This contribution aims at discussing the agonistic dimension of John Dewey’s pragmatism. The paper starts by reconstructing Dewey’s influence on Albert Meyer, a leading figure of 20th-century American psychiatry. This comparison will shed light on Dewey’s influence on Meyer, focusing on some core psychological notions such as mental health and growth. Moreover, it will show the key role played by the category of conflict in Dewey’s pragmatism, and how the latter can account for the darker and more problematic sides of human life. The paper ends with a quick elaboration on the notion of survivance, which denotes the ability to “go on” – both as individuals and as societies – in the face of conflict and devastation.