Page 10 - JCBP-2-3
P. 10

Journal of Clinical and
            Basic Psychosomatics                                                                     Eudaimonia



            my emotions” (serenity), “I am aware that humor means   ill.  After  his  death,  she  learned  that  he  had  bequeathed
            to laugh nevertheless” (humor), “I avoid to reheat old   all his money to his earlier wife.” Patients are then asked
            stories and events” (forgiveness), “I accept that many   to comment on the problem from the perspective of the
            things cannot be changed (self-distance), “I always see the   victim,  then  the  bystander,  and  finally,  the  wrongdoer.
            chances which come out of problems” (optimism), and “I   Through this process, individuals can experience and
            know that time is a great healer” (sustainability).  develop skills such as change of perspective, value
                                                               relativism, contextualism, emotional empathy and serenity,
            5. Wisdom training and therapy                     control of aspirations, forgiveness, and sustainability. The
                                                                                                            54
            Given the significant role of eudaimonia and wisdom in   use of fictitious problems follows the “Solomon paradox”
            life, this topic holds relevance for patients as well. Teaching   and the general knowledge that it is easier to give advice to
            eudaimonia and wisdom should be a target not only in   others but difficult to accept advice oneself. Manuals for
            education and counseling but especially in psychotherapy   individual and group psychotherapy describing the details
                                                                                              39,53
            and psychosomatic medicine. However, this perspective   of the therapeutic process are available.
            has been widely neglected  and underrecognized,  as   6. Conclusion
            underlined by Oldhameditor of the Journal of Psychiatric
            Practice, who admitted in a 2022 editorial that he had only   Therapists treat human beings, not just illnesses. Patients
            recently learned the “new word” eudaimonia. 47     experience hardship due to illness and related symptoms,
                                                               insecurity about the future, participation restrictions, and
              Empirical evidence suggests that wisdom training and   dilemmas across various life domains. While alleviating
            wisdom psychotherapy can help individuals in various   suffering is important, achieving mastery of life, finding
            facets of life, offering avenues for individuals to find their   contentment with life, and experiencing eudaimonia
            goals, purpose, and meaning in life, as well as to cope with   are equally important. Although clinicians universally
            burdens and difficult situations in life. Moreover, they aid   recognize this, there is a lack of corresponding theoretical
            in striking a balance between personal aspirations with the   concepts in psychotherapy, compounded by a lack of
            rights and wishes of other people, fostering self-acceptance   elaborated therapeutic strategies and empirical evidence.
            and acceptance of the given reality. These practices   Scientific evidence and clinical experiences suggest that
            facilitate reconciliation with the past, fostering forgiveness   integrating wisdom psychology into psychotherapy holds
            for negative events, while simultaneously encouraging a   promise  for  fostering  eudaimonia.  Nonetheless,  further
            forward-looking perspective. They empower individuals to   research is necessary for the refinement of concepts and
            enhance their self-control and autonomy, enabling them to   the development of treatments.
            withstand hardship and embrace suffering when necessary,
            all while steadfastly fulfilling their responsibilities, even   Although there exists a large body of literature
            in the face of discomfort. 12,39,48-52  It is important to note   on eudaimonia and wisdom, as briefly summarized
            that the goal is not to pursue happiness but rather to help   above, numerous questions remain unanswered. There
            individuals live a decent life.                    are variations in definitions, leading to challenges
                                                               in differentiation or overlap between hedonia and
              In  addressing  these  aspects,  wisdom  therapy   eudaimonia. This discrepancy includes the role of
            sis a psychotherapeutic approach, which is part of   individual subdimensions, as demonstrated by Mise
            cognitive behavior therapy. 39,49,53  When examining the   and Busseri,  who have found that correlations were
                                                                         8
            aforementioned subdimensions of wisdom, the potential   strongest for well-being and weakest for motives. In
            for effective psychotherapeutic intervention becomes   addition, the role of time is a factor. Huta  has discovered
                                                                                                55
            evident. Psychotherapists have long understood how to   evidence suggesting that eudaimonia and hedonia are
            facilitate changes in perspective, foster empathy, enhance   clearly distinct in the momentary time span, yet less so
            uncertainty tolerance, or cultivate forgiveness. Such   over a longer duration. Furthermore, differences across
            strategies can also be used in wisdom psychotherapy.   individuals exist, as data from the MIDUS study  suggest
                                                                                                      56
            Furthermore, there exists  the  “method  of unsolvable   that hedonia and eudaimonia largely converge in about
            problems” to teach individuals how to navigate complex   70% of observed persons, while the remaining 30%
            situations and dilemmas.  Patients are confronted with   experience  divergent  levels.  These  conceptual  problems
                                 39
            fictitious case vignettes, which describe negative and   can be explained in part by problems in the assessment of
            irrevocable problems. For instance, they involve a scenario   these highly complex constructs. Nevertheless, there are
            featuring a perpetrator, a victim, and a winning bystander:   theoretical and clinical justifications for maintaining the
            “Mrs. Miller, who has lived with a man for some time and   distinction between both concepts. They target different
            in recent years even cared for him lovingly when he fell   topics, and, in some cases, even stand in opposition to each


            Volume 2 Issue 3 (2024)                         4                               doi: 10.36922/jcbp.2988
   5   6   7   8   9   10   11   12   13   14   15