Excellent. Worth every penny and more! I found this to be a very interesting book. There is no need to fear overly technical medical jargon but rather look forward to the straight forward approach Mottram provides. There are no shortage of good true-to-life experiences shared by the author that helps to see the needs facing peoples in crisis and the stresses placed on families and spiritual guides as well. I recommend this work to anyone that assists others in any setting where there is a potential for crisis(which is everywhere), especially in the medical field. You will not be disappointed.