This collection is brutal. It is brilliant, too, especially in its first section and intermittently throughout the remainder. But it is *brutal* and even spacing it out over time, the cumulative experience is a bit tiring. Sax pulls no punches in talking about the ways in which science, medicine, and culture have oppressed people (of color, of differing religions, of different sexualities) over the centuries and particularly over the last ~70 years. Using the framework of the DSM-I is an inspired touch and this one is well worth your time - just be prepared to emotionally work before you make it out the other side.