Becoming Myself: A Psychiatrist's Memoir

A Psychiatrist’s Well Lived Life Irvin D. Yalom. “Becoming Myself. A Psychiatrist’s Memoir.” New York: Basic Books, 2017. I like books written by mental health clinicians who have lived a full life, and use their wealth of experience to tell us informative stories. Yalom tells stories, shares the importance of his dreams and those of his patients, his ways of doing therapy and his journey from 1930’s Washington D.C. to present day Palo Alto – along with his side trips around the world, not to mention all the remarkable people he met. At 85 years of age, Yalom still sees patients, consults, writes --- and has much to say in this wonderful memoir. He is an emeritus professor of psychiatry at Stanford University in Palo, Alto California. He has authored many books including: The Schopenhauer Cure, The Gift of Therapy, Concise Guide to Group Psychotherapy, Lying on the Couch, Momma and the Meaning of Life, and Existential Therapy. My favorite part of his memoir is when he discusses his ideas about his book Existential Therapy – a book I treasure. Before reading Yalom’s Existential Therapy book I found readings on existential philosophy filled with barbed wire prose. But not Yalom --- he steeped himself in the writings of Rollo May, among other existential writers --- and even entered therapy with May. Yalom writes: “I gradually drifted away from my original affiliation with medical science and began grounding myself in the humanities…I embraced Nietzsche, Sartre, Camus, Schopenhauer, and Epicurus…Dostoevsky, Tolstoy, Beckett, Kundera…” For example, Yalom focused on death anxiety, and started a group for females with breast cancer – to confront his own fears and help others. Yalom writes about one of his patients who said: “What a pity I had to wait until now, until my body was riddled with cancer, to learn to how to live.” Yalom says the above phrase took up permanent residence in his mind and helped shape his practice of existential therapy. Yalom writes: “though the reality of death may destroy us, the idea of death may save us. It brings home the realization that since we have only one chance at life, we should live it fully and end it with the fewest of regrets possible.” Yalom divided his book on existential therapy in four sections: the ultimate concerns: death, freedom, isolation and meaning. He confronts our anxieties about death --- drawing on the works of philosophers and writers, and his work with dying patients. He takes up freedom as the ultimate concern of many existential thinkers---a freedom that demands we are the authors of our own lives and must take responsibility for our actions. For Yalom, isolation is not interpersonal isolation but the idea that we are each thrown alone into the world and depart alone. He discusses isolation by focusing on the therapist-patient relationship --- examines our wishes to fuse with another and our fear of individuation. His 4th concern, meaning, touches on such questions as “What is the meaning of life? Why are we here? What sense does life have?

Beautiful, thoughtful writing, fascinating life, lots of cool insights. I have a BA in Philosophy from UC Berkeley (1967) and I appreciate Dr. Yalom's study of and appreciation for the cool dudes of philosophy. I love all Dr. Yalom's books. Reading his memoir, I was able to revisit some of my favorite old haunts because Yalom lives in Palo Alto and I used to live in Redwood City and ride my bike around the Stanford campus. The Stanford University Bookstore was a favorite stop because it has a great selection of books by its wonderful faculty. I used to ride to the art cinema in Palo Alto and get an ice cream cone so I have fond memories of that little village where he lives. I also lived in Hawaii for a couple of years and in Greece for a year as did Dr. Yalom. Even though I never met Dr. Yalom, he covers the same zeitgeist as experienced by my generation, with better writing and greater depth of understanding than most of us could produce. We have in Dr. Yalom's memoir a great documentation of our shared history, humanity and few regrets.

Buen libro, me encanta el autor. El libro usado que pedí decía “como nuevo” pero no está en tan buen estado.

I was introduced to Yalom's work in a graduate-level Existential Psych course. He has since become one of my favorite authors, and this book only reaffirms my love for his literary style. His warmth and caring nature leap off the pages! Speaking as a person born and raised in the world of psychology, Becoming Myself is relatable, entertaining, and remarkably authentic. I continually find myself taking Yalom's thoughts and applying them to my own practice. Reading his reflections on his life also added considerable depth to my understanding of his other works (If you haven't read Love's Executioner or The Gift of Therapy, you should definitely go get them too). A brilliant, personal work. Essential reading for anyone looking to live life to the fullest.

Psychotherapy is a delicate and an ever-changing environment. To understand it, let alone explain it, is a task not many are prepared to master. Dr. Yalom is amongst the greatest of thinkers, writers and teachers in the field of psychotherapy. In particular, his Memoir is another brick laid to the foundation of what every aspiring therapist needs to read. Becoming Myself is a masterpiece in self-reflection: a page-by-page journey in understanding regret, love, anxiety, loyalty, perseverance, but most of all…honesty. This book, like all of Yalom’s texts, is unequivocally a true gift to therapy. As of this review, I have but a few chapters left unattended. I savor these last pages, as this book may be Yalom’s last…and so I “ration it and fight the urge to devour it all at once” (Becoming Myself, Ch.11). A must read for every generation and a book so inspiring it will never collect dust!

This book was so validating to me about my struggles with getting older and wanting to work indefinitely. I know now that I can and I can still help people. Beautifully written.

I'm so impressed with and cannot stop talking about the author’s latest work, which has opened up new vistas for me both in my work as a therapist and as a person. Not taking into consideration his unique writing ability, his stellar educational credentials and his high level of professional experience, I see some parallels in our two lives. Although I had wanted to go to med school and I had wanted to become a writer, after many years of struggle in various sales and marketing endeavors, I finally and belatedly got into the psychotherapy field in the year 2001, when I became 60. I have been a practicing clinician since that time. This is an amazing book and has provided me with tremendous insight and fleshed out my place on the Great Mandalla of therapy.

a most helpful memoir for our own journey of „ becoming ourselves“ as we are growing older and closer to death😊

Having been an avid reader of Yalom, I was relishing reading his memoir. With the knowledge that he intended this memoir to be his last book, I suspected that would make it a more complex experience (both for him as writer and for me as reader). I often slow down when approaching the end of any of Irvin’s books, savoring the last pages and delaying the inevitable end. Knowing that this was intended to be his last book carried with it an in-built sense of loss from the outset as opposed to just at the end. Quite fitting then that Irvin provided this information publicly for his readers rather than shying away from it. Not only does that demonstrate the kind of transparency that he has long advocated in his therapeutic work, but it also serves as an example of a non-avoidant approach to an ending. To his readers then, not only to his patients, he is offering an opportunity to engage in something meaningful knowing that it will be finite. Irvin makes that choice himself not once, but many times throughout his life. Reflecting back through all his years of both group and individual work with terminally ill patients, we get to see the value in that choice for both him and his patients. In his personal life too, we get to see that the same choices are apparent. At 86, he has lost close friends, colleagues, family members and members of his unique leaderless support group of therapists. Irvin still chooses engagement over avoidance. Love and the accompanying loss win out each time over withdrawing from attachments in order to lessen the loss. Given that he has dedicated much of his working life to philosophizing about such issues, “Becoming Myself” provides a unique opportunity to learn about what he knows about how events in his own life informed and fueled the evolution of these ideas. In life, as with most good stories, the early chapters often have a disproportionately large influence on the shape of what is to come. We learn that Irvin didn’t enjoy his life during childhood. With hardworking but uneducated immigrant parents living in squalor conditions, he faced constant threat as the only Jew amongst Christians and the only white kid in a black neighbourhood. He dreamed of a better life and of being rescued. He later marveled at the pride of self-creation but also acknowledged the inherent loss within that. With the luxury of hindsight, Irvin reflects back on his life and introduces us to a whole host of people who though not his primary carers, did serve as mentors to him without him knowing it fully at the time. The most significant of these being his wife Marilyn. A pivotal moment in Irvin’s history was when he faced the full wrath of his mother at 14 years of age. His relationship with her was always fractious, but when his father awoke with severe chest pains, the blame was turned immediately on to him. He describes his mother shouting “you killed him”! The kindness of the visiting Doctor who relieved him instantly from that responsibility was a defining moment. Irvin knew from this point on that he would like to become a Doctor and have the power to deliver that same kind of comfort to others. The contrast between his mother’s lack of concern for him and the Doctors intuitive empathy set him on a career path whereby the ability to “empathise” would play centre stage indeed! This orientation was corroborated further during his own analysis when recounting this very episode in his life. The warm response that he received from his otherwise reserved and stony analyst, crystalized his position over empathy being as effective as any “interpretation” when treating patients. Of cause, the more Irvin developed and fine-tuned his ability to empathise with others, the more guilt he experienced over his earlier inability to empathise with his own parents predicaments whilst they were alive. Later accounts in the memoir of his encounters with eminent therapist Viktor Frankl provide further opportunities for him to examine his relationship with empathy. We learn that timing also plays a big part in a person’s ability to be fully open to what they are hearing in any encounter. Irvin retrospectively noted how during his time spent with Viktor, he wasn’t ready to fully embrace and take on board the horror of Viktor’s stay in Auschwitz. He made a conscious note to himself when meeting other leading experts in the field to not miss that chance for a fuller more empathic meeting of minds. He was able to achieve this with Rollo May. Later still in the memoir, the issue re-appears again. This time Irvin discusses a life-long friend who had asked him to help write about his life experiences during the Nazi occupation of Budapest. Irvin was painfully aware that they were speaking of these experiences, 50 years into their friendship when they hadn’t done so until this point. His friend knew Irvin wasn’t ready to digest this information until then. With familiar integrity and ever growing empathic capacity, Irvin was able to turn both his friends experiences, together with something of their own friendship into an ebook novella. Irvin continuously re-evaluates the validity of his approach to life, relationships and work. He has done this not only through research and clinical work, but via the characters in his many stimulating novels. This is where Irvin has really had free reign to creatively explore the big questions to the fullest. When first reading “The Schopenhauer Cure”, I fantasised about whether the dialogue between Julius and Philip was similar to one that would have gone on internally between Irvin and his shadow self. Irvin, like Philip and Schopenhauer is deeply intellectual but has also been uncomfortable in his own skin for periods of his life. Like his protagonists, he also remembers the tortures in adolescence of unfulfilled sex drive. This theme appears again in “Lying on the couch”. Ernest is an earnest man but still not invulnerable to the power of seduction. In his real life, Irvin tells us that his wife Marilyn’s book, “The history of the breast” was a nod to her husband’s fascination with the subject. I found myself thinking how useful writing may have been as an outlet for these explorations. Unlike with actors in a movie, the consequences of the dramas can remain safely on the page. In his actual life, Irvin has remained married and devoted. I also imagined Nietzsche representing Julius interchangeably with Irvin at other times. Reading “Becoming Myself”, I hypothesized a Nietzsche versus Schopenhauer philosophical battle of the titans! If the ending of Irvin’s book was to be a battle of identifications between Schopenhauer’s perspective in one corner and Nietzsche’s in the other, I was pleased that Nietzsche’s perspective won. Whilst Schopenhauer concluded that “At the end of his life, no man if be sincere and in possession his faculties, would ever go through it again”, Nietzsche’s contrasting ”Was that life? Well then, once again”, resonated deeper with Irvin. To engage with any book means at one level accepting the journey of a beginning, middle, and end. As with life, however, Irvin has illustrated how this is not a straight forward linear process. He describes the process of circling back more in old age. In much the same way, I was pleased to discover on finishing the book, that my fears about finishing the book were ameliorated when I found myself circling back many times to earlier chapters! Irvin draws our attention to the fact that different lessons can be gleaned from the same words depending on how ready we are to receive them. He also sheds light on how unreliable our own versions of reality are, even when talking about our own lives. He is mindful when recounting his own history, of how easy it is to construct stories. Indeed, we often end up remembering the constructed stories more easily than the actual events. One of Irvin’s previous books was called “The gift of therapy”. Reading his memoir feels a lot like being given a gift, but this time it isn’t just the gift of therapy but the gift of human authenticity, from one human to another. Through his own accounts of key periods in his life, we get to see the wider context of what was going internally and externally as each book idea materialized. If you are a fan of his work, it is very satisfying to learn more about the process from conception to germination and to see his views on that process retrospectively. In addition, we are even treated to an imagined enactment of what the “him” now would say in conversation to his younger self. This was a real highlight of the memoir for me. This book reveals a man who has actively participated in the joys of life and who has lived it fully. From his extensive travels around the world and his elected Sojourns, to his pleasure in life-long friendships and family, here is a man who has lived his life thoughtfully and consciously. His unconscious life (in the form of the many dreams he describes), equally informs him and adds to the quality of his conscious life. We learn that he has few regrets, but that even a life well lived will still have some sorrow in it that can’t go completely. When I finished reading this memoir, I was surprised to realise that so much of what he explicitly describes about himself, already came across strongly from reading any one of his many enriching books and novels. So much of him is there, present, in any one piece of work. The over-riding lasting feeling from this memoir is that of an opportunity being offered. For those of us who are not ready to stare straight into the sun, reading this book allows you to perhaps face it in fragments. Irvin has stared at the sun for a long time now, and he has not yet got burned! I feel that his ability to stare at the sun can sometimes be mistaken for an orientation towards it. In contrast, the memoir reveals a man heavily invested in life and the living of it. He may have written his last book but I suspect he will still continue to write in one form or another, if he wants to. I look forward to reading anything further that he does write but I’m also very satisfied with the wealth of offerings here.

Psychiatre, psychothérapeute mais surtout conteur. Yalom refait le coup d'un livre passionnant et émouvant à lire. A la tombée de la nuit.

A mi me encanta el autor por eso tengo todos sus libros. Lo que me llama la atención es que no haya una traducción al español, pero bueno no me viene mal practicar la lectura en inglés.

Acompanhar a vida e o momento onde cada livro surgiu, o contexto, a história de cada história... um privilégio. Yalom vive sua vida de uma forma inspiradora, e seus livros nos permitem, se estive4mos dispostos a fazer o trabalho de casa, também avançarmos no propósito de nos tornar mais nós mesmos.