pp.Kahneman D. Thinking, fast and slow. Farrar, Straus and Giroux; 2013: 512 pp.Tse P.U. The neural basis of free will: criterial causation. MIT Press; 2015: 472 pp.Tse P.U. The neural basis of free will: criterial causation. MIT Press; 2015: 472 pp.Cloninger C.R., Svrakic D.M., Przybeck T.R. A psychobiological model of temperament and character. Arch Gen Psychiatry. 1993; 50 (12): 975–90. https://doi.org/10.1001/archpsyc.1993.01820240059008.Cloninger C.R., Svrakic D.M., Przybeck T.R. A psychobiological model of temperament and character. Arch Gen Psychiatry. 1993; 50 (12): 975–90. https://doi.org/10.1001/archpsyc.1993.01820240059008.Jung C.G. Man and his symbols. Dell; 1968: 415 pp.Jung C.G. Man and his symbols. Dell; 1968: 415 pp.Иванова О.Э., Гнатышина Е.А. Сократический диалог как метод управления проблемами. Философская мысль. 2018; 4: 59–65.Ivanova O.E., Gnatyshina E.A. Socratic dialogue as a method of problem management. Philosophical Thought. 2018; 4: 59–65 (in Russ.).Безгодов Д.Н. Ирония в сократическом методе: механизм и относительная ценность. Общество: философия, история, культура. 2015; 6: 57–61.Bezgodov D.N. Irony in socratic method: mechanism and relative value. Society: Philosophy, History, Culture. 2015; 6: 57–61 (in Russ.).Schulenberg S.E., Hutzell R.R., Nassif C., Rogina J.M. Logotherapy for clinical practice. Psychotherapy. 2008; 45 (4): 447–63. https://doi.org/10.1037/a0014331.Schulenberg S.E., Hutzell R.R., Nassif C., Rogina J.M. Logotherapy for clinical practice. Psychotherapy. 2008; 45 (4): 447–63. https://doi.org/10.1037/a0014331.Sagen J.S., Kjeken I., Habberstad A., et al. Patient involvement in the rehabilitation process is associated with improvement in function and goal attainment: results from an explorative longitudinal study. J Clin Med. 2024; 13 (2): 320. https://doi.org/10.3390/jcm13020320.Sagen J.S., Kjeken I., Habberstad A., et al. Patient involvement in the rehabilitation process is associated with improvement in function and goal attainment: results from an explorative longitudinal study. J Clin Med. 2024; 13 (2): 320. https://doi.org/10.3390/jcm13020320.Teo J.L., Zheng Z., Bird S.R. Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation. BMC Sports Sci Med Rehabil. 2022; 14 (1): 18. https://doi.org/10.1186/s13102-022-00407-3.Teo J.L., Zheng Z., Bird S.R. Identifying the factors affecting ‘patient engagement’ in exercise rehabilitation. BMC Sports Sci Med Rehabil. 2022; 14 (1): 18. https://doi.org/10.1186/s13102-022-00407-3.Rachmi H.I., Wibowo M.E., Purwanto E. The effectiveness of logotherapy counseling with a dereflection technique to improve broken home students psychological well-being. Jurnal Bimbingan Konseling. 2022; 11 (4): 226–31. https://doi.org/10.15294/jubk.v11i4.17655.Rachmi H.I., Wibowo M.E., Purwanto E. The effectiveness of logotherapy counseling with a dereflection technique to improve broken home students psychological well-being. Jurnal Bimbingan Konseling. 2022; 11 (4): 226–31. https://doi.org/10.15294/jubk.v11i4.17655.Maurits R.H., Hatta M.I., Suhana S. The application of logotherapy to improve the meaning of life in emerging adults with self-injury. Jurnal Ilmiah Psikologi Terapan. 2023; 11 (2): 91–104. https://doi.org/10.22219/jipt.v11i2.22875.Maurits R.H., Hatta M.I., Suhana S. The application of logotherapy to improve the meaning of life in emerging adults with self-injury. Jurnal Ilmiah Psikologi Terapan. 2023; 11 (2): 91–104. https://doi.org/10.22219/jipt.v11i2.22875.Frankl V.E. Paradoxical intention. Am J Psychother. 1960; 14 (3): 520–35. https://doi.org/10.1176/appi.psychotherapy.1960.14.3.520.Frankl V.E. Paradoxical intention. Am J Psychother. 1960; 14 (3): 520–35. https://doi.org/10.1176/appi.psychotherapy.1960.14.3.520.Weeks G. Promoting change through paradoxical therapy. Brunner/Mazel; 1991: 336 pp.Weeks G. Promoting change through paradoxical therapy. Brunner/Mazel; 1991: 336 pp.Golshan A., Zargham Hajebi M., Sobhi Gharamaleki N. The effect of Logotherapy group training on changes of depression, self-esteem and intimacy attitudes in physically disabled women. Iranian J Health Psychol. 2019; 2 (2): 101–12. https://doi.org/10.30473/ijohp.2020.52640.1077.Golshan A., Zargham Hajebi M., Sobhi Gharamaleki N. The effect of Logotherapy group training on changes of depression, self-esteem and intimacy attitudes in physically disabled women. Iranian J Health Psychol. 2019; 2 (2): 101–12. https://doi.org/10.30473/ijohp.2020.52640.1077.Albarracin D., Shavitt S. Attitudes and attitude change. Annu Rev Psychol. 2018; 69: 299–327. https://doi.org/10.1146/annurevpsych-122216-011911.Albarracin D., Shavitt S. Attitudes and attitude change. Annu Rev Psychol. 2018; 69: 299–327. https://doi.org/10.1146/annurevpsych-122216-011911.Штукарева С.В. Содержательная характеристика логотерапии как средство актуализации личностных смыслов. Акмеология. 2014; 2: 209–14.Shtukareva S.V. Substantial characteristic of logotherapy as a means of personal senses actualization. Acmeology. 2014; 2: 209–14 (in Russ.).Southwick S.M., Gilmartin R., McDonough P., Morrissey P. Logotherapy as an adjunctive treatment for chronic combat-related PTSD: a meaning-based intervention. Am J Psychother. 2006; 60 (2): 161–74. https://doi.org/10.1176/appi.psychotherapy.2006.60.2.161.Southwick S.M., Gilmartin R., McDonough P., Morrissey P. Logotherapy as an adjunctive treatment for chronic combat-related PTSD: a meaning-based intervention. Am J Psychother. 2006; 60 (2): 161–74. https://doi.org/10.1176/appi.psychotherapy.2006.60.2.161.Southwick S.M., Lowthert B.T., Graber A.V. Relevance and application of logotherapy to enhance resilience to stress and trauma. In: Batthyány A. (Ed.) Logotherapy and existential analysis. Springer; 2016: 131–49. https://doi.org/10.1007/978-3-319-29424-7_13.Southwick S.M., Lowthert B.T., Graber A.V. Relevance and application of logotherapy to enhance resilience to stress and trauma. In: Batthyány A. (Ed.) Logotherapy and existential analysis. Springer; 2016: 131–49. https://doi.org/10.1007/978-3-319-29424-7_13.Штукарева С.В. Логотерапевтический взгляд на травматический опыт человека. В кн.: Вайзер Г.А., Попова Т.А., Кисельникова Н.В. (ред.) Психологические проблемы смысла жизни и акме: материалы XXV Международного симпозиума. М.: Психологический институт РАО; 2020: 225–7.Shtukareva S.V. Logotherapeutical view on trauma experience. In: Vayzer G.A., Popova T.A., Kiselnikova N.V. (Eds) Psychological problems of the meaning of life and acme: proceedings of the XXV International Symposium. Мoscow: Psychological Institute of the Russian Academy of Education; 2020: 225–7 (in Russ.).Liu X., Jiang J., Zhang Y. Effects of logotherapy-based mindfulness intervention on internet addiction among adolescents during the COVID-19 pandemic. Iran J Public Health. 2021; 50 (4): 789–97. https://doi.org/10.18502/ijph.v50i4.6005.Liu X., Jiang J., Zhang Y. Effects of logotherapy-based mindfulness intervention on internet addiction among adolescents during the COVID-19 pandemic. Iran J Public Health. 2021; 50 (4): 789–97. https://doi.org/10.18502/ijph.v50i4.6005.Khaledian M., Yarahmadi M., Mahmoudfakhe H. Effect of group logotherapy in reducing depression and increasing hope in drug addicts. J Res Health. 2016; 6 (1): 167–74.Khaledian M., Yarahmadi M., Mahmoudfakhe H. Effect of group logotherapy in reducing depression and increasing hope in drug addicts. J Res Health. 2016; 6 (1): 167–74.Rife J.C. Life meaning and the older unemployed worker. Int Forum Logother. 1990; 13 (2): 119–24.Rife J.C. Life meaning and the older unemployed worker. Int Forum Logother. 1990; 13 (2): 119–24.Sun F.K., Hung C.M., Yao Y., et al. The effects of logotherapy on distress, depression, and demoralization in breast cancer and gynecological cancer patients: a preliminary study. Cancer Nurs. 2021; 44 (1): 53–61. https://doi.org/10.1097/NCC.0000000000000740.Sun F.K., Hung C.M., Yao Y., et al. The effects of logotherapy on distress, depression, and demoralization in breast cancer and gynecological cancer patients: a preliminary study. Cancer Nurs. 2021; 44 (1): 53–61. https://doi.org/10.1097/NCC.0000000000000740.Bahar A., Shahriary M., Fazlali M. Effectiveness of logotherapy on death anxiety, hope, depression, and proper use of glucose control drugs in diabetic patients with depression. Int J Prev Med. 2021; 12: 6. https://doi.org/10.4103/ijpvm.IJPVM_553_18.Bahar A., Shahriary M., Fazlali M. Effectiveness of logotherapy on death anxiety, hope, depression, and proper use of glucose control drugs in diabetic patients with depression. Int J Prev Med. 2021; 12: 6. https://doi.org/10.4103/ijpvm.IJPVM_553_18.Kang K.A., Im J.I., Kim H.S., et al. The effect of logotherapy on the suffering, finding meaning, and suffering, well-being of adolescents with terminal cancer. Child Health Nurs Res. 2009; 15 (2): 136–44.Kang K.A., Im J.I., Kim H.S., et al. The effect of logotherapy on the suffering, finding meaning, and suffering, well-being of adolescents with terminal cancer. Child Health Nurs Res. 2009; 15 (2): 136–44.Ivers N.N., Johnson D.A., Casares D.R., et al. Understanding prolonged grief from an existential counseling perspective. J Counsel Devel. 2024; 102 (3): 251–381. https://doi.org/10.1002/jcad.12518.Ivers N.N., Johnson D.A., Casares D.R., et al. Understanding prolonged grief from an existential counseling perspective. J Counsel Devel. 2024; 102 (3): 251–381. https://doi.org/10.1002/jcad.12518.Pelacho-Rios L., Bernabe-Valero G. The loss of a child, bereavement and the search for meaning: a systematic review of the most recent parental interventions. Curr Psychol. 2022; Sep 8. https://doi.org/10.1007/s12144-022-03703-w.Pelacho-Rios L., Bernabe-Valero G. The loss of a child, bereavement and the search for meaning: a systematic review of the most recent parental interventions. Curr Psychol. 2022; Sep 8. https://doi.org/10.1007/s12144-022-03703-w.

The authors declare that there are no conflicts of interest present.