An important theme of this unusual collection of essays is that key stakeholders in the enterprise called psychiatry--patients!--should be part of its governance. The 22 contributors produced 14 mostly well-written chapters. They are a diverse assemblage of professionals in mental health and observers of the scene globally, i.e. cross-culturally. The title underscores the guiding idea that psychiatry should be part of the struggle for social justice and liberation. Too many factors that mitigate against health are ignored or aggravated by psychiatry: poverty, race, sexism, nonconformity. The dominance of pharmaceutical treatment reflects industrialization of a solution that needs to be individualized, culturally sensitive, and humane. This is not a book that is likely to be emphasized in psychiatric training, but it should be.