I applaud the author for writing this book .... I cannot imagine how hard it must have been to walk through all of the difficult times with a daughter who eventually kills herself.
I thought the author did a very good job highlighting the mistakes he and his wife made along the way, most done with the right intentions but harmful nonetheless. That takes courage. I also thought the information on attachment disorders was well researched and presented.
Where this book bothered me was the way the psychiatrists and therapists were portrayed, in several cases like they didn't care or were inept. While I am not in this field, I do know that it is very, very hard to diagnose mental disorders in a patient who won't talk to you. This isn't a TB test ... the brain is unbelievably complicated, and with an uncooperative patient, next to impossible to discern. Casey was a skilled manipulator, and could easily have intentionally fooled or misled her caregivers. There are certainly fraudulent psychiatric professionals out there, but the ones they encountered seemed to me to be qualified and well intentioned.
I also take exception to some of the criticism of Poland, from where Casey was adopted, and here I do have experience as I also lived there for several years in the 1990's, at the time Casey was adopted. When you come from a wealthy American suburb, it is next to impossible to understand how chaotic, desperate, and ill-resourced the country was in 1990, following decades of Soviet Communist influence and mistreatment (also true elsewhere in Eastern Europe). The people who cared for Casey/Joanna were more likely than not unpaid (or owed wages), under resourced, and had 10x the children that they should have. They were, by all measures, saints. It's a little too convenient to throw them under the bus and suggest they didn't hold or hug their daughter enough during her first 14 months of life. The nuns may have had unlimited love, but VERY limited money, adolescent psychiatric training, and hours in the day.
When the author started to look for answers as to why his daughter committed suicide, it should not have surprised him - in our overly litigious society - that people in the adoption process did not want to speak with him.
My final criticism was on the epilogue. After several chapters on addressing the root causes of Casey's problems, the book ends on the importance of installing suicide jump nets on the Golden Gate Bridge. That seems like a band aid solution to me, though it may save lives. It isn't necessarily dumb or wrong, but just seems out of place. I'd like to have known more about how the author and his wife were doing.
Overall, a good book - not necessarily a great book - but a courageous one that I hope brings the author some closure.