James M. O’Toole, author of "For I Have Sinned: The Rise and Fall of Catholic Confession in America", explores the intriguing history of Catholic confession from its integral role in American Catholic life to its sharp decline since the 1970s. He discusses how societal changes, the rise of psychology, and shifting attitudes toward the Church have transformed this once-sacred ritual. O’Toole highlights the impact of cultural dynamics, including gender roles, and the challenges of revitalizing this sacrament amidst modern pressures.