she would have to face the fact that she must bear the entire responsibility for her disease, for the failure of her marriage, and for the wreckage (as she put it) of her adult life.
Yalom employs ‘wreckage’ as the patient’s own word for the totality of self-authored destruction, arguing that owning this wreckage is the prerequisite for assuming existential responsibility and genuine change.
, Existential Psychotherapy, 1980thesis