An updated version of his best seller, Sax delves into the scientific literature and draws on his vast clinical experience to propose an entirely original view of why boys and young men are continuing to fail in school and at home. He argues that a combination of social, cultural, and biological factors is creating an environment that is literally toxic to boys, ranging from environmental estrogens to the over-prescription of ADHD drugs. And he presents practical solutions-- from new ways of controlling boys' use of video games, to innovative (and workable) education reforms.