Hand to Mouth, by itself, is a somewhat raw but not at all insensitive memoir of life before publishing. I found it engrossing at times.
Auster recounts his youthful rejection of middle class consumerism, his odd and fascinating encounters with all kinds of characters and life situations, his stay in Paris, his first marriage, his ...well... failures to make it big as a writer. His admirable sense of integrity (no jobs except ones literary) unfortunately kept the author wallowing in translation work to put food on the table, and the sense of pain, desperation and even a sort of starvation are palpable. Agonizingly, but rather fittingly, he tells only of his years BEFORE success. This is no rags to fame & riches story.
Hand to Mouth is basically a reality check. Of some value to anyone who wants to get published, but the only thing that keeps this from being totally depressing is our knowledge of Auster's eventual literary success.
Lovely sections about the wacky people he met on ships and on streets reveal inspiration for characters he brings alive in his humanistic fiction.
If you do buy an edition (check out the number of pages before you order) which contains "Action Baseball" and "Squeeze Play", you are in for a treat. The former is a complete card game and the latter is a detective novel. Squeeze Play was written under a pseudonym and features a Jewish private eye with a law degree from Columbia who has a taste for fine wine and music. Mickey Spillane gets urban Semitic spit & polish in this totally enjoyable bonus read.