The authors of Recognition and Treatment of Psychiatric Disorders note correctly that primary care has become a de facto mental health system. The use of the term "system" is somewhat autistic when we recognize that the so-called system does not work for the mental disorders and may not work that well for much else. The authors attempt through this volume to assist primary care physicians in their task of rendering mental health services. It is not clear that any book, no matter how well written, can address the problem. Primary care physicians do not receive adequate training in the recognition and management of psychiatric disorders. This deficiency is compounded by the expectations that the primary care physician must see six or more patients per hour. It would be difficult under these conditions to recognize auditory hallucinations, let alone more subtle manifestations of mental disorder. Self-administered screening tools have been used, but they have not proven to be of great assistance.