Existential Therapy Across Cultures: Reflections from New Zealand

Authors

  • Simon Wharne Author

DOI:

https://doi.org/10.65828/mb5qbs89

Keywords:

Existential therapy, cross-cultural, recovery model, cultural sensitivity, indigenous worldviews, social inclusion

Abstract

Mental health services might be commissioned to provide contradictory interventions, such as symptom reduction or the recovery of wellbeing. Culturally sensitive or evidence-based interventions can pose dilemmas. Therapists in New Zealand mental health services face these dilemmas, and a move to existential therapy would align more closely with the worldview of indigenous populations.

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References

Abdul-Hamid, H. (2013). Negotiating identities and belonging: The experiences of second-generation Malaysians in Britain. Journal of Ethnic and Migration Studies. 39 (2): 223-242.

Alegria, M., Atkins, M., Farmer, E., Slaton, E. & Stelk, W. (2010). One size does not fit all: Taking diversity, culture and context seriously. Administration and Policy in Mental Health and Mental Health Services Research. 37 (1-2): 48-60. DOI: https://doi.org/10.1007/s10488-010-0283-2

American Psychological Association (2013). Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington, DC: American Psychiatric Publishing. DOI: https://doi.org/10.1176/appi.books.9780890425596

Ani Casmir, K.C., Ome, E. & Nwankwo, A. (2014). Re-examination of Igbo values system, and the Igbo personality: A Kantian and African comparative perspective. Open Journal of Philosophy. 4 (3): 397-403. http://dx. DOI: https://doi.org/10.4236/ojpp.2014.43043

Anthias, F. (2001). New hybridities, old concepts: the limits of 'culture'. Ethnic and Racial Studies. 24(4): 619-641. DOI: https://doi.org/10.1080/0141987012004981

Antoine, A., Mason, R., Mason, R., Palahicky, S. & Rodriguez de France, C. (2018). Pulling Together: A guide for curriculum developers. BCcampus. https://opentextbc.ca/indigenizationcurriculumdevelopers/ [Accessed on 20th August 2025]

Buber, M . (1958 [1937]). I and Thou. Trans. Smith, G. 2nd ed. New York, NY: Scribners.

Burns, C., Hetaraka, M. & Jones, A. (2024). Te Tiriti o Waitangi: The Treaty of Waitangi, principles and other representations. New Zealand Journal of Educational Studies. 59: 15-29. DOI: https://doi.org/10.1007/s40841-024-00312-y

Cassaniti, J. (2019). Keeping it together: Idioms of resilience and distress in Thai Buddhist mindlessness. Transcultural Psychiatry. 56 (4): 697-719. DOI: https://doi.org/10.1177/1363461519847303

Chassagne, N. (2019). Sustaining the 'Good Life': Buen Vivir as an alternative to sustainable development. Community Development Journal. 54 (3): 482-500. DOI: https://doi.org/10.1093/cdj/bsx062

Dalal, F. (2018). CBT: The cognitive behavioural tsunami. London: Routledge. DOI: https://doi.org/10.4324/9780429457814

DelVecchio Good, M-J. & Hannah, S.D. (2024). 'Shattering culture': perspectives on cultural competence and evidence-based practice in mental health services. Transcultural Psychiatry. 52 (2): 198-221. DOI: https://doi.org/10.1177/1363461514557348

Deurzen, E. van & Arnold-Baker, C. (2018). Existential Therapy: Distinctive features. London: Routledge. DOI: https://doi.org/10.4324/9781315461939

Deurzen, E. van & Arnold-Baker, C. (2025). Structural Existential Analysis: An existential-phenomenological method for researching life. London: Routledge. DOI: https://doi.org/10.4324/9781003148043

Durie, M. (2009). Maori knowledge and medical science: The interface between psychiatry and traditional healing in New Zealand. In Incayawar, M., Wintrob, R. & Bouchard, L. (eds.) Psychiatrists and Traditional Healers: Unwitting partners in global mental health. Bognor Regis: Wiley. 237-249. DOI: https://doi.org/10.1002/9780470741054.ch19

Durie, M. (2001). Mauri ora: The dynamics of Māori health. Auckland: Oxford University Press.

Edge, D. & Lemetyinen, H. (2019). Psychology across cultures: Challenges and opportunities. Psychology and Psychotherapy: Theory, research and practice. 92 (2): 261-276. DOI: https://doi.org/10.1111/papt.12229

Fa'ailili Fidow, J., Moselen, E., Denny, S., Dixon, R., Teevale, T., Ikihele, A., Clark, T. & Group AHR (2016). Youth'12: The health and wellbeing of secondary school students in New Zealand – Results for Pacific young people. Auckland: University of Auckland. [Accessed on 20th August 2025.]

Foucault, M. (1973). The Birth of the Clinic: An archaeology of medical perception. Trans. Sheridan, A.M. London: Tavistock. DOI: https://doi.org/10.2307/2800095

Futter-Puati, D. & Maua-Hodges, T. (2019). Stitching tivaevae: a Cook Islands research method. AlterNative. 15 (2): 140-149. DOI: https://doi.org/10.1177/1177180119836788

Greene-Moton, E. & Minkler, M. (2020). Cultural competence or cultural humility? Moving beyond the debate. Health Promotion Practice. 21 (1): 142-145. DOI: https://doi.org/10.1177/1524839919988491

Hamer, P. (2015). A quarter-century of the Waitangi Tribunal responding to the challenge. In Hayward, J. & Wheen N. (eds.) The Waitangi Tribunal: Te roopu whakamana i te Tiriti o Waitangi. Wellington: Bridget Williams Books. 3-14. DOI: https://doi.org/10.7810/9781877242328_1

Hannah S.D. (2011). Clinical care in environments of hyperdiversity. In Good M-J.D., Willen S.S., Hannah S.D., Vickery, K., Park L.T. (eds.) Shattering Culture: American medicine responds to cultural diversity. New York, NY: Russell Sage Foundation. 35-69.

Henrich, J. (2020). The WEIRDest People in the World: How the West became psychologically peculiar and particularly prosperous. New York, NY: Farrar, Straus & Giroux.

Hoffman, L. (2009). Introduction to existential psychotherapy in a cross-cultural context: An East-West dialogue. In Hoffman, L., Yang, M., Kaklauskas, F.J. & Chan, A. (eds.) Existential Psychology East-West. Denver, CO: University of the Rockies Press. 1-67.

Hoffman, L. & Cleare-Hoffman, H.P. (2011). Existential therapy and emotions: Lessons from cross-cultural exchange. The Humanistic Psychologist. 39 (3): 261-267. .594342 [Accessed on 20th August 2025]. DOI: https://doi.org/10.1080/08873267.2011

Hoffman, L. & Kurzenberger, M. (2008). Premodern, modern, and postmodern ways of interpreting the miraculous and mental illness from religious and psychological perspectives. In Ellens, H. (ed.) Miracles: God, science and psychology in the paranormal. Vol. 3. Westport, CT: Praeger. 65-93.

Holzhey-Kunz, A. (2019). Philosophy and theory: Daseinsanalysis – an ontological approach to psychic suffering based on the philosophy of Martin Heidegger. In Deurzen, E. van, Craig, E., Langle, A., Schneider, K.J., Tantam, D. & du Plock, S. (eds.) The Wiley World Handbook of Existential Therapy. 55-67. Oxford: Wiley Blackwell. DOI: https://doi.org/10.1002/9781119167198.ch2

Ioane, J. (2022). Faifai mālie: Balancing ourselves in our journey with Pasifika communities in person-centered and experiential psychotherapy and counselling. Person-Centered & Experiential Psychotherapies. 21 (2): 129-143. DOI: https://doi.org/10.1080/14779757.2022.2067586

Johansson Fua, S. (2021). Kakala research framework: A garland in celebration of a decade of rethinking education. In Nabobo-Baba, M.O.U. & Johansson Fua, S. (eds.) Of Waves, Winds and Wonderful Things: Selected papers from the 2011 Vaka Paifiki Education Conference Institute of Education, The University of the South Pacific. 65-78.

Johnstone, L. & Boyle, M. (2018). The Power Threat Meaning Framework. London: British Psychological Society.

Kaiser, B.N. & Jo Weaver, L. (2019). Culture-bound syndromes, idioms of distress, and cultural concepts of distress: New directions for an old concept in psychological anthropology. Transcultural psychiatry. 56 (4): 589-598. DOI: https://doi.org/10.1177/1363461519862708

Keetharuth, A.D., Brazier, J., Connell, J. et al (2018). Recovering quality of life (ReQoL): A new generic self-reported outcome measure for use with people experiencing mental health difficulties. The British Journal of Psychiatry. 212 (1): 42-49. DOI: https://doi.org/10.1192/bjp.2017.10

Kennedy-Martin, T., Curtis, S., Faries, D. et al. (2015). A literature review on the representativeness of randomized controlled trial samples and implications for the external validity of trial results. Trials. 16: 495. DOI: https://doi.org/10.1186/s13063-015-1023-4

Leamy, M., Bird, V., Boutillier, C.L., Williams, J. & Slade, M. (2011). Conceptual framework for personal recovery in mental health: Systematic review and narrative synthesis. British Journal of Psychiatry. 199 (6): 445-452. DOI: https://doi.org/10.1192/bjp.bp.110.083733

Levinas, E. (1987). Collected philosophical papers. Trans. Lingis, A. Leiden: Martinus Nijhoff. DOI: https://doi.org/10.1007/978-94-009-4364-3

Linehan, M.M., Korslund, K.E., Harned, M. S. et al. (2015). Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: A randomized clinical trial and component analysis. JAMA Psychiatry. 72 (5): 475-482. DOI: https://doi.org/10.1001/jamapsychiatry.2014.3039

Manen, M. Van (2014). Phenomenology of Practice: Meaning-giving methods in phenomenological research and writing. London: Routledge. DOI: https://doi.org/10.4324/9781315422657

Mansfield, M. (2017). Strategies for trauma awareness and resilience programme: Experiential education towards resilience and trauma informed people and practice. Intervention. 15 (3): 264-277. DOI: https://doi.org/10.1097/WTF.0000000000000164

Maua-Hodges, T. (2016). Pacific Research and Ethics: The Tivaevae framework. Porirua: Whitirea Polytechnic.

May, R. (1958). Existence. Washington, DC: The Rowman & Littlefield Publishing Group.

Meyer, I.H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior. 36(1), 38–56. DOI: https://doi.org/10.2307/2137286

Moncrieff, J. (2008). The Myth of the Chemical Cure. London: Palgrave Macmillan. DOI: https://doi.org/10.1057/9780230589445

Mulipola, T.I., Holroyd, E. & Vaka, S. (2023). Using Fa'afaletui to explore Samoan consumers' experience and interpretation of mental health person-centred care in Aotearoa, New Zealand. International Journal of Mental Health Nursing. 32: 513-523. DOI: https://doi.org/10.1111/inm.13090

Nefale, M.C. & Dyk, G.A.J.V. (2003). Ubuntu therapy: A psychotherapeutic model for the African client. In Madu, N.S. (ed.) Contributions to Psychotherapy in Africa. UNIN Press. 7-20.

New Zealand Psychological Society/Rōpū Mātai Hinengaro o Aotearoa (2025). Position statements. Position Statements: NZ Psychological Society. [Accessed on 12th June 2025.]

O'Sullivan, D. (2020). Sharing the Sovereign: Indigenous peoples, recognition, treaties and the state. New York, NY: Springer. DOI: https://doi.org/10.1007/978-981-33-4172-2

Pulotu Endermann, F. (2001). The Fonofale Model of Health: A Pacific island model for health promotion. https://hpfnz.org.nz/assets/Fonofalemodelexplanation.pdf [Accessed on 20th August 2025]

Rapley, M., Moncrieff, J. & Dillon, J. (2011). Demedicialising Misery. London: Palgrave Macmillan. DOI: https://doi.org/10.1057/9780230342507

Rochford, T. (2004). Whare Tapa Wha: A Māori model of a unified theory of health. The Journal of Primary Prevention. 25: 41-57. DOI: https://doi.org/10.1023/B:JOPP.0000039938.39574.9e

Romano, C. (2009). Event and World. Trans. Mackinlay, S. New York, NY: Fordham University Press.

Schneider, K.J. (ed.) (2008). Existential-Integrative Psychotherapy: Guideposts to the core of practice. New York, NY: Guilford Press. DOI: https://doi.org/10.4324/9780203941119

Schroer, S.A. (2019). Jakob von Uexküll: The concept of Umwelt and its potentials for an anthropology beyond the human. Ethnos. 86 (1): 132-152. DOI: https://doi.org/10.1080/00141844.2019.1606841

Tamasese, K., Peteru, C., Waldegrave, C. & Bush, A. (2005). Ole Taeao Afua, the new morning: a qualitative investigation into Samoan perspectives on mental health and culturally appropriate services. Australian and New Zealand Journal of Psychiatry. 39: 300-309. DOI: https://doi.org/10.1080/j.1440-1614.2005.01572.x

Tan, Y.Y., Papez, V., Chang, W.H., Mueller, S.H., Denaxas, S. & Lai, A.G. (2022). Comparing clinical trial population representativeness to real-world populations: an external validity analysis encompassing 43 895 trials and 5 685 738 individuals across 989 unique drugs and 286 conditions in England. The Lancet Healthy Longevity. 3 (10): e674-e689. DOI: https://doi.org/10.1016/S2666-7568(22)00186-6

Te Ava, A. & Page, A. (2020). How the Tivaevae model can be used as an indigenous methodology in Cook Islands education settings. The Australian Journal of Indigenous Education. 49 (1): 70-76. DOI: https://doi.org/10.1017/jie.2018.9

Tervalon, M. & Murray-Garcia, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved. 9: 117-125. DOI: https://doi.org/10.1353/hpu.2010.0233

Thaman, K.H. (1997). Kakala: A Pacific concept of teaching and learning. Paper presented at the Australian College of Education National Conference. Cairns.

Tully, P.J., Wittert, G., Selkow, T. & Baumeister, H. (2014). The real world mental health needs of heart failure patients are not reflected by the depression randomized controlled trial evidence. PLoS One. 9 (1): e85928. DOI: https://doi.org/10.1371/journal.pone.0085928

Vaioleti, T.M. (2006). Talanoa research methodology: a developing position on Pacific research. Waikato J Education. 12: 21-34. DOI: https://doi.org/10.15663/wje.v12i1.296

Vontress, C.E. (1983). An existential approach to cross-cultural counseling. Counseling and Values. 28 (1): 2-12. DOI: https://doi.org/10.1002/j.2161-007X.1983.tb01142.x

Vontress, C.E. & Epp, L.R. (2015). Existential cross-cultural counseling: The courage to be an existential counselor. In Schneider, K.J., Pierson, J.F. & Bugental, J.F. (eds.) The Handbook of Humanistic Psychology: Theory, research and practice. 2nd ed. London: Sage. 473-490. DOI: https://doi.org/10.4135/9781483387864.n38

Vos, J. (2022). The meaning sextet: A systematic literature review and further validation of a universal typology of meaning in life. Journal of Constructivist Psychology. 36: 1-28. DOI: https://doi.org/10.1080/10720537.2022.2068709

Wang, X. (2011). Zhi Mian and existential psychology. The Humanistic Psychologist. 39 (3): 240-246. .592465 [Accessed on 20th August 2025]. DOI: https://doi.org/10.1080/08873267.2011

Watson, C., Ventriglio, A. & Bhugra, D. (2021) Cultural bereavement, cultural congruity, and identities. In Bhugra, D. (ed.) Oxford Textbook of Migrant Psychiatry, Oxford Textbooks in Psychiatry (Oxford, 2021; online edn, Oxford Academic, 1 Jan. 2021). DOI: https://doi.org/10.1093/med/9780198833741.003.0037

Wharne, S. (2020). How is distress understood in existential philosophies and can phenomenological therapeutic practices be 'evidence-based'? Theory & Psychology. 31 (2): 1-17. DOI: https://doi.org/10.1177/0959354320964586

Wharne, S. (ed.) (2025 due for publication). Psychological Growth After Trauma: Insights from phenomenological research. London: Routledge DOI: https://doi.org/10.4324/9781003493860

Williams, C., Firn, M., MacPherson, R. & Wharne, S. (2011). Assertive Outreach in Mental Healthcare: Current perspectives. Oxford: Wiley. DOI: https://doi.org/10.1093/oso/9780198516156.001.0001

Wilson, P.M. & Appel, S.W. (2013). Existential counselling and psychotherapy and Māori clients. Asia Pacific Journal of Counselling and Psychotherapy. 4 (2): 137-146. DOI: https://doi.org/10.1080/21507686.2013.822400

Yalom, I.D. (1980). Existential Psychotherapy. New York, NY: Basic Books.

Yau, N. (2007). Celtic tiger, hidden dragon: Exploring identity among second generation Chinese in Ireland. Translocations. 2 (1): 48-69.

Yu, T.T.F. & Wong, P.T.P. (2024). Existential wellbeing may be of utmost importance to many people. Academia Mental Health and Well-Being. 1 (3). DOI: https://doi.org/10.20935/MHealthWellB7416

Published

2026-01-01

Cite This Article

Existential Therapy Across Cultures: Reflections from New Zealand. (2026). Existential Analysis: Journal of the Society for Existential Analysis, 37(1), 115-134. https://doi.org/10.65828/mb5qbs89
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