Modern psychological and political theory meet head-on in this powerful re-evaluation of America's contradictory and sometimes dangerous addiction to individualism. Best-selling author Gaylin and co-author Jennings investigate the contentious intersections of interdependence and autonomy, rights and public responsibility. They examine the painful abrasion occurring between America's tradition of personal freedom and privacy, as it rubs against the still valuable if almost vanishing ideals of sacrifice and social order.

Our current culture of autonomy—championed by both liberals on the left and libertarians on the right—is based on the idea of rationality as the motivation for human conduct. But, as the authors remind us, people are not simply rational creatures—appeals to emotions are always far more effective than logical argument in changing our behavior.

This timely edition includes a new preface; updated examples and illustrations throughout; and new coverage of contemporary social critics and their work since the publication of the first edition. Two essential new chapters, one on the movement to forgo life-sustaining treatment and the other on physician-assisted suicide, particularly clarify the authors' arguments. Drawing on these and numerous other illustrations—with significant emphasis on the state of American health care—Gaylin and Jennings demonstrate that society has not just the right but the duty to occasionally invoke fear, shame, and guilt in order to motivate humane behavior.

As cases of AIDS are once again on the upswing, as the dangerously mentally ill are allowed to wander free and untreated, as starvation and poverty still hold too many in its grip in the richest nation on the planet, this controversial book, considerably revised and expanded, is needed more than ever. If we are to indeed preserve and nurture a genuinely free—and liberal—society, the authors suggest that these "coercions" may be essential for the health and the maturity of a nation where we all too often avert our eyes, not seeing that our neighbor is in pain or trouble and needs our help.

Since 2002, the Roman Catholic Church has been in crisis over the sexual abuse of minors by priests and the cover-up of those crimes by bishops. Over 11,000 alleged victims have reported their experiences to the Church, and more than 4,700 priests since 1950 have been credibly accused of sexually victimizing minors. The Church has paid over one billion dollars to adults who claim to have been sexually abused by priests and there is no end in sight to these lawsuits.

Celibacy, homosexuality in the priesthood, the infiltration into the priesthood of secular moral relativism, too much liberalism in the Church since Vatican II, damaging rollback of Vatican II reforms by conservative prelates--all have been suggested as causes for the crisis. This book, however, begins with the premise that, because the pattern of abuse and cover-up was so similar across the world, there is something fundamentally awry with Church traditions and power structures in relationship to sexuality and sexual abuse.

Specifically, in chapters on suffering and sadomasochism, bodies and gender, desire and sexuality, celibacy and homosexuality, the author concludes that aspects of the Catholic theology of sexuality set the stage for the abuse of minors and its cover-up. Frawley-O'Dea also analyzes the American bishops' lack of pastoral care and tendency towards clerical narcissism--the belief that the needs of the hierarchy represent the needs of the wider Church--as central factors in the scandal. She balances this criticism with a discussion of the backgrounds of the bishops presiding over the crisis and the challenges they faced in their relationships with the Pope and Vatican officials.

Drawing on twenty years of clinical experience, she imagines the dynamics of sexual abuse both from the victim's point of view and from the priest's, and she probes why the Church hierarchy, fellow priests, and lay people were silent for so long. Finally, Frawley-O'Dea examines factors internal to the Church and outside of it that drew this scandal into the public square and kept it there.