By Gregg Olsen. A later paperback subhed contained the phrase "Amish Secrets," and it's possible making that the main title was the play here, but given what's hinted at on the cover copy -- "suspicious death of his pregnant wife"; "sexual odyssey" -- maybe the main title actually should have been something like "Ecch."
Not that the content stopped someone from...gnawing on the top edge of this hardcover's dust jacket? Not sure what happened there, but the boards are comparatively unharmed; inside, pages are neat and clean, mild toning.