From strenuous opposition to physician-assisted suicide to a conviction that sex-correction surgery for newborns is cruel and misguided, Dr. Paul R. McHugh's opinions are strong and often controversial. In this collection of essays, McHugh demonstrates why he is one of the most thought-provoking figures in the academic world.

These pieces argue for a realistic appraisal of just what psychiatrists know and how they know it, with the aim of indicating how such knowledge can best be used not only for better patient care but also to reflect on and influence public issues and social movements. His essays will stimulate professional and popular discussion about the goals and effectiveness of current psychiatric practice.

McHugh sorts through the layers of what he terms the "culturally driven misdirection of psychiatry and psychotherapy" to explain concepts often misunderstood by nonscholars and the intellectual community alike. America's leading psychiatrist may inspire you or offend you, but he will certainly make you think.

Paul R. McHugh, M.D., is the Henry Phipps Professor of Psychiatry Emeritus, the former director of the Department of Psychiatry and Behavioral Sciences at the Johns Hopkins University School of Medicine, and the coauthor of The Perspectives of Psychiatry, also available from Johns Hopkins. He was selected by President George W. Bush to sit on the Presidential Council on Bioethics and by the U.S. Conference of Catholic Bishops to be on their National Review Board for the elimination of the sexual abuse of children by clergy.