The work of inner-city emergency psychiatric units might best be described as "medicine under siege." Emptying Beds is the result of the author's two-year immersion in one such unit and its work. It is an account of the strategies developed by a staff of psychiatrists, social workers, nurses, and other mental health workers to deal with the dilemmas they face every day.

In this rare firsthand account, Lorna Rhodes takes us into a hidden world that lies at the heart of the maximum security prison. Focusing on the "supermaximums"--and the mental health units that complement them--Rhodes conveys the internal contradictions of a system mandated to both punish and treat. Her often harrowing, sometimes poignant, exploration of maximum security confinement includes vivid testimony from prisoners and prison workers, describes routines and practices inside prison walls, and takes a hard look at the prison industry. More than an expose, Total Confinement is a...