Ken Strutin’s expansive scholarship, acumen, commitment to and comprehensive knowledge of criminal law and justice is fully articulated and shared in his new guide. He robustly argues and supports his reasoning that retribution is at odds with medical reality for conviction alone and does not make someone fit for incarceration. He believes and defends the position that disease, infirmity, trauma and the damage that life terms inflict are judgments without appeal and rarely considered at sentencing. Strutin articulates the significant yet insufficiently acknowledged fact that despite all the money spent on prisons, little attention is devoted to humanizing the admission decision. Meanwhile, penal institutions are becoming society’s punitive safety net, arrogating the roles of psychiatric wards and old age homes. This comprehensive, extensively and accurately researched and documented guide encompasses selected reports, scholarly research and news stories about the unseen punishments created by sentencing laws and prison administration that ignore fitness for incarceration.