"Off the Tracks: Cautionary Tales About the Derailing of Mental Health Care delivers more than its title. It is both a stimulating, accessible read and a highly researched, valuable, and thought provoking work. It will appeal to both professionals and the general public. The authors' thesis, that treatment relationships are a powerful force in and of itself, is illustrated by extensive narrative examples of various theoretical approaches of mismanaged relationships that harmed patients. The authors include physical treatments since they too involve clinical judgments. The range of examples in the study is extensive. Off the Tracks will intrigue and enrich all readers." --Judith Schachter, Former President, American Psychoanalytic Association (1994-1996)