I have very mixed feelings about this book. First, I struggle with John MacArthur and his style. He just has a tone of legalism and harshness that I don't find winning. Things are one way only and if you don't see it that way you are sinning. I think he could convince more people if he had a more winsome tone. On the other hand, he did say some things I agree with, so it's not that I hate everything he said.
I do think that he sees marriage as looking one way only: you must home school, Mom must stay at home, and if Dad isn't the main bread winner he's not doing his job. In my family, raised by very godly people, my parents were very much a team. They both worked outside the home, they both worked on chores in the home (my dad was just as likely to cook supper as my mom), they talked through every major decision together, they both gave 100% to their marriage, and they both deeply loved and respected each other. John and I are pretty much the same way. And I don't feel that a Team approach to marriage is not biblical. I think that is what God intended when he gave Eve to Adam.
Yes, it's true that Eve sinned and a tension of leadership/submission was introduced. Pain in childbirth entered the arena and work became a struggle and a toil. But just as it is not wrong to use methods in childbirth to reduce pain or methods in the work place to reduce the struggle to work, I don't think it's wrong to work in marriage to restore the Team Relationship.
I think that MacArthur also thinks that adultery happens because women in the church are not dressing modestly. One could almost believe that only immodest people have affairs. And maybe he didn't mean to make it sound like it's usually the woman's fault, but that's how it sounded to me.
I do agree that men and women aren't the same and there is no reason to try to force us to be each other. We just never will be and we are happier when we accept our differences.