Shea's exuberant language leads him to problems of emphasis in relation to suicide prediction and prevention. He accurately indicates that we cannot predict suicide. He describes the importance for good treatment of understanding a client's ambivalent attachment to life, along with the influences of environmental pressures, cognitive style, character structure, and neurobiology. However, he undermines this good teaching with unsupportable statements. He says we can identify cognitive styles that put patients at risk. He expresses an opinion about the three "most useful indicators" of immediate suicide risk without backing up this assertion. He sets up biologists as straw men, stating that "biologic reductionists tremble at the suggested use of psychotherapy … and shudder at the mention of the word soul." Blending therapeutic zeal with fact, Shea makes himself less credible by overreaching, diminishing what is on target in the book.