Domain 5 · Counseling Skills & Interventions · Lesson 3 of 15

Humanistic and existential: Rogers, Maslow, May, Frankl, Yalom

23 min read · Dr. Andrew WichtermanCACREP: Counseling & Helping Relationships

Last reviewed September 2026 by Dr. Andrew Wichterman · Aligned to the current NCE blueprint. Valid for exams through June 30, 2027.

AI-narrated overview made with Google NotebookLM. The written lesson below is by Dr. Andrew Wichterman.

Downloads Lesson notes (PDF) Slides (PDF)

Psychoanalysis decoded people; behaviorism shaped them. The third force bet that people already carry a pull toward growth and mostly need the right conditions. This lesson builds Rogers, Maslow and the existentialists from that idea, with diagrams of the core conditions, the hierarchy of needs and the four givens, a case, and a worked item.

Before you read: three questions

Try to answer each from memory first, even if you have to guess. Guessing before reading makes the answer stick; reveal only after you have tried.

What is Core conditions?Congruence, unconditional positive regard, empathy.
What is Actualizing tendency?Rogers: the innate drive toward growth.
What is Conditions of worth?Imposed standards that create incongruence.
What the exam tests in this lesson
Rogers's core conditionsName the three; recognize each from a description; know Rogers called them necessary and sufficient
Rogers's vocabularyActualizing tendency, congruence/incongruence, conditions of worth, real vs. ideal self, fully functioning person, nondirective
MaslowThe five levels in order; deficiency vs. growth needs; self-actualization; peak experiences; "third force"
Existential givensYalom's four ultimate concerns; normal vs. neurotic anxiety
Frankl and MayLogotherapy, will to meaning, paradoxical intention, dereflection; May on anxiety and courage
Telling them apartGiven a counselor behavior, decide: Rogers, existential, or Frankl

Start here: what if people already know how to heal?

Psychoanalysis assumed people were driven by hidden conflicts they needed an expert to decode. Behaviorism assumed people were shaped by rewards and punishments. In the 1940s and 50s a third group of American psychologists made a different bet: that people carry within them a natural pull toward growth, the way a plant grows toward light, and that what they mostly need from a counselor is the right conditions, not expert fixing. This third force was called humanistic psychology, and its best-known figure, Carl Rogers, built the most widely used relationship model in counseling out of it. The existentialists, working alongside, agreed that the relationship heals but added a harder edge: some of what troubles people is simply the human condition, and it is to be faced, not cured.

Carl Rogers: person-centered therapy

Carl Rogers began as a child guidance worker in the 1930s and grew skeptical of the expert stance. He came to believe every organism has an actualizing tendency, an inborn drive to grow, develop and become itself. Problems arise when that tendency is blocked, and the blockage usually comes from other people's conditions.

How people get stuck: conditions of worth

A child is loved when she is quiet and good and gets cold silence when she is angry. She learns that she is worth something only under certain conditions. Rogers called these conditions of worth. To keep the love, the child disowns the parts of herself that do not qualify, and a gap opens between who she really is (the real self, her actual experience) and who she believes she must be (the ideal self, or her self-concept). Rogers called that gap incongruence, and he thought it was the source of anxiety and defensiveness. Experiences that do not fit the self-concept get distorted or denied.

Real selfIdeal selfIncongruenceLittle overlap → anxiety, defensiveness RealIdealCongruenceLarge overlap → the fully functioning person
Rogers's picture of psychological health. The goal of therapy is not to reach the ideal but to close the gap: to accept more of one's real experience into the self-concept. A person who has done that is what Rogers called the fully functioning person: open to experience, living in the present, trusting their own judgment.

How people get unstuck: the core conditions

If conditions of worth created the problem, then unconditional acceptance can undo it. Rogers argued that the counselor's job is not to interpret, advise or fix, but to provide a relationship with three qualities. In a famous 1957 paper he listed six conditions he called necessary and sufficient for change; three of them are about the counselor, and those three are what the exam means by "the core conditions."

Congruence (genuineness)
The counselor is real. No professional mask; what she shows matches what she feels. Rogers thought this was the most basic of the three.
Unconditional positive regard
The counselor accepts the client as a person regardless of what the client says or does. Prizing without conditions. Not the same as approving of every behavior.
Accurate empathic understanding
The counselor senses the client's world as if it were her own, without losing the "as if," and communicates that understanding back.
The three core conditions. If the counselor provides them, and the client perceives them, Rogers claimed growth would follow without any technique at all. That claim, "necessary and sufficient," is itself an exam item.

The other three of Rogers's six conditions are that the two people are in psychological contact, that the client is in a state of incongruence (vulnerable or anxious), and that the client perceives the counselor's empathy and regard at least to a minimal degree. That last one matters: it is not enough to feel empathy; it has to land.

What Rogers does in the room

Very little, on the surface, which is the point. The counselor is nondirective: does not set the agenda, give advice, interpret or diagnose. She reflects, restating the feeling underneath what the client said ("You sound exhausted by trying to hold it all together"), so the client hears themselves and goes deeper. She stays present and real. Rogers's approach went through three names as it broadened: nondirective (1940s), client-centered (1950s), person-centered (1970s onward), by which point he was applying it to encounter groups, education and international conflict.

In plain English. Rogers in one sentence: people grow when they are accepted as they are. In the exam, a counselor who reflects feelings, avoids advice, and trusts the client to find the way is Rogers, and the reason it works is the three core conditions.

Abraham Maslow: the ladder of needs

Abraham Maslow gave humanistic psychology its map of motivation. He noticed that people are not driven by one thing but by a sequence: when you are starving you think about food, not friendship; when you are safe and fed you start to want belonging; and so on up. He arranged the needs in a hierarchy, and he was especially interested in the top, studying healthy, creative people rather than the sick.

Self-actualizationbecoming all you can beEsteemrespect, achievement, confidenceLove and belongingfriends, family, intimacySafetysecurity, health, shelter, stabilityPhysiologicalfood, water, sleep, warmth Growth need ↑Deficiency needs Later versions add cognitive and aesthetic needs below self-actualization and transcendence above it.
Maslow's hierarchy. The bottom four are deficiency needs (D-needs): they motivate when they are lacking and go quiet when met. The top is a growth need (B-need, for "being"): it never goes quiet; the more you satisfy it, the more you want. Lower needs generally have to be mostly met before higher ones take over, though Maslow allowed exceptions.

Self-actualization is becoming everything one is capable of becoming. Maslow studied people he considered self-actualized (Lincoln, Einstein, Eleanor Roosevelt) and found common traits: accurate perception of reality, acceptance of self and others, spontaneity, a focus on problems outside themselves, autonomy, deep relationships with a few people, and peak experiences, moments of intense joy, wonder or oneness. He estimated fewer than 2 percent of people get there. Maslow also coined the phrase "third force" for humanistic psychology, after psychoanalysis and behaviorism.

The existentialists: facing what cannot be fixed

Existential therapy grew from European philosophy (Kierkegaard, Nietzsche, Heidegger, Sartre) and from psychiatrists who lived through the Second World War. Its starting point is that some human suffering is not a disorder to be treated but a response to the facts of existence, and the healthy response is to face those facts with courage and make a life anyway. It is less a set of techniques than a way of being with a client; existentialists often borrow techniques from anywhere.

Death
We will end, and we know it. Facing it makes life urgent and real.
Freedom
We author our own lives; there is no script. With freedom comes responsibility, and that is frightening.
Isolation
No one can fully enter our experience. We are alone even in love.
Meaninglessness
The universe does not hand us a purpose. We have to make one.
Yalom's four ultimate concerns, also called the existential givens. Anxiety in the face of them is normal, even healthy; it means you are awake. Existentialists distinguish that normal (existential) anxiety from neurotic anxiety, which is out of proportion, avoided rather than faced, and paralyzing.
NameContributionKey words
Rollo MayBrought European existentialism to America. Wrote on anxiety as a normal part of being human, on courage, and on love and will. Distinguished normal from neurotic anxietyThe Meaning of Anxiety; courage; "the daimonic"
Viktor FranklSurvived Nazi concentration camps and concluded that the primary human drive is the will to meaning. Founded logotherapy ("meaning therapy"). Meaning comes from three sources: work or deeds, love or relationships, and one's attitude toward unavoidable sufferingMan's Search for Meaning; paradoxical intention; dereflection; existential vacuum
Irvin YalomNamed the four ultimate concerns; wrote the standard text; emphasized the therapist's presence and honesty. Also the group therapist of the next lessonExistential Psychotherapy; the givens; "fellow travelers"
James BugentalEmphasized presence and authenticity in the therapist; the "art of the psychotherapist"Presence; searching
Ludwig Binswanger and Medard BossSwiss psychiatrists who applied Heidegger to therapy; DaseinsanalysisBeing-in-the-world (Dasein)

Frankl's two techniques

Frankl is the one existentialist with named techniques, and the exam asks about both. Paradoxical intention: the client is asked to wish for, or exaggerate, the very thing they fear. A man terrified of sweating in public is told to try to sweat as much as possible, to "show them what real sweat looks like." The fear depends on trying not to, so intending to do it breaks the cycle, often with humor. Dereflection: for problems caused by too much self-focus (performance anxiety, insomnia, sexual dysfunction), the client is directed to stop watching themselves and turn attention outward, toward the partner, the task, the meaning. You cannot fall asleep by trying; you fall asleep by attending to something else.

Existential termPlain meaning
AuthenticityLiving by your own values rather than by what others expect. The existential version of health
Bad faith (Sartre)Pretending you have no choice ("I had to," "that's just how I am") to escape the anxiety of freedom
Existential guiltGuilt not over something done but over potential left unlived; a signal, not a symptom
Existential vacuum (Frankl)The emptiness and boredom of a life without meaning
Being-in-the-world (Dasein)Heidegger's term: humans do not exist apart from their world; we are always already in a situation
Umwelt, Mitwelt, EigenweltThe three worlds we live in at once: the physical/biological, the social, and the personal/inner
I-Thou (Buber)Meeting another person as a full subject rather than as an object (I-It). The existential model of the therapy relationship
ThrownnessWe did not choose our starting point (our body, family, era); we are "thrown" into it and must respond
See it in a case · Existential anxiety or a disorder?

A 52-year-old executive comes to counseling after a colleague's sudden death. He is sleeping poorly, has lost interest in work he used to love, and keeps asking "what is the point?" He is not depressed by the usual criteria; he functions, eats, and enjoys his grandchildren. He says he feels like he has been "sleepwalking for thirty years."

  • An existentialist hears a person waking up to death and meaninglessness, not a disorder. The anxiety is normal and is doing its job.
  • Rogers would offer the core conditions and trust the client to find his way; the existentialist does that and engages the questions directly: what would a life you were awake in look like?
  • Frankl would look for the sources of meaning still available: work he chooses, love, and the attitude he takes toward his colleague's death.
  • A CBT counselor might target the sleep and the withdrawal. Not wrong, but the exam would call the existential reading "most appropriate" for this presentation.

How they fit together and where they differ

RogersExistentialists
View of the personNaturally growing; blocked by conditions of worthFree and responsible; anxious in the face of the givens
Source of anxietyIncongruence between experience and self-concept; a symptom to reduceThe human condition itself; a signal to face
Counselor's roleProvide the core conditions; nondirective; reflectAuthentic encounter; may be quite direct; confront avoidance
TechniquesAlmost none by designFew; borrowed freely; Frankl's paradoxical intention and dereflection
GoalCongruence; the fully functioning personAuthenticity; living deliberately with freedom and meaning
Shared groundThe relationship heals; the client is a responsible agent; the present matters more than the past

How the exam asks about this

Worked practice item

A client tells her counselor, "I know I should leave him, but I can't. I just don't have a choice." An existential counselor would MOST likely:

A.
Reflect the client's feeling of being trapped and wait for her to explore it furtherReflection alone is Rogers. An existentialist reflects too, but would not stop there with a statement of bad faith on the table.
B.
Help the client identify the irrational belief behind her sense of having no options"Irrational belief" is Ellis's vocabulary, not existential.
C.
Gently challenge the idea that she has no choice, exploring what choosing to stay is protecting her fromSaying "I have no choice" is Sartre's bad faith: denying one's freedom to avoid the anxiety of responsibility. The existentialist names the choice she is already making and what it costs and protects.
D.
Assign a behavioral experiment in which she practices making small independent decisionsA behavioral experiment is CBT.

Recognize the school from the counselor's behavior. Reflects feeling, offers no advice, trusts the client: Rogers. Helps the client confront death, freedom, isolation or meaning: existential. Names paradoxical intention, dereflection or the will to meaning: Frankl.

Name the condition. "The counselor's outward expression matches her inner experience": congruence. "The counselor accepts the client without judging his choices": unconditional positive regard. "The counselor understands the client's world as if from inside and says so": empathy. "Rogers considered these ___ for change": necessary and sufficient.

Maslow items. Order of the five. "Which need must generally be met before a client can work on self-esteem?" Belonging. "Deficiency versus growth needs." "Peak experiences." "Third force."

Anxiety items. "An existentialist views anxiety as…" a normal response to the givens, to be faced, not eliminated. Contrast with Rogers, who sees it as a signal of incongruence to be reduced.

Exam tip. Reflecting feeling and withholding advice: Rogers, because of the three core conditions, which are necessary and sufficient. Facing death, choice or meaning: existential. Paradoxical intention or the will to meaning: Frankl. Anxiety is a symptom for Rogers and a signal for the existentialists.
Report a problem with this lesson
Two-minute brain dump

Without scrolling up, write everything you remember from this lesson. Then check yourself against the key terms. Recalling the whole lesson once, right after reading it, does more than reading it twice.

Core conditions Actualizing tendency Conditions of worth Maslow's hierarchy Four givens (Yalom) Logotherapy (Frankl) I-Thou (Buber)
Check yourself

Ten questions from this domain, with an explanation after each answer.

Take the lesson quiz