In this article we approach the concepts of "health" and "disease" as they have been understood within the Logotherapy of the Viennese psychiatrist Viktor Frankl, one of the most important psychotherapeutic methods of the twentieth century in psychology. This existential psychotherapy gives preeminence to the noetic or spiritual dimension of health, which has, however, been totally ignored in the debate on naturalism / normativism proper to the philosophy of medicine. Therefore, in this paper we try to show how the theoretical contributions of Viktor Frankl can contribute to the philosophical discussion about the ontological status of the disease, especially in the controversial field of psychiatry.