Any addition to sparse sections of health and social care libraries is always welcome ‐‐ a point no less true of managing forensic psychiatry. The editors have garnered a team of experts whose writings offer remarkable insights into issues like: the history of special hospitals; change management; political influences, diagnosis and prognosis; security versus therapy; multidisciplinary working; spiritual issues; industrial relations and handling the media. Curiously, no chapter was penned by a patient or ex‐patient; curious because even my limited forays into high security care caused my path to cross with highly articulate and able patients. Another omission, considering: (a) the expert contributors, their ability to include topical issues; and (b) that the subject of normal and deviant sexual behaviour is sensitively discussed, was the failure to anticipate the current Ashworth inquiry.
As is often the case in edited works, chapters stand alone and repeat material, rather than flowing from one to another supported by an underlying framework. However, detailed contents and index pages make it easy for readers to dip in and out. Few professional groups escape criticism in the book so reading selected pages without cross‐referencing to others may lead to irritation and anger. Civil servants, medical practitioners and nurse members of the Prison Officers Association, for example, may turn puce after reading how they are described!
I′m not convinced the book title is correct; for this isn′t a how‐to‐do‐it book. Indeed, apart from sections about dealing with the media and setting up inquiries there are few protocols or guidelines. Careful analyses in each chapter, on the other hand, should tempt all types of reader ‐‐ from students to practitioners. The book is largely anecdotal rather than empirical; however, one fascinating exercise might be to ask students to read and discuss, for example, Chapter 3 (editors′ biographies). Reading between the lines in Chapter 3 is fun.
This warts and all/no holds barred account of the past, present and future of psychiatric treatment and care in secure units is commended. Some readers will experience a full range of emotions and reactions: shock, anger, disbelief, praise, etc.; but I guarantee all will be educated.
