This American book outlines the complexities of working with people of different cultures from the perspective of a family therapist. It consists of 12 essays, some of which explore issues pertinent to working with people of specific ethnic groups, for example, Native American and African American people. Some are more anecdotal in nature describing specific experiences of therapists working with people of different races, the remainder are more ‘scientific’ — measuring therapists' attitudes and knowledge of the cultures of the peoples with whom they work.

Although much of the specific information provided is peculiar to the US and therefore would be more useful to North American than to European therapists, this book emphasises the importance of acquiring knowledge and understanding of the history and culture of different races and using this knowledge to facilitate a more effective therapeutic relationship. This skill is clearly of great importance and relevance to those of us who work in ethnically diverse areas such as inner cities. In addition some of the subtleties of the relationship between the therapist and the patient are explored, for example, the effects that both race and gender might have on the therapeutic relationship not only from the perspective of patients, but also from that of therapists. Necessarily the impact that stereotyping and prejudice has on this is heavily emphasised.

This is an easily read book which highlights the importance of empathy gained through the knowledge of others. Although written from the point of view of social workers many of the conclusions drawn are pertinent to anyone working in the field of mental health. Although possibly not ‘essential’ reading for trainees, I would certainly recommend inclusion of the book in any hospital library. Having read it it made me rethink some of my assumptions and attitudes about the families with whom I work in inner London.