This clinical training manual presents a critical analysis of several, very challenging individual therapy cases of severely mentally ill clients of colour. Key interchanges and cultural dynamics in the therapies are explored through discussion questions. Key hypotheses' about those interchanges are supported with citations from research on the subject and are linked to relevant theories. This helps to establish an evidence-based framework for the larger discussion matter. The integration of contemporary theory, research and practice makes this a must have addition to your library of clinical training materials.