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As a linguist, my first priority is to grasp the basic structure of a language so that if I run across a word, phrase, or article, the most I'll need in order to understand it is a good dictionary. This book only gives up that kind of knowledge very grudgingly.
Instead of explaining basic grammar rules, the text relies heavily on examples. While verb conjugation and noun declension are mentioned in the first three chapters, along with a small handfull of examples, the basic rules governing these things are not explained. No matter how commonly exceptions to the rules occur in any given language, there will still be basic rules of grammar. This is where instruction should begin, with the complexity of phases being built up as new rules are introduced. Exceptions can always be dealt with in later chapters. Instead this text mentions grammar forms without explanation, then tries to teach declined nouns and conjugated verbs as seperate vocabulary.
I think the book's authors may have been trying for a balance between in-depth grammar and giving the student handy phrases to be used from day one. Unfortunately they came up with a very poor compromise that gives little of either in any useful way.
In conjunction with classroom instruction by a competent teacher, I think the book is adequate. However, as an aid to learning Lithuanian on one's own, it is unnecessarily difficult to use, cumbersome, and incomplete.
As to the criticism of other reviewers that it is too outdated and stiff, personally I prefer an instructional text that is dense and to the point. As someone who learns languages quickly and aggressively, that fits my style. However, as a teacher I agree that a text that is more fun would make the process easier for most students, especially those with little or no experience in learning languages. Unfortunately this book really fits neither my style nor the more enjoyable style of modern laguage texts.
In a very small field of options, this book is probably the best. With a good bit of effort on the student's part, it is usable. However, it is far from being what I would call "good".