Jake Singer is an anxious young schoolteacher in New York. Emotionally paralyzed by a case of the vapors, he embarks on a course of psychoanalysis with a maniacal Cuban-Catholic Freudian - Dr. Ernesto Morales, therapist from hell. When he meets socialite widow Allegra Marshall, and finds himself upwardly mobile in the Manhattan of serious money and glamour - as he bounces from the couch to Allegra's bed in the allegedly real world and back again - his whole life begins to take on the eerie, overdetermined quality of an analytic session. While he struggles to resolve the psychic grudge he bears his parents, Jake becomes embroiled in another parental conflict - of a different kind and with even higher stakes - that may threaten the future of one of Allegra's adopted children. And if from his horizontal vantage point on Morales's couch Jake's world has started to feel suffocatingly predictable, life beyond the couch makes it clear that the world's true organizing principles are chance and accident: that the only indisputable axiom is happenstance.