Lying on the couch : a novel / Irvin D. Yalom

The two psychiatrists at the center of Yalom's second novel (after When Nietzsche Wept) find themselves entangled in situations for which their clinical training could not have prepared them. Dr. Ernest Lash, who is, in fact, extremely earnest and given to wearing earth shoes and stained ties, decides to experiment with a new, more intimate therapeutic approach, unwittingly playing into the hands of Carol Leftman, a patient determined to ruin his professional reputation because he had encouraged her husband to leave her. Meanwhile, Ernest's former supervisor, the ambitious, self-important Dr. Marshal Streider, is fleeced by a charismatic con man masquerading as a patient. For help, Marshal turns to a lawyer--the very same Carol Leftman who's dogging Ernest. For both Marshal and Ernest, then, the absolute honesty they demand during the therapeutic hour is at odds with the professional ethic of confidentiality that binds both lawyers and shrinks.