IJSP Number 2, 2020

47 mortality. This study shows the cases in which the existential-integrative psychotherapy is one of the more appropriate solutions for the exposure of the individual to terrifying situations and the management of the reactions to these conditions. Existential psychotherapy is also effective in treating anxieties induced by social networks [11]. These forms of social networking anxiety have not yet been officialised, but there is an unofficial terminology that refers to very real phenomena, but which have not yet been defined in the Diagnostic and Statistical Manual of Mental Disorders. Among these forms of anxieties are: the anxiety of disconnection (from the internet), nomophobia (the proposed term for the phobia name of not having a mobile phone: no-mobile-phobia), the fear of missing certain events or the so-called facebook depression. Apparently, existential psychotherapy clients can successfully cope with these new forms of difficulty, especially among the 18-year-old population, as mentioned in this study [11]. Existential psychotherapy is considered an approach cantered on the relational and intersubjective processes [12]. It focuses on the analysis of personal existential meaning and the choice and responsibility of one’s own life [13]. Therefore, it provides a deeper understanding of human existence as it would emerge from contradictory tensions [14]. Through some research, it was accepted that psychotherapy is indeed beneficial and effective for the client [15], [16], [17]. More recently, research has begun to focus on the elements that lead to the success rate of therapy; however, this topic remains quite unusual in research. The main topic is not to validate the effectiveness of psychotherapy, but rather to understand how the change occurs. Research is thereby centred more on the outcome and the process itself (Orlinsky, Ronnestad & Willutzki, 2004, in [15]). However, a very complex study conducted by Alegria [18] makes a great contribution to determining the effectiveness of existential psychotherapy. This research aims to investigate and characterize in a qualitative manner, the therapeutic processes of existential therapy diades and to link them to the outcome results. The data obtained by this study can help clarify the main condition and which therapeutic processes occur in real existential psychotherapeutic interactions, as well as the implications of these interactions in terms of the outcome of psychotherapy. The data for this study was collected from June 2011 to September 2012, but three therapies continued until 2013. The individuals included in the study took part in an existential psychotherapy for 48 weeks, which represents approximately one year of therapy. The people involved were aged between 25 and 60 years and therapists were accredited members of the Portuguese Society for Existential Psychotherapy (PSEP) with a professional experience between 6 and 13 years. In addition to the initial evaluations in which the Psychotherapy Process Q-Set (PQS) was used, all therapy sessions were recorded on audio devices. The results of the psychotherapy sessions were measured with the Clinical Outcome in the