The Schopenhauer Cure

A Novel

Irvin D. Yalom

To my community of older buddies who grace me with their friendship, share life`s

inexorable diminishments and losses, and continue to sustain me with their wisdom and

dedication to the life of the mind: Robert Berger, Murray Bilmes, Martel Bryant, Dagfinn

Føllesdahl, Joseph Frank, Van Harvey, Julius Kaplan, Herbert Kotz, Morton Lieberman,

Walter Sokel, Saul Spiro, and Larry Zaroff.

1Julius knew the life–and–death homilies as well as…

2«Hello, is this Philip Slate?»

3Union Street was sunny and festive. The clatter of silverware…

41787—The Genius: Stormy Beginning and False Start

5Leaving Philip`s office, Julius felt stunned. He gripped the banister…

6Mom and Pop Schopenhauer—Zu Hause

7At five minutes to seven Julius knocked out the ashes…

8Halcyon Days of Early Childhood

9Julius`s spacious Pacific Heights home was far grander than any…

10The Happiest Years of Arthur`s life

11Philip`s First Meeting

121799—Arthur Learns about Choice and Other Worldly Horrors

13Jerking his head to dislodge the annoying couplet from his…

141807—How Arthur Schopenhauer Almost Became a Merchant

15Pam in India

16Schopenhauer`s Main Woman

17At the start of the next meeting all eyes were…

18Pam in India (2)

19Bonnie opened the next meeting with an apology. «Sorry to…

20Foreshadowings of Pessimism

21At the onset of the following meeting, just as Bonnie…

22Women, Passion, Sex

23Bonnie`s concern about the group proved unfounded: at the next…

24Philip walked for hours after the meeting, past the Palace…

25Porcupines, Genius, and the Misanthropist`s Guide to Human Relationships

26At the next meeting Gill plunked himself down, his huge…

27After the session the group gathered for about forty–fiveeir…

28Pessimism as a Way of Life

29«I`d like to continue where we left off,” said Julius,…

30When the group left, Julius watched them walk down his…

31How Arthur Lived

32Julius entered the group room the following week to an…

33Suffering, Rage, Perseverance

34As time raced by, Julius looked forward with increasing anticipation…

35Self–Therapy

36Pam opened the next meeting. «I`ve got something to announce…

37Leaving the group room did not clear the muck from…

38In the following meeting Philip shared neither his frightening experiences…

39Fame, at Last

40Members filed in for the penultimate meeting with contrasting feelings:…

41Death Comes to Arthur Schopenhauer

42Three Years Later

NOTES

ACKNOWLEDGMENTS

ABOUT THE AUTHOR

ALSO BY IRVIN D. YALOM

CREDITS

COPYRIGHT

ABOUT THE PUBLISHER

_________________________

Every breath we draw wards off

the death that constantly

impinges on us.... Ultimately

death must triumph, for by

birth it has already become

our lot and it plays with its

prey only for a short while

before swallowing it up.

However, we continue our life

with great interest and much

solicitude as long as

possible, just as we blow out

a soap–bubble as long and as

large as possible, although

with the perfect certainty

that it will burst.

_________________________

Julius knew the life–and–death homilies as well as anyone. He agreed with the

Stoics, who said, «As soon as we are born we begin to die,” and with Epicurus, who

reasoned, «Where I am, death is not and where death is, I am not. Hence why fear

death?» As a physician and a psychiatrist, he had murmured these very consolations

into the ears of the dying.

Though he believed these somber reflections to be useful to his patients, he never

considered that they might have anything to do with him. That is, until a terrible moment

four weeks earlier which forever changed his life.

The moment occurred during his annual routine physical examination. His

internist, Herb Katz—an old friend and medical school classmate—had just completed

his examination and, as always, told Julius to dress and come to his office for a

debriefing.

Herb sat at his desk, rifling through Julius`s chart. «On the whole, you look pretty

good for an ugly sixty–five–year–old man. Prostate is getting a little swollen, but so is

mine. Blood chemistries, cholesterol, and lipid levels are well–behaved—the meds and

your diet are doing their job. Here`s the prescription for your Lipitor, which, along with

your jogging, has lowered your cholesterol enough. So you can give yourself a break: eat

an egg once in a while. I eat two for breakfast every Sunday. And here`s the prescription

for your synthyroid. I`m raising the dose a bit. Your thyroid gland is slowly closing

down—the good thyroid cells are dying and being replaced by fibrotic material. Perfectly

benign condition, as you know. Happens to us all; I`m on thyroid meds myself.

«Yes, Julius, no part of us escapes the destiny of aging. Along with your thyroid,

your knee cartilage is wearing out, your hair follicles are dying, and your upper lumbar

disks are not what they used to be. What`s more, your skin integrity is obviously

deteriorating: your epithelial cells are just plain wearing out—look at all those senile

keratoses on your cheeks, those brown flat lesions.» He held up a small mirror for Julius

to inspect himself. «Must be a dozen more on you since I last saw you. How much time

you spending in the sun? Are you wearing a broad–brimmed hat like I suggested? I want

you to see a dermatologist about them. Bob King`s good. He`s just in the next building.

Here`s his number. Know him?»

Julius nodded.

«He can burn off the unseemly ones with a drop of liquid nitrogen. I had him

remove several of mine last month. No big deal—takes five, ten, minutes. A lot of

internists are doing it themselves now. Also there`s one I want him to look at on your

back: you can`t see it; it`s just under the lateral part of your right scapula. It looks

different from the others—pigmented unevenly and the borders aren`t sharp. Probably

nothing, but let`s have him check it. Okay, buddy?»

«Probably nothing, but let`s have him check it.» Julius heard the strain and forced

casualness in Herb`s voice. But, let there be no mistake, the phrase «pigmented

differently and borders aren`t sharp,” spoken by one doc to another, was a cause for

alarm. It was code for potential melanoma, and now, in retrospect, Julius identified that

phrase, that singular moment, as the point when carefree life ended and death, his

heretofore invisible enemy, materialized in all its awful reality. Death had come to stay, it

never again left his side, and all the horrors that followed were predictable postscripts.

Bob King had been a patient of Julius`s years ago, as had a significant number of

San Francisco physicians. Julius had reigned over the psychiatric community for thirty

years. In his position as professor of psychiatry at the University of California he had

trained scores of students and, five years before, had been president of the American

Psychiatric Association.

His reputation? The no–bullshit doctor`s doctor. A therapist of last resort, a canny