Part 2, with six chapters, examines the clinical cultures and realities of health care provision from the perspective of the patient, staff, and community. Chapter 6 describes an interesting personal journey of a psychiatrist from the former Soviet Union who moves through immigration, retraining, and relocation in a new clinical setting, where she sees a broad range of patients from around the world. This chapter conveys the message to the reader that culture is a two-way street between the patient and the psychiatrist. Of course all relationships are complicated by the vagaries and demands of the health care system and the local community. Hence the new word “hyperdiversity,” which the authors use to reflect on the tremendous cultural, ethnic, and racial changes going on in the Boston area. Incoming new populations are changing the makeup of health care networks, and the health care systems are scrambling to keep up with the new patients coming in. This point is one all our readers can appreciate.