With the exception of its rather inadequate and dismissive attitude toward current psychoanalytic and psychodynamic approaches, which are certainly more interesting and sophisticated than this book could suggest, Evolution of Psychotherapy presents a panoramic view of the state and practice of psychotherapy in the United States today. What can I, a veteran psychiatrist whose career has been principally in psychotherapy, say of the picture it presents? Certainly, as reflected by the many energetic contributions by leaders in the field, psychotherapy is alive and flourishing. It seems to fit the needs of many people. However, this book also raises some significant questions. For one, although there are a few negative comments (such as Salvador Minuchin’s glum remark about the value of psychotherapy), most contributors are quite optimistic about the results of treatment based on their own methods, in spite of the fact that these methods are all very different from each other, and there is practically no effort to differentiate and specify what methods are good for what particular condition. In fact, one does not get a very clear idea of what brings a person into the care of a psychotherapist, except for a rather universal rejection of medical criteria. Beck offers a meta-analysis of studies reporting the results of cognitive therapy, but otherwise there is little about results in general or outcome studies. There are a few exasperated comments about managed care, but no attempt to cope with how changing economic conditions have influenced psychotherapeutic practice.