Scheper-Hughes' first book, "Saints, Scholars and Schizophrenics: Mental Illness in Rural Ireland" (1979), was a study of madness among bachelor farmers, and won the Margaret Mead Award from the Society for Applied Anthropology in 1980. The book established Scheper-Hughes’ ability to provoke controversy through her writing. Especially in Ireland, many readers took umbrage at her portrayal of the disintegration of rural Irish family life due to the collapse of the agrarian economy. In the 20th anniversary edition of the book, Scheper-Hughes provided an update on the transitions the community was undergoing at the time of her original research. She also discussed the challenges and ethics of ethnography, issues that are pushed to the fore as anthropologists increasingly work in communities that can read and critique their work.