This is a fascinating and most entertaining novel by an American professor of psychiatry. True, several strands in the novel interweave at the end in a rather contrived manner: the coincidences that bring this about are somewhat unlikely, and the last few pages, though moving, are completely unbelievable. Never mind: just suspend your disbelief and enjoy. Without giving away the plot, its main subject is how two people go insincerely and schemingly into psychoanalysis with unsuspecting analysts. (Note the double entendre in the title of the book.) We are told about their thought-processes and about those of the analysts. Those of the analysts are an amusing mix between, on the one hand, the psychoanalytical theory and the professional ethics they try to apply and, on the other, their own vulnerabilities to eroticism, power and money. The scheming patients get more than they bargained for.
Those who know little about psychoanalysis will learn a lot about it; those who are already familiar with it will find both the interior and the exterior dialogue wickedly funny. But having had his fun in mocking some aspects of his own profession, Yalom in the end validates it. And I think he wants to convey a serious and controversial message of his own: that there may be ways of helping a patient that could be more fruitful than the cultivation of the analyst’s remoteness from the patient on which orthodox theory insists.