Existential frustration is not pathological or pathogenic, not every conflict is necessary neurotic, suffering is not always a pathological phenomenon. The search for meaning may lead to tension rather than equilibrium, but each tension is not pathological it is rather an indispensable prerequisite of mental health.

The Nature of Neuroses and Psychoses

Although existential conflicts may exist without neurosis, every neurosis has an existential aspect. Neurosis are grounded in the four basically didderent dimensions of man's being the physical, the psychological, the societal, and the existential or spiritual. For example, Noegenic neuroses do not emerge from conflicts between drives and instincts, but rather from conflicts between various values, in other words, from moral conflicts, and spiritual problems.

Frankl believe that the collective neurosis is characteristics of four symptoms: (1) modern man day to day attitude toward life, (2) man's fatalistic attitude toward life, (3) man's collective thinking, and the final symptom is fanaticism. Ultimately, all four symptoms can be traced back to man's fear of responsibility and his escape from freedom.