THE ACT OF LIVING

Clinical psychologist Tallis writes that during the 1920s, Freud himself asserted that psychoanalysis was more than a medical specialty. He maintained that, besides treating psychiatric disorders, its ideas could “show how the mind functions, how minds relate to each other, and how minds operate within cultures. They can also…answer questions concerning ideal ways to live…that have been debated since ancient times.” Freud was more prescient than he realized. The 20th-century psychoanalytic doctrines of Freud, Jung, and others, which emphasize the recovery of unconscious memories and primitive desires, have proven to have few practical insights regarding the treatment of severe mental illnesses, but they remain a major influence in literature and the arts. Tallis works hard to give them the benefit of the doubt and shows equal confidence in the two other major psychoanalytic schools: the humanistic-existential, which stresses autonomy, authenticity, and achieving personal growth; and the cognitive-behavioral, which aims to correct harmful learning experiences and dysfunctional beliefs. In a dozen lucid chapters, the author discusses human needs (security, acceptance, identity, sex) and the consequences when they are not met (adversity, inferiority, narcissism). The result is less a work of philosophy than a vivid history of the psychoanalytic schools, their often equally colorful founders (“they tested their theories by experimenting with alternative lifestyles and altered states of consciousness; they followed their patients into madness; they were like explorers, venturing into the unknown. And inevitably, some of them paid a very high price”), and their conclusions. Many have proven useful; others owe more to fashion than efficacy. Although not averse to research and amenable to the insights of neuroscience, Tallis accepts the tenets of psychoanalysis, such as the malign effect of modern life on mental health.

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