As Tseng addresses specific disorders in more depth, he sometimes gets a little weighted down with descriptions of syndromes, producing chapters that contain important information but unfortunately read more like the original Handbook, a reference text rather than a clinician's guide. However, the focus soon turns back to direct clinical issues, and the author provides a useful guide to culturally competent clinical assessment, including relevant comments about language barriers and psychometric testing. Tseng addresses clinical care in virtually every setting and explores cultural components of psychopharmacology and psychotherapy. Later chapters examine specific subgroups, such as women, children, and the elderly, and also provide overviews of the major ethnic groups. I personally would have liked to see the urban subculture specifically addressed, with some discussion of the culture of gang violence, given that these issues are frequently encountered clinically in the United States. Nonetheless, the overall tone of the book lends itself to stimulation of lively discussion about topics that could not be covered at length.