Prefer a shorter read? Try Living between two worlds
When a person walks into a therapist's office and says, "I don't know who I am anymore," they are voicing a problem that sits at the crossroads of at least three intellectual traditions. Anthropology asks how human beings come to be the kinds of selves their cultures make possible. Philosophy of identity asks what it means for a person to persist, cohere, and matter as a distinct being. And existential therapy asks how a person can live authentically and meaningfully in the face of freedom, mortality, isolation, and the ever-present threat of meaninglessness. These traditions rarely speak to one another directly, yet each is incomplete without the others. This article explores their intersection and argues that existential therapy becomes richer, humbler, and more effective when it takes anthropology's central lesson seriously: the self that suffers is always a self formed somewhere, among particular people, within a particular web of meaning.
Anthropology and the cultural construction of the self
Anthropology's most enduring contribution to the study of identity is the demonstration that the "self" is not a universal given but a cultural achievement. Clifford Geertz famously described the Western conception of the person — a bounded, unique, more or less integrated motivational and cognitive universe, set contrastively against other such selves and against a social and natural background — as a rather peculiar idea within the context of the world's cultures. In many societies, personhood is understood relationally rather than individually. The Melanesian "dividual" described by Marilyn Strathern is composed of relationships rather than standing apart from them. In many African philosophical traditions, the Ubuntu principle — "I am because we are" — locates the person within community as a matter of ontology, not merely sentiment. In Confucian-influenced East Asian contexts, the self is often experienced as a node in a network of obligations and roles, cultivated through ritual propriety rather than discovered through introspection.
This matters enormously for any therapeutic project. If the self is culturally constituted, then distress about identity is never purely a private psychological event. It is also a social and historical event. The anthropologist Arthur Kleinman, working at the boundary of medicine and ethnography, showed that even the categories through which suffering is expressed — depression, neurasthenia, soul loss, nervios — are cultural idioms. People do not simply have universal disorders that culture then decorates; the experience of distress is shaped all the way down by the meanings available to the sufferer. What counts as a crisis of identity in Manchester may be unintelligible in Port Moresby, and vice versa.
Anthropology also reminds us that modern identity troubles have a history. The expectation that each person should possess an authentic inner self, discover it, express it, and build a life around it is, as Charles Taylor traced in Sources of the Self, a distinctly modern Western development, emerging from Romanticism, Protestant inwardness, and the erosion of fixed social hierarchies. When people today feel crushed by the imperative to "be themselves" or to curate an identity across careers, relationships, and social media, they are struggling not with a timeless human predicament in its raw form but with a culturally specific intensification of it.
Identity: between essence and project
Philosophically, identity has been pulled between two poles. The essentialist view holds that there is a true self — a core of character, temperament, or soul — waiting to be uncovered. The constructivist view, dominant in much of twentieth-century social science, holds that identity is assembled from social materials: roles, narratives, categories, and recognitions granted or withheld by others. Erik Erikson, who coined the term "identity crisis," stood interestingly between these poles: he saw identity as a psychosocial achievement, negotiated between the individual's inner continuity and the community's willingness to recognize that continuity.
Existentialist philosophy cuts across this debate with a third position: identity is neither found nor merely assigned, but chosen and enacted. Sartre's dictum that existence precedes essence means that a human being first exists, encounters herself, and only afterwards defines herself through her projects. Heidegger's analysis of Dasein describes a being whose very existence is a question for itself, always thrown into a world it did not choose, yet always responsible for how it takes up that thrownness. On this view, the anxiety people feel about identity is not a malfunction. It is the accurate perception of a real condition: we are the kind of creature that must continually author itself without a script, and no achieved identity ever settles the matter for good.
Yet the existentialist picture, taken alone, risks a kind of heroic individualism that anthropology rightly complicates. The choosing self does not choose in a vacuum. Sartre's later work, and the whole tradition of existential phenomenology after Merleau-Ponty, acknowledged that freedom is always situated freedom. We choose from within a language, a body, a history, a set of social positions that make some possibilities visible and others literally unthinkable. Anthropology supplies the fine grain of this situatedness. Thrownness is not an abstraction; it is being thrown into caste, kinship, colonial aftermath, migration, class, gender regimes, and cosmologies. Identity, then, is best understood as a negotiation: a project undertaken with materials one did not select, before audiences one cannot fully control.
Existential therapy: working with the human condition
Existential therapy emerged in the mid-twentieth century through figures such as Ludwig Binswanger and Medard Boss in Europe, Viktor Frankl with his logotherapy, Rollo May in the United States, and later Irvin Yalom and Emmy van Deurzen. Against the mechanistic tendencies of both psychoanalysis and behaviorism, existential therapists insisted that human distress cannot be fully understood as symptom or dysfunction. Much of what brings people to therapy, they argued, is confrontation — often disguised, often deferred — with the givens of existence. Yalom's influential formulation names four: death, freedom, isolation, and meaninglessness. Van Deurzen frames the work as helping clients live more deliberately across four dimensions of existence: the physical, the social, the personal, and the spiritual.
In practice, existential therapy is less a set of techniques than a stance. The therapist meets the client as a fellow traveler rather than an expert repairing a broken mechanism. The work is phenomenological: it attends closely to how the client actually experiences their world, bracketing diagnostic categories where possible. It is also frankly philosophical: it treats questions like "What am I living for?" and "Who am I when my roles are stripped away?" as legitimate clinical material rather than intellectualization to be interpreted away.
Identity is central to this work because identity is where the givens of existence become personal. Death threatens not just the organism but the narrative — the self I have spent decades building. Freedom is frightening precisely because it means my identity is my responsibility; bad faith, in Sartre's sense, is the attempt to escape that responsibility by pretending to be nothing but my role, my diagnosis, my past, or my culture's expectations. Isolation is the discovery that no identity, however socially confirmed, spares me the ultimate task of existing as myself. And meaninglessness looms wherever the frameworks that once told me who I was — religion, tradition, career, family structure — lose their grip.
The synthesis: an anthropologically informed existential therapy
What happens when these traditions are brought into genuine conversation? Several things, each with practical consequences.
First, the existential givens get culturally inflected. Death is universal, but the meanings of death, the rituals surrounding it, and the extent to which it is integrated into daily life vary dramatically. A therapist working with a client from a culture with strong ancestor veneration should not assume that death anxiety takes the shape Yalom described among secular North Americans. Similarly, "isolation" lands differently for someone raised within a relational conception of personhood; for such a client, the terror may not be existential aloneness so much as the threat of severed relation — a subtle but clinically crucial difference. Frankl's insight that meaning is found rather than manufactured takes on new dimensions when we recognize that cultures differ in where they locate meaning: in transcendence, in lineage, in duty, in self-expression.
Second, anthropology guards existential therapy against smuggling in a culturally parochial ideal of the self under the banner of "authenticity." If a therapist implicitly equates authentic living with individuation, self-assertion, and separation from family expectation, therapy can become an instrument of cultural conversion rather than liberation. For a second-generation immigrant client torn between a communal identity and the individualist scripts of their new society, the authentic path is not automatically the individualist one. Authenticity, properly understood, is not a particular lifestyle but a quality of ownership: the degree to which a person takes up their situation knowingly and responsibly, whatever they then choose. One can authentically choose duty, tradition, and belonging. One can inauthentically perform rebellion.
Third, the synthesis illuminates a characteristically contemporary form of suffering: identity distress in conditions of cultural multiplicity. Globalization, migration, digital life, and rapid social change mean that vast numbers of people now live between worlds — code-switching across languages, value systems, and conceptions of the good. Anthropologists describe this as hybridity or liminality; Victor Turner's account of the liminal person, "betwixt and between" stable social positions, describes many modern lives almost uncannily well. Existential therapy is unusually well suited to this predicament, because it does not require a stable cultural framework to operate. Its questions — What is given? What is chosen? What do you owe, and to whom? What would it mean to stand behind your life? — travel across frameworks. But it needs anthropology to understand what the client is actually between.
Fourth, the conversation runs both ways: existential thought offers anthropology, and culturally focused therapies, a corrective of their own. Pure constructivism can become its own form of bad faith — "my culture made me, so I am not responsible." However thoroughly the self is culturally formed, there remains an irreducible remainder: the one who must live this formation, respond to it, and answer for what they do next. Ethnographies of moral life, such as those in the growing field of the anthropology of ethics associated with scholars like Jarrett Zigon and Cheryl Mattingly, increasingly recognize this — people everywhere are not merely enacting culture but struggling, evaluating, and striving within it. That struggle is the existential moment inside every cultural life, and it is precisely where therapy does its work.
Clinical implications
For practitioners, this synthesis suggests a discipline of double vision. In one eye, the universal: this client, like every human being, is finite, free within limits, ultimately answerable for their existence, and in need of meaning. In the other eye, the particular: this client's finitude, freedom, and meaning are lived through specific cultural materials that the therapist may only partially understand and should approach with genuine curiosity rather than assumed expertise. The phenomenological method already at the heart of existential practice — bracketing assumptions, staying close to the client's lived experience — is, in effect, a clinical ethnography of one. Done well, it treats the client as the primary informant on their own lifeworld.
It also suggests specific cautions. Interpretations should be offered as questions, not verdicts. The therapist should be alert to the difference between distress caused by a client's evasion of existential realities and distress caused by social realities — racism, displacement, precarity — that no amount of authentic choosing dissolves, though how one stands toward them remains a genuine domain of freedom. And the goal of therapy should be framed with cultural humility: not the production of a standard-issue autonomous individual, but the emergence of a person more capable of inhabiting their own life deliberately, whatever shape that life takes.
Conclusion
Anthropology teaches that there is no self before culture; existential philosophy teaches that culture never finishes the self. Between these truths lies the space in which identity is actually lived — and in which therapy actually happens. A person in identity crisis is simultaneously a cultural being whose inherited meanings have frayed and an existential being confronted, perhaps for the first time nakedly, with the task of self-authorship. Existential therapy that ignores the first becomes a subtle imperialism of the sovereign individual. Cultural analysis that ignores the second becomes a determinism that robs people of the very agency therapy exists to strengthen. Held together, they offer something rare: a way of accompanying human beings that honors both where they come from and the fact that, wherever that is, the question of how to live remains theirs to answer.
Further reading
Clifford Geertz, The Interpretation of Cultures; Charles Taylor, Sources of the Self; Arthur Kleinman, The Illness Narratives; Irvin Yalom, Existential Psychotherapy; Emmy van Deurzen, Existential Counselling and Psychotherapy in Practice; Viktor Frankl, Man's Search for Meaning; Victor Turner, The Ritual Process; Cheryl Mattingly, Moral Laboratories.
This article is intended for general information and reflection. It is not a substitute for professional mental health assessment or treatment. If you are experiencing significant distress, please speak with a qualified counsellor, therapist, or your GP.