If you're over 40 and looking for hope and you've completed all the S1 stuff he talks about earlier, then you'll like this book. If you didn't, I feel very sorry for you because you'll still have the perfect ability to understand the hopeless situation he describes you as being in and then just leaves you in with no chance of moving forward. In other words, this is a typical product of our self-satisfied generation of "To h--- with you, I got mine, look how smart I am!" medical types.