I have read this book a few times and kept it at home. The inside is clean. The outer cover has been cut by a child with scissors, and there are some tears. Please refer to the photos. If you have any questions, please contact me. A practical guide to play for elementary school children, themed around sensory integration. - Title: Sensory Integration Play for Elementary School Children - Author: Junshi Ota - Cooperators: Yoshie Kawasaki, Megumi Matsumoto, Megumi Yamamoto - ISBN: 978-4-86382-247-2 - Publisher: Gakuji Shuppan - Condition: Cover has damage Thank you for looking.