Once in a great while comes a book that is of major significance in a professional field. This relatively small book is one of those seminal works. The authors, both nationally known figures in the field of law and mental health, present a very practical guide, written in a clear, concise, and useful manner, to assessing patients' competency to consent to treatment. Dr. Appelbaum has been one of the leading authorities on forensic psychiatry for the last decade or more, and his colleague at the University of Massachusetts Medical School, psychologist Dr. Thomas Grisso, has written extensively in this area. Together, they have accomplished a tour de force in the field of psychiatry and law.