Volume 68, Issue 3 | Page 22

BOOK REVIEW TRANSCEND: THE NEW SCIENCE OF SELF-ACTUALIZATION AUTHOR: SCOTT BARRY KAUFMAN PUBLISHED: TARCHERPERIGEE (APRIL 7, 2020) Reviewed by Martin Huecker, MD Maslow is destined, in my view, to be rediscovered many times before the richness of his thought is fully assimilated. - Irvin D. Yalom 1 INTRODUCTION I almost never reread books. This may offend fellow readers, and I may be missing out, but there are just too many books to read in one lifetime. But on reaching the last page of Transcend by Scott Barry Kaufman, I immediately flipped back to the beginning and dove in. Transcend succeeds because of balance. Kaufman balances art with science, jargon with lay language, scholarship with self-help, and famous quotes with insights of his own that should become famous quotes. He even balances literal opposites, cogently handling paradoxical statements. The balance of biography (of psychologist Abraham Maslow) with his explanation of scientific principles drives the intuitive flow of the book, navigating ascending levels of human needs in the context of Maslow’s own personal journey. Maslow could be considered the first positive psychologist, no disrespect to the esteemed and well-named Dr. Martin Seligman. As a humanistic psychologist, Maslow studied self-actualization, rather than anchoring on psychological pathology or psychotherapy. Before you contemplate how comfortable you feel with Maslow’s “hierarchy,” you must realize that he never drew a pyramid (a management consultant in the 60s took this liberty). Likewise, he did not assert that people could only progress to growth needs if the security needs were met – people in poverty can and do desire exploration and purpose. After dispensing with the pyramid, Kaufman provides an even better schema: Sailboat. The boat’s hull represents security needs (Safety, Connection, and Self-esteem); the sail contains growth needs (Exploration, Love, and Purpose). The sailboat metaphor brings cohesion to the entire book as we travel on the voyage to self-actualization. SECURITY NEEDS On page 8 (Safety chapter), Kaufman is already unraveling the meaning of “meaning.” Meaning includes purpose (a motivation to realize future-oriented and valued life goals), mattering (the extent to which people feel that their existence and actions in the world are significant, important and valuable), and sense of coherence (how much the immediate environment makes sense, provides predictability and comprehensibility in life). There’s enough in these few pages for an intellectually stimulating book club discussion. Physical hunger, attachment styles, fear and helplessness; the fact that the world is a chaotic, challenging place – all enter in. We may gain some security by developing a sense of Connection, with two sub-needs: 1) need to belong, be liked/accepted and 2) need for intimacy, mutuality, relatedness. Check out the references to neural coupling, resonance and vagal tone. Goal: look for “‘micro-moments of connection’ … ‘tiny engines’ … that can set off upward spirals in your life, helping you to grow and become a better version of yourself.” The next security need, Self-esteem, must outgrow the negative image of the 80s and 90s self-esteem movement. Not inherently problematic, self-esteem becomes so when its pursuit is the end goal. Divided into self-worth and mastery, self-esteem allows one to foster relational social value and a sense of agency. On page 60, you encounter the first of many checklists: “I am…” statements from validated survey tools, to assess yourself on personality char- 20 LOUISVILLE MEDICINE