cover image Momma and the Meaning of Life: Tales from Psychotherapy

Momma and the Meaning of Life: Tales from Psychotherapy

Irvin D. Yalom. Basic Books, $24 (256pp) ISBN 978-0-465-04386-6

Following the ""tales from the clinic"" formula that helped make his Love's Executioner a bestseller, psychiatrist Yalom reveals much more of himself this time around. He starts with a soul-baring account of his relationship with his mother, in Yalom's description a domineering woman who was intensely proud of her famous son. Their dance of mutual fear, control and deceit instilled patterns that took Yalom years to unlearn. Committed to egalitarian, mutually enriching relationships with his patients, Yalom tells of his grandiose fantasies of rescuing distressed damsels, as well as of his abiding need for a consoling mother figure. He found one such in Magnolia, a 70-year-old black woman working through her own feelings of childhood abandonment by her widowed mother. Another patient, Paula, a woman with terminal breast cancer, initially radiates an inner serenity but eventually unveils to Yalom her ""anger rock,"" the symbolic repository of her pent-up rage and despair. We also meet Martin, an elderly, wheelchair-bound man whose exhausted caretaker son mocks his suicide attempt; Rosa, an 80-pound anorexic who is fed intravenously; Irene, an imperious surgeon who agonizes over her husband's terminal illness; and Linda, a furious divorc e whose privacy was abusively violated as a girl by her father. Yalom's therapeutic encounters, as recorded here, are often painful crucibles of personal transformation, in which people grow in unexpected ways by releasing reservoirs of guilt, fear, sadness, anger and denial. Author tour. (Sept.)