Thank you for viewing. This is the 4th edition, augmented edition of Standard Physical Therapy and Occupational Therapy: Specialized Basic Field: Psychiatry. I bought it last year and never used it in class. There are some minor scuffs and sun-fading on the edges of the cover, but the inside is clean. Although it is a layman's inspection, there are no writings. Price reduction is possible!! Thank you very much. List price: 4730 yen We do not accept returns to prevent product substitution.