The book is divided into three parts. In the first part, Motz discusses violence against children. She covers female sexual abuse of children, Munchausen's syndrome by proxy, maternal physical abuse, and infanticide. She uses a case-study approach in each area and does not offer general reviews of the issues involved. Most of the women in the cases have a history of victimization in childhood, usually by sexual or physical abuse. In this section Motz focuses on injuries perpetrated by biological mothers and does not generally analyze the greater risk of harm from nonbiological caregivers.