In his fourth mystery, Kellerman leaves Los Angeles and Alex Delaware, child-psychologist hero of When the Bough Breaks and Blood Test, for the richness of Jerusalem and the subtle complexities of Chief Inspector Daniel Sharavi. The latter is a Yemenite Jew, a quiet and intense war hero with a California-born wife and three young children. When the extensively mutilated body of a young Arab girl is found, Sharavi assembles a group of assistants whose varied ethnic origins represent the composition of the city and state. After a second Arab girl is similarly killed, the case is given political significance in the press, leading to an Arab-Jewish riot and more bloodshed. As the investigation intensifies, Kellerman intersperses chapters that reveal the development of the killer's psychopathology, but not his identity. A third murder focuses Sharavi's attention on Amelia Catherine, the city's U.N.-run hospital, where finally he and the killer meet in a prolonged and graphic fight to the death.