This book has a very poignant message about sorrow which is not attended to. It also goes into how and why we sweep our feelings of sadness under the rug. Not only is it not acceptable to be sad beyond a certain length of time in our culture, in our fast-paced world we tend to accumulate ungrieved losses.
There are many very lyrical and moving quotes throughout the book. For this reason alone it is worth owning. For example, Levine uses the following metaphor to illustrate a point, "Where we expect to find a highly sensitive area around pain, we may discover it is actually going numb from overload. This is a true of a broken bone as it is of a broken heart." He goes on to say that this numbness is unattended sorrow, "it's all the places where we've gone numb... overflowing the walls by which we attempt to compartmentalize our pain."
While the book is filled with powerful content, you will have to wade through a lot of repetition to find the gems. The book is also loosely organized and I didn't find many of the specific suggestions useful for dealing with acute grief. I think he fails to present enough detail to get the full benefit from his practical advice and he tends to just keep repeating the same basic two or three concepts.
On the other hand, Levine does a great job of articulating the pain of grieving and some existential realities that accompany it. The style of the book is poetic and it's a good book to open randomly and just read for short periods of time. It could be very comforting at a time of loss, but it doesn't present a real roadmap of the grief process or a systematic way to get through it.
Stephen Levine is a mindfulness proponent, so is approach is more meditative and meandering. For Westerners, this may not come naturally, although I don't argue that it could be a very effective way to deal with grief if you understand more about it. However, I feel some important supporting text is missing and a more comprehensive overview of the grief process as a whole would probably be an addition that most readers would appreciate.