Assessing 40 years of treatment.

My abiding faith in the possibility of self-transformation propelled me from one therapist to the next, ever on the lookout for something that seemed tormentingly out of reach, some scenario that would allow me to live more comfortably in my own skin. For all my doubts about specific tenets and individual psychoanalysts, I believed in the surpassing value of insight and the curative potential of treatment — and that may have been the problem to begin with.

The life that he has created almost from scratch over the last two years has been defined at least as much by what Tyson wants to avoid — old haunts, old habits, old temptations and old hangers-on — as by what he wants to embrace.