Logotherapy, thus, represents, in part, an extension of one's self to others (Roberts & Whall, 1996). The advanced practice nurse frequently is in a caring position to guide patients through such a process.
An especially important concept for persons feeling great mental or physical pain that is incorporated into logotherapy is the meaning of the moment (Frankl, 1984). Frankl (1984) contended that one's situation frequently may be so dire that the meaning of one's life must be considered within the context of one's immediate existence as opposed to a more abstract postulation of the long-term meaning of life. Again, the advanced practice nurse frequently must care for patients whose immediate situations appear to them to be hopeless. Frankl (1984) wrote that: "Even the helpless victim of a hopeless situation facing a fate he cannot change, may rise above himself, may grow beyond himself, and by so doing may change himself. He may turn a personal tragedy into a triumph" (p. 147).
Frankl (1984) contended further that meaning in life is ever changing; thus, human life always is in a state of transition. Life's meaning under such circumstances, according to Frankl (1967) may be discovered through performing acts, experiencing values, and suffering. According to Frankl (1967), when individuals are confronted with inescapable or unavoidable suffering, such as an incurable illness, they are ready to suffer under