"A thoughtful and thought-provoking exploration of how our criminal justice system should handle an increasingly common mental illness known as multiple personality disorder."
"--Georgetown Law Journal"

"A provocative study of a controversial topic. . . . Saks' analyses are always clear and incisive, comprehensible even when their premises and reasoning are unfamiliar and their conclusions surprising."
"--Psychiatric Services"

"Saks focuses exclusively on multiple personality, a controversial and only recently recognized mental disorder. The philosophical underpinnings that frame the legal questions of culpability, punishment, and competence to stand trial are examined and provide the background for the author's proposals for applicable legal rules. Highly recommended."
"--Library Journal"

The idea that multiple personalities can exist within the same body has long captured the Western imagination. From Three Faces of Eve to Sybil, from Pyscho to Raising Caine, from 60 Minutes to Oprah to One Life to Live, we are captivated by the fate of multiples who, divided against themselves, wreak havoc in the lives of others.

Why do we find multiple personality disorder (MPD) so fascinating? Perhaps because each of us is aware of a dividedness within ourselves: we often feel as if we are one person on the job, another with our families, another with our friends and lovers. We may fantasize that these inner discrepancies will someday break free, that within us lie other personalities--genius, lover, criminal--that will take us over and render us strangers to our very selves.

What happens when such a transformation literally occurs, when an alter personality surfaces andcommits some heinous deed? What do we do when a Billy Milligan is arrested for a series of rapes and robberies, of which the original personality, Billy, is utterly oblivious? What happens when a Juanita Maxwell, taken over by her alter personality, Wanda, becomes enraged and commits a murder which would horrify Juanita? Who really committed these deeds? Are alter personalities people? Are they centers of consciousness which are akin to people? Mere parts of a deeply divided person? Who should held accountable for the crimes? Which is more appropriate--punishment or treatment?

In Jekyll on Trial, Elyn R. Saks carefully delineates how MPD forces us to re-examine our central concepts of personhood, responsibility, and punishment. Drawing on law, psychiatry, and philosophy, Saks explores the nature of alter personalities, and shows how different conceptualizations bear on criminal responsibility. A wide-ranging and deeply informed book, Jekyll on Trial is must reading for anyone interested in law, criminal justice, psychiatry, or human behavior.

Elyn Saks is Professor of Law and Psychiatry at University of Southern California Law School. She's the author of several books. Happily married. And - a schizophrenic. Saks lifts the veil on schizophrenia with her startling and honest account of how she learned to live with this debilitating disease. With a coolly clear, measured tone she talks about her condition, the stigma attached and the deadening effects of medication. Her controlled narrative is disrupted by interjections from the part of her mind she has learned to suppress. Delusions, hallucinations and threatening voices cut into her reality and Saks, in a remarkably vivid way, enables us to hear and see them too. This is a powerful book that is as informative as it is moving. There are parallels with Jane Lapotaire's Time Out of Mind and with Girl, Interrupted.

The goal of this book is to shed psychoanalytic light on a concept-informed consent-that has transformed the delivery of health care in the United States. Examining the concept of informed consent in the context of psychoanalysis, the book first summarizes the law and literature on this topic. Is informed consent required as a matter of positive law? Apart from statutes and cases, what do the professional organizations say about this? Second, the book looks at informed consent as a theoretical matter. It addresses such questions as: What would be the elements of a robust informed consent in psychoanalysis? Is informed consent even possible here? Can patients really understand, say, transference or regression before they experience them, and is it too late once they have? Is informed consent therapeutic or countertherapeutic? Can a "process view" of informed consent make sense here? Third, the book reviews data on the topic. A lengthy questionnaire answered by sixty-two analysts reveals their practices in this regard. Do they obtain a statement of informed consent from their patients? What do they disclose? Why do they disclose it? Do they think it is possible to obtain informed consent in psychoanalysis at all? Do they think the practice is therapeutic or countertherapeutic, and in what ways? Do they think there should or should not be an informed consent requirement for psychoanalysis? The book should appeal above all to therapists interested in the ethical dimensions of their practice.

The goal of this book is to shed psychoanalytic light on a concept-informed consent-that has transformed the delivery of health care in the United States. Examining the concept of informed consent in the context of psychoanalysis, the book first summarizes the law and literature on this topic. Is informed consent required as a matter of positive law? Apart from statutes and cases, what do the professional organizations say about this? Second, the book looks at informed consent as a theoretical matter. It addresses such questions as: What would be the elements of a robust informed consent in psychoanalysis? Is informed consent even possible here? Can patients really understand, say, transference or regression before they experience them, and is it too late once they have? Is informed consent therapeutic or countertherapeutic? Can a "process view" of informed consent make sense here? Third, the book reviews data on the topic. A lengthy questionnaire answered by sixty-two analysts reveals their practices in this regard. Do they obtain a statement of informed consent from their patients? What do they disclose? Why do they disclose it? Do they think it is possible to obtain informed consent in psychoanalysis at all? Do they think the practice is therapeutic or countertherapeutic, and in what ways? Do they think there should or should not be an informed consent requirement for psychoanalysis? The book should appeal above all to therapists interested in the ethical dimensions of their practice.

Elyn R. Saks is an esteemed professor, lawyer, and psychiatrist and is the Orrin B. Evans Professor of Law, Psychology, Psychiatry and the Behavioral Sciences at the University of Southern California Law School, yet she has suffered from schizophrenia for most of her life, and still has ongoing major episodes of the illness. THE CENTER CANNOT HOLD is the eloquent, moving story of Elyn's life, from the first time that she heard voices speaking to her as a young teenager, to attempted suicides in college, through learning to live on her own as an adult in an often terrifying world. Saks discusses frankly the paranoia, the inability to tell imaginary fears from real ones, the voices in her head telling her to kill herself (and to harm others); as well the incredibly difficult obstacles she overcame to become a highly respected professional. This beautifully written memoir is destined to become a classic in its genre.
The title is a line from "The Second Coming," a poem by William Butler Yeats, which is alluded to in the book.

Elyn Saks is a success by any measure: she's an endowed professor at the prestigious University of Southern California Gould School of Law. She has managed to achieve this in spite of being diagnosed as schizophrenic and given a "grave" prognosis--and suffering the effects of her illness throughout her life. Saks was only eight, and living an otherwise idyllic childhood in sunny 1960s Miami, when her first symptoms appeared in the form of obsessions and night terrors. But it was not until she reached Oxford University as a Marshall Scholar that her first full-blown episode, complete with voices in her head and terrifying suicidal fantasies, forced her into a psychiatric hospital. Saks would later attend Yale Law School where one night, during her first term, she had a breakdown that left her singing on the roof of the law school library at midnight. She was taken to the emergency room, force-fed antipsychotic medication, and tied hand-and-foot to the cold metal of a hospital bed. She spent the next five months in a psychiatric ward. So began Saks's long war with her own internal demons and the equally powerful forces of stigma. Today she is a chaired professor of law who researches and writes about the rights of the mentally ill. She is married to a wonderful man. In The Center Cannot Hold, Elyn Saks discusses frankly and movingly the paranoia, the inability to tell imaginary fears from real ones, and the voices in her head insisting she do terrible things, as well as the many obstacles she overcame to become the woman she is today. It is destined to become a classic in the genre.

The idea that multiple personalities can exist within the same body has long captured the Western imagination. From Three Faces of Eve to Sybil, from Pyscho to Raising Caine, from 60 Minutes to Oprah to One Life to Live, we are captivated by the fate of multiples who, divided against themselves, wreak havoc in the lives of others.

Why do we find multiple personality disorder (MPD) so fascinating? Perhaps because each of us is aware of a dividedness within ourselves: we often feel as if we are one person on the job, another with our families, another with our friends and lovers. We may fantasize that these inner discrepancies will someday break free, that within us lie other personalities--genius, lover, criminal--that will take us over and render us strangers to our very selves.

What happens when such a transformation literally occurs, when an alter personality surfaces and commits some heinous deed? What do we do when a Billy Milligan is arrested for a series of rapes and robberies, of which the original personality, Billy, is utterly oblivious? What happens when a Juanita Maxwell, taken over by her alter personality, Wanda, becomes enraged and commits a murder which would horrify Juanita? Who really committed these deeds? Are alter personalities people? Are they centers of consciousness which are akin to people? Mere parts of a deeply divided person? Who should held accountable for the crimes? Which is more appropriate--punishment or treatment?

In Jekyll on Trial, Elyn R. Saks carefully delineates how MPD forces us to re-examine our central concepts of personhood, responsibility, and punishment. Drawing on law, psychiatry, and philosophy, Saks explores the nature of alter personalities, and shows how different conceptualizations bear on criminal responsibility. A wide-ranging and deeply informed book, Jekyll on Trial is must reading for anyone interested in law, criminal justice, psychiatry, or human behavior.