Insulin comas, ice-pick lobotomies, and involuntary sterilizations– much of psychiatry’s history is cringe-worthy. Harrington fluidly summarizes the rising and dashing of psychiatry’s biological hopes. She leans too much on institutional figures on the way up and the way down (Insel and Frances, really?), but no one else has written this history with such scope. Her afterthought is the psychiatry we need to realize: a less reductive, more dialogic, psychiatry that affects changes for our patients.