Yes it is American. But this book is deeper than the House of God. The one on one doctor patient encounters are relevant to all of us doing talk therapy, and are done with insight above the humour. The nightmares and the satisfactions of psychiatry are laid out for you. There are no laws in psychiatry.
Psychiatrists specialise in their own defects.
At a psychiatric emergency, the first procedure is to check your own mental status. The patient is not the only one with the disease, or without it. In psychiatry, first comes treatment, then comes diagnosis. The worst psychiatrists charge the most, and world experts are the worst. Medical school is a liability in becoming a psycho therapist.