James was born on December 30, 1984 in Akron, Ohio to a 16-year-old mother, Gloria Marie James, who raised him on her own. When James was growing up, life was often a struggle for the family, as they moved from apartment to apartment in the seedier neighborhoods of Akron while Gloria struggled to find steady work. Realizing that her son would be better off in a more stable family environment, Gloria allowed him to move in with the family of Frank Walker, a local youth football coach, who introduced James to basketball when he was nine years old. As a youth, James played Amateur Athletic Union (AAU) basketball for the Northeast Ohio Shooting Stars.

At the conclusion of the 2008-09 season, James finished second in NBA Defensive Player of the Year voting and made his first NBA All-Defensive Team, posting 23 chase-down blocks and a career-high 93 total blocks. He also became only the fourth postmerger player to lead his team in points, rebounds, assists, steals, and blocks in a single season. Behind his play and the acquisition of All-Star guard Mo Williams, Cleveland went a franchise record 66-16 and fell just one game short of matching the best home record in league history. With final averages of 28.4 points, 7.6 rebounds, 7.2 assists, 1.7 steals, and 1.2 blocks per game, James became the first Cavalier to win the MVP Award. Reflecting on James's performance for ESPN, John Hollinger later wrote, "He's having what is arguably the greatest individual season in history, and it's time we gave him his due for it."  In the playoffs, Cleveland swept the Pistons and the Atlanta Hawks to earn a matchup with the Orlando Magic in the Conference Finals. In Game 1 of the series, James scored 49 points on 66 percent shooting in a losing effort for the Cavaliers. In Game 2, he hit a game-winner to tie the series at 1-1. Cleveland would lose the series in six games, and following the loss in Game 6, James immediately left the floor without shaking hands with his opponents, which was an act that many media members viewed as unsportsmanlike. For the series, he averaged 38.5 points, 8.3 rebounds, and 8 assists per game, finishing the postseason with a career playoff-high 35.3 points per game.  In February of the 2009-10 season, James was forced into a temporary point guard role following a series of injuries to the Cavaliers' backcourt. Behind his leadership, Cleveland lost no momentum, finishing the year with the best record in the league for the second consecutive season. Due in part to his increased minutes as the Cavaliers' primary ball handler, James increased his statistical production, averaging 29.7 points, 7.3 rebounds, 8.6 assists, 1.6 steals, and 1 block per game on 50 percent shooting en route to another MVP Award. To open the playoffs, Cleveland advanced past the Bulls to earn a matchup with the Celtics in the second round. James was heavily criticized for not playing well in Game 5 of the series, shooting only 20 percent on 14 shots and scoring 15 points. The team suffered its worst loss in franchise history, and at the conclusion of the game, James walked off the court to a smattering of boos from Cleveland's home crowd. The Cavaliers were officially eliminated from the postseason in Game 6, with James posting 27 points, 19 rebounds, 10 assists, and nine turnovers in the losing effort.

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