The book begins with a historical overview of culture in mental health. The second chapter offers a discussion of cultural variables—ethnic identity, race, gender and sexual orientation, age, religion, migration and country of origin, socioeconomic status, acculturation and acculturative processes, language, dietary influences, and education. Chapter 3 introduces the cultural formulation found in DSM-IV-TR and explains the basis of each of its five sections. The next chapter applies the formulation to six cases. Overall, the cases are rich and detailed, with many references to culturally normative behavior that helps the reader understand the cultural issues.