At one time or another, all of us have wondered what we'd do in the face of death. Suddenly confronted with his own mortality after a routine checkup, distinguished psychotherapist Julius Hertzfeld is forced to reexamine his life and work. Has he really made an enduring difference in the lives of his patients? And what about the patients he's failed? What has happened to them? Now that he is wiser and riper, can he rescue them yet? Reaching beyond the safety of his thriving San Francisco practice, Julius feels compelled to seek out Philip Slate, whom he treated for sex addiction some twenty-three years earlier. At that time, Philip's only means of connecting to humans was through brief sexual interludes with countless women, and Julius's therapy did not change that. He meets with Philip, who claims to have cured himself by reading the pessimistic and misanthropic philosopher Arthur Schopenhauer. Much to Julius's surprise, Philip has become a philosophical counselor and requests that Julius provide him with the supervisory hours he needs to obtain a license to practice. In return, Philip offers to tutor Julius in the work of Schopenhauer.