a conflict that flows from the individual’s confrontation with the givens of existence. And I mean by ‘givens’ of existence certain ultimate concerns, certain intrinsic properties that are a part, and an inescapable part, of the human being’s existence in the world.
Yalom defines existential psychodynamics as rooted not in instinct or internalized objects but in the individual’s unavoidable confrontation with the ultimate structural conditions of human existence.
, Existential Psychotherapy, 1980thesis