There are no noticeable stains. There is a slight fold in the book. No tears or writing. Please refrain from purchasing if you are looking for a perfect item, as this is a used item. A practical guide to overcoming the scars and trauma of attachment in the depths of your heart. - Title: Attachment Disorder and Complex PTSD - Author: Takashi Okada - Publisher: SB Creative - Price: 1100 yen - ISBN: 978-4-8156-2636-5 Thank you for viewing.