Carol has experienced a great deal of betrayal from the men in her life, her father abandoned her, her lovers denied her and her therapist in college took advantage of his position to repeatedly have sex with her. Although she did not love her husband, she feels the sting of his disloyalty deeply and she believes that Ernest played an important role in his leaving her. She decides to begin seeing Ernest in an attempt to sabotage his practice. Carol is Justin’s ex-wife and an attorney. The relationship between Carol and her therapist Ernest is deeply complex. Ernest’s deviation from the psychiatric norm lays the framework for other deviations until the whole medical model and notions of therapy are put into question. Lash ultimately becomes the most significant. My technique is to tell the truth.’ Ernest embarks on an effort to transform his personal method of therapy, starting with Carol. Trotter’s mantra in his head ‘My technique is to abandon technique. In deciding to do this he violates many of the traditional rules of therapy. When Justin ends his sessions, Ernest decides to respond candidly to his future patients’ personal questions in order to forge a truly honest relationship. He has been treating Justin, a man entrenched in an unhappy marriage, for years and Ernest feels that he has been unsuccessful in truly creating a viable rapport with Justin. Lash, who enjoys his profession immensely, wants to have a ‘real’ connection with his patients. Ernest Lash’s mind to ‘flexibility’ in the patient-doctor relationship. Trotter, a renegade and yet highly respected therapist, opens Dr. Yalom not only forces the reader to question the patient-therapist model but he also asks that therapy be perceived as a series of journeys made by two individuals together.ĭuring an interview Dr. The characters within the novel interact in a series of reciprocal transmissions, from patient to therapist and back again. Instead, Yalom highlights the fact that any relationship can contain therapeutic dimensions and the reciprocity inherent in all forms of human interaction can turn anybody into a therapist. Although Yalom focuses on challenging preconceived notions of therapy and the medical model, the concept of a therapeutic relationship is not limited to that which exists between the therapist and his patient.
The characters within the novel exist as a series of partnerships: therapists and patients, friends and lovers, lawyers and clients. The therapeutic relationship, in all its many complex forms, dominates as the central theme of Irvin D. But you have to be bold and creative enough to fashion a new therapy for each patient’ (7) ‘Forget that crap about the patient not being ready for therapy! It’s the therapy that’s not ready for the patient.
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