The book is organized into three main sections following the introductory chapters. The first, Services, consists of 23 short referenced chapters that relate the history and present organization of different areas in Canadian psychiatry. Areas dealt with include infant psychiatry and geriatrics, biological and psychological treatments, and financing and bioethics. Of particular note are the following chapters: "Native Issues" by the late Clare Brant, "Addiction Psychiatry and Management of Substance-Related Disorders" by Nady el-Guebaly, and "Legislative Issues and Their Impact on Psychiatry" by Brian Hoffman. The second section, Education, consists of two chapters that discuss undergraduate to postgraduate training as well as the recent programs for maintenance of competence. The third section, Research, reads like a Who's Who in Canadian psychiatric research and discusses relevant past and present significant contributions to the psychiatric literature. What becomes obvious while reading is that although Canada enjoys a richness in research diversity, the areas that historically and consistently are considered strengths include contributions to the fields of schizophrenia, epidemiology, genetics, and imaging.