This article aims to present an accurate picture of the realities of shaken baby syndrome, a form of abusive head trauma in infants and young children that is the result of violent repetitive acceleration-deceleration forces with or without impact. The authors present a detailed confession from an individual accused of perpetrating shaken baby syndrome on a 3-year old child. The child sustained retinal and intracranial hemorrhaging and is now severely disabled with precocious puberty and visual impairments. Accurate details of the incident are discussed. The authors note that confessions such as these will assist researchers and clinicians in understanding the mechanics and causes of this kind of child abuse. References