The book discusses the definitions, alleged history, scepticism about the phenomenon and ethical issues related to treating individuals reporting satanic ritual abuse.

The book has been criticized by Ralph Underwager for being unscientific, defending a dubious concept with a complete lack of skepticism, possessing the veneer of science without any substance and for promoting unethical treatment practices.

Publication of the book was chosen to preempt a report by Jean LaFontaine,[1] which had concluded there was no basis to allegations of Satanic ritual abuse in England.

The therapeutic treatments recommended are described as lacking empirical proof and critical analysis, with a veneer of science consisting of a "pastiche" of research and opinions from believers.

Underwager does state that it is the best of a mediocre series of books addressing the topic, bringing together all the myriad flaws that comprise belief in satanic ritual abuse, and its appearance as a scholarly volume could fool a person with a lack of understanding of rational thought and logic.