Dr. Frank Clevenger, a brilliant forensic psychiatrist, is eager to leave the world of the criminally insane behind-until he receives a chilling phone call. Close friend and former colleague North Anderson, now the Chief of Police on the exclusive island of Nantucket, is desperate for help in solving a shocking case: One of the infant twin daughters of billionaire Darwin Bishop has been murdered in her crib at the family's estate. The suspected killer is her adopted brother Billy, and investigators believe that the fugitive teenager has targeted the surviving twin.
But as Clevenger maps the Bishop family's psychological layers he uncovers some disturbing revelations that lead him to believe Billy may be innocent. The Bishops are a deeply troubled family. As charming as he is ambitious and cruel, Darwin seems determined to protect his son-but is he actually trying to railroad him? Why does Garret, Bishop's other son, despise his father so intensely? Is beautiful Julia Bishop a mother grieving for her murdered child or a manipulative seductress with a dark secret to hide?
As Clevenger fights to protect the innocent and hunt down the guilty, aspects of the case begin to collide with demons from his own past. After a life-threatening attack the forensic psychiatrist knows he must penetrate the killer's psychosis in order to identify him before the Bishop family-and Clevenger himself-become the next victims. Using his mastery of psychiatry, Clevenger lays a trap to reveal the murderer in an unforgettable finale.