Linde’s memoir recounting his experience working as a psychiatrist in Harare, Zimbabwe, presents us with a fascinating and important lesson in cross-cultural psychiatry. Linde, an emergency psychiatrist at San Francisco General Hospital, spent a year in Africa. He tells the stories of 11 of his patients, representing a range of familiar psychiatric illnesses with very diverse presentations and conditions, not entirely foreign to those who work in community psychiatry. What is unique is Linde’s description of the complexity of the experience of illness for those afflicted and for their families, especially their understanding of symptoms and causes and their decisions about what to do to obtain help. Interpretations of bewitchment are aspects of practice that take us beyond the familiar views of Western psychiatry. The roles of spirits, ancestors, and exorcism are an important part of the construct of illness and the appearance of symptoms. Linde articulates his recognition that he has to learn the meaning and attribution of symptoms in a culture whose experience he does not share. The shadow of stigma also exists in a different form. It drives the direction of seeking help so that the mental health system is the last resort after other options are exhausted. Fortunately, Linde is able to rely on the knowledgeable and sympathetic "sisters" at the hospital for guidance and support.