Although Dr. Mishne discusses many cultural issues and clinical vignettes from the analytic perspective, the volume lacks the incorporation of key anthropological and sociological concepts. The addition of these concepts could have enriched the analytic theories. For example, Asian, Hispanic, and Native Americans all share the value of harmony with the family and the ecological world as a concept of health, which can influence the establishment of a therapeutic relationship, affect how and when a patient may want to disclose intimate information and handle interpretation and confrontation by the therapist, and even dictate the goal and endpoint in psychotherapy. As an example: should Asian Americans who have conflictual relationships with their family members be encouraged to leave the family or should they be encouraged to realign their object relations and remain within the family? Culture determines what is therapeutically salient and appropriate. The author shows that in the hands of competent therapists, dynamically oriented therapy can be useful in freeing potential conflicts and in achieving lasting benefits. This book is useful for clinicians interested in applying psychoanalytically oriented psychotherapy across cultures.