Toward the end of his book, Healy cites the famous remark of Voltaire that history is a trick the living play on the dead (p. 255). Unfortunately, that is the main reservation I have about his book. How many of Healy’s brilliant ironicisms are clever tricks? He challenges established views in every other paragraph, and, although often convincing, sometimes the evidence and the cited studies seem inadequate to support his point. For example, can tricyclics set off a manic episode, as many clinicians believed, according to Healy, on the basis of the catecholamine hypothesis? Healy says no, basing his claim on Angst’s study of medical records before and after the advent of imipramine (1). I agree with Healy that there is a "natural rate of switching," but I am far from convinced that Angst’s retrospective review of records shows that tricyclics do not lead to a switch. Another example, did "zealous" psychoanalysis do as much harm ("lives mutilated and blighted" [p. 224]) to their patients as lobotomies, regressive ECT, etc.? Healy thinks there is "little doubt that they did," citing Masson (2) as his sole authority. This seems to me wit without substance, a trick. Part of the problem is that he has aimed his book at general audiences rather than scholars, so it lacks adequate documentation.