The author as a doctor is a witness to prisoners and patients in a deprived area. A brilliant book, which describes how the underclass has absorbed the dogma from the liberal elite; you are not responsible for your actions, it's all the fault of society. He explains the pathology of this in a forthright, entertaining and often humourous way (taking issue with the reviewer- the tattoo comments were an example of this humour, and only the dimmest of readers could possibly think this was a serious comment- he goes on to explain an observed link by the percentage of prison inmates who are tattoed). It's uncomfortable reading for the left-wingers who think that by simply giving away money as a reward for irresponsible, bad, violent or selfish behaviour (the Welfare State) solves problems. Rather, it has led to a significant proportion of people who cannot accept that their actions are caused by their deliberate choice. An example he cites: 'Doctor, can you give me something to stop burgling houses?' The criminal cannot comprehend that his preference to robbing others rather than work is because of his greed and idleness; rather it is an illness which needs treatment by prescription drugs. A real eye-opener of how low this country has sunk.