Multiculturalism and the Therapeutic Process is divided into four parts. Part 1 is an overview of cross-cultural treatment considerations. Starting from the 1950s, the author traces a historical outline of how conceptions of culturally responsive clinical practice have shifted through the decades, reflecting changing paradigms in psychotherapy as well as patterns of immigration. Part 2 deals with the beginning phase of the treatment process. The essential principles of assessment and diagnosis of culturally diverse individuals and the crucially important phase of engagement and therapeutic alliance are skillfully articulated with a detailed discussion of case examples from the authors' experience. In part 3, which covers the middle phase and the treatment process, the author discusses, among other things, transference, countertransference, resistance, and defenses within a culturally competent therapeutic framework, again citing case examples. Part 4, which deals with the end phase of the treatment process, offers insightful suggestions for working through the termination phase.