This is at times a disturbing, even harrowing, book of stories and reflections from a leading US health care practitioner about one of the most difficult of all topics: domestic violence within the fellowship of the church. Yet at the same time it is also a book packed with hope; for Al Miles provides his readers with an accessible guide to how to address a topic that many would rather pass by on the other side. Miles begins with three assertions: no one deserves to be abused; abusers must be held accountable; scripture and the church do not justify abuse. These are excellent principles but with only three pages in the volume devoted to biblical perspectives on domestic violence, more theological reflection is needed. For as the foreword acknowledges, some Christian attitudes towards marriage and headship may help to create an environment in which abuse may remain deeply hidden. Can domestic violence be addressed in such communities without re-examining their theology? Here we have a book whose sub-title is unequivocally correct and I hope its American context (and plentiful additional resources) will not prevent it joining the booklists of every pastoral care course in theological colleges and seminaries up and down the country.