Each of the five chapters includes cross-cultural considerations. Moreover, the book also includes a chapter on cross-cultural issues aimed at producing integration. Compact and less concrete, this chapter seems to be an ambitious attempt to deal with methodologic, curricular, and doctrinal problems. My own experience, both as a naive foreigner and as an early-career International Medical Graduate, is that there is an attitudinal problem as well. As Fadiman (1) points out, cross-cultural medicine can be a tricky business. By relying on the prevailing cultural milieu as the standard, one can all too easily obtain a distorted image of a person from another culture. In the same way that the recent Mars exploration failed because of problems converting inches to meters, any number of beliefs and practices may be misinterpreted. The chapter is called "Beyond the Funhouse Mirrors: Research Agenda on Culture and Psychiatric Diagnosis," and it sounds like an invitation to participate in change.