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The Second Edition of this concise guide includes a new chapter on cultural variables in the DSM-IV. All other chapters have been updated.

The author summarizes current literature on cross-cultural mental health and provides helpful clinical suggestions for practitioners with a multicultural clientele. Among the topics explored are: cultural variables which may affect assessment and treatment across groups; epidemiological mental health data across groups; application of data from culture-specific, biased measures; and factors to consider during delivery of treatment.

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• Minority, Multicultural, Race, and Ethnicity Concepts
• General Guidelines for the Assessment and Treatment of Multicultural Groups
• Guidelines for the Assessment and Treatment of African American Clients
• Guidelines for the Assessment and Treatment of Hispanic Clients
• Guidelines for the Assessment and Treatment of Asian Clients
• Guidelines for the Assessment and Treatment of American Indian Clients
• Guidelines for the Prevention of Attrition of African American, American Indian, Asian and Hispanic Clients
• Guidelines for Evaluating and Using the Epidemiological Mental Health Literature with Multicultural Groups
• Using Culturally Biased Instruments
• Using Cultural Variables in the Diagnostic and Statistical Manual of Mental Disorders

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CHOICE Review

Paniagua presents guidelines for providing services sensitive to cultural diversity, in a book that will be useful for anyone (therapists, human service providers, teachers, business personnel, etc.) who delivers services to people of varying cultural groups. Paniagua (Univ. of Texas Medical Branch), who teaches cross-cultural mental health seminars, discusses the impact of racism, poverty, discrimination, and cultural values on African American, Hispanic, Asian, and Native American clients. Guidelines for the initial interview, subsequent therapy, and prevention of attrition for each group and subgroup are detailed. Paniagua even suggests specific language to address sensitive issues. The discussion of the potential impact of group membership, acculturation level, language, and folk beliefs is thought provoking. Paniagua also suggests practical ways to diminish the impact of cultural bias in interpretation of psychological tests. Although some topics merited further exposition, and at times general principles rather than specific examples would have been helpful, this work brings together specific information that may be useful to those working with culturally diverse individuals. Upper-division undergraduate through professional.