The book follows James Frey's time in rehab, following a priveliged childhood, a good university career, dabbling in drink and drugs and finally ending up a hopelesss addict. This leads him to his time in rehab, and his story of how he overcome that addiction.
James' point is that the 12 steps, and believing only God can cure you, is a flawed theory. He feels that only the addict can decide to get clean, in the same way that the addict decides to take the next drink/hit/whatever. He spend his early time in Rehab fighting the system, and anyone that tries to help.
I was not aware of the controversy surrounding the book when I read it, so took it at face value. However at many times the story felt unreal.
I am pretty sure most of this is seriously embellished (even more than the author now admits) - the story reads like a hollywood movie script - a fatherly mafia boss, a boxing champ, a supreme court judge and a deep, caring, loving crack addicted girlfriend are all major characters.
However the few moments when you feel that James is actually baring his soul are what makes the book. He is self obsessed, whiney, self hating and self indulgent, angry and defensive but desparate for acceptance, but he has a bitter humour which stops the book descending into a pity tale.
He obviously creates a lot of the characters and situations, but he could not have written this unless he had some experience of addiction, and his true story I expect would not have been quite as interesting.
Overall this is a great read, and a refreshing outlook on addiction rather than the usual "God saved me, Praise be!" stories. His exaggerations keep the story exciting, making it easier to suspend disbelief. If read as fiction this book is fantastic. It is also a great book for parents of teenagers to read, as it does give a great insight into the mind of a confused young guy falling a bit too far into the drink and drug scene. For an insight on serious addiction though, I would look elsewhere (Piece of Cake is great)
The inevitable movie will no doubt be a box office smash