Psychotherapists are mostly interessed in intra-psychic conflicts, or in disturbed learning processes, or in system disturbances. A fourth dimension, the existential meaning, is often left aside. This article points to the loss, this averse attitude brings with it. The causes are mainly situated in the scientific reductionism of the psychological science and in the disappearance of symbolic language, as one still can find in poetry and religion. However, a new interest is growing for metaforic and narrative language in psychotherapy as a result of a dissatisfaction with the reductionistic procedures.