Quotations from leading psychiatric figures, nay icons, of that era on the subject of families and mothers as the cause of schizophrenia and autism will make the uninitiated reader cringe. The chapter ("Dr. Yin and Dr. Yang") on psychoanalysts Harold Searles and John Rosen, the era’s leading exponents of "direct analysis" for schizophrenia, which used bullying, threats, intimidation, and physical grappling (pinning the patient to the floor while threatening to "castrate," "kill," or "eat" the patient), is a chilling indictment. Their therapy was based on an absolute certainty—published and repeatedly proclaimed—that "mothers caused schizophrenia, and insanity was, literally, a kind of perpetual nightmare." Psychoanalyst Theodore Lidz refused, to the end of his long life in the mid-1990s, to recant his assertions on the family/mother etiology for schizophrenia. In the chapter "Ice Picks and Electroshocks," Dolnick balances his censure by comparing the attractiveness of Freud’s psychotherapy with these alternative psychiatric therapies of the time. He digresses briefly, nominating Emil Kraepelin, not Sigmund Freud, as the father of modern psychiatry and comparing the two in several respects. Dolnick’s "Conclusions" chapter assures us that this entire tale is a "tragedy not a scandal" and that, with some exceptions, "it was a tale almost without villains."