This book is about a very important topic—the overarching conceptual framework of our field of psychiatry. Since the decline of the psychoanalytic hegemony in American psychiatry, and the incomplete dominance of our field by biological reductionism, Ghaemi argues that the biopsychosocial model has been the closest we have had to a framework within which to think about our patients and organize our research. In this book, Ghaemi argues—with much force—that the biopsychosocial emperor is, if not buck naked, embarrassingly poorly clothed. He takes us through the history of the theory, giving a place of honor to Roy Grinker, in addition to describing the better known seminal role of George Engel. Ghaemi argues that the biopsychosocial model is superficial and tells us little of real value. It says nothing about the critical question of how bio-, psycho-, and social influences actually interact to produce illness. By saying "let a thousand flowers bloom," it really says little. The biopsychosocial model does not support critical thinking and can even be anti-intellectual by insisting that every perspective must always be considered. This approach, he writes, "gives mental health professionals permission to do everything but no specific guidance to do anything" (p. 82) and can produce, in his nice turn of phrase, "paralysis by complexity." As Eric Kandel has well illustrated, sometimes it is important to focus on just one aspect of things and at least for many years ignore other factors. In his afterword, Ghaemi summarizes his position: "the BPS model has never been a scientific model or even a philosophically coherent model. It was a sloganâ¦" While this may strike many readers as harsh, especially given the "feel-good" glow that we still have about the biopsychosocial model, I think he is substantially correct in this assessment.