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This work provides insights for art therapists and other mental health workers on how to approach problems of cultural difference in their own work and on how cultural influences are likely to be affecting their clients. Contributions come from art therapists in the USA, Australia, Canada and Britain and include issues from an array of cultural experiences. The contributors examine their work with clients of various ages and cultures and fuse theory with practice, considering issues from personal, educational, supervisory, clinical and theoretical perspectives.