[Validity of the existentialist approach in psychiatry].

One essential premise of this revision work is to raise the impossibility of psychiatric action without a solid psychotherapeutic attitude. And before this position is the existentialist approach as an interesting possibility to consolidate the psychiatric clinic; a clinic which should not lose sight of the old Socratic ideal of applying philosophy to understand daily life and not be trapped in the modest role of prescribing drugs according to the "cartography" of diagnostic manuals. Existentialist psychotherapeutic trends add the spiritual instance to the traditional approach of the bio-psycho-social framework that tries to account for the human condition. In this work, another framework is proposed: bio-psycho-social (de-programmed)-mortal. On this existentialist conception, two essential aspects of philosophy and psychiatric clinic are emphasized: freedom and death. Finally, a type of classification that delimits two existential psychotherapeutic postures is proposed: one which is identified as existential dynamic psychotherapy, and another one, as existential psychoanalytic psychotherapy.