A suggested subtitle for section 3, Administrative Aspects of Acute Care Psychiatry, might be "The Harvard Survival Guide for Psychiatric Hospitals in the Era of Managed Care." This section covers medical, legal, and ethical issues, treatment guidelines, assessment of quality of care, professional compensation, and record keeping. There are a few chapters that seem out of place, but they are quite good and add balance. I do not understand, however, why the chapter on primary care is in the book. It is well written and informative, but to what purpose? This book is not written for primary caregivers. The book suffers only slightly from the inevitable jolts in style and syntax from chapter to chapter caused by the inclusion of multiple authors. On the whole, I was glad for the opportunity to read it, and I will keep it on my desk. I hope our residents and our psychiatric leaders read it.