Because her training is in psychiatry and not philosophy or religion, Hirigoyen approaches the discussion of emotional abuse from a clinical perspective—and therein lie both the strength and the weakness of her book. She gives us a road map for understanding the damaging and destructive behavior of the "perverse abuser" and also highlights the responses of those who fall victim to such an abuser. At times, however, the reader might wish that the author would leave the consulting room for a moment and address the more philosophical issue of evil itself. Hirigoyen's options for intervention, addressed only briefly at the end of the book, seem almost anemic compared with the potent problem she has illuminated. After facing images of the devil, the reader, equipped with solutions no more powerful than traditional psychotherapy, is likely to feel poorly armed.